Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Appointment	C	0..*	Appointment	A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s) Constraints: app-2, app-3, app-4
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:resource-serviceConnection		0..1	(Complex)	Extension URL: http://va.gov/fhir/StructureDefinition/resource-serviceConnection
extension		0..0
url		1..1	uri	"http://va.gov/fhir/StructureDefinition/resource-serviceConnection"
value[x]	SC	0..1	Coding	Value of extension Binding: VSResourceServiceConnection (required) Constraints: a-11-2033, a-11-2034
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SΣC	1..1	code	proposed | pending | booked | arrived | fulfilled | cancelled | noshow | entered-in-error | checked-in | waitlist Binding: AppointmentStatus FHIR (required): see mapping VF_AppointmentStatus Constraints: a-11-732, a-11-733, a-11-734, a-11-748
cancelationReason	SΣ	0..1	CodeableConcept	The coded reason for the appointment being cancelled Binding: AppointmentCancellationReason FHIR (required): see mapping VF_AppointmentCancellationReason
Slices for serviceCategory	Σ	0..*	CodeableConcept	A broad categorization of the service that is to be performed during this appointment Slice: Unordered, Open by value:$this Binding: ServiceCategory (example)
serviceCategory:va-stop-code	Σ	0..1	CodeableConcept	A broad categorization of the service that is to be performed during this appointment Binding: ServiceCategory (example)
coding	Σ	0..*	Coding	Code defined by a terminology system
system	SΣ	0..1	uri	Identity of the terminology system Required Pattern: http://va.gov/terminology/VistADefinedTerms/409.3-13.4
code	SΣ	0..1	code	Symbol in syntax defined by the system
specialty	Σ	0..*	CodeableConcept	The specialty of a practitioner that would be required to perform the service requested in this appointment Binding: PracticeSettingCodeValueSet (preferred)
appointmentType	Σ	0..1	CodeableConcept	The style of appointment or patient that has been booked in the slot (not service type) Binding: hl7VS-appointmentReasonCodes (preferred)
text	SΣ	0..1	string	Plain text representation of the concept
reasonCode	Σ	0..*	CodeableConcept	Coded reason this appointment is scheduled Binding: EncounterReasonCodes (preferred): The Reason for the appointment to take place.
reasonReference		0..*	Reference(Condition | Procedure | Observation | ImmunizationRecommendation)	Reason the appointment is to take place (resource)
description	S	0..1	string	Shown on a subject line in a meeting request, or appointment list
start	SΣ	0..1	instant	When appointment is to take place
end	SΣ	0..1	instant	When appointment is to conclude
minutesDuration	S	0..1	positiveInt	Can be less than start/end (e.g. estimate)
created	S	0..1	dateTime	The date that this appointment was initially created
comment	S	0..1	string	Additional comments
Slices for participant	C	1..*	BackboneElement	Participants involved in appointment Slice: Unordered, Open by value:$this Constraints: app-1
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:va-clinic	C	0..1	BackboneElement	Participants involved in appointment Constraints: app-1
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.
coding	Σ	0..*	Coding	Code defined by a terminology system
code	SΣ	0..1	code	Symbol in syntax defined by the system Required Pattern: PART
actor	SΣ	0..1	Reference(Location)	Person, Location/HealthcareService or Device
status	SΣ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment. Required Pattern: accepted
participant:va-patient	C	0..1	BackboneElement	Participants involved in appointment Constraints: app-1
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.
coding	Σ	0..*	Coding	Code defined by a terminology system
code	SΣ	0..1	code	Symbol in syntax defined by the system Required Pattern: PART
actor	SΣ	0..1	Reference(Patient)	Person, Location/HealthcareService or Device
status	SΣ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment. Required Pattern: accepted
participant:va-apptclinic	C	0..1	BackboneElement	Participants involved in appointment Constraints: app-1
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.
