Millennium

Appointment

Overview

The Appointment resource provides the ability to retrieve information about appointments, write new appointments, and update the status of existing appointments.

A date is required when searching by Patient, Practitioner, or Location.

When integrating your application with a client’s environments, you will work with the client to determine the Practitioner and Location IDs (Millennium personnel and location codes, respectively) which they want to make available to third-party applications for enabling scheduling functionality.

Appointment types for use in FHIR scheduling workflows must be resource list based. The ability to retrieve slots and book appointments that are order role based are not supported in FHIR workflows.

The status of arrived does not change the state of the Millennium appointment but, instead, updates the patient tracking status to a value of Arrived.

R4 exposes a native checked-in status, which allows for an appointment to transition from the booked state to the checked-in state. This is a change from the DSTU2 functionality.

When updating an appointment, the resource provides the ability to change the Appointment.status in the following sequences:

Video Visit functionality requires additional licensing, configuration, and application support.

The following fields are returned if valued:

Note: The examples provided here are non-normative and replaying them in the public sandbox is not guaranteed to yield the results shown on the site.

The common errors and OperationOutcomes may be returned.

Terminology Bindings

Appointment.cancelationReason
Appointment.serviceCategory
Appointment.serviceType
Appointment.reasonCode
  • Description
    • Coded reason this appointment is scheduled.
  • Note
    • Currently not bound to any terminology.
Appointment.participant.type

Extensions

Custom Extensions

All URLs for custom extensions are defined as https://fhir-ehr.cerner.com/r4/StructureDefinition/{id}

ID Value[x] Type Description
action-comment string The comment to be associated with the action performed on the resource.
group-appointment-id string The ID of the appointment group that this appointment is a part of.
is-cancelable boolean Indication of whether the Appointment can be canceled or not.
is-reschedulable boolean Indication of whether the Appointment can be rescheduled or not.

Search for Appointments that meet supplied query parameters:

GET /Appointment?:parameters

Implementation Notes

Authorization Types

Provider | System

Parameters

Name Required? Type Description
_id Yes, or patient or practitioner or location. token The logical resource id associated with the Appointment. Example: _id=3005759
patient Yes, or _id or practitioner or location. reference A single or comma separated list of Patient references. Example: patient=12724066
practitioner Yes, or _id or patient or location. reference A single or comma separated list of Practitioner references. Example: practitioner=593923
location Yes, or _id or patient or practitioner. reference A single or comma separated list of Location references. Example: location=21304876
date Yes, or -date-or-req-period when using patient, practitioner, or location. date The Appointment start date time with offset. Example: date=ge2019-06-07T22:22:16.000Z
-date-or-req-period Yes, or date when using patient, practitioner, or location. date The Appointment start date time with offset or the Appointment requested period date time with offset. Example: -date-or-req-period=ge2019-06-07T22:22:16.000Z
status No token A single or comma separated list of appointment statuses. Example: status=arrived
_count No number The maximum number of results to return.

Notes:

Headers

Accept: application/fhir+json
Authorization: <OAuth2 Bearer Token>

Example

Request

GET https://fhir-open.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Appointment?patient=12724066&date=ge2020-01-01T22:22:16.270Z

