ÚNICAS Rare Diseases HL7 FHIR Implementation Guide - Local Development build (v0.0.2) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: Appointment Cita Agenda ÚNICAS

Este perfil define las restricciones del recurso Appointment para representar el registro de una cita programada en el contexto del caso de uso de ÚNICAS.

Usages:

• Use this Profile: Bundle Citas Agenda ÚNICAS
• Refer to this Profile: Encounter Interacción Clínica ÚNICAS
• CapabilityStatements using this Profile: Configuración del Servidor FHIR de ÚNICAS

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Appointment	C	0..*	Appointment	A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s) Constraints: app-2, app-3, app-4, app-5, app-6, app-7
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..*	Identifier	Identificador único
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	ΣC	1..1	uri	Sistema para identificar el origen Constraints: regcess-system Example General: http://www.acme.com/identifiers/patient Example ÚNICAS: urn:regcess:0123456789
value	ΣC	1..1	string	Identificador interno del sistema para la cita programada Example General: 123456 Example ÚNICAS: 123456
status	?!ΣC	1..1	code	proposed | pending | booked | arrived | fulfilled | cancelled | noshow | entered-in-error | checked-in | waitlist Binding: AppointmentStatus (required): The free/busy status of an appointment.
serviceCategory	Σ	0..*	CodeableConcept	Categorización de la cita Binding: Value set de Tipos de servicios asistenciales para ÚNICAS (preferred): Value set de Tipos de servicios asistenciales para ÚNICAS
serviceType	Σ	0..*	CodeableReference(HealthcareService)	Canal de cita Binding: Value set de Canales de cita (preferred): Value set de Canales de cita
concept	Σ	0..1	CodeableConcept	Canal de cita
reason	Σ	1..*	CodeableReference(Condition | Procedure | Observation | ImmunizationRecommendation)	Motivo de cita Binding: Value set de Motivos de la cita (preferred): Value set de Motivos de la cita
concept	Σ	0..1	CodeableConcept	Motivo de cita
start	ΣC	1..1	instant	Fecha y hora de inicio de la cita programada
end	ΣC	0..1	instant	Fecha y hora de fin de la cita programada
minutesDuration		0..1	positiveInt	Duración de la cita programada
created		0..1	dateTime	Fecha y hora de creación de la cita
cancellationDate	C	0..1	dateTime	Fecha y hora de cancelación de la cita
note		0..*	Annotation	Comentario
text	Σ	1..1	markdown	Comentario
subject	Σ	1..1	Reference(Patient Paciente ÚNICAS)	Referencia al paciente
reference	ΣC	0..1	string	Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR
type	Σ	1..1	uri	Tipo de recurso FHIR Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	1..1	Identifier	Identificador de paciente CIP-SNS. Cuando no tengamos recurso Patient, se debera informar el identificador de paciente mediante CIP-SNS
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Tipos de documentos de identificación para persona ÚNICAS Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Additional Bindings Purpose Documentation Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
system	Σ	0..1	uri	OID registro de número de CIP-SNS Example General: http://www.acme.com/identifiers/patient Example ÚNICAS: urn:oid:2.16.724.4.40
value	ΣC	0..1	string	Número CIP-SNS Example General: 123456 Example ÚNICAS: BBBBBBBBQR648597
display	ΣC	0..1	string	Nombre completo del paciente
Slices for participant	C	2..*	BackboneElement	Participants involved in appointment Slice: Unordered, Open by profile:resource Constraints: app-1
participant:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
status	Σ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment.
participant:ProfesionalSanitarioParticipante	C	1..*	BackboneElement	Profesional sanitario participante Constraints: app-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor	ΣC	0..1	Reference(PractitionerRole Profesional Sanitario ÚNICAS | Practitioner Profesional Sanitario ÚNICAS)	Referencia al profesional sanitario
reference	ΣC	0..1	string	Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR
type	Σ	1..1	uri	Tipo de recurso FHIR Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	1..1	Identifier	Identificadores del profesional sanitario. Cuando no tengamos recurso Practitioner, se debera informar el identificador del profesional sanitario mediante DNI como dato mínimo. Adicionalmente, se puede informar el número colegiado del profesional sanitario como dato recomendado
Slices for extension				Content/Rules for all slices
extension:numeroColegiadoProfesionalSanitario		0..*	Identifier	Número de colegiado del profesional sanitario URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/NumeroColegiadoProfesionalSanitario
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Tipos de documentos de identificación para persona ÚNICAS Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Additional Bindings Purpose Documentation Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
system	Σ	0..1	uri	OID registro de DNI Example General: http://www.acme.com/identifiers/patient Example ÚNICAS: urn:oid:1.3.6.1.4.1.19126.3
value	ΣC	0..1	string	Número del DNI Example General: 123456 Example ÚNICAS: 0000001X
display	ΣC	0..1	string	Nombre completo del profesional sanitario
status	Σ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment.
participant:ServicioAsistencialParticipante	C	1..*	BackboneElement	Servicio asistencial (Localización) participante Constraints: app-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor	ΣC	0..1	Reference(Location Localización y Servicio Asistencial ÚNICAS)	Referencia a la localización y servicio asistencial
reference	ΣC	0..1	string	Referencia recurso FHIR
type	Σ	0..1	uri	Tipo de recurso FHIR Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	0..1	Identifier	Identificador del recurso FHIR
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	0..1	uri	Sistema para identificar el origen Example General: http://www.acme.com/identifiers/patient Example ÚNICAS: urn:regcess:0123456789
value	ΣC	0..1	string	Identificador interno del sistema para la localización Example General: 123456 Example ÚNICAS: 123456
status	Σ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Appointment.identifier.​use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
Appointment.status	Base	required	Appointment Status	📍5.0.0	FHIR Std.
Appointment.serviceCategory	Base	preferred	Value set de Tipos de servicios asistenciales para ÚNICAS	📦0.0.2	This IG
Appointment.serviceType	Base	preferred	Value set de Canales de cita	📦0.0.2	This IG
Appointment.reason	Base	preferred	Value set de Motivos de la cita	📦0.0.2	This IG
Appointment.subject.​type	Base	extensible	Resource Types	📍5.0.0	FHIR Std.
Appointment.subject.​identifier.use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
Appointment.subject.​identifier.type	Base	extensible	Identifier Type Codes	📦5.0.0	FHIR Std.
Appointment.participant.​status	Base	required	Participation Status	📍5.0.0	FHIR Std.
Appointment.participant:ProfesionalSanitarioParticipante.​actor.type	Base	extensible	Resource Types	📍5.0.0	FHIR Std.
Appointment.participant:ProfesionalSanitarioParticipante.​actor.identifier.use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
Appointment.participant:ProfesionalSanitarioParticipante.​actor.identifier.type	Base	extensible	Identifier Type Codes	📦5.0.0	FHIR Std.
Appointment.participant:ProfesionalSanitarioParticipante.​status	Base	required	Participation Status	📍5.0.0	FHIR Std.
Appointment.participant:ServicioAsistencialParticipante.​actor.type	Base	extensible	Resource Types	📍5.0.0	FHIR Std.
Appointment.participant:ServicioAsistencialParticipante.​actor.identifier.use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
Appointment.participant:ServicioAsistencialParticipante.​status	Base	required	Participation Status	📍5.0.0	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
app-1	error	Appointment.participant, Appointment.participant:ProfesionalSanitarioParticipante, Appointment.participant:ServicioAsistencialParticipante	Either the type or actor on the participant SHALL be specified	type.exists() or actor.exists()
app-2	error	Appointment	Either start and end are specified, or neither	start.exists() = end.exists()
app-3	error	Appointment	Only proposed or cancelled appointments can be missing start/end dates	(start.exists() and end.exists()) or (status in ('proposed' | 'cancelled' | 'waitlist'))
app-4	error	Appointment	Cancellation reason is only used for appointments that have been cancelled, or noshow	cancellationReason.exists() implies (status='noshow' or status='cancelled')
app-5	error	Appointment	The start must be less than or equal to the end	start.exists() implies start <= end
app-6	best practice	Appointment	An appointment may have an originatingAppointment or recurrenceTemplate, but not both	originatingAppointment.exists().not() or recurrenceTemplate.exists().not()
app-7	error	Appointment	Cancellation date is only used for appointments that have been cancelled, or noshow	cancellationDate.exists() implies (status='noshow' or status='cancelled')
dom-2	error	Appointment	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Appointment	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Appointment	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Appointment	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Appointment	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
regcess-system	warning	Appointment.identifier.system	system debe comenzar por urn:regcess: seguido del identificador del sistema.	matches('^urn:regcess:[A-Za-z0-9]+$')

