SGHI FHIR Profile Implementation Guide, published by Kathurima Kimathi. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/savannahghi/sil_fhir_profile_ig/ and changes regularly. See the Directory of published versions

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Resource Profile: SGHI Appointment Profile

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).

Usages:

• Refer to this Profile: SGHI Appointment Profile, SGHI DocumentReference Profile. and SGHI Encounter
• Examples for this Profile: Appointment/ExampleSGHIAppointment

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Appointment	C	0..*	Appointment	A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s) Constraints: app-2, app-3, app-4, app-5, app-6, app-7
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..*	Identifier	External Ids for this item
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
type	Σ	0..1	SGHICodeableConcept	Description of identifier Binding: SGHI Standard Identifier Types (required)
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	ΣC	1..1	string	The value that is unique Example General: 123456
assigner	Σ	1..1	SGHIReference(SGHI Organization)	Organization that issued id (may be just text)
status	?!ΣC	1..1	code	proposed | pending | booked | arrived | fulfilled | cancelled | noshow | entered-in-error | checked-in | waitlist Binding: AppointmentStatus (required): The free/busy status of an appointment.
cancellationReason	ΣC	0..1	SGHICodeableConcept	The coded reason for the appointment being cancelled Binding: AppointmentCancellationReason (example)
class	Σ	0..*	SGHICodeableConcept	Classification when becoming an encounter Binding: All LOINC Codes (required)
serviceCategory	Σ	0..*	SGHICodeableConcept	A broad categorization of the service that is to be performed during this appointment Binding: ServiceCategory (example)
specialty	Σ	1..*	SGHICodeableConcept	The specialty of a practitioner that would be required to perform the service requested in this appointment Binding: sghi-speciality (required)
appointmentType	Σ	1..1	SGHICodeableConcept	The style of appointment or patient that has been booked in the slot (not service type) Binding: hl7VS-appointmentReasonCodes (preferred)
reason	Σ	1..*	SGHICodeableReference(SGHI Condition | SGHI Observation)	Reason this appointment is scheduled Binding: All LOINC Codes (required)
priority		1..1	SGHICodeableConcept	Used to make informed decisions if needing to re-prioritize Binding: ActPriority (example): Indicates the urgency of the appointment.
replaces		0..*	SGHIReference(SGHI Appointment Profile)	Appointment replaced by this Appointment
previousAppointment		0..1	SGHIReference(SGHI Appointment Profile)	The previous appointment in a series
originatingAppointment	C	0..1	SGHIReference(SGHI Appointment Profile)	The originating appointment in a recurring set of appointments
start	ΣC	1..1	instant	When appointment is to take place
end	ΣC	0..1	instant	When appointment is to conclude
created		1..1	dateTime	The date that this appointment was initially created
basedOn		0..*	SGHIReference(SGHI ServiceRequest | SGHI MedicationRequest)	The request this appointment is allocated to assess
subject	Σ	1..1	SGHIReference(SGHI Patient)	The patient or group associated with the appointment
participant	C	1..*	BackboneElement	Participants involved in appointment Constraints: app-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	ΣC	0..*	SGHICodeableConcept	Role of participant in the appointment Binding: ParticipantType (extensible): Role of participant in encounter.
actor	ΣC	1..1	SGHIReference(SGHI Patient | SGHI Location | SGHI PractitionerRole)	The individual, device, location, or service participating in the appointment
status	Σ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Appointment.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use From the FHIR Standard
Appointment.identifier.type	required	SGHIIdentifierTypes https://fhir.slade360.co.ke/fhir/ValueSet/sghi-identifier-types From this IG
Appointment.status	required	AppointmentStatus http://hl7.org/fhir/ValueSet/appointmentstatus|5.0.0 From the FHIR Standard
Appointment.cancellationReason	example	AppointmentCancellationReason http://hl7.org/fhir/ValueSet/appointment-cancellation-reason From the FHIR Standard
Appointment.class	required	AllLoincCodes(a valid code from LOINC) https://fhir.slade360.co.ke/fhir/ValueSet/all-loinc-codes From this IG
Appointment.serviceCategory	example	ServiceCategory http://hl7.org/fhir/ValueSet/service-category From the FHIR Standard
Appointment.specialty	required	SGHISpecialtyVs(a valid code from SGHI Specialty Code System) https://fhir.slade360.co.ke/fhir/ValueSet/sghi-speciality From this IG
Appointment.appointmentType	preferred	Hl7VSAppointmentReasonCodes http://terminology.hl7.org/ValueSet/v2-0276
Appointment.reason	required	AllLoincCodes(a valid code from LOINC) https://fhir.slade360.co.ke/fhir/ValueSet/all-loinc-codes From this IG
Appointment.priority	example	ActPriority http://terminology.hl7.org/ValueSet/v3-ActPriority
Appointment.participant.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type From the FHIR Standard
Appointment.participant.status	required	ParticipationStatus http://hl7.org/fhir/ValueSet/participationstatus|5.0.0 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
app-1	error	Appointment.participant	Either the type or actor on the participant SHALL be specified : type.exists() or actor.exists()
app-2	error	Appointment	Either start and end are specified, or neither : start.exists() = end.exists()
app-3	error	Appointment	Only proposed or cancelled appointments can be missing start/end dates : (start.exists() and end.exists()) or (status in ('proposed' | 'cancelled' | 'waitlist'))
app-4	error	Appointment	Cancellation reason is only used for appointments that have been cancelled, or noshow : cancellationReason.exists() implies (status='noshow' or status='cancelled')
app-5	error	Appointment	The start must be less than or equal to the end : start.exists() implies start <= end
app-6	best practice	Appointment	An appointment may have an originatingAppointment or recurrenceTemplate, but not both : originatingAppointment.exists().not() or recurrenceTemplate.exists().not()
app-7	error	Appointment	Cancellation date is only used for appointments that have been cancelled, or noshow : cancellationDate.exists() implies (status='noshow' or status='cancelled')
dom-2	error	Appointment	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Appointment	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Appointment	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Appointment	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Appointment	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from Appointment

