Name	Flags	Card.	Type	Description & Constraints
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) app-2: Either start and end are specified, or neither app-3: Only proposed or cancelled appointments can be missing start/end dates app-4: Cancelation reason is only used for appointments that have been cancelled, or no-show dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
simpleRegister		0..1	(Complex)	Simple registration URL: https://veinscdr.mhnexus.com/baseR4/StructureDefinition/simple-register-my-core ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for identifier	Σ	0..*	Identifier	External Ids for this item Slice: Unordered, Open by value:system ele-1: All FHIR elements must have a @value or children
identifier:vcToken	Σ	0..*	Identifier	External Ids for this item ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Fixed Value: http://fhir.hie.moh.gov.my/sid/vc-token
status	?!Σ	1..1	code	proposed | pending | booked | arrived | fulfilled | cancelled | noshow | entered-in-error | checked-in | waitlist Binding: AppointmentStatus (required): The free/busy status of an appointment. ele-1: All FHIR elements must have a @value or children
cancelationReason	Σ	0..1	CodeableConcept	The coded reason for the appointment being cancelled Binding: ValueSetCancelationReason (MY Core) (required) ele-1: All FHIR elements must have a @value or children
serviceCategory	Σ	1..*	CodeableConcept	A broad categorization of the service that is to be performed during this appointment Binding: ValueSetEncounterCategory (MY Core) (example) ele-1: All FHIR elements must have a @value or children
serviceType	Σ	1..*	CodeableConcept	The specific service that is to be performed during this appointment Binding: ValueSetServiceType (MY Core) (required) ele-1: All FHIR elements must have a @value or children
specialty	Σ	1..*	CodeableConcept	The specialty of a practitioner that would be required to perform the service requested in this appointment Binding: PracticeSettingCodeValueSet (preferred) ele-1: All FHIR elements must have a @value or children
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system ele-1: All FHIR elements must have a @value or children
coding:specialty	Σ	0..*	Coding	Code defined by a terminology system Binding: ValueSetSpecialty (MYCore) (example) ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children Fixed Value: http://fhir.hie.moh.gov.my/ValueSet/specialty-my-core
coding:serviceCategory	Σ	0..*	Coding	Code defined by a terminology system Binding: ValueSetServiceRequestCategory( MY Core) (example) ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children Fixed Value: http://fhir.hie.moh.gov.my/ValueSet/servicerequest-category-my-core
appointmentType	Σ	1..1	CodeableConcept	The style of appointment or patient that has been booked in the slot (not service type) Binding: ValueSetScheduleType (MY Core) (required) ele-1: All FHIR elements must have a @value or children
participant	C	1..*	BackboneElement	Participants involved in appointment app-1: Either the type or actor on the participant SHALL be specified ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status	Σ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment. ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Appointment.identifier:vcToken.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Appointment.status	required	AppointmentStatus http://hl7.org/fhir/ValueSet/appointmentstatus|4.0.1 from the FHIR Standard
Appointment.cancelationReason	required	ValueSetCancelationReasonMyCore (a valid code from CodeSystemCancelationReason (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/cancelation-reason-my-core from this IG
Appointment.serviceCategory	example	ValueSetEncounterCategoryMyCore (a valid code from CodeSystemEncounterCategory (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/encounter-category-my-core from this IG
Appointment.serviceType	required	ValueSetServiceTypeMyCore (a valid code from CodeSystemServiceType (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/service-type-my-core from this IG