This structure is derived from Appointment

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Appointment		0..*	Appointment	A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s)
identifier		1..*	Identifier	Identificador único
system	C	1..1	uri	Sistema para identificar el origen Constraints: regcess-system Example ÚNICAS: urn:regcess:0123456789
value		1..1	string	Identificador interno del sistema para la cita programada Example ÚNICAS: 123456
serviceCategory		0..*	CodeableConcept	Categorización de la cita Binding: Value set de Tipos de servicios asistenciales para ÚNICAS (preferred): Value set de Tipos de servicios asistenciales para ÚNICAS
coding
system		0..1	uri	OID del catálogo de clasificación de Servicios
code		0..1	code	Código del servicio asistencial para ÚNICAS
display		0..1	string	Descripción del servicio asistencial para ÚNICAS
serviceType		0..*	CodeableReference(HealthcareService)	Canal de cita Binding: Value set de Canales de cita (preferred): Value set de Canales de cita
concept		0..1	CodeableConcept	Canal de cita
coding
system		0..1	uri	URL del SNOMED CT. Extensión para España del SNS
code		0..1	code	Código del canal de cita
display		0..1	string	Descripción del canal de cita
reason		1..*	CodeableReference(Condition | Procedure | Observation | ImmunizationRecommendation)	Motivo de cita Binding: Value set de Motivos de la cita (preferred): Value set de Motivos de la cita
concept		0..1	CodeableConcept	Motivo de cita
coding
system		1..1	uri	URL del SNOMED CT. Extensión para España del SNS | OID del CIE-10-ES. Diagnósticos | OID del ORPHA
code		1..1	code	Código del motivo de la cita
display		1..1	string	Descripción del motivo de la cita
start		1..1	instant	Fecha y hora de inicio de la cita programada
end		0..1	instant	Fecha y hora de fin de la cita programada
minutesDuration		0..1	positiveInt	Duración de la cita programada
created		0..1	dateTime	Fecha y hora de creación de la cita
cancellationDate		0..1	dateTime	Fecha y hora de cancelación de la cita
note		0..*	Annotation	Comentario
text		1..1	markdown	Comentario
subject		1..1	Reference(Patient Paciente ÚNICAS)	Referencia al paciente
reference		0..1	string	Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR
type		1..1	uri	Tipo de recurso FHIR
identifier		1..1	Identifier	Identificador de paciente CIP-SNS. Cuando no tengamos recurso Patient, se debera informar el identificador de paciente mediante CIP-SNS
type		0..1	CodeableConcept	Tipos de documentos de identificación para persona ÚNICAS Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Additional Bindings Purpose Documentation Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
coding
system		0..1	uri	URL del SNOMED CT. Extensión para España del SNS
code		0..1	code	Código del identificador
display		0..1	string	Decripción del identificador
system		0..1	uri	OID registro de número de CIP-SNS Example ÚNICAS: urn:oid:2.16.724.4.40
value		0..1	string	Número CIP-SNS Example ÚNICAS: BBBBBBBBQR648597
display		0..1	string	Nombre completo del paciente
Slices for participant		2..*	BackboneElement	Participants involved in appointment Slice: Unordered, Open by profile:resource
participant:ProfesionalSanitarioParticipante		1..*	BackboneElement	Profesional sanitario participante
actor		0..1	Reference(PractitionerRole Profesional Sanitario ÚNICAS | Practitioner Profesional Sanitario ÚNICAS)	Referencia al profesional sanitario
reference		0..1	string	Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR
type		1..1	uri	Tipo de recurso FHIR
identifier		1..1	Identifier	Identificadores del profesional sanitario. Cuando no tengamos recurso Practitioner, se debera informar el identificador del profesional sanitario mediante DNI como dato mínimo. Adicionalmente, se puede informar el número colegiado del profesional sanitario como dato recomendado
Slices for extension				Content/Rules for all slices
extension:numeroColegiadoProfesionalSanitario		0..*	Identifier	Número de colegiado del profesional sanitario URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/NumeroColegiadoProfesionalSanitario
type		0..1	CodeableConcept	Tipos de documentos de identificación para persona ÚNICAS Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Additional Bindings Purpose Documentation Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
coding
system		0..1	uri	URL del refset Tipos de documento para identificación personal de SNOMED CT. Extensión para España del SNS
code		0..1	code	Código del identificador
display		0..1	string	Decripción del identificador
system		0..1	uri	OID registro de DNI Example ÚNICAS: urn:oid:1.3.6.1.4.1.19126.3
value		0..1	string	Número del DNI Example ÚNICAS: 0000001X
display		0..1	string	Nombre completo del profesional sanitario
participant:ServicioAsistencialParticipante		1..*	BackboneElement	Servicio asistencial (Localización) participante
actor		0..1	Reference(Location Localización y Servicio Asistencial ÚNICAS)	Referencia a la localización y servicio asistencial
reference		0..1	string	Referencia recurso FHIR
type		0..1	uri	Tipo de recurso FHIR
identifier		0..1	Identifier	Identificador del recurso FHIR
system		0..1	uri	Sistema para identificar el origen Example ÚNICAS: urn:regcess:0123456789
value		0..1	string	Identificador interno del sistema para la localización Example ÚNICAS: 123456
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Appointment.serviceCategory	Base	preferred	Value set de Tipos de servicios asistenciales para ÚNICAS	📦0.0.2	This IG
Appointment.serviceType	Base	preferred	Value set de Canales de cita	📦0.0.2	This IG
Appointment.reason	Base	preferred	Value set de Motivos de la cita	📦0.0.2	This IG
Appointment.subject.​identifier.type	Base	extensible	Identifier Type Codes	📦5.0.0	FHIR Std.
Appointment.participant:ProfesionalSanitarioParticipante.​actor.identifier.type	Base	extensible	Identifier Type Codes	📦5.0.0	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
regcess-system	warning	Appointment.identifier.system	system debe comenzar por urn:regcess: seguido del identificador del sistema.	matches('^urn:regcess:[A-Za-z0-9]+$')

