HdBe-HealthProfessional

CBBConceptStatus
HdBe-HealthProfessional

A health professional is a person who is authorized to perform actions in the field of individual healthcare.

Purpose

The purpose of this information model is documenting the identity of people providing healthcare. For health professionals, information must be sufficiently complete for reference and auditing: if known, the name is mandatory. If an identification number is given, the name and number have to match.

Evidence Base

Other employees working in healthcare can also be mapped onto this CBB. If needed the HealthProfessionalRole can be used to specify the type of healthcareworker by using the nullflavor OTH in free text.

Instructions

The concept HealthProfessionalRole can be expressed in two ways, as an element in the information model and as the definition code of a reference in another referring information model (Performer::HealthProfessional). In both cases, the code is taken from the same code list. If both possibilities are used, they should not be in conflict.

draft

HealthProfessionalIdentificationNumber0..*Identifier
NameInformation0..1HdBe NameInformation
Specialty0..1CodeableConceptBinding
Gender0..1CodeableConceptBinding
AddressInformation0..*HdBe AddressInformation
ContactInformation0..*HdBe ContactInformation
HealthcareOrganization0..1Reference(HdBe HealthcareOrganization)
HealthProfessionalRole0..1CodeableConceptBinding

HealthProfessional0..*
HealthProfessional.HealthProfessionalIdentificationNumberIdentifier0..*
HealthProfessional.NameInformationHdBe NameInformation0..1
HealthProfessional.SpecialtyCodeableConcept0..1
HealthProfessional.GenderCodeableConcept0..1
HealthProfessional.AddressInformationHdBe AddressInformation0..*
HealthProfessional.ContactInformationHdBe ContactInformation0..*
HealthProfessional.HealthcareOrganizationReference(HdBe HealthcareOrganization)0..1
HealthProfessional.HealthProfessionalRoleCodeableConcept0..1



HealthProfessional
DefinitionRoot concept of the HealthProfessional information model. This root concept contains all data elements of the HealthProfessional information model. When referring to this information model the role the health professional fulfills in the healthcare process can be addressed additionally. For health professionals, this could be for example main practitioner or referrer.
Cardinality0...*
Invariants
  • ele-1:All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim:n/a
HealthProfessional.id
DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality0...1
TypeSystem.String
Mappings
  • rim:n/a
HealthProfessional.extension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality0...*
TypeExtension
Aliasextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

SlicingUnordered, Open, by url(Value)
Invariants
  • ele-1:All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1:Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim:n/a
  • rim:N/A
HealthProfessional.HealthProfessionalIdentificationNumber
DefinitionThe health professional identification number is a number that uniquely identifies the health professional. A health professional has a NIHDI number (National Institute for Health and Disability Insurance). A local identifier can also be provided when this is desired.
Cardinality0...*
TypeIdentifier
Invariants
  • 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
HealthProfessional.NameInformation
DefinitionHealth professional’s full name.
Cardinality0...1
TypeHdBe NameInformation
Invariants
  • ele-1:All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim:n/a
HealthProfessional.Specialty
DefinitionHealth professional’s medical specialty.
Cardinality0...1
TypeCodeableConcept
Binding

Practice Setting Code Value Set

PracticeSettingCodeValueSet (preferred)
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.

Invariants
  • 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
HealthProfessional.Gender
DefinitionHealth professional’s administrative gender - the gender that the health professional is considered to have for administration and record keeping purposes. Note that the gender might not match the biological sex as determined by genetics or the individual's preferred identification.
Cardinality0...1
TypeCodeableConcept
Binding

Gender codes

Gender (required)
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.

Invariants
  • 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
HealthProfessional.AddressInformation
DefinitionHealth professional’s address information.
Cardinality0...*
TypeHdBe AddressInformation
Invariants
  • ele-1:All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim:n/a
HealthProfessional.ContactInformation
DefinitionHealth professional’s telephone number(s) or e-mail address(es).
Cardinality0...*
TypeHdBe ContactInformation
Invariants
  • ele-1:All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim:n/a
HealthProfessional.HealthcareOrganization
DefinitionThe organization the health professional works for.
Cardinality0...1
TypeReference(HdBe HealthcareOrganization)
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.

Invariants
  • 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.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
Mappings
  • rim:n/a
  • rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity)
HealthProfessional.HealthProfessionalRole
DefinitionThe role the health professional fulfills in the healthcare process. For health professionals, this could be for example attender, referrer or performer.
Cardinality0...1
TypeCodeableConcept
Binding

HealthProfessionalRole codes

HealthProfessionalRole (extensible)
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.

Invariants
  • 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

Example instances

HealthProfessional
HealthProfessionalIdentifier 10079938
NameInformation reference to NameInformation (Enrico Penninx)
Specialty 394582007 - Dermatology (code by SNOMED CT)
Gender 248153007 - Male (code by SNOMED CT)
AddressInformation reference to AddressInformation (Blekersdijk 264)
ContactInformation reference to ContactInformation (+32488171462; EnricoPenninx@hospital.Be)
HealthcareOrganization
HealthProfessionalRole RESP - Responsible Party (code by v3-ParticipationType)

zib HealthProfessional-v3.5 difference

Concept Category Description
Purpose textual Removed Dutch specific context from the Purpose section in the description.
Evidence Base textual Edited Dutch specific context from the Evidence Base section in description.
References textual Removed all content after References which was only provided in Dutch.
HealthProfessional (root element) textual Removed spelling mistake (Fulfils_ to Fulfills_) (zib ticket 1808).
HealthProfessionalIdentificationNumber textual Replaced Dutch context (UZI, AGB, BIG) with the use of identification by NIHDI, and corrected incorrect definition (zib ticket 1678).
NameInformation textual Removed Dutch specific context.
Specialty terminology Replaced Dutch specific SpecialismeUZICodelijst and SpecialismeAGBCodelijst with the FHIR PracticeSettingCodeValueSet ValueSet used for specialty. This ValueSet is also used by the 'eHealth Platform Federal Profiles'
Specialty slicing Removed slicing because it became reduntant resuing the FHIR PracticeSettingCodeValueSet ValueSet.
Specialty textual Removed Dutch specific context.
Gender textual Corrected incorrect definition (zib ticket 1368) and added additional remark that the gender is an administrative gender.
ContactInformation cardinality Loosened cardinality from 0..1 to 0..* based on the changes made to the CBB ConctactInformation. Widening the cardinality here allows for capturing all contact information necessary.
HealthProfessionalRole textual Removed spelling mistake (Fulfils_ to Fulfills_) (zib ticket 1808).
HealthProfessionalRole terminology Renamed ValueSet from HealthcareProviderRole to HealthProfessionalRole (zib ticket 1788). Also replace Other value with SNOMED code and added Unknown SNOMED code.



Terminology Bindings

PathNameStrengthURL
Specialtyc80-practice-codespreferredhttp://hl7.org/fhir/ValueSet/c80-practice-codes
GenderGenderrequiredhttps://fhir.healthdata.be/ValueSet/Gender
HealthProfessionalRoleHealthProfessionalRoleextensiblehttps://fhir.healthdata.be/ValueSet/HealthProfessionalRole