Appointment.specialty	preferred	PracticeSettingCodeValueSet http://hl7.org/fhir/ValueSet/c80-practice-codes from the FHIR Standard
Appointment.specialty.coding:specialty	example	ValueSetSpecialtyMyCore http://fhir.hie.moh.gov.my/ValueSet/specialty-my-core from this IG
Appointment.specialty.coding:serviceCategory	example	ValueSetServiceRequestCategoryMyCore (a valid code from CodeSystemServiceRequestCategory (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/servicerequest-category-my-core from this IG
Appointment.appointmentType	required	ValueSetScheduleTypeMyCore (a valid code from CodeSystemScheduleType (MYCore)) http://fhir.hie.moh.gov.my/ValueSet/schedule-type-my-core from this IG
Appointment.participant.status	required	ParticipationStatus http://hl7.org/fhir/ValueSet/participationstatus|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
app-1	error	Appointment.participant	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')
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
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)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
simpleRegister		0..1	(Complex)	Simple registration URL: https://veinscdr.mhnexus.com/baseR4/StructureDefinition/simple-register-my-core
Slices for identifier		0..*	Identifier	External Ids for this item Slice: Unordered, Open by value:system
identifier:vcToken		0..*	Identifier	External Ids for this item
system		1..1	uri	The namespace for the identifier value Fixed Value: http://fhir.hie.moh.gov.my/sid/vc-token
cancelationReason		0..1	CodeableConcept	The coded reason for the appointment being cancelled Binding: ValueSetCancelationReason (MY Core) (required)
serviceCategory		1..*	CodeableConcept	A broad categorization of the service that is to be performed during this appointment Binding: ValueSetEncounterCategory (MY Core) (example)
serviceType		1..*	CodeableConcept	The specific service that is to be performed during this appointment Binding: ValueSetServiceType (MY Core) (required)
specialty		1..*	CodeableConcept	The specialty of a practitioner that would be required to perform the service requested in this appointment
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:specialty		0..*	Coding	Code defined by a terminology system Binding: ValueSetSpecialty (MYCore) (example)
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.hie.moh.gov.my/ValueSet/specialty-my-core
coding:serviceCategory		0..*	Coding	Code defined by a terminology system Binding: ValueSetServiceRequestCategory( MY Core) (example)
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.hie.moh.gov.my/ValueSet/servicerequest-category-my-core
appointmentType		1..1	CodeableConcept	The style of appointment or patient that has been booked in the slot (not service type) Binding: ValueSetScheduleType (MY Core) (required)
participant
actor
type		1..1	uri	Type the reference refers to (e.g. "Patient")
display		1..1	string	Text alternative for the resource
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Appointment.cancelationReason	required	ValueSetCancelationReasonMyCore (a valid code from CodeSystemCancelationReason (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/cancelation-reason-my-core from this IG
Appointment.serviceCategory	example	ValueSetEncounterCategoryMyCore (a valid code from CodeSystemEncounterCategory (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/encounter-category-my-core from this IG
Appointment.serviceType	required	ValueSetServiceTypeMyCore (a valid code from CodeSystemServiceType (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/service-type-my-core from this IG
Appointment.specialty.coding:specialty	example	ValueSetSpecialtyMyCore http://fhir.hie.moh.gov.my/ValueSet/specialty-my-core from this IG
Appointment.specialty.coding:serviceCategory	example	ValueSetServiceRequestCategoryMyCore (a valid code from CodeSystemServiceRequestCategory (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/servicerequest-category-my-core from this IG
Appointment.appointmentType	required	ValueSetScheduleTypeMyCore (a valid code from CodeSystemScheduleType (MYCore)) http://fhir.hie.moh.gov.my/ValueSet/schedule-type-my-core from this IG

