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    1. Index
    2. FHIR Artifacts
    3. Profiles
    4. Practitioner (CA-Core)

1.2.0-DFT - The specification is version 1.2.0-DFT of CA Core+ For a full list of available versions, see the Directory of published versions

Practitioner (CA-Core)

Many ValueSet and CodeSystem bindings in this guide link to resources hosted on the Canada Health Infoway Terminology Service (Ontoserver). If you are redirected to a login page: This is expected and you are being directed to Infoway’s secure environment. To access these resources: You’ll need an InfoCentral Account.

Links

Profile

practitioner-ca-core

Derived from

http://hl7.org/fhir/StructureDefinition/Practitioner

Examples

example-practitioner-ca-core-2, example-practitioner-ca-core-3, example-practitioner-ca-core

Description

This profile applies constraints to the Patient resource for CA Core+ to support identity, demographics, and administrative data in the pan-Canadian context.

References to this resource

AllergyIntoleranceCACore, AppointmentCACore, CommunicationCACore, ConditionCACore, DiagnosticReportCACore, DocumentReferenceCACore, EncounterCACore, ExampleProcedureProfile, ImmunizationCACore, ObservationCACore, ObservationLaboratoryPathologyResultCACore, PatientCACore, PractitionerRoleCACore, ServiceRequestCACore, TaskCACoreeRec, CopiedParticipants

CFMM: 2

Resource Content

  • Tree view
  • Overview
  • XML
  • JSON
PractitionerCACore (Practitioner)CPractitioner
There are no (further) constraints on this element
Element id
Practitioner
Short description

A person with a formal responsibility in the provisioning of healthcare or related services

Definition

A person who is directly or indirectly involved in the provisioning of healthcare.

Data type

Practitioner

Constraints
  • dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
    contained.contained.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-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-6: A resource should have narrative for robust management
    text.`div`.exists()
  • dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
    contained.meta.security.empty()
Mappings
  • rim: Entity. Role, or Act
  • v2: PRD (as one example)
  • rim: Role
  • servd: Provider
idΣ0..1id
There are no (further) constraints on this element
Element id
Practitioner.id
Short description

Logical id of this artifact

Definition

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

Comments

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

Data type

id

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
metaΣ0..1Meta
There are no (further) constraints on this element
Element id
Practitioner.meta
Short description

Metadata about the resource

Definition

The 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.

Data type

Meta

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: N/A
implicitRulesΣ ?!0..1uri
There are no (further) constraints on this element
Element id
Practitioner.implicitRules
Short description

A set of rules under which this content was created

Definition

A 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.

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.

Data type

uri

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
language0..1codeBinding
There are no (further) constraints on this element
Element id
Practitioner.language
Short description

Language of the resource content

Definition

The base language in which the resource is written.

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).

Data type

code

Binding

A human language.

CommonLanguages (preferred)

Binding extensions
MaxValueSetAllLanguages
Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
text0..1Narrative
There are no (further) constraints on this element
Element id
Practitioner.text
Short description

Text summary of the resource, for human interpretation

Alternate names

narrative, html, xhtml, display

Definition

A 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.

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.

Data type

Narrative

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: N/A
  • rim: Act.text?
contained0..*Resource
There are no (further) constraints on this element
Element id
Practitioner.contained
Short description

Contained, inline Resources

Alternate names

inline resources, anonymous resources, contained resources

Definition

These 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.

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.

Data type

Resource

Mappings
  • rim: Entity. Role, or Act
  • rim: N/A
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Practitioner.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May 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.

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.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • 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
  • rim: N/A
modifierExtension?! C0..*Extension
There are no (further) constraints on this element
Element id
Practitioner.modifierExtension
Short description

Extensions that cannot be ignored

Alternate names

extensions, user content

Definition

May 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).

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.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • 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
  • rim: N/A
identifierΣ0..*IdentifierElement id
Practitioner.identifier
Short description

An identifier for the person as this agent

Definition

An identifier that applies to this person in this role.

Requirements

Often, specific identities are assigned for the agent.

Comments

pCHDCF modelling for care team concepts (including provider identifiers) is still underway. The requirements to support certain types of identifiers (e.g., province/territory registration identifiers) across all use cases and decisions on whether the identifier requirements should apply to both Practitioner and PractitionerRole are still undefined. Furthermore, the ways that these identifiers will be differentiated for conformance testing purposes is still undefined (see comment on identifier.type). For this reason, slice modelling and application of obligations towards certain identifiers is not currently expressed in this profile. The profile will continue to evolve as care team details undergo data modelling in the pCHDCF.

Data type

Identifier

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CX / EI (occasionally, more often EI maps to a resource id or a URL)
  • rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
  • servd: Identifier
  • w5: FiveWs.identifier
  • v2: PRD-7 (or XCN.1)
  • rim: ./id
  • servd: ./Identifiers
  • CACDI: Health Care Provider Identifier Information
id0..1string
There are no (further) constraints on this element
Element id
Practitioner.identifier.id
Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings
  • rim: n/a
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Practitioner.identifier.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May 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.

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.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • 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
  • rim: N/A
useΣ ?!0..1codeBinding
There are no (further) constraints on this element
Element id
Practitioner.identifier.use
Short description

usual | official | temp | secondary | old (If known)

Definition

The purpose of this identifier.

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.

Data type

code

Binding

Identifies the purpose for this identifier, if known .

IdentifierUse (required)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: N/A
  • rim: Role.code or implied by context
typeΣ0..1CodeableConceptBindingElement id
Practitioner.identifier.type
Short description

Description of identifier

Definition

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

Requirements

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

Comments

The value in identifier.type is typically used to differentiate between identifiers that serve distinct purposes (e.g., Medical License Number, Regional Registry ID, Health Plan Identifier). Profiles typically use the identifier.type to differentiate between expectations that are expressed for some identifier types but not others. However, current implementations of practitioner identifiers in Canada use the identifier.type of 'Provider Number' (coded as 'PRN') to convey a number of different types of identifiers (e.g., registration number, license numbers, and billing numbers). Should there be expectations in the future for this profile to differentiate between these identifiers, current typing practices may need to change and/or further details may need to be used (e.g., identifier.system) to differentiate between concepts like registration number, license number, and billing number.

Data type

CodeableConcept

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)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE
  • rim: CD
  • orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
  • v2: CX.5
  • rim: Role.code or implied by context
  • CACDI: Party Non-Health Identifier Type
systemΣ0..1uriElement id
Practitioner.identifier.system
Short description

The namespace for the identifier value

Definition

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

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

Identifier.system is always case sensitive.

Data type

uri

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • 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
  • rim: n/a
  • v2: CX.4 / EI-2-4
  • rim: II.root or Role.id.root
  • servd: ./IdentifierType
  • CACDI: Party Non-Health Identifier System
valueΣ0..1stringElement id
Practitioner.identifier.value
Short description

The value that is unique

Definition

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

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.

