eHealth Infrastructure
3.3.0 - ci-build Denmark flag

eHealth Infrastructure, published by Den telemedicinske infrastruktur (eHealth Infrastructure). This guide is not an authorized publication; it is the continuous build for version 3.3.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/fut-infrastructure/implementation-guide/ and changes regularly. See the Directory of published versions

Resource Profile: ehealth-videoappointment - Detailed Descriptions

Active as of 2024-12-20

Definitions for the ehealth-videoappointment resource profile.

Guidance on how to interpret the contents of this table can be found here

0. Appointment
Invariantsresponsible-1: Ensuring that responsible entity is a participating party ((extension('http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible').value.reference in participant.extension('http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-ext-careteam').value.reference) or (extension('http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible').value.reference in participant.actor.reference))
single-patient-appointment: Only a single patient is allowed pr. appointment (participant.actor.where(reference.contains('/Patient')).count() < 2)
2. Appointment.extension
Control1..?
SlicingThis element introduces a set of slices on Appointment.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 4. Appointment.extension:endMeetingOnEndTime
    Slice NameendMeetingOnEndTime
    Control0..1
    TypeExtension(End meeting on end time) (Extension Type: boolean)
    6. Appointment.extension:maxParticipants
    Slice NamemaxParticipants
    Control0..1
    TypeExtension(Max participants) (Extension Type: integer)
    8. Appointment.extension:meetingUrl
    Slice NamemeetingUrl
    Control0..1
    TypeExtension(Meeting URL) (Extension Type: uri)
    10. Appointment.extension:vmrUri
    Slice NamevmrUri
    Control0..1
    TypeExtension(VMR URI) (Extension Type: uri)
    12. Appointment.extension:guestPinCode
    Slice NameguestPinCode
    Control0..1
    TypeExtension(Guest PIN code) (Extension Type: string)
    14. Appointment.extension:hostPinCode
    Slice NamehostPinCode
    Control0..1
    TypeExtension(Guest PIN code) (Extension Type: string)
    16. Appointment.extension:responsible
    Slice Nameresponsible
    Control1..1
    TypeExtension(Responsible) (Extension Type: Reference(ehealth-careteam, ehealth-practitioner)referenced)
    18. Appointment.extension:groupId
    Slice NamegroupId
    Control0..1
    TypeExtension(Group id) (Extension Type: string)
    20. Appointment.extension:legalBasis
    Slice NamelegalBasis
    Control0..1
    TypeExtension(Legal basis) (Extension Type: CodeableConcept)
    Invariantsgovernance-1: When extension is used a Episode of Care MUST be referenced (%resource.supportingInformation.reference.contains('EpisodeOfCare/'))
    responsible-2: Both performing organization and responsible organization must be populated when legal basis is used (%resource.extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-performing-organization').exists() and %resource.extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible-organization').exists())
    22. Appointment.extension:releasableResource
    Slice NamereleasableResource
    Control0..1
    TypeExtension(Releasable resource) (Extension Type: boolean)
    24. Appointment.extension:responsibleOrganization
    Slice NameresponsibleOrganization
    Control0..1
    TypeExtension(Responsible organization) (Extension Type: Reference(ehealth-organization)referenced)
    26. Appointment.extension:performer
    Slice Nameperformer
    Control0..1
    TypeExtension(Performer) (Extension Type: Reference(ehealth-careteam, ehealth-practitioner)referenced)
    28. Appointment.extension:performingOrganization
    Slice NameperformingOrganization
    Control0..1
    TypeExtension(Performing organization) (Extension Type: Reference(ehealth-organization)referenced)
    30. Appointment.identifier
    NoteThis is a business identifier, not a resource identifier (see discussion)
    SlicingThis element introduces a set of slices on Appointment.identifier. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ system
    • 32. Appointment.identifier:vdxMeetingId
      Slice NamevdxMeetingId
      NoteThis is a business identifier, not a resource identifier (see discussion)
      Control0..1
      34. Appointment.identifier:vdxMeetingId.system
      Control1..?
      Fixed Valuehttp://vdx.medcom.dk/meeting
      36. Appointment.serviceType
      Control1..?
      SlicingThis element introduces a set of slices on Appointment.serviceType. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ coding.code
      • 38. Appointment.serviceType:appointmentType
        Slice NameappointmentType
        Control1..1
        40. Appointment.serviceType:appointmentType.coding
        BindingThe codes SHALL be taken from Appointment Service Type
        (required to http://ehealth.sundhed.dk/vs/appointment-servicetype)
        42. Appointment.serviceType:appointmentType.coding.code
        Control1..?
        Fixed Valuevideo
        44. Appointment.appointmentType
        Control1..?
        BindingThe codes SHALL be taken from Appointment Type Codes
        (required to http://ehealth.sundhed.dk/vs/appointmenttype-codes)
        46. Appointment.reasonCode
        Control0..1
        BindingThe codes SHALL be taken from Appointment Reason
        (required to http://ehealth.sundhed.dk/vs/appointment-reason)
        48. Appointment.supportingInformation
        Control0..1
        TypeReference(ehealth-episodeofcare, ehealth-careplan)referenced
        50. Appointment.start
        Control1..?
        52. Appointment.end
        Control1..?
        54. Appointment.participant
        56. Appointment.participant.extension
        SlicingThis element introduces a set of slices on Appointment.participant.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • 58. Appointment.participant.extension:careteam
          Slice Namecareteam
          Control0..1
          TypeExtension(Careteam) (Extension Type: Reference(ehealth-careteam)referenced)
          60. Appointment.participant.actor
          TypeReference(ehealth-patient, ehealth-practitioner, ehealth-relatedperson, Location)referenced, referenced, contained

          Guidance on how to interpret the contents of this table can be found here

          0. Appointment
          Definition

          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).

