VAAppointment
type: StructureDefinition
node role: treeRoot
id:
  v: VAAppointment
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: StructureDefinition VAAppointment Name Flags Card. Type Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> Appointment 0..* Appointment(4.0.1) 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) #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:resource-serviceConnection S 0..1 (Complex) Extension URL: http://va.gov/fhir/StructureDefinition/resource-serviceConnection #xD; value[x] S<a style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;" href="http://hl7.org/fhir/R4/conformance-rules.html#constraints" title="This element has or is affected by constraints ( vaa-13-2033, vaa-13-2034 )">C 0..1 Coding Value of extension Constraints: 409.1-.01) is SERVICE CONNECTED then fixed value http://va.gov/fhir/CodeSystem/409.1#SC "Service Connected"" class="constraint">vaa-13-2033, 409.1-.01) is Not SERVICE CONNECTED then fixed value http://va.gov/fhir/CodeSystem/409.1#NSC "Not Service Connected"" class="constraint">vaa-13-2034 #xD; status S<a style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;" href="http://hl7.org/fhir/R4/conformance-rules.html#constraints" title="This element has or is affected by constraints ( vaa-13-732, vaa-13-733, vaa-13-734, vaa-13-748 )">C 1..1 code proposed | pending | booked | arrived | fulfilled | cancelled | noshow | entered-in-error | checked-in | waitlist Binding: AppointmentStatus FHIR (required): see mappin…
url:
  v: http://va.gov/fhir/StructureDefinition/VAAppointment
  l: VAAppointment
version:
  v: 2.5.0
name:
  v: VAAppointment
title:
  v: VAAppointment
status:
  v: active
date:
  v: 2026-03-31T16:09:38+00:00
publisher:
  v: VA
contact:
  name:
    v: VA
  telecom:
    system:
      v: url
    value:
      v: https://www.va.gov
description:
  v: This StructureDefinition contains the maps for VistA file APPOINTMENT (2.98) to Appointment.
jurisdiction:
  coding:
    system:
      v: urn:iso:std:iso:3166
      l: 3166
    code:
      v: US
    display:
      v: United States of America
fhir version:
  v: 4.0.1
mapping:
  identity:
    v: vista
  uri:
    v: http://va.gov/vista
    l: vista
  name:
    v: Veterans Health Information Systems Technology and Architecture (VistA)
mapping:
  identity:
    v: cdw
  uri:
    v: http://va.gov/cdw
    l: cdw
  name:
    v: Clinical Data Warehouse (CDW)
mapping:
  identity:
    v: sda
  uri:
    v: http://va.gov/sda
    l: sda
  name:
    v: Summary Document Architecure (SDA)
mapping:
  identity:
    v: vpr
  uri:
    v: http://va.gov/vpr
    l: vpr
  name:
    v: Virtual Patient Record XML (VPR)
mapping:
  identity:
    v: workflow
  uri:
    v: http://hl7.org/fhir/workflow
    l: workflow
  name:
    v: Workflow Pattern
mapping:
  identity:
    v: ical
  uri:
    v: http://ietf.org/rfc/2445
    l: http://ietf.org/rfc/2445
  name:
    v: iCalendar
kind:
  v: resource
abstract:
  v: false
type:
  v: Appointment
  l: Appointment
base definition:
  v: http://hl7.org/fhir/StructureDefinition/Appointment|4.0.1
  l: http://hl7.org/fhir/StructureDefinition/Appointment
derivation:
  v: constraint
snapshot:
  extension:
    url:
      v: http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version
      l: snapshot-base-version
    value: String
      v: 4.0.1
  element:
    id:
      v: Appointment
    path:
      v: Appointment
    short:
      v: 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)
    definition:
      v: 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).
    min:
      v: 0
    max:
      v: *
    base:
      path:
        v: Appointment
      min:
        v: 0
      max:
        v: *
    constraint:
      key:
        v: app-2
      severity:
        v: error
      human:
        v: Either start and end are specified, or neither
      expression:
        v: start.exists() = end.exists()
      xpath:
        v: ((exists(f:start) and exists(f:end)) or (not(exists(f:start)) and not(exists(f:end))))
      source:
        v: http://hl7.org/fhir/StructureDefinition/Appointment
        l: Appointment
    constraint:
      key:
        v: app-3
      severity:
        v: error
      human:
        v: Only proposed or cancelled appointments can be missing start/end dates
      expression:
        v: (start.exists() and end.exists()) or (status in ('proposed' | 'cancelled' | 'waitlist'))
      xpath:
        v: ((exists(f:start) and exists(f:end)) or (f:status/@value='proposed') or (f:status/@value='cancelled') or (f:status/@value='waitlist'))
      source:
        v: http://hl7.org/fhir/StructureDefinition/Appointment
        l: Appointment
    constraint:
      key:
        v: app-4
      severity:
        v: error
      human:
        v: Cancelation reason is only used for appointments that have been cancelled, or no-show
      expression:
        v: Appointment.cancelationReason.exists() implies (Appointment.status='no-show' or Appointment.status='cancelled')
      xpath:
        v: not(exists(f:cancellationReason)) or f:status/@value=('no-show', 'cancelled')
      source:
        v: http://hl7.org/fhir/StructureDefinition/Appointment
        l: Appointment
    constraint:
      key:
        v: dom-2
      severity:
        v: error
      human:
        v: If the resource is contained in another resource, it SHALL NOT contain nested Resources
      expression:
        v: contained.contained.empty()
      xpath:
        v: not(parent::f:contained and f:contained)
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: dom-3
      severity:
        v: error
      human:
        v: 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
      expression:
        v: 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()
      xpath:
        v: not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource

key:
  v: dom-4
severity:
  v: error
human:
  v: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
expression:
  v: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
xpath:
  v: not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))
source:
  v: http://hl7.org/fhir/StructureDefinition/DomainResource
  l: DomainResource

key:
  v: dom-5
severity:
  v: error
human:
  v: If a resource is contained in another resource, it SHALL NOT have a security label
expression:
  v: contained.meta.security.empty()
xpath:
  v: not(exists(f:contained/*/f:meta/f:security))
source:
  v: http://hl7.org/fhir/StructureDefinition/DomainResource
  l: DomainResource

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice
    l: elementdefinition-bestpractice
  value: Boolean
    v: true
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation
    l: elementdefinition-bestpractice-explanation
  value: Markdown
    v: When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time.
key:
  v: dom-6
severity:
  v: warning
human:
  v: A resource should have narrative for robust management
expression:
  v: text.`div`.exists()
xpath:
  v: exists(f:text/h:div)
source:
  v: http://hl7.org/fhir/StructureDefinition/DomainResource
  l: DomainResource

v: false

v: false

identity:
  v: rim
map:
  v: Entity. Role, or Act

identity:
  v: workflow
map:
  v: Request

identity:
  v: rim
map:
  v: Act[@moodCode <= 'INT']

identity:
  v: ical
map:
  v: VEVENT

id:
  v: Appointment.id
path:
  v: Appointment.id
short:
  v: Logical id of this artifact
definition:
  v: The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
comment:
  v: The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: id
      l: id
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
is modifier:
  v: false
is summary:
  v: true

id:
  v: Appointment.meta
path:
  v: Appointment.meta
short:
  v: Metadata about the resource
definition:
  v: The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.meta
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Meta
    l: Meta
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true

id:
  v: Appointment.implicitRules
path:
  v: Appointment.implicitRules
short:
  v: A set of rules under which this content was created
definition:
  v: A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
comment:
  v: Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.implicitRules
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: true
is modifier reason:
  v: This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
is summary:
  v: true

id:
  v: Appointment.language
path:
  v: Appointment.language
short:
  v: Language of the resource content
definition:
  v: The base language in which the resource is written.
comment:
  v: Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.language
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet
      l: elementdefinition-maxValueSet
    value: Canonical
      v: http://hl7.org/fhir/ValueSet/all-languages
      l: all-languages
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: Language
  strength:
    v: preferred
  description:
    v: A human language.
  value set:
    v: http://hl7.org/fhir/ValueSet/languages|4.0.1
    l: http://hl7.org/fhir/ValueSet/languages

id:
  v: Appointment.text
path:
  v: Appointment.text
short:
  v: Text summary of the resource, for human interpretation
definition:
  v: A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
comment:
  v: Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
alias:
  v: narrative
alias:
  v: html
alias:
  v: xhtml
alias:
  v: display
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DomainResource.text
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Narrative
    l: Narrative
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: Act.text?

id:
  v: Appointment.contained
path:
  v: Appointment.contained
short:
  v: Contained, inline Resources
definition:
  v: These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
comment:
  v: This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
alias:
  v: inline resources
alias:
  v: anonymous resources
alias:
  v: contained resources
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.contained
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Resource
    l: Resource
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Appointment.extension
path:
  v: Appointment.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  ordered:
    v: false
  rules:
    v: open
short:
  v: Extension
definition:
  v: An Extension
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false

id:
  v: Appointment.extension:resource-serviceConnection
path:
  v: Appointment.extension
slice name:
  v: resource-serviceConnection
short:
  v: Extension
definition:
  v: Extension resource-serviceConnection
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://va.gov/fhir/StructureDefinition/resource-serviceConnection
    l: resource-serviceConnection
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
must support:
  v: true
is modifier:
  v: false
is summary:
  v: false

id:
  v: Appointment.extension:resource-serviceConnection.id
path:
  v: Appointment.extension.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Appointment.extension:resource-serviceConnection.extension
path:
  v: Appointment.extension.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Extension
definition:
  v: An Extension
min:
  v: 0
max:
  v: 0
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false

id:
  v: Appointment.extension:resource-serviceConnection.url
path:
  v: Appointment.extension.url
representation:
  v: xmlAttr
short:
  v: identifies the meaning of the extension
definition:
  v: Source of the definition for the extension code - a logical name or a URL.
comment:
  v: The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Extension.url
  min:
    v: 1
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: uri
      l: uri
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
fixed: Uri
  v: http://va.gov/fhir/StructureDefinition/resource-serviceConnection
  l: resource-serviceConnection
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Appointment.extension:resource-serviceConnection.value[x]
path:
  v: Appointment.extension.value[x]
short:
  v: Value of extension
definition:
  v: Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Extension.value[x]
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Coding
    l: Coding
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice
      l: elementdefinition-bestpractice
    value: Boolean
      v: true
  key:
    v: vaa-13-2033
  severity:
    v: warning
  human:
    v: If (2.98-9.5 > 409.1-.01) is SERVICE CONNECTED then fixed value http://va.gov/fhir/CodeSystem/409.1#SC "Service Connected"
  expression:
    v: true
  source:
    v: http://va.gov/fhir/StructureDefinition/VAAppointment
    l: VAAppointment
constraint:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice
      l: elementdefinition-bestpractice
    value: Boolean
      v: true
  key:
    v: vaa-13-2034
  severity:
    v: warning
  human:
    v: If (2.98-9.5 > 409.1-.01) is Not SERVICE CONNECTED then fixed value http://va.gov/fhir/CodeSystem/409.1#NSC "Not Service Connected"
  expression:
    v: true
  source:
    v: http://va.gov/fhir/StructureDefinition/VAAppointment
    l: VAAppointment
must support:
  v: true
is modifier:
  v: false
is summary:
  v: false
binding:
  strength:
    v: required
  value set:
    v: http://va.gov/fhir/ValueSet/ResourceServiceConnection
    l: ResourceServiceConnection
mapping:
  identity:
    v: vista
  map:
    v: 2033: fixed value = http://va.gov/fhir/CodeSystem/409.1#SC "Service Connected" when APPOINTMENT - APPOINTMENT TYPE > APPOINTMENT TYPE - NAME (2.98-9.5 > 409.1-.01) is SERVICE CONNECTED
mapping:
  identity:
    v: vista
  map:
    v: 2034: fixed value = http://va.gov/fhir/CodeSystem/409.1#NSC "Not Service Connected" when APPOINTMENT - APPOINTMENT TYPE > APPOINTMENT TYPE - NAME (2.98-9.5 > 409.1-.01) is Not SERVICE CONNECTED
mapping:
  identity:
    v: cdw
  map:
    v: Appt.Appointment.AppointmentTypeIEN Dim.AppointmentType.AppointmentType
mapping:
  identity:
    v: sda
  map:
    v: Appointment.Type
mapping:
  identity:
    v: vpr
  map:
    v: appointment.type (>409.1-.01)
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Appointment.modifierExtension
path:
  v: Appointment.modifierExtension
short:
  v: Extensions that cannot be ignored
definition:
  v: May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
requirements:
  v: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Appointment.identifier
path:
  v: Appointment.identifier
short:
  v: External Ids for this item
definition:
  v: This records identifiers associated with this appointment concern that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate (e.g. in CDA documents, or in written / printed documentation).
min:
  v: 0
max:
  v: *
base:
  path:
    v: Appointment.identifier
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Identifier
    l: Identifier
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Request.identifier
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.identifier
mapping:
  identity:
    v: v2
  map:
    v: SCH-1, SCH-2, ARQ-1, ARQ-2
mapping:
  identity:
    v: rim
  map:
    v: .id
mapping:
  identity:
    v: ical
  map:
    v: UID

