Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Appointment		0..*	Appointment	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)
id		0..1	id	Identyfikator logiczny zasobu (wartość nadawana przez system P1)
meta		1..1	Meta	Metadane zasobu
id		0..0
extension		0..0
versionId		0..1	id	Wersja zasobu (wartość ustawiana przez system P1)
lastUpdated		0..1	instant	Data aktualizacji zasobu (wartość ustawiana przez system P1)
source		0..1	uri	Identyfikator źródła zasobu (wartość ustawiana przez system, przy rejestracji lub aktualizacji zasobu)
profile		1..1	canonical(StructureDefinition)	PLeKOKAppointment Fixed Value: https://ezdrowie.gov.pl/ekok/fhir/StructureDefinition/pl-ekok-appointment
tag		0..0
implicitRules		0..1	uri	Wersja systemu (wartość ustawiana przez system P1)
language		0..1	code	Language of the resource content Required Pattern: pl
text		0..0
contained		0..0
Slices for extension		1..*	Extension	Extension Slice: Unordered, Closed by value:url
extension:statusHistory		1..*	(Complex)	Historia statusów rejestracji. Ostatni status na liście historii statusów musi być tożsamy z aktualnym statusem rejestracji URL: https://ezdrowie.gov.pl/ekok/fhir/StructureDefinition/status-history
Slices for extension				Content/Rules for all slices
extension:status		1..1	Extension	status
value[x]		1..1	code	status Binding: PLeKOKAppointmentStatusVS (required)
extension:period		1..1	Extension	Okres czasu, w którym status był aktualny
value[x]		1..1	Period	Okres
start	C	1..1	dateTime	Data początku okresu Constraints: date-pattern
end	C	0..1	dateTime	Data końca okresu Constraints: date-pattern
extension:statusReason		0..1	Extension	Przyczyna zmiany statusu
value[x]		0..1	CodeableConcept	Przyczyna Binding: PLeKOKAppointmentCancelationReasonVS (required)
coding		1..1	Coding	Code defined by a terminology system
extension		0..0
system		1..1	uri	System kodowania
version		0..0
code		1..1	code	Kod
display		1..1	string	Nazwa
userSelected		0..0
text		0..1	string	Opis powodu. Wymagany w przypadku wyboru pozycji 'inny'
modifierExtension		0..0
identifier		0..0
status		1..1	code	booked (wizyta zarejestrowana) | fulfilled (wizyta odbyła się) | cancelled (wizyta odwołana) | entered-in-error (wizyta błędnie zarejestrowana) | noshow (pacjent nie pojawił się) Binding: PLeKOKAppointmentStatusVS (required)
cancelationReason		0..1	CodeableConcept	Przyczyna anulowania rejestracji na wizytę. Wymagany w przypadku ustawienia statusu na 'canceled' Binding: PLeKOKAppointmentCancelationReasonVS (required)
coding		1..1	Coding	Code defined by a terminology system
extension		0..0
system		1..1	uri	System kodowania
version		0..0
code		1..1	code	Kod
display		1..1	string	Nazwa
userSelected		0..0
text		0..1	string	Opis powodu. Wymagany w przypadku wyboru pozycji 'inny'
serviceCategory		1..1	CodeableConcept	Kategoria Binding: PLeKOKCardiacCareSeviceCategoryVS (required)
extension		0..0
coding		1..1	Coding	Code defined by a terminology system
system		1..1	uri	System kodowania rodzajów świadzceń Required Pattern: https://ezdrowie.gov.pl/ekok/fhir/CodeSystem/care-service-category-code-system
version		0..0
code		1..1	code	phc | amb | imp
display		1..1	string	Nazwa rodzaju świadczenia
userSelected		0..0
text		0..0
serviceType		0..0
specialty		0..0
appointmentType		0..0
reasonCode		0..0
reasonReference		0..0
priority		0..0
description		0..0
supportingInformation		0..0
start		1..1	instant	Planowana data i godzina rozpoczęcia wizyty
end		1..1	instant	Planowana data i godzina zakończenia wizyty