coding	Σ	0..*	Coding	Code defined by a terminology system
code	SΣ	0..1	code	Symbol in syntax defined by the system Required Pattern: PART
actor	SΣ	0..1	Reference(Location)	Person, Location/HealthcareService or Device
status	SΣ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment. Required Pattern: tentative
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Appointment.extension:resource-serviceConnection.value[x]	required	VSResourceServiceConnection http://va.gov/fhir/ValueSet/VSResourceServiceConnection From this IG
Appointment.status	required	AppointmentStatus http://va.gov/fhir/ValueSet/AppointmentStatus From this IG
Appointment.cancelationReason	required	AppointmentCancellationReason http://va.gov/fhir/ValueSet/AppointmentCancellationReason From this IG
Appointment.serviceCategory	example	ServiceCategory http://hl7.org/fhir/ValueSet/service-category From the FHIR Standard
Appointment.serviceCategory:va-stop-code	example	ServiceCategory http://hl7.org/fhir/ValueSet/service-category 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.status	required	ParticipationStatus http://hl7.org/fhir/ValueSet/participationstatus|4.0.1 From the FHIR Standard
Appointment.participant:va-clinic.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type From the FHIR Standard
Appointment.participant:va-clinic.status	required	Pattern Value: accepted http://hl7.org/fhir/ValueSet/participationstatus|4.0.1 From the FHIR Standard
Appointment.participant:va-patient.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type From the FHIR Standard
Appointment.participant:va-patient.status	required	Pattern Value: accepted http://hl7.org/fhir/ValueSet/participationstatus|4.0.1 From the FHIR Standard
Appointment.participant:va-apptclinic.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type From the FHIR Standard
Appointment.participant:va-apptclinic.status	required	Pattern Value: tentative http://hl7.org/fhir/ValueSet/participationstatus|4.0.1 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
a-11-732	best practice	Appointment.status	If (2.98-3) is I, NT, Null; Null check-in date (44.003-309), null check-out date (44.003-303) then fixed value #booked : true
a-11-733	best practice	Appointment.status	If (2.98-3) is I, NT, Null; Non-null check-in date (44.003-309), null check-out date (44.003-303) then fixed value #arrived : true
a-11-734	best practice	Appointment.status	If (2.98-3) is I, NT, Null; Non-null check-in date (44.003-309), non-null check-out date (44.003-303) then fixed value #fulfilled : true
a-11-748	best practice	Appointment.status	If (409.3-.01) is not null then fixed value #waitlist : true
a-11-2033	best practice	Appointment.extension:resource-serviceConnection.value[x]	If (2.98-9.5 > 409.1-.01) is SERVICE CONNECTED then fixed value http://va.gov/fhir/vistaDefinedTerms/409.1#SC "Service Connected" : true
a-11-2034	best practice	Appointment.extension:resource-serviceConnection.value[x]	If (2.98-9.5 > 409.1-.01) is Not SERVICE CONNECTED then fixed value http://va.gov/fhir/vistaDefinedTerms/409.1#NSC "Not Service Connected" : true
app-1	error	Appointment.participant, Appointment.participant:va-clinic, Appointment.participant:va-patient, Appointment.participant:va-apptclinic	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    Filter: Bindings Constraints Obligations
Appointment		0..*	Appointment	A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:resource-serviceConnection		0..1	(Complex)	Extension URL: http://va.gov/fhir/StructureDefinition/resource-serviceConnection
value[x]	SC	0..1	Coding	Value of extension Constraints: a-11-2033, a-11-2034
status	SC	1..1	code	proposed | pending | booked | arrived | fulfilled | cancelled | noshow | entered-in-error | checked-in | waitlist Binding: AppointmentStatus FHIR (required): see mapping VF_AppointmentStatus Constraints: a-11-732, a-11-733, a-11-734, a-11-748
cancelationReason	S	0..1	CodeableConcept	The coded reason for the appointment being cancelled Binding: AppointmentCancellationReason FHIR (required): see mapping VF_AppointmentCancellationReason
Slices for serviceCategory		0..*	CodeableConcept	A broad categorization of the service that is to be performed during this appointment Slice: Unordered, Open by value:$this
serviceCategory:va-stop-code		0..1	CodeableConcept	A broad categorization of the service that is to be performed during this appointment
coding
system	S	0..1	uri	Identity of the terminology system Required Pattern: http://va.gov/terminology/VistADefinedTerms/409.3-13.4
code	S	0..1	code	Symbol in syntax defined by the system
specialty		0..*	CodeableConcept	The specialty of a practitioner that would be required to perform the service requested in this appointment
appointmentType
text	S	0..1	string	Plain text representation of the concept
reasonCode		0..*	CodeableConcept	Coded reason this appointment is scheduled
reasonReference		0..*	Reference(Condition | Procedure | Observation | ImmunizationRecommendation)	Reason the appointment is to take place (resource)
description	S	0..1	string	Shown on a subject line in a meeting request, or appointment list
start	S	0..1	instant	When appointment is to take place