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Appointment	C	0..*	Appointment	A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s) Constraints: app-2, app-3, app-4, app-5, app-6, app-7
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..*	Identifier	Identificador único
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	ΣC	1..1	uri	Sistema para identificar el origen Constraints: regcess-system Example General: http://www.acme.com/identifiers/patient Example ÚNICAS: urn:regcess:0123456789
value	ΣC	1..1	string	Identificador interno del sistema para la cita programada Example General: 123456 Example ÚNICAS: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
status	?!ΣC	1..1	code	proposed | pending | booked | arrived | fulfilled | cancelled | noshow | entered-in-error | checked-in | waitlist Binding: AppointmentStatus (required): The free/busy status of an appointment.
cancellationReason	ΣC	0..1	CodeableConcept	The coded reason for the appointment being cancelled Binding: AppointmentCancellationReason (example)
class	Σ	0..*	CodeableConcept	​Classification when becoming an encounter Binding: http://terminology.hl7.org/ValueSet/EncounterClass (preferred): Classification of the encounter.
serviceCategory	Σ	0..*	CodeableConcept	Categorización de la cita Binding: Value set de Tipos de servicios asistenciales para ÚNICAS (preferred): Value set de Tipos de servicios asistenciales para ÚNICAS
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	OID del catálogo de clasificación de Servicios
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Código del servicio asistencial para ÚNICAS
display	ΣC	0..1	string	Descripción del servicio asistencial para ÚNICAS
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
serviceType	Σ	0..*	CodeableReference(HealthcareService)	Canal de cita Binding: Value set de Canales de cita (preferred): Value set de Canales de cita
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
concept	Σ	0..1	CodeableConcept	Canal de cita
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	URL del SNOMED CT. Extensión para España del SNS
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Código del canal de cita
display	ΣC	0..1	string	Descripción del canal de cita
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
reference	Σ	0..1	Reference()	Reference to a resource (by instance)
specialty	Σ	0..*	CodeableConcept	The specialty of a practitioner that would be required to perform the service requested in this appointment Binding: PracticeSettingCodeValueSet (preferred)
appointmentType	Σ	0..1	CodeableConcept	The style of appointment or patient that has been booked in the slot (not service type) Binding: hl7VS-appointmentReasonCodes (preferred)
reason	Σ	1..*	CodeableReference(Condition | Procedure | Observation | ImmunizationRecommendation)	Motivo de cita Binding: Value set de Motivos de la cita (preferred): Value set de Motivos de la cita
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
concept	Σ	0..1	CodeableConcept	Motivo de cita
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	URL del SNOMED CT. Extensión para España del SNS | OID del CIE-10-ES. Diagnósticos | OID del ORPHA
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	1..1	code	Código del motivo de la cita
display	ΣC	1..1	string	Descripción del motivo de la cita
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
reference	Σ	0..1	Reference()	Reference to a resource (by instance)
priority		0..1	CodeableConcept	Used to make informed decisions if needing to re-prioritize Binding: ActPriority (example): Indicates the urgency of the appointment.
description		0..1	string	Shown on a subject line in a meeting request, or appointment list
replaces		0..*	Reference(Appointment)	Appointment replaced by this Appointment
virtualService		0..*	VirtualServiceDetail	Connection details of a virtual service (e.g. conference call)
supportingInformation		0..*	Reference(Resource)	Additional information to support the appointment
previousAppointment		0..1	Reference(Appointment)	The previous appointment in a series
originatingAppointment	C	0..1	Reference(Appointment)	The originating appointment in a recurring set of appointments
start	ΣC	1..1	instant	Fecha y hora de inicio de la cita programada
end	ΣC	0..1	instant	Fecha y hora de fin de la cita programada
minutesDuration		0..1	positiveInt	Duración de la cita programada
requestedPeriod		0..*	Period	Potential date/time interval(s) requested to allocate the appointment within
slot		0..*	Reference(Slot)	The slots that this appointment is filling
account		0..*	Reference(Account)	The set of accounts that may be used for billing for this Appointment
created		0..1	dateTime	Fecha y hora de creación de la cita
cancellationDate	C	0..1	dateTime	Fecha y hora de cancelación de la cita
note		0..*	Annotation	Comentario
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
author[x]	Σ	0..1		Individual responsible for the annotation
authorReference			Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Organization)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text	Σ	1..1	markdown	Comentario
patientInstruction		0..*	CodeableReference(DocumentReference | Binary | Communication)	Detailed information and instructions for the patient
basedOn		0..*	Reference(CarePlan | DeviceRequest | MedicationRequest | ServiceRequest)	The request this appointment is allocated to assess
subject	Σ	1..1	Reference(Patient Paciente ÚNICAS)	Referencia al paciente
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR
type	Σ	1..1	uri	Tipo de recurso FHIR Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	1..1	Identifier	Identificador de paciente CIP-SNS. Cuando no tengamos recurso Patient, se debera informar el identificador de paciente mediante CIP-SNS
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Tipos de documentos de identificación para persona ÚNICAS Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Additional Bindings Purpose Documentation Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	URL del SNOMED CT. Extensión para España del SNS
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Código del identificador
display	ΣC	0..1	string	Decripción del identificador
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	OID registro de número de CIP-SNS Example General: http://www.acme.com/identifiers/patient Example ÚNICAS: urn:oid:2.16.724.4.40
value	ΣC	0..1	string	Número CIP-SNS Example General: 123456 Example ÚNICAS: BBBBBBBBQR648597
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	ΣC	0..1	string	Nombre completo del paciente
Slices for participant	C	2..*	BackboneElement	Participants involved in appointment Slice: Unordered, Open by profile:resource Constraints: app-1
participant:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	ΣC	0..*	CodeableConcept	Role of participant in the appointment Binding: ParticipantType (extensible): Role of participant in encounter.
period		0..1	Period	Participation period of the actor
actor	ΣC	0..1	Reference(Patient | Group | Practitioner | PractitionerRole | CareTeam | RelatedPerson | Device | HealthcareService | Location)	The individual, device, location, or service participating in the appointment
required	Σ	0..1	boolean	The participant is required to attend (optional when false)
status	Σ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment.
participant:ProfesionalSanitarioParticipante	C	1..*	BackboneElement	Profesional sanitario participante Constraints: app-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	ΣC	0..*	CodeableConcept	Role of participant in the appointment Binding: ParticipantType (extensible): Role of participant in encounter.
period		0..1	Period	Participation period of the actor
actor	ΣC	0..1	Reference(PractitionerRole Profesional Sanitario ÚNICAS | Practitioner Profesional Sanitario ÚNICAS)	Referencia al profesional sanitario
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR
type	Σ	1..1	uri	Tipo de recurso FHIR Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	1..1	Identifier	Identificadores del profesional sanitario. Cuando no tengamos recurso Practitioner, se debera informar el identificador del profesional sanitario mediante DNI como dato mínimo. Adicionalmente, se puede informar el número colegiado del profesional sanitario como dato recomendado
id		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:numeroColegiadoProfesionalSanitario		0..*	Identifier	Número de colegiado del profesional sanitario URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/NumeroColegiadoProfesionalSanitario
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Tipos de documentos de identificación para persona ÚNICAS Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Additional Bindings Purpose Documentation Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	URL del refset Tipos de documento para identificación personal de SNOMED CT. Extensión para España del SNS
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Código del identificador
