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201801 Scheduling

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Return to Jan 2018 Proposals

Background For Scheduling

Based upon Argonaut Scheduling project

If creating a client application, this track should require minimal work in advance of the connectathon, though at least a bit of playing is recommended. If creating a server, advanced preparation will be required, but this scenario should somewhat limit the effort involved.

This track will focus on these transactions

  • Appointment Availability Search Operation
  • Appointment booking Operation
  • Patient facing Search for their booked Appointment (GET interaction)
  • Handling of other outcomes
  • Cancels or cancel/reschedules
  • Amends or changes appointments

Specification Page(s):

In addition, the Appointment introduction section on the "usual" workflow can be found here:

If you're trying to work out what statuses mean, and what would be expected, there is a summary at the bottom of that same page including a collection of examples Which tie together the Appointment, Slot, Schedule and AppointmentResponse resources.

Submitting WG/Project/Implementer Group

Patient Administration/The Argonaut Project


This track will focus on the steps to support basic patient and provider access to a provider's calendar and appointment requests. For this connectathon the scheduling tract activities are distinct from the the provider directory tracts. However, the assumption is that, in the future, the endpoints will be pre-coordinated and the servers will be linked to the provider directories.

Proposed Track Lead

(tentative) Eric Haas

(tentative) Brett Marquard

Expected participants

Provider Directory:

  • Telstra Health (HealthConnex)
  • Epic
  • Sequoia
  • Touchstone (AEGIS)


  • Epic (tentative)
  • Telstra Health (HealthConnex) (tentative)
  • HealthSamuri (tentative)
  • 3rd Party Apps (recruiting)



Provider or 3rd Party consumer application (Client)

An application that should be used by an end user (e.g., patient or practitioner) to search for information to support creating a referral, and can book an appointment on a client's behalf

FHIR Server (EHR)

A Server that that processes appointment availability booking requests and allocates either participants, or times to these requests.


Background: See the Use Cases 1 and 2 and Interaction Diagrams

Step 1: Availability Search =

Action: Appointment Availability Search Operation using Appointment$find
Precondition: The Organization/Location/Practitioner or HealthcareService has an endpoint defined to a FHIR server where a Schedule/Slot can be queried ( othersTBD)
Success Criteria: Return a list of available appts
Bonus point: Errors ( others tbd)

Step 2: Book Appointment

Action: Client select from list of proposed appointments and PUT/POST to server

This appointment should have a status of proposed or pending, and participant statuses of needs-action ( review -todo)

Precondition: ( review -todo)
Success Criteria: Appointment passes validation against the Appointment schema and schematron, and has these statuses set
Bonus point: (tbd)

Step 3: Confirm and Process Appointment

Test the ability to interrogate a schedule and confirm and process a requested appointment

Action: Server receives an Appointment resource, and updates the Appointment with details of the participants answer...If all participants in the appointment are now accepted and the appointment was in pending or proposed then the appointment status can be changed to booked.
Precondition: (tbd)
Success Criteria: The server is able to confirm appt and return status to Client
Bonus: Errors - The server is returns that it can not confirm appt

Step 4: Cancel Appointment

Action: Client PUTs an appointment with a cancelled status ( how to do this?)
Action: Server receives an cancel Appointment resource, and processes. ( how to do this?)
Precondition: an appointment was present on the server with a booked status
Success Criteria: The history of the appointment will show that it had a booked status, then was changed to a cancelled status ( detail tbd)
Bonus point: server reject a status change to cancelled if an encounter was created - (if business rules justify this)

Step 5: Amend or Change Appointment

Action: Client PUTs an amended appointment ( how to do this?)
Action: Server receives an amended Appointment resource, and processes. (how to do this?)
Precondition: an appointment was present on the server with a booked status
Success Criteria: The history of the appointment will show that it had a booked statusand several versions (detail tbd)

!!! Bonus Round !! !

1 Server rejects the cancellation/amendment
(if business rules justify this)
2 Create Encounter=
Action: Create an encounter to represent when a patient arrived at the facility for an appointment created earlier
Precondition: An appointment existed that was ready to be turned into an encounter
Success Criteria: An encounter can be found on the server and can be retrieved through searching on the encounter's appointment search parameter
Bonus point: Can show a history for the encounter and move it through some of the various states