end	S	0..1	instant	When appointment is to conclude
minutesDuration	S	0..1	positiveInt	Can be less than start/end (e.g. estimate)
created	S	0..1	dateTime	The date that this appointment was initially created
comment	S	0..1	string	Additional comments
Slices for participant		1..*	BackboneElement	Participants involved in appointment Slice: Unordered, Open by value:$this
participant:va-clinic		0..1	BackboneElement	Participants involved in appointment
type
coding
code	S	0..1	code	Symbol in syntax defined by the system Required Pattern: PART
actor	S	0..1	Reference(Location)	Person, Location/HealthcareService or Device
status	S	1..1	code	accepted | declined | tentative | needs-action Required Pattern: accepted
participant:va-patient		0..1	BackboneElement	Participants involved in appointment
type
coding
code	S	0..1	code	Symbol in syntax defined by the system Required Pattern: PART
actor	S	0..1	Reference(Patient)	Person, Location/HealthcareService or Device
status	S	1..1	code	accepted | declined | tentative | needs-action Required Pattern: accepted
participant:va-apptclinic		0..1	BackboneElement	Participants involved in appointment
type
coding
code	S	0..1	code	Symbol in syntax defined by the system Required Pattern: PART
actor	S	0..1	Reference(Location)	Person, Location/HealthcareService or Device
status	S	1..1	code	accepted | declined | tentative | needs-action Required Pattern: tentative
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Appointment.status	required	AppointmentStatus http://va.gov/fhir/ValueSet/AppointmentStatus From this IG
Appointment.cancelationReason	required	AppointmentCancellationReason http://va.gov/fhir/ValueSet/AppointmentCancellationReason From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
a-11-732	best practice	Appointment.status	If (2.98-3) is I, NT, Null; Null check-in date (44.003-309), null check-out date (44.003-303) then fixed value #booked : true
a-11-733	best practice	Appointment.status	If (2.98-3) is I, NT, Null; Non-null check-in date (44.003-309), null check-out date (44.003-303) then fixed value #arrived : true
a-11-734	best practice	Appointment.status	If (2.98-3) is I, NT, Null; Non-null check-in date (44.003-309), non-null check-out date (44.003-303) then fixed value #fulfilled : true
a-11-748	best practice	Appointment.status	If (409.3-.01) is not null then fixed value #waitlist : true
a-11-2033	best practice	Appointment.extension:resource-serviceConnection.value[x]	If (2.98-9.5 > 409.1-.01) is SERVICE CONNECTED then fixed value http://va.gov/fhir/vistaDefinedTerms/409.1#SC "Service Connected" : true
a-11-2034	best practice	Appointment.extension:resource-serviceConnection.value[x]	If (2.98-9.5 > 409.1-.01) is Not SERVICE CONNECTED then fixed value http://va.gov/fhir/vistaDefinedTerms/409.1#NSC "Not Service Connected" : true

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Appointment	C	0..*	Appointment	A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s) Constraints: app-2, app-3, app-4
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 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:resource-serviceConnection		0..1	(Complex)	Extension URL: http://va.gov/fhir/StructureDefinition/resource-serviceConnection
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://va.gov/fhir/StructureDefinition/resource-serviceConnection"
value[x]	SC	0..1	Coding	Value of extension Binding: VSResourceServiceConnection (required) Constraints: a-11-2033, a-11-2034
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this item
status	?!SΣC	1..1	code	proposed | pending | booked | arrived | fulfilled | cancelled | noshow | entered-in-error | checked-in | waitlist Binding: AppointmentStatus FHIR (required): see mapping VF_AppointmentStatus Constraints: a-11-732, a-11-733, a-11-734, a-11-748
cancelationReason	SΣ	0..1	CodeableConcept	The coded reason for the appointment being cancelled Binding: AppointmentCancellationReason FHIR (required): see mapping VF_AppointmentCancellationReason
Slices for serviceCategory	Σ	0..*	CodeableConcept	A broad categorization of the service that is to be performed during this appointment Slice: Unordered, Open by value:$this Binding: ServiceCategory (example)
serviceCategory:va-stop-code	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	SΣ	0..1	uri	Identity of the terminology system Required Pattern: http://va.gov/terminology/VistADefinedTerms/409.3-13.4
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	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	0..*	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: 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
text	SΣ	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	S	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	S	0..1	positiveInt	Can be less than start/end (e.g. estimate)
slot		0..*	Reference(Slot)	The slots that this appointment is filling
created	S	0..1	dateTime	The date that this appointment was initially created
comment	S	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 value:$this Constraints: app-1
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:va-clinic	C	0..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.