display	ΣC	0..1	string	Decripción del identificador
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	OID registro de DNI Example General: http://www.acme.com/identifiers/patient Example ÚNICAS: urn:oid:1.3.6.1.4.1.19126.3
value	ΣC	0..1	string	Número del DNI Example General: 123456 Example ÚNICAS: 0000001X
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	ΣC	0..1	string	Nombre completo del profesional sanitario
required	Σ	0..1	boolean	The participant is required to attend (optional when false)
status	Σ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment.
participant:ServicioAsistencialParticipante	C	1..*	BackboneElement	Servicio asistencial (Localización) participante Constraints: app-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	ΣC	0..*	CodeableConcept	Role of participant in the appointment Binding: ParticipantType (extensible): Role of participant in encounter.
period		0..1	Period	Participation period of the actor
actor	ΣC	0..1	Reference(Location Localización y Servicio Asistencial ÚNICAS)	Referencia a la localización y servicio asistencial
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Referencia recurso FHIR
type	Σ	0..1	uri	Tipo de recurso FHIR Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	0..1	Identifier	Identificador del recurso FHIR
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	0..1	uri	Sistema para identificar el origen Example General: http://www.acme.com/identifiers/patient Example ÚNICAS: urn:regcess:0123456789
value	ΣC	0..1	string	Identificador interno del sistema para la localización Example General: 123456 Example ÚNICAS: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	ΣC	0..1	string	Text alternative for the resource
required	Σ	0..1	boolean	The participant is required to attend (optional when false)
status	Σ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment.
recurrenceId		0..1	positiveInt	The sequence number in the recurrence
occurrenceChanged		0..1	boolean	Indicates that this appointment varies from a recurrence pattern
recurrenceTemplate	C	0..*	BackboneElement	Details of the recurrence pattern/template used to generate occurrences
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
timezone		0..1	CodeableConcept	The timezone of the occurrences Binding: IANATimezones (required): IANA Timezones (BCP 175)
recurrenceType		1..1	CodeableConcept	The frequency of the recurrence Binding: AppointmentRecurrenceType (preferred): IANA Timezones (BCP 175)
lastOccurrenceDate		0..1	date	The date when the recurrence should end
occurrenceCount		0..1	positiveInt	The number of planned occurrences
occurrenceDate		0..*	date	Specific dates for a recurring set of appointments (no template)
weeklyTemplate		0..1	BackboneElement	Information about weekly recurring appointments
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
monday		0..1	boolean	Recurs on Mondays
tuesday		0..1	boolean	Recurs on Tuesday
wednesday		0..1	boolean	Recurs on Wednesday
thursday		0..1	boolean	Recurs on Thursday
friday		0..1	boolean	Recurs on Friday
saturday		0..1	boolean	Recurs on Saturday
sunday		0..1	boolean	Recurs on Sunday
weekInterval		0..1	positiveInt	Recurs every nth week
monthlyTemplate		0..1	BackboneElement	Information about monthly recurring appointments
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
dayOfMonth		0..1	positiveInt	Recurs on a specific day of the month
nthWeekOfMonth		0..1	Coding	Indicates which week of the month the appointment should occur Binding: WeekOfMonth (required): The set of weeks in a month.
dayOfWeek		0..1	Coding	Indicates which day of the week the appointment should occur Binding: DaysOfWeek (required): The days of the week.
monthInterval		1..1	positiveInt	Recurs every nth month
yearlyTemplate		0..1	BackboneElement	Information about yearly recurring appointments
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
yearInterval		1..1	positiveInt	Recurs every nth year
excludingDate		0..*	date	Any dates that should be excluded from the series
excludingRecurrenceId		0..*	positiveInt	Any recurrence IDs that should be excluded from the recurrence
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Appointment.language	Base	required	All Languages	📍5.0.0	FHIR Std.
Appointment.identifier.​use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
Appointment.identifier.​type	Base	extensible	Identifier Type Codes	📍5.0.0	FHIR Std.
Appointment.status	Base	required	Appointment Status	📍5.0.0	FHIR Std.
Appointment.cancellationReason	Base	example	Appointment Cancellation Reason	📍5.0.0	FHIR Std.
Appointment.class	Base	preferred	​ http://terminology.hl7.org/ValueSet/EncounterClass	Not State	Unknown
Appointment.serviceCategory	Base	preferred	Value set de Tipos de servicios asistenciales para ÚNICAS	📦0.0.2	This IG
Appointment.serviceType	Base	preferred	Value set de Canales de cita	📦0.0.2	This IG
Appointment.specialty	Base	preferred	Practice Setting Code Value Set	📍5.0.0	FHIR Std.
Appointment.appointmentType	Base	preferred	hl7VS-appointmentReasonCodes	📦2.0.0	THO v6.5
Appointment.reason	Base	preferred	Value set de Motivos de la cita	📦0.0.2	This IG
Appointment.priority	Base	example	ActPriority	📦3.0.0	THO v6.5
Appointment.subject.​type	Base	extensible	Resource Types	📍5.0.0	FHIR Std.
Appointment.subject.​identifier.use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
Appointment.subject.​identifier.type	Base	extensible	Identifier Type Codes	📦5.0.0	FHIR Std.
Appointment.participant.​type	Base	extensible	Participant Type	📍5.0.0	FHIR Std.
Appointment.participant.​status	Base	required	Participation Status	📍5.0.0	FHIR Std.
Appointment.participant:ProfesionalSanitarioParticipante.​type	Base	extensible	Participant Type	📍5.0.0	FHIR Std.
Appointment.participant:ProfesionalSanitarioParticipante.​actor.type	Base	extensible	Resource Types	📍5.0.0	FHIR Std.
Appointment.participant:ProfesionalSanitarioParticipante.​actor.identifier.use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
Appointment.participant:ProfesionalSanitarioParticipante.​actor.identifier.type	Base	extensible	Identifier Type Codes	📦5.0.0	FHIR Std.
Appointment.participant:ProfesionalSanitarioParticipante.​status	Base	required	Participation Status	📍5.0.0	FHIR Std.
Appointment.participant:ServicioAsistencialParticipante.​type	Base	extensible	Participant Type	📍5.0.0	FHIR Std.
Appointment.participant:ServicioAsistencialParticipante.​actor.type	Base	extensible	Resource Types	📍5.0.0	FHIR Std.
Appointment.participant:ServicioAsistencialParticipante.​actor.identifier.use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
Appointment.participant:ServicioAsistencialParticipante.​actor.identifier.type	Base	extensible	Identifier Type Codes	📍5.0.0	FHIR Std.
Appointment.participant:ServicioAsistencialParticipante.​status	Base	required	Participation Status	📍5.0.0	FHIR Std.
Appointment.recurrenceTemplate.​timezone	Base	required	IANA Timezones	📍5.0.0	FHIR Std.
Appointment.recurrenceTemplate.​recurrenceType	Base	preferred	Appointment Recurrence Type	📍5.0.0	FHIR Std.
Appointment.recurrenceTemplate.​monthlyTemplate.nthWeekOfMonth	Base	required	Week Of Month	📍5.0.0	FHIR Std.
Appointment.recurrenceTemplate.​monthlyTemplate.dayOfWeek	Base	required	Days Of Week	📍5.0.0	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
app-1	error	Appointment.participant, Appointment.participant:ProfesionalSanitarioParticipante, Appointment.participant:ServicioAsistencialParticipante	Either the type or actor on the participant SHALL be specified	type.exists() or actor.exists()
app-2	error	Appointment	Either start and end are specified, or neither	start.exists() = end.exists()
app-3	error	Appointment	Only proposed or cancelled appointments can be missing start/end dates	(start.exists() and end.exists()) or (status in ('proposed' | 'cancelled' | 'waitlist'))
app-4	error	Appointment	Cancellation reason is only used for appointments that have been cancelled, or noshow	cancellationReason.exists() implies (status='noshow' or status='cancelled')
app-5	error	Appointment	The start must be less than or equal to the end	start.exists() implies start <= end
app-6	best practice	Appointment	An appointment may have an originatingAppointment or recurrenceTemplate, but not both	originatingAppointment.exists().not() or recurrenceTemplate.exists().not()
app-7	error	Appointment	Cancellation date is only used for appointments that have been cancelled, or noshow	cancellationDate.exists() implies (status='noshow' or status='cancelled')
dom-2	error	Appointment	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Appointment	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Appointment	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Appointment	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Appointment	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
regcess-system	warning	Appointment.identifier.system	system debe comenzar por urn:regcess: seguido del identificador del sistema.	matches('^urn:regcess:[A-Za-z0-9]+$')

