Name	Flags	Card.	Type	Description & Constraints
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
MedioNotificacion	S	0..1	CodeableConcept	MedioNotificacion URL: https://interoperabilidad.minsal.cl/fhir/ig/tei/StructureDefinition/MedioNotificacion Binding: Medio Notificación (required)
ContactadoLE	S	0..1	(Complex)	Contactado URL: https://interoperabilidad.minsal.cl/fhir/ig/tei/StructureDefinition/Contactado
identifier	S	1..1	Identifier	External Ids for this item
value	S	1..1	string	The value that is unique
status	S	1..1	code	booked=cita agendada | cancelled=cita cancelada | noshow=no presentación
cancelationReason	S	0..1	CodeableConcept	uso en caso de cancelación de cita para registrar la razón
coding	S	1..1	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/appointment-cancellation-reason
code	S	1..1	code	pat(paciente) | prov(médico o institución) | other(otra razón)
display	S	0..1	string	Representation defined by the system
appointmentType	S	0..1	CodeableConcept	The style of appointment or patient that has been booked in the slot (not service type)
coding	S	1..1	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
display	S	0..1	string	Representation defined by the system
text	S	0..1	string	Plain text representation of the concept
start	S	1..1	instant	When appointment is to take place
end	S	0..1	instant	When appointment is to conclude
Slices for participant	S	2..2	BackboneElement	Participants involved in appointment Slice: Unordered, Open by value:actor.type
participant:patientLE	S	1..1	BackboneElement	Participants involved in appointment
actor	S	1..1	Reference(PacienteMPI)	Person, Location/HealthcareService or Device
type		1..1	uri	Type the reference refers to (e.g. "Patient") Required Pattern: Patient
status		1..1	code	accepted | declined | tentative | needs-action Required Pattern: accepted
participant:practitionerRoleLE	S	1..1	BackboneElement	Participants involved in appointment
actor	S	1..1	Reference(PractitionerRole LE)	Person, Location/HealthcareService or Device
type		1..1	uri	Type the reference refers to (e.g. "Patient") Required Pattern: PractitionerRole
status		1..1	code	accepted | declined | tentative | needs-action Required Pattern: accepted
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Appointment	C	0..*	Appointment	A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s)
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
MedioNotificacion	S	0..1	CodeableConcept	MedioNotificacion URL: https://interoperabilidad.minsal.cl/fhir/ig/tei/StructureDefinition/MedioNotificacion Binding: Medio Notificación (required)
ContactadoLE	S	0..1	(Complex)	Contactado URL: https://interoperabilidad.minsal.cl/fhir/ig/tei/StructureDefinition/Contactado
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..1	Identifier	External Ids for this item
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
value	SΣ	1..1	string	The value that is unique Example General: 123456
status	?!SΣ	1..1	code	booked=cita agendada | cancelled=cita cancelada | noshow=no presentación Binding: AppointmentStatus (required): The free/busy status of an appointment.
cancelationReason	SΣ	0..1	CodeableConcept	uso en caso de cancelación de cita para registrar la razón Binding: AppointmentCancellationReason (example)
coding	SΣ	1..1	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/appointment-cancellation-reason
code	SΣ	1..1	code	pat(paciente) | prov(médico o institución) | other(otra razón)
display	SΣ	0..1	string	Representation defined by the system
appointmentType	SΣ	0..1	CodeableConcept	The style of appointment or patient that has been booked in the slot (not service type) Binding: hl7VS-appointmentReasonCodes (preferred)
coding	SΣ	1..1	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
text	SΣ	0..1	string	Plain text representation of the concept
start	SΣ	1..1	instant	When appointment is to take place
end	SΣ	0..1	instant	When appointment is to conclude
Slices for participant	SC	2..2	BackboneElement	Participants involved in appointment Slice: Unordered, Open by value:actor.type
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:patientLE	SC	1..1	BackboneElement	Participants involved in appointment
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor	SΣ	1..1	Reference(PacienteMPI)	Person, Location/HealthcareService or Device
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Required Pattern: Patient
status	Σ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment. Required Pattern: accepted
participant:practitionerRoleLE	SC	1..1	BackboneElement	Participants involved in appointment
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor	SΣ	1..1	Reference(PractitionerRole LE)	Person, Location/HealthcareService or Device
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Required Pattern: PractitionerRole
status	Σ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment. Required Pattern: accepted
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Appointment.identifier.use	required	IdentifierUse
Appointment.status	required	AppointmentStatus
Appointment.cancelationReason	example	AppointmentCancellationReason
Appointment.appointmentType	preferred	Hl7VSAppointmentReasonCodes
Appointment.participant.status	required	ParticipationStatus
Appointment.participant:patientLE.actor.type	extensible	Pattern: Patient
Appointment.participant:patientLE.status	required	Pattern: accepted
Appointment.participant:practitionerRoleLE.actor.type	extensible	Pattern: PractitionerRole
Appointment.participant:practitionerRoleLE.status	required	Pattern: accepted

