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<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="ocp-appointment" />
  <meta>
    <versionId value="3" />
    <lastUpdated value="2018-05-02T19:26:33.096+00:00" />
  </meta>
  <language value="US-en" />
  <text>
    <status value="generated" />
    <div xmlns="http://www.w3.org/1999/xhtml">
The FHIR STU3 (Release 3) Omnibus Care Plan (OCP) Appointment profile uses FHIR resources and describes minimum expectations with supported data elements and changes to the cardinality of booking a healthcare event among patient(s), practitioner(s), and related person(s) for a specific date/time. This may result in one or more Encounter(s). It identifies which core elements, extensions, and value sets SHALL be present in the resource when using this profile. 
Dependencies:
   Appointment profile that conforms to this specification must include reference to other resources 
<ul><li>OCP-Patient</li><li>Location</li><li>ReferralRequest</li><li>Procedure</li><li>Condition</li><li>OCP-Practitioner</li><li>OCP-RelatedPerson</li><li>OCP-HealthcareService</li></ul></div>
  </text>
  <url value="http://hl7.org/fhir/StructureDefinition/ocp-appointment" />
  <version value="1.0" />
  <name value="OCP Appointment Profile" />
  <title value="OCP Appointment Profile" />
  <status value="draft" />
  <date value="2018-03-26T18:05:29.774-04:00" />
  <publisher value="SAMHSA" />
  <contact>
    <name value="Neelima Chennamaraja" />
    <telecom>
      <system value="url" />
      <value value="www.eversolve.com" />
      <period>
        <start value="1999-06-15" />
      </period>
    </telecom>
    <telecom>
      <system value="email" />
      <value value="neelima@eversolve.com" />
      <use value="work" />
    </telecom>
  </contact>
  <description value="The Omnibus Care Plan (OCP) Appointment profile is used to provide information about a planned meeting that may be in the future or past. The resource only describes a single meeting, a series of repeating visits would require multiple appointment resources to be created for each instance. The visit scheduled by an appointment may be in person or remote (by phone, video conference, etc.) All that matters is that the time and usage of one or more individuals, locations and/or pieces of equipment is being fully or partially reserved for a designated period of time." />
  <jurisdiction>
    <coding>
      <code value="US" />
      <display value="US-Realm" />
    </coding>
    <text value="US-Realm OCP Appointment Profile published by SAMHSA" />
  </jurisdiction>
  <purpose value="The Appointment profile includes all the elements related to basic need for Omnibus Care Plan (OCP) (which could change over time). This profile is intended to be implemented by OCP systems. " />
  <copyright value="+Copyright (c) 2017 SAMHSA. All Rights Reserved." />
  <fhirVersion value="3.0.1" />
  <kind value="resource" />
  <abstract value="false" />
  <type value="Appointment" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Appointment" />
  <derivation value="constraint" />
  <snapshot>
    <element id="Appointment">
      <path value="Appointment" />
      <short value="A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s)" />
      <definition value="A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s)." />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="Resource" />
        <min value="0" />
        <max value="*" />
      </base>
      <constraint>
        <key value="dom-2" />
        <severity value="error" />
        <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources" />
        <expression value="contained.contained.empty()" />
        <xpath value="not(parent::f:contained and f:contained)" />
      </constraint>
      <constraint>
        <key value="dom-1" />
        <severity value="error" />
        <human value="If the resource is contained in another resource, it SHALL NOT contain any narrative" />
        <expression value="contained.text.empty()" />
        <xpath value="not(parent::f:contained and f:text)" />
      </constraint>
      <constraint>
        <key value="dom-4" />
        <severity value="error" />
        <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated" />
        <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()" />
        <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))" />
      </constraint>
      <constraint>
        <key value="dom-3" />
        <severity value="error" />
        <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource" />
        <expression value="contained.where(('#'+id in %resource.descendants().reference).not()).empty()" />
        <xpath value="not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))" />
      </constraint>
      <constraint>
        <key value="app-3" />
        <severity value="error" />
        <human value="Only proposed or cancelled appointments can be missing start/end dates" />
        <expression value="(start.exists() and end.exists()) or (status in ('proposed' | 'cancelled'))" />
        <xpath value="((exists(f:start) and exists(f:end)) or (f:status/@value='proposed') or (f:status/@value='cancelled'))" />
      </constraint>
      <constraint>
        <key value="app-2" />
        <severity value="error" />
        <human value="Either start and end are specified, or neither" />
        <expression value="start.empty() xor end.exists()" />
        <xpath value="((exists(f:start) and exists(f:end)) or (not(exists(f:start)) and not(exists(f:end))))" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="Entity. Role, or Act" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="Act[@moodCode &lt;= 'INT']" />
      </mapping>
      <mapping>
        <identity value="ical" />
        <map value="VEVENT" />
      </mapping>
      <mapping>
        <identity value="w5" />
        <map value="workflow.scheduling" />
      </mapping>
    </element>
    <element id="Appointment.id">
      <path value="Appointment.id" />
      <short value="Logical id of this artifact" />
      <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes." />
      <comment value="The only time that a resource does not have an id is when it is being submitted to the server using a create operation." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Resource.id" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="id" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
      </constraint>
      <isSummary value="true" />
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="Appointment.meta">
      <path value="Appointment.meta" />
      <short value="Metadata about the resource" />
      <definition value="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Resource.meta" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="Meta" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
      </constraint>
      <isSummary value="true" />
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
    </element>
    <element id="Appointment.implicitRules">
      <path value="Appointment.implicitRules" />
      <short value="A set of rules under which this content was created" />
      <definition value="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content." />
