appointment-book

May 2020 Draft Snapshot

This is a draft snapshot of this hook definition provided to support a stable published version for testing. The Hook Maturity Model defines the process for proposing new hooks on the CDS Hooks Repository and the CDS Hooks Community Build Site.

Metadata	Value
specificationVersion	1.0
hookVersion	1.0
hookMaturity	1 - Submitted
standardsStatus	draft
publicationStatus	snapshot

Workflow

This hook is invoked when the user is scheduling one or more future encounters/visits for the patient. It may be invoked at the start and end of the booking process and/or any time between those two points. It allows CDS Services to intervene in the decision of when future appointments should be scheduled, where they should be scheduled, what services should be booked, to identify actions that need to occur prior to scheduled appointments, etc.

Context

The Patient whose appointment(s) are being booked, as well as the proposed Appointment records.

Field	Optionality	Prefetch Token	Type	Description
userId	REQUIRED	Yes	string	The id of the current user. For this hook, the user could be of type Practitioner, PractitionerRole, Patient, or RelatedPerson. For example, Practitioner/123
patientId	REQUIRED	Yes	string	The FHIR Patient.id of Patient appointment(s) is/are for
encounterId	OPTIONAL	Yes	string	The FHIR Encounter.id of Encounter where booking was initiated
appointments	REQUIRED	No	object	DSTU2/STU3/R4 - FHIR Bundle of Appointments in 'proposed' state

Examples (STU3)

"context":{
  "userId" : "PractitionerRole/A2340113",
  "patientId" : "1288992",
  "appointments" : [
    {
      "resourceType": "Appointment",
      "id": "apt1",
      "status": "proposed",
      "serviceType": [
        {
          "coding": [
            {
              "code": "183",
              "display": "Sleep Medicine"
            }
          ]
        }
      ],
      "appointmentType": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/v2/0276",
            "code": "FOLLOWUP",
            "display": "A follow up visit from a previous appointment"
          }
        ]
      },
      "reason": {
        "coding": {
          "system": "",
          "code": "1023001",
          "display": "Apnea"
        }
      },
      "description": "CPAP adjustments",
      "start": "2019-08-10T09:00:00-06:00",
      "end": "2019-08-10T09:10:00:00-06:00",
      "created": "2019-08-01",
      "participant": [
        {
          "actor": {
            "reference": "Patient/example",
            "display": "Peter James Chalmers"
          },
          "required": "required",
          "status": "tentative"
        },
        {
          "actor": {
            "reference": "Practitioner/example",
            "display": "Dr Adam Careful"
          },
          "required": "required",
          "status": "accepted"
        }
      ]
    },
    {
      "resourceType": "Appointment",
      "id": "apt1",
      "status": "proposed",
      "appointmentType": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/v2/0276",
            "code": "CHECKUP",
            "display": "A routine check-up, such as an annual physical"
          }
        ]
      },
      "description": "Regular physical",
      "start": "2020-08-01T13:00:00-06:00",
      "end": "2020-08-01T13:30:00:00-06:00",
      "created": "2019-08-01",
      "participant": [
        {
          "actor": {
            "reference": "Patient/example",
            "display": "Peter James Chalmers"
          },
          "required": "required",
          "status": "tentative"
        },
        {
          "actor": {
            "reference": "Practitioner/example",
            "display": "Dr Adam Careful"
          },
          "required": "required",
          "status": "accepted"
        }
      ]
    }
  ]
}

"context":{
  "userId" : "PractitionerRole/A2340113",
  "patientId" : "1288992",
  "encounterId" : "456",
  "appointment" : [
    {
      "resourceType": "Appointment",
      "id": "example",
      "text": {
        "status": "generated",
        "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Brian MRI results discussion</div>"
      },
      "status": "proposed",
      "serviceCategory": {
        "coding": [
          {
            "system": "http://example.org/service-category",
            "code": "gp",
            "display": "General Practice"
          }
        ]
      },
      "serviceType": [
        {
          "coding": [
            {
              "code": "52",
              "display": "General Discussion"
            }
          ]
        }
      ],
      "specialty": [
        {
          "coding": [
            {
              "system": "http://example.org/specialty",
              "code": "gp",
              "display": "General Practice"
            }
          ]
        }
      ],
      "appointmentType": {
        "coding": [
          {
            "system": "http://example.org/appointment-type",
            "code": "follow",
            "display": "Followup"
          }
        ]
      },
      "indication": [
        {
          "reference": "Condition/example",
          "display": "Severe burn of left ear"
        }
      ],
      "priority": 5,
      "description": "Discussion on the results of your recent MRI",
      "start": "2013-12-10T09:00:00Z",
      "end": "2013-12-10T11:00:00Z",
      "created": "2013-10-10",
      "comment": "Further expand on the results of the MRI and determine the next actions that may be appropriate.",
      "incomingReferral": [
        {
          "reference": "ReferralRequest/example"
        }
      ],
      "participant": [
        {
          "actor": {
            "reference": "Patient/example",
            "display": "Peter James Chalmers"
          },
          "required": "required",
          "status": "tentative"
        },
        {
          "type": [
            {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v3/ParticipationType",
                  "code": "ATND"
                }
              ]
            }
          ],
          "actor": {
            "reference": "Practitioner/example",
            "display": "Dr Adam Careful"
          },
          "required": "required",
          "status": "accepted"
        },
        {
          "actor": {
            "reference": "Location/1",
            "display": "South Wing, second floor"
          },
          "required": "required",
          "status": "action-needed"
        }
      ]
    }
  ]
}

Change Log

Version	Description
1.0	Initial Release