Constraints

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

Name	Flags	Card.	Type	Description & Constraints
Appointment	C	0..*	Appointment	A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s)
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
MedioNotificacion	S	0..1	CodeableConcept	MedioNotificacion URL: https://interoperabilidad.minsal.cl/fhir/ig/tei/StructureDefinition/MedioNotificacion Binding: Medio Notificación (required)
ContactadoLE	S	0..1	(Complex)	Contactado URL: https://interoperabilidad.minsal.cl/fhir/ig/tei/StructureDefinition/Contactado
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..1	Identifier	External Ids for this item
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
status	?!SΣ	1..1	code	booked=cita agendada | cancelled=cita cancelada | noshow=no presentación Binding: AppointmentStatus (required): The free/busy status of an appointment.
cancelationReason	SΣ	0..1	CodeableConcept	uso en caso de cancelación de cita para registrar la razón Binding: AppointmentCancellationReason (example)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	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	1..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/appointment-cancellation-reason
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	pat(paciente) | prov(médico o institución) | other(otra razón)
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
serviceCategory	Σ	0..*	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: PracticeSettingCodeValueSet (preferred)
appointmentType	SΣ	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	SΣ	1..1	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	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
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		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	1..1	instant	When appointment is to take place
end	SΣ	0..1	instant	When appointment is to conclude
minutesDuration		0..1	positiveInt	Can be less than start/end (e.g. estimate)
slot		0..*	Reference(Slot)	The slots that this appointment is filling
created		0..1	dateTime	The date that this appointment was initially created
comment		0..1	string	Additional comments
patientInstruction		0..1	string	Detailed information and instructions for the patient
basedOn		0..*	Reference(ServiceRequest)	The service request this appointment is allocated to assess
Slices for participant	SC	2..2	BackboneElement	Participants involved in appointment Slice: Unordered, Open by value:actor.type
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:patientLE	SC	1..1	BackboneElement	Participants involved in appointment
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	SΣ	1..1	Reference(PacienteMPI)	Person, Location/HealthcareService or Device
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Required Pattern: Patient
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
required	Σ	0..1	code	required | optional | information-only Binding: ParticipantRequired (required): Is the Participant required to attend the appointment.
status	Σ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment. Required Pattern: accepted
period		0..1	Period	Participation period of the actor
participant:practitionerRoleLE	SC	1..1	BackboneElement	Participants involved in appointment
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	SΣ	1..1	Reference(PractitionerRole LE)	Person, Location/HealthcareService or Device
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Required Pattern: PractitionerRole
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
required	Σ	0..1	code	required | optional | information-only Binding: ParticipantRequired (required): Is the Participant required to attend the appointment.
status	Σ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment. Required Pattern: accepted
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
Appointment.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Appointment.identifier.use	required	IdentifierUse
Appointment.identifier.type	extensible	Identifier Type Codes
Appointment.status	required	AppointmentStatus
Appointment.cancelationReason	example	AppointmentCancellationReason
Appointment.serviceCategory	example	ServiceCategory
Appointment.serviceType	example	ServiceType
Appointment.specialty	preferred	PracticeSettingCodeValueSet
Appointment.appointmentType	preferred	Hl7VSAppointmentReasonCodes
Appointment.reasonCode	preferred	EncounterReasonCodes
Appointment.participant.type	extensible	ParticipantType
Appointment.participant.required	required	ParticipantRequired
Appointment.participant.status	required	ParticipationStatus
Appointment.participant:patientLE.type	extensible	ParticipantType
Appointment.participant:patientLE.actor.type	extensible	Pattern: Patient
Appointment.participant:patientLE.required	required	ParticipantRequired
Appointment.participant:patientLE.status	required	Pattern: accepted
Appointment.participant:practitionerRoleLE.type	extensible	ParticipantType
Appointment.participant:practitionerRoleLE.actor.type	extensible	Pattern: PractitionerRole
Appointment.participant:practitionerRoleLE.required	required	ParticipantRequired
Appointment.participant:practitionerRoleLE.status	required	Pattern: accepted

