Guide d’Implémentation FHIR – Pré-admission Hospitalière en Ligne
0.1.0 - ci-build FRANCE

Guide d’Implémentation FHIR – Pré-admission Hospitalière en Ligne - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Resource Profile: Fr Preadmission Appointment Profile

Official URL: http://hl7.fr/fhir/fr/preadmission/StructureDefinition/preadmission-appointment-fr | Version: 0.1.0
Draft as of 2026-02-24 | Computable Name: PreadmissionAppointmentFr

Profil Appointment pour un rendez-vous de préadmission

### Introduction

Dans le cadre de la préadmission hospitalière, la prise de rendez-vous est une étape essentielle qui initie le processus administratif. Elle permet de planifier une consultation ou un séjour hospitalier et de collecter les informations nécessaires à la préparation de l’admission.
Les rendez-vous sont modélisés dans FHIR à l’aide de la ressource `Appointment`, enrichie d’extensions spécifiques pour répondre aux besoins du processus de préadmission.

### Rôle de la ressource `Appointment`

La ressource `Appointment` joue un rôle central dans la gestion des rendez-vous liés à la préadmission. Elle permet de :

- Planifier une consultation ou un séjour hospitalier.
- Associer des questionnaires médicaux remplis par le patient.
- Référencer les consentements recueillis lors de la prise de rendez-vous.
- Coordonner les échanges entre les différents systèmes impliqués (portail patient, SIH, etc.).

### Spécificités du profil `PreadmissionAppointmentFr`

Le profil PreadmissionAppointmentFr apporte des contraintes et des extensions spécifiques pour répondre aux besoins de la préadmission.

#### Extensions spécifiques

- `PreadmissionAppointmentQuestionnaireResponseFr` : Permet de référencer un ou plusieurs `QuestionnaireResponse` remplis par le patient dans le cadre de la préadmission.

#### Contraintes principales

- Participant : Le participant principal doit être un patient, référencé via `participant.actor` avec une ressource `Patient`. è- Lien avec les questionnaires : Les questionnaires de pré-admission sont associés au rendez-vous via `QuestionnaireResponse.subject=Appointment/{id}`.
  Recherche : `GET /QuestionnaireResponse?subject=Appointment/1234`

### Ressource FHIR : `Appointment`

La ressource `Appointment` contient les informations nécessaires à la planification d’un rendez-vous. Elle inclut des métadonnées essentielles telles que la date, l’heure, les participants, et les raisons du rendez-vous.

#### Contraintes principales

- Statut du rendez-vous : Défini via `Appointment.status` (par exemple, `booked`, `cancelled`).
- Description : Permet de préciser la nature du rendez-vous (par exemple, “IRM cérébrale”).
- Participants : Inclut le patient et les professionnels de santé impliqués.
- Raisons du rendez-vous : Spécifiées via `Appointment.reasonCode`.

### Lien avec le patient

- Lien avec le patient : Chaque rendez-vous est directement lié à une ressource `Patient` via `participant.actor`.

### Lien avec les questionnaires

Les questionnaires de pré-admission sont associés au rendez-vous via
`QuestionnaireResponse.subject = Appointment/{id}`.

- Questionnaire
  Définit la structure (questions, règles, etc.).
  Le champ `subjectType: ["Appointment"]` est obligatoire.

- QuestionnaireResponse

  - Référence le questionnaire via
    `questionnaire: "Questionnaire/preadmission-rdv"`
  - Lie les réponses au rendez-vous via
    `subject = Appointment/{id}`

#### Recherche des réponses pour un RDV

    GET /QuestionnaireResponse?subject=Appointment/1234&status=completed

#### Schéma des relations

Questionnaire/preadmission-rdv └─ subjectType: [“Appointment”] │ └─ questionnaire (référence) │ QuestionnaireResponse/resp-001 └─ subject: Appointment/1234 ← Lien direct RDV ↔ réponses

### Bonnes pratiques

- Planification précise : Assurez-vous que les dates et heures des rendez-vous sont correctement définies pour éviter les conflits.
- Traçabilité des consentements : Associez systématiquement les consentements recueillis au rendez-vous pour garantir une traçabilité complète.
- Validation des questionnaires : Vérifiez que les questionnaires sont remplis avant la date du rendez-vous.
- Contexte : un commentaire peutr être ajouté dans `Appointment.comment` pour préciser le contexte de la venue à venir (Par exemple: ALD, accident du travail, etc.).

### Conclusion

La ressource `Appointment`, enrichie d’extensions spécifiques, joue un rôle clé dans la gestion des rendez-vous liés à la préadmission hospitalière. Elle garantit une organisation structurée et conforme des informations, tout en facilitant leur traitement par les systèmes administratifs et médicaux.

Usages:

- Refer to this Profile: Fr Preadmission Encounter Profile
- Examples for this Profile: Appointment/appt-irm-001
- CapabilityStatements using this Profile: Capacités serveur FHIR pour l'IG Preadmission

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.

