Profile: Practitioner
Simplifier project page: PractitionerDerived from: Practitioner (R4)OLIS v2 to FHIR mapping: Practitioner mappingFHIR_Version | IG_Version | IG_Status | Canonical_URL |
---|---|---|---|
4.0.1 | 2.0.0 | active | http://ehealthontario.ca/fhir/StructureDefinition/ca-on-lab-profile-Practitioner |
Formal Views of Profile Content
Description of Profiles, Differentials, Snapshots and how the different presentations workDifferential View
Practitioner | C | Practitioner | |
id | S Σ | 1..1 | string |
meta | S Σ | 1..1 | Meta |
id | 0..1 | string | |
extension | C | 0..* | Extension |
versionId | Σ | 0..1 | id |
lastUpdated | Σ | 0..1 | instant |
source | Σ | 0..1 | uri |
profile | S Σ | 1..1 | canonical(StructureDefinition)Fixed Value |
security | Σ | 0..* | CodingBinding |
tag | Σ | 0..* | Coding |
implicitRules | Σ ?! | 0..1 | uri |
language | 0..1 | codeBinding | |
text | 0..1 | Narrative | |
contained | 0..* | Resource | |
extension | C | 0..* | Extension |
modifierExtension | ?! C | 0..* | Extension |
identifier | S Σ | 1..* | Identifier |
id | 0..1 | string | |
extension | C | 0..* | Extension |
use | Σ ?! | 0..1 | codeBinding |
type | Σ | 0..1 | CodeableConceptBinding |
system | S Σ | 1..1 | uri |
value | S Σ | 1..1 | string |
period | Σ | 0..1 | Period |
assigner | Σ | 0..1 | Reference(Organization) |
active | Σ | 0..1 | boolean |
name | S Σ | 1..* | HumanName |
id | 0..1 | string | |
extension | C | 0..* | Extension |
use | Σ ?! | 0..1 | codeBinding |
text | Σ | 0..1 | string |
family | S Σ | 1..1 | string |
given | S Σ | 1..2 | string |
given-first | S Σ | 0..1 | string |
given-middle | S Σ | 0..1 | string |
id | 0..1 | string | |
extension | C | 0..* | Extension |
EN-qualifier | S C | 0..* | Extension(code) |
id | 0..1 | string | |
extension | C | 0..0 | Extension |
url | 1..1 | uriFixed Value | |
value[x] | 1..1 | Binding | |
valueCode | S | 0..1 | codeBindingFixed Value |
value | 0..1 | System.String | |
prefix | S Σ | 0..* | string |
suffix | S Σ | 0..* | string |
period | Σ | 0..1 | Period |
telecom | Σ | 0..* | ContactPoint |
address | Σ | 0..* | Address |
gender | Σ | 0..1 | codeBinding |
birthDate | Σ | 0..1 | date |
photo | 0..* | Attachment | |
qualification | 0..* | BackboneElement | |
id | 0..1 | string | |
extension | C | 0..* | Extension |
modifierExtension | Σ ?! C | 0..* | Extension |
identifier | 0..* | Identifier | |
code | 1..1 | CodeableConcept | |
period | 0..1 | Period | |
issuer | 0..1 | Reference(Organization) | |
communication | 0..* | CodeableConceptBinding |
Hybrid View
Practitioner | C | Practitioner | |
id | S Σ | 1..1 | string |
meta | S Σ | 1..1 | Meta |
id | 0..1 | string | |
extension | C | 0..* | Extension |
versionId | Σ | 0..1 | id |
lastUpdated | Σ | 0..1 | instant |
source | Σ | 0..1 | uri |
profile | S Σ | 1..1 | canonical(StructureDefinition)Fixed Value |
security | Σ | 0..* | CodingBinding |
tag | Σ | 0..* | Coding |
implicitRules | Σ ?! | 0..1 | uri |
language | 0..1 | codeBinding | |
text | 0..1 | Narrative | |
contained | 0..* | Resource | |
extension | C | 0..* | Extension |
modifierExtension | ?! C | 0..* | Extension |
identifier | S Σ | 1..* | Identifier |
id | 0..1 | string | |
extension | C | 0..* | Extension |
use | Σ ?! | 0..1 | codeBinding |
type | Σ | 0..1 | CodeableConceptBinding |
system | S Σ | 1..1 | uri |
value | S Σ | 1..1 | string |
period | Σ | 0..1 | Period |
assigner | Σ | 0..1 | Reference(Organization) |
active | Σ | 0..1 | boolean |
name | S Σ | 1..* | HumanName |
id | 0..1 | string | |
extension | C | 0..* | Extension |
use | Σ ?! | 0..1 | codeBinding |
text | Σ | 0..1 | string |
family | S Σ | 1..1 | string |
given | S Σ | 1..2 | string |
given-first | S Σ | 0..1 | string |
given-middle | S Σ | 0..1 | string |
id | 0..1 | string | |