minutesDuration		0..0
slot		0..0
created		1..1	dateTime	Data rejestracji
comment		0..0
patientInstruction		0..0
basedOn		1..1	Reference(ServiceRequest)	Referencja do zasobu z danymi zlecenia wystawionego w ramach karty e-KOK
id		0..0
extension		0..0
reference		1..1	string	Referencja do zasobu ServiceRequest
type		1..1	uri	Typ zasobu (ServiceRequest) Fixed Value: ServiceRequest
identifier		0..0
display		0..0
Slices for participant		2..*	BackboneElement	Participants involved in appointment Slice: Unordered, Closed by value:actor.type
participant:patient		1..1	BackboneElement	Pacjent
type		0..0
actor		1..1	Reference(Patient)	Dane pacjenta
id		0..0
extension		0..0
reference		1..1	string	Referencja do zasobu Patient
type		1..1	uri	Typ zasobu z danymi pacjenta (Patient) Fixed Value: Patient
identifier		0..0
display		0..0
required		0..0
status		1..1	code	accepted | declined | tentative | needs-action Fixed Value: accepted
period		0..0
participant:location		1..1	BackboneElement	Placówka
type		0..0
actor		1..1	Reference(Location)	Person, Location/HealthcareService or Device
id		0..0
extension		1..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:healthcareLocationTechnicalCode		1..1	(Complex)	Kod techniczny miejsca udzielania świadczeń URL: https://ezdrowie.gov.pl/ekok/fhir/StructureDefinition/healthcare-location-technical-code
id		0..0
value[x]		1..1	string	Kod techniczny miejsca udzielania świadczeń
reference		0..0
type		1..1	uri	Type the reference refers to (e.g. "Patient") Fixed Value: Location
identifier		1..1	Identifier	Identyfikator miejsce udzielenia świadczenia
id		0..0
extension		0..0
use		0..0
type		0..0
system		1..1	uri	OID systemu identyfikacji Miejsca Udzielania Świadczeń
value		1..1	string	Identyfikator Miejsca Udzielania Świadczeń
period		0..0
assigner		0..0
display		1..1	string	Nazwa Miejsca Udzielania Świadczeń
required		0..0
status		1..1	code	accepted | declined | tentative | needs-action Fixed Value: accepted
period		0..0
requestedPeriod		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Appointment.extension:statusHistory.​extension:status.value[x]	Base	required	PLeKOKAppointmentStatusVS	📦0.4.0	This IG
Appointment.extension:statusHistory.​extension:statusReason.​value[x]	Base	required	PLeKOKAppointmentCancelationReasonVS	📦0.4.0	This IG
Appointment.status	Base	required	PLeKOKAppointmentStatusVS	📦0.4.0	This IG
Appointment.cancelationReason	Base	required	PLeKOKAppointmentCancelationReasonVS	📦0.4.0	This IG
Appointment.serviceCategory	Base	required	PLeKOKCardiacCareSeviceCategoryVS	📦0.4.0	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
date-pattern	error	Appointment.extension:statusHistory.extension:period.value[x].start, Appointment.extension:statusHistory.extension:period.value[x].end	Nieprawidłowy format daty (prawidłowy format daty: YYYY-MM-DD)	$this.toString().matches('^\\d{4}-((0[0-9])|(1[012]))-(([012][0-9])|3[01])$')

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Appointment	C	0..*	Appointment	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) Constraints: app-2, app-3, app-4
id	Σ	0..1	id	Identyfikator logiczny zasobu (wartość nadawana przez system P1)
meta	Σ	1..1	Meta	Metadane zasobu
extension		0..0
versionId	Σ	0..1	id	Wersja zasobu (wartość ustawiana przez system P1)
lastUpdated	Σ	0..1	instant	Data aktualizacji zasobu (wartość ustawiana przez system P1)
source	Σ	0..1	uri	Identyfikator źródła zasobu (wartość ustawiana przez system, przy rejestracji lub aktualizacji zasobu)
