{
  "description": "R5: `Appointment.occurrenceChanged` (new:boolean)",
  "_filename": "StructureDefinition-ext-R5-Appointment.occurrenceChanged.json",
  "package_name": "hl7.fhir.uv.xver-r5.r3",
  "date": "2026-03-17T21:02:03.8104715+00:00",
  "derivation": "constraint",
  "publisher": "FHIR Infrastructure",
  "fhirVersion": "3.0.2",
  "jurisdiction": [ {
    "coding": [ {
      "code": "001",
      "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
      "display": "World"
    } ]
  } ],
  "purpose": "This extension is part of the cross-version definitions generated to enable use of the\r\nelement `Appointment.occurrenceChanged` as defined in FHIR R5\r\nin FHIR STU3.\r\n\r\nThe source element is defined as:\r\n`Appointment.occurrenceChanged` 0..1 `boolean`\r\n\r\nAcross FHIR versions, the element set has been mapped as:\r\n*  R5: `Appointment.occurrenceChanged` 0..1 `boolean`\r\n\r\nFollowing are the generation technical comments:\r\nElement `Appointment.occurrenceChanged` has a context of Appointment based on following the parent source element upwards and mapping to `Appointment`.\nElement `Appointment.occurrenceChanged` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
  "name": "ExtensionAppointment_OccurrenceChanged",
  "mapping": [ {
    "uri": "http://hl7.org/v3",
    "name": "RIM Mapping",
    "identity": "rim"
  } ],
  "abstract": false,
  "type": "Extension",
  "experimental": "false",
  "resourceType": "StructureDefinition",
  "title": "R5: Indicates that this appointment varies from a recurrence pattern (new)",
  "package_version": "0.1.0",
  "extension": [ {
    "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode": "fhir"
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/package-source",
    "extension": [ {
      "url": "packageId",
      "valueId": "hl7.fhir.uv.xver-r5.r3"
    }, {
      "url": "version",
      "valueString": "0.1.0"
    }, {
      "url": "uri",
      "valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r3"
    } ]
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger": 0,
    "_valueInteger": {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
        "valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r3"
      } ]
    }
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode": "trial-use",
    "_valueCode": {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
        "valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r3"
      } ]
    }
  } ],
  "snapshot": {
    "element": [ {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Extension",
      "min": 0,
      "definition": "R5: `Appointment.occurrenceChanged` (new:boolean)",
      "isModifier": false,
      "short": "R5: Indicates that this appointment varies from a recurrence pattern (new)",
      "max": "1",
      "id": "Extension",
      "condition": [ "ele-1" ],
      "comment": "Element `Appointment.occurrenceChanged` has a context of Appointment based on following the parent source element upwards and mapping to `Appointment`.\nElement `Appointment.occurrenceChanged` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).\nFor example, if a patient has physical therapy appointments every Tuesday and Thursday, but due to a national holiday, a single occurrence was rescheduled to a different day, while the rest of the recurring series remained on Tuesday / Thursday.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Extension"
      }
    }, {
      "path": "Extension.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Extension.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "path": "Extension.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Extension.extension",
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "path": "Extension.url",
      "min": 1,
      "definition": "Source of the definition for the extension code - a logical name or a URL.",
      "short": "identifies the meaning of the extension",
      "fixedUri": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Appointment.occurrenceChanged",
      "mapping": [ {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "uri"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Extension.url",
      "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Extension.url"
      }
    }, {
      "path": "Extension.value[x]",
      "min": 0,
      "definition": "This appointment varies from the recurring pattern.",
      "short": "Indicates that this appointment varies from a recurrence pattern",
      "mapping": [ {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "boolean"
      } ],
      "max": "1",
      "id": "Extension.value[x]",
      "comment": "For example, if a patient has physical therapy appointments every Tuesday and Thursday, but due to a national holiday, a single occurrence was rescheduled to a different day, while the rest of the recurring series remained on Tuesday / Thursday.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Extension.value[x]"
      }
    } ]
  },
  "status": "active",
  "id": "fbbca287-d56b-4115-ab74-506fca379575",
  "kind": "complex-type",
  "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Appointment.occurrenceChanged",
  "context": [ "Appointment" ],
  "version": "0.1.0",
  "differential": {
    "element": [ {
      "path": "Extension",
      "min": 0,
      "definition": "R5: `Appointment.occurrenceChanged` (new:boolean)",
      "isModifier": false,
      "short": "R5: Indicates that this appointment varies from a recurrence pattern (new)",
      "max": "1",
      "id": "Extension",
      "comment": "Element `Appointment.occurrenceChanged` has a context of Appointment based on following the parent source element upwards and mapping to `Appointment`.\nElement `Appointment.occurrenceChanged` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).\nFor example, if a patient has physical therapy appointments every Tuesday and Thursday, but due to a national holiday, a single occurrence was rescheduled to a different day, while the rest of the recurring series remained on Tuesday / Thursday.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Extension"
      }
    }, {
      "id": "Extension.url",
      "max": "1",
      "min": 1,
      "base": {
        "max": "1",
        "min": 1,
        "path": "Extension.url"
      },
      "path": "Extension.url",
      "fixedUri": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Appointment.occurrenceChanged"
    }, {
      "path": "Extension.value[x]",
      "min": 0,
      "definition": "This appointment varies from the recurring pattern.",
      "short": "Indicates that this appointment varies from a recurrence pattern",
      "type": [ {
        "code": "boolean"
      } ],
      "max": "1",
      "id": "Extension.value[x]",
      "comment": "For example, if a patient has physical therapy appointments every Tuesday and Thursday, but due to a national holiday, a single occurrence was rescheduled to a different day, while the rest of the recurring series remained on Tuesday / Thursday.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Extension.value[x]"
      }
    } ]
  },
  "contact": [ {
    "name": "FHIR Infrastructure",
    "telecom": [ {
      "value": "http://www.hl7.org/Special/committees/fiwg",
      "system": "url"
    } ]
  } ],
  "contextType": "resource",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension"
}