extension | C | 0..* | Extension |
EN-qualifier | S C | 0..* | Extension(code) |
id | 0..1 | string | |
extension | C | 0..0 | Extension |
url | 1..1 | uriFixed Value | |
value[x] | 1..1 | Binding | |
valueCode | S | 0..1 | codeBindingFixed Value |
value | 0..1 | System.String | |
prefix | S Σ | 0..* | string |
suffix | S Σ | 0..* | string |
period | Σ | 0..1 | Period |
telecom | Σ | 0..* | ContactPoint |
address | Σ | 0..* | Address |
gender | Σ | 0..1 | codeBinding |
birthDate | Σ | 0..1 | date |
photo | 0..* | Attachment | |
qualification | 0..* | BackboneElement | |
id | 0..1 | string | |
extension | C | 0..* | Extension |
modifierExtension | Σ ?! C | 0..* | Extension |
identifier | 0..* | Identifier | |
code | 1..1 | CodeableConcept | |
period | 0..1 | Period | |
issuer | 0..1 | Reference(Organization) | |
communication | 0..* | CodeableConceptBinding |
Snapshot View
Practitioner | C | Practitioner | |
id | S Σ | 1..1 | string |
meta | S Σ | 1..1 | Meta |
id | 0..1 | string | |
extension | C | 0..* | Extension |
versionId | Σ | 0..1 | id |
lastUpdated | Σ | 0..1 | instant |
source | Σ | 0..1 | uri |
profile | S Σ | 1..1 | canonical(StructureDefinition)Fixed Value |
security | Σ | 0..* | CodingBinding |
tag | Σ | 0..* | Coding |
implicitRules | Σ ?! | 0..1 | uri |
language | 0..1 | codeBinding | |
text | 0..1 | Narrative | |
contained | 0..* | Resource | |
extension | C | 0..* | Extension |
modifierExtension | ?! C | 0..* | Extension |
identifier | S Σ | 1..* | Identifier |
id | 0..1 | string | |
extension | C | 0..* | Extension |
use | Σ ?! | 0..1 | codeBinding |
type | Σ | 0..1 | CodeableConceptBinding |
system | S Σ | 1..1 | uri |
value | S Σ | 1..1 | string |
period | Σ | 0..1 | Period |
assigner | Σ | 0..1 | Reference(Organization) |
active | Σ | 0..1 | boolean |
name | S Σ | 1..* | HumanName |
id | 0..1 | string | |
extension | C | 0..* | Extension |
use | Σ ?! | 0..1 | codeBinding |
text | Σ | 0..1 | string |
family | S Σ | 1..1 | string |
given | S Σ | 1..2 | string |
given-first | S Σ | 0..1 | string |
given-middle | S Σ | 0..1 | string |
id | 0..1 | string | |
extension | C | 0..* | Extension |
EN-qualifier | S C | 0..* | Extension(code) |
id | 0..1 | string | |
extension | C | 0..0 | Extension |
url | 1..1 | uriFixed Value | |
value[x] | 1..1 | Binding | |
valueCode | S | 0..1 | codeBindingFixed Value |
value | 0..1 | System.String | |
prefix | S Σ | 0..* | string |
suffix | S Σ | 0..* | string |
period | Σ | 0..1 | Period |
telecom | Σ | 0..* | ContactPoint |
address | Σ | 0..* | Address |
gender | Σ | 0..1 | codeBinding |
birthDate | Σ | 0..1 | date |
photo | 0..* | Attachment | |
qualification | 0..* | BackboneElement | |
id | 0..1 | string | |
extension | C | 0..* | Extension |
modifierExtension | Σ ?! C | 0..* | Extension |
identifier | 0..* | Identifier | |
code | 1..1 | CodeableConcept | |
period | 0..1 | Period | |
issuer | 0..1 | Reference(Organization) | |
communication | 0..* | CodeableConceptBinding |
Table View
Practitioner | 0..* | |
Practitioner.id | string | 1..1 |
Practitioner.meta | Meta | 1..1 |
Practitioner.meta.id | string | 0..1 |
Practitioner.meta.extension | Extension | 0..* |
Practitioner.meta.versionId | id | 0..1 |
Practitioner.meta.lastUpdated | instant | 0..1 |
Practitioner.meta.source | uri | 0..1 |
Practitioner.meta.profile | canonical(StructureDefinition) | 1..1 |
Practitioner.meta.security | Coding | 0..* |
Practitioner.meta.tag | Coding | 0..* |
Practitioner.implicitRules | uri | 0..1 |
Practitioner.language | code | 0..1 |
Practitioner.text | Narrative | 0..1 |
Practitioner.contained | Resource | 0..* |
Practitioner.extension | Extension | 0..* |
Practitioner.modifierExtension | Extension | 0..* |
Practitioner.identifier | Identifier | 1..* |
Practitioner.identifier.id | string | 0..1 |