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Examples
General
123456
Mappings
  • rim: n/a
  • 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
  • CACDI: Health Care Provider Licence Number
  • CACDI: Party Non-Health Identifier
periodΣ C0..1Period
There are no (further) constraints on this element
Element id
Practitioner.identifier.period
Short description

Time period when id is/was valid for use

Definition

Time period during which identifier is/was valid for use.

Comments

A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times").

Period is not used for a duration (a measure of elapsed time). See Duration.

Data type

Period

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • per-1: If present, start SHALL have a lower value than end
    start.hasValue().not() or end.hasValue().not() or (start <= end)
Mappings
  • rim: n/a
  • v2: DR
  • rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"]
  • v2: CX.7 + CX.8
  • rim: Role.effectiveTime or implied by context
  • servd: ./StartDate and ./EndDate
id0..1string
There are no (further) constraints on this element
Element id
Practitioner.identifier.period.id
Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings
  • rim: n/a
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Practitioner.identifier.period.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May 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.

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.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • 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
  • rim: N/A
startΣ C0..1dateTimeElement id
Practitioner.identifier.period.start
Short description

Starting time with inclusive boundary

Definition

The start of the period. The boundary is inclusive.

Comments

If the low element is missing, the meaning is that the low boundary is not known.

Data type

dateTime

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1, per-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: DR.1
  • rim: ./low
  • CACDI: Health Care Provider Licence Effective Date
  • CACDI: Party Non-Health Identifier Effective Date
endΣ C0..1dateTimeElement id
Practitioner.identifier.period.end
Short description

End time with inclusive boundary, if not ongoing

Definition

The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.

Comments

The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.

Meaning when missing

If the end of the period is missing, it means that the period is ongoing

Data type

dateTime

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1, per-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: DR.2
  • rim: ./high
  • CACDI: Health Care Provider Licence Expiry Date
  • CACDI: Party Non-Health Identifier Expiry Date
assignerΣ C0..1Reference(Organization)
There are no (further) constraints on this element
Element id
Practitioner.identifier.assigner
Short description

Organization that issued id (may be just text)

Definition

Organization that issued/manages the identifier.

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.

Data type

Reference(Organization)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1: SHALL have a contained resource if a local reference is provided
    reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))
Mappings
  • rim: n/a
  • rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • 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
activeΣ0..1boolean
There are no (further) constraints on this element
Element id
Practitioner.active
Short description

Whether this practitioner's record is in active use

Definition

Whether this practitioner's record is in active use.

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.

Meaning when missing

This resource is generally assumed to be active if no value is provided for the active element

Data type

boolean

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • w5: FiveWs.status
  • rim: ./statusCode
nameΣ0..*HumanNameElement id
Practitioner.name
Short description

The name(s) associated with the practitioner

Definition

The name(s) associated with the practitioner.

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.
Data type

HumanName

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: XPN
  • rim: EN (actually, PN)
  • servd: ProviderName
  • v2: XCN Components
  • rim: ./name
  • servd: ./PreferredName (GivenNames, FamilyName, TitleCode)
  • CACDI: Health Care Provider Name Information
id0..1string
There are no (further) constraints on this element
Element id
Practitioner.name.id
Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings
  • rim: n/a
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Practitioner.name.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May 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.

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.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • 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
  • rim: N/A
useΣ ?!0..1codeBindingElement id
Practitioner.name.use
Short description

usual | official | temp | nickname | anonymous | old | maiden

Definition

Identifies the purpose for this name.

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.

Data type

code

Binding

The use of a human name.

NameUse (required)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: XPN.7, but often indicated by which field contains the name
  • rim: unique(./use)
  • servd: ./NamePurpose
  • CACDI: Name Type
textΣ0..1stringElement id
Practitioner.name.text
Short description

Text representation of the full name

Definition

Text representation of the full name. Due to the cultural variance around the world a consuming system may not know how to present the name correctly; moreover not all the parts of the name go in given or family. Creators are therefore strongly encouraged to provide through this element a presented version of the name. Future versions of this guide may require this element

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.

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: implied by XPN.11
  • rim: ./formatted
familyΣ0..1string
There are no (further) constraints on this element
Element id
Practitioner.name.family
Short description

Family name (often called 'Surname')

Alternate names

surname

Definition

The 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.

Comments

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

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: XPN.1/FN.1
  • rim: ./part[partType = FAM]
  • servd: ./FamilyName
givenΣ0..*string
There are no (further) constraints on this element
Element id
Practitioner.name.given
Short description

Given names (not always 'first'). Includes middle names

Alternate names

first name, middle name

Definition

Given 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.

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: XPN.2 + XPN.3
  • rim: ./part[partType = GIV]
  • servd: ./GivenNames
prefixΣ0..*string
There are no (further) constraints on this element
Element id
Practitioner.name.prefix
Short description

Parts that come before the name

Definition

Part 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.

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: XPN.5
  • rim: ./part[partType = PFX]
  • servd: ./TitleCode
suffixΣ0..*string
There are no (further) constraints on this element
Element id
Practitioner.name.suffix
Short description

Parts that come after the name

Definition

Part 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.

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: XPN/4
  • rim: ./part[partType = SFX]
periodΣ C0..1Period
There are no (further) constraints on this element
Element id
Practitioner.name.period
Short description

Time period when name was/is in use

Definition

Indicates the period of time when this name was valid for the named person.

Requirements

Allows names to be placed in historical context.

Comments

A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times").

Period is not used for a duration (a measure of elapsed time). See Duration.

Data type

Period

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • per-1: If present, start SHALL have a lower value than end
    start.hasValue().not() or end.hasValue().not() or (start <= end)
Mappings
  • rim: n/a
  • v2: DR
  • rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"]
  • v2: XPN.13 + XPN.14
  • rim: ./usablePeriod[type="IVL<TS>"]
  • servd: ./StartDate and ./EndDate
telecomΣ C0..*ContactPointElement id
Practitioner.telecom
Short description

A contact detail for the practitioner (that apply to all roles)

Definition

A contact detail for the practitioner, e.g. a telephone number or an email address.

Requirements

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

Comments

Although the provider phone number and provider email concepts are expressed in the pCHDCF materials, their current definition does not distinctly identify the resource target(s) where it has to be applied (e.g., Practitioner vs PractitionerRole). The mappings and obligations for these details have been removed from the profile to avoid unintentional placement of these requirements until further pCHDCF data modelling for care team details is complete. Reviewers are encouraged to provide feedback on the potential impact of applying a 'no-error' obligation on this element for clients.

Data type

ContactPoint

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • cpt-2: A system is required if a value is provided.
    value.empty() or system.exists()
Mappings
  • rim: n/a
  • v2: XTN
  • rim: TEL
  • servd: ContactPoint
  • v2: PRT-15, STF-10, ROL-12
  • rim: ./telecom
  • servd: ./ContactPoints
  • CACDI: Health Care Provider Telecom Information
id0..1string
There are no (further) constraints on this element
Element id
Practitioner.telecom.id
Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings
  • rim: n/a
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Practitioner.telecom.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May 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.