id:
  v: Appointment.status
path:
  v: Appointment.status
short:
  v: proposed | pending | booked | arrived | fulfilled | cancelled | noshow | entered-in-error | checked-in | waitlist
definition:
  v: The overall status of the Appointment. Each of the participants has their own participation status which indicates their involvement in the process, however this status indicates the shared status.
comment:
  v: If the Appointment's status is "cancelled" then all participants are expected to have their calendars released for the appointment period, and as such any Slots that were marked as BUSY can be re-set to FREE. This element is labeled as a modifier because the status contains the code entered-in-error that mark the Appointment as not currently valid.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Appointment.status
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
    l: code
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice
      l: elementdefinition-bestpractice
    value: Boolean
      v: true
  key:
    v: vaa-13-732
  severity:
    v: warning
  human:
    v: If (2.98-3) is I, NT, Null; Null check-in date (44.003-309), null check-out date (44.003-303) then fixed value #booked
  expression:
    v: true
  source:
    v: http://va.gov/fhir/StructureDefinition/VAAppointment
    l: VAAppointment
constraint:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice
      l: elementdefinition-bestpractice
    value: Boolean
      v: true
  key:
    v: vaa-13-733
  severity:
    v: warning
  human:
    v: If (2.98-3) is I, NT, Null; Non-null check-in date (44.003-309), null check-out date (44.003-303) then fixed value #arrived
  expression:
    v: true
  source:
    v: http://va.gov/fhir/StructureDefinition/VAAppointment
    l: VAAppointment
constraint:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice
      l: elementdefinition-bestpractice
    value: Boolean
      v: true
  key:
    v: vaa-13-734
  severity:
    v: warning
  human:
    v: If (2.98-3) is I, NT, Null; Non-null check-in date (44.003-309), non-null check-out date (44.003-303) then fixed value #fulfilled
  expression:
    v: true
  source:
    v: http://va.gov/fhir/StructureDefinition/VAAppointment
    l: VAAppointment
constraint:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice
      l: elementdefinition-bestpractice
    value: Boolean
      v: true
  key:
    v: vaa-13-748
  severity:
    v: warning
  human:
    v: If (409.3-.01) is not null then fixed value #waitlist
  expression:
    v: true
  source:
    v: http://va.gov/fhir/StructureDefinition/VAAppointment
    l: VAAppointment
must support:
  v: true
is modifier:
  v: true
is modifier reason:
  v: This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
is summary:
  v: true
binding:
  strength:
    v: required
  description:
    v: see mapping [VF_AppointmentStatus](ConceptMap-VF-AppointmentStatus.html)
  value set:
    v: http://va.gov/fhir/ValueSet/AppointmentStatus
    l: AppointmentStatus
mapping:
  identity:
    v: vista
  map:
    v: 731: terminologyMaps using VF_AppointmentStatus on APPOINTMENT - STATUS (2.98-3)
  comment:
    v: simple maps in Terminology; complex defined here.
mapping:
  identity:
    v: vista
  map:
    v: 732: fixed value = #booked when APPOINTMENT - STATUS (2.98-3) is I, NT, Null; Null check-in date (44.003-309), null check-out date (44.003-303)
  comment:
    v: simple maps in Terminology; complex defined here.
mapping:
  identity:
    v: vista
  map:
    v: 733: fixed value = #arrived when APPOINTMENT - STATUS (2.98-3) is I, NT, Null; Non-null check-in date (44.003-309), null check-out date (44.003-303)
  comment:
    v: simple maps in Terminology; complex defined here.
mapping:
  identity:
    v: vista
  map:
    v: 734: fixed value = #fulfilled when APPOINTMENT - STATUS (2.98-3) is I, NT, Null; Non-null check-in date (44.003-309), non-null check-out date (44.003-303)
  comment:
    v: simple maps in Terminology; complex defined here.
mapping:
  identity:
    v: vista
  map:
    v: 748: fixed value = #waitlist when SD WAIT LIST - PATIENT (409.3-.01) is not null
  comment:
    v: LVH returns "Waitlisted". "Waitlisted" is the display value and "waitlist" is the code. This is a required FHIR value set. 3/15/2023 LVH will fix
mapping:
  identity:
    v: cdw
  map:
    v: Appt.Appointment.AppointmentStatus
mapping:
  identity:
    v: cdw
  map:
    v: Appt.WaitList.PatientIEN
mapping:
  identity:
    v: sda
  map:
    v: Appointment.NoShow Appointment.Extension[AppointmentExtension].PatientStatus Appointment.Extension[AppointmentExtension].ServiceStatus
mapping:
  identity:
    v: vpr
  map:
    v: appointment.apptStatus appointment.patientClass appointment.serviceCategory
mapping:
  identity:
    v: workflow
  map:
    v: Request.status
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.status
mapping:
  identity:
    v: v2
  map:
    v: SCH-25
mapping:
  identity:
    v: rim
  map:
    v: .statusCode

identity:
  v: ical
map:
  v: STATUS

id:
  v: Appointment.cancelationReason
path:
  v: Appointment.cancelationReason
short:
  v: The coded reason for the appointment being cancelled
definition:
  v: The coded reason for the appointment being cancelled. This is often used in reporting/billing/futher processing to determine if further actions are required, or specific fees apply.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Appointment.cancelationReason
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is modifier:
  v: false
is summary:
  v: true
binding:
  strength:
    v: required
  description:
    v: see mapping [VF_AppointmentCancellationReason](ConceptMap-VF-AppointmentCancellationReason.html)
  value set:
    v: http://va.gov/fhir/ValueSet/AppointmentCancellationReason
    l: AppointmentCancellationReason
mapping:
  identity:
    v: vista
  map:
    v: 735: terminologyMaps using VF_AppointmentCancellationReason on APPOINTMENT - CANCELLATION REASON (2.98-16)
mapping:
  identity:
    v: cdw
  map:
    v: Appt.Appointment.CancellationReasonIEN
mapping:
  identity:
    v: sda
  map:
    v: Appointment.Extension[AppointmentExtension].CancelReason
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Appointment.serviceCategory
path:
  v: Appointment.serviceCategory
slicing:
  discriminator:
    type:
      v: value
    path:
      v: $this
  rules:
    v: open
short:
  v: A broad categorization of the service that is to be performed during this appointment
definition:
  v: A broad categorization of the service that is to be performed during this appointment.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Appointment.serviceCategory
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: service-category
  strength:
    v: example
  value set:
    v: http://hl7.org/fhir/ValueSet/service-category|4.0.1
    l: http://hl7.org/fhir/ValueSet/service-category
mapping:
  identity:
    v: rim
  map:
    v: n/a, might be inferred from the ServiceDeliveryLocation
mapping:
  identity:
    v: ical
  map:
    v: CATEGORIES

id:
  v: Appointment.serviceCategory:va-stopcode
path:
  v: Appointment.serviceCategory
slice name:
  v: va-stopcode
short:
  v: A broad categorization of the service that is to be performed during this appointment
definition:
  v: A broad categorization of the service that is to be performed during this appointment.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Appointment.serviceCategory
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
pattern: CodeableConcept
  coding:
    system:
      v: http://va.gov/fhir/CodeSystem/409.3-13.4
      l: http://va.gov/fhir/CodeSystem/409.3-13.4
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: service-category
  strength:
    v: example
  value set:
    v: http://hl7.org/fhir/ValueSet/service-category|4.0.1
    l: http://hl7.org/fhir/ValueSet/service-category
mapping:
  identity:
    v: rim
  map:
    v: n/a, might be inferred from the ServiceDeliveryLocation
mapping:
  identity:
    v: ical
  map:
    v: CATEGORIES

id:
  v: Appointment.serviceCategory:va-stopcode.id
path:
  v: Appointment.serviceCategory.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Appointment.serviceCategory:va-stopcode.extension
path:
  v: Appointment.serviceCategory.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Appointment.serviceCategory:va-stopcode.coding
path:
  v: Appointment.serviceCategory.coding
short:
  v: Code defined by a terminology system
definition:
  v: A reference to a code defined by a terminology system.
comment:
  v: Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
requirements:
  v: Allows for alternative encodings within a code system, and translations to other code systems.
min:
  v: 0
max:
  v: *
base:
  path:
    v: CodeableConcept.coding
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Coding
    l: Coding
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: C*E.1-8, C*E.10-22
mapping:
  identity:
    v: rim
  map:
    v: union(., ./translation)
mapping:
  identity:
    v: orim
  map:
    v: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding

id:
  v: Appointment.serviceCategory:va-stopcode.coding.id
path:
  v: Appointment.serviceCategory.coding.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Appointment.serviceCategory:va-stopcode.coding.extension
path:
  v: Appointment.serviceCategory.coding.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Appointment.serviceCategory:va-stopcode.coding.system
path:
  v: Appointment.serviceCategory.coding.system
short:
  v: Identity of the terminology system
definition:
  v: The identification of the code system that defines the meaning of the symbol in the code.
comment:
  v: The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
requirements:
  v: Need to be unambiguous about the source of the definition of the symbol.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Coding.system
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: vista
  map:
    v: 749a: fixed value = http://va.gov/fhir/CodeSystem/409.3-13.4
  comment:
    v: mapParameter line 1
mapping:
  identity:
    v: cdw
  map:
    v: Appt.WaitList.AppointmentPrimaryStopCodeIEN
mapping:
  identity:
    v: v2
  map:
    v: C*E.3
mapping:
  identity:
    v: rim
  map:
    v: ./codeSystem
mapping:
  identity:
    v: orim
  map:
    v: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem

id:
  v: Appointment.serviceCategory:va-stopcode.coding.version
path:
  v: Appointment.serviceCategory.coding.version
short:
  v: Version of the system - if relevant
definition:
  v: The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.
comment:
  v: Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Coding.version
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: C*E.7
mapping:
  identity:
    v: rim
  map:
    v: ./codeSystemVersion
mapping:
  identity:
    v: orim
  map:
    v: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion

id:
  v: Appointment.serviceCategory:va-stopcode.coding.code
path:
  v: Appointment.serviceCategory.coding.code
short:
  v: Symbol in syntax defined by the system
definition:
  v: A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
requirements:
  v: Need to refer to a particular code in the system.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Coding.code
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: vista
  map:
    v: 749: source value based on SD WAIT LIST - APPT STOP CODE (409.3-13.4)
mapping:
  identity:
    v: cdw
  map:
    v: Appt.WaitList.AppointmentPrimaryStopCodeIEN
mapping:
  identity:
    v: v2
  map:
    v: C*E.1
mapping:
  identity:
    v: rim
  map:
    v: ./code
mapping:
  identity:
    v: orim
  map:
    v: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code

id:
  v: Appointment.serviceCategory:va-stopcode.coding.display
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
    l: elementdefinition-translatable
  value: Boolean
    v: true
path:
  v: Appointment.serviceCategory.coding.display
short:
  v: Representation defined by the system
definition:
  v: A representation of the meaning of the code in the system, following the rules of the system.
requirements:
  v: Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Coding.display
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: C*E.2 - but note this is not well followed
mapping:
  identity:
    v: rim
  map:
    v: CV.displayName
mapping:
  identity:
    v: orim
  map:
    v: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName

id:
  v: Appointment.serviceCategory:va-stopcode.coding.userSelected
path:
  v: Appointment.serviceCategory.coding.userSelected
short:
  v: If this coding was chosen directly by the user
definition:
  v: Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).
comment:
  v: Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
requirements:
  v: This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Coding.userSelected
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: boolean
    l: boolean
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: Sometimes implied by being first
mapping:
  identity:
    v: rim
  map:
    v: CD.codingRationale
mapping:
  identity:
    v: orim
  map:
    v: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]

id:
  v: Appointment.serviceCategory:va-stopcode.text
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
    l: elementdefinition-translatable
  value: Boolean
    v: true
path:
  v: Appointment.serviceCategory.text
short:
  v: Plain text representation of the concept
definition:
  v: A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
comment:
  v: Very often the text is the same as a displayName of one of the codings.
requirements:
  v: The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: CodeableConcept.text
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: C*E.9. But note many systems use C*E.2 for this
mapping:
  identity:
    v: rim
  map:
    v: ./originalText[mediaType/code="text/plain"]/data
mapping:
  identity:
    v: orim
  map:
    v: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText

id:
  v: Appointment.serviceType
path:
  v: Appointment.serviceType
short:
  v: The specific service that is to be performed during this appointment
definition:
  v: The specific service that is to be performed during this appointment.
comment:
  v: For a provider to provider appointment the code "FOLLOWUP" may be appropriate, as this is expected to be discussing some patient that was seen in the past.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Appointment.serviceType
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: service-type
  strength:
    v: example
  value set:
    v: http://hl7.org/fhir/ValueSet/service-type|4.0.1
    l: http://hl7.org/fhir/ValueSet/service-type
mapping:
  identity:
    v: workflow
  map:
    v: Request.code
mapping:
  identity:
    v: rim
  map:
    v: n/a, might be inferred from the ServiceDeliveryLocation

id:
  v: Appointment.specialty
path:
  v: Appointment.specialty
short:
  v: The specialty of a practitioner that would be required to perform the service requested in this appointment
definition:
  v: The specialty of a practitioner that would be required to perform the service requested in this appointment.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Appointment.specialty
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: specialty
  strength:
    v: preferred
  value set:
    v: http://hl7.org/fhir/ValueSet/c80-practice-codes|4.0.1
    l: http://hl7.org/fhir/ValueSet/c80-practice-codes
mapping:
  identity:
    v: vista
  map:
    v: 739: target not supported
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.class
mapping:
  identity:
    v: rim
  map:
    v: .performer.AssignedPerson.code

id:
  v: Appointment.appointmentType
path:
  v: Appointment.appointmentType
short:
  v: The style of appointment or patient that has been booked in the slot (not service type)
definition:
  v: The style of appointment or patient that has been booked in the slot (not service type).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Appointment.appointmentType
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: appointment-type
  strength:
    v: preferred
  value set:
    v: http://terminology.hl7.org/ValueSet/v2-0276
    l: v2-0276
mapping:
  identity:
    v: v2
  map:
    v: ARQ-7
mapping:
  identity:
    v: rim
  map:
    v: .code
mapping:
  identity:
    v: ical
  map:
    v: CLASSIFICATION

id:
  v: Appointment.appointmentType.id
path:
  v: Appointment.appointmentType.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Appointment.appointmentType.extension
path:
  v: Appointment.appointmentType.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Appointment.appointmentType.coding
path:
  v: Appointment.appointmentType.coding
short:
  v: Code defined by a terminology system
definition:
  v: A reference to a code defined by a terminology system.
comment:
  v: Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
requirements:
  v: Allows for alternative encodings within a code system, and translations to other code systems.
min:
  v: 0
max:
  v: *
base:
  path:
    v: CodeableConcept.coding
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Coding
    l: Coding
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: C*E.1-8, C*E.10-22
mapping:
  identity:
    v: rim
  map:
    v: union(., ./translation)
mapping:
  identity:
    v: orim
  map:
    v: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding

id:
  v: Appointment.appointmentType.text
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
    l: elementdefinition-translatable
  value: Boolean
    v: true
path:
  v: Appointment.appointmentType.text
short:
  v: Plain text representation of the concept
definition:
  v: A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
comment:
  v: Very often the text is the same as a displayName of one of the codings.
requirements:
  v: The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: CodeableConcept.text
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: vista
  map:
    v: 740: source value based on APPOINTMENT - APPOINTMENT TYPE > APPOINTMENT TYPE - NAME (2.98-9.5 > 409.1-.01)
mapping:
  identity:
    v: cdw
  map:
    v: Appt.Appointment.AppointmentTypeIEN Dim.AppointmentType.AppointmentType
mapping:
  identity:
    v: sda
  map:
    v: Appointment.Type
mapping:
  identity:
    v: vpr
  map:
    v: appointment.type (>409.1-.01)
mapping:
  identity:
    v: v2
  map:
    v: C*E.9. But note many systems use C*E.2 for this
mapping:
  identity:
    v: rim
  map:
    v: ./originalText[mediaType/code="text/plain"]/data
mapping:
  identity:
    v: orim
  map:
    v: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText

id:
  v: Appointment.reasonCode
path:
  v: Appointment.reasonCode
short:
  v: Coded reason this appointment is scheduled
definition:
  v: The coded reason that this appointment is being scheduled. This is more clinical than administrative.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Appointment.reasonCode
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: ApptReason
  strength:
    v: preferred
  description:
    v: The Reason for the appointment to take place.
  value set:
    v: http://hl7.org/fhir/ValueSet/encounter-reason|4.0.1
    l: http://hl7.org/fhir/ValueSet/encounter-reason
mapping:
  identity:
    v: vista
  map:
    v: 741: target not supported
mapping:
  identity:
    v: workflow
  map:
    v: Request.reasonCode
mapping:
  identity:
    v: v2
  map:
    v: AIS-3, SCH-7
mapping:
  identity:
    v: rim
  map:
    v: .reasonCode

id:
  v: Appointment.reasonReference
path:
  v: Appointment.reasonReference
short:
  v: Reason the appointment is to take place (resource)
definition:
  v: Reason the appointment has been scheduled to take place, as specified using information from another resource. When the patient arrives and the encounter begins it may be used as the admission diagnosis. The indication will typically be a Condition (with other resources referenced in the evidence.detail), or a Procedure.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Appointment.reasonReference
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Condition|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/Condition
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Procedure|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/Procedure
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Observation|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/Observation
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: vista
  map:
    v: 742: target not supported
mapping:
  identity:
    v: workflow
  map:
    v: Request.reasonReference
mapping:
  identity:
    v: rim
  map:
    v: .inboundRelationship[@typeCode = 'RSON'].observation

id:
  v: Appointment.priority
path:
  v: Appointment.priority
short:
  v: Used to make informed decisions if needing to re-prioritize
definition:
  v: The priority of the appointment. Can be used to make informed decisions if needing to re-prioritize appointments. (The iCal Standard specifies 0 as undefined, 1 as highest, 9 as lowest priority).
comment:
  v: Seeking implementer feedback on this property and how interoperable it is. Using an extension to record a CodeableConcept for named values may be tested at a future connectathon.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Appointment.priority
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: unsignedInt
    l: unsignedInt
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: workflow
  map:
    v: Request.priority
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.class
mapping:
  identity:
    v: v2
  map:
    v: ARQ-12, SCH-11.6 / TQ1-9
mapping:
  identity:
    v: rim
  map:
    v: .priorityCode
mapping:
  identity:
    v: ical
  map:
    v: PRIORITY

id:
  v: Appointment.description
path:
  v: Appointment.description
short:
  v: Shown on a subject line in a meeting request, or appointment list
definition:
  v: The brief description of the appointment as would be shown on a subject line in a meeting request, or appointment list. Detailed or expanded information should be put in the comment field.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Appointment.description
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: vista
  map:
    v: 1791: source value based on APPOINTMENT - APPOINTMENT TYPE > APPOINTMENT TYPE - DESCRIPTION (2.98-9.5 > 409.1-10)
  comment:
    v: Added after PHAPI gap analysis to match PHAPI fields
mapping:
  identity:
    v: cdw
  map:
    v: Appt.Appointment.AppointmentTypeIEN
mapping:
  identity:
    v: sda
  map:
    v: Appointment.Type
mapping:
  identity:
    v: vpr
  map:
    v: appointment.type (>409.1-.01)
mapping:
  identity:
    v: v2
  map:
    v: NTE-3
mapping:
  identity:
    v: rim
  map:
    v: .text
mapping:
  identity:
    v: ical
  map:
    v: SUMMARY

id:
  v: Appointment.supportingInformation
path:
  v: Appointment.supportingInformation
short:
  v: Additional information to support the appointment
definition:
  v: Additional information to support the appointment provided when making the appointment.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Appointment.supportingInformation
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Resource|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/Resource
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: workflow
  map:
    v: Request.supportingInfo
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.context
mapping:
  identity:
    v: rim
  map:
    v: .inboundRelationship[@typeCode = 'SPRT'].observation
mapping:
  identity:
    v: ical
  map:
    v: ATTACH

id:
  v: Appointment.start
path:
  v: Appointment.start
short:
  v: When appointment is to take place
definition:
  v: Date/Time that the appointment is to take place.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Appointment.start
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: instant
    l: instant
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: vista
  map:
    v: 743: source value based on APPOINTMENT - APPOINTMENT DATE/TIME (2.98-.001)
mapping:
  identity:
    v: vista
  map:
    v: 750: source value based on SD WAIT LIST - DESIRED DATE OF APPOINTMENT (409.3-22)
mapping:
  identity:
    v: cdw
  map:
    v: Appt.Appointment.AppointmentDateTime
mapping:
  identity:
    v: cdw
  map:
    v: Appt.WaitList.AppointmentDesiredDate
mapping:
  identity:
    v: vpr
  map:
    v: appointment.dateTime appointment.id appointment.visitString
mapping:
  identity:
    v: workflow
  map:
    v: Request.occurrence[x]
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.init
mapping:
  identity:
    v: v2
  map:
    v: ARQ-11.1, SCH-11.4 / TQ1-7
mapping:
  identity:
    v: rim
  map:
    v: .effectiveTime.low
mapping:
  identity:
    v: ical
  map:
    v: DTSTART

id:
  v: Appointment.end
path:
  v: Appointment.end
short:
  v: When appointment is to conclude
definition:
  v: Date/Time that the appointment is to conclude.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Appointment.end
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: instant
    l: instant
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: vista
  map:
    v: 1612: source value based on APPOINTMENT - OUTPATIENT ENCOUNTER > OUTPATIENT ENCOUNTER - CHECK OUT PROCESS COMPLETION (2.98-21 > 409.68-.07)
  comment:
    v: Added to meet FHIR Core constraint app-2
mapping:
  identity:
    v: cdw
  map:
    v: Appt.Appointment.VisitIEN Outpat.Visit.COProcessCompleteDateTime Outpat.Workload.COProcessCompleteDateTime
mapping:
  identity:
    v: sda
  map:
    v: Appointment.CareProvider Appointment.EncounterNumber Appointment.Extension[AppointmentExtension].AssociatedEncounterNumber
mapping:
  identity:
    v: workflow
  map:
    v: Request.occurrence[x]
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.done[x]
mapping:
  identity:
    v: v2
  map:
    v: SCH-11.5 / TQ1-8/ calculated based on the start and the duration which is in ARQ-9
mapping:
  identity:
    v: rim
  map:
    v: .effectiveTime.high
mapping:
  identity:
    v: ical
  map:
    v: DTEND

