This page is part of the Finnish Scheduling (v0.2.0: STU 1 Draft) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

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Resource Profile: FinnishAppointmentAppointment

Profile for appointment (ajanvaraus) in Finnish Scheduling environment. The contents is based on the scheduling appointment spefication.

Usage:

• This Resource Profile is not used by any profiles in this Implementation Guide

Formal Views of Profile Content

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

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

This structure is derived from Appointment

Name	Flags	Card.	Type	Description & Constraints
Appointment	C	0..*	Appointment	A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s) app-4: Cancel reason is mandatory, if status is "siirretty" or "peruttu"
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
ParentAppointment		0..1	Identifier	Extension URL: http://hl7.fi/fhir/StructureDefinition/ParentAppointment
AppointmentMutability		0..1	(Complex)	Extension URL: http://hl7.fi/fhir/StructureDefinition/AppointmentMutabilityExtension
NotificationInfoExtension		0..*	ContactPoint	Extension URL: http://hl7.fi/fhir/StructureDefinition/NotificationInfoExtension
ChildAppointment		0..*	Identifier	Extension URL: http://hl7.fi/fhir/StructureDefinition/ChildAppointment
status		1..1	code	suunniteltu | tilattu | varattu | peruttu | siirretty | alkanut | toteutunut | ehdotettu | saapumatta
cancelationReason
coding
system		0..1	uri	THL - Palvelutapahtuman peruuntumisen tai siirtymisen syy Fixed Value: urn:oid:1.2.246.537.6.126.2008
serviceCategory		0..1	CodeableConcept	A broad categorization of the service that is to be performed during this appointment
coding
system		0..1	uri	THL - Sosiaali- ja terveyspalvelujen luokitus Fixed Value: urn:oid:1.2.246.537.6.50.201801
serviceType		1..1	CodeableConcept	The specific service that is to be performed during this appointment
coding
system		0..1	uri	THL - Sosiaali- ja terveysalan palvelunimikkeistö Fixed Value: urn:oid:1.2.246.537.6.49.201501
appointmentType
coding
system		0..1	uri	hl7fi: asiointitapa Fixed Value: 1.2.246.537.6.884.2015
Slices for participant		1..*	BackboneElement	Participants involved in appointment Slice: Unordered, Open by type:actor.type
participant:patientParticipant		1..1	BackboneElement	Participants involved in appointment
type		0..*	CodeableConcept	Role of participant in the appointment Fixed Value: As shown (subject)
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
code		1..1	code	Symbol in syntax defined by the system Fixed Value: SBJ
actor
type		0..1	uri	Type the reference refers to (e.g. "Patient") Fixed Value: Patient
requestedPeriod		0..1	Period	Potential date/time interval(s) requested to allocate the appointment within
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
app-4	error	Appointment	Cancel reason is mandatory, if status is "siirretty" or "peruttu" : (Appointment.status='siirretty' or Appointment.status='peruttu') implies Appointment.cancelationReason.exists()