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

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Appointment | C | 0..* | FRCoreAppointmentProfile | 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 pour extension |  |  |  | Content/Rules for all slices
extension:appointmentOperator |  | 0..1 | Reference(FR Core Organization Profile | FR Core Practitioner Profile | FR Core Patient Profile | RelatedPerson) | FR Core Appointment Operator Extension URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-appointment-operator
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!Σ | 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.
participant | C | 1..* | BackboneElement | Participants involved in appointment Constraints: app-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
actor | Σ | 0..1 | Reference(FR Core Patient Profile | FR Core Patient INS Profile | FR Core Practitioner Profile) | Person, Location/HealthcareService or Device
status | Σ | 1..1 | code | accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment.
Documentation for this format

#### Terminology Bindings

Path | Conformité | ValueSet | URI
Appointment.status | required | AppointmentStatus `http://hl7.org/fhir/ValueSet/appointmentstatus|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

#### Constraints

Id | Grade | Path(s) | Détails | Requirements
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 FRCoreAppointmentProfile

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Appointment |  | 0..* | FRCoreAppointmentProfile | 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)
participant |  |  |  |
actor |  | 0..1 | Reference(FR Core Patient Profile | FR Core Patient INS Profile | FR Core Practitioner Profile) | Person, Location/HealthcareService or Device
Documentation for this format

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Appointment | C | 0..* | FRCoreAppointmentProfile | 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
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
versionId | Σ | 0..1 | id | Version specific identifier
lastUpdated | Σ | 0..1 | instant | When the resource version last changed
source | Σ | 0..1 | uri | Identifies where the resource comes from
Slices pour profile | Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to Slice: Unordered, Open by value:$this
profile:fr-canonical | Σ | 0..1 | canonical(StructureDefinition) | Profiles this resource claims to conform to Required Pattern: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-appointment
security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag | Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
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.
Bindings Additionnels | But
AllLanguages | Binding Max
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 pour extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:appointmentOperator |  | 0..1 | Reference(FR Core Organization Profile | FR Core Practitioner Profile | FR Core Patient Profile | RelatedPerson) | FR Core Appointment Operator Extension URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-appointment-operator
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | External Ids for this item
status | ?!Σ | 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: AppointmentCancellationReason (example)
serviceCategory | Σ | 0..* | CodeableConcept | A broad categorization of the service that is to be performed during this appointment Binding: ServiceCategory (example)
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: FR Core ValueSet Practitioner specialty (required)
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)
reasonCode | Σ | 0..* | CodeableConcept | Coded reason this appointment is scheduled Binding: EncounterReasonCodes (preferred): The Reason for the appointment to take place.
reasonReference |  | 0..* | Reference(Condition | Procedure | Observation | ImmunizationRecommendation) | Reason the appointment is to take place (resource)
priority |  | 0..1 | unsignedInt | Used to make informed decisions if needing to re-prioritize
description |  | 0..1 | string | Shown on a subject line in a meeting request, or appointment list
supportingInformation |  | 0..* | Reference(Resource) | Additional information to support the appointment
start | Σ | 0..1 | instant | When appointment is to take place
end | Σ | 0..1 | instant | When appointment is to conclude
minutesDuration |  | 0..1 | positiveInt | Can be less than start/end (e.g. estimate)
slot |  | 0..* | Reference(FR Core Slot Profile) | 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 | C | 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(FR Core Patient Profile | FR Core Patient INS Profile | FR Core Practitioner Profile) | 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
Documentation for this format

#### Terminology Bindings

Path | Conformité | ValueSet | URI
Appointment.meta.security | extensible | All Security Labels `http://hl7.org/fhir/ValueSet/security-labels` From the FHIR Standard
Appointment.meta.tag | example | CommonTags `http://hl7.org/fhir/ValueSet/common-tags` From the FHIR Standard
Appointment.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` From the FHIR Standard
Bindings Additionnels | But
AllLanguages | Binding Max
Appointment.status | required | AppointmentStatus `http://hl7.org/fhir/ValueSet/appointmentstatus|4.0.1` From the FHIR Standard
Appointment.cancelationReason | example | AppointmentCancellationReason `http://hl7.org/fhir/ValueSet/appointment-cancellation-reason` From the FHIR Standard
Appointment.serviceCategory | example | ServiceCategory `http://hl7.org/fhir/ValueSet/service-category` From the FHIR Standard
Appointment.serviceType | example | ServiceType `http://hl7.org/fhir/ValueSet/service-type` From the FHIR Standard
Appointment.specialty | required | FRCoreValueSetPractitionerSpecialty `https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-practitioner-specialty`
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

#### Constraints

Id | Grade | Path(s) | Détails | Requirements
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 FRCoreAppointmentProfile

Résumé

Structures

This structure refers to these other structures:

- FR Core Patient Profile (https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient)
- FR Core Patient INS Profile (https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-ins)
- FR Core Practitioner Profile (https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-practitioner)

