Practitioner (CA-Core)
Additional information on this profile (including the JSON & XML structure and detailed element descriptions) can be found at package/structuredefinition-profile-practitioner-ca-core.json
This profile imposes the CA Baseline (v1.1.5) Practitioner Profile.
Profile
Practitioner | I | Practitioner | There are no (further) constraints on this element Element IdPractitioner A person with a formal responsibility in the provisioning of healthcare or related services DefinitionA person who is directly or indirectly involved in the provisioning of healthcare.
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identifier | Σ | 0..* | Identifier | Element IdPractitioner.identifier An identifier for the person as this agent DefinitionAn identifier that applies to this person in this role. Often, specific identities are assigned for the agent. Unordered, Open, by type(Pattern) Constraints
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(All Slices) | There are no (further) constraints on this element | |||
use | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element IdPractitioner.identifier.use usual | official | temp | secondary | old (If known) DefinitionThe purpose of this identifier. Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Identifies the purpose for this identifier, if known . IdentifierUse (required)Constraints
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type | Σ | 0..1 | CodeableConceptBinding | There are no (further) constraints on this element Element IdPractitioner.identifier.type Description of identifier DefinitionA coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Allows users to make use of identifiers when the identifier system is not known. 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. A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes (extensible)Constraints
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system | Σ | 1..1 | uri | There are no (further) constraints on this element Element IdPractitioner.identifier.system The namespace for the identifier value DefinitionEstablishes the namespace for the value - that is, a URL that describes a set values that are unique. 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. Identifier.system is always case sensitive.
General http://www.acme.com/identifiers/patient Mappings
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value | Σ | 1..1 | string | There are no (further) constraints on this element Element IdPractitioner.identifier.value The value that is unique DefinitionThe portion of the identifier typically relevant to the user and which is unique within the context of the system. 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.
General 123456 Mappings
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period | Σ I | 0..1 | Period | There are no (further) constraints on this element Element IdPractitioner.identifier.period Time period when id is/was valid for use DefinitionTime period during which identifier is/was valid for use. 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.
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assigner | Σ I | 0..1 | Reference(Organization) | There are no (further) constraints on this element Element IdPractitioner.identifier.assigner Organization that issued id (may be just text) DefinitionOrganization that issued/manages the identifier. 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.
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nupi | Σ | 0..* | Identifier | Element IdPractitioner.identifier:nupi National Provider Identifier (Placeholder) DefinitionA provider national unique identification number (to be developed). Often, specific identities are assigned for the agent.
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use | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element IdPractitioner.identifier:nupi.use usual | official | temp | secondary | old (If known) DefinitionThe purpose of this identifier. Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Identifies the purpose for this identifier, if known . IdentifierUse (required)Constraints
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type | Σ | 0..1 | CodeableConceptBindingFixed Value | Element IdPractitioner.identifier:nupi.type Description of identifier DefinitionA coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Allows users to make use of identifiers when the identifier system is not known. 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. A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes (extensible)Constraints
{ "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "code": "NPI" } ] }
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system | Σ | 0..1 | uri | There are no (further) constraints on this element Element IdPractitioner.identifier:nupi.system The namespace for the identifier value DefinitionEstablishes the namespace for the value - that is, a URL that describes a set values that are unique. 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. Identifier.system is always case sensitive.
General http://www.acme.com/identifiers/patient Mappings
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value | Σ | 0..1 | string | There are no (further) constraints on this element Element IdPractitioner.identifier:nupi.value The value that is unique DefinitionThe portion of the identifier typically relevant to the user and which is unique within the context of the system. 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.
General 123456 Mappings
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period | Σ I | 0..1 | Period | There are no (further) constraints on this element Element IdPractitioner.identifier:nupi.period Time period when id is/was valid for use DefinitionTime period during which identifier is/was valid for use. 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.
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assigner | Σ I | 0..1 | Reference(Organization) | There are no (further) constraints on this element Element IdPractitioner.identifier:nupi.assigner Organization that issued id (may be just text) DefinitionOrganization that issued/manages the identifier. 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.
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registration | Σ | 0..* | Identifier | Element IdPractitioner.identifier:registration Provider Provincial/Territorial Registration Number (Placeholder) DefinitionA registration number, or suitable alternative, that uniquely identifies a provider who may register in more than one province or territory. Often, specific identities are assigned for the agent.