Response

Status: 200 OK
{
  "resourceType": "Bundle",
  "id": "69eeaac3-5def-4ffd-8e51-04150cbb5385",
  "type": "searchset",
  "link": [
    {
      "relation": "self",
      "url": "https://fhir-open.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Appointment?date=ge2020-01-01T22%3A22%3A16.270Z&patient=4817663"
    }
  ],
  "entry": [
    {
      "fullUrl": "https://fhir-open.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Appointment/4817517",
      "resource": {
        "fullUrl": "https://fhir-ehr-code.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Appointment/4822366",
        "resource": {
          "resourceType": "Appointment",
          "id": "4822366",
          "meta": {
            "versionId": "2",
            "lastUpdated": "2021-04-22T12:21:26Z"
          },
          "text": {
            "status": "generated",
            "div": "<div xmlns=\\"http://www.w3.org/1999/xhtml\\"><p><b>Appointment</b></p><p><b>Status</b>: Cancelled</p><p><b>Service Type</b>: Surgery Rapid</p><p><b>Start</b>: Jan 23, 2020 10:10 P.M. UTC</p><p><b>End</b>: Jan 23, 2020 11:10 P.M. UTC</p><p><b>Participants</b>:</p><dl><dd><b>Location</b>: Endoscopy</dd><dd><b>Other Resource</b>: Endoscopy Rooms</dd><dd><b>Patient</b>: Smart II, Nancy</dd></dl></div>"
          },
          "extension": [
            {
              "valueString": "",
              "url": "https://fhir-ehr.cerner.com/r4/StructureDefinition/action-comment"
            },
            {
              "valueBoolean": false,
              "url": "https://fhir-ehr.cerner.com/r4/StructureDefinition/is-cancelable"
            },
            {
              "valueBoolean": false,
              "url": "https://fhir-ehr.cerner.com/r4/StructureDefinition/is-reschedulable"
            }
          ],
          "status": "cancelled",
          "cancelationReason": {
            "coding": [
              {
                "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/14229",
                "code": "0",
                "userSelected": true
              }
            ]
          },
          "serviceType": [
            {
              "coding": [
                {
                  "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/14249",
                  "code": "4047611",
                  "display": "Surgery Rapid",
                  "userSelected": true
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "394576009",
                  "display": "Accident & emergency (qualifier value)",
                  "userSelected": false
                }
              ],
              "text": "Surgery Rapid"
            }
          ],
          "reasonCode": [
            {
              "text": "I have a cramp"
            }
          ],
          "description": "Surgery Rapid",
          "start": "2020-01-23T22:10:00Z",
          "end": "2020-01-23T23:10:00Z",
          "minutesDuration": 60,
          "participant": [
            {
              "actor": {
                "reference": "Location/32216049",
                "display": "Endoscopy"
              },
              "required": "required",
              "status": "accepted"
            },
            {
              "type": [
                {
                  "coding": [
                    {
                      "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/14250",
                      "code": "269829903",
                      "display": "Endoscopy Rooms",
                      "userSelected": true
                    }
                  ],
                  "text": "Endoscopy Rooms"
                },
                {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                      "code": "PPRF",
                      "display": "primary performer"
                    }
                  ]
                }
              ],
              "actor": {
                "display": "Endoscopy Rooms"
              },
              "required": "required",
              "status": "accepted"
            },
            {
              "type": [
                {
                  "coding": [
                    {
                      "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/14250",
                      "code": "4572",
                      "display": "Patient",
                      "userSelected": true
                    }
                  ],
                  "text": "Patient"
                }
              ],
              "actor": {
                "reference": "Patient/12724066",
                "display": "Smart II, Nancy"
              },
              "required": "required",
              "status": "accepted"
            }
          ],
          "requestedPeriod": [
            {
              "start": "2020-01-23T22:10:00Z",
              "end": "2020-01-23T23:10:00Z"
            }
          ]
        }
      }
    }
  ]
}

Retrieve by ID

List an individual Appointment by its ID:

GET /Appointment/:id

Authorization Types

Provider | System

Headers

Accept: application/fhir+json
Authorization: <OAuth2 Bearer Token>

Example

Request

GET https://fhir-open.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Appointment/4822366

Response

Status: 200 OK
{
  "fullUrl": "https://fhir-ehr-code.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Appointment/4822366",
  "resource": {
    "resourceType": "Appointment",
    "id": "4822366",
    "meta": {
      "versionId": "2",
      "lastUpdated": "2021-04-22T12:21:26Z"
    },
    "text": {
      "status": "generated",
      "div": "<div xmlns=\\"http://www.w3.org/1999/xhtml\\"><p><b>Appointment</b></p><p><b>Status</b>: Cancelled</p><p><b>Service Type</b>: Surgery Rapid</p><p><b>Start</b>: Jan 23, 2020 10:10 P.M. UTC</p><p><b>End</b>: Jan 23, 2020 11:10 P.M. UTC</p><p><b>Participants</b>:</p><dl><dd><b>Location</b>: Endoscopy</dd><dd><b>Other Resource</b>: Endoscopy Rooms</dd><dd><b>Patient</b>: Smart II, Nancy</dd></dl></div>"
    },
    "extension": [
      {
        "valueString": "",
        "url": "https://fhir-ehr.cerner.com/r4/StructureDefinition/action-comment"
      },
      {
        "valueBoolean": false,
        "url": "https://fhir-ehr.cerner.com/r4/StructureDefinition/is-cancelable"
      },
      {
        "valueBoolean": false,
        "url": "https://fhir-ehr.cerner.com/r4/StructureDefinition/is-reschedulable"
      }
    ],
    "status": "cancelled",
    "cancelationReason": {
      "coding": [
        {
          "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/14229",
          "code": "0",
          "userSelected": true
        }
      ]
    },
    "serviceType": [
      {
        "coding": [
          {
            "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/14249",
            "code": "4047611",
            "display": "Surgery Rapid",
            "userSelected": true
          },
          {
            "system": "http://snomed.info/sct",
            "code": "394576009",
            "display": "Accident &amp; emergency (qualifier value)",
            "userSelected": false
          }
        ],
        "text": "Surgery Rapid"
      }
    ],
    "reasonCode": [
      {
        "text": "I have a cramp"
      }
    ],
    "description": "Surgery Rapid",
    "start": "2020-01-23T22:10:00Z",
    "end": "2020-01-23T23:10:00Z",
    "minutesDuration": 60,
    "participant": [
      {
        "actor": {
          "reference": "Location/32216049",
          "display": "Endoscopy"
        },
        "required": "required",
        "status": "accepted"
      },
      {
        "type": [
          {
            "coding": [
              {
                "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/14250",
                "code": "269829903",
                "display": "Endoscopy Rooms",
                "userSelected": true
              }
            ],
            "text": "Endoscopy Rooms"
          },
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                "code": "PPRF",
                "display": "primary performer"
              }
            ]
          }
        ],
        "actor": {
          "display": "Endoscopy Rooms"
        },
        "required": "required",
        "status": "accepted"
      },
      {
        "type": [
          {
            "coding": [
              {
                "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/14250",
                "code": "4572",
                "display": "Patient",
                "userSelected": true
              }
            ],
            "text": "Patient"
          }
        ],
        "actor": {
          "reference": "Patient/12724066",
          "display": "Smart II, Nancy"
        },
        "required": "required",
        "status": "accepted"
      }
    ],
    "requestedPeriod": [
      {
        "start": "2020-01-23T22:10:00Z",
        "end": "2020-01-23T23:10:00Z"
      }
    ]
  }
}