profile	Σ	1..1	canonical(StructureDefinition)	PLeKOKAppointment Fixed Value: https://ezdrowie.gov.pl/ekok/fhir/StructureDefinition/pl-ekok-appointment
implicitRules	?!Σ	0..1	uri	Wersja systemu (wartość ustawiana przez system P1)
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding Required Pattern: pl
Slices for extension		1..*	Extension	Extension Slice: Unordered, Closed by value:url
extension:statusHistory		1..*	(Complex)	Historia statusów rejestracji. Ostatni status na liście historii statusów musi być tożsamy z aktualnym statusem rejestracji URL: https://ezdrowie.gov.pl/ekok/fhir/StructureDefinition/status-history
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
extension:status		1..1	Extension	status
extension		0..0
url		1..1	uri	"status"
value[x]		1..1	code	status Binding: PLeKOKAppointmentStatusVS (required)
extension:period		1..1	Extension	Okres czasu, w którym status był aktualny
extension		0..0
url		1..1	uri	"period"
value[x]		1..1	Period	Okres
start	ΣC	1..1	dateTime	Data początku okresu Constraints: date-pattern
end	ΣC	0..1	dateTime	Data końca okresu Constraints: date-pattern
extension:statusReason		0..1	Extension	Przyczyna zmiany statusu
extension		0..0
url		1..1	uri	"statusReason"
value[x]		0..1	CodeableConcept	Przyczyna Binding: PLeKOKAppointmentCancelationReasonVS (required)
coding	Σ	1..1	Coding	Code defined by a terminology system
extension		0..0
system	Σ	1..1	uri	System kodowania
code	Σ	1..1	code	Kod
display	Σ	1..1	string	Nazwa
text	Σ	0..1	string	Opis powodu. Wymagany w przypadku wyboru pozycji 'inny'
url		1..1	uri	"https://ezdrowie.gov.pl/ekok/fhir/StructureDefinition/status-history"
status	?!Σ	1..1	code	booked (wizyta zarejestrowana) | fulfilled (wizyta odbyła się) | cancelled (wizyta odwołana) | entered-in-error (wizyta błędnie zarejestrowana) | noshow (pacjent nie pojawił się) Binding: PLeKOKAppointmentStatusVS (required)
cancelationReason	Σ	0..1	CodeableConcept	Przyczyna anulowania rejestracji na wizytę. Wymagany w przypadku ustawienia statusu na 'canceled' Binding: PLeKOKAppointmentCancelationReasonVS (required)
coding	Σ	1..1	Coding	Code defined by a terminology system
extension		0..0
system	Σ	1..1	uri	System kodowania
code	Σ	1..1	code	Kod
display	Σ	1..1	string	Nazwa
text	Σ	0..1	string	Opis powodu. Wymagany w przypadku wyboru pozycji 'inny'
serviceCategory	Σ	1..1	CodeableConcept	Kategoria Binding: PLeKOKCardiacCareSeviceCategoryVS (required)
extension		0..0
coding	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	System kodowania rodzajów świadzceń Required Pattern: https://ezdrowie.gov.pl/ekok/fhir/CodeSystem/care-service-category-code-system
code	Σ	1..1	code	phc | amb | imp
display	Σ	1..1	string	Nazwa rodzaju świadczenia
start	Σ	1..1	instant	Planowana data i godzina rozpoczęcia wizyty
end	Σ	1..1	instant	Planowana data i godzina zakończenia wizyty
created		1..1	dateTime	Data rejestracji
basedOn		1..1	Reference(ServiceRequest)	Referencja do zasobu z danymi zlecenia wystawionego w ramach karty e-KOK
extension		0..0
reference	ΣC	1..1	string	Referencja do zasobu ServiceRequest
type	Σ	1..1	uri	Typ zasobu (ServiceRequest) Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Fixed Value: ServiceRequest
Slices for participant	C	2..*	BackboneElement	Participants involved in appointment Slice: Unordered, Closed by value:actor.type Constraints: app-1
participant:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
status	Σ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment.