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Appointment		0..*	Appointment	A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s)
identifier		1..*	Identifier	External Ids for this item
use		0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
type		0..1	SGHICodeableConcept	Description of identifier Binding: SGHI Standard Identifier Types (required)
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
assigner		1..1	SGHIReference(SGHI Organization)	Organization that issued id (may be just text)
cancellationReason		0..1	SGHICodeableConcept	The coded reason for the appointment being cancelled
class		0..*	SGHICodeableConcept	Classification when becoming an encounter Binding: All LOINC Codes (required)
serviceCategory		0..*	SGHICodeableConcept	A broad categorization of the service that is to be performed during this appointment
specialty		1..*	SGHICodeableConcept	The specialty of a practitioner that would be required to perform the service requested in this appointment Binding: sghi-speciality (required)
appointmentType		1..1	SGHICodeableConcept	The style of appointment or patient that has been booked in the slot (not service type)
reason		1..*	SGHICodeableReference(SGHI Condition | SGHI Observation)	Reason this appointment is scheduled Binding: All LOINC Codes (required)
priority		1..1	SGHICodeableConcept	Used to make informed decisions if needing to re-prioritize
replaces		0..*	SGHIReference(SGHI Appointment Profile)	Appointment replaced by this Appointment
previousAppointment		0..1	SGHIReference(SGHI Appointment Profile)	The previous appointment in a series
originatingAppointment		0..1	SGHIReference(SGHI Appointment Profile)	The originating appointment in a recurring set of appointments
start		1..1	instant	When appointment is to take place
created		1..1	dateTime	The date that this appointment was initially created
basedOn		0..*	SGHIReference(SGHI ServiceRequest | SGHI MedicationRequest)	The request this appointment is allocated to assess
subject		1..1	SGHIReference(SGHI Patient)	The patient or group associated with the appointment
participant
type		0..*	SGHICodeableConcept	Role of participant in the appointment
actor		1..1	SGHIReference(SGHI Patient | SGHI Location | SGHI PractitionerRole)	The individual, device, location, or service participating in the appointment
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Appointment.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use From the FHIR Standard
Appointment.identifier.type	required	SGHIIdentifierTypes https://fhir.slade360.co.ke/fhir/ValueSet/sghi-identifier-types From this IG
Appointment.class	required	AllLoincCodes(a valid code from LOINC) https://fhir.slade360.co.ke/fhir/ValueSet/all-loinc-codes From this IG
Appointment.specialty	required	SGHISpecialtyVs(a valid code from SGHI Specialty Code System) https://fhir.slade360.co.ke/fhir/ValueSet/sghi-speciality From this IG
Appointment.reason	required	AllLoincCodes(a valid code from LOINC) https://fhir.slade360.co.ke/fhir/ValueSet/all-loinc-codes From this IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Appointment	C	0..*	Appointment	A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s) Constraints: app-2, app-3, app-4, app-5, app-6, app-7
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..*	Identifier	External Ids for this item
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
type	Σ	0..1	SGHICodeableConcept	Description of identifier Binding: SGHI Standard Identifier Types (required)
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	ΣC	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	1..1	SGHIReference(SGHI Organization)	Organization that issued id (may be just text)
status	?!ΣC	1..1	code	proposed | pending | booked | arrived | fulfilled | cancelled | noshow | entered-in-error | checked-in | waitlist Binding: AppointmentStatus (required): The free/busy status of an appointment.
cancellationReason	ΣC	0..1	SGHICodeableConcept	The coded reason for the appointment being cancelled Binding: AppointmentCancellationReason (example)
class	Σ	0..*	SGHICodeableConcept	Classification when becoming an encounter Binding: All LOINC Codes (required)
serviceCategory	Σ	0..*	SGHICodeableConcept	A broad categorization of the service that is to be performed during this appointment Binding: ServiceCategory (example)
serviceType	Σ	0..*	CodeableReference(HealthcareService)	The specific service that is to be performed during this appointment Binding: ServiceType (example)