Example - Video Visit

Request

GET https://fhir-open.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Appointment/4817572

Response

Status: 200 OK
{
  "resourceType": "Appointment",
  "id": "4817572",
  "meta": {
    "versionId": "2-1",
    "lastUpdated": "2020-07-11T05:05:01.000Z"
  },
  "text": {
    "status": "generated",
    "div": "<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Appointment</b></p><p><b>Status</b>: No Show</p><p><b>Service Type</b>: Video Visit</p><p><b>Start</b>: Jul 10, 2020  1:00 P.M. UTC</p><p><b>End</b>: Jul 10, 2020  1:15 P.M. UTC</p><p><b>Slot Id</b>: 21265426-633867-6828001-60</p><p><b>Participants</b>: Patient: SMART, NANCY, Practitioner: Applegate MD, Christina, Location: MX Clinic 1</p><p><b>Video Visit</b>: Yes</p></div>"
  },
  "contained": [
    {
      "resourceType": "HealthcareService",
      "id": "28",
      "type": [
        {
          "text": "Patient Virtual Meeting Room"
        }
      ],
      "telecom": [
        {
          "system": "url",
          "value": "https://www.google.com/",
          "period": {
            "start": "2020-07-13T08:00:00.000Z",
            "end": "2020-07-13T08:10:00.000Z"
          }
        }
      ]
    },
    {
      "resourceType": "HealthcareService",
      "id": "31",
      "type": [
        {
          "text": "Provider Virtual Meeting Room"
        }
      ],
      "telecom": [
        {
          "system": "url",
          "value": "https://www.google.com/",
          "period": {
            "start": "2020-07-13T08:00:00.000Z",
            "end": "2020-07-13T08:10:00.000Z"
          }
        }
      ]
    }
  ],
  "status": "noshow",
  "cancelationReason": {
    "coding": [
      {
        "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/14229",
        "code": "2191414701",
        "display": "Scheduled by mistake",
        "userSelected": true
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/appointment-cancellation-reason",
        "code": "oth-err",
        "display": "Other: Error",
        "userSelected": false
      }
    ],
    "text": "Scheduled by mistake"
  },
  "serviceCategory": [
    {
      "coding": [
        {
          "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/16127",
          "code": "22721463",
          "display": "DIAGNOSTIC",
          "userSelected": true
        },
        {
          "system": "http://snomed.info/sct",
          "code": "261004008",
          "display": "Diagnostic intent (qualifier value)",
          "userSelected": false
        }
      ],
      "text": "DIAGNOSTIC"
    }
  ],
  "serviceType": [
    {
      "coding": [
        {
          "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/14249",
          "code": "2572307911",
          "display": "Video Visit",
          "userSelected": true
        }
      ],
      "text": "Video Visit"
    }
  ],
  "reasonCode": [
    {
      "text": "Testing Video Visit"
    }
  ],
  "description": "Video Visit",
  "start": "2020-07-10T13:00:00.000Z",
  "end": "2020-07-10T13:15:00.000Z",
  "minutesDuration": 15,
  "slot": [
    {
      "reference": "Slot/21265426-633867-6828001-60"
    }
  ],
  "participant": [
    {
      "type": [
        {
          "coding": [
            {
              "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/14250",
              "code": "4572",
              "display": "Patient",
              "userSelected": true
            }
          ],
          "text": "Patient"
        }
      ],
      "actor": {
        "reference": "Patient/12724066",
        "display": "SMART, NANCY"
      },
      "required": "required",
      "status": "accepted"
    },
    {
      "type": [
        {
          "coding": [
            {
              "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/14250",
              "code": "4574",
              "display": "Resource",
              "userSelected": true
            }
          ],
          "text": "Resource"
        },
        {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
              "code": "PPRF",
              "display": "primary performer"
            }
          ]
        }
      ],
      "actor": {
        "reference": "Practitioner/593923",
        "display": "Applegate MD, Christina"
      },
      "required": "required",
      "status": "accepted"
    },
    {
      "actor": {
        "reference": "Location/21304876",
        "display": "MX Clinic 1"
      },
      "required": "required",
      "status": "accepted"
    },
    {
      "type": [
        {
          "text": "Patient Virtual Meeting Room"
        }
      ],
      "actor": {
        "reference": "#28"
      },
      "status": "accepted"
    },
    {
      "type": [
        {
          "text": "Provider Virtual Meeting Room"
        }
      ],
      "actor": {
        "reference": "#31"
      },
      "status": "accepted"
    }
  ],
  "requestedPeriod": [
    {
      "start": "2020-07-10T13:00:00.000Z",
      "end": "2020-07-10T13:15:00.000Z"
    }
  ]
}