          ShortA 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)
          Control0..*
          Is Modifierfalse
          Summaryfalse
          Invariantsapp-2: Either start and end are specified, or neither (start.exists() = end.exists())
          app-3: Only proposed or cancelled appointments can be missing start/end dates ((start.exists() and end.exists()) or (status in ('proposed' | 'cancelled' | 'waitlist')))
          app-4: 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: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
          dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
          dom-6: A resource should have narrative for robust management (text.`div`.exists())
          responsible-1: Ensuring that responsible entity is a participating party ((extension('http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible').value.reference in participant.extension('http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-ext-careteam').value.reference) or (extension('http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible').value.reference in participant.actor.reference))
          single-patient-appointment: Only a single patient is allowed pr. appointment (participant.actor.where(reference.contains('/Patient')).count() < 2)
          app-2: Either start and end are specified, or neither (start.exists() = end.exists())
          app-3: Only proposed or cancelled appointments can be missing start/end dates ((start.exists() and end.exists()) or (status in ('proposed' | 'cancelled' | 'waitlist')))
          app-4: 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'))
          2. Appointment.implicitRules
          Definition

          A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

          ShortA set of rules under which this content was created
          Comments

          Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

          Control0..1
          Typeuri
          Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          4. Appointment.extension
          Definition

          An Extension


          May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

          ShortExtensionAdditional content defined by implementations
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control10..*
          TypeExtension
          Is Modifierfalse
          Summaryfalse
          Alternate Namesextensions, user content
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          SlicingThis element introduces a set of slices on Appointment.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 6. Appointment.extension:endMeetingOnEndTime
            Slice NameendMeetingOnEndTime
            Definition

            Indicates if a video meeting must end on end time

            ShortIndicates if a video meeting must end on end time
            Control0..1
            This element is affected by the following invariants: ele-1
            TypeExtension(End meeting on end time) (Extension Type: boolean)
            Is Modifierfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            8. Appointment.extension:maxParticipants
            Slice NamemaxParticipants
            Definition

            The maximum number of participants allowed to participate in a video meeting

            ShortThe maximum number of participants allowed to participate in a video meeting
            Control0..1
            This element is affected by the following invariants: ele-1
            TypeExtension(Max participants) (Extension Type: integer)
            Is Modifierfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            10. Appointment.extension:meetingUrl
            Slice NamemeetingUrl
            Definition

            The URL at which a video meeting will take place. Is provided by the service, not the client, and may not be updated

            ShortMeeting URL
            Control0..1
            This element is affected by the following invariants: ele-1
            TypeExtension(Meeting URL) (Extension Type: uri)
            Is Modifierfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            12. Appointment.extension:vmrUri
            Slice NamevmrUri
            Definition

            Virtual Meeting Room URI that can be used in eg. webRTC clients. Is provided by the service, not the client, and may not be updated.

            ShortVideo meeting URL
            Control0..1
            This element is affected by the following invariants: ele-1
            TypeExtension(VMR URI) (Extension Type: uri)
            Is Modifierfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            14. Appointment.extension:guestPinCode
            Slice NameguestPinCode
            Definition

            The PIN code to be used to gain access to a video meeting. Is provided by the service, not the client, and is not updateable.

            ShortGuest PIN code
            Control0..1
            This element is affected by the following invariants: ele-1
            TypeExtension(Guest PIN code) (Extension Type: string)
            Is Modifierfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            16. Appointment.extension:hostPinCode
            Slice NamehostPinCode
            Definition

            The PIN code to be used to gain access to a video meeting. Is provided by the service, not the client, and is not updateable. Host PIN must be used in order to start the meeting

            ShortHost PIN code
            Control0..1
            This element is affected by the following invariants: ele-1
            TypeExtension(Guest PIN code) (Extension Type: string)
            Is Modifierfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            18. Appointment.extension:responsible
            Slice Nameresponsible
            Definition

            Individuals, careteam and/or organization who are responsible in the given context

            ShortResponsible careteam/practitioner
            Control1..1
            This element is affected by the following invariants: ele-1
            TypeExtension(Responsible) (Extension Type: Reference(ehealth-careteam, ehealth-practitioner)referenced)
            Is Modifierfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            20. Appointment.extension:groupId
            Slice NamegroupId
            Definition

            A logical id identifying a set of messages, which have the same recipient (considered a 'group message'). Must be supplied by the client, eg. as a UUID

            ShortLogical id identifying a set of messages with the same recipient
            Control0..1
            This element is affected by the following invariants: ele-1
            TypeExtension(Group id) (Extension Type: string)
            Is Modifierfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            22. Appointment.extension:legalBasis
            Slice NamelegalBasis
            Definition

            Legal basis

            ShortLegal basis
            Control0..1
            This element is affected by the following invariants: ele-1
            TypeExtension(Legal basis) (Extension Type: CodeableConcept)
            Is Modifierfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            governance-1: When extension is used a Episode of Care MUST be referenced (%resource.supportingInformation.reference.contains('EpisodeOfCare/'))
            responsible-2: Both performing organization and responsible organization must be populated when legal basis is used (%resource.extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-performing-organization').exists() and %resource.extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible-organization').exists())
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            24. Appointment.extension:releasableResource
            Slice NamereleasableResource
            Definition

            Indicates if the resource may be shared through national document repositories

            ShortIndicates if the resource may be shared through national document repositories
            Control0..1
            This element is affected by the following invariants: ele-1
            TypeExtension(Releasable resource) (Extension Type: boolean)
            Is Modifierfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            26. Appointment.extension:responsibleOrganization
            Slice NameresponsibleOrganization
            Definition

            Organization responsible in a given context

            ShortResponsible organization
            Control0..1
            This element is affected by the following invariants: ele-1
            TypeExtension(Responsible organization) (Extension Type: Reference(ehealth-organization)referenced)
            Is Modifierfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            28. Appointment.extension:performer
            Slice Nameperformer
            Definition

            The actual performer in an appointment, eg. teacher in a group class

            ShortPerformer
            Control0..1
            This element is affected by the following invariants: ele-1
            TypeExtension(Performer) (Extension Type: Reference(ehealth-careteam, ehealth-practitioner)referenced)
            Is Modifierfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            30. Appointment.extension:performingOrganization
            Slice NameperformingOrganization
            Definition

            Organization who is performing in the given context

            ShortOrganization who is performing in the given context
            Control0..1
            This element is affected by the following invariants: ele-1
            TypeExtension(Performing organization) (Extension Type: Reference(ehealth-organization)referenced)
            Is Modifierfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            32. Appointment.modifierExtension
            Definition

            May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

            ShortExtensions that cannot be ignored
            Comments

            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

            Control0..*
            TypeExtension
            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
            Summaryfalse
            Requirements

            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

            Alternate Namesextensions, user content
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            34. Appointment.identifier
            Definition

            This records identifiers associated with this appointment concern that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate (e.g. in CDA documents, or in written / printed documentation).