Name	Flags	Card.	Type	Description & Constraints
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) app-2: Either start and end are specified, or neither app-3: Only proposed or cancelled appointments can be missing start/end dates app-4: Cancelation reason is only used for appointments that have been cancelled, or no-show
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
simpleRegister		0..1	(Complex)	Simple registration URL: https://veinscdr.mhnexus.com/baseR4/StructureDefinition/simple-register-my-core
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	0..*	Identifier	External Ids for this item Slice: Unordered, Open by value:system
identifier:vcToken	Σ	0..*	Identifier	External Ids for this item
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: http://fhir.hie.moh.gov.my/sid/vc-token
value	Σ	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
status	?!Σ	1..1	code	proposed | pending | booked | arrived | fulfilled | cancelled | noshow | entered-in-error | checked-in | waitlist Binding: AppointmentStatus (required): The free/busy status of an appointment.
cancelationReason	Σ	0..1	CodeableConcept	The coded reason for the appointment being cancelled Binding: ValueSetCancelationReason (MY Core) (required)
serviceCategory	Σ	1..*	CodeableConcept	A broad categorization of the service that is to be performed during this appointment Binding: ValueSetEncounterCategory (MY Core) (example)
serviceType	Σ	1..*	CodeableConcept	The specific service that is to be performed during this appointment Binding: ValueSetServiceType (MY Core) (required)
specialty	Σ	1..*	CodeableConcept	The specialty of a practitioner that would be required to perform the service requested in this appointment Binding: PracticeSettingCodeValueSet (preferred)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:specialty	Σ	0..*	Coding	Code defined by a terminology system Binding: ValueSetSpecialty (MYCore) (example)
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	Identity of the terminology system Fixed Value: http://fhir.hie.moh.gov.my/ValueSet/specialty-my-core
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:serviceCategory	Σ	0..*	Coding	Code defined by a terminology system Binding: ValueSetServiceRequestCategory( MY Core) (example)
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	Identity of the terminology system Fixed Value: http://fhir.hie.moh.gov.my/ValueSet/servicerequest-category-my-core
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
appointmentType	Σ	1..1	CodeableConcept	The style of appointment or patient that has been booked in the slot (not service type) Binding: ValueSetScheduleType (MY Core) (required)
reasonCode	Σ	0..*	CodeableConcept	Coded reason this appointment is scheduled Binding: EncounterReasonCodes (preferred): The Reason for the appointment to take place.
reasonReference		0..*	Reference(Condition | Procedure | Observation | ImmunizationRecommendation)	Reason the appointment is to take place (resource)
priority		0..1	unsignedInt	Used to make informed decisions if needing to re-prioritize
description		0..1	string	Shown on a subject line in a meeting request, or appointment list
supportingInformation		0..*	Reference(Resource)	Additional information to support the appointment
start	Σ	0..1	instant	When appointment is to take place
end	Σ	0..1	instant	When appointment is to conclude
minutesDuration		0..1	positiveInt	Can be less than start/end (e.g. estimate)
slot		0..*	Reference(Slot)	The slots that this appointment is filling
created		0..1	dateTime	The date that this appointment was initially created
comment		0..1	string	Additional comments
patientInstruction		0..1	string	Detailed information and instructions for the patient
basedOn		0..*	Reference(ServiceRequest)	The service request this appointment is allocated to assess
participant	C	1..*	BackboneElement	Participants involved in appointment app-1: Either the type or actor on the participant SHALL be specified
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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
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).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	1..1	string	Text alternative for the resource
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
requestedPeriod		0..*	Period	Potential date/time interval(s) requested to allocate the appointment within
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Appointment.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Appointment.identifier:vcToken.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Appointment.identifier:vcToken.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Appointment.status	required	AppointmentStatus http://hl7.org/fhir/ValueSet/appointmentstatus|4.0.1 from the FHIR Standard
Appointment.cancelationReason	required	ValueSetCancelationReasonMyCore (a valid code from CodeSystemCancelationReason (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/cancelation-reason-my-core from this IG
Appointment.serviceCategory	example	ValueSetEncounterCategoryMyCore (a valid code from CodeSystemEncounterCategory (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/encounter-category-my-core from this IG
Appointment.serviceType	required	ValueSetServiceTypeMyCore (a valid code from CodeSystemServiceType (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/service-type-my-core from this IG
Appointment.specialty	preferred	PracticeSettingCodeValueSet http://hl7.org/fhir/ValueSet/c80-practice-codes from the FHIR Standard
Appointment.specialty.coding:specialty	example	ValueSetSpecialtyMyCore http://fhir.hie.moh.gov.my/ValueSet/specialty-my-core from this IG
Appointment.specialty.coding:serviceCategory	example	ValueSetServiceRequestCategoryMyCore (a valid code from CodeSystemServiceRequestCategory (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/servicerequest-category-my-core from this IG
Appointment.appointmentType	required	ValueSetScheduleTypeMyCore (a valid code from CodeSystemScheduleType (MYCore)) http://fhir.hie.moh.gov.my/ValueSet/schedule-type-my-core from this IG
Appointment.reasonCode	preferred	EncounterReasonCodes http://hl7.org/fhir/ValueSet/encounter-reason from the FHIR Standard
Appointment.participant.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard
Appointment.participant.actor.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Appointment.participant.required	required	ParticipantRequired http://hl7.org/fhir/ValueSet/participantrequired|4.0.1 from the FHIR Standard
Appointment.participant.status	required	ParticipationStatus http://hl7.org/fhir/ValueSet/participationstatus|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
app-1	error	Appointment.participant	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')
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: 4 elements(5 nested mandatory elements)
Fixed: 3 elements