      <comment value="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. &#xA;&#xA;This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Resource.implicitRules" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="uri" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
      </constraint>
      <isModifier value="true" />
      <isSummary value="true" />
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="Appointment.language">
      <path value="Appointment.language" />
      <short value="Language of the resource content" />
      <definition value="The base language in which the resource is written." />
      <comment value="Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource  Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Resource.language" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="code" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
      </constraint>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
          <valueReference>
            <reference value="http://hl7.org/fhir/ValueSet/all-languages" />
          </valueReference>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="Language" />
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true" />
        </extension>
        <strength value="extensible" />
        <description value="A human language." />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/languages" />
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="Appointment.text">
      <path value="Appointment.text" />
      <short value="Text summary of the resource, for human interpretation" />
      <definition value="A human-readable narrative that contains a summary of the resource, and may 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 &quot;clinically safe&quot; for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety." />
      <comment value="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 &quot;text blob&quot; or where text is additionally entered raw or narrated and encoded in formation is added later." />
      <alias value="narrative" />
      <alias value="html" />
      <alias value="xhtml" />
      <alias value="display" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="DomainResource.text" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="Narrative" />
      </type>
      <condition value="ele-1" />
      <condition value="dom-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="Act.text?" />
      </mapping>
    </element>
    <element id="Appointment.contained">
      <path value="Appointment.contained" />
      <short value="Contained, inline Resources" />
      <definition value="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope." />
      <comment value="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." />
      <alias value="inline resources" />
      <alias value="anonymous resources" />
      <alias value="contained resources" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="DomainResource.contained" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Resource" />
      </type>
      <mapping>
        <identity value="rim" />
        <map value="Entity. Role, or Act" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
    </element>
    <element id="Appointment.extension">
      <path value="Appointment.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <description value="Extensions are always sliced by (at least) url" />
        <rules value="open" />
      </slicing>
      <short value="Additional Content defined by implementations" />
      <definition value="May be used to represent additional information that is not part of the basic definition of the resource. In order 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." />
      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
      <alias value="extensions" />
      <alias value="user content" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="DomainResource.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
      </constraint>
      <constraint>
        <key value="ext-1" />
        <severity value="error" />
        <human value="Must have either extensions or value[x], not both" />
        <expression value="extension.exists() != value.exists()" />
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
    </element>
    <element id="Appointment.modifierExtension">
      <path value="Appointment.modifierExtension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <description value="Extensions are always sliced by (at least) url" />
        <rules value="open" />
      </slicing>
      <short value="Extensions that cannot be ignored" />
      <definition value="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. Usually modifier elements provide negation or qualification. In order 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." />
      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
      <alias value="extensions" />
      <alias value="user content" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="DomainResource.modifierExtension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
      </constraint>
      <constraint>
        <key value="ext-1" />
        <severity value="error" />
        <human value="Must have either extensions or value[x], not both" />
        <expression value="extension.exists() != value.exists()" />
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
      </constraint>
      <isModifier value="true" />
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
    </element>
    <element id="Appointment.identifier">
      <path value="Appointment.identifier" />
      <short value="External Ids for this item" />
      <definition value="This records identifiers associated with this appointment concern that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate (e.g. in CDA documents, or in written / printed documentation)." />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="Appointment.identifier" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Identifier" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
      </constraint>
      <isSummary value="true" />
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="CX / EI (occasionally, more often EI maps to a resource id or a URL)" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="II - see see identifier pattern at http://wiki.hl7.org/index.php?title=Common_Design_Patterns#Identifier_Pattern for relevant discussion. The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs.  Also maps to Role[classCode=IDENT]" />
      </mapping>
      <mapping>
        <identity value="servd" />
        <map value="Identifier" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="SCH-1, SCH-2, ARQ-1, ARQ-2" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".id" />
      </mapping>
      <mapping>
        <identity value="ical" />
        <map value="UID" />
      </mapping>
      <mapping>
        <identity value="w5" />
        <map value="id" />
      </mapping>
    </element>
    <element id="Appointment.status">
      <path value="Appointment.status" />
      <short value="proposed | pending | booked | arrived | fulfilled | cancelled | noshow | entered-in-error" />
      <definition value="The overall status of the Appointment. Each of the participants has their own participation status which indicates their involvement in the process, however this status indicates the shared status." />