Practitioner.identifier.extension | Extension | 0..* |
Practitioner.identifier.use | code | 0..1 |
Practitioner.identifier.type | CodeableConcept | 0..1 |
Practitioner.identifier.system | uri | 1..1 |
Practitioner.identifier.value | string | 1..1 |
Practitioner.identifier.period | Period | 0..1 |
Practitioner.identifier.assigner | Reference(Organization) | 0..1 |
Practitioner.active | boolean | 0..1 |
Practitioner.name | HumanName | 1..* |
Practitioner.name.id | string | 0..1 |
Practitioner.name.extension | Extension | 0..* |
Practitioner.name.use | code | 0..1 |
Practitioner.name.text | string | 0..1 |
Practitioner.name.family | string | 1..1 |
Practitioner.name.given | string | 1..2 |
Practitioner.name.given:given-first | string | 0..1 |
Practitioner.name.given:given-middle | string | 0..1 |
Practitioner.name.given:given-middle.id | string | 0..1 |
Practitioner.name.given:given-middle.extension | Extension | 0..* |
Practitioner.name.given:given-middle.extension:EN-qualifier | Extension | 0..* |
Practitioner.name.given:given-middle.extension:EN-qualifier.id | string | 0..1 |
Practitioner.name.given:given-middle.extension:EN-qualifier.extension | Extension | 0..0 |
Practitioner.name.given:given-middle.extension:EN-qualifier.url | uri | 1..1 |
Practitioner.name.given:given-middle.extension:EN-qualifier.value[x] | code | 1..1 |
Practitioner.name.given:given-middle.extension:EN-qualifier.value[x]:valueCode | code | 0..1 |
Practitioner.name.given:given-middle.value | System.String | 0..1 |
Practitioner.name.prefix | string | 0..* |
Practitioner.name.suffix | string | 0..* |
Practitioner.name.period | Period | 0..1 |
Practitioner.telecom | ContactPoint | 0..* |
Practitioner.address | Address | 0..* |
Practitioner.gender | code | 0..1 |
Practitioner.birthDate | date | 0..1 |
Practitioner.photo | Attachment | 0..* |
Practitioner.qualification | BackboneElement | 0..* |
Practitioner.qualification.id | string | 0..1 |
Practitioner.qualification.extension | Extension | 0..* |
Practitioner.qualification.modifierExtension | Extension | 0..* |
Practitioner.qualification.identifier | Identifier | 0..* |
Practitioner.qualification.code | CodeableConcept | 1..1 |
Practitioner.qualification.period | Period | 0..1 |
Practitioner.qualification.issuer | Reference(Organization) | 0..1 |
Practitioner.communication | CodeableConcept | 0..* |
JSON View
{
},
"description": "A person who is directly or indirectly involved in the provisioning of healthcare.\nThis resource will represent ordering practitioner and reporting/performing practitioner in scenarios where test results are performed and reported by physician.",
],
{
"short": "A person with a formal responsibility in the provisioning of healthcare or related services",
},
{
},
{
"human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
"xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
},
{
"human": "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",
"expression": "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()",
"xpath": "not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
},
{
{
},
{
"valueMarkdown": "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
}
],
},
{
}
],
{
},
{
},
{
},
{
}
]
},
{
"definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
"comment": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
},
{
{
}
],
}
],
},
{
{
},
{
}
],
"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.",
},
],
"ele-1"
],
{
}
],
]
},
{
"xmlAttr"
],
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
},
{
{
}
],
}
],
]
},
{
{
},
{
}
],
],
},
"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.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"extensions",
"user content"
],
},
],
"ele-1"
],
{
},
{
}
],
]
},
{