specialty	Σ	1..*	SGHICodeableConcept	The specialty of a practitioner that would be required to perform the service requested in this appointment Binding: sghi-speciality (required)
appointmentType	Σ	1..1	SGHICodeableConcept	The style of appointment or patient that has been booked in the slot (not service type) Binding: hl7VS-appointmentReasonCodes (preferred)
reason	Σ	1..*	SGHICodeableReference(SGHI Condition | SGHI Observation)	Reason this appointment is scheduled Binding: All LOINC Codes (required)
priority		1..1	SGHICodeableConcept	Used to make informed decisions if needing to re-prioritize Binding: ActPriority (example): Indicates the urgency of the appointment.
description		0..1	string	Shown on a subject line in a meeting request, or appointment list
replaces		0..*	SGHIReference(SGHI Appointment Profile)	Appointment replaced by this Appointment
virtualService		0..*	VirtualServiceDetail	Connection details of a virtual service (e.g. conference call)
supportingInformation		0..*	Reference(Resource)	Additional information to support the appointment
previousAppointment		0..1	SGHIReference(SGHI Appointment Profile)	The previous appointment in a series
originatingAppointment	C	0..1	SGHIReference(SGHI Appointment Profile)	The originating appointment in a recurring set of appointments
start	ΣC	1..1	instant	When appointment is to take place
end	ΣC	0..1	instant	When appointment is to conclude
minutesDuration		0..1	positiveInt	Can be less than start/end (e.g. estimate)
requestedPeriod		0..*	Period	Potential date/time interval(s) requested to allocate the appointment within
slot		0..*	Reference(Slot)	The slots that this appointment is filling
account		0..*	Reference(Account)	The set of accounts that may be used for billing for this Appointment
created		1..1	dateTime	The date that this appointment was initially created
cancellationDate	C	0..1	dateTime	When the appointment was cancelled
note		0..*	Annotation	Additional comments
patientInstruction		0..*	CodeableReference(DocumentReference | Binary | Communication)	Detailed information and instructions for the patient
basedOn		0..*	SGHIReference(SGHI ServiceRequest | SGHI MedicationRequest)	The request this appointment is allocated to assess
subject	Σ	1..1	SGHIReference(SGHI Patient)	The patient or group associated with the appointment
participant	C	1..*	BackboneElement	Participants involved in appointment Constraints: app-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	ΣC	0..*	SGHICodeableConcept	Role of participant in the appointment Binding: ParticipantType (extensible): Role of participant in encounter.
period		0..1	Period	Participation period of the actor
actor	ΣC	1..1	SGHIReference(SGHI Patient | SGHI Location | SGHI PractitionerRole)	The individual, device, location, or service participating in the appointment
required	Σ	0..1	boolean	The participant is required to attend (optional when false)
status	Σ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment.
recurrenceId		0..1	positiveInt	The sequence number in the recurrence
occurrenceChanged		0..1	boolean	Indicates that this appointment varies from a recurrence pattern
recurrenceTemplate	C	0..*	BackboneElement	Details of the recurrence pattern/template used to generate occurrences
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
timezone		0..1	CodeableConcept	The timezone of the occurrences Binding: IANATimezones (required): IANA Timezones (BCP 175)
recurrenceType		1..1	CodeableConcept	The frequency of the recurrence Binding: AppointmentRecurrenceType (preferred): IANA Timezones (BCP 175)
lastOccurrenceDate		0..1	date	The date when the recurrence should end
occurrenceCount		0..1	positiveInt	The number of planned occurrences
occurrenceDate		0..*	date	Specific dates for a recurring set of appointments (no template)
weeklyTemplate		0..1	BackboneElement	Information about weekly recurring appointments
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
monday		0..1	boolean	Recurs on Mondays
tuesday		0..1	boolean	Recurs on Tuesday
wednesday		0..1	boolean	Recurs on Wednesday
thursday		0..1	boolean	Recurs on Thursday
friday		0..1	boolean	Recurs on Friday
saturday		0..1	boolean	Recurs on Saturday
sunday		0..1	boolean	Recurs on Sunday
weekInterval		0..1	positiveInt	Recurs every nth week
monthlyTemplate		0..1	BackboneElement	Information about monthly recurring appointments
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
dayOfMonth		0..1	positiveInt	Recurs on a specific day of the month