participant:patient	C	1..1	BackboneElement	Pacjent Constraints: app-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor	Σ	1..1	Reference(Patient)	Dane pacjenta
extension		0..0
reference	ΣC	1..1	string	Referencja do zasobu Patient
type	Σ	1..1	uri	Typ zasobu z danymi pacjenta (Patient) Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Fixed Value: Patient
status	Σ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment. Fixed Value: accepted
participant:location	C	1..1	BackboneElement	Placówka Constraints: app-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor	Σ	1..1	Reference(Location)	Person, Location/HealthcareService or Device
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:healthcareLocationTechnicalCode		1..1	(Complex)	Kod techniczny miejsca udzielania świadczeń URL: https://ezdrowie.gov.pl/ekok/fhir/StructureDefinition/healthcare-location-technical-code
extension		0..0
url		1..1	uri	"https://ezdrowie.gov.pl/ekok/fhir/StructureDefinition/healthcare-location-technical-code"
value[x]		1..1	string	Kod techniczny miejsca udzielania świadczeń
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Fixed Value: Location
identifier	Σ	1..1	Identifier	Identyfikator miejsce udzielenia świadczenia
extension		0..0
system	Σ	1..1	uri	OID systemu identyfikacji Miejsca Udzielania Świadczeń Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	Identyfikator Miejsca Udzielania Świadczeń Example General: 123456
display	Σ	1..1	string	Nazwa Miejsca Udzielania Świadczeń
status	Σ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment. Fixed Value: accepted
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Appointment.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Appointment.extension:statusHistory.​extension:status.value[x]	Base	required	PLeKOKAppointmentStatusVS	📦0.4.0	This IG
Appointment.extension:statusHistory.​extension:statusReason.​value[x]	Base	required	PLeKOKAppointmentCancelationReasonVS	📦0.4.0	This IG
Appointment.status	Base	required	PLeKOKAppointmentStatusVS	📦0.4.0	This IG
Appointment.cancelationReason	Base	required	PLeKOKAppointmentCancelationReasonVS	📦0.4.0	This IG
Appointment.serviceCategory	Base	required	PLeKOKCardiacCareSeviceCategoryVS	📦0.4.0	This IG
Appointment.basedOn.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Appointment.participant.​status	Base	required	ParticipationStatus	📍4.0.1	FHIR Std.
Appointment.participant:patient.​actor.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Appointment.participant:patient.​status	Base	required	ParticipationStatus	📍4.0.1	FHIR Std.
Appointment.participant:location.​actor.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Appointment.participant:location.​status	Base	required	ParticipationStatus	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
app-1	error	Appointment.participant, Appointment.participant:patient, Appointment.participant:location	Either the type or actor on the participant SHALL be specified	type.exists() or actor.exists()
app-2	error	Appointment	Either start and end are specified, or neither	start.exists() = end.exists()
app-3	error	Appointment	Only proposed or cancelled appointments can be missing start/end dates	(start.exists() and end.exists()) or (status in ('proposed' | 'cancelled' | 'waitlist'))
app-4	error	Appointment	Cancelation reason is only used for appointments that have been cancelled, or no-show	Appointment.cancelationReason.exists() implies (Appointment.status='no-show' or Appointment.status='cancelled')
date-pattern	error	Appointment.extension:statusHistory.extension:period.value[x].start, Appointment.extension:statusHistory.extension:period.value[x].end	Nieprawidłowy format daty (prawidłowy format daty: YYYY-MM-DD)	$this.toString().matches('^\\d{4}-((0[0-9])|(1[012]))-(([012][0-9])|3[01])$')
dom-2	error	Appointment	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Appointment	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Appointment	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Appointment	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Appointment	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Appointment	C	0..*	Appointment	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) Constraints: app-2, app-3, app-4