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	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system Required Pattern: PART
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
actor	SΣ	0..1	Reference(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	SΣ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment. Required Pattern: accepted
period		0..1	Period	Participation period of the actor
participant:va-patient	C	0..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.
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	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system Required Pattern: PART
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
actor	SΣ	0..1	Reference(Patient)	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	SΣ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment. Required Pattern: accepted
period		0..1	Period	Participation period of the actor
participant:va-apptclinic	C	0..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.
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	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system Required Pattern: PART
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
actor	SΣ	0..1	Reference(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	SΣ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment. Required Pattern: tentative
period		0..1	Period	Participation period of the actor
requestedPeriod		0..*	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 http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Appointment.extension:resource-serviceConnection.value[x]	required	VSResourceServiceConnection http://va.gov/fhir/ValueSet/VSResourceServiceConnection From this IG
Appointment.status	required	AppointmentStatus http://va.gov/fhir/ValueSet/AppointmentStatus From this IG
Appointment.cancelationReason	required	AppointmentCancellationReason http://va.gov/fhir/ValueSet/AppointmentCancellationReason From this IG
Appointment.serviceCategory	example	ServiceCategory http://hl7.org/fhir/ValueSet/service-category From the FHIR Standard
Appointment.serviceCategory:va-stop-code	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:va-clinic.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type From the FHIR Standard
Appointment.participant:va-clinic.required	required	ParticipantRequired http://hl7.org/fhir/ValueSet/participantrequired|4.0.1 From the FHIR Standard
Appointment.participant:va-clinic.status	required	Pattern Value: accepted http://hl7.org/fhir/ValueSet/participationstatus|4.0.1 From the FHIR Standard
Appointment.participant:va-patient.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type From the FHIR Standard
Appointment.participant:va-patient.required	required	ParticipantRequired http://hl7.org/fhir/ValueSet/participantrequired|4.0.1 From the FHIR Standard
Appointment.participant:va-patient.status	required	Pattern Value: accepted http://hl7.org/fhir/ValueSet/participationstatus|4.0.1 From the FHIR Standard
Appointment.participant:va-apptclinic.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type From the FHIR Standard
Appointment.participant:va-apptclinic.required	required	ParticipantRequired http://hl7.org/fhir/ValueSet/participantrequired|4.0.1 From the FHIR Standard
Appointment.participant:va-apptclinic.status	required	Pattern Value: tentative http://hl7.org/fhir/ValueSet/participationstatus|4.0.1 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
a-11-732	best practice	Appointment.status	If (2.98-3) is I, NT, Null; Null check-in date (44.003-309), null check-out date (44.003-303) then fixed value #booked : true
a-11-733	best practice	Appointment.status	If (2.98-3) is I, NT, Null; Non-null check-in date (44.003-309), null check-out date (44.003-303) then fixed value #arrived : true
a-11-734	best practice	Appointment.status	If (2.98-3) is I, NT, Null; Non-null check-in date (44.003-309), non-null check-out date (44.003-303) then fixed value #fulfilled : true
a-11-748	best practice	Appointment.status	If (409.3-.01) is not null then fixed value #waitlist : true
a-11-2033	best practice	Appointment.extension:resource-serviceConnection.value[x]	If (2.98-9.5 > 409.1-.01) is SERVICE CONNECTED then fixed value http://va.gov/fhir/vistaDefinedTerms/409.1#SC "Service Connected" : true
a-11-2034	best practice	Appointment.extension:resource-serviceConnection.value[x]	If (2.98-9.5 > 409.1-.01) is Not SERVICE CONNECTED then fixed value http://va.gov/fhir/vistaDefinedTerms/409.1#NSC "Not Service Connected" : true
app-1	error	Appointment.participant, Appointment.participant:va-clinic, Appointment.participant:va-patient, Appointment.participant:va-apptclinic	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()