Create

Create a new Appointment.

POST /Appointment

Implementation Notes

Authorization Types

Provider | System

Headers

Authorization: <OAuth2 Bearer Token>
Content-Type: application/fhir+json

Body Fields

Name Required Type
resourceType Yes string
  • Description
    • The type of the FHIR resource.
  • Example
    • {
  "resourceType": "Appointment"
}
  • Notes
    • resourceType must be Appointment
status Yes code
  • Description
    • A code representing the status of the new Appointment.
  • Example
    • {
  "status": "booked"
}
  • Notes
    • When creating a new appointment, the status must be booked or proposed.
serviceCategory No CodeableConcept
  • Description
    • A broad categorization of the service that is to be performed during this appointment.
serviceType No CodeableConcept
  • Description
    • The specific service that is to be performed during this appointment.
  • Example
    • {
  "serviceType": [
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "408443003",
          "display": "General medical practice",
          "userSelected": false
        }
      ],
      "text": "General medical practice"
    }
  ]
}
  • Notes
    • Required when Appointment.status is set to proposed. Must contain exactly one CodeableConcept.
reasonCode No List of CodeableConcept
  • Description
    • Coded reason this appointment is scheduled.
  • Example
    • {
  "reasonCode": [
    {
      "text": "I have a cramp"
    }
  ]
}
  • Notes
    • The reasonCode.text is required.
slot No Reference (Slot)
  • Description
    • The availability to which the appointment is booked.
  • Example
    • {
  "slot": [
    {
      "reference": "Slot/21265426-633867-6828001-60"
    }
  ]
}
  • Notes
    • Required when Appointment.status is set to booked. Must contain exactly one Reference.
participant Yes BackboneElement
  • Description
    • Participants involved in appointment.
  • Example
    • {
  "participant": [
    {
      "actor": {
        "reference": "Patient/4704007",
        "display": "Smart, Barney R"
      },
      "status": "accepted"
    }
  ]
}
  • Notes
    • Participant.type must not be set.
participant.actor Yes Reference (Patient, Location)
  • Description
    • A Patient or Location that is participating in the Appointment.
  • Example
    • {
  "actor": {
    "reference": "Patient/4704007",
    "display": "Smart, Barney R"
  }
}
  • Notes
    • See Implementation Notes above for more information. Reference.display is not required.
participant.status Yes code
  • Description
    • Participation status of the Patient or Location.
  • Example
    • {
  "status": "accepted"
}
  • Notes
    • When creating a new appointment with a status of booked, this value must be accepted. When creating a new appointment with a status of proposed, this value must be `needs-action`.
comment No string
  • Description
    • Additional text to aid in facilitating the appointment.
  • Example
    • {
  "comment: "Further explain MRI results"
}
requestedPeriod No List of Period
  • Description
    • Potential date/time interval(s) requested to allocate the appointment within.
  • Example
    • {
  "requestedPeriod": [
    {
      "start": "2015-02-07T13:28:17-05:00",
      "end": "2016-02-07T13:28:17-05:00"
    }
  ]
}
  • Notes
    • Required when Appointment.status is set to proposed.

