Practitioner

The FHIR resource Practitioner is for provider responsible for the immunization records or immunization supplemental data.

idΣ1..1string
id0..1string
extensionI0..*Extension
versionIdΣ0..1id
lastUpdatedΣ0..1instant
sourceΣ0..1uri
profileΣ1..1canonical(StructureDefinition)
securityΣ0..1CodingBinding
tagΣ0..1Coding
implicitRulesΣ ?!0..1uri
language0..1codeBinding
text0..1Narrative
contained0..1Resource
extensionI0..*Extension
modifierExtension?! I0..*Extension
id0..1string
extensionI0..*Extension
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ1..1string
periodΣ0..1Period
assignerΣ0..1Reference(Organization)
activeΣ0..1boolean
id0..1string
extensionI0..*Extension
useΣ ?!0..1codeBinding
textΣ0..1string
familyΣ1..1string
givenΣ1..*string
prefixΣ0..1string
suffixΣ0..1string
periodΣ0..1Period
telecomΣ0..1ContactPoint
addressΣ0..1Address
genderΣ0..1codeBinding
birthDateΣ0..1date
photo0..1Attachment
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
id0..1string
extensionI0..*Extension
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ1..1uri
valueΣ1..1string
periodΣ0..1Period
assignerΣ0..1Reference(Organization)
id0..1string
extensionI0..*Extension
id0..0string
extensionI0..*Extension
systemΣ1..1uri
versionΣ0..0string
codeΣ1..1code
displayΣ1..1string
userSelectedΣ0..0boolean
textΣ0..1string
period0..1Period
issuer0..1Reference(Organization)
communication0..1CodeableConceptBinding
Practitioner
DefinitionFHIR resource applies for PIR Provider
Cardinality0...*
Invariants
  • dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
    contained.contained.empty()
  • 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
    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: 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: If a resource is contained in another resource, it SHALL NOT have a security label
    contained.meta.security.empty()
  • dom-6: A resource should have narrative for robust management
    text.`div`.exists()
Mappings
  • rim: Entity. Role, or Act
  • v2: PRD (as one example)
  • rim: Role
  • servd: Provider
Practitioner.id
DefinitionPIR Provider ID
Cardinality1...1
Typestring
SummaryTrue
Comments

PIR Provider Id

Practitioner.meta
DefinitionThe metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
Cardinality1...1
TypeMeta
SummaryTrue
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Practitioner.meta.id
DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality0...1
Typestring
Mappings
  • rim: n/a
Practitioner.meta.extension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality0...*
TypeExtension
Aliasextensions, user content
Comments

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.

SlicingUnordered, Open, by url(Value)
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
Practitioner.meta.versionId
DefinitionThe version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted.
Cardinality0...1
Typeid
SummaryTrue
Comments

Use '2025.01.1' (This indicates FHIR specs changes on 2025-Jan)

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Practitioner.meta.lastUpdated
DefinitionWhen the resource last changed - e.g. when the version changed.
Cardinality0...1
Typeinstant
SummaryTrue
Comments

Updated: Relax the previously crossed-out elements.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Practitioner.meta.source
DefinitionA uri that identifies the source system of the resource. This provides a minimal amount of [Provenance](provenance.html#) information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.
Cardinality0...1
Typeuri
SummaryTrue
Comments

In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used.

This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Practitioner.meta.profile
DefinitionA list of profiles (references to [StructureDefinition](structuredefinition.html#) resources) that this resource claims to conform to. The URL is a reference to [StructureDefinition.url](structuredefinition-definitions.html#StructureDefinition.url).
Cardinality1...1
Typecanonical(StructureDefinition)
SummaryTrue
Comments

Use 'http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/Practitioner'

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Practitioner.meta.security
DefinitionSecurity labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.
Cardinality0...1
TypeCoding
Binding

Security Labels from the Healthcare Privacy and Security Classification System.

All Security Labels (extensible)
SummaryTrue
Comments

The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Practitioner.meta.tag
DefinitionTags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.
Cardinality0...1
TypeCoding
Binding

Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".

