Finnish Base Profiles
1.0.1 - draft Finland flag

Finnish Base Profiles, published by HL7 Finland. This guide is not an authorized publication; it is the continuous build for version 1.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/fhir-fi/finnish-base-profiles/ and changes regularly. See the Directory of published versions

Resource Profile: FI Base Appointment

Official URL: https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-appointment Version: 1.0.1
Draft as of 2024-08-19 Computable Name: FiBaseAppointment

This is the Finnish base profile for the Appointment resource.

Scope and Usage

This implementation guide does not profile scheduling related resources.

However, references to Appointment, Schedule, and Slot resources are included here in order to draw the readers attention to two previous implementation guides published by HL7 Finland:

There is also ongoing work on FHIR APIs for scheduling in the national Kanta system.

The contents of both of the implementation guides published by HL7 Finland are already a bit outdated.

The concepts and resources are used, most notably by Omaolo symptom assessment services and AVPH (ajanvaraus ja palveluohjain -sovellus) scheduling service, and the scheduling API of the OMNI360 electronic health record system.

Still, implementers should read these implementation guides with caution and verify the latest state of the art from their customers or from vendors of real world implementations.

HL7 Finland is currently considering updating the published implementation guides.

Usage:

Formal Views of Profile Content

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

This structure is derived from Appointment

NameFlagsCard.TypeDescription & Constraintsdoco
.. Appointment 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)
... reasonReference 0..* Reference(FI Base Condition | Fi Base Procedure | FI Base Observation | ImmunizationRecommendation) Reason the appointment is to take place (resource)
... slot 0..* Reference(FI Base Slot) The slots that this appointment is filling
... participant
.... actor 0..1 Reference(FI Base Patient | FI Base Practitioner | FI Base PractitionerRole | RelatedPerson | Device | HealthcareService | FI Base Location) Person, Location/HealthcareService or Device

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. 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)
app-2: Either start and end are specified, or neither
app-3: Only proposed or cancelled appointments can be missing start/end dates
app-4: Cancelation reason is only used for appointments that have been cancelled, or no-show
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... 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): The free/busy status of an appointment.

... slot 0..* Reference(FI Base Slot) The slots that this appointment is filling
... participant C 1..* BackboneElement Participants involved in appointment
app-1: Either the type or actor on the participant SHALL be specified
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... actor Σ 0..1 Reference(FI Base Patient | FI Base Practitioner | FI Base PractitionerRole | RelatedPerson | Device | HealthcareService | FI Base Location) Person, Location/HealthcareService or Device
.... status Σ 1..1 code accepted | declined | tentative | needs-action
Binding: ParticipationStatus (required): The Participation status of an appointment.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Appointment.statusrequiredAppointmentStatus
http://hl7.org/fhir/ValueSet/appointmentstatus|4.0.1
from the FHIR Standard
Appointment.participant.statusrequiredParticipationStatus
http://hl7.org/fhir/ValueSet/participationstatus|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
app-1errorAppointment.participantEither the type or actor on the participant SHALL be specified
: type.exists() or actor.exists()
app-2errorAppointmentEither start and end are specified, or neither
: start.exists() = end.exists()
app-3errorAppointmentOnly proposed or cancelled appointments can be missing start/end dates
: (start.exists() and end.exists()) or (status in ('proposed' | 'cancelled' | 'waitlist'))
app-4errorAppointmentCancelation 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-2errorAppointmentIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorAppointmentIf 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-4errorAppointmentIf 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-5errorAppointmentIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceAppointmentA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. 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)
app-2: Either start and end are specified, or neither
app-3: Only proposed or cancelled appointments can be missing start/end dates
app-4: Cancelation reason is only used for appointments that have been cancelled, or no-show
... 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 BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... 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): The free/busy status of an appointment.