id	Σ	0..1	id	Identyfikator logiczny zasobu (wartość nadawana przez system P1)
meta	Σ	1..1	Meta	Metadane zasobu
extension		0..0
versionId	Σ	0..1	id	Wersja zasobu (wartość ustawiana przez system P1)
lastUpdated	Σ	0..1	instant	Data aktualizacji zasobu (wartość ustawiana przez system P1)
source	Σ	0..1	uri	Identyfikator źródła zasobu (wartość ustawiana przez system, przy rejestracji lub aktualizacji zasobu)
profile	Σ	1..1	canonical(StructureDefinition)	PLeKOKAppointment Fixed Value: https://ezdrowie.gov.pl/ekok/fhir/StructureDefinition/pl-ekok-appointment
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
implicitRules	?!Σ	0..1	uri	Wersja systemu (wartość ustawiana przez system P1)
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding Required Pattern: pl
Slices for extension		1..*	Extension	Extension Slice: Unordered, Closed by value:url
extension:statusHistory		1..*	(Complex)	Historia statusów rejestracji. Ostatni status na liście historii statusów musi być tożsamy z aktualnym statusem rejestracji URL: https://ezdrowie.gov.pl/ekok/fhir/StructureDefinition/status-history
id		0..1	string	Unique id for inter-element referencing
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
extension:status		1..1	Extension	status
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"status"
value[x]		1..1	code	status Binding: PLeKOKAppointmentStatusVS (required)
extension:period		1..1	Extension	Okres czasu, w którym status był aktualny
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"period"
value[x]		1..1	Period	Okres
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	ΣC	1..1	dateTime	Data początku okresu Constraints: date-pattern
end	ΣC	0..1	dateTime	Data końca okresu Constraints: date-pattern
extension:statusReason		0..1	Extension	Przyczyna zmiany statusu
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"statusReason"
value[x]		0..1	CodeableConcept	Przyczyna Binding: PLeKOKAppointmentCancelationReasonVS (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..0
system	Σ	1..1	uri	System kodowania
code	Σ	1..1	code	Kod
display	Σ	1..1	string	Nazwa
text	Σ	0..1	string	Opis powodu. Wymagany w przypadku wyboru pozycji 'inny'
url		1..1	uri	"https://ezdrowie.gov.pl/ekok/fhir/StructureDefinition/status-history"
status	?!Σ	1..1	code	booked (wizyta zarejestrowana) | fulfilled (wizyta odbyła się) | cancelled (wizyta odwołana) | entered-in-error (wizyta błędnie zarejestrowana) | noshow (pacjent nie pojawił się) Binding: PLeKOKAppointmentStatusVS (required)
cancelationReason	Σ	0..1	CodeableConcept	Przyczyna anulowania rejestracji na wizytę. Wymagany w przypadku ustawienia statusu na 'canceled' Binding: PLeKOKAppointmentCancelationReasonVS (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..0
system	Σ	1..1	uri	System kodowania
code	Σ	1..1	code	Kod
display	Σ	1..1	string	Nazwa
text	Σ	0..1	string	Opis powodu. Wymagany w przypadku wyboru pozycji 'inny'
serviceCategory	Σ	1..1	CodeableConcept	Kategoria Binding: PLeKOKCardiacCareSeviceCategoryVS (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..0
coding	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	System kodowania rodzajów świadzceń Required Pattern: https://ezdrowie.gov.pl/ekok/fhir/CodeSystem/care-service-category-code-system
code	Σ	1..1	code	phc | amb | imp
display	Σ	1..1	string	Nazwa rodzaju świadczenia
start	Σ	1..1	instant	Planowana data i godzina rozpoczęcia wizyty
end	Σ	1..1	instant	Planowana data i godzina zakończenia wizyty
created		1..1	dateTime	Data rejestracji
basedOn		1..1	Reference(ServiceRequest)	Referencja do zasobu z danymi zlecenia wystawionego w ramach karty e-KOK
extension		0..0
reference	ΣC	1..1	string	Referencja do zasobu ServiceRequest
type	Σ	1..1	uri	Typ zasobu (ServiceRequest) Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Fixed Value: ServiceRequest
Slices for participant	C	2..*	BackboneElement	Participants involved in appointment Slice: Unordered, Closed by value:actor.type Constraints: app-1
participant:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	0..*	CodeableConcept	Role of participant in the appointment Binding: ParticipantType (extensible): Role of participant in encounter.