            ShortExternal Ids for this item
            NoteThis is a business identifier, not a resource identifier (see discussion)
            Control0..*
            TypeIdentifier
            Is Modifierfalse
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            SlicingThis element introduces a set of slices on Appointment.identifier. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ system
            • 36. Appointment.identifier:vdxMeetingId
              Slice NamevdxMeetingId
              Definition

              This records identifiers associated with this appointment concern that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate (e.g. in CDA documents, or in written / printed documentation).

              ShortExternal Ids for this item
              NoteThis is a business identifier, not a resource identifier (see discussion)
              Control0..1*
              TypeIdentifier
              Is Modifierfalse
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              38. Appointment.identifier:vdxMeetingId.use
              Definition

              The purpose of this identifier.

              Shortusual | official | temp | secondary | old (If known)
              Comments

              Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

              Control0..1
              BindingThe codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
              (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

              Identifies the purpose for this identifier, if known .

              Typecode
              Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Requirements

              Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              40. Appointment.identifier:vdxMeetingId.system
              Definition

              Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

              ShortThe namespace for the identifier value
              Comments

              Identifier.system is always case sensitive.

              Control10..1
              Typeuri
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Requirements

              There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

              Fixed Valuehttp://vdx.medcom.dk/meeting
              Example<br/><b>General</b>:http://www.acme.com/identifiers/patient
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              42. Appointment.status
              Definition

              The overall status of the Appointment. Each of the participants has their own participation status which indicates their involvement in the process, however this status indicates the shared status.

              Shortproposed | pending | booked | arrived | fulfilled | cancelled | noshow | entered-in-error | checked-in | waitlist
              Comments

              If the Appointment's status is "cancelled" then all participants are expected to have their calendars released for the appointment period, and as such any Slots that were marked as BUSY can be re-set to FREE.

              This element is labeled as a modifier because the status contains the code entered-in-error that mark the Appointment as not currently valid.

              Control1..1
              BindingThe codes SHALL be taken from AppointmentStatushttp://hl7.org/fhir/ValueSet/appointmentstatus|4.0.1
              (required to http://hl7.org/fhir/ValueSet/appointmentstatus|4.0.1)

              The free/busy status of an appointment.

              Typecode
              Is Modifiertrue because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              44. Appointment.serviceType
              Definition

              The specific service that is to be performed during this appointment.

              ShortThe specific service that is to be performed during this appointment
              Comments

              For a provider to provider appointment the code "FOLLOWUP" may be appropriate, as this is expected to be discussing some patient that was seen in the past.

              Control10..*
              BindingFor example codes, see ServiceTypehttp://hl7.org/fhir/ValueSet/service-type
              (example to http://hl7.org/fhir/ValueSet/service-type)
              TypeCodeableConcept
              Is Modifierfalse
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              SlicingThis element introduces a set of slices on Appointment.serviceType. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • value @ coding.code
              • 46. Appointment.serviceType:appointmentType
                Slice NameappointmentType
                Definition

                The specific service that is to be performed during this appointment.

                ShortThe specific service that is to be performed during this appointment
                Comments

                For a provider to provider appointment the code "FOLLOWUP" may be appropriate, as this is expected to be discussing some patient that was seen in the past.

                Control10..1*
                BindingFor example codes, see ServiceTypehttp://hl7.org/fhir/ValueSet/service-type
                (example to http://hl7.org/fhir/ValueSet/service-type)
                TypeCodeableConcept
                Is Modifierfalse
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                48. Appointment.serviceType:appointmentType.coding
                Definition

                A reference to a code defined by a terminology system.

                ShortCode defined by a terminology system
                Comments

                Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                Control0..*
                BindingThe codes SHALL be taken from For codes, see Appointment Service Type
                (required to http://ehealth.sundhed.dk/vs/appointment-servicetype)
                TypeCoding
                Is Modifierfalse
                Summarytrue
                Requirements

                Allows for alternative encodings within a code system, and translations to other code systems.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                50. Appointment.serviceType:appointmentType.coding.code
                Definition

                A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                ShortSymbol in syntax defined by the system
                Control10..1
                Typecode
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Requirements

                Need to refer to a particular code in the system.

                Fixed Valuevideo
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                52. Appointment.appointmentType
                Definition

                The style of appointment or patient that has been booked in the slot (not service type).

                ShortThe style of appointment or patient that has been booked in the slot (not service type)
                Control10..1
                BindingThe codes SHALL be taken from The codes SHOULD be taken from Appointment Type Codeshttp://terminology.hl7.org/ValueSet/v2-0276
                (required to http://ehealth.sundhed.dk/vs/appointmenttype-codes)
                TypeCodeableConcept
                Is Modifierfalse
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                54. Appointment.reasonCode
                Definition

                The coded reason that this appointment is being scheduled. This is more clinical than administrative.

                ShortCoded reason this appointment is scheduled
                Control0..1*
                BindingThe codes SHALL be taken from The codes SHOULD be taken from Appointment Reasonhttp://hl7.org/fhir/ValueSet/encounter-reason
                (required to http://ehealth.sundhed.dk/vs/appointment-reason)
                TypeCodeableConcept
                Is Modifierfalse
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                56. Appointment.supportingInformation
                Definition

                Additional information to support the appointment provided when making the appointment.

                ShortAdditional information to support the appointment
                Control0..1*
                TypeReference(ehealth-episodeofcare, ehealth-careplan, Resource)referenced
                Is Modifierfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                58. Appointment.start
                Definition

                Date/Time that the appointment is to take place.