CommonTags (example)
SummaryTrue
Comments

The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Practitioner.implicitRules
DefinitionA reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Cardinality0...1
Typeuri
ModifierTrue
SummaryTrue
Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Practitioner.language
DefinitionThe base language in which the resource is written.
Cardinality0...1
Typecode
Binding

A human language.

CommonLanguages (preferred)
Comments

Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Practitioner.text
DefinitionA human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
Cardinality0...1
TypeNarrative
Aliasnarrative, html, xhtml, display
Comments

Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: Act.text?
Practitioner.contained
DefinitionThese resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
Cardinality0...1
TypeResource
Aliasinline resources, anonymous resources, contained resources
Comments

This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

Mappings
  • rim: N/A
Practitioner.extension
DefinitionMay be used to represent additional information that is not part of the basic definition of the resource. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality0...*
TypeExtension
Aliasextensions, user content
Comments

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.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: N/A
Practitioner.modifierExtension
DefinitionMay be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Cardinality0...*
TypeExtension
ModifierTrue
Aliasextensions, user content
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Comments

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.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: N/A
Practitioner.identifier
DefinitionPIR Provider Identifier(s) which includes PIR Internal Provider ID, MPID, CPSID
Cardinality0...*
TypeIdentifier
SummaryTrue
Requirements

Often, specific identities are assigned for the agent.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • w5: FiveWs.identifier
  • v2: PRD-7 (or XCN.1)
  • rim: ./id
  • servd: ./Identifiers
Practitioner.identifier.id
DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality0...1
Typestring
Mappings
  • rim: n/a
Practitioner.identifier.extension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality0...*
TypeExtension
Aliasextensions, user content
Comments

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.

SlicingUnordered, Open, by url(Value)
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
Practitioner.identifier.use
DefinitionThe purpose of this identifier.
Cardinality0...1
Typecode
Binding

Identifies the purpose for this identifier, if known .

IdentifierUse (required)
ModifierTrue
SummaryTrue
Requirements

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Comments

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: N/A
  • rim: Role.code or implied by context
Practitioner.identifier.type
DefinitionA coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Cardinality0...1
TypeCodeableConcept
Binding

A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

Identifier Type Codes (extensible)
SummaryTrue
Requirements

Allows users to make use of identifiers when the identifier system is not known.

Comments

This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: CX.5
  • rim: Role.code or implied by context
Practitioner.identifier.system
DefinitionEstablishes the namespace for the value - that is, a URL that describes a set values that are unique.
Cardinality0...1
Typeuri
SummaryTrue
Requirements

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Comments

See Mappings

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Examples
General

http://www.acme.com/identifiers/patient


Mappings
  • v2: CX.4 / EI-2-4
  • rim: II.root or Role.id.root
  • servd: ./IdentifierType
  • pirID: https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-panorama-provider-id
  • mspID: https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-msp-billing-id
  • cpsID: https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-license-physician
Practitioner.identifier.value
DefinitionThe portion of the identifier typically relevant to the user and which is unique within the context of the system.
Cardinality1...1
Typestring
SummaryTrue
Comments

If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Examples
General

123456


Mappings
  • v2: CX.1 / EI.1
  • rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
  • servd: ./Value
Practitioner.identifier.period
DefinitionTime period during which identifier is/was valid for use.
Cardinality0...1
TypePeriod
SummaryTrue
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: CX.7 + CX.8
  • rim: Role.effectiveTime or implied by context
  • servd: ./StartDate and ./EndDate
Practitioner.identifier.assigner
DefinitionOrganization that issued/manages the identifier.
Cardinality0...1
TypeReference(Organization)
SummaryTrue
Comments

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: CX.4 / (CX.4,CX.9,CX.10)
  • rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
  • servd: ./IdentifierIssuingAuthority
Practitioner.active
DefinitionWhether this practitioner's record is in active use.
Cardinality0...1
Typeboolean
SummaryTrue
Requirements

Need to be able to mark a practitioner record as not to be used because it was created in error.