Name	Flags	Card.	Type	Description & Constraints
Appointment	C	0..*	Appointment	A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s) app-2: Either start and end are specified, or neither app-3: Only proposed or cancelled appointments can be missing start/end dates app-4: Cancelation reason is only used for appointments that have been cancelled, or no-show
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
ParentAppointment		0..1	Identifier	Extension URL: http://hl7.fi/fhir/StructureDefinition/ParentAppointment
AppointmentMutability		0..1	(Complex)	Extension URL: http://hl7.fi/fhir/StructureDefinition/AppointmentMutabilityExtension
NotificationInfoExtension		0..*	ContactPoint	Extension URL: http://hl7.fi/fhir/StructureDefinition/NotificationInfoExtension
ChildAppointment		0..*	Identifier	Extension URL: http://hl7.fi/fhir/StructureDefinition/ChildAppointment
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	suunniteltu | tilattu | varattu | peruttu | siirretty | alkanut | toteutunut | ehdotettu | saapumatta Binding: AppointmentStatus (required): The free/busy status of an appointment.
serviceCategory	Σ	0..1	CodeableConcept	A broad categorization of the service that is to be performed during this appointment Binding: ServiceCategory (example)
serviceType	Σ	1..1	CodeableConcept	The specific service that is to be performed during this appointment Binding: ServiceType (example)
Slices for participant	C	1..*	BackboneElement	Participants involved in appointment Slice: Unordered, Open by type:actor.type app-1: Either the type or actor on the participant SHALL be specified
participant:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
status	Σ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment.
participant:patientParticipant	C	1..1	BackboneElement	Participants involved in appointment app-1: Either the type or actor on the participant SHALL be specified
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	0..*	CodeableConcept	Role of participant in the appointment Binding: ParticipantType (extensible): Role of participant in encounter. Fixed Value: As shown (subject)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: SBJ
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
status	Σ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment.
requestedPeriod		0..1	Period	Potential date/time interval(s) requested to allocate the appointment within
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Appointment.status	required	AppointmentStatus http://hl7.org/fhir/ValueSet/appointmentstatus|4.0.1 from the FHIR Standard
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.participant.status	required	ParticipationStatus http://hl7.org/fhir/ValueSet/participationstatus|4.0.1 from the FHIR Standard
Appointment.participant:patientParticipant.type	extensible	Fixed Value: SBJ http://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard
Appointment.participant:patientParticipant.status	required	ParticipationStatus http://hl7.org/fhir/ValueSet/participationstatus|4.0.1 from the FHIR Standard