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.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • 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
  • rim: N/A
systemΣ C0..1codeBinding
There are no (further) constraints on this element
Element id
Practitioner.telecom.system
Short description

phone | fax | email | pager | url | sms | other

Definition

Telecommunications form for contact point - what communications system is required to make use of the contact.

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Data type

code

Binding

Telecommunications form for contact point.

ContactPointSystem (required)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1, cpt-2

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: XTN.3
  • rim: ./scheme
  • servd: ./ContactPointType
valueΣ0..1stringElement id
Practitioner.telecom.value
Short description

The actual contact point details

Definition

The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address).

Requirements

Need to support legacy numbers that are not in a tightly controlled format.

Comments

Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: XTN.1 (or XTN.12)
  • rim: ./url
  • servd: ./Value
  • CACDI: Contact Mechanism Value
useΣ ?!0..1codeBindingElement id
Practitioner.telecom.use
Short description

home | work | temp | old | mobile - purpose of this contact point

Definition

Identifies the purpose for the contact point.

Requirements

Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.

Comments

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

Data type

code

Binding

Use of contact point.

ContactPointUse (required)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: XTN.2 - but often indicated by field
  • rim: unique(./use)
  • servd: ./ContactPointPurpose
  • CACDI: Contact Mechanism Type Code
rankΣ0..1positiveIntElement id
Practitioner.telecom.rank
Short description

Specify preferred order of use (1 = highest)

Definition

Specifies a preferred order in which to use a set of contacts. ContactPoints with lower rank values are more preferred than those with higher rank values.

Comments

Note that rank does not necessarily follow the order in which the contacts are represented in the instance.

Data type

positiveInt

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: n/a
  • CACDI: Contact Mechanism Rank
periodΣ C0..1Period
There are no (further) constraints on this element
Element id
Practitioner.telecom.period
Short description

Time period when the contact point was/is in use

Definition

Time period when the contact point was/is in use.

Comments

A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times").

Period is not used for a duration (a measure of elapsed time). See Duration.

Data type

Period

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • per-1: If present, start SHALL have a lower value than end
    start.hasValue().not() or end.hasValue().not() or (start <= end)
Mappings
  • rim: n/a
  • v2: DR
  • rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"]
  • v2: N/A
  • rim: ./usablePeriod[type="IVL<TS>"]
  • servd: ./StartDate and ./EndDate
id0..1string
There are no (further) constraints on this element
Element id
Practitioner.telecom.period.id
Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings
  • rim: n/a
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Practitioner.telecom.period.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May 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.

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.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • 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
  • rim: N/A
startΣ C0..1dateTimeElement id
Practitioner.telecom.period.start
Short description

Starting time with inclusive boundary

Definition

The start of the period. The boundary is inclusive.

Comments

If the low element is missing, the meaning is that the low boundary is not known.

Data type

dateTime

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1, per-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: DR.1
  • rim: ./low
  • CACDI: Contact Mechanism Effective Date
endΣ C0..1dateTimeElement id
Practitioner.telecom.period.end
Short description

End time with inclusive boundary, if not ongoing

Definition

The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.

Comments

The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.

Meaning when missing

If the end of the period is missing, it means that the period is ongoing

Data type

dateTime

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1, per-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: DR.2
  • rim: ./high
  • CACDI: Contact Mechanism Expiry Date
addressΣ0..*AddressElement id
Practitioner.address
Short description

Address(es) of the practitioner that are not role specific (typically home address)

Definition

Address(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.

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).

Data type

Address

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: XAD
  • rim: AD
  • servd: Address
  • v2: ORC-24, STF-11, ROL-11, PRT-14
  • rim: ./addr
  • servd: ./Addresses
  • CACDI: Health Care Provider Address Information
id0..1string
There are no (further) constraints on this element
Element id
Practitioner.address.id
Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings
  • rim: n/a
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Practitioner.address.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May 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.

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.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • 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
  • rim: N/A
preferredC0..1Extension(boolean)Element id
Practitioner.address.extension:preferred
Short description

Preferred

Alternate names

extensions, user content

Definition

Flag denoting whether parent item is preferred - e.g., a preferred address or telephone number.

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.

Data type

Extension(boolean)

Extension URL

Preferred

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • 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
  • rim: N/A
useΣ ?!0..1codeBinding
There are no (further) constraints on this element
Element id
Practitioner.address.use
Short description

home | work | temp | old | billing - purpose of this address

Definition

The purpose of this address.

Requirements

Allows an appropriate address to be chosen from a list of many.

Comments

Applications can assume that an address is current unless it explicitly says that it is temporary or old.

Data type

code

Binding

The use of an address.

AddressUse (required)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Examples
General
home
Mappings
  • rim: n/a
  • v2: XAD.7
  • rim: unique(./use)
  • servd: ./AddressPurpose
typeΣ0..1codeBindingElement id
Practitioner.address.type
Short description

postal | physical | both

Definition

Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both.

Comments

The definition of Address states that "address is intended to describe postal addresses, not physical locations". However, many applications track whether an address has a dual purpose of being a location that can be visited as well as being a valid delivery destination, and Postal addresses are often used as proxies for physical locations (also see the Location resource).

Data type

code

Binding

The type of an address (physical / postal).

AddressType (required)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Examples
General
both
Mappings
  • rim: n/a
  • v2: XAD.18
  • rim: unique(./use)
  • vcard: address type parameter
  • CACDI: Address Type Code
textΣ0..1string
There are no (further) constraints on this element
Element id
Practitioner.address.text
Short description

Text representation of the address

Definition

Specifies the entire address as it should be displayed e.g. on a postal label. This may be provided instead of or as well as the specific parts.

Requirements

A renderable, unencoded form.

Comments

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

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Examples
General
137 Nowhere Street, Erewhon 9132
Mappings
  • rim: n/a
  • v2: XAD.1 + XAD.2 + XAD.3 + XAD.4 + XAD.5 + XAD.6
  • rim: ./formatted
  • vcard: address label parameter
lineΣ0..*stringElement id
Practitioner.address.line
Short description

Street name, number, direction & P.O. Box etc.

Definition

This component contains the house number, apartment number, street name, street direction, P.O. Box number, delivery hints, and similar address information.

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Examples
General
137 Nowhere Street
Mappings
  • rim: n/a
  • v2: XAD.1 + XAD.2 (note: XAD.1 and XAD.2 have different meanings for a company address than for a person address)
  • rim: AD.part[parttype = AL]
  • vcard: street
  • servd: ./StreetAddress (newline delimitted)
  • CACDI: Street Number
  • CACDI: Street Number Suffix
  • CACDI: Street Name
  • CACDI: Street Type Code
  • CACDI: Street Direction Code
  • CACDI: Suite Type Code
  • CACDI: Suite Number
  • CACDI: Address 2
  • CACDI: Address Additional Information Text
cityΣ0..1string
There are no (further) constraints on this element
Element id
Practitioner.address.city
Short description

Name of city, town etc.

Alternate names

Municpality

Definition

The name of the city, town, suburb, village or other community or delivery center.

