Guía de Implementación para la gestión de citas médicas enfocado en la APS, published by Unidad de Interoperabilidad - MINSAL. This guide is not an authorized publication; it is the continuous build for version 0.4.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/cens-chile/agenda/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON
• TTL

Resource Profile: Perfil Cita

Una reserva de un evento de atención médica entre pacientes, médicos, personas relacionadas y/o dispositivos para una fecha/hora específica. Esto puede resultar en uno o más Encuentros.

Usages:

• Use this Profile: Bundle Transacción para indicar la respuesta ante una propuesta de cita médica
• Examples for this Profile: Appointment/EjemploCita1 and Appointment/EjemploCita2

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Appointment	C	0..*	Appointment	A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s) Constraints: app-2, app-3, app-4
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		1..*	Extension	Comentarios respecto al servicio que se realizara durante la cita. Slice: Unordered, Open by value:url
extension:apellidoservicio	S	1..1	string	Apellido Servicio URL: https://interoperabilidad.minsal.cl/fhir/ig/agenda/StructureDefinition/ApellidoServicio
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	proposed | pending | booked | arrived | fulfilled | cancelled | noshow | entered-in-error | checked-in | waitlist Binding: AppointmentStatus (required)
specialty	Σ	0..*	CodeableConcept	La especialidad de un profesional que se requeriría para realizar el servicio solicitado en esta cita. Binding: PracticeSettingCodeValueSet (extensible)
start	Σ	1..1	instant	Cuando se realizará la cita.
basedOn		1..1	Reference(Perfil de la Solicitud del Servicio)	Referencia a la solicitud del servicio.
Slices for participant	C	2..*	BackboneElement	Participantes de la Cita médica. Slice: Unordered, Open by value:required Constraints: app-1
participant:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
status	Σ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment.
participant:paciente	C	1..1	BackboneElement	Paciente agendado. Constraints: app-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor	SΣ	1..1	Reference(Paciente)	Referencia al paciente agendado.
required	SΣ	1..1	code	required | optional | information-only Binding: ParticipantRequired (required) Required Pattern: required
status	Σ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment.
participant:prestador	C	1..1	BackboneElement	Prestador individual agendado. Constraints: app-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor	SΣ	1..1	Reference(Prestador)	Referencia al prestador agendado.
required	SΣ	1..1	code	required | optional | information-only Binding: ParticipantRequired (required): Is the Participant required to attend the appointment. Required Pattern: optional
status	Σ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Appointment.status	Base	required	AppointmentStatus	📦4.0.1	FHIR Std.
Appointment.specialty	Base	extensible	Practice Setting Code Value Set	📦4.0.1	FHIR Std.
Appointment.participant.​status	Base	required	ParticipationStatus	📍4.0.1	FHIR Std.
Appointment.participant:paciente.​required	Base	required	ParticipantRequired	📦4.0.1	FHIR Std.
Appointment.participant:paciente.​status	Base	required	ParticipationStatus	📍4.0.1	FHIR Std.
Appointment.participant:prestador.​required	Base	required	ParticipantRequired	📍4.0.1	FHIR Std.
Appointment.participant:prestador.​status	Base	required	ParticipationStatus	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
app-1	error	Appointment.participant, Appointment.participant:paciente, Appointment.participant:prestador	Either the type or actor on the participant SHALL be specified	type.exists() or actor.exists()
app-2	error	Appointment	Either start and end are specified, or neither	start.exists() = end.exists()
app-3	error	Appointment	Only proposed or cancelled appointments can be missing start/end dates	(start.exists() and end.exists()) or (status in ('proposed' | 'cancelled' | 'waitlist'))
app-4	error	Appointment	Cancelation reason is only used for appointments that have been cancelled, or no-show	Appointment.cancelationReason.exists() implies (Appointment.status='no-show' or Appointment.status='cancelled')
dom-2	error	Appointment	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Appointment	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Appointment	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Appointment	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Appointment	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from Appointment