Comments

If the practitioner is not in use by one organization, then it should mark the period on the PractitonerRole with an end date (even if they are active) as they may be active in another role.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • w5: FiveWs.status
  • rim: ./statusCode
Practitioner.name
DefinitionThe name(s) associated with the practitioner.
Cardinality0...*
TypeHumanName
SummaryTrue
Requirements

The name(s) that a Practitioner is known by. Where there are multiple, the name that the practitioner is usually known as should be used in the display.

Comments

The selection of the use property should ensure that there is a single usual name specified, and others use the nickname (alias), old, or other values as appropriate.

In general, select the value to be used in the ResourceReference.display based on this:

  1. There is more than 1 name
  2. Use = usual
  3. Period is current to the date of the usage
  4. Use = official
  5. Other order as decided by internal business rules.
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: XCN Components
  • rim: ./name
  • servd: ./PreferredName (GivenNames, FamilyName, TitleCode)
Practitioner.name.id
DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality0...1
Typestring
Mappings
  • rim: n/a
Practitioner.name.extension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality0...*
TypeExtension
Aliasextensions, user content
Comments

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.

SlicingUnordered, Open, by url(Value)
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
Practitioner.name.use
DefinitionIdentifies the purpose for this name.
Cardinality0...1
Typecode
Binding

The use of a human name.

NameUse (required)
ModifierTrue
SummaryTrue
Requirements

Allows the appropriate name for a particular context of use to be selected from among a set of names.

Comments

Applications can assume that a name is current unless it explicitly says that it is temporary or old.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: XPN.7, but often indicated by which field contains the name
  • rim: unique(./use)
  • servd: ./NamePurpose
Practitioner.name.text
DefinitionSpecifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts.
Cardinality0...1
Typestring
SummaryTrue
Requirements

A renderable, unencoded form.

Comments

Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: implied by XPN.11
  • rim: ./formatted
Practitioner.name.family
DefinitionThe part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.
Cardinality1...1
Typestring
SummaryTrue
Aliassurname
Comments

Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: XPN.1/FN.1
  • rim: ./part[partType = FAM]
  • servd: ./FamilyName
Practitioner.name.given
DefinitionGiven name.
Cardinality1...*
Typestring
SummaryTrue
Aliasfirst name, middle name
Comments

If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: XPN.2 + XPN.3
  • rim: ./part[partType = GIV]
  • servd: ./GivenNames
Practitioner.name.prefix
DefinitionPart of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name.
Cardinality0...1
Typestring
SummaryTrue
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: XPN.5
  • rim: ./part[partType = PFX]
  • servd: ./TitleCode
Practitioner.name.suffix
DefinitionPart of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name.
Cardinality0...1
Typestring
SummaryTrue
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: XPN/4
  • rim: ./part[partType = SFX]
Practitioner.name.period
DefinitionIndicates the period of time when this name was valid for the named person.
Cardinality0...1
TypePeriod
SummaryTrue
Requirements

Allows names to be placed in historical context.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: XPN.13 + XPN.14
  • rim: ./usablePeriod[type="IVL<TS>"]
  • servd: ./StartDate and ./EndDate
Practitioner.telecom
DefinitionA contact detail for the practitioner, e.g. a telephone number or an email address.
Cardinality0...1
TypeContactPoint
SummaryTrue
Requirements

Need to know how to reach a practitioner independent to any roles the practitioner may have.

Comments

Person may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and to help with identification. These typically will have home numbers, or mobile numbers that are not role specific.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: PRT-15, STF-10, ROL-12
  • rim: ./telecom
  • servd: ./ContactPoints
Practitioner.address
DefinitionAddress(es) of the practitioner that are not role specific (typically home address). Work addresses are not typically entered in this property as they are usually role dependent.
Cardinality0...1
TypeAddress
SummaryTrue
Requirements

The home/mailing address of the practitioner is often required for employee administration purposes, and also for some rostering services where the start point (practitioners home) can be used in calculations.