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Examples
General
Erewhon
Mappings
  • rim: n/a
  • v2: XAD.3
  • rim: AD.part[parttype = CTY]
  • vcard: locality
  • servd: ./Jurisdiction
districtΣ0..1string
There are no (further) constraints on this element
Element id
Practitioner.address.district
Short description

District name (aka county)

Alternate names

County

Definition

The name of the administrative area (county).

Comments

District is sometimes known as county, but in some regions 'county' is used in place of city (municipality), so county name should be conveyed in city instead.

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Examples
General
Madison
Mappings
  • rim: n/a
  • v2: XAD.9
  • rim: AD.part[parttype = CNT | CPA]
stateΣ0..1stringElement id
Practitioner.address.state
Short description

Sub-unit of country (abbreviations ok)

Alternate names

Province, Territory

Definition

Sub-unit of a country with limited sovereignty in a federally organized country. A code may be used if codes are in common use (e.g. US 2 letter state codes).

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: XAD.4
  • rim: AD.part[parttype = STA]
  • vcard: region
  • servd: ./Region
  • CACDI: Province or Territory Code
  • CACDI: Province or Territory English Name
  • CACDI: Province or Territory French Name
postalCodeΣ0..1stringElement id
Practitioner.address.postalCode
Short description

Postal code for area

Alternate names

Zip

Definition

A postal code designating a region defined by the postal service.

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Examples
General
9132
Mappings
  • rim: n/a
  • v2: XAD.5
  • rim: AD.part[parttype = ZIP]
  • vcard: code
  • servd: ./PostalIdentificationCode
  • CACDI: Non-Canadian Postal Code Value
  • CACDI: Canadian Postal Code Value
countryΣ0..1stringElement id
Practitioner.address.country
Short description

Country (e.g. can be ISO 3166 2 or 3 letter code)

Definition

Country - a nation as commonly understood or generally accepted.

Comments

ISO 3166 3 letter codes can be used in place of a human readable country name.

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: XAD.6
  • rim: AD.part[parttype = CNT]
  • vcard: country
  • servd: ./Country
  • CACDI: Country Code
  • CACDI: Country English Name
  • CACDI: Country French Name
periodΣ C0..1Period
There are no (further) constraints on this element
Element id
Practitioner.address.period
Short description

Time period when address was/is in use

Definition

Time period when address was/is in use.

Requirements

Allows addresses to be placed in historical context.

Comments

A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times").

Period is not used for a duration (a measure of elapsed time). See Duration.

Data type

Period

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • per-1: If present, start SHALL have a lower value than end
    start.hasValue().not() or end.hasValue().not() or (start <= end)
Examples
General
{
  "start": "2010-03-23",
  "end": "2010-07-01"
}
Mappings
  • rim: n/a
  • v2: DR
  • rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"]
  • v2: XAD.12 / XAD.13 + XAD.14
  • rim: ./usablePeriod[type="IVL<TS>"]
  • servd: ./StartDate and ./EndDate
genderΣ0..1codeBinding
There are no (further) constraints on this element
Element id
Practitioner.gender
Short description

male | female | other | unknown

Definition

Administrative Gender - the gender that the person is considered to have for administration and record keeping purposes.

Requirements

Needed to address the person correctly.

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Data type

code

Binding

The gender of a person used for administrative purposes.

AdministrativeGender (required)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: STF-5
  • rim: ./administrativeGender
  • servd: ./GenderCode
birthDateΣ0..1date
There are no (further) constraints on this element
Element id
Practitioner.birthDate
Short description

The date on which the practitioner was born

Definition

The date of birth for the practitioner.

Requirements

Needed for identification.

Data type

date

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: STF-6
  • rim: ./birthTime
  • servd: (not represented in ServD)
photoC0..*Attachment
There are no (further) constraints on this element
Element id
Practitioner.photo
Short description

Image of the person

Definition

Image of the person.

Requirements

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

Comments

When providing a summary view (for example with Observation.value[x]) Attachment should be represented with a brief display text such as "Signed Procedure Consent".

Data type

Attachment

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • att-1: If the Attachment has data, it SHALL have a contentType
    data.empty() or contentType.exists()
Mappings
  • rim: n/a
  • v2: ED/RP
  • rim: ED
  • rim: ./subjectOf/ObservationEvent[code="photo"]/value
  • servd: ./ImageURI (only supports the URI reference)
qualification0..*BackboneElement
There are no (further) constraints on this element
Element id
Practitioner.qualification
Short description

Certification, licenses, or training pertaining to the provision of care

Definition

The official certifications, training, and licenses that authorize or otherwise pertain to the provision of care by the practitioner. For example, a medical license issued by a medical board authorizing the practitioner to practice medicine within a certian locality.

Data type

BackboneElement

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CER?
  • rim: .playingEntity.playingRole[classCode=QUAL].code
  • servd: ./Qualifications
id0..1string
There are no (further) constraints on this element
Element id
Practitioner.qualification.id
Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings
  • rim: n/a
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Practitioner.qualification.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May 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.

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.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • 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
  • rim: N/A
modifierExtensionΣ ?! C0..*Extension
There are no (further) constraints on this element
Element id
Practitioner.qualification.modifierExtension
Short description

Extensions that cannot be ignored even if unrecognized

Alternate names

extensions, user content, modifiers

Definition

May 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).

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.

Data type

Extension

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • 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
  • rim: N/A
identifier0..*Identifier
There are no (further) constraints on this element
Element id
Practitioner.qualification.identifier
Short description

An identifier for this qualification for the practitioner

Definition

An identifier that applies to this person's qualification in this role.

Requirements

Often, specific identities are assigned for the qualification.

Data type

Identifier

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CX / EI (occasionally, more often EI maps to a resource id or a URL)
  • rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
  • servd: Identifier
  • rim: .playingEntity.playingRole[classCode=QUAL].id
code1..1CodeableConceptElement id
Practitioner.qualification.code
Short description

Coded representation of the qualification

Definition

Coded representation of the qualification.

Comments

Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

Data type

CodeableConcept

Binding

Specific qualification the practitioner has to provide a service.

v2.0360.2.7 (example)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE
  • rim: CD
  • orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
  • rim: .playingEntity.playingRole[classCode=QUAL].code
  • servd: ./Qualifications.Value
periodC0..1Period
There are no (further) constraints on this element
Element id
Practitioner.qualification.period
Short description

Period during which the qualification is valid

Definition

Period during which the qualification is valid.

Requirements

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

Comments

A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times").

Period is not used for a duration (a measure of elapsed time). See Duration.

Data type

Period

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • per-1: If present, start SHALL have a lower value than end
    start.hasValue().not() or end.hasValue().not() or (start <= end)
Mappings
  • rim: n/a
  • v2: DR
  • rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"]
  • rim: .playingEntity.playingRole[classCode=QUAL].effectiveTime
  • servd: ./Qualifications.StartDate and ./Qualifications.EndDate
issuerC0..1Reference(Organization)
There are no (further) constraints on this element
Element id
Practitioner.qualification.issuer
Short description

Organization that regulates and issues the qualification

Definition

Organization that regulates and issues the qualification.