id:
  v: Appointment.minutesDuration
path:
  v: Appointment.minutesDuration
short:
  v: Can be less than start/end (e.g. estimate)
definition:
  v: Number of minutes that the appointment is to take. This can be less than the duration between the start and end times. For example, where the actual time of appointment is only an estimate or if a 30 minute appointment is being requested, but any time would work. Also, if there is, for example, a planned 15 minute break in the middle of a long appointment, the duration may be 15 minutes less than the difference between the start and end.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Appointment.minutesDuration
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: positiveInt
    l: positiveInt
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: vista
  map:
    v: 744: source value based on PATIENT - LENGTH OF APP'T (44.003-1)
  comment:
    v: This field is associated with appointment in CDW, but VistA does not document the association.
mapping:
  identity:
    v: cdw
  map:
    v: Appt.Appointment.LengthOfAppointment Appt.AppointmentMultiple.LengthOfAppointment
mapping:
  identity:
    v: sda
  map:
    v: Appointment.Extension[AppointmentExtension].Length
mapping:
  identity:
    v: workflow
  map:
    v: Request.occurrence[x]
mapping:
  identity:
    v: rim
  map:
    v: .activityTime[@xsi:type = ('SXPR_TS', 'PIVL_TS')].width
mapping:
  identity:
    v: ical
  map:
    v: DURATION (e.g. PT15M)

id:
  v: Appointment.slot
path:
  v: Appointment.slot
short:
  v: The slots that this appointment is filling
definition:
  v: The slots from the participants' schedules that will be filled by the appointment.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Appointment.slot
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Slot|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/Slot
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[@typeCode = 'REFR'].act[@classCode = 'ACT'][@moodCode = 'SLOT']

id:
  v: Appointment.created
path:
  v: Appointment.created
short:
  v: The date that this appointment was initially created
definition:
  v: The date that this appointment was initially created. This could be different to the meta.lastModified value on the initial entry, as this could have been before the resource was created on the FHIR server, and should remain unchanged over the lifespan of the appointment.
comment:
  v: This property is required for many use cases where the age of an appointment is considered in processing workflows for scheduling and billing of appointments.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Appointment.created
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: dateTime
    l: dateTime
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: vista
  map:
    v: 745: source value based on APPOINTMENT - DATE APPT. MADE (2.98-20)
mapping:
  identity:
    v: vista
  map:
    v: 751: source value based on SD WAIT LIST - ORIGINATING DATE (409.3-1)
mapping:
  identity:
    v: cdw
  map:
    v: Appt.Appointment.AppointmentMadeDate
mapping:
  identity:
    v: cdw
  map:
    v: Appt.WaitList.OriginatingDate
mapping:
  identity:
    v: sda
  map:
    v: Appointment.EnteredOn
mapping:
  identity:
    v: workflow
  map:
    v: Request.authoredOn
mapping:
  identity:
    v: rim
  map:
    v: .author.time
mapping:
  identity:
    v: ical
  map:
    v: CREATED

id:
  v: Appointment.comment
path:
  v: Appointment.comment
short:
  v: Additional comments
definition:
  v: Additional comments about the appointment.
comment:
  v: Additional text to aid in facilitating the appointment. For instance, a comment might be, "patient should proceed immediately to infusion room upon arrival" Where this is a planned appointment and the start/end dates are not set then this field can be used to provide additional guidance on the details of the appointment request, including any restrictions on when to book it.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Appointment.comment
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: vista
  map:
    v: 752: source value based on SD WAIT LIST - COMMENTS (409.3-25)
mapping:
  identity:
    v: cdw
  map:
    v: Appt.WaitList.WaitListComments
mapping:
  identity:
    v: workflow
  map:
    v: Request.note
mapping:
  identity:
    v: v2
  map:
    v: NTE-3
mapping:
  identity:
    v: rim
  map:
    v: .subjectOf.observation[@moodCode = 'EVN'][code = 'annotation'].value
mapping:
  identity:
    v: ical
  map:
    v: DESCRIPTION (for internal use)

id:
  v: Appointment.patientInstruction
path:
  v: Appointment.patientInstruction
short:
  v: Detailed information and instructions for the patient
definition:
  v: While Appointment.comment contains information for internal use, Appointment.patientInstructions is used to capture patient facing information about the Appointment (e.g. please bring your referral or fast from 8pm night before).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Appointment.patientInstruction
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: v2
  map:
    v: NTE-3
mapping:
  identity:
    v: rim
  map:
    v: .subjectOf.observation[@moodCode = 'EVN'][code = 'annotation'].value
mapping:
  identity:
    v: ical
  map:
    v: DESCRIPTION (for patient use)

id:
  v: Appointment.basedOn
path:
  v: Appointment.basedOn
short:
  v: The service request this appointment is allocated to assess
definition:
  v: The service request this appointment is allocated to assess (e.g. incoming referral or procedure request).
alias:
  v: incomingReferral
min:
  v: 0
max:
  v: *
base:
  path:
    v: Appointment.basedOn
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/ServiceRequest|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/ServiceRequest
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: workflow
  map:
    v: Request.basedOn
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[@typeCode = 'FLFS'].act[@classCode < 'ActCareProvisionRequestType'][@moodCode = 'RQO']

id:
  v: Appointment.participant
path:
  v: Appointment.participant
slicing:
  discriminator:
    type:
      v: value
    path:
      v: $this
  rules:
    v: open
short:
  v: Participants involved in appointment
definition:
  v: List of participants involved in the appointment.
min:
  v: 1
max:
  v: *
base:
  path:
    v: Appointment.participant
  min:
    v: 1
  max:
    v: *
type:
  code:
    v: BackboneElement
    l: BackboneElement
constraint:
  key:
    v: app-1
  severity:
    v: error
  human:
    v: Either the type or actor on the participant SHALL be specified
  expression:
    v: type.exists() or actor.exists()
  xpath:
    v: (exists(f:type) or exists(f:actor))
  source:
    v: http://hl7.org/fhir/StructureDefinition/Appointment
    l: Appointment
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: workflow
  map:
    v: Request.performer, Request.subject
mapping:
  identity:
    v: v2
  map:
    v: PID, AIP, AIG, AIL
mapping:
  identity:
    v: rim
  map:
    v: performer | reusableDevice | subject | location
mapping:
  identity:
    v: ical
  map:
    v: ATTENDEE component to be created

id:
  v: Appointment.participant.id
path:
  v: Appointment.participant.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Appointment.participant.extension
path:
  v: Appointment.participant.extension
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Appointment.participant.modifierExtension
path:
  v: Appointment.participant.modifierExtension
short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
requirements:
  v: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Appointment.participant.type
path:
  v: Appointment.participant.type
short:
  v: Role of participant in the appointment
definition:
  v: Role of participant in the appointment.
comment:
  v: The role of the participant can be used to declare what the actor will be doing in the scope of this appointment. If the actor is not specified, then it is expected that the actor will be filled in at a later stage of planning. This value SHALL be the same when creating an AppointmentResponse so that they can be matched, and subsequently update the Appointment.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Appointment.participant.type
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: ParticipantType
  strength:
    v: extensible
  description:
    v: Role of participant in encounter.
  value set:
    v: http://hl7.org/fhir/ValueSet/encounter-participant-type|4.0.1
    l: http://hl7.org/fhir/ValueSet/encounter-participant-type
mapping:
  identity:
    v: v2
  map:
    v: AIP-4, AIG-4
mapping:
  identity:
    v: rim
  map:
    v: (performer | reusableDevice | subject | location).@typeCode
mapping:
  identity:
    v: ical
  map:
    v: n/a

id:
  v: Appointment.participant.actor
path:
  v: Appointment.participant.actor
short:
  v: Person, Location/HealthcareService or Device
definition:
  v: A Person, Location/HealthcareService or Device that is participating in the appointment.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Appointment.participant.actor
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Patient|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/Patient
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/Practitioner
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/PractitionerRole
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/RelatedPerson
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Device|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/Device
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/HealthcareService|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/HealthcareService
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Location|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/Location
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.who
mapping:
  identity:
    v: v2
  map:
    v: PID-3-Patient ID List | AIL-3 | AIG-3 | AIP-3
mapping:
  identity:
    v: rim
  map:
    v: performer.person | reusableDevice.manufacturedDevice | subject.patient | location.serviceDeliveryLocation
mapping:
  identity:
    v: ical
  map:
    v: ATTENDEE: (Need to provide the common name CN and also the MAILTO properties from the practitioner resource) where the participant type is not "information-only"

id:
  v: Appointment.participant.required
path:
  v: Appointment.participant.required
short:
  v: required | optional | information-only
definition:
  v: Whether this participant is required to be present at the meeting. This covers a use-case where two doctors need to meet to discuss the results for a specific patient, and the patient is not required to be present.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Appointment.participant.required
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: ParticipantRequired
  strength:
    v: required
  description:
    v: Is the Participant required to attend the appointment.
  value set:
    v: http://hl7.org/fhir/ValueSet/participantrequired|4.0.1
    l: http://hl7.org/fhir/ValueSet/participantrequired
mapping:
  identity:
    v: rim
  map:
    v: (performer | reusableDevice | subject | location).@performInd
mapping:
  identity:
    v: ical
  map:
    v: ROLE=REQ-PARTICIPANT (roleparam)

id:
  v: Appointment.participant.status
path:
  v: Appointment.participant.status
short:
  v: accepted | declined | tentative | needs-action
definition:
  v: Participation status of the actor.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Appointment.participant.status
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
    l: code
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: ParticipationStatus
  strength:
    v: required
  description:
    v: The Participation status of an appointment.
  value set:
    v: http://hl7.org/fhir/ValueSet/participationstatus|4.0.1
    l: http://hl7.org/fhir/ValueSet/participationstatus
mapping:
  identity:
    v: v2
  map:
    v: AIP-12, AIG-14
mapping:
  identity:
    v: rim
  map:
    v: (performer | reusableDevice | subject | location).statusCode
mapping:
  identity:
    v: ical
  map:
    v: ATTENDEE;CN="John Doe";RSVP=TRUE:mailto:john@doe.com (rsvpparam | partstatparam)

id:
  v: Appointment.participant.period
path:
  v: Appointment.participant.period
short:
  v: Participation period of the actor
definition:
  v: Participation period of the actor.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Appointment.participant.period
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Period
    l: Period
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Appointment.participant:va-clinic
path:
  v: Appointment.participant
slice name:
  v: va-clinic
short:
  v: Participants involved in appointment
definition:
  v: List of participants involved in the appointment.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Appointment.participant
  min:
    v: 1
  max:
    v: *
type:
  code:
    v: BackboneElement
    l: BackboneElement
constraint:
  key:
    v: app-1
  severity:
    v: error
  human:
    v: Either the type or actor on the participant SHALL be specified
  expression:
    v: type.exists() or actor.exists()
  xpath:
    v: (exists(f:type) or exists(f:actor))
  source:
    v: http://hl7.org/fhir/StructureDefinition/Appointment
    l: Appointment
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: workflow
  map:
    v: Request.performer, Request.subject
mapping:
  identity:
    v: v2
  map:
    v: PID, AIP, AIG, AIL
mapping:
  identity:
    v: rim
  map:
    v: performer | reusableDevice | subject | location
mapping:
  identity:
    v: ical
  map:
    v: ATTENDEE component to be created

id:
  v: Appointment.participant:va-clinic.id
path:
  v: Appointment.participant.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Appointment.participant:va-clinic.extension
path:
  v: Appointment.participant.extension
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Appointment.participant:va-clinic.modifierExtension
path:
  v: Appointment.participant.modifierExtension
short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
requirements:
  v: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Appointment.participant:va-clinic.type
path:
  v: Appointment.participant.type
short:
  v: Role of participant in the appointment
definition:
  v: Role of participant in the appointment.
comment:
  v: The role of the participant can be used to declare what the actor will be doing in the scope of this appointment. If the actor is not specified, then it is expected that the actor will be filled in at a later stage of planning. This value SHALL be the same when creating an AppointmentResponse so that they can be matched, and subsequently update the Appointment.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Appointment.participant.type
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: ParticipantType
  strength:
    v: extensible
  description:
    v: Role of participant in encounter.
  value set:
    v: http://hl7.org/fhir/ValueSet/encounter-participant-type|4.0.1
    l: http://hl7.org/fhir/ValueSet/encounter-participant-type
mapping:
  identity:
    v: v2
  map:
    v: AIP-4, AIG-4
mapping:
  identity:
    v: rim
  map:
    v: (performer | reusableDevice | subject | location).@typeCode
mapping:
  identity:
    v: ical
  map:
    v: n/a