This structure is derived from Appointment

Summary

Mandatory: 10 elements(5 nested mandatory elements)

Structures

This structure refers to these other structures:

• Patient Paciente ÚNICAS (https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASPatient)
• PractitionerRole Profesional Sanitario ÚNICAS (https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASPractitionerRole)
• Practitioner Profesional Sanitario ÚNICAS (https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASPractitioner)
• Location Localización y Servicio Asistencial ÚNICAS (https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASLocation)

Extensions

This structure refers to these extensions:

• https://unicas-fhir.sanidad.gob.es/StructureDefinition/NumeroColegiadoProfesionalSanitario

Slices

This structure defines the following Slices:

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

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Appointment	C	0..*	Appointment	A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s) Constraints: app-2, app-3, app-4, app-5, app-6, app-7
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..*	Identifier	Identificador único
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	ΣC	1..1	uri	Sistema para identificar el origen Constraints: regcess-system Example General: http://www.acme.com/identifiers/patient Example ÚNICAS: urn:regcess:0123456789
value	ΣC	1..1	string	Identificador interno del sistema para la cita programada Example General: 123456 Example ÚNICAS: 123456
status	?!ΣC	1..1	code	proposed | pending | booked | arrived | fulfilled | cancelled | noshow | entered-in-error | checked-in | waitlist Binding: AppointmentStatus (required): The free/busy status of an appointment.
serviceCategory	Σ	0..*	CodeableConcept	Categorización de la cita Binding: Value set de Tipos de servicios asistenciales para ÚNICAS (preferred): Value set de Tipos de servicios asistenciales para ÚNICAS
serviceType	Σ	0..*	CodeableReference(HealthcareService)	Canal de cita Binding: Value set de Canales de cita (preferred): Value set de Canales de cita
concept	Σ	0..1	CodeableConcept	Canal de cita
reason	Σ	1..*	CodeableReference(Condition | Procedure | Observation | ImmunizationRecommendation)	Motivo de cita Binding: Value set de Motivos de la cita (preferred): Value set de Motivos de la cita
concept	Σ	0..1	CodeableConcept	Motivo de cita
start	ΣC	1..1	instant	Fecha y hora de inicio de la cita programada
end	ΣC	0..1	instant	Fecha y hora de fin de la cita programada
minutesDuration		0..1	positiveInt	Duración de la cita programada
created		0..1	dateTime	Fecha y hora de creación de la cita
cancellationDate	C	0..1	dateTime	Fecha y hora de cancelación de la cita
note		0..*	Annotation	Comentario
text	Σ	1..1	markdown	Comentario
subject	Σ	1..1	Reference(Patient Paciente ÚNICAS)	Referencia al paciente
reference	ΣC	0..1	string	Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR
type	Σ	1..1	uri	Tipo de recurso FHIR Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	1..1	Identifier	Identificador de paciente CIP-SNS. Cuando no tengamos recurso Patient, se debera informar el identificador de paciente mediante CIP-SNS
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Tipos de documentos de identificación para persona ÚNICAS Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Additional Bindings Purpose Documentation Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
system	Σ	0..1	uri	OID registro de número de CIP-SNS Example General: http://www.acme.com/identifiers/patient Example ÚNICAS: urn:oid:2.16.724.4.40
value	ΣC	0..1	string	Número CIP-SNS Example General: 123456 Example ÚNICAS: BBBBBBBBQR648597
display	ΣC	0..1	string	Nombre completo del paciente
Slices for participant	C	2..*	BackboneElement	Participants involved in appointment Slice: Unordered, Open by profile:resource Constraints: app-1
participant:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
status	Σ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment.
participant:ProfesionalSanitarioParticipante	C	1..*	BackboneElement	Profesional sanitario participante Constraints: app-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor	ΣC	0..1	Reference(PractitionerRole Profesional Sanitario ÚNICAS | Practitioner Profesional Sanitario ÚNICAS)	Referencia al profesional sanitario
reference	ΣC	0..1	string	Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR
type	Σ	1..1	uri	Tipo de recurso FHIR Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	1..1	Identifier	Identificadores del profesional sanitario. Cuando no tengamos recurso Practitioner, se debera informar el identificador del profesional sanitario mediante DNI como dato mínimo. Adicionalmente, se puede informar el número colegiado del profesional sanitario como dato recomendado
Slices for extension				Content/Rules for all slices
extension:numeroColegiadoProfesionalSanitario		0..*	Identifier	Número de colegiado del profesional sanitario URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/NumeroColegiadoProfesionalSanitario
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Tipos de documentos de identificación para persona ÚNICAS Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Additional Bindings Purpose Documentation Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
system	Σ	0..1	uri	OID registro de DNI Example General: http://www.acme.com/identifiers/patient Example ÚNICAS: urn:oid:1.3.6.1.4.1.19126.3
value	ΣC	0..1	string	Número del DNI Example General: 123456 Example ÚNICAS: 0000001X
display	ΣC	0..1	string	Nombre completo del profesional sanitario
status	Σ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment.
participant:ServicioAsistencialParticipante	C	1..*	BackboneElement	Servicio asistencial (Localización) participante Constraints: app-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor	ΣC	0..1	Reference(Location Localización y Servicio Asistencial ÚNICAS)	Referencia a la localización y servicio asistencial
reference	ΣC	0..1	string	Referencia recurso FHIR
type	Σ	0..1	uri	Tipo de recurso FHIR Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	0..1	Identifier	Identificador del recurso FHIR
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	0..1	uri	Sistema para identificar el origen Example General: http://www.acme.com/identifiers/patient Example ÚNICAS: urn:regcess:0123456789
value	ΣC	0..1	string	Identificador interno del sistema para la localización Example General: 123456 Example ÚNICAS: 123456
status	Σ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Appointment.identifier.​use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
Appointment.status	Base	required	Appointment Status	📍5.0.0	FHIR Std.
Appointment.serviceCategory	Base	preferred	Value set de Tipos de servicios asistenciales para ÚNICAS	📦0.0.2	This IG
Appointment.serviceType	Base	preferred	Value set de Canales de cita	📦0.0.2	This IG
Appointment.reason	Base	preferred	Value set de Motivos de la cita	📦0.0.2	This IG
Appointment.subject.​type	Base	extensible	Resource Types	📍5.0.0	FHIR Std.
Appointment.subject.​identifier.use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
Appointment.subject.​identifier.type	Base	extensible	Identifier Type Codes	📦5.0.0	FHIR Std.
Appointment.participant.​status	Base	required	Participation Status	📍5.0.0	FHIR Std.
Appointment.participant:ProfesionalSanitarioParticipante.​actor.type	Base	extensible	Resource Types	📍5.0.0	FHIR Std.
Appointment.participant:ProfesionalSanitarioParticipante.​actor.identifier.use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
Appointment.participant:ProfesionalSanitarioParticipante.​actor.identifier.type	Base	extensible	Identifier Type Codes	📦5.0.0	FHIR Std.
Appointment.participant:ProfesionalSanitarioParticipante.​status	Base	required	Participation Status	📍5.0.0	FHIR Std.
Appointment.participant:ServicioAsistencialParticipante.​actor.type	Base	extensible	Resource Types	📍5.0.0	FHIR Std.
Appointment.participant:ServicioAsistencialParticipante.​actor.identifier.use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
Appointment.participant:ServicioAsistencialParticipante.​status	Base	required	Participation Status	📍5.0.0	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
app-1	error	Appointment.participant, Appointment.participant:ProfesionalSanitarioParticipante, Appointment.participant:ServicioAsistencialParticipante	Either the type or actor on the participant SHALL be specified	type.exists() or actor.exists()
app-2	error	Appointment	Either start and end are specified, or neither	start.exists() = end.exists()
app-3	error	Appointment	Only proposed or cancelled appointments can be missing start/end dates	(start.exists() and end.exists()) or (status in ('proposed' | 'cancelled' | 'waitlist'))
app-4	error	Appointment	Cancellation reason is only used for appointments that have been cancelled, or noshow	cancellationReason.exists() implies (status='noshow' or status='cancelled')
app-5	error	Appointment	The start must be less than or equal to the end	start.exists() implies start <= end
app-6	best practice	Appointment	An appointment may have an originatingAppointment or recurrenceTemplate, but not both	originatingAppointment.exists().not() or recurrenceTemplate.exists().not()
app-7	error	Appointment	Cancellation date is only used for appointments that have been cancelled, or noshow	cancellationDate.exists() implies (status='noshow' or status='cancelled')
dom-2	error	Appointment	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Appointment	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Appointment	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Appointment	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Appointment	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
regcess-system	warning	Appointment.identifier.system	system debe comenzar por urn:regcess: seguido del identificador del sistema.	matches('^urn:regcess:[A-Za-z0-9]+$')

