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appointment-book

Sep 2023 STU1 Ballot

This page defines a workflow hook for the purpose of providing clinical decision support using CDS Hooks. This is a ballot at the level of Trial Use.

Metadata Value
specificationVersion 1.0
hookVersion 1.0
hookMaturity 3 - Considered
standardsStatus Trial Use
publicationStatus Ballot

Workflow

This hook is invoked when the user is scheduling one or more future encounters/visits for the patient. For example, the appointment-book hook may be triggered for an appointment with the appointment creator, a clinician within the same organization as the appointment creator or even for an appointment outside the creator's organization. It may be invoked at the start and end of the booking process and/or any time between those two points. This hook enables 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, PractitionerRole/123. Patient or RelatedPerson are appropriate when a patient or their proxy are booking the appointment.
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)

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"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"
        }
      ]
    }
  ]
}

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"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