Comments

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

Data type

Reference(Organization)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1: SHALL have a contained resource if a local reference is provided
    reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))
Mappings
  • rim: n/a
  • rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • rim: .playingEntity.playingRole[classCode=QUAL].scoper
communication0..*CodeableConceptBindingElement id
Practitioner.communication
Short description

A language the practitioner can use in patient communication

Definition

A language the practitioner can use in patient communication.

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.

Data type

CodeableConcept

Binding

A human language.

CommonLanguages (preferred)

Binding extensions
MaxValueSetAllLanguages
Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE
  • rim: CD
  • orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
  • v2: PID-15, NK1-20, LAN-2
  • rim: ./languageCommunication
  • servd: ./Languages.LanguageSpokenCode
PractitionerCACore (Practitioner)Practitioner
There are no (further) constraints on this element
Data type

Practitioner

identifier
There are no (further) constraints on this element
Element id
Practitioner.identifier
Comments

pCHDCF modelling for care team concepts (including provider identifiers) is still underway. The requirements to support certain types of identifiers (e.g., province/territory registration identifiers) across all use cases and decisions on whether the identifier requirements should apply to both Practitioner and PractitionerRole are still undefined. Furthermore, the ways that these identifiers will be differentiated for conformance testing purposes is still undefined (see comment on identifier.type). For this reason, slice modelling and application of obligations towards certain identifiers is not currently expressed in this profile. The profile will continue to evolve as care team details undergo data modelling in the pCHDCF.

Mappings
  • CACDI: Health Care Provider Identifier Information
type
There are no (further) constraints on this element
Element id
Practitioner.identifier.type
Comments

The value in identifier.type is typically used to differentiate between identifiers that serve distinct purposes (e.g., Medical License Number, Regional Registry ID, Health Plan Identifier). Profiles typically use the identifier.type to differentiate between expectations that are expressed for some identifier types but not others. However, current implementations of practitioner identifiers in Canada use the identifier.type of 'Provider Number' (coded as 'PRN') to convey a number of different types of identifiers (e.g., registration number, license numbers, and billing numbers). Should there be expectations in the future for this profile to differentiate between these identifiers, current typing practices may need to change and/or further details may need to be used (e.g., identifier.system) to differentiate between concepts like registration number, license number, and billing number.

Mappings
  • CACDI: Party Non-Health Identifier Type
system
There are no (further) constraints on this element
Element id
Practitioner.identifier.system
Mappings
  • CACDI: Party Non-Health Identifier System
value
There are no (further) constraints on this element
Element id
Practitioner.identifier.value
Mappings
  • CACDI: Health Care Provider Licence Number
  • CACDI: Party Non-Health Identifier
period
There are no (further) constraints on this element
start
There are no (further) constraints on this element
Element id
Practitioner.identifier.period.start
Mappings
  • CACDI: Health Care Provider Licence Effective Date
  • CACDI: Party Non-Health Identifier Effective Date
end
There are no (further) constraints on this element
Element id
Practitioner.identifier.period.end
Mappings
  • CACDI: Health Care Provider Licence Expiry Date
  • CACDI: Party Non-Health Identifier Expiry Date
name
There are no (further) constraints on this element
Element id
Practitioner.name
Mappings
  • CACDI: Health Care Provider Name Information
use
There are no (further) constraints on this element
Element id
Practitioner.name.use
Mappings
  • CACDI: Name Type
text
There are no (further) constraints on this element
Element id
Practitioner.name.text
Definition

Text representation of the full name. Due to the cultural variance around the world a consuming system may not know how to present the name correctly; moreover not all the parts of the name go in given or family. Creators are therefore strongly encouraged to provide through this element a presented version of the name. Future versions of this guide may require this element

telecom
There are no (further) constraints on this element
Element id
Practitioner.telecom
Comments

Although the provider phone number and provider email concepts are expressed in the pCHDCF materials, their current definition does not distinctly identify the resource target(s) where it has to be applied (e.g., Practitioner vs PractitionerRole). The mappings and obligations for these details have been removed from the profile to avoid unintentional placement of these requirements until further pCHDCF data modelling for care team details is complete. Reviewers are encouraged to provide feedback on the potential impact of applying a 'no-error' obligation on this element for clients.

Mappings
  • CACDI: Health Care Provider Telecom Information
value
There are no (further) constraints on this element
Element id
Practitioner.telecom.value
Mappings
  • CACDI: Contact Mechanism Value
use
There are no (further) constraints on this element
Element id
Practitioner.telecom.use
Mappings
  • CACDI: Contact Mechanism Type Code
rank
There are no (further) constraints on this element
Element id
Practitioner.telecom.rank
Mappings
  • CACDI: Contact Mechanism Rank
period
There are no (further) constraints on this element
start
There are no (further) constraints on this element
Element id
Practitioner.telecom.period.start
Mappings
  • CACDI: Contact Mechanism Effective Date
end
There are no (further) constraints on this element
Element id
Practitioner.telecom.period.end
Mappings
  • CACDI: Contact Mechanism Expiry Date
address
There are no (further) constraints on this element
Element id
Practitioner.address
Mappings
  • CACDI: Health Care Provider Address Information
preferred0..1Extension(boolean)
There are no (further) constraints on this element
Element id
Practitioner.address.extension:preferred
Data type

Extension(boolean)

Extension URL

Preferred

type
There are no (further) constraints on this element
Element id
Practitioner.address.type
Mappings
  • CACDI: Address Type Code
line
There are no (further) constraints on this element
Element id
Practitioner.address.line
Mappings
  • CACDI: Street Number
  • CACDI: Street Number Suffix
  • CACDI: Street Name
  • CACDI: Street Type Code
  • CACDI: Street Direction Code
  • CACDI: Suite Type Code
  • CACDI: Suite Number
  • CACDI: Address 2
  • CACDI: Address Additional Information Text
state
There are no (further) constraints on this element
Element id
Practitioner.address.state
Mappings
  • CACDI: Province or Territory Code
  • CACDI: Province or Territory English Name
  • CACDI: Province or Territory French Name
postalCode
There are no (further) constraints on this element
Element id
Practitioner.address.postalCode
Mappings
  • CACDI: Non-Canadian Postal Code Value
  • CACDI: Canadian Postal Code Value
country
There are no (further) constraints on this element
Element id
Practitioner.address.country
Mappings
  • CACDI: Country Code
  • CACDI: Country English Name
  • CACDI: Country French Name
qualification
There are no (further) constraints on this element
code
There are no (further) constraints on this element
Element id
Practitioner.qualification.code
Binding

v2.0360.2.7 (example)

communicationBinding
There are no (further) constraints on this element
Element id
Practitioner.communication
Binding

CommonLanguages (preferred)