                ShortWhen appointment is to take place
                Control10..1
                Typeinstant
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                60. Appointment.end
                Definition

                Date/Time that the appointment is to conclude.

                ShortWhen appointment is to conclude
                Control10..1
                Typeinstant
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                62. Appointment.participant
                Definition

                List of participants involved in the appointment.

                ShortParticipants involved in appointment
                Control1..*
                TypeBackboneElement
                Is Modifierfalse
                Summaryfalse
                Invariantsapp-1: Either the type or actor on the participant SHALL be specified (type.exists() or actor.exists())
                ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                app-1: Either the type or actor on the participant SHALL be specified (type.exists() or actor.exists())
                64. Appointment.participant.extension
                Definition

                An Extension


                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                ShortExtensionAdditional content defined by implementations
                Comments

                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                Control0..*
                TypeExtension
                Is Modifierfalse
                Summaryfalse
                Alternate Namesextensions, user content
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                SlicingThis element introduces a set of slices on Appointment.participant.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • value @ url
                • 66. Appointment.participant.extension:careteam
                  Slice Namecareteam
                  Definition

                  Careteam

                  ShortCareteam
                  Control0..1
                  This element is affected by the following invariants: ele-1
                  TypeExtension(Careteam) (Extension Type: Reference(ehealth-careteam)referenced)
                  Is Modifierfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  68. Appointment.participant.modifierExtension
                  Definition

                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                  ShortExtensions that cannot be ignored even if unrecognized
                  Comments

                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                  Control0..*
                  TypeExtension
                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                  Summarytrue
                  Requirements

                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                  Alternate Namesextensions, user content, modifiers
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  70. Appointment.participant.actor
                  Definition

                  A Person, Location/HealthcareService or Device that is participating in the appointment.

                  ShortPerson, Location/HealthcareService or Device
                  Control0..1
                  TypeReference(ehealth-patient, ehealth-practitioner, ehealth-relatedperson, Location, Patient, Practitioner, PractitionerRole, RelatedPerson, Device, HealthcareService)referenced, referenced, contained
                  Is Modifierfalse
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  72. Appointment.participant.status
                  Definition

                  Participation status of the actor.

                  Shortaccepted | declined | tentative | needs-action
                  Control1..1
                  BindingThe codes SHALL be taken from ParticipationStatushttp://hl7.org/fhir/ValueSet/participationstatus|4.0.1
                  (required to http://hl7.org/fhir/ValueSet/participationstatus|4.0.1)

                  The Participation status of an appointment.

                  Typecode
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

                  Guidance on how to interpret the contents of this table can be found here

                  0. Appointment
                  Definition

                  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).

                  ShortA 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)
                  Control0..*
                  Is Modifierfalse
                  Summaryfalse
                  Invariantsapp-2: Either start and end are specified, or neither (start.exists() = end.exists())
                  app-3: Only proposed or cancelled appointments can be missing start/end dates ((start.exists() and end.exists()) or (status in ('proposed' | 'cancelled' | 'waitlist')))
                  app-4: 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: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
                  dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
                  dom-6: A resource should have narrative for robust management (text.`div`.exists())
                  responsible-1: Ensuring that responsible entity is a participating party ((extension('http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible').value.reference in participant.extension('http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-ext-careteam').value.reference) or (extension('http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible').value.reference in participant.actor.reference))
                  single-patient-appointment: Only a single patient is allowed pr. appointment (participant.actor.where(reference.contains('/Patient')).count() < 2)
                  2. Appointment.id
                  Definition

                  The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

                  ShortLogical id of this artifact
                  Comments

                  The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

                  Control0..1
                  Typeid
                  Is Modifierfalse
                  Summarytrue
                  4. Appointment.meta
                  Definition

                  The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

                  ShortMetadata about the resource
                  Control0..1
                  TypeMeta
                  Is Modifierfalse
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  6. Appointment.implicitRules
                  Definition

                  A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

                  ShortA set of rules under which this content was created
                  Comments

                  Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

                  Control0..1
                  Typeuri
                  Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  8. Appointment.language
                  Definition

                  The base language in which the resource is written.

                  ShortLanguage of the resource content
                  Comments

                  Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

                  Control0..1
                  BindingThe codes SHOULD be taken from CommonLanguages
                  (preferred to http://hl7.org/fhir/ValueSet/languages)

                  A human language.

                  Additional BindingsPurpose
                  AllLanguagesMax Binding
                  Typecode
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  10. Appointment.text
                  Definition

                  A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

                  ShortText summary of the resource, for human interpretation
                  Comments

                  Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

                  Control0..1
                  TypeNarrative
                  Is Modifierfalse
                  Summaryfalse
                  Alternate Namesnarrative, html, xhtml, display
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  12. Appointment.contained
                  Definition

                  These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

                  ShortContained, inline Resources
                  Comments

                  This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

                  Control0..*
                  TypeResource
                  Is Modifierfalse
                  Summaryfalse
                  Alternate Namesinline resources, anonymous resources, contained resources
                  14. Appointment.extension
                  Definition

                  An Extension

                  ShortExtension
                  Control1..*
                  TypeExtension
                  Is Modifierfalse
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  SlicingThis element introduces a set of slices on Appointment.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                  • value @ url
                  • 16. Appointment.extension:endMeetingOnEndTime
                    Slice NameendMeetingOnEndTime
                    Definition

                    Indicates if a video meeting must end on end time

                    ShortIndicates if a video meeting must end on end time
                    Control0..1
                    This element is affected by the following invariants: ele-1
                    TypeExtension(End meeting on end time) (Extension Type: boolean)
                    Is Modifierfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    18. Appointment.extension:maxParticipants
                    Slice NamemaxParticipants
                    Definition

                    The maximum number of participants allowed to participate in a video meeting

                    ShortThe maximum number of participants allowed to participate in a video meeting
                    Control0..1
                    This element is affected by the following invariants: ele-1
                    TypeExtension(Max participants) (Extension Type: integer)
                    Is Modifierfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    20. Appointment.extension:meetingUrl
                    Slice NamemeetingUrl
                    Definition

                    The URL at which a video meeting will take place. Is provided by the service, not the client, and may not be updated

                    ShortMeeting URL
                    Control0..1
                    This element is affected by the following invariants: ele-1
                    TypeExtension(Meeting URL) (Extension Type: uri)
                    Is Modifierfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    22. Appointment.extension:vmrUri
                    Slice NamevmrUri
                    Definition

                    Virtual Meeting Room URI that can be used in eg. webRTC clients. Is provided by the service, not the client, and may not be updated.