Extensions

This structure refers to these extensions:

• https://veinscdr.mhnexus.com/baseR4/StructureDefinition/simple-register-my-core

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Appointment.identifier
• The element 1 is sliced based on the value of Appointment.specialty.coding

Name	Flags	Card.	Type	Description & Constraints
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) app-2: Either start and end are specified, or neither app-3: Only proposed or cancelled appointments can be missing start/end dates app-4: Cancelation reason is only used for appointments that have been cancelled, or no-show dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
simpleRegister		0..1	(Complex)	Simple registration URL: https://veinscdr.mhnexus.com/baseR4/StructureDefinition/simple-register-my-core ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for identifier	Σ	0..*	Identifier	External Ids for this item Slice: Unordered, Open by value:system ele-1: All FHIR elements must have a @value or children
identifier:vcToken	Σ	0..*	Identifier	External Ids for this item ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Fixed Value: http://fhir.hie.moh.gov.my/sid/vc-token
status	?!Σ	1..1	code	proposed | pending | booked | arrived | fulfilled | cancelled | noshow | entered-in-error | checked-in | waitlist Binding: AppointmentStatus (required): The free/busy status of an appointment. ele-1: All FHIR elements must have a @value or children
cancelationReason	Σ	0..1	CodeableConcept	The coded reason for the appointment being cancelled Binding: ValueSetCancelationReason (MY Core) (required) ele-1: All FHIR elements must have a @value or children
serviceCategory	Σ	1..*	CodeableConcept	A broad categorization of the service that is to be performed during this appointment Binding: ValueSetEncounterCategory (MY Core) (example) ele-1: All FHIR elements must have a @value or children
serviceType	Σ	1..*	CodeableConcept	The specific service that is to be performed during this appointment Binding: ValueSetServiceType (MY Core) (required) ele-1: All FHIR elements must have a @value or children
specialty	Σ	1..*	CodeableConcept	The specialty of a practitioner that would be required to perform the service requested in this appointment Binding: PracticeSettingCodeValueSet (preferred) ele-1: All FHIR elements must have a @value or children
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system ele-1: All FHIR elements must have a @value or children
coding:specialty	Σ	0..*	Coding	Code defined by a terminology system Binding: ValueSetSpecialty (MYCore) (example) ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children Fixed Value: http://fhir.hie.moh.gov.my/ValueSet/specialty-my-core
coding:serviceCategory	Σ	0..*	Coding	Code defined by a terminology system Binding: ValueSetServiceRequestCategory( MY Core) (example) ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children Fixed Value: http://fhir.hie.moh.gov.my/ValueSet/servicerequest-category-my-core
appointmentType	Σ	1..1	CodeableConcept	The style of appointment or patient that has been booked in the slot (not service type) Binding: ValueSetScheduleType (MY Core) (required) ele-1: All FHIR elements must have a @value or children
participant	C	1..*	BackboneElement	Participants involved in appointment app-1: Either the type or actor on the participant SHALL be specified ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status	Σ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment. ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Appointment.identifier:vcToken.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Appointment.status	required	AppointmentStatus http://hl7.org/fhir/ValueSet/appointmentstatus|4.0.1 from the FHIR Standard
Appointment.cancelationReason	required	ValueSetCancelationReasonMyCore (a valid code from CodeSystemCancelationReason (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/cancelation-reason-my-core from this IG
Appointment.serviceCategory	example	ValueSetEncounterCategoryMyCore (a valid code from CodeSystemEncounterCategory (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/encounter-category-my-core from this IG
Appointment.serviceType	required	ValueSetServiceTypeMyCore (a valid code from CodeSystemServiceType (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/service-type-my-core from this IG