Example - Proposed Appointment

Request

POST https://fhir-ehr-code.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Appointment

Body

{
  "resourceType": "Appointment",
  "status": "proposed",
  "serviceType": [
    {
      "coding": [
        {
          "code": "408443003",
          "system": "http://snomed.info/sct"
        }
      ]
    }
  ],
  "reasonCode": [
    {
      "text": "I have a cramp"
    }
  ],
  "comment": "Appointment request comment",
  "participant": [
    {
      "actor": {
        "reference": "Patient/12724066"
      },
      "status": "needs-action"
    },
    {
      "actor": {
        "reference": "Location/21304876",
        "display": "MX Clinic 1"
      },
      "status": "needs-action"
    }
  ],
  "requestedPeriod": [
    {
      "start": "2020-02-07T13:28:17-05:00",
      "end": "2021-02-07T13:28:17-05:00"
    }
  ]
}

Response

Status: 201 Created
Cache-Control: no-cache
Content-Length: 0
Content-Type: application/fhir+json
Date: Tue, 12 May 2020 20:25:01 GMT
Etag: W/"0"
Last-Modified: Tue, 12 May 2020 20:25:01 GMT
Location: https://fhir-ehr-code.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Appointment/6427746
Vary: Origin
opc-request-id: /95685D1463E5BE27E66427BBDA8725DE/BD2E22EED59A7AD48B938357F8CF72E1
X-Request-Id: 26ca6d46-bf47-430b-b92f-bf687b80bfbf

The ETag response header indicates the current If-Match version to use on subsequent updates.

Example - Booked Appointment

Request

POST https://fhir-ehr-code.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Appointment

Body

{
  "resourceType": "Appointment",
  "status": "booked",
  "slot": [
    {
      "reference": "Slot/24477854-21304876-62852027-0"
    }
  ],
  "participant": [
    {
      "actor": {
        "reference": "Patient/12724066"
      },
      "status": "accepted"
    }
  ],
  "reasonCode": [
    {
      "text": "I have a cramp"
    }
  ]
}

Response

Status: 201 Created
Cache-Control: no-cache
Content-Length: 0
Content-Type: application/fhir+json
Date: Thu, 30 May 2019 19:49:25 GMT
Etag: W/"0"
Last-Modified: Thu, 30 May 2019 19:49:23 GMT
Location: https://fhir-ehr-code.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Appointment/20465903
Vary: Origin
opc-request-id: /95685D1463E5BE27E66427BBDA8725DE/BD2E22EED59A7AD48B938357F8CF72E1
X-Request-Id: 26ca6d46-bf47-430b-b92f-bf687b80bfbf

Patch

Patch an existing Appointment.

PATCH /Appointment/:id

Implementation Notes

Authorization Types

Provider | System

Headers

Authorization: <OAuth2 Bearer Token>
Accept: application/fhir+json
Content-Type: application/json-patch+json
If-Match: W/"<Current version of the Appointment resource>"