                    ShortVideo meeting URL
                    Control0..1
                    This element is affected by the following invariants: ele-1
                    TypeExtension(VMR URI) (Extension Type: uri)
                    Is Modifierfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    24. Appointment.extension:guestPinCode
                    Slice NameguestPinCode
                    Definition

                    The PIN code to be used to gain access to a video meeting. Is provided by the service, not the client, and is not updateable.

                    ShortGuest PIN code
                    Control0..1
                    This element is affected by the following invariants: ele-1
                    TypeExtension(Guest PIN code) (Extension Type: string)
                    Is Modifierfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    26. Appointment.extension:hostPinCode
                    Slice NamehostPinCode
                    Definition

                    The PIN code to be used to gain access to a video meeting. Is provided by the service, not the client, and is not updateable. Host PIN must be used in order to start the meeting

                    ShortHost PIN code
                    Control0..1
                    This element is affected by the following invariants: ele-1
                    TypeExtension(Guest PIN code) (Extension Type: string)
                    Is Modifierfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    28. Appointment.extension:responsible
                    Slice Nameresponsible
                    Definition

                    Individuals, careteam and/or organization who are responsible in the given context

                    ShortResponsible careteam/practitioner
                    Control1..1
                    This element is affected by the following invariants: ele-1
                    TypeExtension(Responsible) (Extension Type: Reference(ehealth-careteam, ehealth-practitioner)referenced)
                    Is Modifierfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    30. Appointment.extension:groupId
                    Slice NamegroupId
                    Definition

                    A logical id identifying a set of messages, which have the same recipient (considered a 'group message'). Must be supplied by the client, eg. as a UUID

                    ShortLogical id identifying a set of messages with the same recipient
                    Control0..1
                    This element is affected by the following invariants: ele-1
                    TypeExtension(Group id) (Extension Type: string)
                    Is Modifierfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    32. Appointment.extension:legalBasis
                    Slice NamelegalBasis
                    Definition

                    Legal basis

                    ShortLegal basis
                    Control0..1
                    This element is affected by the following invariants: ele-1
                    TypeExtension(Legal basis) (Extension Type: CodeableConcept)
                    Is Modifierfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    governance-1: When extension is used a Episode of Care MUST be referenced (%resource.supportingInformation.reference.contains('EpisodeOfCare/'))
                    responsible-2: Both performing organization and responsible organization must be populated when legal basis is used (%resource.extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-performing-organization').exists() and %resource.extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible-organization').exists())
                    34. Appointment.extension:releasableResource
                    Slice NamereleasableResource
                    Definition

                    Indicates if the resource may be shared through national document repositories

                    ShortIndicates if the resource may be shared through national document repositories
                    Control0..1
                    This element is affected by the following invariants: ele-1
                    TypeExtension(Releasable resource) (Extension Type: boolean)
                    Is Modifierfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    36. Appointment.extension:responsibleOrganization
                    Slice NameresponsibleOrganization
                    Definition

                    Organization responsible in a given context

                    ShortResponsible organization
                    Control0..1
                    This element is affected by the following invariants: ele-1
                    TypeExtension(Responsible organization) (Extension Type: Reference(ehealth-organization)referenced)
                    Is Modifierfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    38. Appointment.extension:performer
                    Slice Nameperformer
                    Definition

                    The actual performer in an appointment, eg. teacher in a group class

                    ShortPerformer
                    Control0..1
                    This element is affected by the following invariants: ele-1
                    TypeExtension(Performer) (Extension Type: Reference(ehealth-careteam, ehealth-practitioner)referenced)
                    Is Modifierfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    40. Appointment.extension:performingOrganization
                    Slice NameperformingOrganization
                    Definition

                    Organization who is performing in the given context

                    ShortOrganization who is performing in the given context
                    Control0..1
                    This element is affected by the following invariants: ele-1
                    TypeExtension(Performing organization) (Extension Type: Reference(ehealth-organization)referenced)
                    Is Modifierfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    42. Appointment.modifierExtension
                    Definition

                    May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                    ShortExtensions that cannot be ignored
                    Comments

                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                    Control0..*
                    TypeExtension
                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
                    Summaryfalse
                    Requirements

                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                    Alternate Namesextensions, user content
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    44. Appointment.identifier
                    Definition

                    This records identifiers associated with this appointment concern that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate (e.g. in CDA documents, or in written / printed documentation).

                    ShortExternal Ids for this item
                    NoteThis is a business identifier, not a resource identifier (see discussion)
                    Control0..*
                    TypeIdentifier
                    Is Modifierfalse
                    Summarytrue
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    SlicingThis element introduces a set of slices on Appointment.identifier. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                    • value @ system
                    • 46. Appointment.identifier:vdxMeetingId
                      Slice NamevdxMeetingId
                      Definition

                      This records identifiers associated with this appointment concern that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate (e.g. in CDA documents, or in written / printed documentation).

                      ShortExternal Ids for this item
                      NoteThis is a business identifier, not a resource identifier (see discussion)
                      Control0..1
                      TypeIdentifier
                      Is Modifierfalse
                      Summarytrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      48. Appointment.identifier:vdxMeetingId.id
                      Definition

                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                      ShortUnique id for inter-element referencing
                      Control0..1
                      Typestring
                      Is Modifierfalse
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Summaryfalse
                      50. Appointment.identifier:vdxMeetingId.extension
                      Definition

                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                      ShortAdditional content defined by implementations
                      Comments

                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                      Control0..*
                      TypeExtension
                      Is Modifierfalse
                      Summaryfalse
                      Alternate Namesextensions, user content
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      SlicingThis element introduces a set of slices on Appointment.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                      • value @ url
                      • 52. Appointment.identifier:vdxMeetingId.use
                        Definition

                        The purpose of this identifier.