Appointment.specialty	preferred	PracticeSettingCodeValueSet http://hl7.org/fhir/ValueSet/c80-practice-codes from the FHIR Standard
Appointment.specialty.coding:specialty	example	ValueSetSpecialtyMyCore http://fhir.hie.moh.gov.my/ValueSet/specialty-my-core from this IG
Appointment.specialty.coding:serviceCategory	example	ValueSetServiceRequestCategoryMyCore (a valid code from CodeSystemServiceRequestCategory (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/servicerequest-category-my-core from this IG
Appointment.appointmentType	required	ValueSetScheduleTypeMyCore (a valid code from CodeSystemScheduleType (MYCore)) http://fhir.hie.moh.gov.my/ValueSet/schedule-type-my-core from this IG
Appointment.participant.status	required	ParticipationStatus http://hl7.org/fhir/ValueSet/participationstatus|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
app-1	error	Appointment.participant	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')
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
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)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
simpleRegister		0..1	(Complex)	Simple registration URL: https://veinscdr.mhnexus.com/baseR4/StructureDefinition/simple-register-my-core
Slices for identifier		0..*	Identifier	External Ids for this item Slice: Unordered, Open by value:system
identifier:vcToken		0..*	Identifier	External Ids for this item
system		1..1	uri	The namespace for the identifier value Fixed Value: http://fhir.hie.moh.gov.my/sid/vc-token
cancelationReason		0..1	CodeableConcept	The coded reason for the appointment being cancelled Binding: ValueSetCancelationReason (MY Core) (required)
serviceCategory		1..*	CodeableConcept	A broad categorization of the service that is to be performed during this appointment Binding: ValueSetEncounterCategory (MY Core) (example)
serviceType		1..*	CodeableConcept	The specific service that is to be performed during this appointment Binding: ValueSetServiceType (MY Core) (required)
specialty		1..*	CodeableConcept	The specialty of a practitioner that would be required to perform the service requested in this appointment
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:specialty		0..*	Coding	Code defined by a terminology system Binding: ValueSetSpecialty (MYCore) (example)
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.hie.moh.gov.my/ValueSet/specialty-my-core
coding:serviceCategory		0..*	Coding	Code defined by a terminology system Binding: ValueSetServiceRequestCategory( MY Core) (example)
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.hie.moh.gov.my/ValueSet/servicerequest-category-my-core
appointmentType		1..1	CodeableConcept	The style of appointment or patient that has been booked in the slot (not service type) Binding: ValueSetScheduleType (MY Core) (required)
participant
actor
type		1..1	uri	Type the reference refers to (e.g. "Patient")
display		1..1	string	Text alternative for the resource
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Appointment.cancelationReason	required	ValueSetCancelationReasonMyCore (a valid code from CodeSystemCancelationReason (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/cancelation-reason-my-core from this IG
Appointment.serviceCategory	example	ValueSetEncounterCategoryMyCore (a valid code from CodeSystemEncounterCategory (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/encounter-category-my-core from this IG
Appointment.serviceType	required	ValueSetServiceTypeMyCore (a valid code from CodeSystemServiceType (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/service-type-my-core from this IG
Appointment.specialty.coding:specialty	example	ValueSetSpecialtyMyCore http://fhir.hie.moh.gov.my/ValueSet/specialty-my-core from this IG
Appointment.specialty.coding:serviceCategory	example	ValueSetServiceRequestCategoryMyCore (a valid code from CodeSystemServiceRequestCategory (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/servicerequest-category-my-core from this IG
Appointment.appointmentType	required	ValueSetScheduleTypeMyCore (a valid code from CodeSystemScheduleType (MYCore)) http://fhir.hie.moh.gov.my/ValueSet/schedule-type-my-core from this IG

Name	Flags	Card.	Type	Description & Constraints
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) app-2: Either start and end are specified, or neither app-3: Only proposed or cancelled appointments can be missing start/end dates app-4: Cancelation reason is only used for appointments that have been cancelled, or no-show
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
simpleRegister		0..1	(Complex)	Simple registration URL: https://veinscdr.mhnexus.com/baseR4/StructureDefinition/simple-register-my-core
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	0..*	Identifier	External Ids for this item Slice: Unordered, Open by value:system
identifier:vcToken	Σ	0..*	Identifier	External Ids for this item
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: http://fhir.hie.moh.gov.my/sid/vc-token
value	Σ	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
status	?!Σ	1..1	code	proposed | pending | booked | arrived | fulfilled | cancelled | noshow | entered-in-error | checked-in | waitlist Binding: AppointmentStatus (required): The free/busy status of an appointment.
cancelationReason	Σ	0..1	CodeableConcept	The coded reason for the appointment being cancelled Binding: ValueSetCancelationReason (MY Core) (required)
serviceCategory	Σ	1..*	CodeableConcept	A broad categorization of the service that is to be performed during this appointment Binding: ValueSetEncounterCategory (MY Core) (example)
serviceType	Σ	1..*	CodeableConcept	The specific service that is to be performed during this appointment Binding: ValueSetServiceType (MY Core) (required)
specialty	Σ	1..*	CodeableConcept	The specialty of a practitioner that would be required to perform the service requested in this appointment Binding: PracticeSettingCodeValueSet (preferred)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:specialty	Σ	0..*	Coding	Code defined by a terminology system Binding: ValueSetSpecialty (MYCore) (example)
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	Identity of the terminology system Fixed Value: http://fhir.hie.moh.gov.my/ValueSet/specialty-my-core
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:serviceCategory	Σ	0..*	Coding	Code defined by a terminology system Binding: ValueSetServiceRequestCategory( MY Core) (example)
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	Identity of the terminology system Fixed Value: http://fhir.hie.moh.gov.my/ValueSet/servicerequest-category-my-core
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
appointmentType	Σ	1..1	CodeableConcept	The style of appointment or patient that has been booked in the slot (not service type) Binding: ValueSetScheduleType (MY Core) (required)
reasonCode	Σ	0..*	CodeableConcept	Coded reason this appointment is scheduled Binding: EncounterReasonCodes (preferred): The Reason for the appointment to take place.
reasonReference		0..*	Reference(Condition | Procedure | Observation | ImmunizationRecommendation)	Reason the appointment is to take place (resource)
priority		0..1	unsignedInt	Used to make informed decisions if needing to re-prioritize
description		0..1	string	Shown on a subject line in a meeting request, or appointment list
supportingInformation		0..*	Reference(Resource)	Additional information to support the appointment
start	Σ	0..1	instant	When appointment is to take place
end	Σ	0..1	instant	When appointment is to conclude
minutesDuration		0..1	positiveInt	Can be less than start/end (e.g. estimate)
slot		0..*	Reference(Slot)	The slots that this appointment is filling
created		0..1	dateTime	The date that this appointment was initially created
comment		0..1	string	Additional comments
patientInstruction		0..1	string	Detailed information and instructions for the patient
basedOn		0..*	Reference(ServiceRequest)	The service request this appointment is allocated to assess
participant	C	1..*	BackboneElement	Participants involved in appointment app-1: Either the type or actor on the participant SHALL be specified
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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
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).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	1..1	string	Text alternative for the resource
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
requestedPeriod		0..*	Period	Potential date/time interval(s) requested to allocate the appointment within
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Appointment.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Appointment.identifier:vcToken.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Appointment.identifier:vcToken.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Appointment.status	required	AppointmentStatus http://hl7.org/fhir/ValueSet/appointmentstatus|4.0.1 from the FHIR Standard
Appointment.cancelationReason	required	ValueSetCancelationReasonMyCore (a valid code from CodeSystemCancelationReason (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/cancelation-reason-my-core from this IG
Appointment.serviceCategory	example	ValueSetEncounterCategoryMyCore (a valid code from CodeSystemEncounterCategory (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/encounter-category-my-core from this IG
Appointment.serviceType	required	ValueSetServiceTypeMyCore (a valid code from CodeSystemServiceType (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/service-type-my-core from this IG
Appointment.specialty	preferred	PracticeSettingCodeValueSet http://hl7.org/fhir/ValueSet/c80-practice-codes from the FHIR Standard
Appointment.specialty.coding:specialty	example	ValueSetSpecialtyMyCore http://fhir.hie.moh.gov.my/ValueSet/specialty-my-core from this IG
Appointment.specialty.coding:serviceCategory	example	ValueSetServiceRequestCategoryMyCore (a valid code from CodeSystemServiceRequestCategory (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/servicerequest-category-my-core from this IG
Appointment.appointmentType	required	ValueSetScheduleTypeMyCore (a valid code from CodeSystemScheduleType (MYCore)) http://fhir.hie.moh.gov.my/ValueSet/schedule-type-my-core from this IG
Appointment.reasonCode	preferred	EncounterReasonCodes http://hl7.org/fhir/ValueSet/encounter-reason from the FHIR Standard
Appointment.participant.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard
Appointment.participant.actor.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Appointment.participant.required	required	ParticipantRequired http://hl7.org/fhir/ValueSet/participantrequired|4.0.1 from the FHIR Standard
Appointment.participant.status	required	ParticipationStatus http://hl7.org/fhir/ValueSet/participationstatus|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
app-1	error	Appointment.participant	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')
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: 4 elements(5 nested mandatory elements)
Fixed: 3 elements

Extensions

This structure refers to these extensions:

• https://veinscdr.mhnexus.com/baseR4/StructureDefinition/simple-register-my-core

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Appointment.identifier
• The element 1 is sliced based on the value of Appointment.specialty.coding