Huli FHIR Core Implementation Guide (R4)
0.1.0 - Release

Huli FHIR Core Implementation Guide (R4) - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: Huli Appointment

Official URL: https://fhir.huli.ai/r4/StructureDefinition/huli-appointment Version: 0.1.0
Active as of 2026-09-11 Computable Name: HuliAppointment

Appointment profile for the Huli healthcare platform. Covers scheduling workflows including multi-resource participants (practitioners, rooms, equipment), FHIR-aligned status lifecycle, and SNOMED-coded appointment types.

Key design decisions:

  • start and end are extracted from the appointment time slot (lower/upper bounds).
  • Status codes are already FHIR-aligned.
  • Appointment types are SNOMED-coded.
  • Patient confirmation status uses a custom extension since FHIR R4 has no standard element for this distinct workflow step. It is server-derived and read-only (emitted on read, ignored on write), as are appointmentType and specialty (both derived from the chosen service).
  • serviceType is required on write (1..1): its single coding, under the Huli org-service CodeSystem, names the org service the appointment booking derives appointment type, specialty, booking policy, and resource requirements from. A missing or unresolvable serviceType is rejected 422.
  • Staff-only operational notes are NOT exposed through this profile, on read or write (D-008). Appointment.comment is not a general read/write field — it is populated only on the cancel path (an inbound comment on a cancellation resolves to the cancellation note).
  • The internal composite storage key is an implementation detail; the FHIR resource uses the appointment id alone.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Appointment C 0..* Appointment A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s)
Constraints: app-2, app-3, app-4
... 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
.... extension:confirmationStatus S 0..1 code Huli Confirmation Status
URL: https://fhir.huli.ai/r4/StructureDefinition/huli-confirmation-status
Binding: Huli Confirmation Status Value Set (required)
.... extension:insuranceSnapshot 0..1 (Complex) Huli Insurance Snapshot
URL: https://fhir.huli.ai/r4/StructureDefinition/huli-insurance-snapshot
.... extension:createdBy 0..1 Reference() Huli Created By
URL: https://fhir.huli.ai/r4/StructureDefinition/huli-created-by
.... extension:modifiedBy 0..1 Reference() Huli Modified By
URL: https://fhir.huli.ai/r4/StructureDefinition/huli-modified-by
.... extension:cancellationInfo 0..1 (Complex) Huli Cancellation Info
URL: https://fhir.huli.ai/r4/StructureDefinition/huli-cancellation-info
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... cancelationReason Σ 0..1 CodeableConcept The coded reason for the appointment being cancelled
Binding: Huli Cancellation Reason Value Set (preferred)
... serviceType SΣ 1..1 CodeableConcept The specific service that is to be performed during this appointment
Binding: ServiceType (example)
... appointmentType Σ 0..1 CodeableConcept The style of appointment or patient that has been booked in the slot (not service type)
Binding: Huli Appointment Type Value Set (preferred)
... start SΣ 0..1 instant When appointment is to take place
... end SΣ 0..1 instant When appointment is to conclude
... participant SC 1..* BackboneElement Participants involved in appointment
Constraints: app-1
.... 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.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Appointment.status Base required AppointmentStatus 📍4.0.1 FHIR Std.
Appointment.cancelationReason Base preferred Huli Cancellation Reason Value Set 📦0.1.0 This IG
Appointment.serviceType Base example Service type 📍4.0.1 FHIR Std.
Appointment.appointmentType Base preferred Huli Appointment Type Value Set 📦0.1.0 This IG
Appointment.participant.​status Base required ParticipationStatus 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
app-1 error Appointment.participant Either the type or actor on the participant SHALL be specified type.exists() or actor.exists()
app-2 error Appointment Either start and end are specified, or neither start.exists() = end.exists()
app-3 error Appointment Only proposed or cancelled appointments can be missing start/end dates (start.exists() and end.exists()) or (status in ('proposed' | 'cancelled' | 'waitlist'))
app-4 error Appointment 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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Appointment 0..* Appointment A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s)
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:confirmationStatus S 0..1 code Huli Confirmation Status
URL: https://fhir.huli.ai/r4/StructureDefinition/huli-confirmation-status
Binding: Huli Confirmation Status Value Set (required)
.... extension:insuranceSnapshot 0..1 (Complex) Huli Insurance Snapshot
URL: https://fhir.huli.ai/r4/StructureDefinition/huli-insurance-snapshot
.... extension:createdBy 0..1 Reference() Huli Created By
URL: https://fhir.huli.ai/r4/StructureDefinition/huli-created-by
.... extension:modifiedBy 0..1 Reference() Huli Modified By
URL: https://fhir.huli.ai/r4/StructureDefinition/huli-modified-by
.... extension:cancellationInfo 0..1 (Complex) Huli Cancellation Info
URL: https://fhir.huli.ai/r4/StructureDefinition/huli-cancellation-info
... status S 1..1 code proposed | pending | booked | arrived | fulfilled | cancelled | noshow | entered-in-error | checked-in | waitlist
... cancelationReason 0..1 CodeableConcept The coded reason for the appointment being cancelled
Binding: Huli Cancellation Reason Value Set (preferred)
... appointmentType 0..1 CodeableConcept The style of appointment or patient that has been booked in the slot (not service type)
Binding: Huli Appointment Type Value Set (preferred)
... start S 0..1 instant When appointment is to take place
... end S 0..1 instant When appointment is to conclude
... participant S 1..* BackboneElement Participants involved in appointment

