Este perfil do recurso Appointment é uma restrição do Recurso Appointment do FHIR R4 e foi desenhado para gerenciar agendamentos vinculados à regulação assistencial no contexto do SUS.

Escopo e Uso

O recurso Appointment é utilizado para representar agendamentos de serviços de saúde no contexto do Sistema Único de Saúde (SUS). Ele é adaptado para atender às necessidades específicas de regulação assistencial, incluindo agendamentos vinculados às Ofertas Integradas de Cuidado (OCI) e ao Plano de Ação Regional (PAR) .

O recurso é central para a gestão de filas de espera, controle de prioridades e organização de serviços assistenciais em sistemas de regulação, como o SISREG . Ele abrange desde a documentação de agendamentos simples até o rastreamento de pacotes complexos de procedimentos associados às OCI.

Propósito

1. Documentar Agendamentos:
   • Registrar agendamentos de consultas, exames, procedimentos e terapias no contexto do SUS.
2. Rastreabilidade e Integração:
   • Garantir a rastreabilidade do processo desde a solicitação até a realização do procedimento.
   • Integrar informações provenientes de diferentes sistemas e plataformas.
3. Monitoramento e Avaliação:
   • Apoiar a análise de indicadores de saúde para avaliar o cumprimento de metas regionais e nacionais.
4. Gestão de Prioridades:
   • Permitir a organização de filas de espera e priorização de pacientes com base em critérios definidos.

Uso Apropriado

1. Gestão de Agendamentos:
   • Representar compromissos agendados para pacientes em qualquer unidade de saúde.
2. Integração com Regulação Assistencial:
   • Vincular agendamentos a sistemas de regulação, como o SISREG
3. Acompanhamento de OCI:
   • Monitorar a execução de Ofertas Integradas de Cuidado.
4. Planejamento Regional:
   • Associar agendamentos ao Plano de Ação Regional (PAR) para rastrear metas e recursos alocados.

Uso Indevido

1. Agendamentos Fora do Contexto de Saúde:
   • Não deve ser utilizado para compromissos fora da área de saúde.
2. Falta de Integração com Regulação:
   • Não adequado para representar serviços não regulados ou fora de sistemas de regulação.
3. Dados Sensíveis Fora do Escopo:
   • Não deve ser utilizado para registrar informações clínicas detalhadas do paciente, que devem ser documentadas em outros recursos, como Observation ou DiagnosticReport.

Benefícios

• Transparência e Controle:
• Facilita a visualização do status de agendamentos e procedimentos realizados.
• Eficiência Operacional:
• Promove a integração entre plataformas e otimiza a gestão de filas.
• Tomada de Decisão Baseada em Dados:
• Oferece informações precisas para análises regionais e planejamento estratégico.
• Redução de Fragmentação:
• Integra processos e sistemas, diminuindo a redundância e os erros na gestão de agendamentos.

Este escopo estabelece os limites e possibilidades de uso do recurso Appointment, reforçando seu papel como elemento-chave para a gestão eficiente de serviços assistenciais no SUS e alinhado às regulamentações brasileiras.