Key Elements View

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Appointment | C | 0..* | FRCoreAppointmentProfile | 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 pour extension |  |  |  | Content/Rules for all slices
extension:appointmentOperator |  | 0..1 | Reference(FR Core Organization Profile | FR Core Practitioner Profile | FR Core Patient Profile | RelatedPerson) | FR Core Appointment Operator Extension URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-appointment-operator
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!Σ | 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.
participant | C | 1..* | BackboneElement | Participants involved in appointment Constraints: app-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
actor | Σ | 0..1 | Reference(FR Core Patient Profile | FR Core Patient INS Profile | FR Core Practitioner Profile) | Person, Location/HealthcareService or Device
status | Σ | 1..1 | code | accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment.
Documentation for this format

#### Terminology Bindings

Path | Conformité | ValueSet | URI
Appointment.status | required | AppointmentStatus `http://hl7.org/fhir/ValueSet/appointmentstatus|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

#### Constraints

Id | Grade | Path(s) | Détails | Requirements
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 FRCoreAppointmentProfile

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Appointment |  | 0..* | FRCoreAppointmentProfile | 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)
participant |  |  |  |
actor |  | 0..1 | Reference(FR Core Patient Profile | FR Core Patient INS Profile | FR Core Practitioner Profile) | Person, Location/HealthcareService or Device
Documentation for this format

Snapshot View

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Appointment | C | 0..* | FRCoreAppointmentProfile | 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
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
versionId | Σ | 0..1 | id | Version specific identifier
lastUpdated | Σ | 0..1 | instant | When the resource version last changed
source | Σ | 0..1 | uri | Identifies where the resource comes from
Slices pour profile | Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to Slice: Unordered, Open by value:$this
profile:fr-canonical | Σ | 0..1 | canonical(StructureDefinition) | Profiles this resource claims to conform to Required Pattern: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-appointment
security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag | Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
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.
Bindings Additionnels | But
AllLanguages | Binding Max
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 pour extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:appointmentOperator |  | 0..1 | Reference(FR Core Organization Profile | FR Core Practitioner Profile | FR Core Patient Profile | RelatedPerson) | FR Core Appointment Operator Extension URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-appointment-operator
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | External Ids for this item
status | ?!Σ | 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: AppointmentCancellationReason (example)
serviceCategory | Σ | 0..* | CodeableConcept | A broad categorization of the service that is to be performed during this appointment Binding: ServiceCategory (example)
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: FR Core ValueSet Practitioner specialty (required)
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)
reasonCode | Σ | 0..* | CodeableConcept | Coded reason this appointment is scheduled Binding: EncounterReasonCodes (preferred): The Reason for the appointment to take place.
reasonReference |  | 0..* | Reference(Condition | Procedure | Observation | ImmunizationRecommendation) | Reason the appointment is to take place (resource)
priority |  | 0..1 | unsignedInt | Used to make informed decisions if needing to re-prioritize
description |  | 0..1 | string | Shown on a subject line in a meeting request, or appointment list
supportingInformation |  | 0..* | Reference(Resource) | Additional information to support the appointment
start | Σ | 0..1 | instant | When appointment is to take place
end | Σ | 0..1 | instant | When appointment is to conclude
minutesDuration |  | 0..1 | positiveInt | Can be less than start/end (e.g. estimate)
slot |  | 0..* | Reference(FR Core Slot Profile) | 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 | C | 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(FR Core Patient Profile | FR Core Patient INS Profile | FR Core Practitioner Profile) | 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
Documentation for this format

#### Terminology Bindings

Path | Conformité | ValueSet | URI
Appointment.meta.security | extensible | All Security Labels `http://hl7.org/fhir/ValueSet/security-labels` From the FHIR Standard
Appointment.meta.tag | example | CommonTags `http://hl7.org/fhir/ValueSet/common-tags` From the FHIR Standard
Appointment.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` From the FHIR Standard
Bindings Additionnels | But
AllLanguages | Binding Max
Appointment.status | required | AppointmentStatus `http://hl7.org/fhir/ValueSet/appointmentstatus|4.0.1` From the FHIR Standard
Appointment.cancelationReason | example | AppointmentCancellationReason `http://hl7.org/fhir/ValueSet/appointment-cancellation-reason` From the FHIR Standard
Appointment.serviceCategory | example | ServiceCategory `http://hl7.org/fhir/ValueSet/service-category` From the FHIR Standard
Appointment.serviceType | example | ServiceType `http://hl7.org/fhir/ValueSet/service-type` From the FHIR Standard
Appointment.specialty | required | FRCoreValueSetPractitionerSpecialty `https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-practitioner-specialty`
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

#### Constraints

Id | Grade | Path(s) | Détails | Requirements
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 FRCoreAppointmentProfile

Résumé

Structures

This structure refers to these other structures:

- FR Core Patient Profile (https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient)
- FR Core Patient INS Profile (https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-ins)
- FR Core Practitioner Profile (https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-practitioner)

Other representations of profile: CSV, Excel, Schematron