22 Palvelutapahtuman tunniste

23 Asian tunniste

82 Jonotusnumero

101 Tikettinumero

59 Ajanvarauksen tietojen näyttäminen huoltajalle

20 Asiakaspolun tunniste 20.1 Asiakaspolun nimi

12 Pääajanvaraus

84 AsiointiURL 84.1 Järjestelmä tukee alaikäisen puolesta asiointia 84.2 Järjestelmä tukee puolesta-asiointia valtakirjalla täysi-ikäisen puolesta 84.3 Järjestelmä tukee rekisteripohjaista puolesta-asiointia täysi-ikäisen puolesta

74 Resurssin kalenteritunniste 75 Resurssin nimi

24 Ajanvaraukseen liittyvän lähetteen tai pyynnön tunniste

73 Varaustuote 73.1 Varaustuotteen nimi

91 Muu sisältö

93 Palvelun toteuttajan sukupuoli

94 Muistutuksen tapa

97 Hoitotakuu

98 Lisätietojen osoite

17 Ajanvaraukseen liittyvän suunnitelman tunniste

95 Peruttavissa 96 Siirrettävissä 96.1 Peruutuksen tai siirron aikaraja

hl7fi: 18 Ajanvarauksen tunniste - mandatory, not recurring

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

hl7fi: Requires mapping to Ajanvarauksen tila code set (1.2.246.537.6.881.201501). Other mappings ok apart from "siirretty" (rescheduled) ja "suunniteltu".

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

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

19 Ajanvarauksen tila

19.1 Ajanvarauksen perumisen tai siirtämisen syy

Mandatory, if cancellation status is equivalent to "Siirretty" or "Peruttu"

71.1 Palvelun luokka

hl7fi: koodilla ilmaistu tieto palveluluokasta, johon ajanvaraus kohdistuu Huom. Palveluluokka ilmaistaan THL - Sosiaali- ja terveyspalvelujen luokituksen avulla.

71 Palvelun nimi

hl7fi: koodilla ilmaistu tieto palvelusta, johon ajanvaraus kohdistuu Huom. Palvelun nimi ilmaistaan THL - Sosiaali- ja terveysalan palvelunimikkeistön avulla.

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

71 Palvelun nimi

72 Asiointitapa

hl7fi: koodilla ilmaistu tieto ammattihenkilön ja asiakkaan välisen asioinnin tavasta

hl7fi: 85 Varauksen sisältötarkenne, koodilla ilmaistu tarkentava tieto palvelun sisällöstä Huom. Tarkenteeksi voi valita useamman kuin yhden koodin, ja koodit voivat kuvata esimerkiksi sitä, mitä kuvantamis- tai laboratoriotutkimuksia tai toimenpiteitä suoritetaan.

85 Varauksen sisältötarkenne

hl7fi: 76 Palvelutarve vapaamuotoisena tekstinä ilmaistu tieto asiakkaan palvelutarpeesta Huom. Palvelutarve kuvataan tasolla, jolla henkilön palveluiden tarve voidaan kuvata yhteisellä termillä, esim. raskausajan seuranta ja tuki.

76 Palvelutarve

56 kuvaus oireista/vaivasta ja 57 riskitiedot (Condition/Note)

86 Aikaväli

86 Aikaväli

38 Merkinnän kirjausaika

hl7fi: asiakkaalle tai ajanvarauksen katselijalle tarkoitettu vapaamuotoinen lisätieto

99 Huomautukset

hl7fi: vapaamuotoisena tekstinä ilmaistu potilasohje, joka tarjoaa asiakkaalle tietoa esimerkiksi sairaudesta, tutkimuksista, hoidoista, toimenpiteisiin valmistautumisesta, jälkihoidosta, itsehoidosta, toipumisesta, sairauden kulusta ja sairauden ennusteesta Huom. Potilasohje voi olla esim. Käypä hoito -suositus tai yleinen sairaalan antama ohje, joka voi olla myös yksikkökohtainen.