Constraints

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

Name	Flags	Card.	Type	Description & Constraints
Appointment	C	0..*	Appointment	A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s) app-2: Either start and end are specified, or neither app-3: Only proposed or cancelled appointments can be missing start/end dates app-4: Cancelation reason is only used for appointments that have been cancelled, or no-show
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
ParentAppointment		0..1	Identifier	Extension URL: http://hl7.fi/fhir/StructureDefinition/ParentAppointment
AppointmentMutability		0..1	(Complex)	Extension URL: http://hl7.fi/fhir/StructureDefinition/AppointmentMutabilityExtension
NotificationInfoExtension		0..*	ContactPoint	Extension URL: http://hl7.fi/fhir/StructureDefinition/NotificationInfoExtension
ChildAppointment		0..*	Identifier	Extension URL: http://hl7.fi/fhir/StructureDefinition/ChildAppointment
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this item
status	?!Σ	1..1	code	suunniteltu | tilattu | varattu | peruttu | siirretty | alkanut | toteutunut | ehdotettu | saapumatta Binding: AppointmentStatus (required): The free/busy status of an appointment.
cancelationReason	Σ	0..1	CodeableConcept	The coded reason for the appointment being cancelled Binding: AppointmentCancellationReason (example)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	THL - Palvelutapahtuman peruuntumisen tai siirtymisen syy Fixed Value: urn:oid:1.2.246.537.6.126.2008
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
serviceCategory	Σ	0..1	CodeableConcept	A broad categorization of the service that is to be performed during this appointment Binding: ServiceCategory (example)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	THL - Sosiaali- ja terveyspalvelujen luokitus Fixed Value: urn:oid:1.2.246.537.6.50.201801
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
serviceType	Σ	1..1	CodeableConcept	The specific service that is to be performed during this appointment Binding: ServiceType (example)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	THL - Sosiaali- ja terveysalan palvelunimikkeistö Fixed Value: urn:oid:1.2.246.537.6.49.201501
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
specialty	Σ	0..*	CodeableConcept	The specialty of a practitioner that would be required to perform the service requested in this appointment Binding: PracticeSettingCodeValueSet (preferred)
appointmentType	Σ	0..1	CodeableConcept	The style of appointment or patient that has been booked in the slot (not service type) Binding: hl7VS-appointmentReasonCodes (preferred)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	hl7fi: asiointitapa Fixed Value: 1.2.246.537.6.884.2015
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
reasonCode	Σ	0..*	CodeableConcept	Coded reason this appointment is scheduled Binding: EncounterReasonCodes (preferred): The Reason for the appointment to take place.
reasonReference		0..*	Reference(Condition | Procedure | Observation | ImmunizationRecommendation)	Reason the appointment is to take place (resource)
priority		0..1	unsignedInt	Used to make informed decisions if needing to re-prioritize
description		0..1	string	Shown on a subject line in a meeting request, or appointment list
supportingInformation		0..*	Reference(Resource)	Additional information to support the appointment
start	Σ	0..1	instant	When appointment is to take place
end	Σ	0..1	instant	When appointment is to conclude
minutesDuration		0..1	positiveInt	Can be less than start/end (e.g. estimate)
slot		0..*	Reference(Slot)	The slots that this appointment is filling
created		0..1	dateTime	The date that this appointment was initially created
comment		0..1	string	Additional comments
patientInstruction		0..1	string	Detailed information and instructions for the patient
basedOn		0..*	Reference(ServiceRequest)	The service request this appointment is allocated to assess
Slices for participant	C	1..*	BackboneElement	Participants involved in appointment Slice: Unordered, Open by type:actor.type app-1: Either the type or actor on the participant SHALL be specified
participant:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	0..*	CodeableConcept	Role of participant in the appointment Binding: ParticipantType (extensible): Role of participant in encounter.
actor	Σ	0..1	Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Device | HealthcareService | Location)	Person, Location/HealthcareService or Device
required	Σ	0..1	code	required | optional | information-only Binding: ParticipantRequired (required): Is the Participant required to attend the appointment.
status	Σ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment.
period		0..1	Period	Participation period of the actor
participant:patientParticipant	C	1..1	BackboneElement	Participants involved in appointment app-1: Either the type or actor on the participant SHALL be specified
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	0..*	CodeableConcept	Role of participant in the appointment Binding: ParticipantType (extensible): Role of participant in encounter. Fixed Value: As shown (subject)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: SBJ
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
actor	Σ	0..1	Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Device | HealthcareService | Location)	Person, Location/HealthcareService or Device
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Fixed Value: Patient
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
required	Σ	0..1	code	required | optional | information-only Binding: ParticipantRequired (required): Is the Participant required to attend the appointment.
status	Σ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment.
period		0..1	Period	Participation period of the actor
requestedPeriod		0..1	Period	Potential date/time interval(s) requested to allocate the appointment within
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Appointment.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Appointment.status	required	AppointmentStatus http://hl7.org/fhir/ValueSet/appointmentstatus|4.0.1 from the FHIR Standard
Appointment.cancelationReason	example	AppointmentCancellationReason http://hl7.org/fhir/ValueSet/appointment-cancellation-reason from the FHIR Standard
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	preferred	PracticeSettingCodeValueSet http://hl7.org/fhir/ValueSet/c80-practice-codes from the FHIR Standard
Appointment.appointmentType	preferred	Hl7VSAppointmentReasonCodes http://terminology.hl7.org/ValueSet/v2-0276
Appointment.reasonCode	preferred	EncounterReasonCodes http://hl7.org/fhir/ValueSet/encounter-reason from the FHIR Standard
Appointment.participant.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard
Appointment.participant.required	required	ParticipantRequired http://hl7.org/fhir/ValueSet/participantrequired|4.0.1 from the FHIR Standard
Appointment.participant.status	required	ParticipationStatus http://hl7.org/fhir/ValueSet/participationstatus|4.0.1 from the FHIR Standard
Appointment.participant:patientParticipant.type	extensible	Fixed Value: SBJ http://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard
Appointment.participant:patientParticipant.actor.type	extensible	Fixed Value: Patient http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Appointment.participant:patientParticipant.required	required	ParticipantRequired http://hl7.org/fhir/ValueSet/participantrequired|4.0.1 from the FHIR Standard
Appointment.participant:patientParticipant.status	required	ParticipationStatus http://hl7.org/fhir/ValueSet/participationstatus|4.0.1 from the FHIR Standard

Constraints

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

This structure is derived from Appointment

Summary

Mandatory: 2 elements
Fixed: 6 elements

Extensions

This structure refers to these extensions:

• http://hl7.fi/fhir/StructureDefinition/ParentAppointment
• http://hl7.fi/fhir/StructureDefinition/AppointmentMutabilityExtension
• http://hl7.fi/fhir/StructureDefinition/NotificationInfoExtension
• http://hl7.fi/fhir/StructureDefinition/ChildAppointment

Slices

This structure defines the following Slices:

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

Differential View

This structure is derived from Appointment

Name	Flags	Card.	Type	Description & Constraints
Appointment	C	0..*	Appointment	A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s) app-4: Cancel reason is mandatory, if status is "siirretty" or "peruttu"
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
ParentAppointment		0..1	Identifier	Extension URL: http://hl7.fi/fhir/StructureDefinition/ParentAppointment
AppointmentMutability		0..1	(Complex)	Extension URL: http://hl7.fi/fhir/StructureDefinition/AppointmentMutabilityExtension
NotificationInfoExtension		0..*	ContactPoint	Extension URL: http://hl7.fi/fhir/StructureDefinition/NotificationInfoExtension
ChildAppointment		0..*	Identifier	Extension URL: http://hl7.fi/fhir/StructureDefinition/ChildAppointment
status		1..1	code	suunniteltu | tilattu | varattu | peruttu | siirretty | alkanut | toteutunut | ehdotettu | saapumatta
cancelationReason
coding
system		0..1	uri	THL - Palvelutapahtuman peruuntumisen tai siirtymisen syy Fixed Value: urn:oid:1.2.246.537.6.126.2008
serviceCategory		0..1	CodeableConcept	A broad categorization of the service that is to be performed during this appointment
coding
system		0..1	uri	THL - Sosiaali- ja terveyspalvelujen luokitus Fixed Value: urn:oid:1.2.246.537.6.50.201801
serviceType		1..1	CodeableConcept	The specific service that is to be performed during this appointment
coding
system		0..1	uri	THL - Sosiaali- ja terveysalan palvelunimikkeistö Fixed Value: urn:oid:1.2.246.537.6.49.201501
appointmentType
coding
system		0..1	uri	hl7fi: asiointitapa Fixed Value: 1.2.246.537.6.884.2015
Slices for participant		1..*	BackboneElement	Participants involved in appointment Slice: Unordered, Open by type:actor.type
participant:patientParticipant		1..1	BackboneElement	Participants involved in appointment
type		0..*	CodeableConcept	Role of participant in the appointment Fixed Value: As shown (subject)
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
code		1..1	code	Symbol in syntax defined by the system Fixed Value: SBJ
actor
type		0..1	uri	Type the reference refers to (e.g. "Patient") Fixed Value: Patient
requestedPeriod		0..1	Period	Potential date/time interval(s) requested to allocate the appointment within
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
app-4	error	Appointment	Cancel reason is mandatory, if status is "siirretty" or "peruttu" : (Appointment.status='siirretty' or Appointment.status='peruttu') implies Appointment.cancelationReason.exists()

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Appointment	C	0..*	Appointment	A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s) app-2: Either start and end are specified, or neither app-3: Only proposed or cancelled appointments can be missing start/end dates app-4: Cancelation reason is only used for appointments that have been cancelled, or no-show
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
ParentAppointment		0..1	Identifier	Extension URL: http://hl7.fi/fhir/StructureDefinition/ParentAppointment
AppointmentMutability		0..1	(Complex)	Extension URL: http://hl7.fi/fhir/StructureDefinition/AppointmentMutabilityExtension
NotificationInfoExtension		0..*	ContactPoint	Extension URL: http://hl7.fi/fhir/StructureDefinition/NotificationInfoExtension
ChildAppointment		0..*	Identifier	Extension URL: http://hl7.fi/fhir/StructureDefinition/ChildAppointment
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	suunniteltu | tilattu | varattu | peruttu | siirretty | alkanut | toteutunut | ehdotettu | saapumatta Binding: AppointmentStatus (required): The free/busy status of an appointment.
serviceCategory	Σ	0..1	CodeableConcept	A broad categorization of the service that is to be performed during this appointment Binding: ServiceCategory (example)
serviceType	Σ	1..1	CodeableConcept	The specific service that is to be performed during this appointment Binding: ServiceType (example)
Slices for participant	C	1..*	BackboneElement	Participants involved in appointment Slice: Unordered, Open by type:actor.type app-1: Either the type or actor on the participant SHALL be specified
participant:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
status	Σ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment.
participant:patientParticipant	C	1..1	BackboneElement	Participants involved in appointment app-1: Either the type or actor on the participant SHALL be specified
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	0..*	CodeableConcept	Role of participant in the appointment Binding: ParticipantType (extensible): Role of participant in encounter. Fixed Value: As shown (subject)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: SBJ
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
status	Σ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment.
requestedPeriod		0..1	Period	Potential date/time interval(s) requested to allocate the appointment within
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Appointment.status	required	AppointmentStatus http://hl7.org/fhir/ValueSet/appointmentstatus|4.0.1 from the FHIR Standard
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.participant.status	required	ParticipationStatus http://hl7.org/fhir/ValueSet/participationstatus|4.0.1 from the FHIR Standard
Appointment.participant:patientParticipant.type	extensible	Fixed Value: SBJ http://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard
Appointment.participant:patientParticipant.status	required	ParticipationStatus http://hl7.org/fhir/ValueSet/participationstatus|4.0.1 from the FHIR Standard

