StructureDefinition
Definition
for
appointmentresponse
Value
SetObservation
Interpretation
Codes
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AppointmentResponse : A reply to an appointment request for a patient and/or practitioner(s),
such as a confirmation or rejection.
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padding:0px 4px 0px 4pxA reply to an appointment request for a patient and/or practitioner(s), such as a confirmation
or rejection
Elements defined in Ancestors:
The logical id of the resource, as used in the URL for the resource. Once assigned, this
value never changes.,
The metadata about the resource. This is content that is maintained by the infrastructure.
Changes to the content might not always be associated with version changes to the resource.,
A reference to a set of rules that were followed when the resource was constructed, and
which must be understood when processing the content. Often, this is a reference to an
implementation guide that defines the special rules along with other profiles etc.,
,
A human-readable narrative that contains a summary of the resource and can be used to
represent the content of the resource to a human. The narrative need not encode all the
structured data, but is required to contain sufficient detail to make it "clinically
safe" for a human to just read the narrative. Resource definitions may define what
content should be represented in the narrative to ensure clinical safety.,
These resources do not have an independent existence apart from the resource that contains
them - they cannot be identified independently, and nor can they have their own independent
transaction scope.,
May be used to represent additional information that is not part of the basic definition
of the resource. To make the use of extensions safe and manageable, there is a strict
set of governance applied to the definition and use of extensions. Though any implementer
can define an extension, there is a set of requirements that SHALL be met as part of the
definition of the extension.,
May be used to represent additional information that is not part of the basic definition
of the resource and that modifies the understanding of the element that contains it and/or
the understanding of the containing element's descendants. Usually modifier elements provide
negation or qualification. To make the use of extensions safe and manageable, there is
a strict set of governance applied to the definition and use of extensions. Though any
implementer is allowed to define an extension, there is a set of requirements that SHALL
be met as part of the definition of the extension. Applications processing a resource
are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
(including cannot change the meaning of modifierExtension itself).
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AppointmentResponse.identifier : This records identifiers associated with this appointment
response concern that are defined by business processes and/ or used to refer to it when
a direct URL reference to the resource itself is not appropriate.
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(
)
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AppointmentResponse.start : Date/Time that the appointment is to take place, or requested
new start time.
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AppointmentResponse.end : This may be either the same as the appointment request to confirm
the details of the appointment, or alternately a new time to request a re-negotiation
of the end time.
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solid; padding:0px 4px 0px 4pxRole of participant in the appointment
(
To be conformant, the concept in this element SHALL be from the specified value set if
any of the codes within the value set can apply to the concept being communicated. If
the value set does not cover the concept (based on human review), alternate codings (or,
data type allowing, text) may be included instead.)
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AppointmentResponse.actor : A Person, Location, HealthcareService, or Device that is participating
in the appointment.
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solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iV
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AppointmentResponse.participantStatus : Participation status of the participant. When
the status is declined or tentative if the start/end times are different to the appointment,
then these times should be interpreted as a requested time change. When the status is
accepted, the times can either be the time of the appointment (as a confirmation of the
time) or can be empty.
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solid; padding:0px 4px 0px 4px
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solid; padding:0px 4px 0px 4px
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solid; padding:0px 4px 0px 4pxaccepted | declined | tentative | needs-action
(
)
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AASUVORK5CYII=)
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TRgwAAAABJRU5ErkJggg==
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Documentation for this format
A reply to an appointment request for a patient and/or practitioner(s), such as a confirmation
or rejection.
A reply to an appointment request for a patient and/or practitioner(s), such as a confirmation
or rejection
A reply to an appointment request for a patient and/or practitioner(s), such as a confirmation
or rejection.