nthWeekOfMonth		0..1	Coding	Indicates which week of the month the appointment should occur Binding: WeekOfMonth (required): The set of weeks in a month.
dayOfWeek		0..1	Coding	Indicates which day of the week the appointment should occur Binding: DaysOfWeek (required): The days of the week.
monthInterval		1..1	positiveInt	Recurs every nth month
yearlyTemplate		0..1	BackboneElement	Information about yearly recurring appointments
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
yearInterval		1..1	positiveInt	Recurs every nth year
excludingDate		0..*	date	Any dates that should be excluded from the series
excludingRecurrenceId		0..*	positiveInt	Any recurrence IDs that should be excluded from the recurrence
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Appointment.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 From the FHIR Standard
Appointment.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use From the FHIR Standard
Appointment.identifier.type	required	SGHIIdentifierTypes https://fhir.slade360.co.ke/fhir/ValueSet/sghi-identifier-types From this IG
Appointment.status	required	AppointmentStatus http://hl7.org/fhir/ValueSet/appointmentstatus|5.0.0 From the FHIR Standard
Appointment.cancellationReason	example	AppointmentCancellationReason http://hl7.org/fhir/ValueSet/appointment-cancellation-reason From the FHIR Standard
Appointment.class	required	AllLoincCodes(a valid code from LOINC) https://fhir.slade360.co.ke/fhir/ValueSet/all-loinc-codes From this IG
Appointment.serviceCategory	example	ServiceCategory http://hl7.org/fhir/ValueSet/service-category From the FHIR Standard
Appointment.serviceType	example	ServiceType http://hl7.org/fhir/ValueSet/service-type From the FHIR Standard
Appointment.specialty	required	SGHISpecialtyVs(a valid code from SGHI Specialty Code System) https://fhir.slade360.co.ke/fhir/ValueSet/sghi-speciality From this IG
Appointment.appointmentType	preferred	Hl7VSAppointmentReasonCodes http://terminology.hl7.org/ValueSet/v2-0276
Appointment.reason	required	AllLoincCodes(a valid code from LOINC) https://fhir.slade360.co.ke/fhir/ValueSet/all-loinc-codes From this IG
Appointment.priority	example	ActPriority http://terminology.hl7.org/ValueSet/v3-ActPriority
Appointment.participant.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type From the FHIR Standard
Appointment.participant.status	required	ParticipationStatus http://hl7.org/fhir/ValueSet/participationstatus|5.0.0 From the FHIR Standard
Appointment.recurrenceTemplate.timezone	required	IANATimezones http://hl7.org/fhir/ValueSet/timezones|5.0.0 From the FHIR Standard
Appointment.recurrenceTemplate.recurrenceType	preferred	AppointmentRecurrenceType http://hl7.org/fhir/ValueSet/appointment-recurrrence-type From the FHIR Standard
Appointment.recurrenceTemplate.monthlyTemplate.nthWeekOfMonth	required	WeekOfMonth http://hl7.org/fhir/ValueSet/week-of-month|5.0.0 From the FHIR Standard
Appointment.recurrenceTemplate.monthlyTemplate.dayOfWeek	required	DaysOfWeek http://hl7.org/fhir/ValueSet/days-of-week|5.0.0 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
app-1	error	Appointment.participant	Either the type or actor on the participant SHALL be specified : type.exists() or actor.exists()
app-2	error	Appointment	Either start and end are specified, or neither : start.exists() = end.exists()
app-3	error	Appointment	Only proposed or cancelled appointments can be missing start/end dates : (start.exists() and end.exists()) or (status in ('proposed' | 'cancelled' | 'waitlist'))
app-4	error	Appointment	Cancellation reason is only used for appointments that have been cancelled, or noshow : cancellationReason.exists() implies (status='noshow' or status='cancelled')
app-5	error	Appointment	The start must be less than or equal to the end : start.exists() implies start <= end
app-6	best practice	Appointment	An appointment may have an originatingAppointment or recurrenceTemplate, but not both : originatingAppointment.exists().not() or recurrenceTemplate.exists().not()
app-7	error	Appointment	Cancellation date is only used for appointments that have been cancelled, or noshow : cancellationDate.exists() implies (status='noshow' or status='cancelled')
dom-2	error	Appointment	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Appointment	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Appointment	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Appointment	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Appointment	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from Appointment