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

Nome	Bandeiras	Card.	Tipo	Descrição e condicionalismos    Filter: Condicionantes Obrigações Vínculos
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
Fatias para contained		2..*	Resource	Contained, inline Resources Fatia: Não ordenado, Aberto por pattern:$this
contained:organization		0..1	Organization	Contained, inline Resources
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	ΣC	1..1	Identifier	Identifies this organization across multiple systems
alias		0..1	string	A list of alternate names that the organization is known as, or was known as in the past
contained:healthcareService		1..1	HealthcareService	Serviço de saúde
id	Σ	1..1	string	Logical id of this artifact Valor fixo: service1
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
active	?!Σ	0..1	boolean	Whether this HealthcareService record is in active use
location	Σ	1..1	Reference(Location)	Location(s) where service may be provided
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL Valor fixo: location1
contained:location		1..1	Location	Contained, inline Resources
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
alias		0..1	string	A list of alternate names that the location is known as, or was known as, in the past
address		1..1	Address	Physical location
contained:practitioner		0..1	Practitioner	Contained, inline Resources
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
name	Σ	0..1	HumanName	The name(s) associated with the practitioner
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Fatias para identifier	Σ	1..1	Identifier	External Ids for this item Fatia: Não ordenado, Aberto por pattern:system
identifier:localIdentifier	Σ	1..1	Identifier	Identificador do registro no sistema de origem
system	Σ	1..1	uri	Identificador único do sistema de origem Exemplo General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	Identificador do registro no sistema de origem Exemplo General: 123456
status	?!Σ	1..1	code	proposed | pending | booked | arrived | fulfilled | cancelled | noshow | entered-in-error | checked-in | waitlist Vínculo: AppointmentStatus (required): The free/busy status of an appointment.
serviceCategory	Σ	0..1	CodeableConcept	A broad categorization of the service that is to be performed during this appointment Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRModalidadeAssistencial (preferred)
serviceType	Σ	0..*	CodeableConcept	Procedimento(s) agendado(s) Vínculo: ServiceType (preferred): https://terminologia.saude.gov.br/fhir/ValueSet/BRProcedimentosNacionais
Fatias para specialty	Σ	0..*	CodeableConcept	The specialty of a practitioner that would be required to perform the service requested in this appointment Fatia: Não ordenado, Aberto por pattern:$this Vínculo: PracticeSettingCodeValueSet (preferred)
specialty:specialty	Σ	0..1	CodeableConcept	The specialty of a practitioner that would be required to perform the service requested in this appointment Vínculo: Especialidade (preferred)
specialty:specialtyDetail	Σ	0..1	CodeableConcept	The specialty of a practitioner that would be required to perform the service requested in this appointment Vínculo: Área de Atuação (preferred)
specialty:cbo	Σ	0..1	CodeableConcept	The specialty of a practitioner that would be required to perform the service requested in this appointment Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BROcupacao (required)
reasonCode	Σ	0..*	CodeableConcept	Coded reason this appointment is scheduled Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRProblemaDiagnostico (preferred)
start	Σ	1..1	instant	When appointment is to take place
basedOn		0..*	Reference(Solicitação de Serviço)	The service request this appointment is allocated to assess
Fatias para participant	C	2..*	BackboneElement	Participants involved in appointment Fatia: Não ordenado, Aberto por pattern:$this Constraints: app-1
participant:Todas as fatias				Conteúdo/regras para todas as fatias
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
status	Σ	1..1	code	accepted | declined | tentative | needs-action Vínculo: ParticipationStatus (required): The Participation status of an appointment.
participant:patient	C	1..1	BackboneElement	Participants involved in appointment Constraints: app-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	1..1	CodeableConcept	Role of participant in the appointment Vínculo: ParticipantType (extensible): Role of participant in encounter. Valor fixo: Como mostrado (subject)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Valor fixo: (complexo)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Valor fixo: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Valor fixo: SBJ
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
coding	Σ	1..1	Coding	Code defined by a terminology system
actor	Σ	1..1	Reference(Paciente)	Person, Location/HealthcareService or Device
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
status	Σ	1..1	code	accepted | declined | tentative | needs-action Vínculo: ParticipationStatus (required): The Participation status of an appointment.
participant:healthcareService	C	1..1	BackboneElement	Participants involved in appointment Constraints: app-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	1..1	CodeableConcept	Role of participant in the appointment Vínculo: ParticipantType (extensible): Role of participant in encounter. Valor fixo: Como mostrado (primary performer)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Valor fixo: (complexo)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Valor fixo: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Valor fixo: PPRF
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
actor	Σ	1..1	Reference(HealthcareService)	Person, Location/HealthcareService or Device
status	Σ	1..1	code	accepted | declined | tentative | needs-action Vínculo: ParticipationStatus (required): The Participation status of an appointment.
participant:practitioner	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	1..1	CodeableConcept	Role of participant in the appointment Vínculo: ParticipantType (extensible): Role of participant in encounter. Valor fixo: Como mostrado (primary performer)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Valor fixo: (complexo)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Valor fixo: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Valor fixo: PPRF
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
actor	Σ	1..1	Reference(Practitioner)	Person, Location/HealthcareService or Device
status	Σ	1..1	code	accepted | declined | tentative | needs-action Vínculo: ParticipationStatus (required): The Participation status of an appointment.
Documentação para este formato