Summary

Must-Support: 21 elements

Structures

This structure refers to these other structures:

• Location (http://va.gov/fhir/StructureDefinition/Location)
• Patient (http://va.gov/fhir/StructureDefinition/Patient)

Extensions

This structure refers to these extensions:

• http://va.gov/fhir/StructureDefinition/resource-serviceConnection

Slices

This structure defines the following Slices:

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Appointment	C	0..*	Appointment	A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s) Constraints: app-2, app-3, app-4
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:resource-serviceConnection		0..1	(Complex)	Extension URL: http://va.gov/fhir/StructureDefinition/resource-serviceConnection
extension		0..0
url		1..1	uri	"http://va.gov/fhir/StructureDefinition/resource-serviceConnection"
value[x]	SC	0..1	Coding	Value of extension Binding: VSResourceServiceConnection (required) Constraints: a-11-2033, a-11-2034
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SΣC	1..1	code	proposed | pending | booked | arrived | fulfilled | cancelled | noshow | entered-in-error | checked-in | waitlist Binding: AppointmentStatus FHIR (required): see mapping VF_AppointmentStatus Constraints: a-11-732, a-11-733, a-11-734, a-11-748
cancelationReason	SΣ	0..1	CodeableConcept	The coded reason for the appointment being cancelled Binding: AppointmentCancellationReason FHIR (required): see mapping VF_AppointmentCancellationReason
Slices for serviceCategory	Σ	0..*	CodeableConcept	A broad categorization of the service that is to be performed during this appointment Slice: Unordered, Open by value:$this Binding: ServiceCategory (example)
serviceCategory:va-stop-code	Σ	0..1	CodeableConcept	A broad categorization of the service that is to be performed during this appointment Binding: ServiceCategory (example)
coding	Σ	0..*	Coding	Code defined by a terminology system
system	SΣ	0..1	uri	Identity of the terminology system Required Pattern: http://va.gov/terminology/VistADefinedTerms/409.3-13.4
code	SΣ	0..1	code	Symbol in syntax defined by the system
specialty	Σ	0..*	CodeableConcept	The specialty of a practitioner that would be required to perform the service requested in this appointment Binding: PracticeSettingCodeValueSet (preferred)
appointmentType	Σ	0..1	CodeableConcept	The style of appointment or patient that has been booked in the slot (not service type) Binding: hl7VS-appointmentReasonCodes (preferred)
text	SΣ	0..1	string	Plain text representation of the concept
reasonCode	Σ	0..*	CodeableConcept	Coded reason this appointment is scheduled Binding: EncounterReasonCodes (preferred): The Reason for the appointment to take place.
reasonReference		0..*	Reference(Condition | Procedure | Observation | ImmunizationRecommendation)	Reason the appointment is to take place (resource)
description	S	0..1	string	Shown on a subject line in a meeting request, or appointment list
start	SΣ	0..1	instant	When appointment is to take place
end	SΣ	0..1	instant	When appointment is to conclude
minutesDuration	S	0..1	positiveInt	Can be less than start/end (e.g. estimate)
created	S	0..1	dateTime	The date that this appointment was initially created
comment	S	0..1	string	Additional comments
Slices for participant	C	1..*	BackboneElement	Participants involved in appointment Slice: Unordered, Open by value:$this Constraints: app-1
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:va-clinic	C	0..1	BackboneElement	Participants involved in appointment Constraints: app-1
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.
coding	Σ	0..*	Coding	Code defined by a terminology system
code	SΣ	0..1	code	Symbol in syntax defined by the system Required Pattern: PART
actor	SΣ	0..1	Reference(Location)	Person, Location/HealthcareService or Device
status	SΣ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment. Required Pattern: accepted
participant:va-patient	C	0..1	BackboneElement	Participants involved in appointment Constraints: app-1
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.
coding	Σ	0..*	Coding	Code defined by a terminology system
code	SΣ	0..1	code	Symbol in syntax defined by the system Required Pattern: PART
actor	SΣ	0..1	Reference(Patient)	Person, Location/HealthcareService or Device
status	SΣ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment. Required Pattern: accepted
participant:va-apptclinic	C	0..1	BackboneElement	Participants involved in appointment Constraints: app-1
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.