"definition": "The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted.",
"comment": "The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.",
},
],
"ele-1"
],
{
}
],
]
},
{
"comment": "This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a [read](http.html#read) interaction.",
},
],
"ele-1"
],
{
}
],
]
},
{
"definition": "A uri that identifies the source system of the resource. This provides a minimal amount of [Provenance](provenance.html#) information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.",
"comment": "In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. \n\nThis element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.",
},
],
"ele-1"
],
{
}
],
]
},
{
"definition": "A list of profiles (references to [StructureDefinition](structuredefinition.html#) resources) that this resource claims to conform to. The URL is a reference to [StructureDefinition.url](structuredefinition-definitions.html#StructureDefinition.url).",
"comment": "It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.",
},
{
"http://hl7.org/fhir/StructureDefinition/StructureDefinition"
]
}
],
"fixedCanonical": "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-lab-profile-Practitioner|2.0.0",
"ele-1"
],
{
}
],
]
},
{
{
},
{
}
],
"definition": "Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.",
"comment": "The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.",
},
],
"ele-1"
],
{
}
],
{
},
{
}
],
},
{
},
{
},
{
},
{
}
]
},
{
{
},
{
}
],
"definition": "Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.",
"comment": "The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.",
},
],
"ele-1"
],
{
}
],
{
}
],
"description": "Codes that represent various types of tags, commonly workflow-related; e.g. \"Needs review by Dr. Jones\".",
},
{
},
{
},
{
},
{
}
]
},
{
"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.",
"comment": "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.",
},
],
"ele-1"
],
{
}
],
"isModifierReason": "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
]
},
{
"comment": "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).",
},
],
"ele-1"
],
{
}
],
{
},
{
},
{
}
],
},
]
},
{
{
},
{
}
],
"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.",
"comment": "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.",
"narrative",
"html",
"xhtml",
"display"
],
},
],
"ele-1"
],
{
}
],
{
},
{
},
{
}
]
},
{
"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.",
"comment": "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.",
"inline resources",
"anonymous resources",
"contained resources"
],
},
],
]
},
{
{
},
{
}
],
],
},
"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.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"extensions",
"user content"
],
},
],
"ele-1"
],
{
},
{
}
],
]
},
{
{
},
{
}
],
],
},
"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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"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](extensibility.html#modifierExtension).",
"extensions",
"user content"
],
},
],
"ele-1"
],
{
},
{
}
],
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
]
},
{
{
},
{
}
],
"definition": "An identifier that applies to this person in this role.\nPractitioner ID (Licence): Practitioner, Dentist, Nurse Practitioner, Midwife.",
},
],
"ele-1"
],
{
}
],
{
},
{
},
{
"map": "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]"
},
{
},
{
},
{
},
{
},
{
}
]
},
{
"xmlAttr"
],
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
},
{
{
}
],
}
],
]
},
{
{
},
{
}
],
],
},
"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.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"extensions",
"user content"
],
},
],
"ele-1"
],
{
},
{
}
],
]
},
{
"comment": "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.",
"requirements": "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.",
