Finnish Base Profiles
1.0.0 - trial-use Finland flag

This page is part of the Finnish Base Profiles (v1.0.0: STU 1) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Resource Profile: FI Base Appointment

Official URL: https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-appointment Version: 1.0.0
Active as of 2023-11-10 Computable Name: FiBaseAppointment

This is the Finnish base profile for the Appointment resource.

Scope and Usage

This implementation guide does not profile scheduling related resources.

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

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

The contents of both of the implementation guides published by HL7 Finland are already a bit outdated.

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

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

HL7 Finland is currently considering updating the published implementation guides.

Usage:

Formal Views of Profile Content

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

This structure is derived from Appointment

NameFlagsCard.TypeDescription & Constraintsdoco
.. Appointment 0..*AppointmentA booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s)
... reasonReference 0..*Reference(FI Base Condition | Fi Base Procedure | FI Base Observation | ImmunizationRecommendation)Reason the appointment is to take place (resource)
... slot 0..*Reference(FI Base Slot)The slots that this appointment is filling
... participant
.... actor 0..1Reference(FI Base Patient | FI Base Practitioner | FI Base PractitionerRole | RelatedPerson | Device | HealthcareService | FI Base Location)Person, Location/HealthcareService or Device

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Appointment C0..*AppointmentA 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)
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... status ?!Σ1..1codeproposed | pending | booked | arrived | fulfilled | cancelled | noshow | entered-in-error | checked-in | waitlist
Binding: AppointmentStatus (required): The free/busy status of an appointment.

... slot 0..*Reference(FI Base Slot)The slots that this appointment is filling
... participant C1..*BackboneElementParticipants involved in appointment
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... actor Σ0..1Reference(FI Base Patient | FI Base Practitioner | FI Base PractitionerRole | RelatedPerson | Device | HealthcareService | FI Base Location)Person, Location/HealthcareService or Device
.... status Σ1..1codeaccepted | declined | tentative | needs-action
Binding: ParticipationStatus (required): The Participation status of an appointment.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Appointment.statusrequiredAppointmentStatus
Appointment.participant.statusrequiredParticipationStatus

Constraints

IdGradePath(s)DetailsRequirements
app-1errorAppointment.participantEither the type or actor on the participant SHALL be specified
: type.exists() or actor.exists()
app-2errorAppointmentEither start and end are specified, or neither
: start.exists() = end.exists()
app-3errorAppointmentOnly proposed or cancelled appointments can be missing start/end dates
: (start.exists() and end.exists()) or (status in ('proposed' | 'cancelled' | 'waitlist'))
app-4errorAppointmentCancelation reason is only used for appointments that have been cancelled, or no-show
: Appointment.cancelationReason.exists() implies (Appointment.status='no-show' or Appointment.status='cancelled')
dom-2errorAppointmentIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorAppointmentIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorAppointmentIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorAppointmentIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceAppointmentA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Appointment C0..*AppointmentA 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)
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierExternal Ids for this item
... status ?!Σ1..1codeproposed | pending | booked | arrived | fulfilled | cancelled | noshow | entered-in-error | checked-in | waitlist
Binding: AppointmentStatus (required): The free/busy status of an appointment.

... cancelationReason Σ0..1CodeableConceptThe coded reason for the appointment being cancelled
Binding: AppointmentCancellationReason (example)
... serviceCategory Σ0..*CodeableConceptA broad categorization of the service that is to be performed during this appointment
Binding: ServiceCategory (example)
... serviceType Σ0..*CodeableConceptThe specific service that is to be performed during this appointment
Binding: ServiceType (example)
... specialty Σ0..*CodeableConceptThe specialty of a practitioner that would be required to perform the service requested in this appointment
Binding: PracticeSettingCodeValueSet (preferred)
... appointmentType Σ0..1CodeableConceptThe style of appointment or patient that has been booked in the slot (not service type)
Binding: hl7VS-appointmentReasonCodes (preferred)
... reasonCode Σ0..*CodeableConceptCoded reason this appointment is scheduled
Binding: EncounterReasonCodes (preferred): The Reason for the appointment to take place.