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Appointment			Appointment
Slices for extension		1..*	Extension	Comentarios respecto al servicio que se realizara durante la cita. Slice: Unordered, Open by value:url
extension:apellidoservicio	S	1..1	string	Apellido Servicio URL: https://interoperabilidad.minsal.cl/fhir/ig/agenda/StructureDefinition/ApellidoServicio
status		1..1	code	proposed | pending | booked | arrived | fulfilled | cancelled | noshow | entered-in-error | checked-in | waitlist Binding: AppointmentStatus (required)
specialty		0..*	CodeableConcept	La especialidad de un profesional que se requeriría para realizar el servicio solicitado en esta cita. Binding: PracticeSettingCodeValueSet (extensible)
start		1..1	instant	Cuando se realizará la cita.
basedOn		1..1	Reference(Perfil de la Solicitud del Servicio)	Referencia a la solicitud del servicio.
Slices for participant		2..*	BackboneElement	Participantes de la Cita médica. Slice: Unordered, Open by value:required
participant:paciente		1..1	BackboneElement	Paciente agendado.
actor	S	1..1	Reference(Paciente)	Referencia al paciente agendado.
required	S	1..1	code	required | optional | information-only Binding: ParticipantRequired (required) Required Pattern: required
participant:prestador		1..1	BackboneElement	Prestador individual agendado.
actor	S	1..1	Reference(Prestador)	Referencia al prestador agendado.
required	S	1..1	code	required | optional | information-only Required Pattern: optional
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Appointment.status	Base	required	AppointmentStatus	📦4.0.1	FHIR Std.
Appointment.specialty	Base	extensible	Practice Setting Code Value Set	📦4.0.1	FHIR Std.
Appointment.participant:paciente.​required	Base	required	ParticipantRequired	📦4.0.1	FHIR Std.