Constraints

Id	Grade	Path(s)	Details	Requirements
app-1	error	Appointment.participant, Appointment.participant:patientLE, Appointment.participant:practitionerRoleLE	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

Mandatory: 9 elements (6 nested mandatory elements)
Must-Support: 23 elements

Structures

This structure refers to these other structures:

• PacienteMPI (https://interoperabilidad.minsal.cl/fhir/ig/tei/StructureDefinition/PacienteMinsalMPI)
• PractitionerRole LE (https://interoperabilidad.minsal.cl/fhir/ig/tei/StructureDefinition/PractitionerRoleLE)

Extensions

This structure refers to these extensions:

• https://interoperabilidad.minsal.cl/fhir/ig/tei/StructureDefinition/MedioNotificacion
• https://interoperabilidad.minsal.cl/fhir/ig/tei/StructureDefinition/Contactado

Slices

This structure defines the following Slices:

• The element Appointment.participant is sliced based on the value of value:actor.type

Maturity: 0

Name	Flags	Card.	Type	Description & Constraints
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
MedioNotificacion	S	0..1	CodeableConcept	MedioNotificacion URL: https://interoperabilidad.minsal.cl/fhir/ig/tei/StructureDefinition/MedioNotificacion Binding: Medio Notificación (required)
ContactadoLE	S	0..1	(Complex)	Contactado URL: https://interoperabilidad.minsal.cl/fhir/ig/tei/StructureDefinition/Contactado
identifier	S	1..1	Identifier	External Ids for this item
value	S	1..1	string	The value that is unique
status	S	1..1	code	booked=cita agendada | cancelled=cita cancelada | noshow=no presentación
cancelationReason	S	0..1	CodeableConcept	uso en caso de cancelación de cita para registrar la razón
coding	S	1..1	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/appointment-cancellation-reason
code	S	1..1	code	pat(paciente) | prov(médico o institución) | other(otra razón)
display	S	0..1	string	Representation defined by the system
appointmentType	S	0..1	CodeableConcept	The style of appointment or patient that has been booked in the slot (not service type)
coding	S	1..1	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
display	S	0..1	string	Representation defined by the system
text	S	0..1	string	Plain text representation of the concept
start	S	1..1	instant	When appointment is to take place
end	S	0..1	instant	When appointment is to conclude
Slices for participant	S	2..2	BackboneElement	Participants involved in appointment Slice: Unordered, Open by value:actor.type
participant:patientLE	S	1..1	BackboneElement	Participants involved in appointment
actor	S	1..1	Reference(PacienteMPI)	Person, Location/HealthcareService or Device
type		1..1	uri	Type the reference refers to (e.g. "Patient") Required Pattern: Patient
status		1..1	code	accepted | declined | tentative | needs-action Required Pattern: accepted
participant:practitionerRoleLE	S	1..1	BackboneElement	Participants involved in appointment
actor	S	1..1	Reference(PractitionerRole LE)	Person, Location/HealthcareService or Device
type		1..1	uri	Type the reference refers to (e.g. "Patient") Required Pattern: PractitionerRole
status		1..1	code	accepted | declined | tentative | needs-action Required Pattern: accepted
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Appointment	C	0..*	Appointment	A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s)