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use | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element IdPractitioner.identifier:registration.use usual | official | temp | secondary | old (If known) DefinitionThe purpose of this identifier. Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Identifies the purpose for this identifier, if known . IdentifierUse (required)Constraints
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type | Σ | 0..1 | CodeableConceptBindingFixed Value | Element IdPractitioner.identifier:registration.type Description of identifier DefinitionA coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Allows users to make use of identifiers when the identifier system is not known. 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. A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes (extensible)Constraints
{ "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "code": "PRN" } ] }
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system | Σ | 0..1 | uri | There are no (further) constraints on this element Element IdPractitioner.identifier:registration.system The namespace for the identifier value DefinitionEstablishes the namespace for the value - that is, a URL that describes a set values that are unique. 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. Identifier.system is always case sensitive.
General http://www.acme.com/identifiers/patient Mappings
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value | Σ | 0..1 | string | There are no (further) constraints on this element Element IdPractitioner.identifier:registration.value The value that is unique DefinitionThe portion of the identifier typically relevant to the user and which is unique within the context of the system. 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.
General 123456 Mappings
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period | Σ I | 0..1 | Period | There are no (further) constraints on this element Element IdPractitioner.identifier:registration.period Time period when id is/was valid for use DefinitionTime period during which identifier is/was valid for use. 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.
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assigner | Σ I | 0..1 | Reference(Organization) | There are no (further) constraints on this element Element IdPractitioner.identifier:registration.assigner Organization that issued id (may be just text) DefinitionOrganization that issued/manages the identifier. 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.
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billing | Σ | 0..* | Identifier | Element IdPractitioner.identifier:billing Provider Provincial/Territorial Billing Number DefinitionThe unique number assigned to a provider by a jurisdiction that allows the calculation and direct payment for claims submitted under the number. Often, specific identities are assigned for the agent.
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use | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element IdPractitioner.identifier:billing.use usual | official | temp | secondary | old (If known) DefinitionThe purpose of this identifier. Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Identifies the purpose for this identifier, if known . IdentifierUse (required)Constraints
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type | Σ | 0..1 | CodeableConceptBindingFixed Value | Element IdPractitioner.identifier:billing.type Description of identifier DefinitionA coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Allows users to make use of identifiers when the identifier system is not known. 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. A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes (extensible)Constraints
{ "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "code": "PRN" } ] }
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system | Σ | 0..1 | uri | There are no (further) constraints on this element Element IdPractitioner.identifier:billing.system The namespace for the identifier value DefinitionEstablishes the namespace for the value - that is, a URL that describes a set values that are unique. 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. Identifier.system is always case sensitive.
General http://www.acme.com/identifiers/patient Mappings
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value | Σ | 0..1 | string | There are no (further) constraints on this element Element IdPractitioner.identifier:billing.value The value that is unique DefinitionThe portion of the identifier typically relevant to the user and which is unique within the context of the system. 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.
General 123456 Mappings
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period | Σ I | 0..1 | Period | There are no (further) constraints on this element Element IdPractitioner.identifier:billing.period Time period when id is/was valid for use DefinitionTime period during which identifier is/was valid for use. 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.
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assigner | Σ I | 0..1 | Reference(Organization) | There are no (further) constraints on this element Element IdPractitioner.identifier:billing.assigner Organization that issued id (may be just text) DefinitionOrganization that issued/manages the identifier. 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.
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active | Σ | 0..1 | boolean | There are no (further) constraints on this element Element IdPractitioner.active Whether this practitioner's record is in active use DefinitionWhether this practitioner's record is in active use. Need to be able to mark a practitioner record as not to be used because it was created in error. 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. This resource is generally assumed to be active if no value is provided for the active element
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name | Σ | 0..* | HumanName | There are no (further) constraints on this element Element IdPractitioner.name The name(s) associated with the practitioner DefinitionThe name(s) associated with the practitioner. 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. 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:
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use | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element IdPractitioner.name.use usual | official | temp | nickname | anonymous | old | maiden DefinitionIdentifies the purpose for this name. Allows the appropriate name for a particular context of use to be selected from among a set of names. Applications can assume that a name is current unless it explicitly says that it is temporary or old. The use of a human name. NameUse (required)Constraints
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text | Σ | 0..1 | string | Element IdPractitioner.name.text Text representation of the full name DefinitionText 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 A renderable, unencoded form. 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.