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Appointment.cancelationReason Base preferred Huli Cancellation Reason Value Set 📦0.1.0 This IG
Appointment.appointmentType Base preferred Huli Appointment Type Value Set 📦0.1.0 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Appointment C 0..* Appointment A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s)
Constraints: app-2, app-3, app-4
... 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 BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:confirmationStatus S 0..1 code Huli Confirmation Status
URL: https://fhir.huli.ai/r4/StructureDefinition/huli-confirmation-status
Binding: Huli Confirmation Status Value Set (required)
.... extension:insuranceSnapshot 0..1 (Complex) Huli Insurance Snapshot
URL: https://fhir.huli.ai/r4/StructureDefinition/huli-insurance-snapshot
.... extension:createdBy 0..1 Reference() Huli Created By
URL: https://fhir.huli.ai/r4/StructureDefinition/huli-created-by
.... extension:modifiedBy 0..1 Reference() Huli Modified By
URL: https://fhir.huli.ai/r4/StructureDefinition/huli-modified-by
.... extension:cancellationInfo 0..1 (Complex) Huli Cancellation Info
URL: https://fhir.huli.ai/r4/StructureDefinition/huli-cancellation-info
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External Ids for this item
... status ?!SΣ 1..1 code proposed | pending | booked | arrived | fulfilled | cancelled | noshow | entered-in-error | checked-in | waitlist
Binding: AppointmentStatus (required): The free/busy status of an appointment.
... cancelationReason Σ 0..1 CodeableConcept The coded reason for the appointment being cancelled
Binding: Huli Cancellation Reason Value Set (preferred)
... serviceCategory Σ 0..* CodeableConcept A broad categorization of the service that is to be performed during this appointment
Binding: ServiceCategory (example)
... serviceType SΣ 1..1 CodeableConcept The specific service that is to be performed during this appointment
Binding: ServiceType (example)
... 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: Huli Appointment Type Value Set (preferred)
... 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 SΣ 0..1 instant When appointment is to take place
... end SΣ 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
... participant SC 1..* BackboneElement Participants involved in appointment
Constraints: app-1
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type 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
... requestedPeriod 0..* Period Potential date/time interval(s) requested to allocate the appointment within