id:
  v: Appointment.participant:va-clinic.type.id
path:
  v: Appointment.participant.type.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Appointment.participant:va-clinic.type.extension
path:
  v: Appointment.participant.type.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Appointment.participant:va-clinic.type.coding
path:
  v: Appointment.participant.type.coding
short:
  v: Code defined by a terminology system
definition:
  v: A reference to a code defined by a terminology system.
comment:
  v: Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
requirements:
  v: Allows for alternative encodings within a code system, and translations to other code systems.
min:
  v: 0
max:
  v: *
base:
  path:
    v: CodeableConcept.coding
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Coding
    l: Coding
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: C*E.1-8, C*E.10-22
mapping:
  identity:
    v: rim
  map:
    v: union(., ./translation)
mapping:
  identity:
    v: orim
  map:
    v: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding

id:
  v: Appointment.participant:va-clinic.type.coding.id
path:
  v: Appointment.participant.type.coding.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Appointment.participant:va-clinic.type.coding.extension
path:
  v: Appointment.participant.type.coding.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Appointment.participant:va-clinic.type.coding.system
path:
  v: Appointment.participant.type.coding.system
short:
  v: Identity of the terminology system
definition:
  v: The identification of the code system that defines the meaning of the symbol in the code.
comment:
  v: The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
requirements:
  v: Need to be unambiguous about the source of the definition of the symbol.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Coding.system
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: C*E.3
mapping:
  identity:
    v: rim
  map:
    v: ./codeSystem
mapping:
  identity:
    v: orim
  map:
    v: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem

id:
  v: Appointment.participant:va-clinic.type.coding.version
path:
  v: Appointment.participant.type.coding.version
short:
  v: Version of the system - if relevant
definition:
  v: The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.
comment:
  v: Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Coding.version
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: C*E.7
mapping:
  identity:
    v: rim
  map:
    v: ./codeSystemVersion
mapping:
  identity:
    v: orim
  map:
    v: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion

id:
  v: Appointment.participant:va-clinic.type.coding.code
path:
  v: Appointment.participant.type.coding.code
short:
  v: Symbol in syntax defined by the system
definition:
  v: A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
requirements:
  v: Need to refer to a particular code in the system.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Coding.code
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
pattern: Code
  v: PART
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: vista
  map:
    v: 746a: fixed value = #PART
  comment:
    v: mapParameter line 1
mapping:
  identity:
    v: cdw
  map:
    v: Appt.Appointment.LocationIEN
mapping:
  identity:
    v: sda
  map:
    v: Appointment.CareProvider Appointment.EnteredAt Appointment.Location Appointment.PlacerApptId Appointment.Type
mapping:
  identity:
    v: vpr
  map:
    v: appointment.clinicStop (>44-8) appointment.facility (>44-3) appointment.id appointment.provider (>44-2600) appointment.service (>44-9) appointment.visitString
mapping:
  identity:
    v: v2
  map:
    v: C*E.1
mapping:
  identity:
    v: rim
  map:
    v: ./code
mapping:
  identity:
    v: orim
  map:
    v: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code

id:
  v: Appointment.participant:va-clinic.type.coding.display
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
    l: elementdefinition-translatable
  value: Boolean
    v: true
path:
  v: Appointment.participant.type.coding.display
short:
  v: Representation defined by the system
definition:
  v: A representation of the meaning of the code in the system, following the rules of the system.
requirements:
  v: Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Coding.display
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: C*E.2 - but note this is not well followed
mapping:
  identity:
    v: rim
  map:
    v: CV.displayName
mapping:
  identity:
    v: orim
  map:
    v: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName

id:
  v: Appointment.participant:va-clinic.type.coding.userSelected
path:
  v: Appointment.participant.type.coding.userSelected
short:
  v: If this coding was chosen directly by the user
definition:
  v: Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).
comment:
  v: Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
requirements:
  v: This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Coding.userSelected
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: boolean
    l: boolean
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: Sometimes implied by being first
mapping:
  identity:
    v: rim
  map:
    v: CD.codingRationale
mapping:
  identity:
    v: orim
  map:
    v: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]

id:
  v: Appointment.participant:va-clinic.type.text
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
    l: elementdefinition-translatable
  value: Boolean
    v: true
path:
  v: Appointment.participant.type.text
short:
  v: Plain text representation of the concept
definition:
  v: A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
comment:
  v: Very often the text is the same as a displayName of one of the codings.
requirements:
  v: The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: CodeableConcept.text
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: C*E.9. But note many systems use C*E.2 for this
mapping:
  identity:
    v: rim
  map:
    v: ./originalText[mediaType/code="text/plain"]/data
mapping:
  identity:
    v: orim
  map:
    v: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText

id:
  v: Appointment.participant:va-clinic.actor
path:
  v: Appointment.participant.actor
short:
  v: Person, Location/HealthcareService or Device
definition:
  v: A Person, Location/HealthcareService or Device that is participating in the appointment.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Appointment.participant.actor
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://va.gov/fhir/StructureDefinition/VALocation
    l: VALocation
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: vista
  map:
    v: 746: reference based on APPOINTMENT - CLINIC (2.98-.01)
mapping:
  identity:
    v: cdw
  map:
    v: Appt.Appointment.LocationIEN
mapping:
  identity:
    v: sda
  map:
    v: Appointment.CareProvider Appointment.EnteredAt Appointment.Location Appointment.PlacerApptId Appointment.Type
mapping:
  identity:
    v: vpr
  map:
    v: appointment.clinicStop (>44-8) appointment.facility (>44-3) appointment.id appointment.provider (>44-2600) appointment.service (>44-9) appointment.visitString
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.who
mapping:
  identity:
    v: v2
  map:
    v: PID-3-Patient ID List | AIL-3 | AIG-3 | AIP-3
mapping:
  identity:
    v: rim
  map:
    v: performer.person | reusableDevice.manufacturedDevice | subject.patient | location.serviceDeliveryLocation
mapping:
  identity:
    v: ical
  map:
    v: ATTENDEE: (Need to provide the common name CN and also the MAILTO properties from the practitioner resource) where the participant type is not "information-only"

id:
  v: Appointment.participant:va-clinic.required
path:
  v: Appointment.participant.required
short:
  v: required | optional | information-only
definition:
  v: Whether this participant is required to be present at the meeting. This covers a use-case where two doctors need to meet to discuss the results for a specific patient, and the patient is not required to be present.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Appointment.participant.required
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: ParticipantRequired
  strength:
    v: required
  description:
    v: Is the Participant required to attend the appointment.
  value set:
    v: http://hl7.org/fhir/ValueSet/participantrequired|4.0.1
    l: http://hl7.org/fhir/ValueSet/participantrequired
mapping:
  identity:
    v: rim
  map:
    v: (performer | reusableDevice | subject | location).@performInd
mapping:
  identity:
    v: ical
  map:
    v: ROLE=REQ-PARTICIPANT (roleparam)

id:
  v: Appointment.participant:va-clinic.status
path:
  v: Appointment.participant.status
short:
  v: accepted | declined | tentative | needs-action
definition:
  v: Participation status of the actor.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Appointment.participant.status
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
    l: code
pattern: Code
  v: accepted
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: ParticipationStatus
  strength:
    v: required
  description:
    v: The Participation status of an appointment.
  value set:
    v: http://hl7.org/fhir/ValueSet/participationstatus|4.0.1
    l: http://hl7.org/fhir/ValueSet/participationstatus
mapping:
  identity:
    v: vista
  map:
    v: 746b: fixed value = #accepted
  comment:
    v: mapParameter line 2
mapping:
  identity:
    v: cdw
  map:
    v: Appt.Appointment.LocationIEN
mapping:
  identity:
    v: sda
  map:
    v: Appointment.CareProvider Appointment.EnteredAt Appointment.Location Appointment.PlacerApptId Appointment.Type
mapping:
  identity:
    v: vpr
  map:
    v: appointment.clinicStop (>44-8) appointment.facility (>44-3) appointment.id appointment.provider (>44-2600) appointment.service (>44-9) appointment.visitString
mapping:
  identity:
    v: v2
  map:
    v: AIP-12, AIG-14
mapping:
  identity:
    v: rim
  map:
    v: (performer | reusableDevice | subject | location).statusCode
mapping:
  identity:
    v: ical
  map:
    v: ATTENDEE;CN="John Doe";RSVP=TRUE:mailto:john@doe.com (rsvpparam | partstatparam)

id:
  v: Appointment.participant:va-clinic.period
path:
  v: Appointment.participant.period
short:
  v: Participation period of the actor
definition:
  v: Participation period of the actor.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Appointment.participant.period
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Period
    l: Period
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Appointment.participant:va-patient
path:
  v: Appointment.participant
slice name:
  v: va-patient
short:
  v: Participants involved in appointment
definition:
  v: List of participants involved in the appointment.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Appointment.participant
  min:
    v: 1
  max:
    v: *
type:
  code:
    v: BackboneElement
    l: BackboneElement
constraint:
  key:
    v: app-1
  severity:
    v: error
  human:
    v: Either the type or actor on the participant SHALL be specified
  expression:
    v: type.exists() or actor.exists()
  xpath:
    v: (exists(f:type) or exists(f:actor))
  source:
    v: http://hl7.org/fhir/StructureDefinition/Appointment
    l: Appointment
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: workflow
  map:
    v: Request.performer, Request.subject
mapping:
  identity:
    v: v2
  map:
    v: PID, AIP, AIG, AIL
mapping:
  identity:
    v: rim
  map:
    v: performer | reusableDevice | subject | location
mapping:
  identity:
    v: ical
  map:
    v: ATTENDEE component to be created

id:
  v: Appointment.participant:va-patient.id
path:
  v: Appointment.participant.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Appointment.participant:va-patient.extension
path:
  v: Appointment.participant.extension
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Appointment.participant:va-patient.modifierExtension
path:
  v: Appointment.participant.modifierExtension
short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
requirements:
  v: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Appointment.participant:va-patient.type
path:
  v: Appointment.participant.type
short:
  v: Role of participant in the appointment
definition:
  v: Role of participant in the appointment.
comment:
  v: The role of the participant can be used to declare what the actor will be doing in the scope of this appointment. If the actor is not specified, then it is expected that the actor will be filled in at a later stage of planning. This value SHALL be the same when creating an AppointmentResponse so that they can be matched, and subsequently update the Appointment.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Appointment.participant.type
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: ParticipantType
  strength:
    v: extensible
  description:
    v: Role of participant in encounter.
  value set:
    v: http://hl7.org/fhir/ValueSet/encounter-participant-type|4.0.1
    l: http://hl7.org/fhir/ValueSet/encounter-participant-type
mapping:
  identity:
    v: v2
  map:
    v: AIP-4, AIG-4
mapping:
  identity:
    v: rim
  map:
    v: (performer | reusableDevice | subject | location).@typeCode
mapping:
  identity:
    v: ical
  map:
    v: n/a

id:
  v: Appointment.participant:va-patient.type.id
path:
  v: Appointment.participant.type.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Appointment.participant:va-patient.type.extension
path:
  v: Appointment.participant.type.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Appointment.participant:va-patient.type.coding
path:
  v: Appointment.participant.type.coding
short:
  v: Code defined by a terminology system
definition:
  v: A reference to a code defined by a terminology system.
comment:
  v: Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
requirements:
  v: Allows for alternative encodings within a code system, and translations to other code systems.
min:
  v: 0
max:
  v: *
base:
  path:
    v: CodeableConcept.coding
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Coding
    l: Coding
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: C*E.1-8, C*E.10-22
mapping:
  identity:
    v: rim
  map:
    v: union(., ./translation)
mapping:
  identity:
    v: orim
  map:
    v: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding

id:
  v: Appointment.participant:va-patient.type.coding.id
path:
  v: Appointment.participant.type.coding.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Appointment.participant:va-patient.type.coding.extension
path:
  v: Appointment.participant.type.coding.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Appointment.participant:va-patient.type.coding.system
path:
  v: Appointment.participant.type.coding.system
short:
  v: Identity of the terminology system
definition:
  v: The identification of the code system that defines the meaning of the symbol in the code.
comment:
  v: The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
requirements:
  v: Need to be unambiguous about the source of the definition of the symbol.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Coding.system
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: C*E.3
mapping:
  identity:
    v: rim
  map:
    v: ./codeSystem
mapping:
  identity:
    v: orim
  map:
    v: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem

id:
  v: Appointment.participant:va-patient.type.coding.version
path:
  v: Appointment.participant.type.coding.version
short:
  v: Version of the system - if relevant
definition:
  v: The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.
comment:
  v: Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Coding.version
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: C*E.7
mapping:
  identity:
    v: rim
  map:
    v: ./codeSystemVersion
mapping:
  identity:
    v: orim
  map:
    v: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion

id:
  v: Appointment.participant:va-patient.type.coding.code
path:
  v: Appointment.participant.type.coding.code
short:
  v: Symbol in syntax defined by the system
definition:
  v: A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
requirements:
  v: Need to refer to a particular code in the system.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Coding.code
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice
      l: elementdefinition-bestpractice
    value: Boolean
      v: true
  key:
    v: vaa-13-1722a
  severity:
    v: warning
  human:
    v: If (2-) is {1900>2.98} then fixed value #PART
  expression:
    v: true
  source:
    v: http://va.gov/fhir/StructureDefinition/VAAppointment
    l: VAAppointment
must support:
  v: true
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: vista
  map:
    v: 1722a: fixed value = #PART when PATIENT - (2-) is {1900>2.98}
  comment:
    v: mapParameter line 1
mapping:
  identity:
    v: v2
  map:
    v: C*E.1
mapping:
  identity:
    v: rim
  map:
    v: ./code
mapping:
  identity:
    v: orim
  map:
    v: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code

id:
  v: Appointment.participant:va-patient.type.coding.display
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
    l: elementdefinition-translatable
  value: Boolean
    v: true
path:
  v: Appointment.participant.type.coding.display
short:
  v: Representation defined by the system
definition:
  v: A representation of the meaning of the code in the system, following the rules of the system.
requirements:
  v: Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Coding.display
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: C*E.2 - but note this is not well followed
mapping:
  identity:
    v: rim
  map:
    v: CV.displayName
mapping:
  identity:
    v: orim
  map:
    v: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName

id:
  v: Appointment.participant:va-patient.type.coding.userSelected
path:
  v: Appointment.participant.type.coding.userSelected
short:
  v: If this coding was chosen directly by the user
definition:
  v: Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).
comment:
  v: Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
requirements:
  v: This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Coding.userSelected
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: boolean
    l: boolean
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: Sometimes implied by being first
mapping:
  identity:
    v: rim
  map:
    v: CD.codingRationale
mapping:
  identity:
    v: orim
  map:
    v: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]

id:
  v: Appointment.participant:va-patient.type.text
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
    l: elementdefinition-translatable
  value: Boolean
    v: true
path:
  v: Appointment.participant.type.text
short:
  v: Plain text representation of the concept
definition:
  v: A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
comment:
  v: Very often the text is the same as a displayName of one of the codings.
requirements:
  v: The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: CodeableConcept.text
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: C*E.9. But note many systems use C*E.2 for this
mapping:
  identity:
    v: rim
  map:
    v: ./originalText[mediaType/code="text/plain"]/data
mapping:
  identity:
    v: orim
  map:
    v: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText

id:
  v: Appointment.participant:va-patient.actor
path:
  v: Appointment.participant.actor
short:
  v: Person, Location/HealthcareService or Device
definition:
  v: A Person, Location/HealthcareService or Device that is participating in the appointment.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Appointment.participant.actor
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://va.gov/fhir/StructureDefinition/VAPatient
    l: VAPatient
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice
      l: elementdefinition-bestpractice
    value: Boolean
      v: true
  key:
    v: vaa-13-1722
  severity:
    v: warning
  human:
    v: If {1900>2.98} then reference /VAPatient based on (2-)
  expression:
    v: true
  source:
    v: http://va.gov/fhir/StructureDefinition/VAAppointment
    l: VAAppointment
must support:
  v: true
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: vista
  map:
    v: 1722: reference based on PATIENT - (2-) is {1900>2.98}
  comment:
    v: Added patient to the appointment map so that it is not assumed
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.who
mapping:
  identity:
    v: v2
  map:
    v: PID-3-Patient ID List | AIL-3 | AIG-3 | AIP-3
mapping:
  identity:
    v: rim
  map:
    v: performer.person | reusableDevice.manufacturedDevice | subject.patient | location.serviceDeliveryLocation
mapping:
  identity:
    v: ical
  map:
    v: ATTENDEE: (Need to provide the common name CN and also the MAILTO properties from the practitioner resource) where the participant type is not "information-only"

id:
  v: Appointment.participant:va-patient.actor.id
path:
  v: Appointment.participant.actor.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Appointment.participant:va-patient.actor.extension
path:
  v: Appointment.participant.actor.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Appointment.participant:va-patient.actor.reference
path:
  v: Appointment.participant.actor.reference
short:
  v: Literal reference, Relative, internal or absolute URL
definition:
  v: A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
comment:
  v: Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.reference
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
condition:
  v: ref-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Appointment.participant:va-patient.actor.type
path:
  v: Appointment.participant.actor.type
short:
  v: Type the reference refers to (e.g. "Patient")
definition:
  v: The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).
comment:
  v: This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.type
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: FHIRResourceTypeExt
  strength:
    v: extensible
  description:
    v: Aa resource (or, for logical models, the URI of the logical model).
  value set:
    v: http://hl7.org/fhir/ValueSet/resource-types|4.0.1
    l: http://hl7.org/fhir/ValueSet/resource-types
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Appointment.participant:va-patient.actor.identifier
path:
  v: Appointment.participant.actor.identifier
short:
  v: Logical reference, when literal reference is not known
definition:
  v: An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
comment:
  v: When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.identifier
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Identifier
    l: Identifier
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: .identifier

id:
  v: Appointment.participant:va-patient.actor.display
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
    l: elementdefinition-translatable
  value: Boolean
    v: true
path:
  v: Appointment.participant.actor.display
short:
  v: Text alternative for the resource
definition:
  v: Plain text narrative that identifies the resource in addition to the resource reference.
comment:
  v: This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.display
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice
      l: elementdefinition-bestpractice
    value: Boolean
      v: true
  key:
    v: vaa-13-1722c
  severity:
    v: warning
  human:
    v: If {1900>2.98} then source value from (2-.01)
  expression:
    v: true
  source:
    v: http://va.gov/fhir/StructureDefinition/VAAppointment
    l: VAAppointment
must support:
  v: true
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: vista
  map:
    v: 1722c: source value based on PATIENT - - NAME (2-.01) is {1900>2.98}
  comment:
    v: mapParameter line 3
mapping:
  identity:
    v: cdw
  map:
    v: SPatient.SPatient.DestinationMergePatientIEN SPatient.SPatient.PatientFirstName SPatient.SPatient.PatientLastName SPatient.SPatient.PatientName SPatient.SPatientAlias.PatientName
mapping:
  identity:
    v: sda
  map:
    v: Patient.Name
mapping:
  identity:
    v: vpr
  map:
    v: demographics.familyName demographics.fullName demographics.givenNames
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Appointment.participant:va-patient.required
path:
  v: Appointment.participant.required
short:
  v: required | optional | information-only
definition:
  v: Whether this participant is required to be present at the meeting. This covers a use-case where two doctors need to meet to discuss the results for a specific patient, and the patient is not required to be present.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Appointment.participant.required
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: ParticipantRequired
  strength:
    v: required
  description:
    v: Is the Participant required to attend the appointment.
  value set:
    v: http://hl7.org/fhir/ValueSet/participantrequired|4.0.1
    l: http://hl7.org/fhir/ValueSet/participantrequired
mapping:
  identity:
    v: rim
  map:
    v: (performer | reusableDevice | subject | location).@performInd
mapping:
  identity:
    v: ical
  map:
    v: ROLE=REQ-PARTICIPANT (roleparam)

id:
  v: Appointment.participant:va-patient.status
path:
  v: Appointment.participant.status
short:
  v: accepted | declined | tentative | needs-action
definition:
  v: Participation status of the actor.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Appointment.participant.status
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
    l: code
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice
      l: elementdefinition-bestpractice
    value: Boolean
      v: true
  key:
    v: vaa-13-1722b
  severity:
    v: warning
  human:
    v: If (2-) is {1900>2.98} then fixed value #accepted
  expression:
    v: true
  source:
    v: http://va.gov/fhir/StructureDefinition/VAAppointment
    l: VAAppointment
must support:
  v: true
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: ParticipationStatus
  strength:
    v: required
  description:
    v: The Participation status of an appointment.
  value set:
    v: http://hl7.org/fhir/ValueSet/participationstatus|4.0.1
    l: http://hl7.org/fhir/ValueSet/participationstatus
mapping:
  identity:
    v: vista
  map:
    v: 1722b: fixed value = #accepted when PATIENT - (2-) is {1900>2.98}
  comment:
    v: mapParameter line 2
mapping:
  identity:
    v: v2
  map:
    v: AIP-12, AIG-14
mapping:
  identity:
    v: rim
  map:
    v: (performer | reusableDevice | subject | location).statusCode
mapping:
  identity:
    v: ical
  map:
    v: ATTENDEE;CN="John Doe";RSVP=TRUE:mailto:john@doe.com (rsvpparam | partstatparam)

id:
  v: Appointment.participant:va-patient.period
path:
  v: Appointment.participant.period
short:
  v: Participation period of the actor
definition:
  v: Participation period of the actor.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Appointment.participant.period
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Period
    l: Period
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Appointment.participant:va-apptclinic
path:
  v: Appointment.participant
slice name:
  v: va-apptclinic
short:
  v: Participants involved in appointment
definition:
  v: List of participants involved in the appointment.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Appointment.participant
  min:
    v: 1
  max:
    v: *
type:
  code:
    v: BackboneElement
    l: BackboneElement
constraint:
  key:
    v: app-1
  severity:
    v: error
  human:
    v: Either the type or actor on the participant SHALL be specified
  expression:
    v: type.exists() or actor.exists()
  xpath:
    v: (exists(f:type) or exists(f:actor))
  source:
    v: http://hl7.org/fhir/StructureDefinition/Appointment
    l: Appointment
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: workflow
  map:
    v: Request.performer, Request.subject
mapping:
  identity:
    v: v2
  map:
    v: PID, AIP, AIG, AIL
mapping:
  identity:
    v: rim
  map:
    v: performer | reusableDevice | subject | location
mapping:
  identity:
    v: ical
  map:
    v: ATTENDEE component to be created

id:
  v: Appointment.participant:va-apptclinic.id
path:
  v: Appointment.participant.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Appointment.participant:va-apptclinic.extension
path:
  v: Appointment.participant.extension
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Appointment.participant:va-apptclinic.modifierExtension
path:
  v: Appointment.participant.modifierExtension
short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
requirements:
  v: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Appointment.participant:va-apptclinic.type
path:
  v: Appointment.participant.type
short:
  v: Role of participant in the appointment
definition:
  v: Role of participant in the appointment.
comment:
  v: The role of the participant can be used to declare what the actor will be doing in the scope of this appointment. If the actor is not specified, then it is expected that the actor will be filled in at a later stage of planning. This value SHALL be the same when creating an AppointmentResponse so that they can be matched, and subsequently update the Appointment.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Appointment.participant.type
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: ParticipantType
  strength:
    v: extensible
  description:
    v: Role of participant in encounter.
  value set:
    v: http://hl7.org/fhir/ValueSet/encounter-participant-type|4.0.1
    l: http://hl7.org/fhir/ValueSet/encounter-participant-type
mapping:
  identity:
    v: v2
  map:
    v: AIP-4, AIG-4
mapping:
  identity:
    v: rim
  map:
    v: (performer | reusableDevice | subject | location).@typeCode
mapping:
  identity:
    v: ical
  map:
    v: n/a