Terminologia Ligações

Caminho	Conformidade	ValueSet / Código	URI
Appointment.contained:practitioner.qualification.code	example	v2.0360.2.7(a valid code from http://terminology.hl7.org/CodeSystem/v2-0360|2.7) http://terminology.hl7.org/ValueSet/v2-2.7-0360 From a norma FHIR
Appointment.status	required	AppointmentStatus http://hl7.org/fhir/ValueSet/appointmentstatus|4.0.1 From a norma FHIR
Appointment.serviceCategory	preferred	https://terminologia.saude.gov.br/fhir/ValueSet/BRModalidadeAssistencial https://terminologia.saude.gov.br/fhir/ValueSet/BRModalidadeAssistencial
Appointment.serviceType	preferred	ServiceType http://hl7.org/fhir/ValueSet/service-type From a norma FHIR
Appointment.specialty	preferred	PracticeSettingCodeValueSet http://hl7.org/fhir/ValueSet/c80-practice-codes From a norma FHIR
Appointment.specialty:specialty	preferred	Especialidade https://fhir.ecoinfo.ipes.tech/fhir/ValueSet/Especialidade From este IG
Appointment.specialty:specialtyDetail	preferred	AreaAtuacao(a valid code from Área de Atuação) https://fhir.ecoinfo.ipes.tech/fhir/ValueSet/AreaAtuacao From este IG
Appointment.specialty:cbo	required	https://terminologia.saude.gov.br/fhir/ValueSet/BROcupacao https://terminologia.saude.gov.br/fhir/ValueSet/BROcupacao
Appointment.reasonCode	preferred	https://terminologia.saude.gov.br/fhir/ValueSet/BRProblemaDiagnostico https://terminologia.saude.gov.br/fhir/ValueSet/BRProblemaDiagnostico
Appointment.participant.status	required	ParticipationStatus http://hl7.org/fhir/ValueSet/participationstatus|4.0.1 From a norma FHIR
Appointment.participant:patient.type	extensible	Fixed Value: SBJ http://hl7.org/fhir/ValueSet/encounter-participant-type From a norma FHIR
Appointment.participant:patient.status	required	ParticipationStatus http://hl7.org/fhir/ValueSet/participationstatus|4.0.1 From a norma FHIR
Appointment.participant:healthcareService.type	extensible	Fixed Value: PPRF http://hl7.org/fhir/ValueSet/encounter-participant-type From a norma FHIR
Appointment.participant:healthcareService.status	required	ParticipationStatus http://hl7.org/fhir/ValueSet/participationstatus|4.0.1 From a norma FHIR
Appointment.participant:practitioner.type	extensible	Fixed Value: PPRF http://hl7.org/fhir/ValueSet/encounter-participant-type From a norma FHIR
Appointment.participant:practitioner.status	required	ParticipationStatus http://hl7.org/fhir/ValueSet/participationstatus|4.0.1 From a norma FHIR