... reasonReference 0..*Reference(FI Base Condition | Fi Base Procedure | FI Base Observation | ImmunizationRecommendation)Reason the appointment is to take place (resource)
... priority 0..1unsignedIntUsed to make informed decisions if needing to re-prioritize
... description 0..1stringShown on a subject line in a meeting request, or appointment list
... supportingInformation 0..*Reference(Resource)Additional information to support the appointment
... start Σ0..1instantWhen appointment is to take place
... end Σ0..1instantWhen appointment is to conclude
... minutesDuration 0..1positiveIntCan be less than start/end (e.g. estimate)
... slot 0..*Reference(FI Base Slot)The slots that this appointment is filling
... created 0..1dateTimeThe date that this appointment was initially created
... comment 0..1stringAdditional comments
... patientInstruction 0..1stringDetailed information and instructions for the patient
... basedOn 0..*Reference(ServiceRequest)The service request this appointment is allocated to assess
... participant C1..*BackboneElementParticipants involved in appointment
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... type Σ0..*CodeableConceptRole of participant in the appointment
Binding: ParticipantType (extensible): Role of participant in encounter.


.... actor Σ0..1Reference(FI Base Patient | FI Base Practitioner | FI Base PractitionerRole | RelatedPerson | Device | HealthcareService | FI Base Location)Person, Location/HealthcareService or Device
.... required Σ0..1coderequired | optional | information-only
Binding: ParticipantRequired (required): Is the Participant required to attend the appointment.

.... status Σ1..1codeaccepted | declined | tentative | needs-action
Binding: ParticipationStatus (required): The Participation status of an appointment.

.... period 0..1PeriodParticipation period of the actor
... requestedPeriod 0..*PeriodPotential date/time interval(s) requested to allocate the appointment within

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Appointment.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Appointment.statusrequiredAppointmentStatus
Appointment.cancelationReasonexampleAppointmentCancellationReason
Appointment.serviceCategoryexampleServiceCategory
Appointment.serviceTypeexampleServiceType
Appointment.specialtypreferredPracticeSettingCodeValueSet
Appointment.appointmentTypepreferredHl7VSAppointmentReasonCodes
Appointment.reasonCodepreferredEncounterReasonCodes
Appointment.participant.typeextensibleParticipantType
Appointment.participant.requiredrequiredParticipantRequired
Appointment.participant.statusrequiredParticipationStatus

Constraints

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

Differential View

This structure is derived from Appointment

NameFlagsCard.TypeDescription & Constraintsdoco
.. Appointment 0..*AppointmentA booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s)
... reasonReference 0..*Reference(FI Base Condition | Fi Base Procedure | FI Base Observation | ImmunizationRecommendation)Reason the appointment is to take place (resource)
... slot 0..*Reference(FI Base Slot)The slots that this appointment is filling
... participant
.... actor 0..1Reference(FI Base Patient | FI Base Practitioner | FI Base PractitionerRole | RelatedPerson | Device | HealthcareService | FI Base Location)Person, Location/HealthcareService or Device

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Appointment C0..*AppointmentA 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)
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... status ?!Σ1..1codeproposed | pending | booked | arrived | fulfilled | cancelled | noshow | entered-in-error | checked-in | waitlist
Binding: AppointmentStatus (required): The free/busy status of an appointment.