Constraints

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

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Appointment	C	0..*	Appointment	A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s) app-2: Either start and end are specified, or neither app-3: Only proposed or cancelled appointments can be missing start/end dates app-4: Cancelation reason is only used for appointments that have been cancelled, or no-show
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
ParentAppointment		0..1	Identifier	Extension URL: http://hl7.fi/fhir/StructureDefinition/ParentAppointment
AppointmentMutability		0..1	(Complex)	Extension URL: http://hl7.fi/fhir/StructureDefinition/AppointmentMutabilityExtension
NotificationInfoExtension		0..*	ContactPoint	Extension URL: http://hl7.fi/fhir/StructureDefinition/NotificationInfoExtension
ChildAppointment		0..*	Identifier	Extension URL: http://hl7.fi/fhir/StructureDefinition/ChildAppointment
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this item
status	?!Σ	1..1	code	suunniteltu | tilattu | varattu | peruttu | siirretty | alkanut | toteutunut | ehdotettu | saapumatta Binding: AppointmentStatus (required): The free/busy status of an appointment.
cancelationReason	Σ	0..1	CodeableConcept	The coded reason for the appointment being cancelled Binding: AppointmentCancellationReason (example)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	THL - Palvelutapahtuman peruuntumisen tai siirtymisen syy Fixed Value: urn:oid:1.2.246.537.6.126.2008
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
serviceCategory	Σ	0..1	CodeableConcept	A broad categorization of the service that is to be performed during this appointment Binding: ServiceCategory (example)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	THL - Sosiaali- ja terveyspalvelujen luokitus Fixed Value: urn:oid:1.2.246.537.6.50.201801
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
serviceType	Σ	1..1	CodeableConcept	The specific service that is to be performed during this appointment Binding: ServiceType (example)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	THL - Sosiaali- ja terveysalan palvelunimikkeistö Fixed Value: urn:oid:1.2.246.537.6.49.201501
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
specialty	Σ	0..*	CodeableConcept	The specialty of a practitioner that would be required to perform the service requested in this appointment Binding: PracticeSettingCodeValueSet (preferred)
appointmentType	Σ	0..1	CodeableConcept	The style of appointment or patient that has been booked in the slot (not service type) Binding: hl7VS-appointmentReasonCodes (preferred)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	hl7fi: asiointitapa Fixed Value: 1.2.246.537.6.884.2015
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
reasonCode	Σ	0..*	CodeableConcept	Coded reason this appointment is scheduled Binding: EncounterReasonCodes (preferred): The Reason for the appointment to take place.
reasonReference		0..*	Reference(Condition | Procedure | Observation | ImmunizationRecommendation)	Reason the appointment is to take place (resource)
priority		0..1	unsignedInt	Used to make informed decisions if needing to re-prioritize
description		0..1	string	Shown on a subject line in a meeting request, or appointment list
supportingInformation		0..*	Reference(Resource)	Additional information to support the appointment
start	Σ	0..1	instant	When appointment is to take place
end	Σ	0..1	instant	When appointment is to conclude
minutesDuration		0..1	positiveInt	Can be less than start/end (e.g. estimate)
slot		0..*	Reference(Slot)	The slots that this appointment is filling
created		0..1	dateTime	The date that this appointment was initially created
comment		0..1	string	Additional comments
patientInstruction		0..1	string	Detailed information and instructions for the patient
basedOn		0..*	Reference(ServiceRequest)	The service request this appointment is allocated to assess
Slices for participant	C	1..*	BackboneElement	Participants involved in appointment Slice: Unordered, Open by type:actor.type app-1: Either the type or actor on the participant SHALL be specified