},
],
"ele-1"
],
{
}
],
"isModifierReason": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.",
{
}
],
},
{
},
{
},
{
}
]
},
{
{
},
{
}
],
"definition": "A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.",
"comment": "This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.",
},
],
"ele-1"
],
{
}
],
{
},
{
}
],
"description": "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.",
},
{
},
{
},
{
},
{
},
{
},
{
}
]
},
{
"definition": "Establishes the namespace for the value - that is, a URL that describes a set values that are unique. See comment below for possible values",
"comment": "All practitioner license numbers are listed in the \"Identifiers\" page in the implementation guide.",
"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.",
},
],
{
},
{
},
{
}
],
"ele-1"
],
{
}
],
{
},
{
},
{
},
{
},
{
}
]
},
{
"definition": "The portion of the identifier typically relevant to the user and which is unique within the context of the system.",
"comment": "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](extension-rendered-value.html). 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.",
},
],
],
"ele-1"
],
{
}
],
{
},
{
},
{
},
{
},
{
}
]
},
{
{
},
{
}
],
"comment": "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\").\n\nPeriod is not used for a duration (a measure of elapsed time). See [Duration](datatypes.html#Duration).",
},
],
"ele-1"
],
{
},
{
"xpath": "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))",
}
],
{
},
{
},
{
"map": "IVL<TS>[lowClosed=\"true\" and highClosed=\"true\"] or URG<TS>[lowClosed=\"true\" and highClosed=\"true\"]"
},
{
},
{
},
{
}
]
},
{
{
},
{
}
],
"comment": "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.",
},
{
}
],
"ele-1"
],
{
},
{
"expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
}
],
{
},
{
},
{
},
{
"map": "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper"
},
{
}
]
},
{
"comment": "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.",
"requirements": "Need to be able to mark a practitioner record as not to be used because it was created in error.",
},
],
"meaningWhenMissing": "This resource is generally assumed to be active if no value is provided for the active element",
"ele-1"
],
{
}
],
{
},
{
},
{
}
]
},
{
{
},
{
}
],
"comment": "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. \n\nIn general, select the value to be used in the ResourceReference.display based on this:\n\n1. There is more than 1 name\n2. Use = usual\n3. Period is current to the date of the usage\n4. Use = official\n5. Other order as decided by internal business rules.",
"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.",
},
],
"ele-1"
],
{
}
],
{
},
{
},
{
},
{
},
{
},
{
},
{
}
]
},
{
"xmlAttr"
],
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
},
{
{
}
],
}
],
]
},
{
{
},
{
}
],
],
},
"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.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"extensions",
"user content"
],
},
],
"ele-1"
],
{
},
{
}
],
]
},
{
"comment": "Applications can assume that a name is current unless it explicitly says that it is temporary or old.",
"requirements": "Allows the appropriate name for a particular context of use to be selected from among a set of names.",
},
],
"ele-1"
],
{
}
],
"isModifierReason": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary or old name etc.for a current/permanent one",
{
}
],
},
{
},
{
},
{
},
{
}
]
},
{
"definition": "Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts.",
"comment": "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.",
},
],
"ele-1"
],
{
}
],
{
},
{
},
{
}
]
},
{
"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.",
"comment": "Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).",
"surname"
],
},
],
"ele-1"
],
{
}