100 Potilasohje

35 Ajankohta, jolloin ajanvaraus ohjeistettu tehtäväksi

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).

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

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

An Extension

Extension for service event id (palvelutapahtuman tunniste). 22 Palvelutapahtuman tunniste

22 Palvelutapahtuman tunniste

Social care topic (asia) id. 23 Asian tunniste

23 Asian tunniste

An extension for queue number (in string format). 82 Jonotusnumero

82 Jonotusnumero

Ticket number to be included in the appointment. 101 Tiketti

101 Tikettinumero

59 Ajanvarauksen tietojen näyttäminen huoltajalle

1=Ajanvarauksen tiedot saa näyttää huoltajalle,2=Ajanvarauksen tietoja ei saa näyttää huoltajalle

59 Ajanvarauksen tietojen näyttäminen huoltajalle

Identifier for the customer journey (hoitopolku) 20 Asiakaspolun tunniste 20.1 Asiakaspolun nimi

20 Asiakaspolun tunniste 20.1 Asiakaspolun nimi

20 Asiakaspolun tunniste 20.1 Asiakaspolun nimi

Master appointment reference using identifier type Pääajanvarauksen tunniste

12 Pääajanvaraus

Extension for Finnish Scheduling appointment, that notifies whether there is a self service for managing appointment (provides URL and information whether management can be made by proxy). 84 AsiointiURL 84.1 Järjestelmä tukee alaikäisen puolesta asiointia 84.2 Järjestelmä tukee puolesta-asiointia valtakirjalla täysi-ikäisen puolesta 84.3 Järjestelmä tukee rekisteripohjaista puolesta-asiointia täysi-ikäisen puolesta

84 AsiointiURL 84.1 Järjestelmä tukee alaikäisen puolesta asiointia 84.2 Järjestelmä tukee puolesta-asiointia valtakirjalla täysi-ikäisen puolesta 84.3 Järjestelmä tukee rekisteripohjaista puolesta-asiointia täysi-ikäisen puolesta

Extension for resource calendar id and resource name. 74 Resurssin kalenteritunniste. 75 Resurssin nimi

74 Resurssin kalenteritunniste 75 Resurssin nimi

Referral id extension for appointment (string). 24 Ajanvaraukseen liittyvän lähetteen tai pyynnön tunniste

24 Ajanvaraukseen liittyvän lähetteen tai pyynnön tunniste

Extension for providing additional information for appointment service: reserved product/service. 73 Varaustuote 73.1 Varaustuotteen nimi

73 Varaustuote 73.1 Varaustuotteen nimi

Other details regarding appointment. 91 Muu sisältö

91 Muu sisältö

Extension for practitioner gender for appointment. 93 Palvelun toteuttajan sukupuoli

93 Palvelun toteuttajan sukupuoli

Information on notification medium, based on THL - Viestintäkanava codesystem 94 Muistutuksen tapa

94 Muistutuksen tapa

An extension for including care guarantee (hoitotakuu) details in appointment.

97 Hoitotakuu

URL for additional information regarding appointment 98 Lisätietojen osoite

98 Lisätietojen osoite

Identifier for the care plan, if provided.

17 Ajanvaraukseen liittyvän suunnitelman tunniste

Extension for FinnishAppointment specifying whether appointment can be changed and when.

95 Peruttavissa 96 Siirrettävissä 96.1 Peruutuksen tai siirron aikaraja

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

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

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

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

hl7fi: 18 Ajanvarauksen tunniste - mandatory, not recurring

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

The purpose of this identifier.

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

Identifies the purpose for this identifier, if known .

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

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

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

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

hl7fi: Requires mapping to Ajanvarauksen tila code set (1.2.246.537.6.881.201501). Other mappings ok apart from "siirretty" (rescheduled) ja "suunniteltu".

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

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

The free/busy status of an appointment.