If the resource is contained in another resource, it SHALL be referred to from elsewhere
in the resource or SHALL refer to the containing resource
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonica
l) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(refer
ence = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(c
anonical) = '#').exists()).not()).trace('unmatched', id).empty()
not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:refere
nce/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))
If a resource is contained in another resource, it SHALL NOT have a meta.versionId or
a meta.lastUpdated
When a resource has no narrative, only systems that fully understand the data can display
the resource to a human safely. Including a human readable representation in the resource
makes for a much more robust eco-system and cheaper handling of resources by intermediary
systems. Some ecosystems restrict distribution of resources to only those systems that
do fully understand the resources, and as a consequence implementers may believe that
the narrative is superfluous. However experience shows that such eco-systems often open
up to new participants over time.
The logical id of the resource, as used in the URL for the resource. Once assigned, this
value never changes.
The only time that a resource does not have an id is when it is being submitted to the
server using a create operation.
<!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic
(j) -->
The metadata about the resource. This is content that is maintained by the infrastructure.
Changes to the content might not always be associated with version changes to the resource.
A reference to a set of rules that were followed when the resource was constructed, and
which must be understood when processing the content. Often, this is a reference to an
implementation guide that defines the special rules along with other profiles etc.
Asserting this rule set restricts the content to be only understood by a limited set of
trading partners. This inherently limits the usefulness of the data in the long term.
However, the existing health eco-system is highly fractured, and not yet ready to define,
collect, and exchange data in a generally computable sense. Wherever possible, implementers
and/or specification writers should avoid using this element. Often, when used, the URL
is a reference to an implementation guide that defines these special rules as part of
it's narrative along with other profiles, value sets, etc.
This element is labeled as a modifier because the implicit rules may provide additional
knowledge about the resource that modifies it's meaning or interpretation
Language is provided to support indexing and accessibility (typically, services such as
text to speech use the language tag). The html language tag in the narrative applies
to the narrative. The language tag on the resource may be used to specify the language
of other presentations generated from the data in the resource. Not all the content has
to be in the base language. The Resource.language should not be assumed to apply to the
narrative automatically. If a language is specified, it should it also be specified on
the div element in the html (see rules in HTML5 for information about the relationship
between xml:lang and the html lang attribute).
A human-readable narrative that contains a summary of the resource and can be used to
represent the content of the resource to a human. The narrative need not encode all the
structured data, but is required to contain sufficient detail to make it "clinically
safe" for a human to just read the narrative. Resource definitions may define what
content should be represented in the narrative to ensure clinical safety.
Contained resources do not have narrative. Resources that are not contained SHOULD have
a narrative. In some cases, a resource may only have text with little or no additional
discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary
for data from legacy systems where information is captured as a "text blob"
or where text is additionally entered raw or narrated and encoded information is added
later.
These resources do not have an independent existence apart from the resource that contains
them - they cannot be identified independently, and nor can they have their own independent
transaction scope.
This should never be done when the content can be identified properly, as once identification
is lost, it is extremely difficult (and context dependent) to restore it again. Contained
resources may have profiles and tags In their meta elements, but SHALL NOT have security
labels.
May be used to represent additional information that is not part of the basic definition
of the resource. To make the use of extensions safe and manageable, there is a strict
set of governance applied to the definition and use of extensions. Though any implementer
can define an extension, there is a set of requirements that SHALL be met as part of the
definition of the extension.
There can be no stigma associated with the use of extensions by any application, project,
or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
The use of extensions is what allows the FHIR specification to retain a core level of
simplicity for everyone.
May be used to represent additional information that is not part of the basic definition
of the resource and that modifies the understanding of the element that contains it and/or
the understanding of the containing element's descendants. Usually modifier elements provide
negation or qualification. To make the use of extensions safe and manageable, there is
a strict set of governance applied to the definition and use of extensions. Though any
implementer is allowed to define an extension, there is a set of requirements that SHALL
be met as part of the definition of the extension. Applications processing a resource
are required to check for modifier extensions.
@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
(including cannot change the meaning of modifierExtension itself).