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Appointment	C	0..*	Appointment	A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s) Constraints: app-2, app-3, app-4
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Comentarios respecto al servicio que se realizara durante la cita. Slice: Unordered, Open by value:url
extension:apellidoservicio	S	1..1	string	Apellido Servicio URL: https://interoperabilidad.minsal.cl/fhir/ig/agenda/StructureDefinition/ApellidoServicio
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this item
status	?!Σ	1..1	code	proposed | pending | booked | arrived | fulfilled | cancelled | noshow | entered-in-error | checked-in | waitlist Binding: AppointmentStatus (required)
cancelationReason	Σ	0..1	CodeableConcept	The coded reason for the appointment being cancelled Binding: AppointmentCancellationReason (example)
serviceCategory	Σ	0..*	CodeableConcept	A broad categorization of the service that is to be performed during this appointment Binding: ServiceCategory (example)
serviceType	Σ	0..*	CodeableConcept	The specific service that is to be performed during this appointment Binding: ServiceType (example)
specialty	Σ	0..*	CodeableConcept	La especialidad de un profesional que se requeriría para realizar el servicio solicitado en esta cita. Binding: PracticeSettingCodeValueSet (extensible)
appointmentType	Σ	0..1	CodeableConcept	The style of appointment or patient that has been booked in the slot (not service type) Binding: hl7VS-appointmentReasonCodes (preferred)
reasonCode	Σ	0..*	CodeableConcept	Coded reason this appointment is scheduled Binding: EncounterReasonCodes (preferred): The Reason for the appointment to take place.
reasonReference		0..*	Reference(Condition | Procedure | Observation | ImmunizationRecommendation)	Reason the appointment is to take place (resource)
priority		0..1	unsignedInt	Used to make informed decisions if needing to re-prioritize
description		0..1	string	Shown on a subject line in a meeting request, or appointment list
supportingInformation		0..*	Reference(Resource)	Additional information to support the appointment
start	Σ	1..1	instant	Cuando se realizará la cita.
end	Σ	0..1	instant	When appointment is to conclude
minutesDuration		0..1	positiveInt	Can be less than start/end (e.g. estimate)
slot		0..*	Reference(Slot)	The slots that this appointment is filling
created		0..1	dateTime	The date that this appointment was initially created
comment		0..1	string	Additional comments
patientInstruction		0..1	string	Detailed information and instructions for the patient
basedOn		1..1	Reference(Perfil de la Solicitud del Servicio)	Referencia a la solicitud del servicio.
Slices for participant	C	2..*	BackboneElement	Participantes de la Cita médica. Slice: Unordered, Open by value:required Constraints: app-1
participant:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	0..*	CodeableConcept	Role of participant in the appointment Binding: ParticipantType (extensible): Role of participant in encounter.
actor	Σ	0..1	Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Device | HealthcareService | Location)	Person, Location/HealthcareService or Device
required	Σ	0..1	code	required | optional | information-only Binding: ParticipantRequired (required): Is the Participant required to attend the appointment.
status	Σ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment.
period		0..1	Period	Participation period of the actor
participant:paciente	C	1..1	BackboneElement	Paciente agendado. Constraints: app-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	0..*	CodeableConcept	Role of participant in the appointment Binding: ParticipantType (extensible): Role of participant in encounter.
actor	SΣ	1..1	Reference(Paciente)	Referencia al paciente agendado.
required	SΣ	1..1	code	required | optional | information-only Binding: ParticipantRequired (required) Required Pattern: required
status	Σ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment.
period		0..1	Period	Participation period of the actor
participant:prestador	C	1..1	BackboneElement	Prestador individual agendado. Constraints: app-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	0..*	CodeableConcept	Role of participant in the appointment Binding: ParticipantType (extensible): Role of participant in encounter.
actor	SΣ	1..1	Reference(Prestador)	Referencia al prestador agendado.
required	SΣ	1..1	code	required | optional | information-only Binding: ParticipantRequired (required): Is the Participant required to attend the appointment. Required Pattern: optional
status	Σ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment.
period		0..1	Period	Participation period of the actor
requestedPeriod		0..*	Period	Potential date/time interval(s) requested to allocate the appointment within
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Appointment.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Appointment.status	Base	required	AppointmentStatus	📦4.0.1	FHIR Std.
Appointment.cancelationReason	Base	example	Appointment cancellation reason	📍4.0.1	FHIR Std.
Appointment.serviceCategory	Base	example	Service category	📍4.0.1	FHIR Std.
Appointment.serviceType	Base	example	Service type	📍4.0.1	FHIR Std.
Appointment.specialty	Base	extensible	Practice Setting Code Value Set	📦4.0.1	FHIR Std.
Appointment.appointmentType	Base	preferred	hl7VS-appointmentReasonCodes	📦2.0.0	THO v6.5
Appointment.reasonCode	Base	preferred	Encounter Reason Codes	📍4.0.1	FHIR Std.
Appointment.participant.​type	Base	extensible	Participant type	📍4.0.1	FHIR Std.
Appointment.participant.​required	Base	required	ParticipantRequired	📍4.0.1	FHIR Std.
Appointment.participant.​status	Base	required	ParticipationStatus	📍4.0.1	FHIR Std.
Appointment.participant:paciente.​type	Base	extensible	Participant type	📍4.0.1	FHIR Std.
Appointment.participant:paciente.​required	Base	required	ParticipantRequired	📦4.0.1	FHIR Std.
Appointment.participant:paciente.​status	Base	required	ParticipationStatus	📍4.0.1	FHIR Std.
Appointment.participant:prestador.​type	Base	extensible	Participant type	📍4.0.1	FHIR Std.
Appointment.participant:prestador.​required	Base	required	ParticipantRequired	📍4.0.1	FHIR Std.
Appointment.participant:prestador.​status	Base	required	ParticipationStatus	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
app-1	error	Appointment.participant, Appointment.participant:paciente, Appointment.participant:prestador	Either the type or actor on the participant SHALL be specified	type.exists() or actor.exists()
app-2	error	Appointment	Either start and end are specified, or neither	start.exists() = end.exists()
app-3	error	Appointment	Only proposed or cancelled appointments can be missing start/end dates	(start.exists() and end.exists()) or (status in ('proposed' | 'cancelled' | 'waitlist'))
app-4	error	Appointment	Cancelation reason is only used for appointments that have been cancelled, or no-show	Appointment.cancelationReason.exists() implies (Appointment.status='no-show' or Appointment.status='cancelled')
dom-2	error	Appointment	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Appointment	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Appointment	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Appointment	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Appointment	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from Appointment

Summary

Mandatory: 10 elements
Must-Support: 5 elements

Structures

This structure refers to these other structures:

• Perfil de la Solicitud del Servicio (https://interoperabilidad.minsal.cl/fhir/ig/agenda/StructureDefinition/SolicitudServicio)
• Paciente (https://interoperabilidad.minsal.cl/fhir/ig/agenda/StructureDefinition/PacienteAgenda)
• Prestador (https://interoperabilidad.minsal.cl/fhir/ig/agenda/StructureDefinition/Prestador)