Summary

Mandatory: 12 elements

Structures

This structure refers to these other structures:

• SGHI CodeableConcept (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-codeableconcept)
• SGHI Reference (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-reference)
• SGHI Organization (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-organization)
• SGHI CodeableReference (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-codeable-reference)
• SGHI Condition (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-condition)
• SGHI Observation (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-observation)
• SGHI Appointment Profile (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-appointment)
• SGHI ServiceRequest (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-servicerequest)
• SGHI MedicationRequest (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-medicationrequest)
• SGHI Patient (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-patient)
• SGHI Location (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-fhir-location)
• SGHI PractitionerRole (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-practitionerrole)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Appointment	C	0..*	Appointment	A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s) Constraints: app-2, app-3, app-4, app-5, app-6, app-7
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..*	Identifier	External Ids for this item
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
type	Σ	0..1	SGHICodeableConcept	Description of identifier Binding: SGHI Standard Identifier Types (required)
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	ΣC	1..1	string	The value that is unique Example General: 123456
assigner	Σ	1..1	SGHIReference(SGHI Organization)	Organization that issued id (may be just text)
status	?!ΣC	1..1	code	proposed | pending | booked | arrived | fulfilled | cancelled | noshow | entered-in-error | checked-in | waitlist Binding: AppointmentStatus (required): The free/busy status of an appointment.
cancellationReason	ΣC	0..1	SGHICodeableConcept	The coded reason for the appointment being cancelled Binding: AppointmentCancellationReason (example)
class	Σ	0..*	SGHICodeableConcept	Classification when becoming an encounter Binding: All LOINC Codes (required)
serviceCategory	Σ	0..*	SGHICodeableConcept	A broad categorization of the service that is to be performed during this appointment Binding: ServiceCategory (example)
specialty	Σ	1..*	SGHICodeableConcept	The specialty of a practitioner that would be required to perform the service requested in this appointment Binding: sghi-speciality (required)
appointmentType	Σ	1..1	SGHICodeableConcept	The style of appointment or patient that has been booked in the slot (not service type) Binding: hl7VS-appointmentReasonCodes (preferred)
reason	Σ	1..*	SGHICodeableReference(SGHI Condition | SGHI Observation)	Reason this appointment is scheduled Binding: All LOINC Codes (required)
priority		1..1	SGHICodeableConcept	Used to make informed decisions if needing to re-prioritize Binding: ActPriority (example): Indicates the urgency of the appointment.
replaces		0..*	SGHIReference(SGHI Appointment Profile)	Appointment replaced by this Appointment
previousAppointment		0..1	SGHIReference(SGHI Appointment Profile)	The previous appointment in a series
originatingAppointment	C	0..1	SGHIReference(SGHI Appointment Profile)	The originating appointment in a recurring set of appointments
start	ΣC	1..1	instant	When appointment is to take place
end	ΣC	0..1	instant	When appointment is to conclude
created		1..1	dateTime	The date that this appointment was initially created
basedOn		0..*	SGHIReference(SGHI ServiceRequest | SGHI MedicationRequest)	The request this appointment is allocated to assess
subject	Σ	1..1	SGHIReference(SGHI Patient)	The patient or group associated with the appointment
participant	C	1..*	BackboneElement	Participants involved in appointment Constraints: app-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	ΣC	0..*	SGHICodeableConcept	Role of participant in the appointment Binding: ParticipantType (extensible): Role of participant in encounter.
actor	ΣC	1..1	SGHIReference(SGHI Patient | SGHI Location | SGHI PractitionerRole)	The individual, device, location, or service participating in the appointment
status	Σ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Appointment.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use From the FHIR Standard
Appointment.identifier.type	required	SGHIIdentifierTypes https://fhir.slade360.co.ke/fhir/ValueSet/sghi-identifier-types From this IG
Appointment.status	required	AppointmentStatus http://hl7.org/fhir/ValueSet/appointmentstatus|5.0.0 From the FHIR Standard
Appointment.cancellationReason	example	AppointmentCancellationReason http://hl7.org/fhir/ValueSet/appointment-cancellation-reason From the FHIR Standard
Appointment.class	required	AllLoincCodes(a valid code from LOINC) https://fhir.slade360.co.ke/fhir/ValueSet/all-loinc-codes From this IG
Appointment.serviceCategory	example	ServiceCategory http://hl7.org/fhir/ValueSet/service-category From the FHIR Standard
Appointment.specialty	required	SGHISpecialtyVs(a valid code from SGHI Specialty Code System) https://fhir.slade360.co.ke/fhir/ValueSet/sghi-speciality From this IG
Appointment.appointmentType	preferred	Hl7VSAppointmentReasonCodes http://terminology.hl7.org/ValueSet/v2-0276
Appointment.reason	required	AllLoincCodes(a valid code from LOINC) https://fhir.slade360.co.ke/fhir/ValueSet/all-loinc-codes From this IG
Appointment.priority	example	ActPriority http://terminology.hl7.org/ValueSet/v3-ActPriority
Appointment.participant.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type From the FHIR Standard
Appointment.participant.status	required	ParticipationStatus http://hl7.org/fhir/ValueSet/participationstatus|5.0.0 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
app-1	error	Appointment.participant	Either the type or actor on the participant SHALL be specified : type.exists() or actor.exists()
app-2	error	Appointment	Either start and end are specified, or neither : start.exists() = end.exists()
app-3	error	Appointment	Only proposed or cancelled appointments can be missing start/end dates : (start.exists() and end.exists()) or (status in ('proposed' | 'cancelled' | 'waitlist'))
app-4	error	Appointment	Cancellation reason is only used for appointments that have been cancelled, or noshow : cancellationReason.exists() implies (status='noshow' or status='cancelled')
app-5	error	Appointment	The start must be less than or equal to the end : start.exists() implies start <= end
app-6	best practice	Appointment	An appointment may have an originatingAppointment or recurrenceTemplate, but not both : originatingAppointment.exists().not() or recurrenceTemplate.exists().not()
app-7	error	Appointment	Cancellation date is only used for appointments that have been cancelled, or noshow : cancellationDate.exists() implies (status='noshow' or status='cancelled')
dom-2	error	Appointment	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Appointment	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Appointment	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Appointment	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Appointment	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Differential View