Comments

The PractitionerRole does not have an address value on it, as it is expected that the location property be used for this purpose (which has an address).

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: ORC-24, STF-11, ROL-11, PRT-14
  • rim: ./addr
  • servd: ./Addresses
Practitioner.gender
DefinitionAdministrative Gender - the gender that the person is considered to have for administration and record keeping purposes.
Cardinality0...1
Typecode
Binding

The gender of a person used for administrative purposes.

AdministrativeGender (required)
SummaryTrue
Requirements

Needed to address the person correctly.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: STF-5
  • rim: ./administrativeGender
  • servd: ./GenderCode
Practitioner.birthDate
DefinitionThe date of birth for the practitioner.
Cardinality0...1
Typedate
SummaryTrue
Requirements

Needed for identification.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: STF-6
  • rim: ./birthTime
  • servd: (not represented in ServD)
Practitioner.photo
DefinitionImage of the person.
Cardinality0...1
TypeAttachment
Requirements

Many EHR systems have the capability to capture an image of patients and personnel. Fits with newer social media usage too.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: ./subjectOf/ObservationEvent[code="photo"]/value
  • servd: ./ImageURI (only supports the URI reference)
Practitioner.qualification
DefinitionThe official certifications, training, and licenses that authorize or otherwise pertain to the provision of care by the practitioner. e.g. "MD" for Physician, "RN" for Resgistered Nurse etc.
Cardinality0...*
TypeBackboneElement
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: CER?
  • rim: .playingEntity.playingRole[classCode=QUAL].code
  • servd: ./Qualifications
Practitioner.qualification.id
DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality0...1
Typestring
Mappings
  • rim: n/a
Practitioner.qualification.extension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality0...*
TypeExtension
Aliasextensions, user content
Comments

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.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
Practitioner.qualification.modifierExtension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Cardinality0...*
TypeExtension
ModifierTrue
SummaryTrue
Aliasextensions, user content, modifiers
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Comments

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.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: N/A
Practitioner.qualification.identifier
DefinitionAn identifier that applies to this person's qualification in this role.
Cardinality0...1
TypeIdentifier
Requirements

Often, specific identities are assigned for the qualification.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: .playingEntity.playingRole[classCode=QUAL].id
Practitioner.qualification.identifier.id
DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality0...1
Typestring
Mappings
  • rim: n/a
Practitioner.qualification.identifier.extension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality0...*
TypeExtension
Aliasextensions, user content
Comments

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.

SlicingUnordered, Open, by url(Value)
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
Practitioner.qualification.identifier.use
DefinitionThe purpose of this identifier.
Cardinality0...1
Typecode
Binding

Identifies the purpose for this identifier, if known .

IdentifierUse (required)
ModifierTrue
SummaryTrue
Requirements

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Comments

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: N/A
  • rim: Role.code or implied by context
Practitioner.qualification.identifier.type
DefinitionA coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Cardinality0...1
TypeCodeableConcept
Binding

A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

Identifier Type Codes (extensible)
SummaryTrue
Requirements

Allows users to make use of identifiers when the identifier system is not known.

Comments

This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: CX.5
  • rim: Role.code or implied by context
Practitioner.qualification.identifier.system
DefinitionEstablishes the namespace for the value - that is, a URL that describes a set values that are unique.
Cardinality1...1
Typeuri
SummaryTrue
Requirements

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Comments

Use 'http://ehealthbc.ca/fhir/CodeSystem/ca-bc-immunizations-practitioner-designation'

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Examples
General

http://www.acme.com/identifiers/patient


Mappings
  • v2: CX.4 / EI-2-4
  • rim: II.root or Role.id.root
  • servd: ./IdentifierType
Practitioner.qualification.identifier.value
DefinitionThe portion of the identifier typically relevant to the user and which is unique within the context of the system.
Cardinality1...1
Typestring
SummaryTrue
Comments