      <comment value="If the Appointment's status is &quot;cancelled&quot; then all participants are expected to have their calendars released for the appointment period, and as such any Slots that were marked as BUSY can be re-set to FREE.&#xA;&#xA;This element is labeled as a modifier because the status contains the code entered-in-error that mark the Appointment as not currently valid." />
      <min value="1" />
      <max value="1" />
      <base>
        <path value="Appointment.status" />
        <min value="1" />
        <max value="1" />
      </base>
      <type>
        <code value="code" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
      </constraint>
      <mustSupport value="true" />
      <isModifier value="true" />
      <isSummary value="true" />
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="AppointmentStatus" />
        </extension>
        <strength value="required" />
        <description value="The free/busy status of an appointment." />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/appointmentstatus" />
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="SCH-25" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".statusCode" />
      </mapping>
      <mapping>
        <identity value="w5" />
        <map value="status" />
      </mapping>
    </element>
    <element id="Appointment.serviceCategory">
      <path value="Appointment.serviceCategory" />
      <short value="A broad categorisation of the service that is to be performed during this appointment" />
      <definition value="A broad categorisation of the service that is to be performed during this appointment." />
      <comment value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Appointment.serviceCategory" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="CodeableConcept" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
      </constraint>
      <isSummary value="true" />
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="service-category" />
        </extension>
        <strength value="example" />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/service-category" />
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="CE/CNE/CWE" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="CD" />
      </mapping>
      <mapping>
        <identity value="orim" />
        <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="n/a, might be inferred from the ServiceDeliveryLocation" />
      </mapping>
    </element>
    <element id="Appointment.serviceType">
      <path value="Appointment.serviceType" />
      <short value="The specific service that is to be performed during this appointment" />
      <definition value="The specific service that is to be performed during this appointment." />
      <comment value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination." />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="Appointment.serviceType" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="CodeableConcept" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
      </constraint>
      <isSummary value="true" />
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="service-type" />
        </extension>
        <strength value="example" />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/service-type" />
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="CE/CNE/CWE" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="CD" />
      </mapping>
      <mapping>
        <identity value="orim" />
        <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="n/a, might be inferred from the ServiceDeliveryLocation" />
      </mapping>
    </element>
    <element id="Appointment.specialty">
      <path value="Appointment.specialty" />
      <short value="The specialty of a practitioner that would be required to perform the service requested in this appointment" />
      <definition value="The specialty of a practitioner that would be required to perform the service requested in this appointment." />
      <comment value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination." />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="Appointment.specialty" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="CodeableConcept" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
      </constraint>
      <isSummary value="true" />
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="specialty" />
        </extension>
        <strength value="preferred" />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/c80-practice-codes" />
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="CE/CNE/CWE" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="CD" />
      </mapping>
      <mapping>
        <identity value="orim" />
        <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".performer.AssignedPerson.code" />
      </mapping>
      <mapping>
        <identity value="w5" />
        <map value="class" />
      </mapping>
    </element>
    <element id="Appointment.appointmentType">
      <path value="Appointment.appointmentType" />
      <short value="The style of appointment or patient that has been booked in the slot (not service type)" />
      <definition value="The style of appointment or patient that has been booked in the slot (not service type)." />
      <comment value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination." />
      <min value="1" />
      <max value="1" />
      <base>
        <path value="Appointment.appointmentType" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="CodeableConcept" />
        <profile value="http://hl7.org/fhir/StructureDefinition/CodeableConcept" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
      </constraint>
      <mustSupport value="true" />
      <isSummary value="true" />
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="appointment-type" />
        </extension>
        <strength value="preferred" />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/v2-0276" />
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="CE/CNE/CWE" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="CD" />
      </mapping>
      <mapping>
        <identity value="orim" />
        <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="ARQ-7" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".code" />
      </mapping>
    </element>
    <element id="Appointment.reason">
      <path value="Appointment.reason" />
      <short value="Reason this appointment is scheduled" />
      <definition value="The reason that this appointment is being scheduled. This is more clinical than administrative." />
      <comment value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination." />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="Appointment.reason" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="CodeableConcept" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
      </constraint>
      <isSummary value="true" />
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ApptReason" />
        </extension>
        <strength value="preferred" />
        <description value="The Reason for the appointment to take place." />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/encounter-reason" />