Restrições

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

This structure is derived from Appointment

Nome	Bandeiras	Card.	Tipo	Descrição e condicionalismos    Filter: Condicionantes Obrigações Vínculos
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)
meta
Fatias para tag		0..*	Coding	Tags applied to this resource Fatia: Não ordenado, Aberto por pattern:$this
tag:OrganizationBRIPES		0..1	Coding	Tags applied to this resource
system		1..1	uri	Identity of the terminology system Valor fixo: https://fhir.ecoinfo.ipes.tech/fhir/StructureDefinition/OrganizationBRIPES
code		1..1	code	CNES do estabelecimento de saúde
Fatias para contained		2..*	Resource	Contained, inline Resources Fatia: Não ordenado, Aberto por pattern:$this
contained:organization		0..1	Organization	Contained, inline Resources
identifier		1..1	Identifier	Identifies this organization across multiple systems
active		0..0
type		0..0
alias		0..1	string	A list of alternate names that the organization is known as, or was known as in the past
telecom		0..0
address		0..0
partOf		0..0
contact		0..0
endpoint		0..0
contained:healthcareService		1..1	HealthcareService	Serviço de saúde
id		1..1	string	Logical id of this artifact Valor fixo: service1
providedBy
reference		1..1	string	Literal reference, Relative, internal or absolute URL
category		0..0
type		0..0
specialty		0..0
location		1..1	Reference(Location)	Location(s) where service may be provided
reference		0..1	string	Literal reference, Relative, internal or absolute URL Valor fixo: location1
type		0..0
identifier		0..0
comment		0..0
extraDetails		0..0
photo		0..0
telecom		0..0
coverageArea		0..0
serviceProvisionCode		0..0
eligibility		0..0
program		0..0
characteristic		0..0
communication		0..0
referralMethod		0..0
appointmentRequired		0..0
availableTime		0..0
notAvailable		0..0
availabilityExceptions		0..0
endpoint		0..0
contained:location		1..1	Location	Contained, inline Resources
identifier		0..0
status		0..0
operationalStatus		0..0
alias		0..1	string	A list of alternate names that the location is known as, or was known as, in the past
mode		0..0
type		0..0
telecom
system		1..1	code	phone | fax | email | pager | url | sms | other Valor fixo: phone
value		1..1	string	The actual contact point details
address		1..1	Address	Physical location
physicalType		0..0
managingOrganization		0..0
partOf		0..0
availabilityExceptions		0..0
endpoint		0..0
contained:practitioner		0..1	Practitioner	Contained, inline Resources
active		0..0
name		0..1	HumanName	The name(s) associated with the practitioner
telecom		0..0
address		0..0
gender		0..0
birthDate		0..0
photo		0..0
qualification		0..0
communication		0..0
Fatias para identifier		1..1	Identifier	External Ids for this item Fatia: Não ordenado, Aberto por pattern:system
identifier:localIdentifier		1..1	Identifier	Identificador do registro no sistema de origem
use		0..0
type		0..0
system		1..1	uri	Identificador único do sistema de origem
value		1..1	string	Identificador do registro no sistema de origem
period		0..0
assigner		0..0
serviceCategory		0..1	CodeableConcept	A broad categorization of the service that is to be performed during this appointment Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRModalidadeAssistencial (preferred)
serviceType		0..*	CodeableConcept	Procedimento(s) agendado(s) Vínculo: ServiceType (preferred): https://terminologia.saude.gov.br/fhir/ValueSet/BRProcedimentosNacionais