If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Examples
General

123456


Mappings
  • v2: CX.1 / EI.1
  • rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
  • servd: ./Value
Practitioner.qualification.identifier.period
DefinitionTime period during which identifier is/was valid for use.
Cardinality0...1
TypePeriod
SummaryTrue
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: CX.7 + CX.8
  • rim: Role.effectiveTime or implied by context
  • servd: ./StartDate and ./EndDate
Practitioner.qualification.identifier.assigner
DefinitionOrganization that issued/manages the identifier.
Cardinality0...1
TypeReference(Organization)
SummaryTrue
Comments

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: CX.4 / (CX.4,CX.9,CX.10)
  • rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
  • servd: ./IdentifierIssuingAuthority
Practitioner.qualification.code
DefinitionCoded representation of the qualification.
Cardinality1...1
TypeCodeableConcept
Binding

Specific qualification the practitioner has to provide a service.

v2.0360.2.7 (example)
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: .playingEntity.playingRole[classCode=QUAL].code
  • servd: ./Qualifications.Value
Practitioner.qualification.code.id
DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality0...1
Typestring
Mappings
  • rim: n/a
Practitioner.qualification.code.extension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality0...*
TypeExtension
Aliasextensions, user content
Comments

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.

SlicingUnordered, Open, by url(Value)
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
Practitioner.qualification.code.coding
DefinitionA reference to a code defined by a terminology system.
Cardinality0...*
TypeCoding
SummaryTrue
Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

Comments

Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: C*E.1-8, C*E.10-22
  • rim: union(., ./translation)
  • orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
Practitioner.qualification.code.coding.id
DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality0...0
Typestring
Mappings
  • rim: n/a
Practitioner.qualification.code.coding.extension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality0...*
TypeExtension
Aliasextensions, user content
Comments

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.

SlicingUnordered, Open, by url(Value)
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
Practitioner.qualification.code.coding.system
DefinitionThe identification of the code system that defines the meaning of the symbol in the code.
Cardinality1...1
Typeuri
SummaryTrue
Requirements

Need to be unambiguous about the source of the definition of the symbol.

Comments

Use 'http://ehealth.bc.ca/fhir/CodeSystem/ca-bc-immunizations-practitioner-designation'

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: C*E.3
  • rim: ./codeSystem
  • orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
Practitioner.qualification.code.coding.version
DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.
Cardinality0...0
Typestring
SummaryTrue
Comments

Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: C*E.7
  • rim: ./codeSystemVersion
  • orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
Practitioner.qualification.code.coding.code
DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Cardinality1...1
Typecode
SummaryTrue
Requirements

Need to refer to a particular code in the system.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: C*E.1
  • rim: ./code
  • orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
Practitioner.qualification.code.coding.display
DefinitionA representation of the meaning of the code in the system, following the rules of the system.
Cardinality1...1
Typestring
SummaryTrue
Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: C*E.2 - but note this is not well followed
  • rim: CV.displayName
  • orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
Practitioner.qualification.code.coding.userSelected
DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).
Cardinality0...0
Typeboolean
SummaryTrue
Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Comments

Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: Sometimes implied by being first
  • rim: CD.codingRationale
  • orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
Practitioner.qualification.code.text
DefinitionA human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
Cardinality0...1
Typestring
SummaryTrue
Requirements

The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

Comments

Very often the text is the same as a displayName of one of the codings.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: C*E.9. But note many systems use C*E.2 for this
  • rim: ./originalText[mediaType/code="text/plain"]/data
  • orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
Practitioner.qualification.period
DefinitionPeriod during which the qualification is valid.
Cardinality0...1
TypePeriod
Requirements

Qualifications are often for a limited period of time, and can be revoked.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: .playingEntity.playingRole[classCode=QUAL].effectiveTime
  • servd: ./Qualifications.StartDate and ./Qualifications.EndDate
Practitioner.qualification.issuer
DefinitionOrganization that regulates and issues the qualification.
Cardinality0...1
TypeReference(Organization)
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: .playingEntity.playingRole[classCode=QUAL].scoper
Practitioner.communication
DefinitionA language the practitioner can use in patient communication.
Cardinality0...1
TypeCodeableConcept
Binding

A human language.