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Appointment.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Appointment.status Base required AppointmentStatus 📍4.0.1 FHIR Std.
Appointment.cancelationReason Base preferred Huli Cancellation Reason Value Set 📦0.1.0 This IG
Appointment.serviceCategory Base example Service category 📍4.0.1 FHIR Std.
Appointment.serviceType Base example Service type 📍4.0.1 FHIR Std.
Appointment.specialty Base preferred Practice Setting Code Value Set 📍4.0.1 FHIR Std.
Appointment.appointmentType Base preferred Huli Appointment Type Value Set 📦0.1.0 This IG
Appointment.reasonCode Base preferred Encounter Reason Codes 📍4.0.1 FHIR Std.
Appointment.participant.​type Base extensible Participant type 📍4.0.1 FHIR Std.
Appointment.participant.​required Base required ParticipantRequired 📍4.0.1 FHIR Std.
Appointment.participant.​status Base required ParticipationStatus 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
app-1 error Appointment.participant Either the type or actor on the participant SHALL be specified type.exists() or actor.exists()
app-2 error Appointment Either start and end are specified, or neither start.exists() = end.exists()
app-3 error Appointment Only proposed or cancelled appointments can be missing start/end dates (start.exists() and end.exists()) or (status in ('proposed' | 'cancelled' | 'waitlist'))
app-4 error Appointment 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()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Appointment C 0..* Appointment A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s)
Constraints: app-2, app-3, app-4
... 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
.... extension:confirmationStatus S 0..1 code Huli Confirmation Status
URL: https://fhir.huli.ai/r4/StructureDefinition/huli-confirmation-status
Binding: Huli Confirmation Status Value Set (required)
.... extension:insuranceSnapshot 0..1 (Complex) Huli Insurance Snapshot
URL: https://fhir.huli.ai/r4/StructureDefinition/huli-insurance-snapshot
.... extension:createdBy 0..1 Reference() Huli Created By
URL: https://fhir.huli.ai/r4/StructureDefinition/huli-created-by
.... extension:modifiedBy 0..1 Reference() Huli Modified By
URL: https://fhir.huli.ai/r4/StructureDefinition/huli-modified-by
.... extension:cancellationInfo 0..1 (Complex) Huli Cancellation Info
URL: https://fhir.huli.ai/r4/StructureDefinition/huli-cancellation-info
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... cancelationReason Σ 0..1 CodeableConcept The coded reason for the appointment being cancelled
Binding: Huli Cancellation Reason Value Set (preferred)
... serviceType SΣ 1..1 CodeableConcept The specific service that is to be performed during this appointment
Binding: ServiceType (example)
... appointmentType Σ 0..1 CodeableConcept The style of appointment or patient that has been booked in the slot (not service type)
Binding: Huli Appointment Type Value Set (preferred)
... start SΣ 0..1 instant When appointment is to take place
... end SΣ 0..1 instant When appointment is to conclude
... participant SC 1..* BackboneElement Participants involved in appointment
Constraints: app-1
.... 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.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Appointment.status Base required AppointmentStatus 📍4.0.1 FHIR Std.
Appointment.cancelationReason Base preferred Huli Cancellation Reason Value Set 📦0.1.0 This IG
Appointment.serviceType Base example Service type 📍4.0.1 FHIR Std.
Appointment.appointmentType Base preferred Huli Appointment Type Value Set 📦0.1.0 This IG
Appointment.participant.​status Base required ParticipationStatus 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
app-1 error Appointment.participant Either the type or actor on the participant SHALL be specified type.exists() or actor.exists()
app-2 error Appointment Either start and end are specified, or neither start.exists() = end.exists()
app-3 error Appointment Only proposed or cancelled appointments can be missing start/end dates (start.exists() and end.exists()) or (status in ('proposed' | 'cancelled' | 'waitlist'))
app-4 error Appointment 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()

Differential View

This structure is derived from Appointment

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Appointment 0..* Appointment A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s)
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:confirmationStatus S 0..1 code Huli Confirmation Status
URL: https://fhir.huli.ai/r4/StructureDefinition/huli-confirmation-status
Binding: Huli Confirmation Status Value Set (required)
.... extension:insuranceSnapshot 0..1 (Complex) Huli Insurance Snapshot
URL: https://fhir.huli.ai/r4/StructureDefinition/huli-insurance-snapshot
.... extension:createdBy 0..1 Reference() Huli Created By
URL: https://fhir.huli.ai/r4/StructureDefinition/huli-created-by
.... extension:modifiedBy 0..1 Reference() Huli Modified By
URL: https://fhir.huli.ai/r4/StructureDefinition/huli-modified-by
.... extension:cancellationInfo 0..1 (Complex) Huli Cancellation Info
URL: https://fhir.huli.ai/r4/StructureDefinition/huli-cancellation-info
... status S 1..1 code proposed | pending | booked | arrived | fulfilled | cancelled | noshow | entered-in-error | checked-in | waitlist
... cancelationReason 0..1 CodeableConcept The coded reason for the appointment being cancelled
Binding: Huli Cancellation Reason Value Set (preferred)
... appointmentType 0..1 CodeableConcept The style of appointment or patient that has been booked in the slot (not service type)
Binding: Huli Appointment Type Value Set (preferred)
... start S 0..1 instant When appointment is to take place
... end S 0..1 instant When appointment is to conclude
... participant S 1..* BackboneElement Participants involved in appointment