There can be no stigma associated with the use of extensions by any application, project,
or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
The use of extensions is what allows the FHIR specification to retain a core level of
simplicity for everyone.
Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly
distinguished from the vast majority of extensions which can be safely ignored. This
promotes interoperability by eliminating the need for implementers to prohibit the presence
of extensions. For further information, see the [definition of modifier extensions](extensibility.ht
ml#modifierExtension).
Modifier extensions are expected to modify the meaning or interpretation of the resource
that contains them
This records identifiers associated with this appointment response concern that are defined
by business processes and/ or used to refer to it when a direct URL reference to the resource
itself is not appropriate.
This may be either the same as the appointment request to confirm the details of the appointment,
or alternately a new time to request a re-negotiation of the start time.
This may be either the same as the appointment request to confirm the details of the appointment,
or alternately a new time to request a re-negotiation of the end time.
The role of the participant can be used to declare what the actor will be doing in the
scope of the referenced appointment.
# - resource -------------------------------------------------------------------
If the actor is not specified, then it is expected that the actor will be filled in at
a later stage of planning.
<http://hl7.org/fhir/ValueSet/observation-interpretation> a fhir:ValueSet ;
fhir:nodeRole fhir:treeRoot ;
fhir:id [ fhir:v "observation-interpretation"] ; #
fhir:meta [
fhir:lastUpdated [ fhir:v "2025-12-17T09:50:17.012+00:00"^^xsd:dateTime ]
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet observation-interpretation</b></p><a name=\"observation-interpretation\"> </a><a name=\"hcobservation-interpretation\"> </a><ul><li>Include all codes defined in <a href=\"http://terminology.hl7.org/7.0.1/CodeSystem-v3-ObservationInterpretation.html\"><code>http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation</code></a><span title=\"Version is not explicitly stated, which means it is fixed to 3.0.0, the version found through the package references\"> version ?3.0.0</span></li></ul></div>"^^rdf:XMLLiteral ]
] ; #
fhir:extension ( [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-wg>
] ;
fhir:value [
a fhir:Code ;
fhir:v "oo"
]
] [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status>
] ;
fhir:value [
a fhir:Code ;
fhir:v "normative"
]
] [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm>
] ;
fhir:value [
a fhir:Integer ;
fhir:v 5
]
] ) ; #
fhir:url [
fhir:v "http://hl7.org/fhir/ValueSet/observation-interpretation"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ValueSet/observation-interpretation>
] ; #
fhir:identifier ( [
fhir:system [
fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ;
fhir:l <urn:ietf:rfc:3986>
] ;
fhir:value [ fhir:v "urn:oid:2.16.840.1.113883.4.642.3.399" ]
] [
fhir:use [ fhir:v "old" ] ;
fhir:system [
fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ;
fhir:l <urn:ietf:rfc:3986>
] ;
fhir:value [ fhir:v "urn:oid:2.16.840.1.113883.4.642.3.386" ]
] [
fhir:use [ fhir:v "old" ] ;
fhir:system [
fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ;
fhir:l <urn:ietf:rfc:3986>
] ;
fhir:value [ fhir:v "urn:oid:2.16.840.1.113883.4.642.2.218" ]
] ) ; #
fhir:version [ fhir:v "6.0.0-ballot3"] ; #
fhir:name [ fhir:v "ObservationInterpretationCodes"] ; #
fhir:title [ fhir:v "Observation Interpretation Codes"] ; #
fhir:status [ fhir:v "active"] ; #
fhir:experimental [ fhir:v false] ; #
fhir:publisher [ fhir:v "FHIR Project team"] ; #
fhir:contact ( [
fhir:telecom ( [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://hl7.org/fhir" ]
] )
] ) ; #