{{ren
<StructureDefinition xmlns="http://hl7.org/fhir">
<id value="practitioner-ca-core" />
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
<valueInteger value="2" />
</extension>
<url value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/practitioner-ca-core" />
<version value="1.1.0" />
<name value="PractitionerCACore" />
<title value="Practitioner (CA-Core)" />
<status value="active" />
<experimental value="false" />
<date value="2025-03-04" />
<publisher value="Canada Health Infoway" />
<contact>
<name value="National Standards Release Centre" />
<telecom>
<system value="url" />
<value value="http://www.infoway-inforoute.ca" />
</telecom>
<telecom>
<system value="email" />
<value value="standards@infoway-inforoute.ca" />
</telecom>
</contact>
<description value="This profile applies constraints to the Patient resource for CA Core+ to support identity, demographics, and administrative data in the pan-Canadian context." />
<jurisdiction>
<coding>
<system value="urn:iso:std:iso:3166" />
<code value="CA" />
</coding>
</jurisdiction>
<copyright value="Copyright © 2025+ Canada Health Infoway. All rights reserved. [Terms of Use and License Agreements](https://ic.infoway-inforoute.ca/en/about/tou). [Privacy Policy](https://www.infoway-inforoute.ca/en/legal/privacy-policy)." />
<fhirVersion value="4.0.1" />
<mapping>
<identity value="CACDI" />
<name value="Canadian Core Data for Interoperability (CACDI)" />
</mapping>
<kind value="resource" />
<abstract value="false" />
<type value="Practitioner" />
<baseDefinition value="http://hl7.org/fhir/StructureDefinition/Practitioner" />
<derivation value="constraint" />
<differential>
<element id="Practitioner.identifier">
<path value="Practitioner.identifier" />
<comment value="pCHDCF modelling for care team concepts (including provider identifiers) is still underway. The requirements to support certain types of identifiers (e.g., province/territory registration identifiers) across all use cases and decisions on whether the identifier requirements should apply to both Practitioner and PractitionerRole are still undefined. Furthermore, the ways that these identifiers will be differentiated for conformance testing purposes is still undefined (see comment on identifier.type). For this reason, slice modelling and application of obligations towards certain identifiers is not currently expressed in this profile. The profile will continue to evolve as care team details undergo data modelling in the pCHDCF." />
<mapping>
<identity value="CACDI" />
<map value="Health Care Provider Identifier Information" />
</mapping>
</element>
<element id="Practitioner.identifier.type">
<path value="Practitioner.identifier.type" />
<comment value="The value in identifier.type is typically used to differentiate between identifiers that serve distinct purposes (e.g., Medical License Number, Regional Registry ID, Health Plan Identifier). Profiles typically use the identifier.type to differentiate between expectations that are expressed for some identifier types but not others. However, current implementations of practitioner identifiers in Canada use the identifier.type of 'Provider Number' (coded as 'PRN') to convey a number of different types of identifiers (e.g., registration number, license numbers, and billing numbers). Should there be expectations in the future for this profile to differentiate between these identifiers, current typing practices may need to change and/or further details may need to be used (e.g., identifier.system) to differentiate between concepts like registration number, license number, and billing number." />
<mapping>
<identity value="CACDI" />
<map value="Party Non-Health Identifier Type" />
</mapping>
</element>
<element id="Practitioner.identifier.system">
<path value="Practitioner.identifier.system" />
<mapping>
<identity value="CACDI" />
<map value="Party Non-Health Identifier System" />
</mapping>
</element>
<element id="Practitioner.identifier.value">
<path value="Practitioner.identifier.value" />
<mapping>
<identity value="CACDI" />
<map value="Health Care Provider Licence Number" />
</mapping>
<mapping>
<identity value="CACDI" />
<map value="Party Non-Health Identifier" />
</mapping>
</element>
<element id="Practitioner.identifier.period.start">
<path value="Practitioner.identifier.period.start" />
<mapping>
<identity value="CACDI" />
<map value="Health Care Provider Licence Effective Date" />
</mapping>
<mapping>
<identity value="CACDI" />
<map value="Party Non-Health Identifier Effective Date" />
</mapping>
</element>
<element id="Practitioner.identifier.period.end">
<path value="Practitioner.identifier.period.end" />
<mapping>
<identity value="CACDI" />
<map value="Health Care Provider Licence Expiry Date" />
</mapping>
<mapping>
<identity value="CACDI" />
<map value="Party Non-Health Identifier Expiry Date" />
</mapping>
</element>
<element id="Practitioner.name">
<path value="Practitioner.name" />
<mapping>
<identity value="CACDI" />
<map value="Health Care Provider Name Information" />
</mapping>
</element>
<element id="Practitioner.name.use">
<path value="Practitioner.name.use" />
<mapping>
<identity value="CACDI" />
<map value="Name Type" />
</mapping>
</element>
<element id="Practitioner.name.text">
<path value="Practitioner.name.text" />
<definition value="Text representation of the full name. Due to the cultural variance around the world a consuming system may not know how to present the name correctly; moreover not all the parts of the name go in given or family. Creators are therefore strongly encouraged to provide through this element a presented version of the name. Future versions of this guide may require this element" />
</element>
<element id="Practitioner.telecom">
<path value="Practitioner.telecom" />
<comment value="Although the provider phone number and provider email concepts are expressed in the pCHDCF materials, their current definition does not distinctly identify the resource target(s) where it has to be applied (e.g., Practitioner vs PractitionerRole). The mappings and obligations for these details have been removed from the profile to avoid unintentional placement of these requirements until further pCHDCF data modelling for care team details is complete. Reviewers are encouraged to provide feedback on the potential impact of applying a 'no-error' obligation on this element for clients." />
<mapping>
<identity value="CACDI" />
<map value="Health Care Provider Telecom Information" />
</mapping>
</element>
<element id="Practitioner.telecom.value">
<path value="Practitioner.telecom.value" />
<mapping>
<identity value="CACDI" />
<map value="Contact Mechanism Value" />
</mapping>
</element>
<element id="Practitioner.telecom.use">
<path value="Practitioner.telecom.use" />
<mapping>
<identity value="CACDI" />
<map value="Contact Mechanism Type Code" />
</mapping>
</element>
<element id="Practitioner.telecom.rank">
<path value="Practitioner.telecom.rank" />
<mapping>
<identity value="CACDI" />
<map value="Contact Mechanism Rank" />
</mapping>
</element>
<element id="Practitioner.telecom.period.start">
<path value="Practitioner.telecom.period.start" />
<mapping>
<identity value="CACDI" />
<map value="Contact Mechanism Effective Date" />
</mapping>
</element>
<element id="Practitioner.telecom.period.end">
<path value="Practitioner.telecom.period.end" />
<mapping>
<identity value="CACDI" />
<map value="Contact Mechanism Expiry Date" />
</mapping>
</element>
<element id="Practitioner.address">
<path value="Practitioner.address" />
<mapping>
<identity value="CACDI" />
<map value="Health Care Provider Address Information" />
</mapping>
</element>
<element id="Practitioner.address.extension:preferred">
<path value="Practitioner.address.extension" />
<sliceName value="preferred" />
<min value="0" />
<max value="1" />
<type>
<code value="Extension" />
<profile value="http://hl7.org/fhir/StructureDefinition/iso21090-preferred" />
</type>
</element>
<element id="Practitioner.address.type">
<path value="Practitioner.address.type" />
<mapping>
<identity value="CACDI" />
<map value="Address Type Code" />
</mapping>
</element>
<element id="Practitioner.address.line">
<path value="Practitioner.address.line" />
<mapping>
<identity value="CACDI" />
<map value="Street Number" />
</mapping>
<mapping>
<identity value="CACDI" />
<map value="Street Number Suffix" />
</mapping>
<mapping>
<identity value="CACDI" />
<map value="Street Name" />
</mapping>
<mapping>
<identity value="CACDI" />
<map value="Street Type Code" />
</mapping>
<mapping>
<identity value="CACDI" />
<map value="Street Direction Code" />
</mapping>
<mapping>
<identity value="CACDI" />
<map value="Suite Type Code" />
</mapping>
<mapping>
<identity value="CACDI" />
<map value="Suite Number" />
</mapping>
<mapping>
<identity value="CACDI" />
<map value="Address 2" />
</mapping>
<mapping>
<identity value="CACDI" />
<map value="Address Additional Information Text" />
</mapping>
</element>
<element id="Practitioner.address.state">
<path value="Practitioner.address.state" />
<mapping>
<identity value="CACDI" />
<map value="Province or Territory Code" />
</mapping>
<mapping>
<identity value="CACDI" />
<map value="Province or Territory English Name" />
</mapping>
<mapping>
<identity value="CACDI" />
<map value="Province or Territory French Name" />
</mapping>
</element>
<element id="Practitioner.address.postalCode">
<path value="Practitioner.address.postalCode" />
<mapping>
<identity value="CACDI" />
<map value="Non-Canadian Postal Code Value" />
</mapping>
<mapping>
<identity value="CACDI" />
<map value="Canadian Postal Code Value" />
</mapping>
</element>
<element id="Practitioner.address.country">