Differential View

This structure is derived from Appointment

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Appointment		0..*	Appointment	A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s)
identifier		1..*	Identifier	Identificador único
system	C	1..1	uri	Sistema para identificar el origen Constraints: regcess-system Example ÚNICAS: urn:regcess:0123456789
value		1..1	string	Identificador interno del sistema para la cita programada Example ÚNICAS: 123456
serviceCategory		0..*	CodeableConcept	Categorización de la cita Binding: Value set de Tipos de servicios asistenciales para ÚNICAS (preferred): Value set de Tipos de servicios asistenciales para ÚNICAS
coding
system		0..1	uri	OID del catálogo de clasificación de Servicios
code		0..1	code	Código del servicio asistencial para ÚNICAS
display		0..1	string	Descripción del servicio asistencial para ÚNICAS
serviceType		0..*	CodeableReference(HealthcareService)	Canal de cita Binding: Value set de Canales de cita (preferred): Value set de Canales de cita
concept		0..1	CodeableConcept	Canal de cita
coding
system		0..1	uri	URL del SNOMED CT. Extensión para España del SNS
code		0..1	code	Código del canal de cita
display		0..1	string	Descripción del canal de cita
reason		1..*	CodeableReference(Condition | Procedure | Observation | ImmunizationRecommendation)	Motivo de cita Binding: Value set de Motivos de la cita (preferred): Value set de Motivos de la cita
concept		0..1	CodeableConcept	Motivo de cita
coding
system		1..1	uri	URL del SNOMED CT. Extensión para España del SNS | OID del CIE-10-ES. Diagnósticos | OID del ORPHA
code		1..1	code	Código del motivo de la cita
display		1..1	string	Descripción del motivo de la cita
start		1..1	instant	Fecha y hora de inicio de la cita programada
end		0..1	instant	Fecha y hora de fin de la cita programada
minutesDuration		0..1	positiveInt	Duración de la cita programada
created		0..1	dateTime	Fecha y hora de creación de la cita
cancellationDate		0..1	dateTime	Fecha y hora de cancelación de la cita
note		0..*	Annotation	Comentario
text		1..1	markdown	Comentario
subject		1..1	Reference(Patient Paciente ÚNICAS)	Referencia al paciente
reference		0..1	string	Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR
type		1..1	uri	Tipo de recurso FHIR
identifier		1..1	Identifier	Identificador de paciente CIP-SNS. Cuando no tengamos recurso Patient, se debera informar el identificador de paciente mediante CIP-SNS
type		0..1	CodeableConcept	Tipos de documentos de identificación para persona ÚNICAS Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Additional Bindings Purpose Documentation Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
coding
system		0..1	uri	URL del SNOMED CT. Extensión para España del SNS
code		0..1	code	Código del identificador
display		0..1	string	Decripción del identificador
system		0..1	uri	OID registro de número de CIP-SNS Example ÚNICAS: urn:oid:2.16.724.4.40
value		0..1	string	Número CIP-SNS Example ÚNICAS: BBBBBBBBQR648597
display		0..1	string	Nombre completo del paciente
Slices for participant		2..*	BackboneElement	Participants involved in appointment Slice: Unordered, Open by profile:resource
participant:ProfesionalSanitarioParticipante		1..*	BackboneElement	Profesional sanitario participante
actor		0..1	Reference(PractitionerRole Profesional Sanitario ÚNICAS | Practitioner Profesional Sanitario ÚNICAS)	Referencia al profesional sanitario
reference		0..1	string	Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR
type		1..1	uri	Tipo de recurso FHIR
identifier		1..1	Identifier	Identificadores del profesional sanitario. Cuando no tengamos recurso Practitioner, se debera informar el identificador del profesional sanitario mediante DNI como dato mínimo. Adicionalmente, se puede informar el número colegiado del profesional sanitario como dato recomendado
Slices for extension				Content/Rules for all slices
extension:numeroColegiadoProfesionalSanitario		0..*	Identifier	Número de colegiado del profesional sanitario URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/NumeroColegiadoProfesionalSanitario
type		0..1	CodeableConcept	Tipos de documentos de identificación para persona ÚNICAS Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Additional Bindings Purpose Documentation Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
coding
system		0..1	uri	URL del refset Tipos de documento para identificación personal de SNOMED CT. Extensión para España del SNS
code		0..1	code	Código del identificador
display		0..1	string	Decripción del identificador
system		0..1	uri	OID registro de DNI Example ÚNICAS: urn:oid:1.3.6.1.4.1.19126.3
value		0..1	string	Número del DNI Example ÚNICAS: 0000001X
display		0..1	string	Nombre completo del profesional sanitario
participant:ServicioAsistencialParticipante		1..*	BackboneElement	Servicio asistencial (Localización) participante
actor		0..1	Reference(Location Localización y Servicio Asistencial ÚNICAS)	Referencia a la localización y servicio asistencial
reference		0..1	string	Referencia recurso FHIR
type		0..1	uri	Tipo de recurso FHIR
identifier		0..1	Identifier	Identificador del recurso FHIR
system		0..1	uri	Sistema para identificar el origen Example ÚNICAS: urn:regcess:0123456789
value		0..1	string	Identificador interno del sistema para la localización Example ÚNICAS: 123456
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Appointment.serviceCategory	Base	preferred	Value set de Tipos de servicios asistenciales para ÚNICAS	📦0.0.2	This IG
Appointment.serviceType	Base	preferred	Value set de Canales de cita	📦0.0.2	This IG
Appointment.reason	Base	preferred	Value set de Motivos de la cita	📦0.0.2	This IG
Appointment.subject.​identifier.type	Base	extensible	Identifier Type Codes	📦5.0.0	FHIR Std.
Appointment.participant:ProfesionalSanitarioParticipante.​actor.identifier.type	Base	extensible	Identifier Type Codes	📦5.0.0	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
regcess-system	warning	Appointment.identifier.system	system debe comenzar por urn:regcess: seguido del identificador del sistema.	matches('^urn:regcess:[A-Za-z0-9]+$')