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="CE/CNE/CWE" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="CD" />
      </mapping>
      <mapping>
        <identity value="orim" />
        <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="AIS-3, SCH-7" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".reasonCode" />
      </mapping>
    </element>
    <element id="Appointment.indication">
      <path value="Appointment.indication" />
      <short value="Reason the appointment is to takes place (resource)" />
      <definition value="Reason the appointment has been scheduled to take place, as specified using information from another resource. When the patient arrives and the encounter begins it may be used as the admission diagnosis. The indication will typically be a Condition (with other resources referenced in the evidence.detail), or a Procedure." />
      <comment value="References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository." />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="Appointment.indication" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
      </constraint>
      <constraint>
        <key value="ref-1" />
        <severity value="error" />
        <human value="SHALL have a contained resource if a local reference is provided" />
        <expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))" />
        <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".inboundRelationship[@typeCode = 'RSON'].observation" />
      </mapping>
    </element>
    <element id="Appointment.priority">
      <path value="Appointment.priority" />
      <short value="Used to make informed decisions if needing to re-prioritize" />
      <definition value="The priority of the appointment. Can be used to make informed decisions if needing to re-prioritize appointments. (The iCal Standard specifies 0 as undefined, 1 as highest, 9 as lowest priority)." />
      <comment value="Seeking implementer feedback on this property and how interoperable it is.&#xD;&#xD;Using an extension to record a codeableconcept for named values may be tested at a future connectathon." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Appointment.priority" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="unsignedInt" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="ARQ-12, SCH-11.6 / TQ1-9" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".priorityCode" />
      </mapping>
      <mapping>
        <identity value="ical" />
        <map value="PRIORITY" />
      </mapping>
      <mapping>
        <identity value="w5" />
        <map value="class" />
      </mapping>
    </element>
    <element id="Appointment.description">
      <path value="Appointment.description" />
      <short value="Shown on a subject line in a meeting request, or appointment list" />
      <definition value="The brief description of the appointment as would be shown on a subject line in a meeting request, or appointment list. Detailed or expanded information should be put in the comment field." />
      <comment value="Note that FHIR strings may not exceed 1MB in size" />
      <min value="1" />
      <max value="1" />
      <base>
        <path value="Appointment.description" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="string" />
        <profile value="http://hl7.org/fhir/StructureDefinition/string" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
      </constraint>
      <mustSupport value="true" />
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="NTE-3" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".text" />
      </mapping>
      <mapping>
        <identity value="ical" />
        <map value="DESCRIPTION" />
      </mapping>
    </element>
    <element id="Appointment.supportingInformation">
      <path value="Appointment.supportingInformation" />
      <short value="Additional information to support the appointment" />
      <definition value="Additional information to support the appointment provided when making the appointment." />
      <comment value="References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository." />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="Appointment.supportingInformation" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
      </constraint>
      <constraint>
        <key value="ref-1" />
        <severity value="error" />
        <human value="SHALL have a contained resource if a local reference is provided" />
        <expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))" />
        <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".inboundRelationship[@typeCode = 'SPRT'].observation" />
      </mapping>
      <mapping>
        <identity value="w5" />
        <map value="context" />
      </mapping>
    </element>
    <element id="Appointment.start">
      <path value="Appointment.start" />
      <short value="When appointment is to take place" />
      <definition value="Date/Time that the appointment is to take place." />
      <comment value="Note: This is intended for precisely observed times, typically system logs etc., and not human-reported times - for them, see date and dateTime below. Time zone is always required" />
      <min value="1" />
      <max value="1" />
      <base>
        <path value="Appointment.start" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="instant" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
      </constraint>
      <mustSupport value="true" />
      <isSummary value="true" />
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="ARQ-11.1, SCH-11.4 / TQ1-7" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".effectiveTime.low" />
      </mapping>
      <mapping>
        <identity value="w5" />
        <map value="when.init" />
      </mapping>
    </element>
    <element id="Appointment.end">
      <path value="Appointment.end" />
      <short value="When appointment is to conclude" />
      <definition value="Date/Time that the appointment is to conclude." />
      <comment value="Note: This is intended for precisely observed times, typically system logs etc., and not human-reported times - for them, see date and dateTime below. Time zone is always required" />
      <min value="1" />
      <max value="1" />
      <base>
        <path value="Appointment.end" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="instant" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
      </constraint>
      <mustSupport value="true" />
      <isSummary value="true" />
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="SCH-11.5 / TQ1-8/ calculated based on the start and the duration which is in ARQ-9" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".effectiveTime.high" />
      </mapping>
      <mapping>
        <identity value="w5" />
        <map value="when.done" />
      </mapping>
    </element>
    <element id="Appointment.minutesDuration">
      <path value="Appointment.minutesDuration" />
      <short value="Can be less than start/end (e.g. estimate)" />
      <definition value="Number of minutes that the appointment is to take. This can be less than the duration between the start and end times (where actual time of appointment is only an estimate or is a planned appointment request)." />