id:
  v: Appointment.participant:va-apptclinic.type.id
path:
  v: Appointment.participant.type.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Appointment.participant:va-apptclinic.type.extension
path:
  v: Appointment.participant.type.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Appointment.participant:va-apptclinic.type.coding
path:
  v: Appointment.participant.type.coding
short:
  v: Code defined by a terminology system
definition:
  v: A reference to a code defined by a terminology system.
comment:
  v: Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
requirements:
  v: Allows for alternative encodings within a code system, and translations to other code systems.
min:
  v: 0
max:
  v: *
base:
  path:
    v: CodeableConcept.coding
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Coding
    l: Coding
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: C*E.1-8, C*E.10-22
mapping:
  identity:
    v: rim
  map:
    v: union(., ./translation)
mapping:
  identity:
    v: orim
  map:
    v: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding

id:
  v: Appointment.participant:va-apptclinic.type.coding.id
path:
  v: Appointment.participant.type.coding.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Appointment.participant:va-apptclinic.type.coding.extension
path:
  v: Appointment.participant.type.coding.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Appointment.participant:va-apptclinic.type.coding.system
path:
  v: Appointment.participant.type.coding.system
short:
  v: Identity of the terminology system
definition:
  v: The identification of the code system that defines the meaning of the symbol in the code.
comment:
  v: The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
requirements:
  v: Need to be unambiguous about the source of the definition of the symbol.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Coding.system
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: C*E.3
mapping:
  identity:
    v: rim
  map:
    v: ./codeSystem
mapping:
  identity:
    v: orim
  map:
    v: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem

id:
  v: Appointment.participant:va-apptclinic.type.coding.version
path:
  v: Appointment.participant.type.coding.version
short:
  v: Version of the system - if relevant
definition:
  v: The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.
comment:
  v: Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Coding.version
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: C*E.7
mapping:
  identity:
    v: rim
  map:
    v: ./codeSystemVersion
mapping:
  identity:
    v: orim
  map:
    v: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion

id:
  v: Appointment.participant:va-apptclinic.type.coding.code
path:
  v: Appointment.participant.type.coding.code
short:
  v: Symbol in syntax defined by the system
definition:
  v: A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
requirements:
  v: Need to refer to a particular code in the system.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Coding.code
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
pattern: Code
  v: PART
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: vista
  map:
    v: 754a: fixed value = #PART
  comment:
    v: mapParameter line 1
mapping:
  identity:
    v: cdw
  map:
    v: Appt.WaitList.AppointmentLocationIEN
mapping:
  identity:
    v: v2
  map:
    v: C*E.1
mapping:
  identity:
    v: rim
  map:
    v: ./code
mapping:
  identity:
    v: orim
  map:
    v: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code

id:
  v: Appointment.participant:va-apptclinic.type.coding.display
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
    l: elementdefinition-translatable
  value: Boolean
    v: true
path:
  v: Appointment.participant.type.coding.display
short:
  v: Representation defined by the system
definition:
  v: A representation of the meaning of the code in the system, following the rules of the system.
requirements:
  v: Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Coding.display
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: C*E.2 - but note this is not well followed
mapping:
  identity:
    v: rim
  map:
    v: CV.displayName
mapping:
  identity:
    v: orim
  map:
    v: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName

id:
  v: Appointment.participant:va-apptclinic.type.coding.userSelected
path:
  v: Appointment.participant.type.coding.userSelected
short:
  v: If this coding was chosen directly by the user
definition:
  v: Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).
comment:
  v: Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
requirements:
  v: This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Coding.userSelected
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: boolean
    l: boolean
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: Sometimes implied by being first
mapping:
  identity:
    v: rim
  map:
    v: CD.codingRationale
mapping:
  identity:
    v: orim
  map:
    v: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]

id:
  v: Appointment.participant:va-apptclinic.type.text
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
    l: elementdefinition-translatable
  value: Boolean
    v: true
path:
  v: Appointment.participant.type.text
short:
  v: Plain text representation of the concept
definition:
  v: A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
comment:
  v: Very often the text is the same as a displayName of one of the codings.
requirements:
  v: The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: CodeableConcept.text
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: C*E.9. But note many systems use C*E.2 for this
mapping:
  identity:
    v: rim
  map:
    v: ./originalText[mediaType/code="text/plain"]/data
mapping:
  identity:
    v: orim
  map:
    v: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText

id:
  v: Appointment.participant:va-apptclinic.actor
path:
  v: Appointment.participant.actor
short:
  v: Person, Location/HealthcareService or Device
definition:
  v: A Person, Location/HealthcareService or Device that is participating in the appointment.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Appointment.participant.actor
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://va.gov/fhir/StructureDefinition/VALocation
    l: VALocation
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: vista
  map:
    v: 754: reference based on SD WAIT LIST - APPT CLINIC (409.3-13.2)
mapping:
  identity:
    v: cdw
  map:
    v: Appt.WaitList.AppointmentLocationIEN
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.who
mapping:
  identity:
    v: v2
  map:
    v: PID-3-Patient ID List | AIL-3 | AIG-3 | AIP-3
mapping:
  identity:
    v: rim
  map:
    v: performer.person | reusableDevice.manufacturedDevice | subject.patient | location.serviceDeliveryLocation
mapping:
  identity:
    v: ical
  map:
    v: ATTENDEE: (Need to provide the common name CN and also the MAILTO properties from the practitioner resource) where the participant type is not "information-only"

id:
  v: Appointment.participant:va-apptclinic.required
path:
  v: Appointment.participant.required
short:
  v: required | optional | information-only
definition:
  v: Whether this participant is required to be present at the meeting. This covers a use-case where two doctors need to meet to discuss the results for a specific patient, and the patient is not required to be present.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Appointment.participant.required
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: ParticipantRequired
  strength:
    v: required
  description:
    v: Is the Participant required to attend the appointment.
  value set:
    v: http://hl7.org/fhir/ValueSet/participantrequired|4.0.1
    l: http://hl7.org/fhir/ValueSet/participantrequired
mapping:
  identity:
    v: rim
  map:
    v: (performer | reusableDevice | subject | location).@performInd
mapping:
  identity:
    v: ical
  map:
    v: ROLE=REQ-PARTICIPANT (roleparam)

id:
  v: Appointment.participant:va-apptclinic.status
path:
  v: Appointment.participant.status
short:
  v: accepted | declined | tentative | needs-action
definition:
  v: Participation status of the actor.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Appointment.participant.status
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
    l: code
pattern: Code
  v: tentative
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: ParticipationStatus
  strength:
    v: required
  description:
    v: The Participation status of an appointment.
  value set:
    v: http://hl7.org/fhir/ValueSet/participationstatus|4.0.1
    l: http://hl7.org/fhir/ValueSet/participationstatus
mapping:
  identity:
    v: vista
  map:
    v: 754b: fixed value = #tentative
  comment:
    v: mapParameter line 2
mapping:
  identity:
    v: cdw
  map:
    v: Appt.WaitList.AppointmentLocationIEN
mapping:
  identity:
    v: v2
  map:
    v: AIP-12, AIG-14
mapping:
  identity:
    v: rim
  map:
    v: (performer | reusableDevice | subject | location).statusCode
mapping:
  identity:
    v: ical
  map:
    v: ATTENDEE;CN="John Doe";RSVP=TRUE:mailto:john@doe.com (rsvpparam | partstatparam)

id:
  v: Appointment.participant:va-apptclinic.period
path:
  v: Appointment.participant.period
short:
  v: Participation period of the actor
definition:
  v: Participation period of the actor.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Appointment.participant.period
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Period
    l: Period
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Appointment.requestedPeriod
path:
  v: Appointment.requestedPeriod
short:
  v: Potential date/time interval(s) requested to allocate the appointment within
definition:
  v: A set of date ranges (potentially including times) that the appointment is preferred to be scheduled within. The duration (usually in minutes) could also be provided to indicate the length of the appointment to fill and populate the start/end times for the actual allocated time. However, in other situations the duration may be calculated by the scheduling system.
comment:
  v: This does not introduce a capacity for recurring appointments.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Appointment.requestedPeriod
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Period
    l: Period
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: workflow
  map:
    v: Request.occurrence[x]
mapping:
  identity:
    v: v2
  map:
    v: ARQ-11
mapping:
  identity:
    v: rim
  map:
    v: .activityTime[@xsi:type = ('SXPR_TS', 'PIVL_TS')]

element:
  id:
    v: Appointment
  path:
    v: Appointment
element:
  id:
    v: Appointment.extension
  path:
    v: Appointment.extension
  slicing:
    discriminator:
      type:
        v: value
      path:
        v: url
    ordered:
      v: false
    rules:
      v: open
element:
  id:
    v: Appointment.extension:resource-serviceConnection
  path:
    v: Appointment.extension
  slice name:
    v: resource-serviceConnection
  min:
    v: 0
  max:
    v: 1
  type:
    code:
      v: Extension
      l: Extension
    profile:
      v: http://va.gov/fhir/StructureDefinition/resource-serviceConnection
      l: resource-serviceConnection
  must support:
    v: true
element:
  id:
    v: Appointment.extension:resource-serviceConnection.value[x]
  path:
    v: Appointment.extension.value[x]
  constraint:
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice
        l: elementdefinition-bestpractice
      value: Boolean
        v: true
    key:
      v: vaa-13-2033
    severity:
      v: warning
    human:
      v: If (2.98-9.5 > 409.1-.01) is SERVICE CONNECTED then fixed value http://va.gov/fhir/CodeSystem/409.1#SC "Service Connected"
    expression:
      v: true
    source:
      v: http://va.gov/fhir/StructureDefinition/VAAppointment
      l: VAAppointment
  constraint:
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice
        l: elementdefinition-bestpractice
      value: Boolean
        v: true
    key:
      v: vaa-13-2034
    severity:
      v: warning
    human:
      v: If (2.98-9.5 > 409.1-.01) is Not SERVICE CONNECTED then fixed value http://va.gov/fhir/CodeSystem/409.1#NSC "Not Service Connected"
    expression:
      v: true
    source:
      v: http://va.gov/fhir/StructureDefinition/VAAppointment
      l: VAAppointment
  must support:
    v: true
  mapping:
    identity:
      v: vista
    map:
      v: 2033: fixed value = http://va.gov/fhir/CodeSystem/409.1#SC "Service Connected" when APPOINTMENT - APPOINTMENT TYPE > APPOINTMENT TYPE - NAME (2.98-9.5 > 409.1-.01) is SERVICE CONNECTED
  mapping:
    identity:
      v: vista
    map:
      v: 2034: fixed value = http://va.gov/fhir/CodeSystem/409.1#NSC "Not Service Connected" when APPOINTMENT - APPOINTMENT TYPE > APPOINTMENT TYPE - NAME (2.98-9.5 > 409.1-.01) is Not SERVICE CONNECTED
  mapping:
    identity:
      v: cdw
    map:
      v: Appt.Appointment.AppointmentTypeIEN Dim.AppointmentType.AppointmentType
  mapping:
    identity:
      v: cdw
    map:
      v: Appt.Appointment.AppointmentTypeIEN Dim.AppointmentType.AppointmentType
  mapping:
    identity:
      v: sda
    map:
      v: Appointment.Type
  mapping:
    identity:
      v: sda
    map:
      v: Appointment.Type
  mapping:
    identity:
      v: vpr
    map:
      v: appointment.type (>409.1-.01)
  mapping:
    identity:
      v: vpr
    map:
      v: appointment.type (>409.1-.01)
element:
  id:
    v: Appointment.status
  path:
    v: Appointment.status
  constraint:
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice
        l: elementdefinition-bestpractice
      value: Boolean
        v: true
    key:
      v: vaa-13-732
    severity:
      v: warning
    human:
      v: If (2.98-3) is I, NT, Null; Null check-in date (44.003-309), null check-out date (44.003-303) then fixed value #booked
    expression:
      v: true
    source:
      v: http://va.gov/fhir/StructureDefinition/VAAppointment
      l: VAAppointment
  constraint:
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice
        l: elementdefinition-bestpractice
      value: Boolean
        v: true
    key:
      v: vaa-13-733
    severity:
      v: warning
    human:
      v: If (2.98-3) is I, NT, Null; Non-null check-in date (44.003-309), null check-out date (44.003-303) then fixed value #arrived
    expression:
      v: true
    source:
      v: http://va.gov/fhir/StructureDefinition/VAAppointment
      l: VAAppointment
  constraint:
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice
        l: elementdefinition-bestpractice
      value: Boolean
        v: true
    key:
      v: vaa-13-734
    severity:
      v: warning
    human:
      v: If (2.98-3) is I, NT, Null; Non-null check-in date (44.003-309), non-null check-out date (44.003-303) then fixed value #fulfilled
    expression:
      v: true
    source:
      v: http://va.gov/fhir/StructureDefinition/VAAppointment
      l: VAAppointment
  constraint:
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice
        l: elementdefinition-bestpractice
      value: Boolean
        v: true
    key:
      v: vaa-13-748
    severity:
      v: warning
    human:
      v: If (409.3-.01) is not null then fixed value #waitlist
    expression:
      v: true
    source:
      v: http://va.gov/fhir/StructureDefinition/VAAppointment
      l: VAAppointment
  must support:
    v: true

strength:
  v: required
description:
  v: see mapping [VF_AppointmentStatus](ConceptMap-VF-AppointmentStatus.html)
value set:
  v: http://va.gov/fhir/ValueSet/AppointmentStatus
  l: AppointmentStatus

identity:
  v: vista
map:
  v: 731: terminologyMaps using VF_AppointmentStatus on APPOINTMENT - STATUS (2.98-3)
comment:
  v: simple maps in Terminology; complex defined here.