19 Ajanvarauksen tila

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

19.1 Ajanvarauksen perumisen tai siirtämisen syy

Mandatory, if cancellation status is equivalent to "Siirretty" or "Peruttu"

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

71.1 Palvelun luokka

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

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

71 Palvelun nimi

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

72 Asiointitapa

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

The Reason for the appointment to take place.

hl7fi: 85 Varauksen sisältötarkenne, koodilla ilmaistu tarkentava tieto palvelun sisällöstä Huom. Tarkenteeksi voi valita useamman kuin yhden koodin, ja koodit voivat kuvata esimerkiksi sitä, mitä kuvantamis- tai laboratoriotutkimuksia tai toimenpiteitä suoritetaan.

The Reason for the appointment to take place.

85 Varauksen sisältötarkenne

A reference to a code defined by a terminology system.

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

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

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

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

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

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

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

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

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

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

hl7fi: 76 Palvelutarve vapaamuotoisena tekstinä ilmaistu tieto asiakkaan palvelutarpeesta Huom. Palvelutarve kuvataan tasolla, jolla henkilön palveluiden tarve voidaan kuvata yhteisellä termillä, esim. raskausajan seuranta ja tuki.

The Reason for the appointment to take place.

76 Palvelutarve

A reference to a code defined by a terminology system.

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

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

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

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

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

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

56 kuvaus oireista/vaivasta ja 57 riskitiedot (Condition/Note)

The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

Aa resource (or, for logical models, the URI of the logical model).

Date/Time that the appointment is to take place.

86 Aikaväli

Date/Time that the appointment is to conclude.

86 Aikaväli

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

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

38 Merkinnän kirjausaika

hl7fi: asiakkaalle tai ajanvarauksen katselijalle tarkoitettu vapaamuotoinen lisätieto

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

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

99 Huomautukset

hl7fi: vapaamuotoisena tekstinä ilmaistu potilasohje, joka tarjoaa asiakkaalle tietoa esimerkiksi sairaudesta, tutkimuksista, hoidoista, toimenpiteisiin valmistautumisesta, jälkihoidosta, itsehoidosta, toipumisesta, sairauden kulusta ja sairauden ennusteesta Huom. Potilasohje voi olla esim. Käypä hoito -suositus tai yleinen sairaalan antama ohje, joka voi olla myös yksikkökohtainen.

100 Potilasohje

An Extension

List of participants involved in the appointment.

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

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

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

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

Participation status of the actor.

The Participation status of an appointment.

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

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

This does not introduce a capacity for recurring appointments.

35 Ajankohta, jolloin ajanvaraus ohjeistettu tehtäväksi

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).

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

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

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

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

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

The base language in which the resource is written.

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

A human language.

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

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

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

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

An Extension

Extension for service event id (palvelutapahtuman tunniste). 22 Palvelutapahtuman tunniste

22 Palvelutapahtuman tunniste

Social care topic (asia) id. 23 Asian tunniste

23 Asian tunniste

An extension for queue number (in string format). 82 Jonotusnumero

82 Jonotusnumero

Ticket number to be included in the appointment. 101 Tiketti

101 Tikettinumero

59 Ajanvarauksen tietojen näyttäminen huoltajalle

1=Ajanvarauksen tiedot saa näyttää huoltajalle,2=Ajanvarauksen tietoja ei saa näyttää huoltajalle

59 Ajanvarauksen tietojen näyttäminen huoltajalle

Identifier for the customer journey (hoitopolku) 20 Asiakaspolun tunniste 20.1 Asiakaspolun nimi

20 Asiakaspolun tunniste 20.1 Asiakaspolun nimi

20 Asiakaspolun tunniste 20.1 Asiakaspolun nimi

Master appointment reference using identifier type Pääajanvarauksen tunniste

12 Pääajanvaraus

Extension for Finnish Scheduling appointment, that notifies whether there is a self service for managing appointment (provides URL and information whether management can be made by proxy). 84 AsiointiURL 84.1 Järjestelmä tukee alaikäisen puolesta asiointia 84.2 Järjestelmä tukee puolesta-asiointia valtakirjalla täysi-ikäisen puolesta 84.3 Järjestelmä tukee rekisteripohjaista puolesta-asiointia täysi-ikäisen puolesta