... 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 The specialty of a practitioner that would be required to perform the service requested in this appointment
Binding: PracticeSettingCodeValueSet (preferred)
... 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(FI Base Condition | Fi Base Procedure | FI Base 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 0..1 instant When appointment is to take place
... 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(FI Base 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 0..* Reference(ServiceRequest) The service request this appointment is allocated to assess
... participant C 1..* BackboneElement Participants involved in appointment
app-1: Either the type or actor on the participant SHALL be specified
.... 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(FI Base Patient | FI Base Practitioner | FI Base PractitionerRole | RelatedPerson | Device | HealthcareService | FI Base 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
... requestedPeriod 0..* Period Potential date/time interval(s) requested to allocate the appointment within

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Appointment.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Appointment.statusrequiredAppointmentStatus
http://hl7.org/fhir/ValueSet/appointmentstatus|4.0.1
from the FHIR Standard
Appointment.cancelationReasonexampleAppointmentCancellationReason
http://hl7.org/fhir/ValueSet/appointment-cancellation-reason
from the FHIR Standard
Appointment.serviceCategoryexampleServiceCategory
http://hl7.org/fhir/ValueSet/service-category
from the FHIR Standard
Appointment.serviceTypeexampleServiceType
http://hl7.org/fhir/ValueSet/service-type
from the FHIR Standard
Appointment.specialtypreferredPracticeSettingCodeValueSet
http://hl7.org/fhir/ValueSet/c80-practice-codes
from the FHIR Standard
Appointment.appointmentTypepreferredHl7VSAppointmentReasonCodes
http://terminology.hl7.org/ValueSet/v2-0276
Appointment.reasonCodepreferredEncounterReasonCodes
http://hl7.org/fhir/ValueSet/encounter-reason
from the FHIR Standard
Appointment.participant.typeextensibleParticipantType
http://hl7.org/fhir/ValueSet/encounter-participant-type
from the FHIR Standard
Appointment.participant.requiredrequiredParticipantRequired
http://hl7.org/fhir/ValueSet/participantrequired|4.0.1
from the FHIR Standard
Appointment.participant.statusrequiredParticipationStatus
http://hl7.org/fhir/ValueSet/participationstatus|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
app-1errorAppointment.participantEither the type or actor on the participant SHALL be specified
: type.exists() or actor.exists()
app-2errorAppointmentEither start and end are specified, or neither
: start.exists() = end.exists()
app-3errorAppointmentOnly proposed or cancelled appointments can be missing start/end dates
: (start.exists() and end.exists()) or (status in ('proposed' | 'cancelled' | 'waitlist'))
app-4errorAppointmentCancelation 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-2errorAppointmentIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorAppointmentIf 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-4errorAppointmentIf 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-5errorAppointmentIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceAppointmentA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Differential View

This structure is derived from Appointment

NameFlagsCard.TypeDescription & Constraintsdoco
.. Appointment 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)
... reasonReference 0..* Reference(FI Base Condition | Fi Base Procedure | FI Base Observation | ImmunizationRecommendation) Reason the appointment is to take place (resource)
... slot 0..* Reference(FI Base Slot) The slots that this appointment is filling
... participant
.... actor 0..1 Reference(FI Base Patient | FI Base Practitioner | FI Base PractitionerRole | RelatedPerson | Device | HealthcareService | FI Base Location) Person, Location/HealthcareService or Device

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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)
app-2: Either start and end are specified, or neither
app-3: Only proposed or cancelled appointments can be missing start/end dates
app-4: Cancelation reason is only used for appointments that have been cancelled, or no-show
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... 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): The free/busy status of an appointment.