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Appointment	C	0..*	Appointment	A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s) Constraints: app-2, app-3, app-4, app-5, app-6, app-7
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..*	Identifier	Identificador único
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	ΣC	1..1	uri	Sistema para identificar el origen Constraints: regcess-system Example General: http://www.acme.com/identifiers/patient Example ÚNICAS: urn:regcess:0123456789
value	ΣC	1..1	string	Identificador interno del sistema para la cita programada Example General: 123456 Example ÚNICAS: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
status	?!ΣC	1..1	code	proposed | pending | booked | arrived | fulfilled | cancelled | noshow | entered-in-error | checked-in | waitlist Binding: AppointmentStatus (required): The free/busy status of an appointment.
cancellationReason	ΣC	0..1	CodeableConcept	The coded reason for the appointment being cancelled Binding: AppointmentCancellationReason (example)
class	Σ	0..*	CodeableConcept	​Classification when becoming an encounter Binding: http://terminology.hl7.org/ValueSet/EncounterClass (preferred): Classification of the encounter.
serviceCategory	Σ	0..*	CodeableConcept	Categorización de la cita Binding: Value set de Tipos de servicios asistenciales para ÚNICAS (preferred): Value set de Tipos de servicios asistenciales para ÚNICAS
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	OID del catálogo de clasificación de Servicios
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Código del servicio asistencial para ÚNICAS
display	ΣC	0..1	string	Descripción del servicio asistencial para ÚNICAS
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
serviceType	Σ	0..*	CodeableReference(HealthcareService)	Canal de cita Binding: Value set de Canales de cita (preferred): Value set de Canales de cita
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
concept	Σ	0..1	CodeableConcept	Canal de cita
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	URL del SNOMED CT. Extensión para España del SNS
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Código del canal de cita
display	ΣC	0..1	string	Descripción del canal de cita
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
reference	Σ	0..1	Reference()	Reference to a resource (by instance)
specialty	Σ	0..*	CodeableConcept	The specialty of a practitioner that would be required to perform the service requested in this appointment Binding: PracticeSettingCodeValueSet (preferred)
appointmentType	Σ	0..1	CodeableConcept	The style of appointment or patient that has been booked in the slot (not service type) Binding: hl7VS-appointmentReasonCodes (preferred)
reason	Σ	1..*	CodeableReference(Condition | Procedure | Observation | ImmunizationRecommendation)	Motivo de cita Binding: Value set de Motivos de la cita (preferred): Value set de Motivos de la cita
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
concept	Σ	0..1	CodeableConcept	Motivo de cita
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	URL del SNOMED CT. Extensión para España del SNS | OID del CIE-10-ES. Diagnósticos | OID del ORPHA
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	1..1	code	Código del motivo de la cita
display	ΣC	1..1	string	Descripción del motivo de la cita
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
reference	Σ	0..1	Reference()	Reference to a resource (by instance)
priority		0..1	CodeableConcept	Used to make informed decisions if needing to re-prioritize Binding: ActPriority (example): Indicates the urgency of the appointment.
description		0..1	string	Shown on a subject line in a meeting request, or appointment list
replaces		0..*	Reference(Appointment)	Appointment replaced by this Appointment
virtualService		0..*	VirtualServiceDetail	Connection details of a virtual service (e.g. conference call)
supportingInformation		0..*	Reference(Resource)	Additional information to support the appointment
previousAppointment		0..1	Reference(Appointment)	The previous appointment in a series
originatingAppointment	C	0..1	Reference(Appointment)	The originating appointment in a recurring set of appointments
start	ΣC	1..1	instant	Fecha y hora de inicio de la cita programada
end	ΣC	0..1	instant	Fecha y hora de fin de la cita programada
minutesDuration		0..1	positiveInt	Duración de la cita programada
requestedPeriod		0..*	Period	Potential date/time interval(s) requested to allocate the appointment within
slot		0..*	Reference(Slot)	The slots that this appointment is filling
account		0..*	Reference(Account)	The set of accounts that may be used for billing for this Appointment
created		0..1	dateTime	Fecha y hora de creación de la cita
cancellationDate	C	0..1	dateTime	Fecha y hora de cancelación de la cita
note		0..*	Annotation	Comentario
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
author[x]	Σ	0..1		Individual responsible for the annotation
authorReference			Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Organization)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text	Σ	1..1	markdown	Comentario
patientInstruction		0..*	CodeableReference(DocumentReference | Binary | Communication)	Detailed information and instructions for the patient
basedOn		0..*	Reference(CarePlan | DeviceRequest | MedicationRequest | ServiceRequest)	The request this appointment is allocated to assess
subject	Σ	1..1	Reference(Patient Paciente ÚNICAS)	Referencia al paciente
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR
type	Σ	1..1	uri	Tipo de recurso FHIR Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	1..1	Identifier	Identificador de paciente CIP-SNS. Cuando no tengamos recurso Patient, se debera informar el identificador de paciente mediante CIP-SNS
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Tipos de documentos de identificación para persona ÚNICAS Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Additional Bindings Purpose Documentation Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	URL del SNOMED CT. Extensión para España del SNS
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Código del identificador
display	ΣC	0..1	string	Decripción del identificador
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	OID registro de número de CIP-SNS Example General: http://www.acme.com/identifiers/patient Example ÚNICAS: urn:oid:2.16.724.4.40
value	ΣC	0..1	string	Número CIP-SNS Example General: 123456 Example ÚNICAS: BBBBBBBBQR648597
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	ΣC	0..1	string	Nombre completo del paciente
Slices for participant	C	2..*	BackboneElement	Participants involved in appointment Slice: Unordered, Open by profile:resource Constraints: app-1
participant:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	ΣC	0..*	CodeableConcept	Role of participant in the appointment Binding: ParticipantType (extensible): Role of participant in encounter.
period		0..1	Period	Participation period of the actor
actor	ΣC	0..1	Reference(Patient | Group | Practitioner | PractitionerRole | CareTeam | RelatedPerson | Device | HealthcareService | Location)	The individual, device, location, or service participating in the appointment
required	Σ	0..1	boolean	The participant is required to attend (optional when false)
status	Σ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment.
participant:ProfesionalSanitarioParticipante	C	1..*	BackboneElement	Profesional sanitario participante Constraints: app-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	ΣC	0..*	CodeableConcept	Role of participant in the appointment Binding: ParticipantType (extensible): Role of participant in encounter.
period		0..1	Period	Participation period of the actor
actor	ΣC	0..1	Reference(PractitionerRole Profesional Sanitario ÚNICAS | Practitioner Profesional Sanitario ÚNICAS)	Referencia al profesional sanitario
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR
type	Σ	1..1	uri	Tipo de recurso FHIR Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	1..1	Identifier	Identificadores del profesional sanitario. Cuando no tengamos recurso Practitioner, se debera informar el identificador del profesional sanitario mediante DNI como dato mínimo. Adicionalmente, se puede informar el número colegiado del profesional sanitario como dato recomendado
id		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:numeroColegiadoProfesionalSanitario		0..*	Identifier	Número de colegiado del profesional sanitario URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/NumeroColegiadoProfesionalSanitario
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Tipos de documentos de identificación para persona ÚNICAS Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Additional Bindings Purpose Documentation Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	URL del refset Tipos de documento para identificación personal de SNOMED CT. Extensión para España del SNS
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Código del identificador
display	ΣC	0..1	string	Decripción del identificador
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	OID registro de DNI Example General: http://www.acme.com/identifiers/patient Example ÚNICAS: urn:oid:1.3.6.1.4.1.19126.3
value	ΣC	0..1	string	Número del DNI Example General: 123456 Example ÚNICAS: 0000001X
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	ΣC	0..1	string	Nombre completo del profesional sanitario