                        Shortusual | official | temp | secondary | old (If known)
                        Comments

                        Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

                        Control0..1
                        BindingThe codes SHALL be taken from IdentifierUse
                        (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

                        Identifies the purpose for this identifier, if known .

                        Typecode
                        Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Requirements

                        Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        54. Appointment.identifier:vdxMeetingId.type
                        Definition

                        A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

                        ShortDescription of identifier
                        Comments

                        This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

                        Control0..1
                        BindingUnless not suitable, these codes SHALL be taken from Identifier Type Codes
                        (extensible to http://hl7.org/fhir/ValueSet/identifier-type)

                        A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

                        TypeCodeableConcept
                        Is Modifierfalse
                        Summarytrue
                        Requirements

                        Allows users to make use of identifiers when the identifier system is not known.

                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        56. Appointment.identifier:vdxMeetingId.system
                        Definition

                        Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

                        ShortThe namespace for the identifier value
                        Comments

                        Identifier.system is always case sensitive.

                        Control1..1
                        Typeuri
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Requirements

                        There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

                        Fixed Valuehttp://vdx.medcom.dk/meeting
                        Example<br/><b>General</b>:http://www.acme.com/identifiers/patient
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        58. Appointment.identifier:vdxMeetingId.value
                        Definition

                        The portion of the identifier typically relevant to the user and which is unique within the context of the system.

                        ShortThe value that is unique
                        Comments

                        If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

                        Control0..1
                        Typestring
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Example<br/><b>General</b>:123456
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        60. Appointment.identifier:vdxMeetingId.period
                        Definition

                        Time period during which identifier is/was valid for use.

                        ShortTime period when id is/was valid for use
                        Control0..1
                        TypePeriod
                        Is Modifierfalse
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        62. Appointment.identifier:vdxMeetingId.assigner
                        Definition

                        Organization that issued/manages the identifier.

                        ShortOrganization that issued id (may be just text)
                        Comments

                        The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

                        Control0..1
                        TypeReference(Organization)
                        Is Modifierfalse
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        64. Appointment.status
                        Definition

                        The overall status of the Appointment. Each of the participants has their own participation status which indicates their involvement in the process, however this status indicates the shared status.

                        Shortproposed | pending | booked | arrived | fulfilled | cancelled | noshow | entered-in-error | checked-in | waitlist
                        Comments

                        If the Appointment's status is "cancelled" then all participants are expected to have their calendars released for the appointment period, and as such any Slots that were marked as BUSY can be re-set to FREE.

                        This element is labeled as a modifier because the status contains the code entered-in-error that mark the Appointment as not currently valid.

                        Control1..1
                        BindingThe codes SHALL be taken from AppointmentStatus
                        (required to http://hl7.org/fhir/ValueSet/appointmentstatus|4.0.1)

                        The free/busy status of an appointment.

                        Typecode
                        Is Modifiertrue because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        66. Appointment.cancelationReason
                        Definition

                        The coded reason for the appointment being cancelled. This is often used in reporting/billing/futher processing to determine if further actions are required, or specific fees apply.

                        ShortThe coded reason for the appointment being cancelled
                        Control0..1
                        BindingFor example codes, see AppointmentCancellationReason
                        (example to http://hl7.org/fhir/ValueSet/appointment-cancellation-reason)
                        TypeCodeableConcept
                        Is Modifierfalse
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        68. Appointment.serviceCategory
                        Definition

                        A broad categorization of the service that is to be performed during this appointment.

                        ShortA broad categorization of the service that is to be performed during this appointment
                        Control0..*
                        BindingFor example codes, see ServiceCategory
                        (example to http://hl7.org/fhir/ValueSet/service-category)
                        TypeCodeableConcept
                        Is Modifierfalse
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        70. Appointment.serviceType
                        Definition

                        The specific service that is to be performed during this appointment.

                        ShortThe specific service that is to be performed during this appointment
                        Comments

                        For a provider to provider appointment the code "FOLLOWUP" may be appropriate, as this is expected to be discussing some patient that was seen in the past.

                        Control1..*
                        BindingFor example codes, see ServiceType
                        (example to http://hl7.org/fhir/ValueSet/service-type)
                        TypeCodeableConcept
                        Is Modifierfalse
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        SlicingThis element introduces a set of slices on Appointment.serviceType. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                        • value @ coding.code
                        • 72. Appointment.serviceType:appointmentType
                          Slice NameappointmentType
                          Definition

                          The specific service that is to be performed during this appointment.

                          ShortThe specific service that is to be performed during this appointment
                          Comments

                          For a provider to provider appointment the code "FOLLOWUP" may be appropriate, as this is expected to be discussing some patient that was seen in the past.

                          Control1..1
                          BindingFor example codes, see ServiceType
                          (example to http://hl7.org/fhir/ValueSet/service-type)
                          TypeCodeableConcept
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          74. Appointment.serviceType:appointmentType.id
                          Definition

                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                          ShortUnique id for inter-element referencing
                          Control0..1
                          Typestring
                          Is Modifierfalse
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Summaryfalse
                          76. Appointment.serviceType:appointmentType.extension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                          ShortAdditional content defined by implementations
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifierfalse
                          Summaryfalse
                          Alternate Namesextensions, user content
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          SlicingThis element introduces a set of slices on Appointment.serviceType.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                          • value @ url
                          • 78. Appointment.serviceType:appointmentType.coding
                            Definition

                            A reference to a code defined by a terminology system.

                            ShortCode defined by a terminology system
                            Comments

                            Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                            Control0..*
                            BindingThe codes SHALL be taken from Appointment Service Type
                            (required to http://ehealth.sundhed.dk/vs/appointment-servicetype)
                            TypeCoding
                            Is Modifierfalse
                            Summarytrue
                            Requirements

                            Allows for alternative encodings within a code system, and translations to other code systems.