Extensions

This structure refers to these extensions:

• https://interoperabilidad.minsal.cl/fhir/ig/agenda/StructureDefinition/ApellidoServicio

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Appointment.participant

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Appointment	C	0..*	Appointment	A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s) Constraints: app-2, app-3, app-4
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		1..*	Extension	Comentarios respecto al servicio que se realizara durante la cita. Slice: Unordered, Open by value:url
extension:apellidoservicio	S	1..1	string	Apellido Servicio URL: https://interoperabilidad.minsal.cl/fhir/ig/agenda/StructureDefinition/ApellidoServicio
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	proposed | pending | booked | arrived | fulfilled | cancelled | noshow | entered-in-error | checked-in | waitlist Binding: AppointmentStatus (required)
specialty	Σ	0..*	CodeableConcept	La especialidad de un profesional que se requeriría para realizar el servicio solicitado en esta cita. Binding: PracticeSettingCodeValueSet (extensible)
start	Σ	1..1	instant	Cuando se realizará la cita.
basedOn		1..1	Reference(Perfil de la Solicitud del Servicio)	Referencia a la solicitud del servicio.
Slices for participant	C	2..*	BackboneElement	Participantes de la Cita médica. Slice: Unordered, Open by value:required Constraints: app-1
participant:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
status	Σ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment.
participant:paciente	C	1..1	BackboneElement	Paciente agendado. Constraints: app-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor	SΣ	1..1	Reference(Paciente)	Referencia al paciente agendado.
required	SΣ	1..1	code	required | optional | information-only Binding: ParticipantRequired (required) Required Pattern: required
status	Σ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment.
participant:prestador	C	1..1	BackboneElement	Prestador individual agendado. Constraints: app-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor	SΣ	1..1	Reference(Prestador)	Referencia al prestador agendado.
required	SΣ	1..1	code	required | optional | information-only Binding: ParticipantRequired (required): Is the Participant required to attend the appointment. Required Pattern: optional
status	Σ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Appointment.status	Base	required	AppointmentStatus	📦4.0.1	FHIR Std.
Appointment.specialty	Base	extensible	Practice Setting Code Value Set	📦4.0.1	FHIR Std.
Appointment.participant.​status	Base	required	ParticipationStatus	📍4.0.1	FHIR Std.
Appointment.participant:paciente.​required	Base	required	ParticipantRequired	📦4.0.1	FHIR Std.
Appointment.participant:paciente.​status	Base	required	ParticipationStatus	📍4.0.1	FHIR Std.
Appointment.participant:prestador.​required	Base	required	ParticipantRequired	📍4.0.1	FHIR Std.
Appointment.participant:prestador.​status	Base	required	ParticipationStatus	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
app-1	error	Appointment.participant, Appointment.participant:paciente, Appointment.participant:prestador	Either the type or actor on the participant SHALL be specified	type.exists() or actor.exists()
app-2	error	Appointment	Either start and end are specified, or neither	start.exists() = end.exists()
app-3	error	Appointment	Only proposed or cancelled appointments can be missing start/end dates	(start.exists() and end.exists()) or (status in ('proposed' | 'cancelled' | 'waitlist'))
app-4	error	Appointment	Cancelation reason is only used for appointments that have been cancelled, or no-show	Appointment.cancelationReason.exists() implies (Appointment.status='no-show' or Appointment.status='cancelled')
dom-2	error	Appointment	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Appointment	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Appointment	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Appointment	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Appointment	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Differential View