coding	Σ	0..*	Coding	Code defined by a terminology system
code	SΣ	0..1	code	Symbol in syntax defined by the system Required Pattern: PART
actor	SΣ	0..1	Reference(Location)	Person, Location/HealthcareService or Device
status	SΣ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment. Required Pattern: tentative
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Appointment.extension:resource-serviceConnection.value[x]	required	VSResourceServiceConnection http://va.gov/fhir/ValueSet/VSResourceServiceConnection From this IG
Appointment.status	required	AppointmentStatus http://va.gov/fhir/ValueSet/AppointmentStatus From this IG
Appointment.cancelationReason	required	AppointmentCancellationReason http://va.gov/fhir/ValueSet/AppointmentCancellationReason From this IG
Appointment.serviceCategory	example	ServiceCategory http://hl7.org/fhir/ValueSet/service-category From the FHIR Standard
Appointment.serviceCategory:va-stop-code	example	ServiceCategory http://hl7.org/fhir/ValueSet/service-category 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.status	required	ParticipationStatus http://hl7.org/fhir/ValueSet/participationstatus|4.0.1 From the FHIR Standard
Appointment.participant:va-clinic.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type From the FHIR Standard
Appointment.participant:va-clinic.status	required	Pattern Value: accepted http://hl7.org/fhir/ValueSet/participationstatus|4.0.1 From the FHIR Standard
Appointment.participant:va-patient.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type From the FHIR Standard
Appointment.participant:va-patient.status	required	Pattern Value: accepted http://hl7.org/fhir/ValueSet/participationstatus|4.0.1 From the FHIR Standard
Appointment.participant:va-apptclinic.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type From the FHIR Standard
Appointment.participant:va-apptclinic.status	required	Pattern Value: tentative http://hl7.org/fhir/ValueSet/participationstatus|4.0.1 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
a-11-732	best practice	Appointment.status	If (2.98-3) is I, NT, Null; Null check-in date (44.003-309), null check-out date (44.003-303) then fixed value #booked : true
a-11-733	best practice	Appointment.status	If (2.98-3) is I, NT, Null; Non-null check-in date (44.003-309), null check-out date (44.003-303) then fixed value #arrived : true
a-11-734	best practice	Appointment.status	If (2.98-3) is I, NT, Null; Non-null check-in date (44.003-309), non-null check-out date (44.003-303) then fixed value #fulfilled : true
a-11-748	best practice	Appointment.status	If (409.3-.01) is not null then fixed value #waitlist : true
a-11-2033	best practice	Appointment.extension:resource-serviceConnection.value[x]	If (2.98-9.5 > 409.1-.01) is SERVICE CONNECTED then fixed value http://va.gov/fhir/vistaDefinedTerms/409.1#SC "Service Connected" : true
a-11-2034	best practice	Appointment.extension:resource-serviceConnection.value[x]	If (2.98-9.5 > 409.1-.01) is Not SERVICE CONNECTED then fixed value http://va.gov/fhir/vistaDefinedTerms/409.1#NSC "Not Service Connected" : true
app-1	error	Appointment.participant, Appointment.participant:va-clinic, Appointment.participant:va-patient, Appointment.participant:va-apptclinic	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    Filter: Bindings Constraints Obligations
Appointment		0..*	Appointment	A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:resource-serviceConnection		0..1	(Complex)	Extension URL: http://va.gov/fhir/StructureDefinition/resource-serviceConnection
value[x]	SC	0..1	Coding	Value of extension Constraints: a-11-2033, a-11-2034
status	SC	1..1	code	proposed | pending | booked | arrived | fulfilled | cancelled | noshow | entered-in-error | checked-in | waitlist Binding: AppointmentStatus FHIR (required): see mapping VF_AppointmentStatus Constraints: a-11-732, a-11-733, a-11-734, a-11-748
cancelationReason	S	0..1	CodeableConcept	The coded reason for the appointment being cancelled Binding: AppointmentCancellationReason FHIR (required): see mapping VF_AppointmentCancellationReason
Slices for serviceCategory		0..*	CodeableConcept	A broad categorization of the service that is to be performed during this appointment Slice: Unordered, Open by value:$this
serviceCategory:va-stop-code		0..1	CodeableConcept	A broad categorization of the service that is to be performed during this appointment
coding
system	S	0..1	uri	Identity of the terminology system Required Pattern: http://va.gov/terminology/VistADefinedTerms/409.3-13.4
code	S	0..1	code	Symbol in syntax defined by the system
specialty		0..*	CodeableConcept	The specialty of a practitioner that would be required to perform the service requested in this appointment
appointmentType
text	S	0..1	string	Plain text representation of the concept
reasonCode		0..*	CodeableConcept	Coded reason this appointment is scheduled
reasonReference		0..*	Reference(Condition | Procedure | Observation | ImmunizationRecommendation)	Reason the appointment is to take place (resource)
description	S	0..1	string	Shown on a subject line in a meeting request, or appointment list
start	S	0..1	instant	When appointment is to take place