Fatias para specialty		0..*	CodeableConcept	The specialty of a practitioner that would be required to perform the service requested in this appointment Fatia: Não ordenado, Aberto por pattern:$this
specialty:specialty		0..1	CodeableConcept	The specialty of a practitioner that would be required to perform the service requested in this appointment Vínculo: Especialidade (preferred)
specialty:specialtyDetail		0..1	CodeableConcept	The specialty of a practitioner that would be required to perform the service requested in this appointment Vínculo: Área de Atuação (preferred)
specialty:cbo		0..1	CodeableConcept	The specialty of a practitioner that would be required to perform the service requested in this appointment Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BROcupacao (required)
reasonCode		0..*	CodeableConcept	Coded reason this appointment is scheduled Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRProblemaDiagnostico (preferred)
reasonReference		0..0
priority		0..0
supportingInformation		0..0
start		1..1	instant	When appointment is to take place
basedOn		0..*	Reference(Solicitação de Serviço)	The service request this appointment is allocated to assess
type		0..0
identifier		0..0
display		0..0
Fatias para participant		2..*	BackboneElement	Participants involved in appointment Fatia: Não ordenado, Aberto por pattern:$this
participant:patient		1..1	BackboneElement	Participants involved in appointment
type		1..1	CodeableConcept	Role of participant in the appointment Valor fixo: Como mostrado (subject)
coding		1..1	Coding	Code defined by a terminology system Valor fixo: (complexo)
system		1..1	uri	Identity of the terminology system Valor fixo: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
code		1..1	code	Symbol in syntax defined by the system Valor fixo: SBJ
coding		1..1	Coding	Code defined by a terminology system
actor		1..1	Reference(Paciente)	Person, Location/HealthcareService or Device
reference		1..1	string	Literal reference, Relative, internal or absolute URL
type		0..0
identifier		0..0
display		0..0
required		0..0
period		0..0
participant:healthcareService		1..1	BackboneElement	Participants involved in appointment
type		1..1	CodeableConcept	Role of participant in the appointment Valor fixo: Como mostrado (primary performer)
coding		1..1	Coding	Code defined by a terminology system Valor fixo: (complexo)
system		1..1	uri	Identity of the terminology system Valor fixo: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
code		1..1	code	Symbol in syntax defined by the system Valor fixo: PPRF
actor		1..1	Reference(HealthcareService)	Person, Location/HealthcareService or Device
required		0..0
period		0..0
participant:practitioner		0..1	BackboneElement	Participants involved in appointment
type		1..1	CodeableConcept	Role of participant in the appointment Valor fixo: Como mostrado (primary performer)
coding		1..1	Coding	Code defined by a terminology system Valor fixo: (complexo)
system		1..1	uri	Identity of the terminology system Valor fixo: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
code		1..1	code	Symbol in syntax defined by the system Valor fixo: PPRF
actor		1..1	Reference(Practitioner)	Person, Location/HealthcareService or Device
requestedPeriod		0..0
Documentação para este formato