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family | Σ | 0..1 | string | Element IdPractitioner.name.family Family name (often called 'Surname') Alternate namessurname DefinitionThe part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father. Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).
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given | Σ | 0..* | string | Element IdPractitioner.name.given Given names (not always 'first'). Includes middle names Alternate namesfirst name, middle name DefinitionGiven name. 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.
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prefix | Σ | 0..* | string | There are no (further) constraints on this element Element IdPractitioner.name.prefix Parts that come before the name DefinitionPart of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name. Note that FHIR strings SHALL NOT exceed 1MB in size
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suffix | Σ | 0..* | string | There are no (further) constraints on this element Element IdPractitioner.name.suffix Parts that come after the name DefinitionPart of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name. Note that FHIR strings SHALL NOT exceed 1MB in size
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period | Σ I | 0..1 | Period | There are no (further) constraints on this element Element IdPractitioner.name.period Time period when name was/is in use DefinitionIndicates the period of time when this name was valid for the named person. Allows names to be placed in historical context. 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.
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telecom | Σ I | 0..* | ContactPoint | Element IdPractitioner.telecom A contact detail for the practitioner (that apply to all roles) DefinitionA contact detail for the practitioner, e.g. a telephone number or an email address. Need to know how to reach a practitioner independent to any roles the practitioner may have. This element is included to elicit feedback on whether it is more reasonable to apply expectations to Practitioner.telecom or PractitionerRole.telecom for the purposes of exchanging the meaningful phone number and email information for the provider Unordered, Open, by system(Value) Constraints
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PhoneNumber | Σ I | 0..* | ContactPoint | There are no (further) constraints on this element Element IdPractitioner.telecom:PhoneNumber A contact detail for the practitioner (that apply to all roles) DefinitionA contact detail for the practitioner, e.g. a telephone number or an email address. Need to know how to reach a practitioner independent to any roles the practitioner may have. 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.
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system | Σ I | 0..1 | codeBindingFixed Value | Element IdPractitioner.telecom:PhoneNumber.system phone | fax | email | pager | url | sms | other DefinitionTelecommunications form for contact point - what communications system is required to make use of the contact. Note that FHIR strings SHALL NOT exceed 1MB in size Telecommunications form for contact point. ContactPointSystem (required)Constraints
phone
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value | Σ | 0..1 | string | Element IdPractitioner.telecom:PhoneNumber.value The actual contact point details DefinitionThe actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address). Need to support legacy numbers that are not in a tightly controlled format. Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.
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use | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element IdPractitioner.telecom:PhoneNumber.use home | work | temp | old | mobile - purpose of this contact point DefinitionIdentifies the purpose for the contact point. Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose. Applications can assume that a contact is current unless it explicitly says that it is temporary or old. Use of contact point. ContactPointUse (required)Constraints
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rank | Σ | 0..1 | positiveInt | There are no (further) constraints on this element Element IdPractitioner.telecom:PhoneNumber.rank Specify preferred order of use (1 = highest) DefinitionSpecifies 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. Note that rank does not necessarily follow the order in which the contacts are represented in the instance.
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period | Σ I | 0..1 | Period | There are no (further) constraints on this element Element IdPractitioner.telecom:PhoneNumber.period Time period when the contact point was/is in use DefinitionTime period when the contact point was/is in use. 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.
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Σ I | 0..* | ContactPoint | There are no (further) constraints on this element Element IdPractitioner.telecom:Email A contact detail for the practitioner (that apply to all roles) DefinitionA contact detail for the practitioner, e.g. a telephone number or an email address. Need to know how to reach a practitioner independent to any roles the practitioner may have. 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.
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system | Σ I | 0..1 | codeBindingFixed Value | Element IdPractitioner.telecom:Email.system phone | fax | email | pager | url | sms | other DefinitionTelecommunications form for contact point - what communications system is required to make use of the contact. Note that FHIR strings SHALL NOT exceed 1MB in size Telecommunications form for contact point. ContactPointSystem (required)Constraints
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value | Σ | 0..1 | string | Element IdPractitioner.telecom:Email.value The actual contact point details DefinitionThe actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address). Need to support legacy numbers that are not in a tightly controlled format. Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.