This structure is derived from Appointment

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Appointment		0..*	Appointment	A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s)
identifier		1..*	Identifier	External Ids for this item
use		0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
type		0..1	SGHICodeableConcept	Description of identifier Binding: SGHI Standard Identifier Types (required)
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
assigner		1..1	SGHIReference(SGHI Organization)	Organization that issued id (may be just text)
cancellationReason		0..1	SGHICodeableConcept	The coded reason for the appointment being cancelled
class		0..*	SGHICodeableConcept	Classification when becoming an encounter Binding: All LOINC Codes (required)
serviceCategory		0..*	SGHICodeableConcept	A broad categorization of the service that is to be performed during this appointment
specialty		1..*	SGHICodeableConcept	The specialty of a practitioner that would be required to perform the service requested in this appointment Binding: sghi-speciality (required)
appointmentType		1..1	SGHICodeableConcept	The style of appointment or patient that has been booked in the slot (not service type)
reason		1..*	SGHICodeableReference(SGHI Condition | SGHI Observation)	Reason this appointment is scheduled Binding: All LOINC Codes (required)
priority		1..1	SGHICodeableConcept	Used to make informed decisions if needing to re-prioritize
replaces		0..*	SGHIReference(SGHI Appointment Profile)	Appointment replaced by this Appointment
previousAppointment		0..1	SGHIReference(SGHI Appointment Profile)	The previous appointment in a series
originatingAppointment		0..1	SGHIReference(SGHI Appointment Profile)	The originating appointment in a recurring set of appointments
start		1..1	instant	When appointment is to take place
created		1..1	dateTime	The date that this appointment was initially created
basedOn		0..*	SGHIReference(SGHI ServiceRequest | SGHI MedicationRequest)	The request this appointment is allocated to assess
subject		1..1	SGHIReference(SGHI Patient)	The patient or group associated with the appointment
participant
type		0..*	SGHICodeableConcept	Role of participant in the appointment
actor		1..1	SGHIReference(SGHI Patient | SGHI Location | SGHI PractitionerRole)	The individual, device, location, or service participating in the appointment
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Appointment.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use From the FHIR Standard
Appointment.identifier.type	required	SGHIIdentifierTypes https://fhir.slade360.co.ke/fhir/ValueSet/sghi-identifier-types From this IG
Appointment.class	required	AllLoincCodes(a valid code from LOINC) https://fhir.slade360.co.ke/fhir/ValueSet/all-loinc-codes From this IG
Appointment.specialty	required	SGHISpecialtyVs(a valid code from SGHI Specialty Code System) https://fhir.slade360.co.ke/fhir/ValueSet/sghi-speciality From this IG
Appointment.reason	required	AllLoincCodes(a valid code from LOINC) https://fhir.slade360.co.ke/fhir/ValueSet/all-loinc-codes From this IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Appointment	C	0..*	Appointment	A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s) Constraints: app-2, app-3, app-4, app-5, app-6, app-7
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..*	Identifier	External Ids for this item
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
type	Σ	0..1	SGHICodeableConcept	Description of identifier Binding: SGHI Standard Identifier Types (required)
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	ΣC	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	1..1	SGHIReference(SGHI Organization)	Organization that issued id (may be just text)
status	?!ΣC	1..1	code	proposed | pending | booked | arrived | fulfilled | cancelled | noshow | entered-in-error | checked-in | waitlist Binding: AppointmentStatus (required): The free/busy status of an appointment.
cancellationReason	ΣC	0..1	SGHICodeableConcept	The coded reason for the appointment being cancelled Binding: AppointmentCancellationReason (example)
class	Σ	0..*	SGHICodeableConcept	Classification when becoming an encounter Binding: All LOINC Codes (required)
serviceCategory	Σ	0..*	SGHICodeableConcept	A broad categorization of the service that is to be performed during this appointment Binding: ServiceCategory (example)
serviceType	Σ	0..*	CodeableReference(HealthcareService)	The specific service that is to be performed during this appointment Binding: ServiceType (example)
specialty	Σ	1..*	SGHICodeableConcept	The specialty of a practitioner that would be required to perform the service requested in this appointment Binding: sghi-speciality (required)
appointmentType	Σ	1..1	SGHICodeableConcept	The style of appointment or patient that has been booked in the slot (not service type) Binding: hl7VS-appointmentReasonCodes (preferred)