      <comment value="32 bit number; for values larger than this, use decimal" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Appointment.minutesDuration" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="positiveInt" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".activityTime[@xsi:type = ('SXPR_TS', 'PIVL_TS')].width" />
      </mapping>
    </element>
    <element id="Appointment.slot">
      <path value="Appointment.slot" />
      <short value="The slots that this appointment is filling" />
      <definition value="The slots from the participants' schedules that will be filled by the appointment. To be used with Schedule/Slot.  Most likely populated by the system." />
      <comment value="References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository." />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="Appointment.slot" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Slot" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
      </constraint>
      <constraint>
        <key value="ref-1" />
        <severity value="error" />
        <human value="SHALL have a contained resource if a local reference is provided" />
        <expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))" />
        <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" />
      </constraint>
      <mustSupport value="true" />
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".outboundRelationship[@typeCode = 'REFR'].act[@classCode = 'ACT'][@moodCode = 'SLOT']" />
      </mapping>
    </element>
    <element id="Appointment.created">
      <path value="Appointment.created" />
      <short value="The date that this appointment was initially created" />
      <definition value="System generated when appointment was initially created. This could be different to the meta.lastModified value on the initial entry, as this could have been before the resource was created on the FHIR server, and should remain unchanged over the lifespan of the appointment." />
      <comment value="This property is required for many use cases where the age of an appointment is considered in processing workflows for scheduling and billing of appointments." />
      <min value="1" />
      <max value="1" />
      <base>
        <path value="Appointment.created" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="dateTime" />
        <profile value="http://hl7.org/fhir/StructureDefinition/dateTime" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
      </constraint>
      <mustSupport value="true" />
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".author.time" />
      </mapping>
    </element>
    <element id="Appointment.comment">
      <path value="Appointment.comment" />
      <short value="Additional comments" />
      <definition value="Additional comments about the appointment." />
      <comment value="Additional text to aid in facilitating the appointment. For instance, a comment might be, &quot;patient should proceed immediately to infusion room upon arrival&quot;&#xD;&#xD;Where this is a planned appointment and the start/end dates are not set then this field can be used to provide additional guidance on the details of the appointment request, including any restrictions on when to book it." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Appointment.comment" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="string" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="NTE-3" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".subjectOf.observation[@moodCode = 'EVN'][code = 'annotation'].value" />
      </mapping>
      <mapping>
        <identity value="ical" />
        <map value="COMMENT" />
      </mapping>
    </element>
    <element id="Appointment.incomingReferral">
      <path value="Appointment.incomingReferral" />
      <short value="The ReferralRequest provided as information to allocate to the Encounter" />
      <definition value="The referral request this appointment is allocated to assess (incoming referral). Will be used at later time when integrated with MDIX Referral (or other referral mechanism). " />
      <comment value="References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository." />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="Appointment.incomingReferral" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ReferralRequest" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
      </constraint>
      <constraint>
        <key value="ref-1" />
        <severity value="error" />
        <human value="SHALL have a contained resource if a local reference is provided" />
        <expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))" />
        <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" />
      </constraint>
      <mustSupport value="true" />
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".outboundRelationship[@typeCode = 'FLFS'].act[@classCode &lt; 'ActCareProvisionRequestType'][@moodCode = 'RQO']" />
      </mapping>
    </element>
    <element id="Appointment.participant">
      <path value="Appointment.participant" />
      <short value="Participants involved in appointment" />
      <definition value="List of participants involved in the appointment. Use participant for all references except Device for now. " />
      <min value="1" />
      <max value="*" />
      <base>
        <path value="Appointment.participant" />
        <min value="1" />
        <max value="*" />
      </base>
      <type>
        <code value="BackboneElement" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
      </constraint>
      <constraint>
        <key value="app-1" />
        <severity value="error" />
        <human value="Either the type or actor on the participant SHALL be specified" />
        <expression value="type.exists() or actor.exists()" />
        <xpath value="(exists(f:type) or exists(f:actor))" />
      </constraint>
      <mustSupport value="true" />
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="PID, AIP, AIG, AIL" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="performer | reusableDevice | subject | location" />
      </mapping>
      <mapping>
        <identity value="ical" />
        <map value="ATTENDEE component to be created" />
      </mapping>
    </element>
    <element id="Appointment.participant.id">
      <path value="Appointment.participant.id" />
      <representation value="xmlAttr" />
      <short value="xml:id (or equivalent in JSON)" />
      <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
      <comment value="Note that FHIR strings may not exceed 1MB in size" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Element.id" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="string" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="Appointment.participant.extension">
      <path value="Appointment.participant.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <description value="Extensions are always sliced by (at least) url" />
        <rules value="open" />
      </slicing>
      <short value="Additional Content defined by implementations" />
      <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order 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." />
      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
      <alias value="extensions" />
