M: Performer HCP updates appointment
The following sequence diagram shows the messaging flow when the Performer HCP updates an appointment.
See Participants for more information.
Element and Value
Refer to Primary Flow for DocumentReference, HealthcareService, Location, Patient, Practitioner, and PractitionerRole elements.
Step 1: Performer HCP notifies CAT of appointment update
| Element | Value |
|---|---|
| Bundle.meta.extension.submissionMetadata | metadata for: Submitting Site; EMR Vendor Name; EMR Product Name; Submission Implementation Guide (IG) Type; Submission Implementation Guide (IG) Version; Service Delivery Site; Authoring Provider ID |
| Bundle.id | UUID |
| Bundle.meta.lastUpdated | date/time |
| Bundle.meta.security | "R" |
| Bundle.identifier.value | UUID |
| Bundle.identifier.system | "urn:ietf:rfc:3986" |
| Bundle.type | "message" |
| Bundle.timestamp | current date/time |
| Bundle.entry:MessageHeader | MessageHeader |
| Bundle.entry:Focus | Appointment |
| MessageHeader.id | UUID |
| MessageHeader.meta.lastUpdated | date/time |
| MessageHeader.eventCoding | "notify-update-process-request" |
| MessageHeader.destination.endpoint | CAT RMS endpoint |
| MessageHeader.author.reference | Performer HCP UUID |
| MessageHeader.author.type | "PractitionerRole" |
| MessageHeader.source.endpoint | Performer HCP endpoint |
| MessageHeader.reason | "appointment-updated" |
| MessageHeader.focus | Appointment |
| Appointment.id | UUID |
| Appointment.lastUpdated | date/time |
| Appointment.identifier.value | UUID |
| Appointment.identifier.system | "urn:ietf:rfc:3986" |
| Appointment.status | "booked" |
| Appointment.created | date/time with Performer HCP created appointment |
| Appointment.basedOn.identifier.value | ServiceRequest provincial identifier |
| Appointment.basedOn.identifier.system | "https://fhir.alberta.ca/NamingSystem/ca-ab-eref-id" |
| Appointment.participant.identifier.value | 1) Patient identifier |
| Appointment.participant.identifier.system | as appropriate |
| Appointment.participant.reference | 2) Performer HCP UUID |
| Appointment.participant.type | "PractitionerRole" |
Step 3: CAT notifies Requester HCP of appointment cancellation
TBD See Step 17 in Primary flow message flow
Step 4: CAT notifies Requester HCP of update to referral record
TBD See Step 18 of Primary flow message flow