This structure is derived from Appointment

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Appointment			Appointment
Slices for extension		1..*	Extension	Comentarios respecto al servicio que se realizara durante la cita. Slice: Unordered, Open by value:url
extension:apellidoservicio	S	1..1	string	Apellido Servicio URL: https://interoperabilidad.minsal.cl/fhir/ig/agenda/StructureDefinition/ApellidoServicio
status		1..1	code	proposed | pending | booked | arrived | fulfilled | cancelled | noshow | entered-in-error | checked-in | waitlist Binding: AppointmentStatus (required)
specialty		0..*	CodeableConcept	La especialidad de un profesional que se requeriría para realizar el servicio solicitado en esta cita. Binding: PracticeSettingCodeValueSet (extensible)
start		1..1	instant	Cuando se realizará la cita.
basedOn		1..1	Reference(Perfil de la Solicitud del Servicio)	Referencia a la solicitud del servicio.
Slices for participant		2..*	BackboneElement	Participantes de la Cita médica. Slice: Unordered, Open by value:required
participant:paciente		1..1	BackboneElement	Paciente agendado.
actor	S	1..1	Reference(Paciente)	Referencia al paciente agendado.
required	S	1..1	code	required | optional | information-only Binding: ParticipantRequired (required) Required Pattern: required
participant:prestador		1..1	BackboneElement	Prestador individual agendado.
actor	S	1..1	Reference(Prestador)	Referencia al prestador agendado.
required	S	1..1	code	required | optional | information-only Required Pattern: optional
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Appointment.status	Base	required	AppointmentStatus	📦4.0.1	FHIR Std.
Appointment.specialty	Base	extensible	Practice Setting Code Value Set	📦4.0.1	FHIR Std.
Appointment.participant:paciente.​required	Base	required	ParticipantRequired	📦4.0.1	FHIR Std.

