Profile: Practitioner-Lab

Definition

The Practitioner is a person who is directly or indirectly involved in the provisioning of healthcare. It is aligned to the Practitioner-Lab Resource.

Practitioner covers all individuals who are engaged in the healthcare process and healthcare-related services as part of their formal responsibilities and this Resource is used for attribution of activities and responsibilities to these individuals. Practitioners include (but are not limited to):

  • Physicians, dentists, pharmacists
  • Physician assistants, nurses, scribes
  • Midwives, dietitians, therapists, optometrists, paramedics
  • Medical technicians, laboratory scientists, prosthetic technicians, radiographers
  • Social workers, professional homecare providers, official volunteers
  • Receptionists handling patient registration
  • IT personnel merging or unmerging patient records
  • Service animal (e.g., ward assigned dog capable of detecting cancer in patients)
  • Context

    The Practitioner Lab (PS-CA) profile represents the constraints applied to the the Practitioner resource by the PS-CA project to represent a practitioner acting as observer for diagnostic results. It is informed by the constraints of the Practitioner IPS-UV profile and the Canadian Baseline Profile to allow for cross-border and cross-jurisdiction sharing of details that support Diagnostic Result Information. This profile may be underpinned by a CA Core profile in the future. There is a possibility it will be replaced entirely by a CA Core profile if the requirements for use in lab are aligned to expectations for generic use.

    Links

    Simplifier project page: Practitioner-Lab (PS-CA) Profile

    Derived from: Practitioner(R4) Profile

    Example: PS-CA:BC Practitioner

    Content

    idΣ0..1string
    metaΣ0..1Meta
    implicitRulesΣ ?!0..1uri
    language0..1codeBinding
    text0..1Narrative
    contained0..*Resource
    extensionI0..*Extension
    modifierExtension?! I0..*Extension
    identifierΣ0..*Identifier
    activeΣ0..1boolean
    id0..1string
    extensionI0..*Extension
    useΣ ?!0..1codeBinding
    textΣ0..1string
    familyS Σ0..1string
    givenS Σ0..*string
    prefixΣ0..*string
    suffixΣ0..*string
    periodΣ I0..1Period
    telecomΣ I0..*ContactPoint
    addressΣ0..*Address
    genderΣ0..1codeBinding
    birthDateΣ0..1date
    photoI0..*Attachment
    id0..1string
    extensionI0..*Extension
    modifierExtensionΣ ?! I0..*Extension
    identifier0..*Identifier
    code1..1CodeableConcept
    periodI0..1Period
    issuerI0..1Reference(Organization)
    communication0..*CodeableConceptBinding

     

    Usage

    The Practitioner Resource is used to provide details about the author and attester of a Patient Summary in its header. Attestor is not a 'Must Support', and other jurisdictions have excluded Attestor. Attestor will not be included as part of the initial PS-CA:BC version. The UI will not have a field to add or receive Attestor. The Practitioner Resource will be used for Author. In BC, we have Practitioner FHIR Profile provided by BC Provider Location Registry. There are a few differences between PLR and Canada Baseline in Practitioner Profile.

    BC-specific Notes

    Practitioner (Composition.author)

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

    Practitioner.identifier

    • Definition: An identifier that applies to this person in this role.
    • Comments: For Canadian Baseline, this element is (0..*) but PLR needs at least one identifier (1..*). Canadian Baseline (S) indicates it must be supported. Since it is always available in BC PLR Practitioner Profile, BC can always provide this element.

    Practitioner.name

    • Definition:The name(s) associated with the practitioner.
    • Comments: For Canadian Baseline, this item is (0..*) but PLR needs at least one Name (1..*) Canadian Baseline (S) indicates it must be supported. Since it is always available in BC PLR Practitioner Profile, BC can always provide this element.

    Practitioner.telecom

    • Definition: A contact detail for the practitioner, e.g. a telephone number or an email address.
    • Comments: For Fax, use "where system = fax" and for Phone, use "where = phone".

    Practitioner.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.

    Practitioner.qualification

    • 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.
    • Comments: In PLR, it is a BC-specific code value. The same value code can be used for the Canadian Baseline Practitioner Profile.

    Most Responsible Provider (MRP)

    • Definition: The term most responsible physician (MRP), or most responsible practitioner, generally refers to the physician, or other regulated healthcare professional, who has overall responsibility for directing and coordinating the care and management of a patient at a specific point in time. While typically the attending or admitting physician will be the MRP, this may not always be the case.
    • Comments: This data element could be a checkbox, marked as either 'Yes' or 'No', to signify if the author of the Patient Summary is the Most Responsible Provider for the patient or a different provider. Furthermore, this serves as an indicator of whether the patient is affiliated (attached) or not affiliated (unattached) with a healthcare provider.

    Data Fields Mapping (PS-Form & FHIR Profile)

    PS Form Fields FHIR Profile Elements
    Last Name Practitioner.name.family
    First Name Practitioner.name.given
    Qualification Practitioner.qualification
    Identifier (College ID/ MSP) Practitioner.identifier
    Address Practitioner.address
    Fax Practitioner.telecom (where system = fax)
    Phone Practitioner.telecom (where system = phone)
    Most Responsible Provider (MRP) TBD