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Appointment.cancelationReason Base preferred Huli Cancellation Reason Value Set 📦0.1.0 This IG
Appointment.appointmentType Base preferred Huli Appointment Type Value Set 📦0.1.0 This IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Appointment C 0..* Appointment A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s)
Constraints: app-2, app-3, app-4
... 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 BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:confirmationStatus S 0..1 code Huli Confirmation Status
URL: https://fhir.huli.ai/r4/StructureDefinition/huli-confirmation-status
Binding: Huli Confirmation Status Value Set (required)
.... extension:insuranceSnapshot 0..1 (Complex) Huli Insurance Snapshot
URL: https://fhir.huli.ai/r4/StructureDefinition/huli-insurance-snapshot
.... extension:createdBy 0..1 Reference() Huli Created By
URL: https://fhir.huli.ai/r4/StructureDefinition/huli-created-by
.... extension:modifiedBy 0..1 Reference() Huli Modified By
URL: https://fhir.huli.ai/r4/StructureDefinition/huli-modified-by
.... extension:cancellationInfo 0..1 (Complex) Huli Cancellation Info
URL: https://fhir.huli.ai/r4/StructureDefinition/huli-cancellation-info
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External Ids for this item
... status ?!SΣ 1..1 code proposed | pending | booked | arrived | fulfilled | cancelled | noshow | entered-in-error | checked-in | waitlist
Binding: AppointmentStatus (required): The free/busy status of an appointment.
... cancelationReason Σ 0..1 CodeableConcept The coded reason for the appointment being cancelled
Binding: Huli Cancellation Reason Value Set (preferred)
... serviceCategory Σ 0..* CodeableConcept A broad categorization of the service that is to be performed during this appointment
Binding: ServiceCategory (example)
... serviceType SΣ 1..1 CodeableConcept The specific service that is to be performed during this appointment
Binding: ServiceType (example)
... 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: Huli Appointment Type Value Set (preferred)
... 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 SΣ 0..1 instant When appointment is to take place
... end SΣ 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
... participant SC 1..* BackboneElement Participants involved in appointment
Constraints: app-1
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type 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
... requestedPeriod 0..* Period Potential date/time interval(s) requested to allocate the appointment within

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Appointment.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Appointment.status Base required AppointmentStatus 📍4.0.1 FHIR Std.
Appointment.cancelationReason Base preferred Huli Cancellation Reason Value Set 📦0.1.0 This IG
Appointment.serviceCategory Base example Service category 📍4.0.1 FHIR Std.
Appointment.serviceType Base example Service type 📍4.0.1 FHIR Std.
Appointment.specialty Base preferred Practice Setting Code Value Set 📍4.0.1 FHIR Std.
Appointment.appointmentType Base preferred Huli Appointment Type Value Set 📦0.1.0 This IG
Appointment.reasonCode Base preferred Encounter Reason Codes 📍4.0.1 FHIR Std.
Appointment.participant.​type Base extensible Participant type 📍4.0.1 FHIR Std.
Appointment.participant.​required Base required ParticipantRequired 📍4.0.1 FHIR Std.
Appointment.participant.​status Base required ParticipationStatus 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
app-1 error Appointment.participant Either the type or actor on the participant SHALL be specified type.exists() or actor.exists()
app-2 error Appointment Either start and end are specified, or neither start.exists() = end.exists()
app-3 error Appointment Only proposed or cancelled appointments can be missing start/end dates (start.exists() and end.exists()) or (status in ('proposed' | 'cancelled' | 'waitlist'))
app-4 error Appointment 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()

 

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