reason	Σ	1..*	SGHICodeableReference(SGHI Condition | SGHI Observation)	Reason this appointment is scheduled Binding: All LOINC Codes (required)
priority		1..1	SGHICodeableConcept	Used to make informed decisions if needing to re-prioritize Binding: ActPriority (example): Indicates the urgency of the appointment.
description		0..1	string	Shown on a subject line in a meeting request, or appointment list
replaces		0..*	SGHIReference(SGHI Appointment Profile)	Appointment replaced by this Appointment
virtualService		0..*	VirtualServiceDetail	Connection details of a virtual service (e.g. conference call)
supportingInformation		0..*	Reference(Resource)	Additional information to support the appointment
previousAppointment		0..1	SGHIReference(SGHI Appointment Profile)	The previous appointment in a series
originatingAppointment	C	0..1	SGHIReference(SGHI Appointment Profile)	The originating appointment in a recurring set of appointments
start	ΣC	1..1	instant	When appointment is to take place
end	ΣC	0..1	instant	When appointment is to conclude
minutesDuration		0..1	positiveInt	Can be less than start/end (e.g. estimate)
requestedPeriod		0..*	Period	Potential date/time interval(s) requested to allocate the appointment within
slot		0..*	Reference(Slot)	The slots that this appointment is filling
account		0..*	Reference(Account)	The set of accounts that may be used for billing for this Appointment
created		1..1	dateTime	The date that this appointment was initially created
cancellationDate	C	0..1	dateTime	When the appointment was cancelled
note		0..*	Annotation	Additional comments
patientInstruction		0..*	CodeableReference(DocumentReference | Binary | Communication)	Detailed information and instructions for the patient
basedOn		0..*	SGHIReference(SGHI ServiceRequest | SGHI MedicationRequest)	The request this appointment is allocated to assess
subject	Σ	1..1	SGHIReference(SGHI Patient)	The patient or group associated with the appointment
participant	C	1..*	BackboneElement	Participants involved in appointment Constraints: app-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	ΣC	0..*	SGHICodeableConcept	Role of participant in the appointment Binding: ParticipantType (extensible): Role of participant in encounter.
period		0..1	Period	Participation period of the actor
actor	ΣC	1..1	SGHIReference(SGHI Patient | SGHI Location | SGHI PractitionerRole)	The individual, device, location, or service participating in the appointment
required	Σ	0..1	boolean	The participant is required to attend (optional when false)
status	Σ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment.
recurrenceId		0..1	positiveInt	The sequence number in the recurrence
occurrenceChanged		0..1	boolean	Indicates that this appointment varies from a recurrence pattern
recurrenceTemplate	C	0..*	BackboneElement	Details of the recurrence pattern/template used to generate occurrences
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
timezone		0..1	CodeableConcept	The timezone of the occurrences Binding: IANATimezones (required): IANA Timezones (BCP 175)
recurrenceType		1..1	CodeableConcept	The frequency of the recurrence Binding: AppointmentRecurrenceType (preferred): IANA Timezones (BCP 175)
lastOccurrenceDate		0..1	date	The date when the recurrence should end
occurrenceCount		0..1	positiveInt	The number of planned occurrences
occurrenceDate		0..*	date	Specific dates for a recurring set of appointments (no template)
weeklyTemplate		0..1	BackboneElement	Information about weekly recurring appointments
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
monday		0..1	boolean	Recurs on Mondays
tuesday		0..1	boolean	Recurs on Tuesday
wednesday		0..1	boolean	Recurs on Wednesday
thursday		0..1	boolean	Recurs on Thursday
friday		0..1	boolean	Recurs on Friday
saturday		0..1	boolean	Recurs on Saturday
sunday		0..1	boolean	Recurs on Sunday
weekInterval		0..1	positiveInt	Recurs every nth week
monthlyTemplate		0..1	BackboneElement	Information about monthly recurring appointments
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
dayOfMonth		0..1	positiveInt	Recurs on a specific day of the month
nthWeekOfMonth		0..1	Coding	Indicates which week of the month the appointment should occur Binding: WeekOfMonth (required): The set of weeks in a month.
dayOfWeek		0..1	Coding	Indicates which day of the week the appointment should occur Binding: DaysOfWeek (required): The days of the week.
monthInterval		1..1	positiveInt	Recurs every nth month
yearlyTemplate		0..1	BackboneElement	Information about yearly recurring appointments
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
yearInterval		1..1	positiveInt	Recurs every nth year
excludingDate		0..*	date	Any dates that should be excluded from the series
excludingRecurrenceId		0..*	positiveInt	Any recurrence IDs that should be excluded from the recurrence
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Appointment.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 From the FHIR Standard