      <alias value="user content" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="Element.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
      </constraint>
      <constraint>
        <key value="ext-1" />
        <severity value="error" />
        <human value="Must have either extensions or value[x], not both" />
        <expression value="extension.exists() != value.exists()" />
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
    </element>
    <element id="Appointment.participant.modifierExtension">
      <path value="Appointment.participant.modifierExtension" />
      <short value="Extensions that cannot be ignored" />
      <definition value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order 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." />
      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
      <alias value="extensions" />
      <alias value="user content" />
      <alias value="modifiers" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="BackboneElement.modifierExtension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
      </constraint>
      <constraint>
        <key value="ext-1" />
        <severity value="error" />
        <human value="Must have either extensions or value[x], not both" />
        <expression value="extension.exists() != value.exists()" />
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
      </constraint>
      <isModifier value="true" />
      <isSummary value="true" />
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
    </element>
    <element id="Appointment.participant.type">
      <path value="Appointment.participant.type" />
      <short value="Role of participant in the appointment" />
      <definition value="Role of participant in the appointment. Will use this to identify creator and other invitee. &#xD;&#xA;FHIR examples mostly address Practitioner specific participant type. Care team role (care manager, care coordinator, etc.) should be sufficient and do not need to be appointment specific. " />
      <comment value="The role of the participant can be used to declare what the actor will be doing in the scope of this appointment.&#xD;&#xD;If the actor is not specified, then it is expected that the actor will be filled in at a later stage of planning.&#xD;&#xD;This value SHALL be the same when creating an AppointmentResponse so that they can be matched, and subsequently update the Appointment." />
      <min value="1" />
      <max value="1" />
      <base>
        <path value="Appointment.participant.type" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="CodeableConcept" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
      </constraint>
      <mustSupport value="true" />
      <isSummary value="true" />
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ParticipantType" />
        </extension>
        <strength value="extensible" />
        <description value="Role of participant in encounter." />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/encounter-participant-type" />
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="CE/CNE/CWE" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="CD" />
      </mapping>
      <mapping>
        <identity value="orim" />
        <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="AIP-4, AIG-4" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="(performer | reusableDevice | subject | location).@typeCode" />
      </mapping>
      <mapping>
        <identity value="ical" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="Appointment.participant.actor">
      <path value="Appointment.participant.actor" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="reference" />
        </discriminator>
        <rules value="open" />
      </slicing>
      <short value="Person, Location/HealthcareService " />
      <definition value="A Person, Location/HealthcareService that is participating in the appointment. The participation in the appointment can be of any one of the two types: 1. AUT (Author participation) 2. PART (Generic Participation). " />
      <comment value="References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository." />
      <min value="1" />
      <max value="1" />
      <base>
        <path value="Appointment.participant.actor" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Location" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ocp-patient" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ocp-practitioner" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ocp-relatedperson" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ocp-healthcareservice" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
      </constraint>
      <constraint>
        <key value="ref-1" />
        <severity value="error" />
        <human value="SHALL have a contained resource if a local reference is provided" />
        <expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))" />
        <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" />
      </constraint>
      <mustSupport value="true" />
      <isSummary value="true" />
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="PID-3-Patient ID List | AIL-3 | AIG-3 | AIP-3" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="performer.person | reusableDevice.manufacturedDevice | subject.patient | location.serviceDeliveryLocation" />
      </mapping>
      <mapping>
        <identity value="ical" />
        <map value="ATTENDEE: (Need to provide the common name CN and also the MAILTO properties from the practitioner resource) where the participant type is not &quot;information-only&quot;" />
      </mapping>
      <mapping>
        <identity value="w5" />
        <map value="who" />
      </mapping>
    </element>
    <element id="Appointment.participant.actor:authorActor">
      <path value="Appointment.participant.actor" />
      <sliceName value="authorActor" />
      <label value="Author" />
      <code>
        <code value="AUT" />
        <display value="Author Actor" />
      </code>
      <short value="Person, Location/HealthcareService" />
      <definition value="The author of the appointment a Person, Location/HealthcareService that is participating in the appointment. &#xD;&#xA;" />
      <comment value="References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository." />
      <min value="1" />
      <max value="1" />
      <base>
        <path value="Appointment.participant.actor" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Location" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ocp-patient" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ocp-practitioner" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ocp-relatedperson" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ocp-healthcareservice" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
      </constraint>
      <constraint>
        <key value="ref-1" />
        <severity value="error" />
        <human value="SHALL have a contained resource if a local reference is provided" />
        <expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))" />
        <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" />
      </constraint>
      <mustSupport value="true" />
      <isSummary value="true" />