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Appointment	C	0..*	Appointment	A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s) Constraints: app-2, app-3, app-4
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Comentarios respecto al servicio que se realizara durante la cita. Slice: Unordered, Open by value:url
extension:apellidoservicio	S	1..1	string	Apellido Servicio URL: https://interoperabilidad.minsal.cl/fhir/ig/agenda/StructureDefinition/ApellidoServicio
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this item
status	?!Σ	1..1	code	proposed | pending | booked | arrived | fulfilled | cancelled | noshow | entered-in-error | checked-in | waitlist Binding: AppointmentStatus (required)
cancelationReason	Σ	0..1	CodeableConcept	The coded reason for the appointment being cancelled Binding: AppointmentCancellationReason (example)
serviceCategory	Σ	0..*	CodeableConcept	A broad categorization of the service that is to be performed during this appointment Binding: ServiceCategory (example)
serviceType	Σ	0..*	CodeableConcept	The specific service that is to be performed during this appointment Binding: ServiceType (example)
specialty	Σ	0..*	CodeableConcept	La especialidad de un profesional que se requeriría para realizar el servicio solicitado en esta cita. Binding: PracticeSettingCodeValueSet (extensible)
appointmentType	Σ	0..1	CodeableConcept	The style of appointment or patient that has been booked in the slot (not service type) Binding: hl7VS-appointmentReasonCodes (preferred)
reasonCode	Σ	0..*	CodeableConcept	Coded reason this appointment is scheduled Binding: EncounterReasonCodes (preferred): The Reason for the appointment to take place.
reasonReference		0..*	Reference(Condition | Procedure | Observation | ImmunizationRecommendation)	Reason the appointment is to take place (resource)
priority		0..1	unsignedInt	Used to make informed decisions if needing to re-prioritize
description		0..1	string	Shown on a subject line in a meeting request, or appointment list
supportingInformation		0..*	Reference(Resource)	Additional information to support the appointment
start	Σ	1..1	instant	Cuando se realizará la cita.
end	Σ	0..1	instant	When appointment is to conclude
minutesDuration		0..1	positiveInt	Can be less than start/end (e.g. estimate)
slot		0..*	Reference(Slot)	The slots that this appointment is filling
created		0..1	dateTime	The date that this appointment was initially created
comment		0..1	string	Additional comments
patientInstruction		0..1	string	Detailed information and instructions for the patient
basedOn		1..1	Reference(Perfil de la Solicitud del Servicio)	Referencia a la solicitud del servicio.
Slices for participant	C	2..*	BackboneElement	Participantes de la Cita médica. Slice: Unordered, Open by value:required Constraints: app-1
participant:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	0..*	CodeableConcept	Role of participant in the appointment Binding: ParticipantType (extensible): Role of participant in encounter.
actor	Σ	0..1	Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Device | HealthcareService | Location)	Person, Location/HealthcareService or Device
required	Σ	0..1	code	required | optional | information-only Binding: ParticipantRequired (required): Is the Participant required to attend the appointment.
status	Σ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment.
period		0..1	Period	Participation period of the actor
participant:paciente	C	1..1	BackboneElement	Paciente agendado. Constraints: app-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	0..*	CodeableConcept	Role of participant in the appointment Binding: ParticipantType (extensible): Role of participant in encounter.
actor	SΣ	1..1	Reference(Paciente)	Referencia al paciente agendado.
required	SΣ	1..1	code	required | optional | information-only Binding: ParticipantRequired (required) Required Pattern: required
status	Σ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment.
period		0..1	Period	Participation period of the actor
participant:prestador	C	1..1	BackboneElement	Prestador individual agendado. Constraints: app-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	0..*	CodeableConcept	Role of participant in the appointment Binding: ParticipantType (extensible): Role of participant in encounter.
actor	SΣ	1..1	Reference(Prestador)	Referencia al prestador agendado.
required	SΣ	1..1	code	required | optional | information-only Binding: ParticipantRequired (required): Is the Participant required to attend the appointment. Required Pattern: optional
status	Σ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment.
period		0..1	Period	Participation period of the actor
requestedPeriod		0..*	Period	Potential date/time interval(s) requested to allocate the appointment within
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Appointment.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Appointment.status	Base	required	AppointmentStatus	📦4.0.1	FHIR Std.
Appointment.cancelationReason	Base	example	Appointment cancellation reason	📍4.0.1	FHIR Std.
Appointment.serviceCategory	Base	example	Service category	📍4.0.1	FHIR Std.
Appointment.serviceType	Base	example	Service type	📍4.0.1	FHIR Std.
Appointment.specialty	Base	extensible	Practice Setting Code Value Set	📦4.0.1	FHIR Std.
Appointment.appointmentType	Base	preferred	hl7VS-appointmentReasonCodes	📦2.0.0	THO v6.5
Appointment.reasonCode	Base	preferred	Encounter Reason Codes	📍4.0.1	FHIR Std.
Appointment.participant.​type	Base	extensible	Participant type	📍4.0.1	FHIR Std.
Appointment.participant.​required	Base	required	ParticipantRequired	📍4.0.1	FHIR Std.
Appointment.participant.​status	Base	required	ParticipationStatus	📍4.0.1	FHIR Std.
Appointment.participant:paciente.​type	Base	extensible	Participant type	📍4.0.1	FHIR Std.
Appointment.participant:paciente.​required	Base	required	ParticipantRequired	📦4.0.1	FHIR Std.
Appointment.participant:paciente.​status	Base	required	ParticipationStatus	📍4.0.1	FHIR Std.
Appointment.participant:prestador.​type	Base	extensible	Participant type	📍4.0.1	FHIR Std.
Appointment.participant:prestador.​required	Base	required	ParticipantRequired	📍4.0.1	FHIR Std.
Appointment.participant:prestador.​status	Base	required	ParticipationStatus	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
app-1	error	Appointment.participant, Appointment.participant:paciente, Appointment.participant:prestador	Either the type or actor on the participant SHALL be specified	type.exists() or actor.exists()
app-2	error	Appointment	Either start and end are specified, or neither	start.exists() = end.exists()
app-3	error	Appointment	Only proposed or cancelled appointments can be missing start/end dates	(start.exists() and end.exists()) or (status in ('proposed' | 'cancelled' | 'waitlist'))
app-4	error	Appointment	Cancelation reason is only used for appointments that have been cancelled, or no-show	Appointment.cancelationReason.exists() implies (Appointment.status='no-show' or Appointment.status='cancelled')
dom-2	error	Appointment	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Appointment	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Appointment	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Appointment	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Appointment	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from Appointment

Summary

Mandatory: 10 elements
Must-Support: 5 elements

Structures

This structure refers to these other structures:

• Perfil de la Solicitud del Servicio (https://interoperabilidad.minsal.cl/fhir/ig/agenda/StructureDefinition/SolicitudServicio)
• Paciente (https://interoperabilidad.minsal.cl/fhir/ig/agenda/StructureDefinition/PacienteAgenda)
• Prestador (https://interoperabilidad.minsal.cl/fhir/ig/agenda/StructureDefinition/Prestador)

Extensions

This structure refers to these extensions:

• https://interoperabilidad.minsal.cl/fhir/ig/agenda/StructureDefinition/ApellidoServicio

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Appointment.participant

Other representations of profile: CSV, Excel, Schematron