],
{
},
{
},
{
},
{
},
{
}
]
},
{
],
},
"comment": "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.",
"first name",
"middle name"
],
},
],
"ele-1"
],
{
}
],
{
},
{
},
{
},
{
}
]
},
{
"comment": "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.",
"first name",
"middle name"
],
},
],
"ele-1"
],
{
}
],
{
},
{
},
{
},
{
},
{
}
]
},
{
"comment": "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.",
"first name",
"middle name"
],
},
],
"ele-1"
],
{
}
],
{
},
{
},
{
},
{
},
{
}
]
},
{
"xmlAttr"
],
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
},
{
{
}
],
}
],
]
},
{
{
},
{
}
],
],
},
"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.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"extensions",
"user content"
],
},
],
"ele-1"
],
{
},
{
}
],
]
},
{
{
},
{
}
],
"comment": "Used to indicate additional information about the name part and how it should be used.",
"extensions",
"user content"
],
},
{
}
],
"ele-1"
],
{
},
{
}
],
{
},
{
},
{
}
]
},
{
"xmlAttr"
],
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
},
{
{
}
],
}
],
]
},
{
{
},
{
}
],
],
},
"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.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"extensions",
"user content"
],
},
],
"ele-1"
],
{
},
{
}
],
]
},
{
"xmlAttr"
],
"comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
},
{
{
}
],
}
],
]
},
{
},
"definition": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).",
},
],
"ele-1"
],
{
}
],
{
}
],
"description": "A set of codes each of which specifies a certain subcategory of the name part in addition to the main name part type.",
},
]
},
{
"definition": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).",
},
],
"ele-1"
],
{
}
],
{
}
],
"description": "A set of codes each of which specifies a certain subcategory of the name part in addition to the main name part type.",
},
]
},
{
"xmlAttr"
],
},
{
{
},
{
}
],
}
],
},
{
"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.\nOLIS will return maximum one prefix",
},
],
"ele-1"
],
{
}
],
{
},
{
},
{
},
{
},
{
}
]
},
{
"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.\nOLIS will return maximum one suffix",
},
],
"ele-1"
],
{
}
],
{
},
{
},
{
},
{
}
]
},
{
{
},
{
}
],
"comment": "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\").\n\nPeriod is not used for a duration (a measure of elapsed time). See [Duration](datatypes.html#Duration).",
},
],
"ele-1"
],
{
},
{
"xpath": "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))",
}
],
{
},
{
},
{
"map": "IVL<TS>[lowClosed=\"true\" and highClosed=\"true\"] or URG<TS>[lowClosed=\"true\" and highClosed=\"true\"]"
},
{
},
{
},
{
}
]
},
{
{
},
{
}
],
"definition": "A contact detail for the practitioner, e.g. a telephone number or an email address.",
"comment": "Person may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and to help with identification. These typically will have home numbers, or mobile numbers that are not role specific.",
"requirements": "Need to know how to reach a practitioner independent to any roles the practitioner may have.",
},
],
"ele-1"
],
{
},
{
}
],
{
},
{
},
{
},
{
},
{
},
{
},
{
}
]
},
{
{
},
{
}
],
"definition": "Address(es) of the practitioner that are not role specific (typically home address). \nWork addresses are not typically entered in this property as they are usually role dependent.",
"comment": "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).",
"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.",
},
],
"ele-1"
],
{
}
],
{
},
{
},
{
},
{
},
{
},
{
},
{
}
]
},
{
"definition": "Administrative Gender - the gender that the person is considered to have for administration and record keeping purposes.",
},
],
"ele-1"
],
{
}
],
{
},
{
}
],
},
{
},
{
},
{
},
{
}
]
},
{
},
],
"ele-1"
],
{
}
],
{
},
{
},
{
},
{
}
]
},
{
{
},
{
}