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use | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element IdPractitioner.telecom:Email.use home | work | temp | old | mobile - purpose of this contact point DefinitionIdentifies the purpose for the contact point. Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose. Applications can assume that a contact is current unless it explicitly says that it is temporary or old. Use of contact point. ContactPointUse (required)Constraints
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rank | Σ | 0..1 | positiveInt | There are no (further) constraints on this element Element IdPractitioner.telecom:Email.rank Specify preferred order of use (1 = highest) DefinitionSpecifies 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. Note that rank does not necessarily follow the order in which the contacts are represented in the instance.
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period | Σ I | 0..1 | Period | There are no (further) constraints on this element Element IdPractitioner.telecom:Email.period Time period when the contact point was/is in use DefinitionTime period when the contact point was/is in use. 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.
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address | Σ | 0..* | Address | There are no (further) constraints on this element Element IdPractitioner.address Address(es) of the practitioner that are not role specific (typically home address) DefinitionAddress(es) of the practitioner that are not role specific (typically home address). Work addresses are not typically entered in this property as they are usually role dependent. 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. 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).
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gender | Σ | 0..1 | codeBinding | There are no (further) constraints on this element Element IdPractitioner.gender male | female | other | unknown DefinitionAdministrative Gender - the gender that the person is considered to have for administration and record keeping purposes. Needed to address the person correctly. Note that FHIR strings SHALL NOT exceed 1MB in size The gender of a person used for administrative purposes. AdministrativeGender (required)Constraints
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birthDate | Σ | 0..1 | date | There are no (further) constraints on this element Element IdPractitioner.birthDate The date on which the practitioner was born DefinitionThe date of birth for the practitioner. Needed for identification.
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photo | I | 0..* | Attachment | There are no (further) constraints on this element Element IdPractitioner.photo Image of the person DefinitionImage of the person. Many EHR systems have the capability to capture an image of patients and personnel. Fits with newer social media usage too. 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".
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qualification | 0..* | BackboneElement | There are no (further) constraints on this element Element IdPractitioner.qualification Certification, licenses, or training pertaining to the provision of care DefinitionThe 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.
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identifier | 0..* | Identifier | There are no (further) constraints on this element Element IdPractitioner.qualification.identifier An identifier for this qualification for the practitioner DefinitionAn identifier that applies to this person's qualification in this role. Often, specific identities are assigned for the qualification.
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code | 1..1 | CodeableConcept | There are no (further) constraints on this element Element IdPractitioner.qualification.code Coded representation of the qualification DefinitionCoded representation of the qualification. 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. Specific qualification the practitioner has to provide a service. v2.0360.2.7 (example)Constraints
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period | I | 0..1 | Period | There are no (further) constraints on this element Element IdPractitioner.qualification.period Period during which the qualification is valid DefinitionPeriod during which the qualification is valid. Qualifications are often for a limited period of time, and can be revoked. 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.
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issuer | I | 0..1 | Reference(Organization) | There are no (further) constraints on this element Element IdPractitioner.qualification.issuer Organization that regulates and issues the qualification DefinitionOrganization that regulates and issues the qualification. 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.
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communication | 0..* | CodeableConceptBinding | There are no (further) constraints on this element Element IdPractitioner.communication A language the practitioner can use in patient communication DefinitionA language the practitioner can use in patient communication. Knowing which language a practitioner speaks can help in facilitating communication with patients. 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. A human language. CommonLanguages (preferred)Constraints
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Obligations
Obligations are a new (and evolving) mechanism in FHIR to provide a consistent and machine processable way for profiles to define their expectations for system behaviors.
This profile utilizes the Obligation Extension to convey these expectations.
Note: Simplifier is working on rendering of Obligations. In the meantime the Obligations applied on the profile (see JSON & XML structure) have been rendered as a table below for easier viewing.