Terminologia Ligações (Diferencial)

Caminho	Conformidade	Conjunto de valores	URI
Appointment.serviceCategory	preferred	https://terminologia.saude.gov.br/fhir/ValueSet/BRModalidadeAssistencial https://terminologia.saude.gov.br/fhir/ValueSet/BRModalidadeAssistencial
Appointment.serviceType	preferred	ServiceType http://hl7.org/fhir/ValueSet/service-type From a norma FHIR
Appointment.specialty:specialty	preferred	Especialidade https://fhir.ecoinfo.ipes.tech/fhir/ValueSet/Especialidade From este IG
Appointment.specialty:specialtyDetail	preferred	AreaAtuacao(a valid code from Área de Atuação) https://fhir.ecoinfo.ipes.tech/fhir/ValueSet/AreaAtuacao From este IG
Appointment.specialty:cbo	required	https://terminologia.saude.gov.br/fhir/ValueSet/BROcupacao https://terminologia.saude.gov.br/fhir/ValueSet/BROcupacao
Appointment.reasonCode	preferred	https://terminologia.saude.gov.br/fhir/ValueSet/BRProblemaDiagnostico https://terminologia.saude.gov.br/fhir/ValueSet/BRProblemaDiagnostico

Nome	Bandeiras	Card.	Tipo	Descrição e condicionalismos    Filter: Condicionantes Obrigações Vínculos
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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Fatia: Não ordenado, Aberto por 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
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Vínculo: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
Fatias para tag	Σ	0..*	Coding	Tags applied to this resource Fatia: Não ordenado, Aberto por pattern:$this Vínculo: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
tag:OrganizationBRIPES	Σ	0..1	Coding	Tags applied to this resource Vínculo: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
system	Σ	1..1	uri	Identity of the terminology system Valor fixo: https://fhir.ecoinfo.ipes.tech/fhir/StructureDefinition/OrganizationBRIPES
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	CNES do estabelecimento de saúde
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Vínculo: CommonLanguages (preferred): A human language. Vínculos adicionais Objetivo AllLanguages Vínculo máximo
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Fatias para contained		2..*	Resource	Contained, inline Resources Fatia: Não ordenado, Aberto por pattern:$this
contained:organization		0..1	Organization	Contained, inline Resources
id	Σ	0..1	string	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 Vínculo: CommonLanguages (preferred): A human language. Vínculos adicionais Objetivo AllLanguages Vínculo máximo
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
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	ΣC	1..1	Identifier	Identifies this organization across multiple systems
name	ΣC	0..1	string	Name used for the organization
alias		0..1	string	A list of alternate names that the organization is known as, or was known as in the past
contained:healthcareService		1..1	HealthcareService	Serviço de saúde
id	Σ	1..1	string	Logical id of this artifact Valor fixo: service1
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 Vínculo: CommonLanguages (preferred): A human language. Vínculos adicionais Objetivo AllLanguages Vínculo máximo
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
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External identifiers for this item
active	?!Σ	0..1	boolean	Whether this HealthcareService record is in active use
providedBy	Σ	0..1	Reference(Organization)	Organization that provides this service
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Vínculo: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
location	Σ	1..1	Reference(Location)	Location(s) where service may be provided
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL Valor fixo: location1
display	Σ	0..1	string	Text alternative for the resource
name	Σ	0..1	string	Description of service as presented to a consumer while searching
contained:location		1..1	Location	Contained, inline Resources
id	Σ	0..1	string	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 Vínculo: CommonLanguages (preferred): A human language. Vínculos adicionais Objetivo AllLanguages Vínculo máximo
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
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
name	Σ	0..1	string	Name of the location as used by humans
alias		0..1	string	A list of alternate names that the location is known as, or was known as, in the past
description	Σ	0..1	string	Additional details about the location that could be displayed as further information to identify the location beyond its name
telecom		0..*	ContactPoint	Contact details of the location
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
system	ΣC	1..1	code	phone | fax | email | pager | url | sms | other Vínculo: ContactPointSystem (required): Telecommunications form for contact point. Valor fixo: phone
value	Σ	1..1	string	The actual contact point details
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Vínculo: ContactPointUse (required): Use of contact point.
rank	Σ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	Σ	0..1	Period	Time period when the contact point was/is in use
address		1..1	Address	Physical location
position		0..1	BackboneElement	The absolute geographic location
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
longitude		1..1	decimal	Longitude with WGS84 datum
latitude		1..1	decimal	Latitude with WGS84 datum
altitude		0..1	decimal	Altitude with WGS84 datum
hoursOfOperation		0..*	BackboneElement	What days/times during a week is this location usually open
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
daysOfWeek		0..*	code	mon | tue | wed | thu | fri | sat | sun Vínculo: DaysOfWeek (required): The days of the week.
allDay		0..1	boolean	The Location is open all day
openingTime		0..1	time	Time that the Location opens
closingTime		0..1	time	Time that the Location closes
contained:practitioner		0..1	Practitioner	Contained, inline Resources
id	Σ	0..1	string	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 Vínculo: CommonLanguages (preferred): A human language. Vínculos adicionais Objetivo AllLanguages Vínculo máximo
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