end	S	0..1	instant	When appointment is to conclude
minutesDuration	S	0..1	positiveInt	Can be less than start/end (e.g. estimate)
created	S	0..1	dateTime	The date that this appointment was initially created
comment	S	0..1	string	Additional comments
Slices for participant		1..*	BackboneElement	Participants involved in appointment Slice: Unordered, Open by value:$this
participant:va-clinic		0..1	BackboneElement	Participants involved in appointment
type
coding
code	S	0..1	code	Symbol in syntax defined by the system Required Pattern: PART
actor	S	0..1	Reference(Location)	Person, Location/HealthcareService or Device
status	S	1..1	code	accepted | declined | tentative | needs-action Required Pattern: accepted
participant:va-patient		0..1	BackboneElement	Participants involved in appointment
type
coding
code	S	0..1	code	Symbol in syntax defined by the system Required Pattern: PART
actor	S	0..1	Reference(Patient)	Person, Location/HealthcareService or Device
status	S	1..1	code	accepted | declined | tentative | needs-action Required Pattern: accepted
participant:va-apptclinic		0..1	BackboneElement	Participants involved in appointment
type
coding
code	S	0..1	code	Symbol in syntax defined by the system Required Pattern: PART
actor	S	0..1	Reference(Location)	Person, Location/HealthcareService or Device
status	S	1..1	code	accepted | declined | tentative | needs-action Required Pattern: tentative
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Appointment.status	required	AppointmentStatus http://va.gov/fhir/ValueSet/AppointmentStatus From this IG
Appointment.cancelationReason	required	AppointmentCancellationReason http://va.gov/fhir/ValueSet/AppointmentCancellationReason From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
a-11-732	best practice	Appointment.status	If (2.98-3) is I, NT, Null; Null check-in date (44.003-309), null check-out date (44.003-303) then fixed value #booked : true
a-11-733	best practice	Appointment.status	If (2.98-3) is I, NT, Null; Non-null check-in date (44.003-309), null check-out date (44.003-303) then fixed value #arrived : true
a-11-734	best practice	Appointment.status	If (2.98-3) is I, NT, Null; Non-null check-in date (44.003-309), non-null check-out date (44.003-303) then fixed value #fulfilled : true
a-11-748	best practice	Appointment.status	If (409.3-.01) is not null then fixed value #waitlist : true
a-11-2033	best practice	Appointment.extension:resource-serviceConnection.value[x]	If (2.98-9.5 > 409.1-.01) is SERVICE CONNECTED then fixed value http://va.gov/fhir/vistaDefinedTerms/409.1#SC "Service Connected" : true
a-11-2034	best practice	Appointment.extension:resource-serviceConnection.value[x]	If (2.98-9.5 > 409.1-.01) is Not SERVICE CONNECTED then fixed value http://va.gov/fhir/vistaDefinedTerms/409.1#NSC "Not Service Connected" : true

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Appointment	C	0..*	Appointment	A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s) Constraints: app-2, app-3, app-4
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 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:resource-serviceConnection		0..1	(Complex)	Extension URL: http://va.gov/fhir/StructureDefinition/resource-serviceConnection
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://va.gov/fhir/StructureDefinition/resource-serviceConnection"
value[x]	SC	0..1	Coding	Value of extension Binding: VSResourceServiceConnection (required) Constraints: a-11-2033, a-11-2034
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this item
status	?!SΣC	1..1	code	proposed | pending | booked | arrived | fulfilled | cancelled | noshow | entered-in-error | checked-in | waitlist Binding: AppointmentStatus FHIR (required): see mapping VF_AppointmentStatus Constraints: a-11-732, a-11-733, a-11-734, a-11-748
cancelationReason	SΣ	0..1	CodeableConcept	The coded reason for the appointment being cancelled Binding: AppointmentCancellationReason FHIR (required): see mapping VF_AppointmentCancellationReason
Slices for serviceCategory	Σ	0..*	CodeableConcept	A broad categorization of the service that is to be performed during this appointment Slice: Unordered, Open by value:$this Binding: ServiceCategory (example)
serviceCategory:va-stop-code	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	SΣ	0..1	uri	Identity of the terminology system Required Pattern: http://va.gov/terminology/VistADefinedTerms/409.3-13.4
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	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	0..*	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: 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
text	SΣ	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	S	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	S	0..1	positiveInt	Can be less than start/end (e.g. estimate)
slot		0..*	Reference(Slot)	The slots that this appointment is filling
created	S	0..1	dateTime	The date that this appointment was initially created
comment	S	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 value:$this Constraints: app-1
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:va-clinic	C	0..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.