actor	Σ	0..1	Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Device | HealthcareService | Location)	Person, Location/HealthcareService or Device
required	Σ	0..1	code	required | optional | information-only Binding: ParticipantRequired (required): Is the Participant required to attend the appointment.
status	Σ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment.
period		0..1	Period	Participation period of the actor
participant:patient	C	1..1	BackboneElement	Pacjent Constraints: app-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor	Σ	1..1	Reference(Patient)	Dane pacjenta
extension		0..0
reference	ΣC	1..1	string	Referencja do zasobu Patient
type	Σ	1..1	uri	Typ zasobu z danymi pacjenta (Patient) Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Fixed Value: Patient
status	Σ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment. Fixed Value: accepted
participant:location	C	1..1	BackboneElement	Placówka Constraints: app-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor	Σ	1..1	Reference(Location)	Person, Location/HealthcareService or Device
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:healthcareLocationTechnicalCode		1..1	(Complex)	Kod techniczny miejsca udzielania świadczeń URL: https://ezdrowie.gov.pl/ekok/fhir/StructureDefinition/healthcare-location-technical-code
extension		0..0
url		1..1	uri	"https://ezdrowie.gov.pl/ekok/fhir/StructureDefinition/healthcare-location-technical-code"
value[x]		1..1	string	Kod techniczny miejsca udzielania świadczeń
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Fixed Value: Location
identifier	Σ	1..1	Identifier	Identyfikator miejsce udzielenia świadczenia
extension		0..0
system	Σ	1..1	uri	OID systemu identyfikacji Miejsca Udzielania Świadczeń Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	Identyfikator Miejsca Udzielania Świadczeń Example General: 123456
display	Σ	1..1	string	Nazwa Miejsca Udzielania Świadczeń
status	Σ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment. Fixed Value: accepted
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Appointment.meta.security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
Appointment.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Appointment.extension:statusHistory.​extension:status.value[x]	Base	required	PLeKOKAppointmentStatusVS	📦0.4.0	This IG
Appointment.extension:statusHistory.​extension:statusReason.​value[x]	Base	required	PLeKOKAppointmentCancelationReasonVS	📦0.4.0	This IG
Appointment.status	Base	required	PLeKOKAppointmentStatusVS	📦0.4.0	This IG
Appointment.cancelationReason	Base	required	PLeKOKAppointmentCancelationReasonVS	📦0.4.0	This IG
Appointment.serviceCategory	Base	required	PLeKOKCardiacCareSeviceCategoryVS	📦0.4.0	This IG
Appointment.basedOn.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Appointment.participant.​type	Base	extensible	Participant type	📍4.0.1	FHIR Std.
Appointment.participant.​required	Base	required	ParticipantRequired	📍4.0.1	FHIR Std.
Appointment.participant.​status	Base	required	ParticipationStatus	📍4.0.1	FHIR Std.
Appointment.participant:patient.​actor.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Appointment.participant:patient.​status	Base	required	ParticipationStatus	📍4.0.1	FHIR Std.