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	An identifier for the person as this agent
name	Σ	0..1	HumanName	The name(s) associated with the practitioner
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Fatias para identifier	Σ	1..1	Identifier	External Ids for this item Fatia: Não ordenado, Aberto por pattern:system
identifier:localIdentifier	Σ	1..1	Identifier	Identificador do registro no sistema de origem
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
system	Σ	1..1	uri	Identificador único do sistema de origem Exemplo General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	Identificador do registro no sistema de origem Exemplo General: 123456
status	?!Σ	1..1	code	proposed | pending | booked | arrived | fulfilled | cancelled | noshow | entered-in-error | checked-in | waitlist Vínculo: AppointmentStatus (required): The free/busy status of an appointment.
cancelationReason	Σ	0..1	CodeableConcept	The coded reason for the appointment being cancelled Vínculo: AppointmentCancellationReason (example)
serviceCategory	Σ	0..1	CodeableConcept	A broad categorization of the service that is to be performed during this appointment Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRModalidadeAssistencial (preferred)
serviceType	Σ	0..*	CodeableConcept	Procedimento(s) agendado(s) Vínculo: ServiceType (preferred): https://terminologia.saude.gov.br/fhir/ValueSet/BRProcedimentosNacionais
Fatias para specialty	Σ	0..*	CodeableConcept	The specialty of a practitioner that would be required to perform the service requested in this appointment Fatia: Não ordenado, Aberto por pattern:$this Vínculo: PracticeSettingCodeValueSet (preferred)
specialty:specialty	Σ	0..1	CodeableConcept	The specialty of a practitioner that would be required to perform the service requested in this appointment Vínculo: Especialidade (preferred)
specialty:specialtyDetail	Σ	0..1	CodeableConcept	The specialty of a practitioner that would be required to perform the service requested in this appointment Vínculo: Área de Atuação (preferred)
specialty:cbo	Σ	0..1	CodeableConcept	The specialty of a practitioner that would be required to perform the service requested in this appointment Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BROcupacao (required)
appointmentType	Σ	0..1	CodeableConcept	The style of appointment or patient that has been booked in the slot (not service type) Vínculo: hl7VS-appointmentReasonCodes (preferred)
reasonCode	Σ	0..*	CodeableConcept	Coded reason this appointment is scheduled Vínculo: https://terminologia.saude.gov.br/fhir/ValueSet/BRProblemaDiagnostico (preferred)
description		0..1	string	Shown on a subject line in a meeting request, or appointment list
start	Σ	1..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(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(Solicitação de Serviço)	The service request this appointment is allocated to assess
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
Fatias para participant	C	2..*	BackboneElement	Participants involved in appointment Fatia: Não ordenado, Aberto por pattern:$this Constraints: app-1
participant:Todas as fatias				Conteúdo/regras para todas as fatias
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 Vínculo: 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 Vínculo: ParticipantRequired (required): Is the Participant required to attend the appointment.
status	Σ	1..1	code	accepted | declined | tentative | needs-action Vínculo: ParticipationStatus (required): The Participation status of an appointment.
period		0..1	Period	Participation period of the actor
participant:patient	C	1..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	1..1	CodeableConcept	Role of participant in the appointment Vínculo: ParticipantType (extensible): Role of participant in encounter. Valor fixo: Como mostrado (subject)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Valor fixo: (complexo)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Valor fixo: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Valor fixo: SBJ
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
actor	Σ	1..1	Reference(Paciente)	Person, Location/HealthcareService or Device
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
status	Σ	1..1	code	accepted | declined | tentative | needs-action Vínculo: ParticipationStatus (required): The Participation status of an appointment.
participant:healthcareService	C	1..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	1..1	CodeableConcept	Role of participant in the appointment Vínculo: ParticipantType (extensible): Role of participant in encounter. Valor fixo: Como mostrado (primary performer)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Valor fixo: (complexo)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Valor fixo: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Valor fixo: PPRF
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
actor	Σ	1..1	Reference(HealthcareService)	Person, Location/HealthcareService or Device
status	Σ	1..1	code	accepted | declined | tentative | needs-action Vínculo: ParticipationStatus (required): The Participation status of an appointment.
participant:practitioner	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	1..1	CodeableConcept	Role of participant in the appointment Vínculo: ParticipantType (extensible): Role of participant in encounter. Valor fixo: Como mostrado (primary performer)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Valor fixo: (complexo)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Valor fixo: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Valor fixo: PPRF
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
actor	Σ	1..1	Reference(Practitioner)	Person, Location/HealthcareService or Device
required	Σ	0..1	code	required | optional | information-only Vínculo: ParticipantRequired (required): Is the Participant required to attend the appointment.
status	Σ	1..1	code	accepted | declined | tentative | needs-action Vínculo: ParticipationStatus (required): The Participation status of an appointment.
period		0..1	Period	Participation period of the actor
Documentação para este formato