required	Σ	0..1	boolean	The participant is required to attend (optional when false)
status	Σ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment.
participant:ServicioAsistencialParticipante	C	1..*	BackboneElement	Servicio asistencial (Localización) participante Constraints: app-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	ΣC	0..*	CodeableConcept	Role of participant in the appointment Binding: ParticipantType (extensible): Role of participant in encounter.
period		0..1	Period	Participation period of the actor
actor	ΣC	0..1	Reference(Location Localización y Servicio Asistencial ÚNICAS)	Referencia a la localización y servicio asistencial
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Referencia recurso FHIR
type	Σ	0..1	uri	Tipo de recurso FHIR Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	0..1	Identifier	Identificador del recurso FHIR
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	0..1	uri	Sistema para identificar el origen Example General: http://www.acme.com/identifiers/patient Example ÚNICAS: urn:regcess:0123456789
value	ΣC	0..1	string	Identificador interno del sistema para la localización Example General: 123456 Example ÚNICAS: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	ΣC	0..1	string	Text alternative for the resource
required	Σ	0..1	boolean	The participant is required to attend (optional when false)
status	Σ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment.
recurrenceId		0..1	positiveInt	The sequence number in the recurrence
occurrenceChanged		0..1	boolean	Indicates that this appointment varies from a recurrence pattern
recurrenceTemplate	C	0..*	BackboneElement	Details of the recurrence pattern/template used to generate occurrences
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
timezone		0..1	CodeableConcept	The timezone of the occurrences Binding: IANATimezones (required): IANA Timezones (BCP 175)
recurrenceType		1..1	CodeableConcept	The frequency of the recurrence Binding: AppointmentRecurrenceType (preferred): IANA Timezones (BCP 175)
lastOccurrenceDate		0..1	date	The date when the recurrence should end
occurrenceCount		0..1	positiveInt	The number of planned occurrences
occurrenceDate		0..*	date	Specific dates for a recurring set of appointments (no template)
weeklyTemplate		0..1	BackboneElement	Information about weekly recurring appointments
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
monday		0..1	boolean	Recurs on Mondays
tuesday		0..1	boolean	Recurs on Tuesday
wednesday		0..1	boolean	Recurs on Wednesday
thursday		0..1	boolean	Recurs on Thursday
friday		0..1	boolean	Recurs on Friday
saturday		0..1	boolean	Recurs on Saturday
sunday		0..1	boolean	Recurs on Sunday
weekInterval		0..1	positiveInt	Recurs every nth week
monthlyTemplate		0..1	BackboneElement	Information about monthly recurring appointments
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
dayOfMonth		0..1	positiveInt	Recurs on a specific day of the month
nthWeekOfMonth		0..1	Coding	Indicates which week of the month the appointment should occur Binding: WeekOfMonth (required): The set of weeks in a month.
dayOfWeek		0..1	Coding	Indicates which day of the week the appointment should occur Binding: DaysOfWeek (required): The days of the week.
monthInterval		1..1	positiveInt	Recurs every nth month
yearlyTemplate		0..1	BackboneElement	Information about yearly recurring appointments
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
yearInterval		1..1	positiveInt	Recurs every nth year
excludingDate		0..*	date	Any dates that should be excluded from the series
excludingRecurrenceId		0..*	positiveInt	Any recurrence IDs that should be excluded from the recurrence
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Appointment.language	Base	required	All Languages	📍5.0.0	FHIR Std.
Appointment.identifier.​use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
Appointment.identifier.​type	Base	extensible	Identifier Type Codes	📍5.0.0	FHIR Std.
Appointment.status	Base	required	Appointment Status	📍5.0.0	FHIR Std.
Appointment.cancellationReason	Base	example	Appointment Cancellation Reason	📍5.0.0	FHIR Std.
Appointment.class	Base	preferred	​ http://terminology.hl7.org/ValueSet/EncounterClass	Not State	Unknown
Appointment.serviceCategory	Base	preferred	Value set de Tipos de servicios asistenciales para ÚNICAS	📦0.0.2	This IG
Appointment.serviceType	Base	preferred	Value set de Canales de cita	📦0.0.2	This IG
Appointment.specialty	Base	preferred	Practice Setting Code Value Set	📍5.0.0	FHIR Std.
Appointment.appointmentType	Base	preferred	hl7VS-appointmentReasonCodes	📦2.0.0	THO v6.5
Appointment.reason	Base	preferred	Value set de Motivos de la cita	📦0.0.2	This IG
Appointment.priority	Base	example	ActPriority	📦3.0.0	THO v6.5
Appointment.subject.​type	Base	extensible	Resource Types	📍5.0.0	FHIR Std.
Appointment.subject.​identifier.use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
Appointment.subject.​identifier.type	Base	extensible	Identifier Type Codes	📦5.0.0	FHIR Std.
Appointment.participant.​type	Base	extensible	Participant Type	📍5.0.0	FHIR Std.
Appointment.participant.​status	Base	required	Participation Status	📍5.0.0	FHIR Std.
Appointment.participant:ProfesionalSanitarioParticipante.​type	Base	extensible	Participant Type	📍5.0.0	FHIR Std.
Appointment.participant:ProfesionalSanitarioParticipante.​actor.type	Base	extensible	Resource Types	📍5.0.0	FHIR Std.
Appointment.participant:ProfesionalSanitarioParticipante.​actor.identifier.use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
Appointment.participant:ProfesionalSanitarioParticipante.​actor.identifier.type	Base	extensible	Identifier Type Codes	📦5.0.0	FHIR Std.
Appointment.participant:ProfesionalSanitarioParticipante.​status	Base	required	Participation Status	📍5.0.0	FHIR Std.
Appointment.participant:ServicioAsistencialParticipante.​type	Base	extensible	Participant Type	📍5.0.0	FHIR Std.
Appointment.participant:ServicioAsistencialParticipante.​actor.type	Base	extensible	Resource Types	📍5.0.0	FHIR Std.
Appointment.participant:ServicioAsistencialParticipante.​actor.identifier.use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
Appointment.participant:ServicioAsistencialParticipante.​actor.identifier.type	Base	extensible	Identifier Type Codes	📍5.0.0	FHIR Std.
Appointment.participant:ServicioAsistencialParticipante.​status	Base	required	Participation Status	📍5.0.0	FHIR Std.
Appointment.recurrenceTemplate.​timezone	Base	required	IANA Timezones	📍5.0.0	FHIR Std.
Appointment.recurrenceTemplate.​recurrenceType	Base	preferred	Appointment Recurrence Type	📍5.0.0	FHIR Std.
Appointment.recurrenceTemplate.​monthlyTemplate.nthWeekOfMonth	Base	required	Week Of Month	📍5.0.0	FHIR Std.
Appointment.recurrenceTemplate.​monthlyTemplate.dayOfWeek	Base	required	Days Of Week	📍5.0.0	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
app-1	error	Appointment.participant, Appointment.participant:ProfesionalSanitarioParticipante, Appointment.participant:ServicioAsistencialParticipante	Either the type or actor on the participant SHALL be specified	type.exists() or actor.exists()
app-2	error	Appointment	Either start and end are specified, or neither	start.exists() = end.exists()
app-3	error	Appointment	Only proposed or cancelled appointments can be missing start/end dates	(start.exists() and end.exists()) or (status in ('proposed' | 'cancelled' | 'waitlist'))
app-4	error	Appointment	Cancellation reason is only used for appointments that have been cancelled, or noshow	cancellationReason.exists() implies (status='noshow' or status='cancelled')
app-5	error	Appointment	The start must be less than or equal to the end	start.exists() implies start <= end
app-6	best practice	Appointment	An appointment may have an originatingAppointment or recurrenceTemplate, but not both	originatingAppointment.exists().not() or recurrenceTemplate.exists().not()
app-7	error	Appointment	Cancellation date is only used for appointments that have been cancelled, or noshow	cancellationDate.exists() implies (status='noshow' or status='cancelled')
dom-2	error	Appointment	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Appointment	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Appointment	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Appointment	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Appointment	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
regcess-system	warning	Appointment.identifier.system	system debe comenzar por urn:regcess: seguido del identificador del sistema.	matches('^urn:regcess:[A-Za-z0-9]+$')

This structure is derived from Appointment

Summary

Mandatory: 10 elements(5 nested mandatory elements)

Structures

This structure refers to these other structures:

• Patient Paciente ÚNICAS (https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASPatient)
• PractitionerRole Profesional Sanitario ÚNICAS (https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASPractitionerRole)
• Practitioner Profesional Sanitario ÚNICAS (https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASPractitioner)
• Location Localización y Servicio Asistencial ÚNICAS (https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASLocation)

Extensions

This structure refers to these extensions:

• https://unicas-fhir.sanidad.gob.es/StructureDefinition/NumeroColegiadoProfesionalSanitario

Slices

This structure defines the following Slices:

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