],
"comment": "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\".",
"requirements": "Many EHR systems have the capability to capture an image of patients and personnel. Fits with newer social media usage too.",
},
],
"ele-1"
],
{
},
{
}
],
{
},
{
},
{
},
{
},
{
}
]
},
{
{
},
{
}
],
"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.",
},
],
"ele-1"
],
{
}
],
{
},
{
},
{
},
{
}
]
},
{
"xmlAttr"
],
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
},
{
{
}
],
}
],
]
},
{
{
},
{
}
],
],
},
"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.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"extensions",
"user content"
],
},
],
"ele-1"
],
{
},
{
}
],
]
},
{
{
},
{
}
],
"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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"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](extensibility.html#modifierExtension).",
"extensions",
"user content",
"modifiers"
],
},
],
"ele-1"
],
{
},
{
}
],
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
]
},
{
{
},
{
}
],
},
],
"ele-1"
],
{
}
],
{
},
{
},
{
"map": "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]"
},
{
},
{
}
]
},
{
{
},
{
}
],
"comment": "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.",
},
],
"ele-1"
],
{
}
],
{
}
],
},
{
},
{
},
{
},
{
},
{
},
{
}
]
},
{
{
},
{
}
],
"comment": "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\").\n\nPeriod is not used for a duration (a measure of elapsed time). See [Duration](datatypes.html#Duration).",
},
],
"ele-1"
],
{
},
{
"xpath": "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))",
}
],
{
},
{
},
{
"map": "IVL<TS>[lowClosed=\"true\" and highClosed=\"true\"] or URG<TS>[lowClosed=\"true\" and highClosed=\"true\"]"
},
{
},
{
}
]
},
{
{
},
{
}
],
"comment": "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.",
},
{
}
],
"ele-1"
],
{
},
{
"expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
}
],
{
},
{
},
{
}
]
},
{
{
},
{
}
],
"comment": "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.",
"requirements": "Knowing which language a practitioner speaks can help in facilitating communication with patients.",
},
],
"ele-1"
],
{
}
],
{
},
{
},
{
}
],
},
{
},
{
},
{
},
{
},
{
},
{
},
{
}
]
}
]
},
{
},
{
},
{
"fixedCanonical": "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-lab-profile-Practitioner|2.0.0",
},
{
"definition": "An identifier that applies to this person in this role.\nPractitioner ID (Licence): Practitioner, Dentist, Nurse Practitioner, Midwife.",
},
{
"definition": "Establishes the namespace for the value - that is, a URL that describes a set values that are unique. See comment below for possible values",
"comment": "All practitioner license numbers are listed in the \"Identifiers\" page in the implementation guide.",
{
},
{
}
],
]
},
{
]
},
{
},
{
]
},
{
],
},
},
{
]
},
{
]
},
{
},
},
{
{
}
],
},
{
}
},
{
},
{
"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.\nOLIS will return maximum one prefix",
]
},
{
"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.\nOLIS will return maximum one suffix",
]
}
]
}
}
Usage
The Practitioner resource contains practitioner information related to the lab report from OLIS.Notes
.id- This field SHALL contain an arbitrary id used for reference purposes.
- This field SHALL contain one or more identifiers for the practitioner.
- identifer.type contains a URI of the assigning authority of the identifier
- identifier.value contains the identifier value
- This field SHALL contain the name of the physician, which may include use, family, given, prefix and suffix.
- This MustSupport field SHOULD contain the contact information for the practitioner, if OLIS has the data.
- This MustSupport field SHOULD contain the address information for the practitioner, if OLIS has the data.