fhir:description [ fhir:v "A categorical assessment, providing a rough qualitative interpretation of the observation value, such as “normal”/ “abnormal”,”low” / “high”, “better” / “worse”, “susceptible” / “resistant”, “expected”/ “not expected”. The value set is intended to be for ANY use where coded representation of an interpretation is needed. \r\n \r\n Notes:\r\n \r\n This is being communicated in v2.x in OBX-8 (Observation Interpretation), in v3 in ObservationInterpretation (CWE) in R1 (Representative Realm) and in FHIR in Observation.interpretation. Historically these values come from the laboratory domain, and these codes are extensively used. The value set binding is extensible, so codes outside the value set that are needed for interpretation concepts (i.e. particular meanings) that are not included in the value set can be used, and these new codes may also be added to the value set and published in a future version."] ; #
fhir:jurisdiction ( [
fhir:coding ( [
fhir:system [
fhir:v "http://unstats.un.org/unsd/methods/m49/m49.htm"^^xsd:anyURI ;
fhir:l <http://unstats.un.org/unsd/methods/m49/m49.htm>
] ;
fhir:code [ fhir:v "001" ] ;
fhir:display [ fhir:v "World" ]
] )
] ) ; #
fhir:compose [
fhir:include ( [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation>
]
] )
] ; #
fhir:expansion [] . #
This value SHALL be the same as specified on the referenced Appointment so that they can
be matched, and subsequently updated.
performer.person | reusableDevice.manufacturedDevice | subject.patient | location.serviceDeliveryLoc
ation
ATTENDEE: (Need to provide the common name CN and also the MAILTO properties from the
practitioner resource)
Participation status of the participant. When the status is declined or tentative if the
start/end times are different to the appointment, then these times should be interpreted
as a requested time change. When the status is accepted, the times can either be the time
of the appointment (as a confirmation of the time) or can be empty.
This element is labeled as a modifier because the status contains the code entered-in-error
that marks the participant as not currently valid.
ATTENDEE;CN="Brian Postlethwaite";RSVP=TRUE:mailto:BPostlethwaite@data.com (rsvpparam
| partstatparam)
This comment is particularly important when the responder is declining, tentatively accepting
or requesting another time to indicate the reasons why.
A reply to an appointment request for a patient and/or practitioner(s), such as a confirmation
or rejection
A reply to an appointment request for a patient and/or practitioner(s), such as a confirmation
or rejection.
This records identifiers associated with this appointment response concern that are defined
by business processes and/ or used to refer to it when a direct URL reference to the resource
itself is not appropriate.
This may be either the same as the appointment request to confirm the details of the appointment,
or alternately a new time to request a re-negotiation of the start time.
This may be either the same as the appointment request to confirm the details of the appointment,
or alternately a new time to request a re-negotiation of the end time.
The role of the participant can be used to declare what the actor will be doing in the
scope of the referenced appointment.
# -------------------------------------------------------------------------------------
If the actor is not specified, then it is expected that the actor will be filled in at
a later stage of planning.
This value SHALL be the same as specified on the referenced Appointment so that they can
be matched, and subsequently updated.
performer.person | reusableDevice.manufacturedDevice | subject.patient | location.serviceDeliveryLoc
ation
ATTENDEE: (Need to provide the common name CN and also the MAILTO properties from the
practitioner resource)
Participation status of the participant. When the status is declined or tentative if the
start/end times are different to the appointment, then these times should be interpreted
as a requested time change. When the status is accepted, the times can either be the time
of the appointment (as a confirmation of the time) or can be empty.
This element is labeled as a modifier because the status contains the code entered-in-error
that marks the participant as not currently valid.
ATTENDEE;CN="Brian Postlethwaite";RSVP=TRUE:mailto:BPostlethwaite@data.com (rsvpparam
| partstatparam)
This comment is particularly important when the responder is declining, tentatively accepting
or requesting another time to indicate the reasons why.
</
StructureDefinition
>
Usage
note:
every
effort
has
been
made
to
ensure
that
the
examples
are
correct
and
useful,
but
they
are
not
a
normative
part
of
the
specification.