CommonLanguages (preferred)
Requirements

Knowing which language a practitioner speaks can help in facilitating communication with patients.

Comments

The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems code this but instead have it as free text. Hence CodeableConcept instead of code as the data type.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: PID-15, NK1-20, LAN-2
  • rim: ./languageCommunication
  • servd: ./Languages.LanguageSpokenCode
<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="f750e572-a162-41b3-9450-9bfa75772edc" />
    <meta>
        <versionId value="6" />
        <lastUpdated value="2025-01-24T23:08:13.5034393+00:00" />
    </meta>
    <url value="http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/Practitioner" />
    <name value="Practitioner" />
    <status value="draft" />
    <date value="2021-12-03T00:53:38.9742867+00:00" />
    <fhirVersion value="4.0.1" />
    <kind value="resource" />
    <abstract value="false" />
    <type value="Practitioner" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Practitioner" />
    <derivation value="constraint" />
    <differential>
        <element id="Practitioner">
            <path value="Practitioner" />
            <short value="FHIR resource applies for PIR Provider" />
            <definition value="FHIR resource applies for PIR Provider" />
        </element>
        <element id="Practitioner.id">
            <path value="Practitioner.id" />
            <short value="PIR Provider ID" />
            <definition value="PIR Provider ID" />
            <comment value="PIR Provider Id" />
            <min value="1" />
        </element>
        <element id="Practitioner.meta">
            <path value="Practitioner.meta" />
            <min value="1" />
        </element>
        <element id="Practitioner.meta.versionId">
            <path value="Practitioner.meta.versionId" />
            <comment value="Use &#39;2025.01.1&#39; (This indicates FHIR specs changes on 2025-Jan)" />
        </element>
        <element id="Practitioner.meta.lastUpdated">
            <path value="Practitioner.meta.lastUpdated" />
            <comment value="Updated: Relax the previously crossed-out elements." />
        </element>
        <element id="Practitioner.meta.profile">
            <path value="Practitioner.meta.profile" />
            <comment value="Use &#39;http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/Practitioner&#39;" />
            <min value="1" />
            <max value="1" />
        </element>
        <element id="Practitioner.meta.security">
            <path value="Practitioner.meta.security" />
            <max value="1" />
        </element>
        <element id="Practitioner.meta.tag">
            <path value="Practitioner.meta.tag" />
            <max value="1" />
        </element>
        <element id="Practitioner.contained">
            <path value="Practitioner.contained" />
            <max value="1" />
        </element>
        <element id="Practitioner.identifier">
            <path value="Practitioner.identifier" />
            <short value="PIR Provider Identifier(s)" />
            <definition value="PIR Provider Identifier(s) which includes PIR Internal Provider ID, MPID, CPSID" />
        </element>
        <element id="Practitioner.identifier.system">
            <path value="Practitioner.identifier.system" />
            <comment value="See Mappings" />
            <mapping>
                <identity value="pirID" />
                <map value="https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-panorama-provider-id" />
            </mapping>
            <mapping>
                <identity value="mspID" />
                <map value="https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-msp-billing-id" />
            </mapping>
            <mapping>
                <identity value="cpsID" />
                <map value="https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-license-physician" />
            </mapping>
        </element>
        <element id="Practitioner.identifier.value">
            <path value="Practitioner.identifier.value" />
            <min value="1" />
        </element>
        <element id="Practitioner.name.family">
            <path value="Practitioner.name.family" />
            <min value="1" />
        </element>
        <element id="Practitioner.name.given">
            <path value="Practitioner.name.given" />
            <min value="1" />
        </element>
        <element id="Practitioner.name.prefix">
            <path value="Practitioner.name.prefix" />
            <max value="1" />
        </element>
        <element id="Practitioner.name.suffix">
            <path value="Practitioner.name.suffix" />
            <max value="1" />
        </element>
        <element id="Practitioner.telecom">
            <path value="Practitioner.telecom" />
            <max value="1" />
        </element>
        <element id="Practitioner.address">
            <path value="Practitioner.address" />