Appointment.participant:location.​actor.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Appointment.participant:location.​status	Base	required	ParticipationStatus	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
app-1	error	Appointment.participant, Appointment.participant:patient, Appointment.participant:location	Either the type or actor on the participant SHALL be specified	type.exists() or actor.exists()
app-2	error	Appointment	Either start and end are specified, or neither	start.exists() = end.exists()
app-3	error	Appointment	Only proposed or cancelled appointments can be missing start/end dates	(start.exists() and end.exists()) or (status in ('proposed' | 'cancelled' | 'waitlist'))
app-4	error	Appointment	Cancelation reason is only used for appointments that have been cancelled, or no-show	Appointment.cancelationReason.exists() implies (Appointment.status='no-show' or Appointment.status='cancelled')
date-pattern	error	Appointment.extension:statusHistory.extension:period.value[x].start, Appointment.extension:statusHistory.extension:period.value[x].end	Nieprawidłowy format daty (prawidłowy format daty: YYYY-MM-DD)	$this.toString().matches('^\\d{4}-((0[0-9])|(1[012]))-(([012][0-9])|3[01])$')
dom-2	error	Appointment	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Appointment	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Appointment	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Appointment	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Appointment	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Summary

Mandatory: 29 elements(8 nested mandatory elements)
Fixed: 6 elements
Prohibited: 53 elements

Extensions

This structure refers to these extensions:

• https://ezdrowie.gov.pl/ekok/fhir/StructureDefinition/status-history
• https://ezdrowie.gov.pl/ekok/fhir/StructureDefinition/healthcare-location-technical-code

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Appointment.participant (Closed)

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Appointment		0..*	Appointment	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)
id		0..1	id	Identyfikator logiczny zasobu (wartość nadawana przez system P1)
meta		1..1	Meta	Metadane zasobu
id		0..0
extension		0..0
versionId		0..1	id	Wersja zasobu (wartość ustawiana przez system P1)
lastUpdated		0..1	instant	Data aktualizacji zasobu (wartość ustawiana przez system P1)
source		0..1	uri	Identyfikator źródła zasobu (wartość ustawiana przez system, przy rejestracji lub aktualizacji zasobu)
profile		1..1	canonical(StructureDefinition)	PLeKOKAppointment Fixed Value: https://ezdrowie.gov.pl/ekok/fhir/StructureDefinition/pl-ekok-appointment
tag		0..0
implicitRules		0..1	uri	Wersja systemu (wartość ustawiana przez system P1)
language		0..1	code	Language of the resource content Required Pattern: pl
text		0..0
contained		0..0
Slices for extension		1..*	Extension	Extension Slice: Unordered, Closed by value:url
extension:statusHistory		1..*	(Complex)	Historia statusów rejestracji. Ostatni status na liście historii statusów musi być tożsamy z aktualnym statusem rejestracji URL: https://ezdrowie.gov.pl/ekok/fhir/StructureDefinition/status-history
Slices for extension				Content/Rules for all slices
extension:status		1..1	Extension	status
value[x]		1..1	code	status Binding: PLeKOKAppointmentStatusVS (required)
extension:period		1..1	Extension	Okres czasu, w którym status był aktualny
value[x]		1..1	Period	Okres
start	C	1..1	dateTime	Data początku okresu Constraints: date-pattern
end	C	0..1	dateTime	Data końca okresu Constraints: date-pattern
extension:statusReason		0..1	Extension	Przyczyna zmiany statusu
value[x]		0..1	CodeableConcept	Przyczyna Binding: PLeKOKAppointmentCancelationReasonVS (required)
coding		1..1	Coding	Code defined by a terminology system
extension		0..0
system		1..1	uri	System kodowania
version		0..0
code		1..1	code	Kod
display		1..1	string	Nazwa
userSelected		0..0
text		0..1	string	Opis powodu. Wymagany w przypadku wyboru pozycji 'inny'
modifierExtension		0..0
identifier		0..0
status		1..1	code	booked (wizyta zarejestrowana) | fulfilled (wizyta odbyła się) | cancelled (wizyta odwołana) | entered-in-error (wizyta błędnie zarejestrowana) | noshow (pacjent nie pojawił się) Binding: PLeKOKAppointmentStatusVS (required)