Terminologia Ligações

Caminho	Conformidade	ValueSet / Código	URI
Appointment.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels From a norma FHIR
Appointment.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags From a norma FHIR
Appointment.meta.tag:OrganizationBRIPES	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags From a norma FHIR
Appointment.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From a norma FHIR Vínculos adicionais Objetivo AllLanguages Vínculo máximo
Appointment.contained:organization.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From a norma FHIR Vínculos adicionais Objetivo AllLanguages Vínculo máximo
Appointment.contained:organization.contact.purpose	extensible	ContactEntityType http://hl7.org/fhir/ValueSet/contactentity-type From a norma FHIR
Appointment.contained:healthcareService.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From a norma FHIR Vínculos adicionais Objetivo AllLanguages Vínculo máximo
Appointment.contained:healthcareService.providedBy.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From a norma FHIR
Appointment.contained:healthcareService.eligibility.code	example
Appointment.contained:healthcareService.availableTime.daysOfWeek	required	DaysOfWeek http://hl7.org/fhir/ValueSet/days-of-week|4.0.1 From a norma FHIR
Appointment.contained:location.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From a norma FHIR Vínculos adicionais Objetivo AllLanguages Vínculo máximo
Appointment.contained:location.telecom.system	required	Fixed Value: phone http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 From a norma FHIR
Appointment.contained:location.telecom.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 From a norma FHIR
Appointment.contained:location.hoursOfOperation.daysOfWeek	required	DaysOfWeek http://hl7.org/fhir/ValueSet/days-of-week|4.0.1 From a norma FHIR
Appointment.contained:practitioner.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From a norma FHIR Vínculos adicionais Objetivo AllLanguages Vínculo máximo
Appointment.contained:practitioner.qualification.code	example	v2.0360.2.7(a valid code from http://terminology.hl7.org/CodeSystem/v2-0360|2.7) http://terminology.hl7.org/ValueSet/v2-2.7-0360 From a norma FHIR
Appointment.status	required	AppointmentStatus http://hl7.org/fhir/ValueSet/appointmentstatus|4.0.1 From a norma FHIR
Appointment.cancelationReason	example	AppointmentCancellationReason http://hl7.org/fhir/ValueSet/appointment-cancellation-reason From a norma FHIR
Appointment.serviceCategory	preferred	https://terminologia.saude.gov.br/fhir/ValueSet/BRModalidadeAssistencial https://terminologia.saude.gov.br/fhir/ValueSet/BRModalidadeAssistencial
Appointment.serviceType	preferred	ServiceType http://hl7.org/fhir/ValueSet/service-type From a norma FHIR
Appointment.specialty	preferred	PracticeSettingCodeValueSet http://hl7.org/fhir/ValueSet/c80-practice-codes From a norma FHIR
Appointment.specialty:specialty	preferred	Especialidade https://fhir.ecoinfo.ipes.tech/fhir/ValueSet/Especialidade From este IG
Appointment.specialty:specialtyDetail	preferred	AreaAtuacao(a valid code from Área de Atuação) https://fhir.ecoinfo.ipes.tech/fhir/ValueSet/AreaAtuacao From este IG
Appointment.specialty:cbo	required	https://terminologia.saude.gov.br/fhir/ValueSet/BROcupacao https://terminologia.saude.gov.br/fhir/ValueSet/BROcupacao
Appointment.appointmentType	preferred	Hl7VSAppointmentReasonCodes http://terminology.hl7.org/ValueSet/v2-0276
Appointment.reasonCode	preferred	https://terminologia.saude.gov.br/fhir/ValueSet/BRProblemaDiagnostico https://terminologia.saude.gov.br/fhir/ValueSet/BRProblemaDiagnostico
Appointment.participant.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type From a norma FHIR
Appointment.participant.required	required	ParticipantRequired http://hl7.org/fhir/ValueSet/participantrequired|4.0.1 From a norma FHIR
Appointment.participant.status	required	ParticipationStatus http://hl7.org/fhir/ValueSet/participationstatus|4.0.1 From a norma FHIR
Appointment.participant:patient.type	extensible	Fixed Value: SBJ http://hl7.org/fhir/ValueSet/encounter-participant-type From a norma FHIR
Appointment.participant:patient.status	required	ParticipationStatus http://hl7.org/fhir/ValueSet/participationstatus|4.0.1 From a norma FHIR
Appointment.participant:healthcareService.type	extensible	Fixed Value: PPRF http://hl7.org/fhir/ValueSet/encounter-participant-type From a norma FHIR
Appointment.participant:healthcareService.status	required	ParticipationStatus http://hl7.org/fhir/ValueSet/participationstatus|4.0.1 From a norma FHIR
Appointment.participant:practitioner.type	extensible	Fixed Value: PPRF http://hl7.org/fhir/ValueSet/encounter-participant-type From a norma FHIR
Appointment.participant:practitioner.required	required	ParticipantRequired http://hl7.org/fhir/ValueSet/participantrequired|4.0.1 From a norma FHIR
Appointment.participant:practitioner.status	required	ParticipationStatus http://hl7.org/fhir/ValueSet/participationstatus|4.0.1 From a norma FHIR

Restrições

Id	Grau	Caminho(s)	Detalhes	Requisitos
app-1	error	Appointment.participant, Appointment.participant:patient, Appointment.participant:healthcareService, Appointment.participant:practitioner	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()