... slot 0..*Reference(FI Base Slot)The slots that this appointment is filling
... participant C1..*BackboneElementParticipants involved in appointment
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... actor Σ0..1Reference(FI Base Patient | FI Base Practitioner | FI Base PractitionerRole | RelatedPerson | Device | HealthcareService | FI Base Location)Person, Location/HealthcareService or Device
.... status Σ1..1codeaccepted | declined | tentative | needs-action
Binding: ParticipationStatus (required): The Participation status of an appointment.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Appointment.statusrequiredAppointmentStatus
Appointment.participant.statusrequiredParticipationStatus

Constraints

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

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Appointment C0..*AppointmentA 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)
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierExternal Ids for this item
... status ?!Σ1..1codeproposed | pending | booked | arrived | fulfilled | cancelled | noshow | entered-in-error | checked-in | waitlist
Binding: AppointmentStatus (required): The free/busy status of an appointment.

... cancelationReason Σ0..1CodeableConceptThe coded reason for the appointment being cancelled
Binding: AppointmentCancellationReason (example)
... serviceCategory Σ0..*CodeableConceptA broad categorization of the service that is to be performed during this appointment
Binding: ServiceCategory (example)
... serviceType Σ0..*CodeableConceptThe specific service that is to be performed during this appointment
Binding: ServiceType (example)
... specialty Σ0..*CodeableConceptThe specialty of a practitioner that would be required to perform the service requested in this appointment
Binding: PracticeSettingCodeValueSet (preferred)
... appointmentType Σ0..1CodeableConceptThe style of appointment or patient that has been booked in the slot (not service type)
Binding: hl7VS-appointmentReasonCodes (preferred)
... reasonCode Σ0..*CodeableConceptCoded reason this appointment is scheduled
Binding: EncounterReasonCodes (preferred): The Reason for the appointment to take place.


... reasonReference 0..*Reference(FI Base Condition | Fi Base Procedure | FI Base Observation | ImmunizationRecommendation)Reason the appointment is to take place (resource)
... priority 0..1unsignedIntUsed to make informed decisions if needing to re-prioritize
... description 0..1stringShown on a subject line in a meeting request, or appointment list
... supportingInformation 0..*Reference(Resource)Additional information to support the appointment
... start Σ0..1instantWhen appointment is to take place
... end Σ0..1instantWhen appointment is to conclude
... minutesDuration 0..1positiveIntCan be less than start/end (e.g. estimate)
... slot 0..*Reference(FI Base Slot)The slots that this appointment is filling
... created 0..1dateTimeThe date that this appointment was initially created
... comment 0..1stringAdditional comments
... patientInstruction 0..1stringDetailed information and instructions for the patient
... basedOn 0..*Reference(ServiceRequest)The service request this appointment is allocated to assess
... participant C1..*BackboneElementParticipants involved in appointment
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... type Σ0..*CodeableConceptRole of participant in the appointment
Binding: ParticipantType (extensible): Role of participant in encounter.


.... actor Σ0..1Reference(FI Base Patient | FI Base Practitioner | FI Base PractitionerRole | RelatedPerson | Device | HealthcareService | FI Base Location)Person, Location/HealthcareService or Device
.... required Σ0..1coderequired | optional | information-only
Binding: ParticipantRequired (required): Is the Participant required to attend the appointment.

.... status Σ1..1codeaccepted | declined | tentative | needs-action
Binding: ParticipationStatus (required): The Participation status of an appointment.

.... period 0..1PeriodParticipation period of the actor
... requestedPeriod 0..*PeriodPotential date/time interval(s) requested to allocate the appointment within

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Appointment.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Appointment.statusrequiredAppointmentStatus
Appointment.cancelationReasonexampleAppointmentCancellationReason
Appointment.serviceCategoryexampleServiceCategory
Appointment.serviceTypeexampleServiceType
Appointment.specialtypreferredPracticeSettingCodeValueSet
Appointment.appointmentTypepreferredHl7VSAppointmentReasonCodes
Appointment.reasonCodepreferredEncounterReasonCodes
Appointment.participant.typeextensibleParticipantType
Appointment.participant.requiredrequiredParticipantRequired
Appointment.participant.statusrequiredParticipationStatus

Constraints

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

 

Other representations of profile: CSV, Excel, Schematron