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
MedioNotificacion	S	0..1	CodeableConcept	MedioNotificacion URL: https://interoperabilidad.minsal.cl/fhir/ig/tei/StructureDefinition/MedioNotificacion Binding: Medio Notificación (required)
ContactadoLE	S	0..1	(Complex)	Contactado URL: https://interoperabilidad.minsal.cl/fhir/ig/tei/StructureDefinition/Contactado
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..1	Identifier	External Ids for this item
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
value	SΣ	1..1	string	The value that is unique Example General: 123456
status	?!SΣ	1..1	code	booked=cita agendada | cancelled=cita cancelada | noshow=no presentación Binding: AppointmentStatus (required): The free/busy status of an appointment.
cancelationReason	SΣ	0..1	CodeableConcept	uso en caso de cancelación de cita para registrar la razón Binding: AppointmentCancellationReason (example)
coding	SΣ	1..1	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/appointment-cancellation-reason
code	SΣ	1..1	code	pat(paciente) | prov(médico o institución) | other(otra razón)
display	SΣ	0..1	string	Representation defined by the system
appointmentType	SΣ	0..1	CodeableConcept	The style of appointment or patient that has been booked in the slot (not service type) Binding: hl7VS-appointmentReasonCodes (preferred)
coding	SΣ	1..1	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
text	SΣ	0..1	string	Plain text representation of the concept
start	SΣ	1..1	instant	When appointment is to take place
end	SΣ	0..1	instant	When appointment is to conclude
Slices for participant	SC	2..2	BackboneElement	Participants involved in appointment Slice: Unordered, Open by value:actor.type
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:patientLE	SC	1..1	BackboneElement	Participants involved in appointment
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor	SΣ	1..1	Reference(PacienteMPI)	Person, Location/HealthcareService or Device
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Required Pattern: Patient
status	Σ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment. Required Pattern: accepted
participant:practitionerRoleLE	SC	1..1	BackboneElement	Participants involved in appointment
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor	SΣ	1..1	Reference(PractitionerRole LE)	Person, Location/HealthcareService or Device
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Required Pattern: PractitionerRole
status	Σ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment. Required Pattern: accepted
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Appointment.identifier.use	required	IdentifierUse
Appointment.status	required	AppointmentStatus
Appointment.cancelationReason	example	AppointmentCancellationReason
Appointment.appointmentType	preferred	Hl7VSAppointmentReasonCodes
Appointment.participant.status	required	ParticipationStatus
Appointment.participant:patientLE.actor.type	extensible	Pattern: Patient
Appointment.participant:patientLE.status	required	Pattern: accepted
Appointment.participant:practitionerRoleLE.actor.type	extensible	Pattern: PractitionerRole
Appointment.participant:practitionerRoleLE.status	required	Pattern: accepted