identity:
  v: vista
map:
  v: 732: fixed value = #booked when APPOINTMENT - STATUS (2.98-3) is I, NT, Null; Null check-in date (44.003-309), null check-out date (44.003-303)
comment:
  v: simple maps in Terminology; complex defined here.

identity:
  v: vista
map:
  v: 733: fixed value = #arrived when APPOINTMENT - STATUS (2.98-3) is I, NT, Null; Non-null check-in date (44.003-309), null check-out date (44.003-303)
comment:
  v: simple maps in Terminology; complex defined here.

identity:
  v: vista
map:
  v: 734: fixed value = #fulfilled when APPOINTMENT - STATUS (2.98-3) is I, NT, Null; Non-null check-in date (44.003-309), non-null check-out date (44.003-303)
comment:
  v: simple maps in Terminology; complex defined here.

identity:
  v: vista
map:
  v: 748: fixed value = #waitlist when SD WAIT LIST - PATIENT (409.3-.01) is not null
comment:
  v: LVH returns "Waitlisted". "Waitlisted" is the display value and "waitlist" is the code. This is a required FHIR value set. 3/15/2023 LVH will fix

identity:
  v: cdw
map:
  v: Appt.Appointment.AppointmentStatus

identity:
  v: cdw
map:
  v: Appt.Appointment.AppointmentStatus

identity:
  v: cdw
map:
  v: Appt.Appointment.AppointmentStatus

identity:
  v: cdw
map:
  v: Appt.Appointment.AppointmentStatus

identity:
  v: cdw
map:
  v: Appt.WaitList.PatientIEN

identity:
  v: sda
map:
  v: Appointment.NoShow Appointment.Extension[AppointmentExtension].PatientStatus Appointment.Extension[AppointmentExtension].ServiceStatus

identity:
  v: sda
map:
  v: Appointment.NoShow Appointment.Extension[AppointmentExtension].PatientStatus Appointment.Extension[AppointmentExtension].ServiceStatus

identity:
  v: sda
map:
  v: Appointment.NoShow Appointment.Extension[AppointmentExtension].PatientStatus Appointment.Extension[AppointmentExtension].ServiceStatus

identity:
  v: sda
map:
  v: Appointment.NoShow Appointment.Extension[AppointmentExtension].PatientStatus Appointment.Extension[AppointmentExtension].ServiceStatus

identity:
  v: vpr
map:
  v: appointment.apptStatus appointment.patientClass appointment.serviceCategory

identity:
  v: vpr
map:
  v: appointment.apptStatus appointment.patientClass appointment.serviceCategory

identity:
  v: vpr
map:
  v: appointment.apptStatus appointment.patientClass appointment.serviceCategory

identity:
  v: vpr
map:
  v: appointment.apptStatus appointment.patientClass appointment.serviceCategory

id:
  v: Appointment.cancelationReason
path:
  v: Appointment.cancelationReason
must support:
  v: true
binding:
  strength:
    v: required
  description:
    v: see mapping [VF_AppointmentCancellationReason](ConceptMap-VF-AppointmentCancellationReason.html)
  value set:
    v: http://va.gov/fhir/ValueSet/AppointmentCancellationReason
    l: AppointmentCancellationReason
mapping:
  identity:
    v: vista
  map:
    v: 735: terminologyMaps using VF_AppointmentCancellationReason on APPOINTMENT - CANCELLATION REASON (2.98-16)
mapping:
  identity:
    v: cdw
  map:
    v: Appt.Appointment.CancellationReasonIEN
mapping:
  identity:
    v: sda
  map:
    v: Appointment.Extension[AppointmentExtension].CancelReason

id:
  v: Appointment.serviceCategory
path:
  v: Appointment.serviceCategory
slicing:
  discriminator:
    type:
      v: value
    path:
      v: $this
  rules:
    v: open

id:
  v: Appointment.serviceCategory:va-stopcode
path:
  v: Appointment.serviceCategory
slice name:
  v: va-stopcode
min:
  v: 0
max:
  v: 1
pattern: CodeableConcept
  coding:
    system:
      v: http://va.gov/fhir/CodeSystem/409.3-13.4
      l: http://va.gov/fhir/CodeSystem/409.3-13.4
must support:
  v: true

id:
  v: Appointment.serviceCategory:va-stopcode.coding.system
path:
  v: Appointment.serviceCategory.coding.system
must support:
  v: true
mapping:
  identity:
    v: vista
  map:
    v: 749a: fixed value = http://va.gov/fhir/CodeSystem/409.3-13.4
  comment:
    v: mapParameter line 1
mapping:
  identity:
    v: cdw
  map:
    v: Appt.WaitList.AppointmentPrimaryStopCodeIEN

id:
  v: Appointment.serviceCategory:va-stopcode.coding.code
path:
  v: Appointment.serviceCategory.coding.code
must support:
  v: true
mapping:
  identity:
    v: vista
  map:
    v: 749: source value based on SD WAIT LIST - APPT STOP CODE (409.3-13.4)
mapping:
  identity:
    v: cdw
  map:
    v: Appt.WaitList.AppointmentPrimaryStopCodeIEN

id:
  v: Appointment.specialty
path:
  v: Appointment.specialty
mapping:
  identity:
    v: vista
  map:
    v: 739: target not supported

id:
  v: Appointment.appointmentType.text
path:
  v: Appointment.appointmentType.text
must support:
  v: true
mapping:
  identity:
    v: vista
  map:
    v: 740: source value based on APPOINTMENT - APPOINTMENT TYPE > APPOINTMENT TYPE - NAME (2.98-9.5 > 409.1-.01)
mapping:
  identity:
    v: cdw
  map:
    v: Appt.Appointment.AppointmentTypeIEN Dim.AppointmentType.AppointmentType
mapping:
  identity:
    v: sda
  map:
    v: Appointment.Type
mapping:
  identity:
    v: vpr
  map:
    v: appointment.type (>409.1-.01)

id:
  v: Appointment.reasonCode
path:
  v: Appointment.reasonCode
mapping:
  identity:
    v: vista
  map:
    v: 741: target not supported

id:
  v: Appointment.reasonReference
path:
  v: Appointment.reasonReference
mapping:
  identity:
    v: vista
  map:
    v: 742: target not supported

id:
  v: Appointment.description
path:
  v: Appointment.description
must support:
  v: true
mapping:
  identity:
    v: vista
  map:
    v: 1791: source value based on APPOINTMENT - APPOINTMENT TYPE > APPOINTMENT TYPE - DESCRIPTION (2.98-9.5 > 409.1-10)
  comment:
    v: Added after PHAPI gap analysis to match PHAPI fields
mapping:
  identity:
    v: cdw
  map:
    v: Appt.Appointment.AppointmentTypeIEN
mapping:
  identity:
    v: sda
  map:
    v: Appointment.Type
mapping:
  identity:
    v: vpr
  map:
    v: appointment.type (>409.1-.01)

id:
  v: Appointment.start
path:
  v: Appointment.start
must support:
  v: true
mapping:
  identity:
    v: vista
  map:
    v: 743: source value based on APPOINTMENT - APPOINTMENT DATE/TIME (2.98-.001)
mapping:
  identity:
    v: vista
  map:
    v: 750: source value based on SD WAIT LIST - DESIRED DATE OF APPOINTMENT (409.3-22)
mapping:
  identity:
    v: cdw
  map:
    v: Appt.Appointment.AppointmentDateTime
mapping:
  identity:
    v: cdw
  map:
    v: Appt.WaitList.AppointmentDesiredDate
mapping:
  identity:
    v: vpr
  map:
    v: appointment.dateTime appointment.id appointment.visitString

id:
  v: Appointment.end
path:
  v: Appointment.end
must support:
  v: true
mapping:
  identity:
    v: vista
  map:
    v: 1612: source value based on APPOINTMENT - OUTPATIENT ENCOUNTER > OUTPATIENT ENCOUNTER - CHECK OUT PROCESS COMPLETION (2.98-21 > 409.68-.07)
  comment:
    v: Added to meet FHIR Core constraint app-2
mapping:
  identity:
    v: cdw
  map:
    v: Appt.Appointment.VisitIEN Outpat.Visit.COProcessCompleteDateTime Outpat.Workload.COProcessCompleteDateTime
mapping:
  identity:
    v: sda
  map:
    v: Appointment.CareProvider Appointment.EncounterNumber Appointment.Extension[AppointmentExtension].AssociatedEncounterNumber

id:
  v: Appointment.minutesDuration
path:
  v: Appointment.minutesDuration
must support:
  v: true
mapping:
  identity:
    v: vista
  map:
    v: 744: source value based on PATIENT - LENGTH OF APP'T (44.003-1)
  comment:
    v: This field is associated with appointment in CDW, but VistA does not document the association.
mapping:
  identity:
    v: cdw
  map:
    v: Appt.Appointment.LengthOfAppointment Appt.AppointmentMultiple.LengthOfAppointment
mapping:
  identity:
    v: sda
  map:
    v: Appointment.Extension[AppointmentExtension].Length

id:
  v: Appointment.created
path:
  v: Appointment.created
must support:
  v: true
mapping:
  identity:
    v: vista
  map:
    v: 745: source value based on APPOINTMENT - DATE APPT. MADE (2.98-20)
mapping:
  identity:
    v: vista
  map:
    v: 751: source value based on SD WAIT LIST - ORIGINATING DATE (409.3-1)
mapping:
  identity:
    v: cdw
  map:
    v: Appt.Appointment.AppointmentMadeDate
mapping:
  identity:
    v: cdw
  map:
    v: Appt.WaitList.OriginatingDate
mapping:
  identity:
    v: sda
  map:
    v: Appointment.EnteredOn

id:
  v: Appointment.comment
path:
  v: Appointment.comment
must support:
  v: true
mapping:
  identity:
    v: vista
  map:
    v: 752: source value based on SD WAIT LIST - COMMENTS (409.3-25)
mapping:
  identity:
    v: cdw
  map:
    v: Appt.WaitList.WaitListComments

id:
  v: Appointment.participant
path:
  v: Appointment.participant
slicing:
  discriminator:
    type:
      v: value
    path:
      v: $this
  rules:
    v: open

id:
  v: Appointment.participant:va-clinic
path:
  v: Appointment.participant
slice name:
  v: va-clinic
min:
  v: 0
max:
  v: 1
must support:
  v: true

id:
  v: Appointment.participant:va-clinic.type.coding.code
path:
  v: Appointment.participant.type.coding.code
pattern: Code
  v: PART
must support:
  v: true
mapping:
  identity:
    v: vista