                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            80. Appointment.serviceType:appointmentType.coding.id
                            Definition

                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                            ShortUnique id for inter-element referencing
                            Control0..1
                            Typestring
                            Is Modifierfalse
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Summaryfalse
                            82. Appointment.serviceType:appointmentType.coding.extension
                            Definition

                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                            ShortAdditional content defined by implementations
                            Comments

                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                            Control0..*
                            TypeExtension
                            Is Modifierfalse
                            Summaryfalse
                            Alternate Namesextensions, user content
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            SlicingThis element introduces a set of slices on Appointment.serviceType.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                            • value @ url
                            • 84. Appointment.serviceType:appointmentType.coding.system
                              Definition

                              The identification of the code system that defines the meaning of the symbol in the code.

                              ShortIdentity of the terminology system
                              Comments

                              The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                              Control0..1
                              Typeuri
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summarytrue
                              Requirements

                              Need to be unambiguous about the source of the definition of the symbol.

                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              86. Appointment.serviceType:appointmentType.coding.version
                              Definition

                              The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                              ShortVersion of the system - if relevant
                              Comments

                              Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                              NoteThis is a business version Id, not a resource version Id (see discussion)
                              Control0..1
                              Typestring
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summarytrue
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              88. Appointment.serviceType:appointmentType.coding.code
                              Definition

                              A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                              ShortSymbol in syntax defined by the system
                              Control1..1
                              Typecode
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summarytrue
                              Requirements

                              Need to refer to a particular code in the system.

                              Fixed Valuevideo
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              90. Appointment.serviceType:appointmentType.coding.display
                              Definition

                              A representation of the meaning of the code in the system, following the rules of the system.

                              ShortRepresentation defined by the system
                              Control0..1
                              Typestring
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summarytrue
                              Requirements

                              Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              92. Appointment.serviceType:appointmentType.coding.userSelected
                              Definition

                              Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                              ShortIf this coding was chosen directly by the user
                              Comments

                              Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                              Control0..1
                              Typeboolean
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summarytrue
                              Requirements

                              This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              94. Appointment.serviceType:appointmentType.text
                              Definition

                              A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                              ShortPlain text representation of the concept
                              Comments

                              Very often the text is the same as a displayName of one of the codings.

                              Control0..1
                              Typestring
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summarytrue
                              Requirements

                              The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              96. Appointment.specialty
                              Definition

                              The specialty of a practitioner that would be required to perform the service requested in this appointment.

                              ShortThe specialty of a practitioner that would be required to perform the service requested in this appointment
                              Control0..*
                              BindingThe codes SHOULD be taken from PracticeSettingCodeValueSet
                              (preferred to http://hl7.org/fhir/ValueSet/c80-practice-codes)
                              TypeCodeableConcept
                              Is Modifierfalse
                              Summarytrue
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              98. Appointment.appointmentType
                              Definition

                              The style of appointment or patient that has been booked in the slot (not service type).

                              ShortThe style of appointment or patient that has been booked in the slot (not service type)
                              Control1..1
                              BindingThe codes SHALL be taken from Appointment Type Codes
                              (required to http://ehealth.sundhed.dk/vs/appointmenttype-codes)
                              TypeCodeableConcept
                              Is Modifierfalse
                              Summarytrue
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              100. Appointment.reasonCode
                              Definition

                              The coded reason that this appointment is being scheduled. This is more clinical than administrative.

                              ShortCoded reason this appointment is scheduled
                              Control0..1
                              BindingThe codes SHALL be taken from Appointment Reason
                              (required to http://ehealth.sundhed.dk/vs/appointment-reason)
                              TypeCodeableConcept
                              Is Modifierfalse
                              Summarytrue
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              102. Appointment.reasonReference
                              Definition

                              Reason the appointment has been scheduled to take place, as specified using information from another resource. When the patient arrives and the encounter begins it may be used as the admission diagnosis. The indication will typically be a Condition (with other resources referenced in the evidence.detail), or a Procedure.

                              ShortReason the appointment is to take place (resource)
                              Control0..*
                              TypeReference(Condition, Procedure, Observation, ImmunizationRecommendation)
                              Is Modifierfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              104. Appointment.priority
                              Definition

                              The priority of the appointment. Can be used to make informed decisions if needing to re-prioritize appointments. (The iCal Standard specifies 0 as undefined, 1 as highest, 9 as lowest priority).

                              ShortUsed to make informed decisions if needing to re-prioritize
                              Comments

                              Seeking implementer feedback on this property and how interoperable it is.

                              Using an extension to record a CodeableConcept for named values may be tested at a future connectathon.

                              Control0..1
                              TypeunsignedInt
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              106. Appointment.description
                              Definition

                              The brief description of the appointment as would be shown on a subject line in a meeting request, or appointment list. Detailed or expanded information should be put in the comment field.

                              ShortShown on a subject line in a meeting request, or appointment list
                              Control0..1
                              Typestring
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              108. Appointment.supportingInformation
                              Definition

                              Additional information to support the appointment provided when making the appointment.

                              ShortAdditional information to support the appointment
                              Control0..1
                              TypeReference(ehealth-episodeofcare, ehealth-careplan)referenced
                              Is Modifierfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              110. Appointment.start
                              Definition

                              Date/Time that the appointment is to take place.

                              ShortWhen appointment is to take place
                              Control1..1
                              Typeinstant
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summarytrue
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              112. Appointment.end
                              Definition

                              Date/Time that the appointment is to conclude.

                              ShortWhen appointment is to conclude
                              Control1..1
                              Typeinstant
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summarytrue
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              114. Appointment.minutesDuration
                              Definition

                              Number of minutes that the appointment is to take. This can be less than the duration between the start and end times. For example, where the actual time of appointment is only an estimate or if a 30 minute appointment is being requested, but any time would work. Also, if there is, for example, a planned 15 minute break in the middle of a long appointment, the duration may be 15 minutes less than the difference between the start and end.