84 AsiointiURL 84.1 Järjestelmä tukee alaikäisen puolesta asiointia 84.2 Järjestelmä tukee puolesta-asiointia valtakirjalla täysi-ikäisen puolesta 84.3 Järjestelmä tukee rekisteripohjaista puolesta-asiointia täysi-ikäisen puolesta

Extension for resource calendar id and resource name. 74 Resurssin kalenteritunniste. 75 Resurssin nimi

74 Resurssin kalenteritunniste 75 Resurssin nimi

Referral id extension for appointment (string). 24 Ajanvaraukseen liittyvän lähetteen tai pyynnön tunniste

24 Ajanvaraukseen liittyvän lähetteen tai pyynnön tunniste

Extension for providing additional information for appointment service: reserved product/service. 73 Varaustuote 73.1 Varaustuotteen nimi

73 Varaustuote 73.1 Varaustuotteen nimi

Other details regarding appointment. 91 Muu sisältö

91 Muu sisältö

Extension for practitioner gender for appointment. 93 Palvelun toteuttajan sukupuoli

93 Palvelun toteuttajan sukupuoli

Information on notification medium, based on THL - Viestintäkanava codesystem 94 Muistutuksen tapa

94 Muistutuksen tapa

An extension for including care guarantee (hoitotakuu) details in appointment.

97 Hoitotakuu

URL for additional information regarding appointment 98 Lisätietojen osoite

98 Lisätietojen osoite

Identifier for the care plan, if provided.

17 Ajanvaraukseen liittyvän suunnitelman tunniste

Extension for FinnishAppointment specifying whether appointment can be changed and when.

95 Peruttavissa 96 Siirrettävissä 96.1 Peruutuksen tai siirron aikaraja

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

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

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

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

hl7fi: 18 Ajanvarauksen tunniste - mandatory, not recurring

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

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

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

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

The purpose of this identifier.

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

Identifies the purpose for this identifier, if known .

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

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

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

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

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

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

Identifier.system is always case sensitive.

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

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

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

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

Organization that issued/manages the identifier.

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

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

hl7fi: Requires mapping to Ajanvarauksen tila code set (1.2.246.537.6.881.201501). Other mappings ok apart from "siirretty" (rescheduled) ja "suunniteltu".

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

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

The free/busy status of an appointment.

19 Ajanvarauksen tila

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

19.1 Ajanvarauksen perumisen tai siirtämisen syy

Mandatory, if cancellation status is equivalent to "Siirretty" or "Peruttu"

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

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

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

A reference to a code defined by a terminology system.

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

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

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

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

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

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

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

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

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

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

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

Need to refer to a particular code in the system.

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

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

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

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

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

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

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

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

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

71.1 Palvelun luokka

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

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

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

A reference to a code defined by a terminology system.

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

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

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

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

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

hl7fi: koodilla ilmaistu tieto palveluluokasta, johon ajanvaraus kohdistuu Huom. Palveluluokka ilmaistaan THL - Sosiaali- ja terveyspalvelujen luokituksen avulla.

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

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

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

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

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

Need to refer to a particular code in the system.

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

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

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

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

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

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

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

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

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

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

71 Palvelun nimi

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

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

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

A reference to a code defined by a terminology system.

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

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

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

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

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

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

hl7fi: koodilla ilmaistu tieto palvelusta, johon ajanvaraus kohdistuu Huom. Palvelun nimi ilmaistaan THL - Sosiaali- ja terveysalan palvelunimikkeistön avulla.

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

71 Palvelun nimi

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

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

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

Need to refer to a particular code in the system.

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

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

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

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

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

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

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

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

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

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

72 Asiointitapa

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

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

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

A reference to a code defined by a terminology system.

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

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

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

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

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

hl7fi: koodilla ilmaistu tieto ammattihenkilön ja asiakkaan välisen asioinnin tavasta

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

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

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

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

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