Constraints

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

Name	Flags	Card.	Type	Description & Constraints
Appointment	C	0..*	Appointment	A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s)
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
MedioNotificacion	S	0..1	CodeableConcept	MedioNotificacion URL: https://interoperabilidad.minsal.cl/fhir/ig/tei/StructureDefinition/MedioNotificacion Binding: Medio Notificación (required)
ContactadoLE	S	0..1	(Complex)	Contactado URL: https://interoperabilidad.minsal.cl/fhir/ig/tei/StructureDefinition/Contactado
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..1	Identifier	External Ids for this item
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
status	?!SΣ	1..1	code	booked=cita agendada | cancelled=cita cancelada | noshow=no presentación Binding: AppointmentStatus (required): The free/busy status of an appointment.
cancelationReason	SΣ	0..1	CodeableConcept	uso en caso de cancelación de cita para registrar la razón Binding: AppointmentCancellationReason (example)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	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	1..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/appointment-cancellation-reason
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	pat(paciente) | prov(médico o institución) | other(otra razón)
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
serviceCategory	Σ	0..*	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: PracticeSettingCodeValueSet (preferred)
appointmentType	SΣ	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	SΣ	1..1	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	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
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		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	1..1	instant	When appointment is to take place
end	SΣ	0..1	instant	When appointment is to conclude
minutesDuration		0..1	positiveInt	Can be less than start/end (e.g. estimate)
slot		0..*	Reference(Slot)	The slots that this appointment is filling
created		0..1	dateTime	The date that this appointment was initially created
comment		0..1	string	Additional comments
patientInstruction		0..1	string	Detailed information and instructions for the patient
basedOn		0..*	Reference(ServiceRequest)	The service request this appointment is allocated to assess
Slices for participant	SC	2..2	BackboneElement	Participants involved in appointment Slice: Unordered, Open by value:actor.type
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:patientLE	SC	1..1	BackboneElement	Participants involved in appointment
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	SΣ	1..1	Reference(PacienteMPI)	Person, Location/HealthcareService or Device
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Required Pattern: Patient
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
required	Σ	0..1	code	required | optional | information-only Binding: ParticipantRequired (required): Is the Participant required to attend the appointment.
status	Σ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment. Required Pattern: accepted
period		0..1	Period	Participation period of the actor
participant:practitionerRoleLE	SC	1..1	BackboneElement	Participants involved in appointment
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	SΣ	1..1	Reference(PractitionerRole LE)	Person, Location/HealthcareService or Device
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Required Pattern: PractitionerRole
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
required	Σ	0..1	code	required | optional | information-only Binding: ParticipantRequired (required): Is the Participant required to attend the appointment.
status	Σ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment. Required Pattern: accepted
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
Appointment.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Appointment.identifier.use	required	IdentifierUse
Appointment.identifier.type	extensible	Identifier Type Codes
Appointment.status	required	AppointmentStatus
Appointment.cancelationReason	example	AppointmentCancellationReason
Appointment.serviceCategory	example	ServiceCategory
Appointment.serviceType	example	ServiceType
Appointment.specialty	preferred	PracticeSettingCodeValueSet
Appointment.appointmentType	preferred	Hl7VSAppointmentReasonCodes
Appointment.reasonCode	preferred	EncounterReasonCodes
Appointment.participant.type	extensible	ParticipantType
Appointment.participant.required	required	ParticipantRequired
Appointment.participant.status	required	ParticipationStatus
Appointment.participant:patientLE.type	extensible	ParticipantType
Appointment.participant:patientLE.actor.type	extensible	Pattern: Patient
Appointment.participant:patientLE.required	required	ParticipantRequired
Appointment.participant:patientLE.status	required	Pattern: accepted
Appointment.participant:practitionerRoleLE.type	extensible	ParticipantType
Appointment.participant:practitionerRoleLE.actor.type	extensible	Pattern: PractitionerRole
Appointment.participant:practitionerRoleLE.required	required	ParticipantRequired
Appointment.participant:practitionerRoleLE.status	required	Pattern: accepted

Constraints

Id	Grade	Path(s)	Details	Requirements
app-1	error	Appointment.participant, Appointment.participant:patientLE, Appointment.participant:practitionerRoleLE	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

Mandatory: 9 elements (6 nested mandatory elements)
Must-Support: 23 elements

Structures

This structure refers to these other structures:

• PacienteMPI (https://interoperabilidad.minsal.cl/fhir/ig/tei/StructureDefinition/PacienteMinsalMPI)
• PractitionerRole LE (https://interoperabilidad.minsal.cl/fhir/ig/tei/StructureDefinition/PractitionerRoleLE)

Extensions

This structure refers to these extensions:

• https://interoperabilidad.minsal.cl/fhir/ig/tei/StructureDefinition/MedioNotificacion
• https://interoperabilidad.minsal.cl/fhir/ig/tei/StructureDefinition/Contactado

Slices

This structure defines the following Slices:

• The element Appointment.participant is sliced based on the value of value:actor.type

Maturity: 0