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="PID-3-Patient ID List | AIL-3 | AIG-3 | AIP-3" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="performer.person | reusableDevice.manufacturedDevice | subject.patient | location.serviceDeliveryLocation" />
      </mapping>
      <mapping>
        <identity value="ical" />
        <map value="ATTENDEE: (Need to provide the common name CN and also the MAILTO properties from the practitioner resource) where the participant type is not &quot;information-only&quot;" />
      </mapping>
      <mapping>
        <identity value="w5" />
        <map value="who" />
      </mapping>
    </element>
    <element id="Appointment.participant.actor:participationActor">
      <path value="Appointment.participant.actor" />
      <sliceName value="participationActor" />
      <label value="Participation Actor" />
      <code>
        <code value="PART" />
        <display value="Participation Actor" />
      </code>
      <short value="Person, Location/HealthcareService " />
      <definition value="The generic participation of the appointment of the Person, Location/HealthcareService that is participating in the appointment. &#xD;&#xA;Hoping to use generic participation (for everyone other than author/organizer) at this time." />
      <comment value="References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository." />
      <min value="1" />
      <max value="1" />
      <base>
        <path value="Appointment.participant.actor" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Location" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ocp-patient" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ocp-practitioner" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ocp-relatedperson" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ocp-healthcareservice" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
      </constraint>
      <constraint>
        <key value="ref-1" />
        <severity value="error" />
        <human value="SHALL have a contained resource if a local reference is provided" />
        <expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))" />
        <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" />
      </constraint>
      <mustSupport value="true" />
      <isSummary value="true" />
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="PID-3-Patient ID List | AIL-3 | AIG-3 | AIP-3" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="performer.person | reusableDevice.manufacturedDevice | subject.patient | location.serviceDeliveryLocation" />
      </mapping>
      <mapping>
        <identity value="ical" />
        <map value="ATTENDEE: (Need to provide the common name CN and also the MAILTO properties from the practitioner resource) where the participant type is not &quot;information-only&quot;" />
      </mapping>
      <mapping>
        <identity value="w5" />
        <map value="who" />
      </mapping>
    </element>
    <element id="Appointment.participant.required">
      <path value="Appointment.participant.required" />
      <short value="required | optional | information-only" />
      <definition value="Is this participant required to be present at the meeting. This covers a use-case where 2 doctors need to meet to discuss the results for a specific patient, and the patient is not required to be present. &#xD;&#xA;Set to Required by default for Pracitioner,  Patient and RelatedPerson references. Use information-only for HealthcareService and Location. User can change any of those. " />
      <comment value="Note that FHIR strings may not exceed 1MB in size" />
      <min value="1" />
      <max value="1" />
      <base>
        <path value="Appointment.participant.required" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="code" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
      </constraint>
      <mustSupport value="true" />
      <isSummary value="true" />
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ParticipantRequired" />
        </extension>
        <strength value="required" />
        <description value="Is the Participant required to attend the appointment." />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/participantrequired" />
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="(performer | reusableDevice | subject | location).@performInd" />
      </mapping>
      <mapping>
        <identity value="ical" />
        <map value="ROLE=REQ-PARTICIPANT (roleparam)" />
      </mapping>
    </element>
    <element id="Appointment.participant.status">
      <path value="Appointment.participant.status" />
      <short value="accepted | declined | tentative | needs-action" />
      <definition value="Participation status of the actor. Read-only. System to populate to Accepted for the Practitioner who creates the appointment. System to populate to Needs-action for all other participants. Later workflow mechanism needs to be created to accept/decline the appointment as in Outlook. " />
      <comment value="Note that FHIR strings may not exceed 1MB in size" />
      <min value="1" />
      <max value="1" />
      <base>
        <path value="Appointment.participant.status" />
        <min value="1" />
        <max value="1" />
      </base>
      <type>
        <code value="code" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
      </constraint>
      <mustSupport value="true" />
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ParticipationStatus" />
        </extension>
        <strength value="required" />
        <description value="The Participation status of an appointment." />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/participationstatus" />
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="AIP-12, AIG-14" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="(performer | reusableDevice | subject | location).statusCode" />
      </mapping>
      <mapping>
        <identity value="ical" />
        <map value="ATTENDEE;CN=&quot;Brian Postlethwaite&quot;;RSVP=TRUE:mailto:BPostlethwaite@data.com (rsvpparam | partstatparam)" />
      </mapping>
    </element>
    <element id="Appointment.requestedPeriod">
      <path value="Appointment.requestedPeriod" />
      <short value="Potential date/time interval(s) requested to allocate the appointment within" />
      <definition value="A set of date ranges (potentially including times) that the appointment is preferred to be scheduled within. When using these values, the minutes duration should be provided to indicate the length of the appointment to fill and populate the start/end times for the actual allocated time." />
      <comment value="This does not introduce a capacity for recurring appointments." />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="Appointment.requestedPeriod" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Period" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() | (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
      </constraint>
      <constraint>
        <key value="per-1" />
        <severity value="error" />
        <human value="If present, start SHALL have a lower value than end" />
        <expression value="start.empty() or end.empty() or (start &lt;= end)" />