            <max value="1" />
        </element>
        <element id="Practitioner.photo">
            <path value="Practitioner.photo" />
            <max value="1" />
        </element>
        <element id="Practitioner.qualification">
            <path value="Practitioner.qualification" />
            <definition value="The official certifications, training, and licenses that authorize or otherwise pertain to the provision of care by the practitioner.  e.g. &quot;MD&quot; for Physician, &quot;RN&quot; for Resgistered Nurse etc." />
        </element>
        <element id="Practitioner.qualification.identifier">
            <path value="Practitioner.qualification.identifier" />
            <max value="1" />
        </element>
        <element id="Practitioner.qualification.identifier.system">
            <path value="Practitioner.qualification.identifier.system" />
            <comment value="Use &#39;http://ehealthbc.ca/fhir/CodeSystem/ca-bc-immunizations-practitioner-designation&#39;" />
            <min value="1" />
        </element>
        <element id="Practitioner.qualification.identifier.value">
            <path value="Practitioner.qualification.identifier.value" />
            <min value="1" />
        </element>
        <element id="Practitioner.qualification.code.coding.id">
            <path value="Practitioner.qualification.code.coding.id" />
            <max value="0" />
        </element>
        <element id="Practitioner.qualification.code.coding.system">
            <path value="Practitioner.qualification.code.coding.system" />
            <comment value="Use &#39;http://ehealth.bc.ca/fhir/CodeSystem/ca-bc-immunizations-practitioner-designation&#39;" />
            <min value="1" />
        </element>
        <element id="Practitioner.qualification.code.coding.version">
            <path value="Practitioner.qualification.code.coding.version" />
            <max value="0" />
        </element>
        <element id="Practitioner.qualification.code.coding.code">
            <path value="Practitioner.qualification.code.coding.code" />
            <min value="1" />
        </element>
        <element id="Practitioner.qualification.code.coding.display">
            <path value="Practitioner.qualification.code.coding.display" />
            <min value="1" />
        </element>
        <element id="Practitioner.qualification.code.coding.userSelected">
            <path value="Practitioner.qualification.code.coding.userSelected" />
            <max value="0" />
        </element>
        <element id="Practitioner.communication">
            <path value="Practitioner.communication" />
            <max value="1" />
        </element>
    </differential>
</StructureDefinition>
{
    "resourceType": "StructureDefinition",
    "id": "f750e572-a162-41b3-9450-9bfa75772edc",
    "meta": {
        "versionId": "6",
        "lastUpdated": "01/24/2025 23:08:13"
    },
    "url": "http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/Practitioner",
    "name": "Practitioner",
    "status": "draft",
    "date": "12/03/2021 00:53:38",
    "fhirVersion": "4.0.1",
    "kind": "resource",
    "abstract": false,
    "type": "Practitioner",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Practitioner",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "Practitioner",
                "path": "Practitioner",
                "short": "FHIR resource applies for PIR Provider",
                "definition": "FHIR resource applies for PIR Provider"
            },
            {
                "id": "Practitioner.id",
                "path": "Practitioner.id",
                "short": "PIR Provider ID",
                "definition": "PIR Provider ID",
                "comment": "PIR Provider Id",
                "min": 1
            },
            {
                "id": "Practitioner.meta",
                "path": "Practitioner.meta",
                "min": 1
            },
            {
                "id": "Practitioner.meta.versionId",
                "path": "Practitioner.meta.versionId",
                "comment": "Use '2025.01.1' (This indicates FHIR specs changes on 2025-Jan)"
            },
            {
                "id": "Practitioner.meta.lastUpdated",
                "path": "Practitioner.meta.lastUpdated",
                "comment": "Updated: Relax the previously crossed-out elements."
            },
            {
                "id": "Practitioner.meta.profile",
                "path": "Practitioner.meta.profile",
                "comment": "Use 'http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/Practitioner'",
                "min": 1,
                "max": "1"
            },
            {
                "id": "Practitioner.meta.security",
                "path": "Practitioner.meta.security",
                "max": "1"
            },
            {
                "id": "Practitioner.meta.tag",
                "path": "Practitioner.meta.tag",
                "max": "1"
            },
            {