cancelationReason		0..1	CodeableConcept	Przyczyna anulowania rejestracji na wizytę. Wymagany w przypadku ustawienia statusu na 'canceled' Binding: PLeKOKAppointmentCancelationReasonVS (required)
coding		1..1	Coding	Code defined by a terminology system
extension		0..0
system		1..1	uri	System kodowania
version		0..0
code		1..1	code	Kod
display		1..1	string	Nazwa
userSelected		0..0
text		0..1	string	Opis powodu. Wymagany w przypadku wyboru pozycji 'inny'
serviceCategory		1..1	CodeableConcept	Kategoria Binding: PLeKOKCardiacCareSeviceCategoryVS (required)
extension		0..0
coding		1..1	Coding	Code defined by a terminology system
system		1..1	uri	System kodowania rodzajów świadzceń Required Pattern: https://ezdrowie.gov.pl/ekok/fhir/CodeSystem/care-service-category-code-system
version		0..0
code		1..1	code	phc | amb | imp
display		1..1	string	Nazwa rodzaju świadczenia
userSelected		0..0
text		0..0
serviceType		0..0
specialty		0..0
appointmentType		0..0
reasonCode		0..0
reasonReference		0..0
priority		0..0
description		0..0
supportingInformation		0..0
start		1..1	instant	Planowana data i godzina rozpoczęcia wizyty
end		1..1	instant	Planowana data i godzina zakończenia wizyty
minutesDuration		0..0
slot		0..0
created		1..1	dateTime	Data rejestracji
comment		0..0
patientInstruction		0..0
basedOn		1..1	Reference(ServiceRequest)	Referencja do zasobu z danymi zlecenia wystawionego w ramach karty e-KOK
id		0..0
extension		0..0
reference		1..1	string	Referencja do zasobu ServiceRequest
type		1..1	uri	Typ zasobu (ServiceRequest) Fixed Value: ServiceRequest
identifier		0..0
display		0..0
Slices for participant		2..*	BackboneElement	Participants involved in appointment Slice: Unordered, Closed by value:actor.type
participant:patient		1..1	BackboneElement	Pacjent
type		0..0
actor		1..1	Reference(Patient)	Dane pacjenta
id		0..0
extension		0..0
reference		1..1	string	Referencja do zasobu Patient
type		1..1	uri	Typ zasobu z danymi pacjenta (Patient) Fixed Value: Patient
identifier		0..0
display		0..0
required		0..0
status		1..1	code	accepted | declined | tentative | needs-action Fixed Value: accepted
period		0..0
participant:location		1..1	BackboneElement	Placówka
type		0..0
actor		1..1	Reference(Location)	Person, Location/HealthcareService or Device
id		0..0
extension		1..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:healthcareLocationTechnicalCode		1..1	(Complex)	Kod techniczny miejsca udzielania świadczeń URL: https://ezdrowie.gov.pl/ekok/fhir/StructureDefinition/healthcare-location-technical-code
id		0..0
value[x]		1..1	string	Kod techniczny miejsca udzielania świadczeń
reference		0..0
type		1..1	uri	Type the reference refers to (e.g. "Patient") Fixed Value: Location
identifier		1..1	Identifier	Identyfikator miejsce udzielenia świadczenia
id		0..0
extension		0..0
use		0..0
type		0..0
system		1..1	uri	OID systemu identyfikacji Miejsca Udzielania Świadczeń
value		1..1	string	Identyfikator Miejsca Udzielania Świadczeń
period		0..0
assigner		0..0
display		1..1	string	Nazwa Miejsca Udzielania Świadczeń
required		0..0
status		1..1	code	accepted | declined | tentative | needs-action Fixed Value: accepted
period		0..0
requestedPeriod		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Appointment.extension:statusHistory.​extension:status.value[x]	Base	required	PLeKOKAppointmentStatusVS	📦0.4.0	This IG
Appointment.extension:statusHistory.​extension:statusReason.​value[x]	Base	required	PLeKOKAppointmentCancelationReasonVS	📦0.4.0	This IG
Appointment.status	Base	required	PLeKOKAppointmentStatusVS	📦0.4.0	This IG
Appointment.cancelationReason	Base	required	PLeKOKAppointmentCancelationReasonVS	📦0.4.0	This IG
Appointment.serviceCategory	Base	required	PLeKOKCardiacCareSeviceCategoryVS	📦0.4.0	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
date-pattern	error	Appointment.extension:statusHistory.extension:period.value[x].start, Appointment.extension:statusHistory.extension:period.value[x].end	Nieprawidłowy format daty (prawidłowy format daty: YYYY-MM-DD)	$this.toString().matches('^\\d{4}-((0[0-9])|(1[012]))-(([012][0-9])|3[01])$')