        <xpath value="not(exists(f:start)) or not(exists(f:end)) or (f:start/@value &lt;= f:end/@value)" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="DR" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="IVL&lt;TS&gt;[lowClosed=&quot;true&quot; and highClosed=&quot;true&quot;] or URG&lt;TS&gt;[lowClosed=&quot;true&quot; and highClosed=&quot;true&quot;]" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="ARQ-11" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".activityTime[@xsi:type = ('SXPR_TS', 'PIVL_TS')]" />
      </mapping>
    </element>
  </snapshot>
  <differential>
    <element id="Appointment.status">
      <path value="Appointment.status" />
      <mustSupport value="true" />
    </element>
    <element id="Appointment.appointmentType">
      <path value="Appointment.appointmentType" />
      <min value="1" />
      <type>
        <code value="CodeableConcept" />
        <profile value="http://hl7.org/fhir/StructureDefinition/CodeableConcept" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Appointment.description">
      <path value="Appointment.description" />
      <min value="1" />
      <type>
        <code value="string" />
        <profile value="http://hl7.org/fhir/StructureDefinition/string" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Appointment.start">
      <path value="Appointment.start" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Appointment.end">
      <path value="Appointment.end" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Appointment.slot">
      <path value="Appointment.slot" />
      <definition value="The slots from the participants' schedules that will be filled by the appointment. To be used with Schedule/Slot.  Most likely populated by the system." />
      <mustSupport value="true" />
    </element>
    <element id="Appointment.created">
      <path value="Appointment.created" />
      <definition value="System generated when appointment was initially created. This could be different to the meta.lastModified value on the initial entry, as this could have been before the resource was created on the FHIR server, and should remain unchanged over the lifespan of the appointment." />
      <min value="1" />
      <type>
        <code value="dateTime" />
        <profile value="http://hl7.org/fhir/StructureDefinition/dateTime" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Appointment.incomingReferral">
      <path value="Appointment.incomingReferral" />
      <definition value="The referral request this appointment is allocated to assess (incoming referral). Will be used at later time when integrated with MDIX Referral (or other referral mechanism). " />
      <mustSupport value="true" />
    </element>
    <element id="Appointment.participant">
      <path value="Appointment.participant" />
      <definition value="List of participants involved in the appointment. Use participant for all references except Device for now. " />
      <mustSupport value="true" />
    </element>
    <element id="Appointment.participant.type">
      <path value="Appointment.participant.type" />
      <definition value="Role of participant in the appointment. Will use this to identify creator and other invitee. &#xD;&#xA;FHIR examples mostly address Practitioner specific participant type. Care team role (care manager, care coordinator, etc.) should be sufficient and do not need to be appointment specific. " />
      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Appointment.participant.actor">
      <path value="Appointment.participant.actor" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="reference" />
        </discriminator>
        <rules value="open" />
      </slicing>
      <short value="Person, Location/HealthcareService " />
      <definition value="A Person, Location/HealthcareService that is participating in the appointment. The participation in the appointment can be of any one of the two types: 1. AUT (Author participation) 2. PART (Generic Participation). " />
      <min value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Location" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ocp-patient" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ocp-practitioner" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ocp-relatedperson" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ocp-healthcareservice" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Appointment.participant.actor:authorActor">
      <path value="Appointment.participant.actor" />
      <sliceName value="authorActor" />
      <label value="Author" />
      <code>
        <code value="AUT" />
        <display value="Author Actor" />
      </code>
      <short value="Person, Location/HealthcareService" />
      <definition value="The author of the appointment a Person, Location/HealthcareService that is participating in the appointment. &#xD;&#xA;" />
      <min value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Location" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ocp-patient" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ocp-practitioner" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ocp-relatedperson" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ocp-healthcareservice" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Appointment.participant.actor:participationActor">
      <path value="Appointment.participant.actor" />
      <sliceName value="participationActor" />
      <label value="Participation Actor" />
      <code>
        <code value="PART" />
        <display value="Participation Actor" />
      </code>
      <short value="Person, Location/HealthcareService " />
      <definition value="The generic participation of the appointment of the Person, Location/HealthcareService that is participating in the appointment. &#xD;&#xA;Hoping to use generic participation (for everyone other than author/organizer) at this time." />
      <min value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Location" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ocp-patient" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ocp-practitioner" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ocp-relatedperson" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ocp-healthcareservice" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Appointment.participant.required">
      <path value="Appointment.participant.required" />
      <definition value="Is this participant required to be present at the meeting. This covers a use-case where 2 doctors need to meet to discuss the results for a specific patient, and the patient is not required to be present. &#xD;&#xA;Set to Required by default for Pracitioner,  Patient and RelatedPerson references. Use information-only for HealthcareService and Location. User can change any of those. " />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Appointment.participant.status">
      <path value="Appointment.participant.status" />
      <definition value="Participation status of the actor. Read-only. System to populate to Accepted for the Practitioner who creates the appointment. System to populate to Needs-action for all other participants. Later workflow mechanism needs to be created to accept/decline the appointment as in Outlook. " />
      <mustSupport value="true" />
    </element>
  </differential>
</StructureDefinition>

name : OCP Appointment Profile

{

}