participant:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	0..*	CodeableConcept	Role of participant in the appointment Binding: ParticipantType (extensible): Role of participant in encounter.
actor	Σ	0..1	Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Device | HealthcareService | Location)	Person, Location/HealthcareService or Device
required	Σ	0..1	code	required | optional | information-only Binding: ParticipantRequired (required): Is the Participant required to attend the appointment.
status	Σ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment.
period		0..1	Period	Participation period of the actor
participant:patientParticipant	C	1..1	BackboneElement	Participants involved in appointment app-1: Either the type or actor on the participant SHALL be specified
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	0..*	CodeableConcept	Role of participant in the appointment Binding: ParticipantType (extensible): Role of participant in encounter. Fixed Value: As shown (subject)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: SBJ
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
actor	Σ	0..1	Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Device | HealthcareService | Location)	Person, Location/HealthcareService or Device
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Fixed Value: Patient
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
required	Σ	0..1	code	required | optional | information-only Binding: ParticipantRequired (required): Is the Participant required to attend the appointment.
status	Σ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment.
period		0..1	Period	Participation period of the actor
requestedPeriod		0..1	Period	Potential date/time interval(s) requested to allocate the appointment within
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Appointment.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Appointment.status	required	AppointmentStatus http://hl7.org/fhir/ValueSet/appointmentstatus|4.0.1 from the FHIR Standard
Appointment.cancelationReason	example	AppointmentCancellationReason http://hl7.org/fhir/ValueSet/appointment-cancellation-reason from the FHIR Standard
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	preferred	PracticeSettingCodeValueSet http://hl7.org/fhir/ValueSet/c80-practice-codes from the FHIR Standard
Appointment.appointmentType	preferred	Hl7VSAppointmentReasonCodes http://terminology.hl7.org/ValueSet/v2-0276
Appointment.reasonCode	preferred	EncounterReasonCodes http://hl7.org/fhir/ValueSet/encounter-reason from the FHIR Standard
Appointment.participant.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard
Appointment.participant.required	required	ParticipantRequired http://hl7.org/fhir/ValueSet/participantrequired|4.0.1 from the FHIR Standard
Appointment.participant.status	required	ParticipationStatus http://hl7.org/fhir/ValueSet/participationstatus|4.0.1 from the FHIR Standard
Appointment.participant:patientParticipant.type	extensible	Fixed Value: SBJ http://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard
Appointment.participant:patientParticipant.actor.type	extensible	Fixed Value: Patient http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Appointment.participant:patientParticipant.required	required	ParticipantRequired http://hl7.org/fhir/ValueSet/participantrequired|4.0.1 from the FHIR Standard
Appointment.participant:patientParticipant.status	required	ParticipationStatus http://hl7.org/fhir/ValueSet/participationstatus|4.0.1 from the FHIR Standard

Constraints

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

This structure is derived from Appointment

Summary

Mandatory: 2 elements
Fixed: 6 elements

Extensions

This structure refers to these extensions:

• http://hl7.fi/fhir/StructureDefinition/ParentAppointment
• http://hl7.fi/fhir/StructureDefinition/AppointmentMutabilityExtension
• http://hl7.fi/fhir/StructureDefinition/NotificationInfoExtension
• http://hl7.fi/fhir/StructureDefinition/ChildAppointment

Slices

This structure defines the following Slices:

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

Other representations of profile: CSV, Excel, Schematron