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	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system Required Pattern: PART
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
actor	SΣ	0..1	Reference(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	SΣ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment. Required Pattern: accepted
period		0..1	Period	Participation period of the actor
participant:va-patient	C	0..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.
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	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system Required Pattern: PART
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
actor	SΣ	0..1	Reference(Patient)	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	SΣ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment. Required Pattern: accepted
period		0..1	Period	Participation period of the actor
participant:va-apptclinic	C	0..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.
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	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system Required Pattern: PART
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
actor	SΣ	0..1	Reference(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	SΣ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment. Required Pattern: tentative
period		0..1	Period	Participation period of the actor
requestedPeriod		0..*	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 http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Appointment.extension:resource-serviceConnection.value[x]	required	VSResourceServiceConnection http://va.gov/fhir/ValueSet/VSResourceServiceConnection From this IG
Appointment.status	required	AppointmentStatus http://va.gov/fhir/ValueSet/AppointmentStatus From this IG
Appointment.cancelationReason	required	AppointmentCancellationReason http://va.gov/fhir/ValueSet/AppointmentCancellationReason From this IG
Appointment.serviceCategory	example	ServiceCategory http://hl7.org/fhir/ValueSet/service-category From the FHIR Standard
Appointment.serviceCategory:va-stop-code	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:va-clinic.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type From the FHIR Standard
Appointment.participant:va-clinic.required	required	ParticipantRequired http://hl7.org/fhir/ValueSet/participantrequired|4.0.1 From the FHIR Standard
Appointment.participant:va-clinic.status	required	Pattern Value: accepted http://hl7.org/fhir/ValueSet/participationstatus|4.0.1 From the FHIR Standard
Appointment.participant:va-patient.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type From the FHIR Standard
Appointment.participant:va-patient.required	required	ParticipantRequired http://hl7.org/fhir/ValueSet/participantrequired|4.0.1 From the FHIR Standard
Appointment.participant:va-patient.status	required	Pattern Value: accepted http://hl7.org/fhir/ValueSet/participationstatus|4.0.1 From the FHIR Standard
Appointment.participant:va-apptclinic.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type From the FHIR Standard
Appointment.participant:va-apptclinic.required	required	ParticipantRequired http://hl7.org/fhir/ValueSet/participantrequired|4.0.1 From the FHIR Standard
Appointment.participant:va-apptclinic.status	required	Pattern Value: tentative http://hl7.org/fhir/ValueSet/participationstatus|4.0.1 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
a-11-732	best practice	Appointment.status	If (2.98-3) is I, NT, Null; Null check-in date (44.003-309), null check-out date (44.003-303) then fixed value #booked : true
a-11-733	best practice	Appointment.status	If (2.98-3) is I, NT, Null; Non-null check-in date (44.003-309), null check-out date (44.003-303) then fixed value #arrived : true
a-11-734	best practice	Appointment.status	If (2.98-3) is I, NT, Null; Non-null check-in date (44.003-309), non-null check-out date (44.003-303) then fixed value #fulfilled : true
a-11-748	best practice	Appointment.status	If (409.3-.01) is not null then fixed value #waitlist : true
a-11-2033	best practice	Appointment.extension:resource-serviceConnection.value[x]	If (2.98-9.5 > 409.1-.01) is SERVICE CONNECTED then fixed value http://va.gov/fhir/vistaDefinedTerms/409.1#SC "Service Connected" : true
a-11-2034	best practice	Appointment.extension:resource-serviceConnection.value[x]	If (2.98-9.5 > 409.1-.01) is Not SERVICE CONNECTED then fixed value http://va.gov/fhir/vistaDefinedTerms/409.1#NSC "Not Service Connected" : true
app-1	error	Appointment.participant, Appointment.participant:va-clinic, Appointment.participant:va-patient, Appointment.participant:va-apptclinic	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()