                              ShortCan be less than start/end (e.g. estimate)
                              Control0..1
                              TypepositiveInt
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              116. Appointment.slot
                              Definition

                              The slots from the participants' schedules that will be filled by the appointment.

                              ShortThe slots that this appointment is filling
                              Control0..*
                              TypeReference(Slot)
                              Is Modifierfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              118. Appointment.created
                              Definition

                              The date that this appointment was initially created. This could be different to the meta.lastModified value on the initial entry, as this could have been before the resource was created on the FHIR server, and should remain unchanged over the lifespan of the appointment.

                              ShortThe date that this appointment was initially created
                              Comments

                              This property is required for many use cases where the age of an appointment is considered in processing workflows for scheduling and billing of appointments.

                              Control0..1
                              TypedateTime
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              120. Appointment.comment
                              Definition

                              Additional comments about the appointment.

                              ShortAdditional comments
                              Comments

                              Additional text to aid in facilitating the appointment. For instance, a comment might be, "patient should proceed immediately to infusion room upon arrival"

                              Where this is a planned appointment and the start/end dates are not set then this field can be used to provide additional guidance on the details of the appointment request, including any restrictions on when to book it.

                              Control0..1
                              Typestring
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              122. Appointment.patientInstruction
                              Definition

                              While Appointment.comment contains information for internal use, Appointment.patientInstructions is used to capture patient facing information about the Appointment (e.g. please bring your referral or fast from 8pm night before).

                              ShortDetailed information and instructions for the patient
                              Control0..1
                              Typestring
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              124. Appointment.basedOn
                              Definition

                              The service request this appointment is allocated to assess (e.g. incoming referral or procedure request).

                              ShortThe service request this appointment is allocated to assess
                              Control0..*
                              TypeReference(ServiceRequest)
                              Is Modifierfalse
                              Summaryfalse
                              Alternate NamesincomingReferral
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              126. Appointment.participant
                              Definition

                              List of participants involved in the appointment.

                              ShortParticipants involved in appointment
                              Control1..*
                              TypeBackboneElement
                              Is Modifierfalse
                              Summaryfalse
                              Invariantsapp-1: Either the type or actor on the participant SHALL be specified (type.exists() or actor.exists())
                              ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              128. Appointment.participant.id
                              Definition

                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                              ShortUnique id for inter-element referencing
                              Control0..1
                              Typestring
                              Is Modifierfalse
                              XML FormatIn the XML format, this property is represented as an attribute.
                              Summaryfalse
                              130. Appointment.participant.extension
                              Definition

                              An Extension

                              ShortExtension
                              Control0..*
                              TypeExtension
                              Is Modifierfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              SlicingThis element introduces a set of slices on Appointment.participant.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                              • value @ url
                              • 132. Appointment.participant.extension:careteam
                                Slice Namecareteam
                                Definition

                                Careteam

                                ShortCareteam
                                Control0..1
                                This element is affected by the following invariants: ele-1
                                TypeExtension(Careteam) (Extension Type: Reference(ehealth-careteam)referenced)
                                Is Modifierfalse
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                134. Appointment.participant.modifierExtension
                                Definition

                                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                ShortExtensions that cannot be ignored even if unrecognized
                                Comments

                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                Control0..*
                                TypeExtension
                                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                Summarytrue
                                Requirements

                                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                Alternate Namesextensions, user content, modifiers
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                136. Appointment.participant.type
                                Definition

                                Role of participant in the appointment.

                                ShortRole of participant in the appointment
                                Comments

                                The role of the participant can be used to declare what the actor will be doing in the scope of this appointment.

                                If the actor is not specified, then it is expected that the actor will be filled in at a later stage of planning.

                                This value SHALL be the same when creating an AppointmentResponse so that they can be matched, and subsequently update the Appointment.

                                Control0..*
                                BindingUnless not suitable, these codes SHALL be taken from ParticipantType
                                (extensible to http://hl7.org/fhir/ValueSet/encounter-participant-type)

                                Role of participant in encounter.

                                TypeCodeableConcept
                                Is Modifierfalse
                                Summarytrue
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                138. Appointment.participant.actor
                                Definition

                                A Person, Location/HealthcareService or Device that is participating in the appointment.

                                ShortPerson, Location/HealthcareService or Device
                                Control0..1
                                TypeReference(ehealth-patient, ehealth-practitioner, ehealth-relatedperson, Location)referenced, referenced, contained
                                Is Modifierfalse
                                Summarytrue
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                140. Appointment.participant.required
                                Definition

                                Whether this participant is required to be present at the meeting. This covers a use-case where two doctors need to meet to discuss the results for a specific patient, and the patient is not required to be present.

                                Shortrequired | optional | information-only
                                Control0..1
                                BindingThe codes SHALL be taken from ParticipantRequired
                                (required to http://hl7.org/fhir/ValueSet/participantrequired|4.0.1)

                                Is the Participant required to attend the appointment.

                                Typecode
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summarytrue
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                142. Appointment.participant.status
                                Definition

                                Participation status of the actor.

                                Shortaccepted | declined | tentative | needs-action
                                Control1..1
                                BindingThe codes SHALL be taken from ParticipationStatus
                                (required to http://hl7.org/fhir/ValueSet/participationstatus|4.0.1)

                                The Participation status of an appointment.

                                Typecode
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summarytrue
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                144. Appointment.participant.period
                                Definition

                                Participation period of the actor.

                                ShortParticipation period of the actor
                                Control0..1
                                TypePeriod
                                Is Modifierfalse
                                Summaryfalse
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                146. Appointment.requestedPeriod
                                Definition

                                A set of date ranges (potentially including times) that the appointment is preferred to be scheduled within.

                                The duration (usually in minutes) could also be provided to indicate the length of the appointment to fill and populate the start/end times for the actual allocated time. However, in other situations the duration may be calculated by the scheduling system.

                                ShortPotential date/time interval(s) requested to allocate the appointment within
                                Comments

                                This does not introduce a capacity for recurring appointments.

                                Control0..*
                                TypePeriod
                                Is Modifierfalse
                                Summaryfalse
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))