Appointment.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use From the FHIR Standard
Appointment.identifier.type	required	SGHIIdentifierTypes https://fhir.slade360.co.ke/fhir/ValueSet/sghi-identifier-types From this IG
Appointment.status	required	AppointmentStatus http://hl7.org/fhir/ValueSet/appointmentstatus|5.0.0 From the FHIR Standard
Appointment.cancellationReason	example	AppointmentCancellationReason http://hl7.org/fhir/ValueSet/appointment-cancellation-reason From the FHIR Standard
Appointment.class	required	AllLoincCodes(a valid code from LOINC) https://fhir.slade360.co.ke/fhir/ValueSet/all-loinc-codes From this IG
Appointment.serviceCategory	example	ServiceCategory http://hl7.org/fhir/ValueSet/service-category From the FHIR Standard
Appointment.serviceType	example	ServiceType http://hl7.org/fhir/ValueSet/service-type From the FHIR Standard
Appointment.specialty	required	SGHISpecialtyVs(a valid code from SGHI Specialty Code System) https://fhir.slade360.co.ke/fhir/ValueSet/sghi-speciality From this IG
Appointment.appointmentType	preferred	Hl7VSAppointmentReasonCodes http://terminology.hl7.org/ValueSet/v2-0276
Appointment.reason	required	AllLoincCodes(a valid code from LOINC) https://fhir.slade360.co.ke/fhir/ValueSet/all-loinc-codes From this IG
Appointment.priority	example	ActPriority http://terminology.hl7.org/ValueSet/v3-ActPriority
Appointment.participant.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type From the FHIR Standard
Appointment.participant.status	required	ParticipationStatus http://hl7.org/fhir/ValueSet/participationstatus|5.0.0 From the FHIR Standard
Appointment.recurrenceTemplate.timezone	required	IANATimezones http://hl7.org/fhir/ValueSet/timezones|5.0.0 From the FHIR Standard
Appointment.recurrenceTemplate.recurrenceType	preferred	AppointmentRecurrenceType http://hl7.org/fhir/ValueSet/appointment-recurrrence-type From the FHIR Standard
Appointment.recurrenceTemplate.monthlyTemplate.nthWeekOfMonth	required	WeekOfMonth http://hl7.org/fhir/ValueSet/week-of-month|5.0.0 From the FHIR Standard
Appointment.recurrenceTemplate.monthlyTemplate.dayOfWeek	required	DaysOfWeek http://hl7.org/fhir/ValueSet/days-of-week|5.0.0 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
app-1	error	Appointment.participant	Either the type or actor on the participant SHALL be specified : type.exists() or actor.exists()
app-2	error	Appointment	Either start and end are specified, or neither : start.exists() = end.exists()
app-3	error	Appointment	Only proposed or cancelled appointments can be missing start/end dates : (start.exists() and end.exists()) or (status in ('proposed' | 'cancelled' | 'waitlist'))
app-4	error	Appointment	Cancellation reason is only used for appointments that have been cancelled, or noshow : cancellationReason.exists() implies (status='noshow' or status='cancelled')
app-5	error	Appointment	The start must be less than or equal to the end : start.exists() implies start <= end
app-6	best practice	Appointment	An appointment may have an originatingAppointment or recurrenceTemplate, but not both : originatingAppointment.exists().not() or recurrenceTemplate.exists().not()
app-7	error	Appointment	Cancellation date is only used for appointments that have been cancelled, or noshow : cancellationDate.exists() implies (status='noshow' or status='cancelled')
dom-2	error	Appointment	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Appointment	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Appointment	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Appointment	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Appointment	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from Appointment

Summary

Mandatory: 12 elements

Structures

This structure refers to these other structures:

• SGHI CodeableConcept (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-codeableconcept)
• SGHI Reference (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-reference)
• SGHI Organization (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-organization)
• SGHI CodeableReference (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-codeable-reference)
• SGHI Condition (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-condition)
• SGHI Observation (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-observation)
• SGHI Appointment Profile (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-appointment)
• SGHI ServiceRequest (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-servicerequest)
• SGHI MedicationRequest (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-medicationrequest)
• SGHI Patient (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-patient)
• SGHI Location (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-fhir-location)
• SGHI PractitionerRole (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-practitionerrole)

Other representations of profile: CSV, Excel, Schematron