Patch Operations

Path Operation Value Type
/status replace code
  • Description
    • The status of the appointment
  • Example
    • {
  "op": "replace",
  "path": "/status",
  "value": "cancelled"
}
  • Notes
      • Only arrived, checked-in, cancelled, booked, and fulfilled are supported
      • This patch operation must be accompanied by the add Slot patch operation when updating status to booked
/slot add Reference (Slot)
  • Description
    • The slot that this appointment is filling
  • Example
    • {
  "op": "add",
  "path": "/slot",
  "value": [
    {
      "reference":"Slot/1986119705-4048128-15648907-60"
    }
  ]
}
  • Notes
      • When present, this patch operation must be accompanied by the replace Status patch operation with a value of booked
      • Only one Slot reference may be provided in the value array
/slot replace Reference (Slot)
  • Description
    • The Slot that this appointment is filling
  • Example
    • {
  "op": "replace",
  "path": "/slot",
  "value": [
    {
      "reference":"Slot/1986119705-4048128-15648907-60"
    }
  ]
}
  • Notes
      • Not dependent on any other patch Operation
      • Only one Slot reference may be provided in the value array
/reasonCode add List of CodeableConcept
  • Description
    • The clinical reason for why this appointment is being scheduled
  • Example
    • {
  "op": "add",
  "path": "/reasonCode",
  "value": [
    {
      "text": "I have a headache"
    }
  ]
}
  • Notes
      • When present, this patch operation must be accompanied by the replace Status patch operation with a value of booked
      • Only one CodeableConcept may be provided in the value array
      • CodeableConcept.text is required and CodeableConcept.coding, if present, will be ignored
      • When the value array is empty, any existing reasonCode will be removed
/cancelationReason add CodeableConcept
  • Description
    • The coded reason for the appointment being cancelled
  • Example
    • {
  "op": "add",
  "path": "/cancelationReason",
  "value": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/appointment-cancellation-reason",
        "code": "oth-err"
      }
    ]
  }
}
  • Notes
      • When present, this patch operation must be accompanied by the replace Status patch operation with a value of cancelled
      • Only one coding may be provided in the value
      • The cancellation reason value.coding can be from either the standard or proprietary system
      • CodeableConcept.coding is required and CodeableConcept.text, if present, will be ignored
/contained/0/telecom/0/value add string
  • Description
    • The provider Video Visit link
  • Example
    • {
  "op": "add",
  "path": "/contained/0/telecom/0/value",
  "value": "http://providerlink.vmr.net"
}
  • Notes
      • This patch operation may only be used for Cerner Video Visit appointments
      • This patch operation must be accompanied by all other Video Visit link patch operations with an op of add
      • The URL length must be less than or equal to 255 characters
/contained/1/telecom/0/value add string
  • Description
    • The patient Video Visit link
  • Example
    • {
  "op": "add",
  "path": "/contained/1/telecom/0/value",
  "value": "http://patientlink.vmr.net"
}
  • Notes
      • This patch operation may only be used for Cerner Video Visit appointments
      • This patch operation must be accompanied by all other Video Visit link patch operations with an op of add
      • The URL length must be less than or equal to 255 characters
/contained/0/telecom/0/period/start add datetime
  • Description
    • The start datetime for the Video Visit
  • Example
    • {
  "op": "add",
  "path": "/contained/0/telecom/0/period/start",
  "value": "2019-07-13T08:00:00.000Z"
}
  • Notes
      • This patch operation may only be used for Cerner Video Visit appointments
      • The value for this patch operation will be applied to both the provider Video Visit link and the patient Video Visit link
      • This patch operation must be accompanied by all other Video Visit link patch operations with an op of add
/contained/0/telecom/0/period/end add datetime
  • Description
    • The end datetime for the Video Visit
  • Example
    • {
  "op": "add",
  "path": "/contained/0/telecom/0/period/end",
  "value": "2019-07-13T08:30:00.000Z"
}
  • Notes
      • This patch operation may only be used for Cerner Video Visit appointments
      • The value for this patch operation will be applied to both the provider Video Visit link and the patient Video Visit link
      • This patch operation must be accompanied by all other Video Visit link patch operations with an op of add
/contained/0/telecom/0/value replace string
  • Description
    • The provider Video Visit link
  • Example
    • {
  "op": "replace",
  "path": "/contained/0/telecom/0/value",
  "value":  "http://providerlink.vmr.net"
}
  • Notes
      • This patch operation may only be used for Cerner Video Visit appointments
      • This patch operation must be accompanied by all other Video Visit link patch operations with an op of replace
      • The URL length must be less than or equal to 255 characters
/contained/1/telecom/0/value replace string
  • Description
    • The patient Video Visit link
  • Example
    • {
  "op": "replace",
  "path": "/contained/1/telecom/0/value",
  "value":  "http://patientlink.vmr.net"
}
  • Notes
      • This patch operation may only be used for Cerner Video Visit appointments
      • This patch operation must be accompanied by all other Video Visit link patch operations with an op of replace
      • The URL length must be less than or equal to 255 characters
/contained/0/telecom/0/period/start replace datetime
  • Description
    • The start datetime for the Video Visit
  • Example
    • {
  "op": "replace",
  "path": "/contained/0/telecom/0/period/start",
  "value":  "2019-07-13T08:30:00.000Z"
}
  • Notes
      • This patch operation may only be used for Cerner Video Visit appointments
      • The value for this patch operation will be applied to both the provider Video Visit link and the patient Video Visit link
      • This patch operation must be accompanied by all other Video Visit link patch operations with an op of replace
/contained/0/telecom/0/period/end replace datetime
  • Description
    • The end datetime for the Video Visit
  • Example
    • {
  "op": "replace",
  "path": "/contained/0/telecom/0/period/end",
  "value":  "2019-07-14T08:30:00.000Z"
}
  • Notes
      • This patch operation may only be used for Cerner Video Visit appointments
      • The value for this patch operation will be applied to both the provider Video Visit link and the patient Video Visit link
      • This patch operation must be accompanied by all other Video Visit link patch operations with an op of replace
/patient-status replace code
  • Description
    • The participant status on Patient participant types
  • Example
    • {
  "op": "replace",
  "path": "/patient-status",
  "value":  "accepted"
}
  • Notes
      • This patch operation may be used only for appointments with a booked status
      • This patch operation may be used only for Patient participants with a tentative status
/extension replace Extension
  • Description
    • The comment to be associated with the action performed on the resource
  • Example
    • {
  "op": "replace",
  "path": "/extension",
  "value": [
    {
      "url": "https://fhir-ehr.cerner.com/r4/StructureDefinition/action-comment",
      "valueString": "not required, cancelled"
    }
  ]
}
  • Notes
      • When present, this patch operation must be accompanied by add cancellation reason and replace status patch operation when updating the status to cancelled
      • Only one value may be provided in the value array
/comment replace string
  • Description
    • Additional text to aid in facilitating the appointment
  • Example
    • {
  "op": "replace",
  "path": "/comment",
  "value": "Arrived"
}
  • Notes
      • When present, this patch operation must be accompanied by the replace Slot patch operation