<path value="Practitioner.address.country" />
<mapping>
<identity value="CACDI" />
<map value="Country Code" />
</mapping>
<mapping>
<identity value="CACDI" />
<map value="Country English Name" />
</mapping>
<mapping>
<identity value="CACDI" />
<map value="Country French Name" />
</mapping>
</element>
<element id="Practitioner.qualification.code">
<path value="Practitioner.qualification.code" />
<binding>
<strength value="example" />
<valueSet value="http://terminology.hl7.org/ValueSet/v2-2.7-0360" />
</binding>
</element>
<element id="Practitioner.communication">
<path value="Practitioner.communication" />
<binding>
<strength value="preferred" />
<valueSet value="http://hl7.org/fhir/ValueSet/languages" />
</binding>
</element>
</differential>
</StructureDefinition>
{
"resourceType": "StructureDefinition",
"id": "practitioner-ca-core",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger": 2
}
],
"url": "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/practitioner-ca-core",
"version": "1.1.0",
"name": "PractitionerCACore",
"title": "Practitioner (CA-Core)",
"status": "active",
"experimental": false,
"date": "2025-03-04",
"publisher": "Canada Health Infoway",
"contact": [
{
"name": "National Standards Release Centre",
"telecom": [
{
"system": "url",
"value": "http://www.infoway-inforoute.ca"
},
{
"system": "email",
"value": "standards@infoway-inforoute.ca"
}
]
}
],
"description": "This profile applies constraints to the Patient resource for CA Core+ to support identity, demographics, and administrative data in the pan-Canadian context.",
"jurisdiction": [
{
"coding": [
{
"system": "urn:iso:std:iso:3166",
"code": "CA"
}
]
}
],
"copyright": "Copyright © 2025+ Canada Health Infoway. All rights reserved. [Terms of Use and License Agreements](https://ic.infoway-inforoute.ca/en/about/tou). [Privacy Policy](https://www.infoway-inforoute.ca/en/legal/privacy-policy).",
"fhirVersion": "4.0.1",
"mapping": [
{
"identity": "CACDI",
"name": "Canadian Core Data for Interoperability (CACDI)"
}
],
"kind": "resource",
"abstract": false,
"type": "Practitioner",
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Practitioner",
"derivation": "constraint",
"differential": {
"element": [
{
"id": "Practitioner.identifier",
"path": "Practitioner.identifier",
"comment": "pCHDCF modelling for care team concepts (including provider identifiers) is still underway. The requirements to support certain types of identifiers (e.g., province/territory registration identifiers) across all use cases and decisions on whether the identifier requirements should apply to both Practitioner and PractitionerRole are still undefined. Furthermore, the ways that these identifiers will be differentiated for conformance testing purposes is still undefined (see comment on identifier.type). For this reason, slice modelling and application of obligations towards certain identifiers is not currently expressed in this profile. The profile will continue to evolve as care team details undergo data modelling in the pCHDCF.",
"mapping": [
{
"identity": "CACDI",
"map": "Health Care Provider Identifier Information"
}
]
},
{
"id": "Practitioner.identifier.type",
"path": "Practitioner.identifier.type",
"comment": "The value in identifier.type is typically used to differentiate between identifiers that serve distinct purposes (e.g., Medical License Number, Regional Registry ID, Health Plan Identifier). Profiles typically use the identifier.type to differentiate between expectations that are expressed for some identifier types but not others. However, current implementations of practitioner identifiers in Canada use the identifier.type of 'Provider Number' (coded as 'PRN') to convey a number of different types of identifiers (e.g., registration number, license numbers, and billing numbers). Should there be expectations in the future for this profile to differentiate between these identifiers, current typing practices may need to change and/or further details may need to be used (e.g., identifier.system) to differentiate between concepts like registration number, license number, and billing number.",
"mapping": [
{
"identity": "CACDI",
"map": "Party Non-Health Identifier Type"
}
]
},
{
"id": "Practitioner.identifier.system",
"path": "Practitioner.identifier.system",
"mapping": [
{
"identity": "CACDI",
"map": "Party Non-Health Identifier System"
}
]
},
{
"id": "Practitioner.identifier.value",
"path": "Practitioner.identifier.value",
"mapping": [
{
"identity": "CACDI",
"map": "Health Care Provider Licence Number"
},
{
"identity": "CACDI",
"map": "Party Non-Health Identifier"
}
]
},
{
"id": "Practitioner.identifier.period.start",
"path": "Practitioner.identifier.period.start",
"mapping": [
{
"identity": "CACDI",
"map": "Health Care Provider Licence Effective Date"
},
{
"identity": "CACDI",
"map": "Party Non-Health Identifier Effective Date"
}
]
},
{
"id": "Practitioner.identifier.period.end",
"path": "Practitioner.identifier.period.end",
"mapping": [
{
"identity": "CACDI",
"map": "Health Care Provider Licence Expiry Date"
},
{
"identity": "CACDI",
"map": "Party Non-Health Identifier Expiry Date"
}
]
},
{
"id": "Practitioner.name",
"path": "Practitioner.name",
"mapping": [
{
"identity": "CACDI",
"map": "Health Care Provider Name Information"
}
]
},
{
"id": "Practitioner.name.use",
"path": "Practitioner.name.use",
"mapping": [
{
"identity": "CACDI",
"map": "Name Type"
}
]
},
{
"id": "Practitioner.name.text",
"path": "Practitioner.name.text",
"definition": "Text representation of the full name. Due to the cultural variance around the world a consuming system may not know how to present the name correctly; moreover not all the parts of the name go in given or family. Creators are therefore strongly encouraged to provide through this element a presented version of the name. Future versions of this guide may require this element"
},
{
"id": "Practitioner.telecom",
"path": "Practitioner.telecom",
"comment": "Although the provider phone number and provider email concepts are expressed in the pCHDCF materials, their current definition does not distinctly identify the resource target(s) where it has to be applied (e.g., Practitioner vs PractitionerRole). The mappings and obligations for these details have been removed from the profile to avoid unintentional placement of these requirements until further pCHDCF data modelling for care team details is complete. Reviewers are encouraged to provide feedback on the potential impact of applying a 'no-error' obligation on this element for clients.",
"mapping": [
{
"identity": "CACDI",
"map": "Health Care Provider Telecom Information"
}
]
},
{
"id": "Practitioner.telecom.value",
"path": "Practitioner.telecom.value",
"mapping": [
{
"identity": "CACDI",
"map": "Contact Mechanism Value"
}
]
},
{
"id": "Practitioner.telecom.use",
"path": "Practitioner.telecom.use",
"mapping": [
{
"identity": "CACDI",
"map": "Contact Mechanism Type Code"
}
]
},
{
"id": "Practitioner.telecom.rank",
"path": "Practitioner.telecom.rank",
"mapping": [
{
"identity": "CACDI",
"map": "Contact Mechanism Rank"
}
]
},
{
"id": "Practitioner.telecom.period.start",
"path": "Practitioner.telecom.period.start",
"mapping": [
{
"identity": "CACDI",
"map": "Contact Mechanism Effective Date"
}
]
},
{
"id": "Practitioner.telecom.period.end",
"path": "Practitioner.telecom.period.end",
"mapping": [
{
"identity": "CACDI",
"map": "Contact Mechanism Expiry Date"
}
]
},
{
"id": "Practitioner.address",
"path": "Practitioner.address",
"mapping": [
{
"identity": "CACDI",
"map": "Health Care Provider Address Information"
}
]
},
{
"id": "Practitioner.address.extension:preferred",
"path": "Practitioner.address.extension",
"sliceName": "preferred",
"min": 0,
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"http://hl7.org/fhir/StructureDefinition/iso21090-preferred"
]
}
]
},
{
"id": "Practitioner.address.type",
"path": "Practitioner.address.type",
"mapping": [
{
"identity": "CACDI",
"map": "Address Type Code"
}
]
},
{
"id": "Practitioner.address.line",
"path": "Practitioner.address.line",
"mapping": [
{
"identity": "CACDI",
"map": "Street Number"
},
{
"identity": "CACDI",
"map": "Street Number Suffix"
},
{
"identity": "CACDI",
"map": "Street Name"
},
{
"identity": "CACDI",
"map": "Street Type Code"
},
{
"identity": "CACDI",
"map": "Street Direction Code"
},
{
"identity": "CACDI",
"map": "Suite Type Code"
},
{
"identity": "CACDI",
"map": "Suite Number"
},
{
"identity": "CACDI",
"map": "Address 2"
},
{
"identity": "CACDI",
"map": "Address Additional Information Text"
}
]
},
{
"id": "Practitioner.address.state",
"path": "Practitioner.address.state",
"mapping": [
{
"identity": "CACDI",
"map": "Province or Territory Code"
},
{
"identity": "CACDI",
"map": "Province or Territory English Name"
},
{
"identity": "CACDI",
"map": "Province or Territory French Name"
}
]
},
{
"id": "Practitioner.address.postalCode",
"path": "Practitioner.address.postalCode",
"mapping": [
{
"identity": "CACDI",
"map": "Non-Canadian Postal Code Value"
},
{
"identity": "CACDI",
"map": "Canadian Postal Code Value"
}
]
},
{
"id": "Practitioner.address.country",
"path": "Practitioner.address.country",
"mapping": [
{
"identity": "CACDI",
"map": "Country Code"
},
{
"identity": "CACDI",
"map": "Country English Name"
},
{
"identity": "CACDI",
"map": "Country French Name"
}
]
},
{
"id": "Practitioner.qualification.code",
"path": "Practitioner.qualification.code",
"binding": {
"strength": "example",
"valueSet": "http://terminology.hl7.org/ValueSet/v2-2.7-0360"
}
},
{
"id": "Practitioner.communication",
"path": "Practitioner.communication",
"binding": {
"strength": "preferred",
"valueSet": "http://hl7.org/fhir/ValueSet/languages"
}
}
]
}
}