Obligation Code | Actor | Elements |
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can-send | Server Actor (CA Core) | identifier, identifier:nupi, identifier:registration, identifier:billing, name, telecom, telecom:Phone, telecom:Email |
no-error | Client Actor (CA Core) | identifier, identifier:nupi, identifier:registration, name, telecom, telecom:Phone, telecom:Email |
Terminology
This version of the guide is based on the early content development of the pan-Canadian Health Data Content Framework (pCHDCF). The pCHDCF is still collaboratively defining recommended terminology and as such there are no terminology constraints are introduced into this version of the profile.
Mappings to pCHDCF
Draft Data Content Standard Element (As of 2023-11-09) | Draft Data Content Standard Element Definition (As of 2023-11-09) | FHIR Profile Element | Additional Notes |
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Provider National Unique Identifier | A registration number, or suitable alternative, that uniquely identifies a provider who may register in more than one province or territory. | Practitioner.identifier:nupi | |
Provider Provincial/Territorial Registration Number | A registration number, or suitable alternative, that uniquely identifies a provider in a particular jurisdiction. Assigned by the submitting jurisdiction for administrative purposes. | Practitioner.identifier:registration | This has been mapped as an identifier to account for the current broad definition that could be used administratively. Further narrowing of this concept towards medical licensure could result in expectations applied to Practitioner.qualification:license - Further feedback is requested to weigh in on the impact of duplicating license details as both identifiers and qualifications |
Provider Registration Province/Territory | The Canadian province or territory of registration, based on the jurisdiction or organization that submits provider data. | N/A* | Likely a candidate for a Practitioner-Registry CA Core Profile/Registry Actor (e.g., Practitioner.identifier:registration.assigner) - Further feedback is requested on whether this expectation is appropriate for application on the general Practitioner profile |
Provider Concurrent Registration Province/Territory | Any other Canadian province or territory that a provider is licensed in (for the same profession) at the time of registration or renewal. | N/A* | Likely a candidate for a Practitioner-Registry CA Core Profile/Registry Actor (e.g., Practitioner.identifier:registration.assigner) - Further feedback is requested on whether this expectation is appropriate for application on the general Practitioner profile |
Provider Concurrent Registration Country | Any other country that a provider is licensed in (for the same profession) at the time of registration or renewal. Each provider may identify up to 3 countries of concurrent registration. | N/A* | Likely a candidate for a Practitioner-Registry CA Core Profile/Registry Actor (e.g., Practitioner.identifier:registration.assigner.address) - Further feedback is requested on whether this expectation is appropriate for application on the general Practitioner profile |
Provider Registration Status | The class of licence/registration issued to a provider by a regulatory body or other professional association at the time of registration or renewal. | N/A* | Likely a candidate for a Practitioner-Registry CA Core Profile/Registry Actor (e.g., Practitioner.identifier:registration.extension:registrationdetails) - Further feedback is requested on whether this expectation is appropriate for application on the general Practitioner profile |
Provider Registration Date | The month/year in which the provider registered (or renewed) with a Canadian provincial/territorial health care provider regulatory body or professional association. | N/A* | Likely a candidate for a Practitioner-Registry CA Core Profile/Registry Actor (e.g., Practitioner.identifier:registration.extension:registrationdetails) - Further feedback is requested on whether this expectation is appropriate for application on the general Practitioner profile |
Provider Provincial/Territorial Billing Number | The unique number assigned to a provider by a jurisdiction that allows the calculation and direct payment for claims submitted under the number. | Practitioner.identifier:billing | |
Provider Billing Province/Territory | The jurisdiction issuing the provider's billing number. | N/A* | Likely a candidate for a Practitioner-Registry CA Core Profile/Registry Actor (e.g., Practitioner.identifier:billing.assigner) - Further feedback is requested on whether this expectation is appropriate for application on the general Practitioner profile |
Provider Last Name | Last name of the provider. | Practitioner.name.family | Practitioner.name.text be used to convey multiple pCHDCF name attributes (e.g., first name, last name) in a single string |
Provider First Name | First name of the provider. | Practitioner.name.given | |
Provider Phone Number | The phone number of the provider. | Practitioner.telecom:PhoneNumber.value | Pracitioner.telecom.system may be used to convey that the contact method is for telephone or an email which is indicated in the pCHDCF artefacts |
Provider Email | The email address of the care provider. | Practitioner.telecom:Email.value | Pracitioner.telecom.system may be used to convey that the contact method is for telephone or an email which is indicated in the pCHDCF artefacts |