                "id": "Practitioner.contained",
                "path": "Practitioner.contained",
                "max": "1"
            },
            {
                "id": "Practitioner.identifier",
                "path": "Practitioner.identifier",
                "short": "PIR Provider Identifier(s)",
                "definition": "PIR Provider Identifier(s) which includes PIR Internal Provider ID, MPID, CPSID"
            },
            {
                "id": "Practitioner.identifier.system",
                "path": "Practitioner.identifier.system",
                "comment": "See Mappings",
                "mapping":  [
                    {
                        "identity": "pirID",
                        "map": "https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-panorama-provider-id"
                    },
                    {
                        "identity": "mspID",
                        "map": "https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-msp-billing-id"
                    },
                    {
                        "identity": "cpsID",
                        "map": "https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-license-physician"
                    }
                ]
            },
            {
                "id": "Practitioner.identifier.value",
                "path": "Practitioner.identifier.value",
                "min": 1
            },
            {
                "id": "Practitioner.name.family",
                "path": "Practitioner.name.family",
                "min": 1
            },
            {
                "id": "Practitioner.name.given",
                "path": "Practitioner.name.given",
                "min": 1
            },
            {
                "id": "Practitioner.name.prefix",
                "path": "Practitioner.name.prefix",
                "max": "1"
            },
            {
                "id": "Practitioner.name.suffix",
                "path": "Practitioner.name.suffix",
                "max": "1"
            },
            {
                "id": "Practitioner.telecom",
                "path": "Practitioner.telecom",
                "max": "1"
            },
            {
                "id": "Practitioner.address",
                "path": "Practitioner.address",
                "max": "1"
            },
            {
                "id": "Practitioner.photo",
                "path": "Practitioner.photo",
                "max": "1"
            },
            {
                "id": "Practitioner.qualification",
                "path": "Practitioner.qualification",
                "definition": "The official certifications, training, and licenses that authorize or otherwise pertain to the provision of care by the practitioner.  e.g. \"MD\" for Physician, \"RN\" for Resgistered Nurse etc."
            },
            {
                "id": "Practitioner.qualification.identifier",
                "path": "Practitioner.qualification.identifier",
                "max": "1"
            },
            {
                "id": "Practitioner.qualification.identifier.system",
                "path": "Practitioner.qualification.identifier.system",
                "comment": "Use 'http://ehealthbc.ca/fhir/CodeSystem/ca-bc-immunizations-practitioner-designation'",
                "min": 1
            },
            {
                "id": "Practitioner.qualification.identifier.value",
                "path": "Practitioner.qualification.identifier.value",
                "min": 1
            },
            {
                "id": "Practitioner.qualification.code.coding.id",
                "path": "Practitioner.qualification.code.coding.id",
                "max": "0"
            },
            {
                "id": "Practitioner.qualification.code.coding.system",
                "path": "Practitioner.qualification.code.coding.system",
                "comment": "Use 'http://ehealth.bc.ca/fhir/CodeSystem/ca-bc-immunizations-practitioner-designation'",
                "min": 1
            },
            {
                "id": "Practitioner.qualification.code.coding.version",
                "path": "Practitioner.qualification.code.coding.version",
                "max": "0"
            },
            {
                "id": "Practitioner.qualification.code.coding.code",
                "path": "Practitioner.qualification.code.coding.code",
                "min": 1
            },
            {
                "id": "Practitioner.qualification.code.coding.display",
                "path": "Practitioner.qualification.code.coding.display",
                "min": 1
            },
            {
                "id": "Practitioner.qualification.code.coding.userSelected",
                "path": "Practitioner.qualification.code.coding.userSelected",
                "max": "0"
            },
            {
                "id": "Practitioner.communication",
                "path": "Practitioner.communication",
                "max": "1"
            }
        ]
    }
}