Terminology bindings

PathConformanceValueSet
Practitioner.qualification.codeexamplehttp://terminology.hl7.org/ValueSet/v2-2.7-0360
Practitioner.communicationpreferredhttp://hl7.org/fhir/ValueSet/languages

Additional Terminology Bindings

These bindings may be used in lieu of the primary bindings in the table above.

Mappings to CACDI

The following tables list how the data elements from CA Core+ map to CACDI. For more information visit Mapping Logic.

FHIR Profile ElementCACDI Element(s)
Practitioner.identifierHealth Care Provider Identifier Information
Practitioner.identifier.typeParty Non-Health Identifier Type
Practitioner.identifier.systemParty Non-Health Identifier System
Practitioner.identifier.valueHealth Care Provider Licence Number, Party Non-Health Identifier
Practitioner.identifier.period.startHealth Care Provider Licence Effective Date, Party Non-Health Identifier Effective Date
Practitioner.identifier.period.endHealth Care Provider Licence Expiry Date, Party Non-Health Identifier Expiry Date
Practitioner.nameHealth Care Provider Name Information
Practitioner.name.useName Type
Practitioner.telecomHealth Care Provider Telecom Information
Practitioner.telecom.valueContact Mechanism Value
Practitioner.telecom.useContact Mechanism Type Code
Practitioner.telecom.rankContact Mechanism Rank
Practitioner.telecom.period.startContact Mechanism Effective Date
Practitioner.telecom.period.endContact Mechanism Expiry Date
Practitioner.addressHealth Care Provider Address Information
Practitioner.address.typeAddress Type Code
Practitioner.address.lineStreet Number, Street Number Suffix, Street Name, Street Type Code, Street Direction Code, Suite Type Code, Suite Number, Address 2, Address Additional Information Text
Practitioner.address.stateProvince or Territory Code, Province or Territory English Name, Province or Territory French Name
Practitioner.address.postalCodeNon-Canadian Postal Code Value, Canadian Postal Code Value
Practitioner.address.countryCountry Code, Country English Name, Country French Name

Constraints

The following table lists constraints (from differential).

IG © based on FHIR R4 | Package project:CA-Core
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