... slot 0..* Reference(FI Base Slot) The slots that this appointment is filling
... participant C 1..* BackboneElement Participants involved in appointment
app-1: Either the type or actor on the participant SHALL be specified
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... actor Σ 0..1 Reference(FI Base Patient | FI Base Practitioner | FI Base PractitionerRole | RelatedPerson | Device | HealthcareService | FI Base Location) Person, Location/HealthcareService or Device
.... status Σ 1..1 code accepted | declined | tentative | needs-action
Binding: ParticipationStatus (required): The Participation status of an appointment.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Appointment.statusrequiredAppointmentStatus
http://hl7.org/fhir/ValueSet/appointmentstatus|4.0.1
from the FHIR Standard
Appointment.participant.statusrequiredParticipationStatus
http://hl7.org/fhir/ValueSet/participationstatus|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
app-1errorAppointment.participantEither the type or actor on the participant SHALL be specified
: type.exists() or actor.exists()
app-2errorAppointmentEither start and end are specified, or neither
: start.exists() = end.exists()
app-3errorAppointmentOnly proposed or cancelled appointments can be missing start/end dates
: (start.exists() and end.exists()) or (status in ('proposed' | 'cancelled' | 'waitlist'))
app-4errorAppointmentCancelation 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-2errorAppointmentIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorAppointmentIf 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-4errorAppointmentIf 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-5errorAppointmentIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceAppointmentA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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)
app-2: Either start and end are specified, or neither
app-3: Only proposed or cancelled appointments can be missing start/end dates
app-4: Cancelation reason is only used for appointments that have been cancelled, or no-show
... 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 BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... 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): The free/busy status of an appointment.

... 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 The specialty of a practitioner that would be required to perform the service requested in this appointment
Binding: PracticeSettingCodeValueSet (preferred)
... 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(FI Base Condition | Fi Base Procedure | FI Base 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 0..1 instant When appointment is to take place
... 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(FI Base 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 0..* Reference(ServiceRequest) The service request this appointment is allocated to assess
... participant C 1..* BackboneElement Participants involved in appointment
app-1: Either the type or actor on the participant SHALL be specified
.... 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(FI Base Patient | FI Base Practitioner | FI Base PractitionerRole | RelatedPerson | Device | HealthcareService | FI Base 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
... requestedPeriod 0..* Period Potential date/time interval(s) requested to allocate the appointment within

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Appointment.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Appointment.statusrequiredAppointmentStatus
http://hl7.org/fhir/ValueSet/appointmentstatus|4.0.1
from the FHIR Standard
Appointment.cancelationReasonexampleAppointmentCancellationReason
http://hl7.org/fhir/ValueSet/appointment-cancellation-reason
from the FHIR Standard
Appointment.serviceCategoryexampleServiceCategory
http://hl7.org/fhir/ValueSet/service-category
from the FHIR Standard
Appointment.serviceTypeexampleServiceType
http://hl7.org/fhir/ValueSet/service-type
from the FHIR Standard
Appointment.specialtypreferredPracticeSettingCodeValueSet
http://hl7.org/fhir/ValueSet/c80-practice-codes
from the FHIR Standard
Appointment.appointmentTypepreferredHl7VSAppointmentReasonCodes
http://terminology.hl7.org/ValueSet/v2-0276
Appointment.reasonCodepreferredEncounterReasonCodes
http://hl7.org/fhir/ValueSet/encounter-reason
from the FHIR Standard
Appointment.participant.typeextensibleParticipantType
http://hl7.org/fhir/ValueSet/encounter-participant-type
from the FHIR Standard
Appointment.participant.requiredrequiredParticipantRequired
http://hl7.org/fhir/ValueSet/participantrequired|4.0.1
from the FHIR Standard
Appointment.participant.statusrequiredParticipationStatus
http://hl7.org/fhir/ValueSet/participationstatus|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
app-1errorAppointment.participantEither the type or actor on the participant SHALL be specified
: type.exists() or actor.exists()
app-2errorAppointmentEither start and end are specified, or neither
: start.exists() = end.exists()
app-3errorAppointmentOnly proposed or cancelled appointments can be missing start/end dates
: (start.exists() and end.exists()) or (status in ('proposed' | 'cancelled' | 'waitlist'))
app-4errorAppointmentCancelation 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-2errorAppointmentIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorAppointmentIf 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-4errorAppointmentIf 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-5errorAppointmentIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceAppointmentA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

 

Other representations of profile: CSV, Excel, Schematron