Example

Request

PATCH https://fhir-ehr-code.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Appointment/4817517

Body

[
  {
    "op": "replace",
    "path": "/status",
    "value": "cancelled"
  }
]

Response

Status: 200 OK
Cache-Control: no-cache
Content-Length: 0
Content-Type: text/html
Date: Tue, 26 Mar 2019 15:42:29 GMT
Etag: W/"10"
Last-Modified: Tue, 26 Mar 2019 15:42:27 GMT
Vary: Origin
opc-request-id: /95685D1463E5BE27E66427BBDA8725DE/BD2E22EED59A7AD48B938357F8CF72E1
X-Request-Id: 26ca6d46-bf47-430b-b92f-bf687b80bfbf

Example - Update Status to Booked

Request

PATCH https://fhir-ehr-code.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Appointment/4817517

Body

[
  {
    "op": "add",
    "path": "/slot",
    "value": [
      {
        "reference": "Slot/24477854-21304876-62852027-0"
      }
    ]
  },
  {
    "op": "replace",
    "path": "/status",
    "value": "booked"
  }
]

Response

Status: 200 OK
Cache-Control: no-cache
Content-Length: 0
Content-Type: text/html
Date: Tue, 26 Mar 2019 15:42:29 GMT
Etag: W/"10"
Last-Modified: Tue, 26 Mar 2019 15:42:27 GMT
Vary: Origin
opc-request-id: /95685D1463E5BE27E66427BBDA8725DE/BD2E22EED59A7AD48B938357F8CF72E1
X-Request-Id: 26ca6d46-bf47-430b-b92f-bf687b80bfbf

Example - Update reasonCode

Request

PATCH https://fhir-ehr-code.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Appointment/4817517

Body

[
  {
    "op": "add",
    "path": "/slot",
    "value": [
      {
        "reference": "Slot/24477854-21304876-62852027-0"
      }
    ]
  },
  {
    "op": "replace",
    "path": "/status",
    "value": "booked"
  },
  {
    "op": "add",
    "path": "/reasonCode",
    "value": [
      {
        "text": "I have a headache"
      }
    ]
  }
]

Response

Status: 200 OK
Cache-Control: no-cache
Content-Length: 0
Content-Type: text/html
Date: Tue, 26 Mar 2019 15:42:29 GMT
Etag: W/"1"
Last-Modified: Tue, 26 Mar 2019 15:42:27 GMT
Vary: Origin
opc-request-id: /95685D1463E5BE27E66427BBDA8725DE/BD2E22EED59A7AD48B938357F8CF72E1
X-Request-Id: 26ca6d46-bf47-430b-b92f-bf687b80bfbf

Example - Add cancelationReason

Request

PATCH https://fhir-ehr-code.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Appointment/4817517

Body

[
  {
    "op": "replace",
    "path": "/status",
    "value": "cancelled"
  },
  {
    "op": "add",
    "path": "/cancelationReason",
    "value": {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/appointment-cancellation-reason",
          "code": "oth-err"
        }
      ]
    }
  }
]

Response

Status: 200 OK
Cache-Control: no-cache
Content-Length: 0
Content-Type: text/html
Date: Tue, 26 Mar 2019 15:42:29 GMT
Etag: W/"1"
Last-Modified: Tue, 26 Mar 2019 15:42:27 GMT
Vary: Origin
opc-request-id: /95685D1463E5BE27E66427BBDA8725DE/BD2E22EED59A7AD48B938357F8CF72E1
X-Request-Id: 26ca6d46-bf47-430b-b92f-bf687b80bfbf

Example - Replace Slot

Request

PATCH https://fhir-ehr-code.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Appointment/4817517

Body

[
  {
    "op": "replace",
    "path": "/slot",
    "value": [
      {
        "reference": "Slot/2582093771-22784981-63303788-60"
      }
    ]
  }
]

Response

Status: 200 OK
Cache-Control: no-cache
Content-Length: 0
Content-Type: text/html
Date: Tue, 26 Mar 2019 15:42:29 GMT
Etag: W/"1"
Last-Modified: Tue, 26 Mar 2019 15:42:27 GMT
Vary: Origin
opc-request-id: /95685D1463E5BE27E66427BBDA8725DE/BD2E22EED59A7AD48B938357F8CF72E1
X-Request-Id: 26ca6d46-bf47-430b-b92f-bf687b80bfbf

Example - Add Video Visit Links

Request

PATCH https://fhir-ehr-code.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Appointment/4627745

Body

[
  {
    "op": "add",
    "path": "/contained/0/telecom/0/value",
    "value": "http://providerlink.vmr.net"
  },
  {
    "op": "add",
    "path": "/contained/1/telecom/0/value",
    "value": "http://patientlink.vmr.net"
  },
  {
    "op": "add",
    "path": "/contained/0/telecom/0/period/start",
    "value": "2019-07-13T08:00:00.000Z"
  },
  {
    "op": "add",
    "path": "/contained/0/telecom/0/period/end",
    "value": "2019-07-13T08:10:00.000Z"
  }
]

Response

Status: 200 OK
Cache-Control: no-cache
Content-Length: 0
Content-Type: text/html
Date: Tue, 26 Mar 2019 15:42:29 GMT
Etag: W/"10-1"
Last-Modified: Tue, 26 Mar 2019 15:42:27 GMT
Vary: Origin
opc-request-id: /95685D1463E5BE27E66427BBDA8725DE/BD2E22EED59A7AD48B938357F8CF72E1
X-Request-Id: 26ca6d46-bf47-430b-b92f-bf687b80bfbf

Example - Replace Video Visit Links

Request

PATCH https://fhir-ehr-code.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Appointment/4627745

Body

[
  {
    "op": "replace",
    "path": "/contained/0/telecom/0/value",
    "value": "http://providerlink.vmr.net"
  },
  {
    "op": "replace",
    "path": "/contained/1/telecom/0/value",
    "value": "http://patientlink.vmr.net"
  },
  {
    "op": "replace",
    "path": "/contained/0/telecom/0/period/start",
    "value": "2019-07-13T08:00:00.000Z"
  },
  {
    "op": "replace",
    "path": "/contained/0/telecom/0/period/end",
    "value": "2019-07-13T08:10:00.000Z"
  }
]

Response

Status: 200 OK
Cache-Control: no-cache
Content-Length: 0
Content-Type: text/html
Date: Tue, 26 Mar 2019 15:42:29 GMT
Etag: W/"10-1"
Last-Modified: Tue, 26 Mar 2019 15:42:27 GMT
Vary: Origin
opc-request-id: /95685D1463E5BE27E66427BBDA8725DE/BD2E22EED59A7AD48B938357F8CF72E1
X-Request-Id: 26ca6d46-bf47-430b-b92f-bf687b80bfbf

Example - Update Participant Status

Request

PATCH https://fhir-ehr-code.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Appointment/4817517

Body

[
  {
    "op": "replace",
    "path": "/patient-status",
    "value": "accepted"
  }
]

Response

Status: 200 OK
Cache-Control: no-cache
Content-Length: 0
Content-Type: text/html
Date: Tue, 26 Mar 2019 15:42:29 GMT
Etag: W/"10"
Last-Modified: Tue, 26 Mar 2019 15:42:27 GMT
Vary: Origin
opc-request-id: /95685D1463E5BE27E66427BBDA8725DE/BD2E22EED59A7AD48B938357F8CF72E1
X-Request-Id: 26ca6d46-bf47-430b-b92f-bf687b80bfbf

Example - Update Action Comment

Request

PATCH https://fhir-ehr-code.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Appointment/4817517

Body

[
  {
    "op": "replace",
    "path": "/extension",
    "value": [
      {
        "url": "https://fhir-ehr.cerner.com/r4/StructureDefinition/action-comment",
        "valueString": "not required cancelled"
      }
    ]
  },
  {
    "op": "replace",
    "path": "/status",
    "value": "cancelled"
  },
  {
    "op": "add",
    "path": "/cancelationReason",
    "value": {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/appointment-cancellation-reason",
          "code": "oth-err"
        }
      ]
    }
  }
]

Response

Status: 200 OK
Cache-Control: no-cache
Content-Length: 0
Content-Type: text/html
Date: Fri, 11 Aug 2023 15:42:29 GMT
Etag: W/"10"
Last-Modified: Fri, 11 Aug 2023 15:42:29 GMT
Vary: Origin
opc-request-id: /95685D1463E5BE27E66427BBDA8725DE/BD2E22EED59A7AD48B938357F8CF72E1
X-Request-Id: 26ca6d46-bf47-430b-b92f-bf687b80bfbf

Errors

In addition to the common errors and OperationOutcomes, the following errors may be returned: