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Practitioner
Links
Profile
Derived from
https://profiles.ihe.net/ITI/mCSD/StructureDefinition/IHE.mCSD.Practitioner
Description
A practitioner is any person that is providing cares services. This included licensed practitioners such as physicians, nurses, pharmacists, as well as non-licensed roles such as community health workers, home care providers, etc. A Practitioner may be associated with one or more Locations and one or Organizations, and one or more Healthcare Services. This relationship is defined using the PractitionerRole.
References to this resource
Resource Content
Practitioner | I | MCSDPractitioner | |
id | Σ | 0..1 | string |
meta | Σ | 0..1 | Meta |
implicitRules | Σ ?! | 0..0 | uri |
language | 0..1 | codeBinding | |
text | 0..1 | Narrative | |
contained | 0..* | Resource | |
extension | I | 0..* | Extension |
modifierExtension | ?! I | 0..0 | Extension |
identifier | S Σ | 0..* | Identifier |
active | S Σ | 0..1 | boolean |
name | S Σ | 1..* | HumanName |
id | 0..1 | string | |
extension | I | 0..* | Extension |
use | Σ ?! | 0..1 | codeBinding |
text | Σ | 0..1 | string |
family | S Σ | 0..1 | string |
given | S Σ | 0..* | string |
prefix | Σ | 0..* | string |
suffix | 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 | I | 0..* | Extension |
modifierExtension | Σ ?! I | 0..* | Extension |
identifier | 0..* | Identifier | |
code | 1..1 | CodeableConcept | |
period | 0..1 | Period | |
issuer | 0..1 | Reference(Organization) | |
communication | 0..* | CodeableConceptBinding |
Practitioner | I | MCSDPractitioner | |
id | Σ | 0..1 | id |
meta | Σ | 0..1 | Meta |
implicitRules | Σ ?! | 0..0 | uri |
language | 0..1 | codeBinding | |
text | 0..1 | Narrative | |
contained | 0..* | Resource | |
extension | I | 0..* | Extension |
modifierExtension | ?! I | 0..0 | Extension |
identifier | S Σ | 0..* | Identifier |
active | S Σ | 0..1 | boolean |
name | S Σ | 1..* | HumanName |
id | 0..1 | string | |
extension | I | 0..* | Extension |
use | Σ ?! | 0..1 | codeBinding |
text | Σ | 0..1 | string |
family | S Σ | 0..1 | string |
given | S Σ | 0..* | string |
prefix | Σ | 0..* | string |
suffix | 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 | I | 0..* | Extension |
modifierExtension | Σ ?! I | 0..* | Extension |
identifier | 0..* | Identifier | |
code | 1..1 | CodeableConcept | |
period | 0..1 | Period | |
issuer | 0..1 | Reference(Organization) | |
communication | 0..* | CodeableConceptBinding |
<StructureDefinition xmlns="http://hl7.org/fhir"> <id value="CA-CSD-Practitioner" /> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:able-to-populate" /> </extension> <extension url="code"> <valueCode value="SHOULD:populate" /> </extension> <extension url="elementId"> <valueString value="Practitioner.identifier" /> </extension> <extension url="elementId"> <valueString value="Practitioner.active" /> </extension> <extension url="elementId"> <valueString value="Practitioner.name" /> </extension> <extension url="elementId"> <valueString value="Practitioner.name.family" /> </extension> <extension url="elementId"> <valueString value="Practitioner.name.given" /> </extension> <extension url="actor"> <valueCanonical value="http://fhir.infoway-inforoute.ca/io/CA-CSD/ActorDefinition/server" /> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:no-error" /> </extension> <extension url="elementId"> <valueString value="Practitioner.identifier" /> </extension> <extension url="elementId"> <valueString value="Practitioner.active" /> </extension> <extension url="elementId"> <valueString value="Practitioner.name" /> </extension> <extension url="elementId"> <valueString value="Practitioner.name.family" /> </extension> <extension url="elementId"> <valueString value="Practitioner.name.given" /> </extension> <extension url="actor"> <valueCanonical value="http://fhir.infoway-inforoute.ca/io/CA-CSD/ActorDefinition/client" /> </extension> </extension> <url value="http://fhir.infoway-inforoute.ca/io/CA-CSD/StructureDefinition/CA-CSD-Practitioner" /> <name value="Practitioner" /> <status value="draft" /> <description value="A practitioner is any person that is providing cares services. This included licensed practitioners such as physicians, nurses, pharmacists, as well as non-licensed roles such as community health workers, home care providers, etc. A Practitioner may be associated with one or more Locations and one or Organizations, and one or more Healthcare Services. This relationship is defined using the PractitionerRole." /> <copyright value="Copyright © 2024+ Canada Health Infoway. All rights reserved. [Terms of Use and License Agreements](https://ic.infoway-inforoute.ca/en/about/tou). [Privacy Policy](https://www.infoway-inforoute.ca/en/legal/privacy-policy)." /> <fhirVersion value="4.0.1" /> <kind value="resource" /> <abstract value="false" /> <type value="Practitioner" /> <baseDefinition value="https://profiles.ihe.net/ITI/mCSD/StructureDefinition/IHE.mCSD.Practitioner" /> <derivation value="constraint" /> <snapshot> <element id="Practitioner"> <path value="Practitioner" /> <short value="A person with a formal responsibility in the provisioning of healthcare or related services" /> <definition value="A person who is directly or indirectly involved in the provisioning of healthcare." /> <min value="0" /> <max value="*" /> <base> <path value="Practitioner" /> <min value="0" /> <max value="*" /> </base> <constraint> <key value="dom-2" /> <severity value="error" /> <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources" /> <expression value="contained.contained.empty()" /> <xpath value="not(parent::f:contained and f:contained)" /> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" /> </constraint> <constraint> <key value="dom-3" /> <severity value="error" /> <human value="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 value="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 value="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='#'])]))" /> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" /> </constraint> <constraint> <key value="dom-4" /> <severity value="error" /> <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated" /> <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()" /> <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))" /> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" /> </constraint> <constraint> <key value="dom-5" /> <severity value="error" /> <human value="If a resource is contained in another resource, it SHALL NOT have a security label" /> <expression value="contained.meta.security.empty()" /> <xpath value="not(exists(f:contained/*/f:meta/f:security))" /> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" /> </constraint> <constraint> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice"> <valueBoolean value="true" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation"> <valueMarkdown value="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." /> </extension> <key value="dom-6" /> <severity value="warning" /> <human value="A resource should have narrative for robust management" /> <expression value="text.`div`.exists()" /> <xpath value="exists(f:text/h:div)" /> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" /> </constraint> <isModifier value="false" /> <isSummary value="false" /> <mapping> <identity value="rim" /> <map value="Entity. Role, or Act" /> </mapping> <mapping> <identity value="v2" /> <map value="PRD (as one example)" /> </mapping> <mapping> <identity value="rim" /> <map value="Role" /> </mapping> <mapping> <identity value="servd" /> <map value="Provider" /> </mapping> </element> <element id="Practitioner.id"> <path value="Practitioner.id" /> <short value="Logical id of this artifact" /> <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes." /> <comment value="The only time that a resource does not have an id is when it is being submitted to the server using a create operation." /> <min value="0" /> <max value="1" /> <base> <path value="Resource.id" /> <min value="0" /> <max value="1" /> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string" /> </extension> <code value="http://hl7.org/fhirpath/System.String" /> </type> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Practitioner.meta"> <path value="Practitioner.meta" /> <short value="Metadata about the resource" /> <definition value="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." /> <min value="0" /> <max value="1" /> <base> <path value="Resource.meta" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Meta" /> </type> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Practitioner.implicitRules"> <path value="Practitioner.implicitRules" /> <short value="A set of rules under which this content was created" /> <definition value="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 value="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." /> <min value="0" /> <max value="0" /> <base> <path value="Resource.implicitRules" /> <min value="0" /> <max value="1" /> </base> <type> <code value="uri" /> </type> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isModifier value="true" /> <isModifierReason value="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" /> <isSummary value="true" /> </element> <element id="Practitioner.language"> <path value="Practitioner.language" /> <short value="Language of the resource content" /> <definition value="The base language in which the resource is written." /> <comment value="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)." /> <min value="0" /> <max value="1" /> <base> <path value="Resource.language" /> <min value="0" /> <max value="1" /> </base> <type> <code value="code" /> </type> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isModifier value="false" /> <isSummary value="false" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet"> <valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="Language" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding"> <valueBoolean value="true" /> </extension> <strength value="preferred" /> <description value="A human language." /> <valueSet value="http://hl7.org/fhir/ValueSet/languages" /> </binding> </element> <element id="Practitioner.text"> <path value="Practitioner.text" /> <short value="Text summary of the resource, for human interpretation" /> <definition value="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 value="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." /> <alias value="narrative" /> <alias value="html" /> <alias value="xhtml" /> <alias value="display" /> <min value="0" /> <max value="1" /> <base> <path value="DomainResource.text" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Narrative" /> </type> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isModifier value="false" /> <isSummary value="false" /> <mapping> <identity value="rim" /> <map value="Act.text?" /> </mapping> </element> <element id="Practitioner.contained"> <path value="Practitioner.contained" /> <short value="Contained, inline Resources" /> <definition value="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 value="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." /> <alias value="inline resources" /> <alias value="anonymous resources" /> <alias value="contained resources" /> <min value="0" /> <max value="*" /> <base> <path value="DomainResource.contained" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Resource" /> </type> <isModifier value="false" /> <isSummary value="false" /> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="Practitioner.extension"> <path value="Practitioner.extension" /> <short value="Additional content defined by implementations" /> <definition value="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 value="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." /> <alias value="extensions" /> <alias value="user content" /> <min value="0" /> <max value="*" /> <base> <path value="DomainResource.extension" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Extension" /> </type> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ext-1" /> <severity value="error" /> <human value="Must have either extensions or value[x], not both" /> <expression value="extension.exists() != value.exists()" /> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])" /> <source value="http://hl7.org/fhir/StructureDefinition/Extension" /> </constraint> <isModifier value="false" /> <isSummary value="false" /> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="Practitioner.modifierExtension"> <path value="Practitioner.modifierExtension" /> <short value="Extension" /> <definition value="An Extension" /> <min value="0" /> <max value="0" /> <base> <path value="DomainResource.modifierExtension" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Extension" /> </type> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ext-1" /> <severity value="error" /> <human value="Must have either extensions or value[x], not both" /> <expression value="extension.exists() != value.exists()" /> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])" /> <source value="http://hl7.org/fhir/StructureDefinition/Extension" /> </constraint> <isModifier value="true" /> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them" /> <isSummary value="false" /> </element> <element id="Practitioner.identifier"> <path value="Practitioner.identifier" /> <short value="An identifier for the person as this agent" /> <definition value="An identifier that applies to this person in this role." /> <comment value="Identified as a query requirement through mCSD CapabilityStatement, and mustSupport element in the CA Baseline." /> <requirements value="Often, specific identities are assigned for the agent." /> <min value="0" /> <max value="*" /> <base> <path value="Practitioner.identifier" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Identifier" /> </type> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <mustSupport value="true" /> <isModifier value="false" /> <isSummary value="true" /> <mapping> <identity value="w5" /> <map value="FiveWs.identifier" /> </mapping> <mapping> <identity value="v2" /> <map value="PRD-7 (or XCN.1)" /> </mapping> <mapping> <identity value="rim" /> <map value="./id" /> </mapping> <mapping> <identity value="servd" /> <map value="./Identifiers" /> </mapping> </element> <element id="Practitioner.active"> <path value="Practitioner.active" /> <short value="Whether this practitioner's record is in active use" /> <definition value="Whether this practitioner's record is in active use." /> <comment value="Identified as a query requirement through mCSD CapabilityStatement." /> <requirements value="Need to be able to mark a practitioner record as not to be used because it was created in error." /> <min value="0" /> <max value="1" /> <base> <path value="Practitioner.active" /> <min value="0" /> <max value="1" /> </base> <type> <code value="boolean" /> </type> <meaningWhenMissing value="This resource is generally assumed to be active if no value is provided for the active element" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <mustSupport value="true" /> <isModifier value="false" /> <isSummary value="true" /> <mapping> <identity value="w5" /> <map value="FiveWs.status" /> </mapping> <mapping> <identity value="rim" /> <map value="./statusCode" /> </mapping> </element> <element id="Practitioner.name"> <path value="Practitioner.name" /> <short value="The name of the Practitioner." /> <definition value="The name of the Practitioner." /> <comment value="Identified as a query requirement through mCSD CapabilityStatement. Elements with a modified minimum cardinality of 1 will have a mustSupport element to ensure that it is populated." /> <requirements value="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." /> <min value="1" /> <max value="*" /> <base> <path value="Practitioner.name" /> <min value="0" /> <max value="*" /> </base> <type> <code value="HumanName" /> </type> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <mustSupport value="true" /> <isModifier value="false" /> <isSummary value="true" /> <mapping> <identity value="v2" /> <map value="XCN Components" /> </mapping> <mapping> <identity value="rim" /> <map value="./name" /> </mapping> <mapping> <identity value="servd" /> <map value="./PreferredName (GivenNames, FamilyName, TitleCode)" /> </mapping> </element> <element id="Practitioner.name.id"> <path value="Practitioner.name.id" /> <representation value="xmlAttr" /> <short value="Unique id for inter-element referencing" /> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." /> <min value="0" /> <max value="1" /> <base> <path value="Element.id" /> <min value="0" /> <max value="1" /> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string" /> </extension> <code value="http://hl7.org/fhirpath/System.String" /> </type> <isModifier value="false" /> <isSummary value="false" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> <element id="Practitioner.name.extension"> <path value="Practitioner.name.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <description value="Extensions are always sliced by (at least) url" /> <rules value="open" /> </slicing> <short value="Additional content defined by implementations" /> <definition value="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 value="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." /> <alias value="extensions" /> <alias value="user content" /> <min value="0" /> <max value="*" /> <base> <path value="Element.extension" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Extension" /> </type> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ext-1" /> <severity value="error" /> <human value="Must have either extensions or value[x], not both" /> <expression value="extension.exists() != value.exists()" /> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])" /> <source value="http://hl7.org/fhir/StructureDefinition/Extension" /> </constraint> <isModifier value="false" /> <isSummary value="false" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> <element id="Practitioner.name.use"> <path value="Practitioner.name.use" /> <short value="usual | official | temp | nickname | anonymous | old | maiden" /> <definition value="Identifies the purpose for this name." /> <comment value="Applications can assume that a name is current unless it explicitly says that it is temporary or old." /> <requirements value="Allows the appropriate name for a particular context of use to be selected from among a set of names." /> <min value="0" /> <max value="1" /> <base> <path value="HumanName.use" /> <min value="0" /> <max value="1" /> </base> <type> <code value="code" /> </type> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isModifier value="true" /> <isModifierReason value="This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one" /> <isSummary value="true" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="NameUse" /> </extension> <strength value="required" /> <description value="The use of a human name." /> <valueSet value="http://hl7.org/fhir/ValueSet/name-use|4.0.1" /> </binding> <mapping> <identity value="v2" /> <map value="XPN.7, but often indicated by which field contains the name" /> </mapping> <mapping> <identity value="rim" /> <map value="unique(./use)" /> </mapping> <mapping> <identity value="servd" /> <map value="./NamePurpose" /> </mapping> </element> <element id="Practitioner.name.text"> <path value="Practitioner.name.text" /> <short value="Text representation of the full name" /> <definition value="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 value="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." /> <requirements value="A renderable, unencoded form." /> <min value="0" /> <max value="1" /> <base> <path value="HumanName.text" /> <min value="0" /> <max value="1" /> </base> <type> <code value="string" /> </type> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isModifier value="false" /> <isSummary value="true" /> <mapping> <identity value="v2" /> <map value="implied by XPN.11" /> </mapping> <mapping> <identity value="rim" /> <map value="./formatted" /> </mapping> </element> <element id="Practitioner.name.family"> <path value="Practitioner.name.family" /> <short value="Family name (often called 'Surname')" /> <definition value="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 value="Identified as a query requirement through mCSD CapabilityStatement." /> <alias value="surname" /> <min value="0" /> <max value="1" /> <base> <path value="HumanName.family" /> <min value="0" /> <max value="1" /> </base> <type> <code value="string" /> </type> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <mustSupport value="true" /> <isModifier value="false" /> <isSummary value="true" /> <mapping> <identity value="v2" /> <map value="XPN.1/FN.1" /> </mapping> <mapping> <identity value="rim" /> <map value="./part[partType = FAM]" /> </mapping> <mapping> <identity value="servd" /> <map value="./FamilyName" /> </mapping> </element> <element id="Practitioner.name.given"> <path value="Practitioner.name.given" /> <short value="Given names (not always 'first'). Includes middle names" /> <definition value="Given name." /> <comment value="Identified as a query requirement through mCSD CapabilityStatement." /> <alias value="first name" /> <alias value="middle name" /> <min value="0" /> <max value="*" /> <base> <path value="HumanName.given" /> <min value="0" /> <max value="*" /> </base> <type> <code value="string" /> </type> <orderMeaning value="Given Names appear in the correct order for presenting the name" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <mustSupport value="true" /> <isModifier value="false" /> <isSummary value="true" /> <mapping> <identity value="v2" /> <map value="XPN.2 + XPN.3" /> </mapping> <mapping> <identity value="rim" /> <map value="./part[partType = GIV]" /> </mapping> <mapping> <identity value="servd" /> <map value="./GivenNames" /> </mapping> </element> <element id="Practitioner.name.prefix"> <path value="Practitioner.name.prefix" /> <short value="Parts that come before the name" /> <definition value="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." /> <min value="0" /> <max value="*" /> <base> <path value="HumanName.prefix" /> <min value="0" /> <max value="*" /> </base> <type> <code value="string" /> </type> <orderMeaning value="Prefixes appear in the correct order for presenting the name" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isModifier value="false" /> <isSummary value="true" /> <mapping> <identity value="v2" /> <map value="XPN.5" /> </mapping> <mapping> <identity value="rim" /> <map value="./part[partType = PFX]" /> </mapping> <mapping> <identity value="servd" /> <map value="./TitleCode" /> </mapping> </element> <element id="Practitioner.name.suffix"> <path value="Practitioner.name.suffix" /> <short value="Parts that come after the name" /> <definition value="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." /> <min value="0" /> <max value="*" /> <base> <path value="HumanName.suffix" /> <min value="0" /> <max value="*" /> </base> <type> <code value="string" /> </type> <orderMeaning value="Suffixes appear in the correct order for presenting the name" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isModifier value="false" /> <isSummary value="true" /> <mapping> <identity value="v2" /> <map value="XPN/4" /> </mapping> <mapping> <identity value="rim" /> <map value="./part[partType = SFX]" /> </mapping> </element> <element id="Practitioner.name.period"> <path value="Practitioner.name.period" /> <short value="Time period when name was/is in use" /> <definition value="Indicates the period of time when this name was valid for the named person." /> <requirements value="Allows names to be placed in historical context." /> <min value="0" /> <max value="1" /> <base> <path value="HumanName.period" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Period" /> </type> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isModifier value="false" /> <isSummary value="true" /> <mapping> <identity value="v2" /> <map value="XPN.13 + XPN.14" /> </mapping> <mapping> <identity value="rim" /> <map value="./usablePeriod[type="IVL<TS>"]" /> </mapping> <mapping> <identity value="servd" /> <map value="./StartDate and ./EndDate" /> </mapping> </element> <element id="Practitioner.telecom"> <path value="Practitioner.telecom" /> <short value="A contact detail for the practitioner (that apply to all roles)" /> <definition value="A contact detail for the practitioner, e.g. a telephone number or an email address." /> <comment value="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 value="Need to know how to reach a practitioner independent to any roles the practitioner may have." /> <min value="0" /> <max value="*" /> <base> <path value="Practitioner.telecom" /> <min value="0" /> <max value="*" /> </base> <type> <code value="ContactPoint" /> </type> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isModifier value="false" /> <isSummary value="true" /> <mapping> <identity value="v2" /> <map value="PRT-15, STF-10, ROL-12" /> </mapping> <mapping> <identity value="rim" /> <map value="./telecom" /> </mapping> <mapping> <identity value="servd" /> <map value="./ContactPoints" /> </mapping> </element> <element id="Practitioner.address"> <path value="Practitioner.address" /> <short value="Address(es) of the practitioner that are not role specific (typically home address)" /> <definition value="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 value="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 value="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." /> <min value="0" /> <max value="*" /> <base> <path value="Practitioner.address" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Address" /> </type> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isModifier value="false" /> <isSummary value="true" /> <mapping> <identity value="v2" /> <map value="ORC-24, STF-11, ROL-11, PRT-14" /> </mapping> <mapping> <identity value="rim" /> <map value="./addr" /> </mapping> <mapping> <identity value="servd" /> <map value="./Addresses" /> </mapping> </element> <element id="Practitioner.gender"> <path value="Practitioner.gender" /> <short value="male | female | other | unknown" /> <definition value="Administrative Gender - the gender that the person is considered to have for administration and record keeping purposes." /> <requirements value="Needed to address the person correctly." /> <min value="0" /> <max value="1" /> <base> <path value="Practitioner.gender" /> <min value="0" /> <max value="1" /> </base> <type> <code value="code" /> </type> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isModifier value="false" /> <isSummary value="true" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="AdministrativeGender" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding"> <valueBoolean value="true" /> </extension> <strength value="required" /> <description value="The gender of a person used for administrative purposes." /> <valueSet value="http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1" /> </binding> <mapping> <identity value="v2" /> <map value="STF-5" /> </mapping> <mapping> <identity value="rim" /> <map value="./administrativeGender" /> </mapping> <mapping> <identity value="servd" /> <map value="./GenderCode" /> </mapping> </element> <element id="Practitioner.birthDate"> <path value="Practitioner.birthDate" /> <short value="The date on which the practitioner was born" /> <definition value="The date of birth for the practitioner." /> <requirements value="Needed for identification." /> <min value="0" /> <max value="1" /> <base> <path value="Practitioner.birthDate" /> <min value="0" /> <max value="1" /> </base> <type> <code value="date" /> </type> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isModifier value="false" /> <isSummary value="true" /> <mapping> <identity value="v2" /> <map value="STF-6" /> </mapping> <mapping> <identity value="rim" /> <map value="./birthTime" /> </mapping> <mapping> <identity value="servd" /> <map value="(not represented in ServD)" /> </mapping> </element> <element id="Practitioner.photo"> <path value="Practitioner.photo" /> <short value="Image of the person" /> <definition value="Image of the person." /> <requirements value="Many EHR systems have the capability to capture an image of patients and personnel. Fits with newer social media usage too." /> <min value="0" /> <max value="*" /> <base> <path value="Practitioner.photo" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Attachment" /> </type> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isModifier value="false" /> <isSummary value="false" /> <mapping> <identity value="rim" /> <map value="./subjectOf/ObservationEvent[code="photo"]/value" /> </mapping> <mapping> <identity value="servd" /> <map value="./ImageURI (only supports the URI reference)" /> </mapping> </element> <element id="Practitioner.qualification"> <path value="Practitioner.qualification" /> <short value="Certification, licenses, or training pertaining to the provision of care" /> <definition value="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." /> <min value="0" /> <max value="*" /> <base> <path value="Practitioner.qualification" /> <min value="0" /> <max value="*" /> </base> <type> <code value="BackboneElement" /> </type> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isModifier value="false" /> <isSummary value="false" /> <mapping> <identity value="v2" /> <map value="CER?" /> </mapping> <mapping> <identity value="rim" /> <map value=".playingEntity.playingRole[classCode=QUAL].code" /> </mapping> <mapping> <identity value="servd" /> <map value="./Qualifications" /> </mapping> </element> <element id="Practitioner.qualification.id"> <path value="Practitioner.qualification.id" /> <representation value="xmlAttr" /> <short value="Unique id for inter-element referencing" /> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." /> <min value="0" /> <max value="1" /> <base> <path value="Element.id" /> <min value="0" /> <max value="1" /> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string" /> </extension> <code value="http://hl7.org/fhirpath/System.String" /> </type> <isModifier value="false" /> <isSummary value="false" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> <element id="Practitioner.qualification.extension"> <path value="Practitioner.qualification.extension" /> <short value="Additional content defined by implementations" /> <definition value="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 value="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." /> <alias value="extensions" /> <alias value="user content" /> <min value="0" /> <max value="*" /> <base> <path value="Element.extension" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Extension" /> </type> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ext-1" /> <severity value="error" /> <human value="Must have either extensions or value[x], not both" /> <expression value="extension.exists() != value.exists()" /> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])" /> <source value="http://hl7.org/fhir/StructureDefinition/Extension" /> </constraint> <isModifier value="false" /> <isSummary value="false" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> <element id="Practitioner.qualification.modifierExtension"> <path value="Practitioner.qualification.modifierExtension" /> <short value="Extensions that cannot be ignored even if unrecognized" /> <definition value="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 value="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 value="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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." /> <alias value="extensions" /> <alias value="user content" /> <alias value="modifiers" /> <min value="0" /> <max value="*" /> <base> <path value="BackboneElement.modifierExtension" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Extension" /> </type> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ext-1" /> <severity value="error" /> <human value="Must have either extensions or value[x], not both" /> <expression value="extension.exists() != value.exists()" /> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])" /> <source value="http://hl7.org/fhir/StructureDefinition/Extension" /> </constraint> <isModifier value="true" /> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" /> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="Practitioner.qualification.identifier"> <path value="Practitioner.qualification.identifier" /> <short value="An identifier for this qualification for the practitioner" /> <definition value="An identifier that applies to this person's qualification in this role." /> <requirements value="Often, specific identities are assigned for the qualification." /> <min value="0" /> <max value="*" /> <base> <path value="Practitioner.qualification.identifier" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Identifier" /> </type> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isModifier value="false" /> <isSummary value="false" /> <mapping> <identity value="rim" /> <map value=".playingEntity.playingRole[classCode=QUAL].id" /> </mapping> </element> <element id="Practitioner.qualification.code"> <path value="Practitioner.qualification.code" /> <short value="Coded representation of the qualification" /> <definition value="Coded representation of the qualification." /> <min value="1" /> <max value="1" /> <base> <path value="Practitioner.qualification.code" /> <min value="1" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isModifier value="false" /> <isSummary value="false" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="Qualification" /> </extension> <strength value="example" /> <description value="Specific qualification the practitioner has to provide a service." /> <valueSet value="http://terminology.hl7.org/ValueSet/v2-2.7-0360" /> </binding> <mapping> <identity value="rim" /> <map value=".playingEntity.playingRole[classCode=QUAL].code" /> </mapping> <mapping> <identity value="servd" /> <map value="./Qualifications.Value" /> </mapping> </element> <element id="Practitioner.qualification.period"> <path value="Practitioner.qualification.period" /> <short value="Period during which the qualification is valid" /> <definition value="Period during which the qualification is valid." /> <requirements value="Qualifications are often for a limited period of time, and can be revoked." /> <min value="0" /> <max value="1" /> <base> <path value="Practitioner.qualification.period" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Period" /> </type> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isModifier value="false" /> <isSummary value="false" /> <mapping> <identity value="rim" /> <map value=".playingEntity.playingRole[classCode=QUAL].effectiveTime" /> </mapping> <mapping> <identity value="servd" /> <map value="./Qualifications.StartDate and ./Qualifications.EndDate" /> </mapping> </element> <element id="Practitioner.qualification.issuer"> <path value="Practitioner.qualification.issuer" /> <short value="Organization that regulates and issues the qualification" /> <definition value="Organization that regulates and issues the qualification." /> <min value="0" /> <max value="1" /> <base> <path value="Practitioner.qualification.issuer" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization" /> </type> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isModifier value="false" /> <isSummary value="false" /> <mapping> <identity value="rim" /> <map value=".playingEntity.playingRole[classCode=QUAL].scoper" /> </mapping> </element> <element id="Practitioner.communication"> <path value="Practitioner.communication" /> <short value="A language the practitioner can use in patient communication" /> <definition value="A language the practitioner can use in patient communication." /> <comment value="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 value="Knowing which language a practitioner speaks can help in facilitating communication with patients." /> <min value="0" /> <max value="*" /> <base> <path value="Practitioner.communication" /> <min value="0" /> <max value="*" /> </base> <type> <code value="CodeableConcept" /> </type> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isModifier value="false" /> <isSummary value="false" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet"> <valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="Language" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding"> <valueBoolean value="true" /> </extension> <strength value="preferred" /> <description value="A human language." /> <valueSet value="http://hl7.org/fhir/ValueSet/languages" /> </binding> <mapping> <identity value="v2" /> <map value="PID-15, NK1-20, LAN-2" /> </mapping> <mapping> <identity value="rim" /> <map value="./languageCommunication" /> </mapping> <mapping> <identity value="servd" /> <map value="./Languages.LanguageSpokenCode" /> </mapping> </element> </snapshot> <differential> <element id="Practitioner.identifier"> <path value="Practitioner.identifier" /> <comment value="Identified as a query requirement through mCSD CapabilityStatement, and mustSupport element in the CA Baseline." /> <mustSupport value="true" /> </element> <element id="Practitioner.active"> <path value="Practitioner.active" /> <comment value="Identified as a query requirement through mCSD CapabilityStatement." /> <mustSupport value="true" /> </element> <element id="Practitioner.name"> <path value="Practitioner.name" /> <comment value="Identified as a query requirement through mCSD CapabilityStatement. Elements with a modified minimum cardinality of 1 will have a mustSupport element to ensure that it is populated." /> <mustSupport value="true" /> </element> <element id="Practitioner.name.family"> <path value="Practitioner.name.family" /> <comment value="Identified as a query requirement through mCSD CapabilityStatement." /> <mustSupport value="true" /> </element> <element id="Practitioner.name.given"> <path value="Practitioner.name.given" /> <comment value="Identified as a query requirement through mCSD CapabilityStatement." /> <mustSupport value="true" /> </element> </differential> </StructureDefinition>
{ "resourceType": "StructureDefinition", "id": "CA-CSD-Practitioner", "extension": [ { "extension": [ { "url": "code", "valueCode": "SHALL:able-to-populate" }, { "url": "code", "valueCode": "SHOULD:populate" }, { "url": "elementId", "valueString": "Practitioner.identifier" }, { "url": "elementId", "valueString": "Practitioner.active" }, { "url": "elementId", "valueString": "Practitioner.name" }, { "url": "elementId", "valueString": "Practitioner.name.family" }, { "url": "elementId", "valueString": "Practitioner.name.given" }, { "url": "actor", "valueCanonical": "http://fhir.infoway-inforoute.ca/io/CA-CSD/ActorDefinition/server" } ], "url": "http://hl7.org/fhir/StructureDefinition/obligation" }, { "extension": [ { "url": "code", "valueCode": "SHALL:no-error" }, { "url": "elementId", "valueString": "Practitioner.identifier" }, { "url": "elementId", "valueString": "Practitioner.active" }, { "url": "elementId", "valueString": "Practitioner.name" }, { "url": "elementId", "valueString": "Practitioner.name.family" }, { "url": "elementId", "valueString": "Practitioner.name.given" }, { "url": "actor", "valueCanonical": "http://fhir.infoway-inforoute.ca/io/CA-CSD/ActorDefinition/client" } ], "url": "http://hl7.org/fhir/StructureDefinition/obligation" } ], "url": "http://fhir.infoway-inforoute.ca/io/CA-CSD/StructureDefinition/CA-CSD-Practitioner", "name": "Practitioner", "status": "draft", "description": "A practitioner is any person that is providing cares services. This included licensed practitioners such as physicians, nurses, pharmacists, as well as non-licensed roles such as community health workers, home care providers, etc. A Practitioner may be associated with one or more Locations and one or Organizations, and one or more Healthcare Services. This relationship is defined using the PractitionerRole.", "copyright": "Copyright © 2024+ Canada Health Infoway. All rights reserved. [Terms of Use and License Agreements](https://ic.infoway-inforoute.ca/en/about/tou). [Privacy Policy](https://www.infoway-inforoute.ca/en/legal/privacy-policy).", "fhirVersion": "4.0.1", "kind": "resource", "abstract": false, "type": "Practitioner", "baseDefinition": "https://profiles.ihe.net/ITI/mCSD/StructureDefinition/IHE.mCSD.Practitioner", "derivation": "constraint", "snapshot": { "element": [ { "id": "Practitioner", "path": "Practitioner", "short": "A person with a formal responsibility in the provisioning of healthcare or related services", "definition": "A person who is directly or indirectly involved in the provisioning of healthcare.", "min": 0, "max": "*", "base": { "path": "Practitioner", "min": 0, "max": "*" }, "constraint": [ { "key": "dom-2", "severity": "error", "human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources", "expression": "contained.contained.empty()", "xpath": "not(parent::f:contained and f:contained)", "source": "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key": "dom-3", "severity": "error", "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='#'])]))", "source": "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key": "dom-4", "severity": "error", "human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated", "expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()", "xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))", "source": "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key": "dom-5", "severity": "error", "human": "If a resource is contained in another resource, it SHALL NOT have a security label", "expression": "contained.meta.security.empty()", "xpath": "not(exists(f:contained/*/f:meta/f:security))", "source": "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice", "valueBoolean": true }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation", "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." } ], "key": "dom-6", "severity": "warning", "human": "A resource should have narrative for robust management", "expression": "text.`div`.exists()", "xpath": "exists(f:text/h:div)", "source": "http://hl7.org/fhir/StructureDefinition/DomainResource" } ], "isModifier": false, "isSummary": false, "mapping": [ { "identity": "rim", "map": "Entity. Role, or Act" }, { "identity": "v2", "map": "PRD (as one example)" }, { "identity": "rim", "map": "Role" }, { "identity": "servd", "map": "Provider" } ] }, { "id": "Practitioner.id", "path": "Practitioner.id", "short": "Logical id of this artifact", "definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.", "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.", "min": 0, "max": "1", "base": { "path": "Resource.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "isModifier": false, "isSummary": true }, { "id": "Practitioner.meta", "path": "Practitioner.meta", "short": "Metadata about the resource", "definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.", "min": 0, "max": "1", "base": { "path": "Resource.meta", "min": 0, "max": "1" }, "type": [ { "code": "Meta" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": false, "isSummary": true }, { "id": "Practitioner.implicitRules", "path": "Practitioner.implicitRules", "short": "A set of rules under which this content was created", "definition": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.", "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.", "min": 0, "max": "0", "base": { "path": "Resource.implicitRules", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": true, "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", "isSummary": true }, { "id": "Practitioner.language", "path": "Practitioner.language", "short": "Language of the resource content", "definition": "The base language in which the resource is written.", "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).", "min": 0, "max": "1", "base": { "path": "Resource.language", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": false, "isSummary": false, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet", "valueCanonical": "http://hl7.org/fhir/ValueSet/all-languages" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "Language" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding", "valueBoolean": true } ], "strength": "preferred", "description": "A human language.", "valueSet": "http://hl7.org/fhir/ValueSet/languages" } }, { "id": "Practitioner.text", "path": "Practitioner.text", "short": "Text summary of the resource, for human interpretation", "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.", "alias": [ "narrative", "html", "xhtml", "display" ], "min": 0, "max": "1", "base": { "path": "DomainResource.text", "min": 0, "max": "1" }, "type": [ { "code": "Narrative" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": false, "isSummary": false, "mapping": [ { "identity": "rim", "map": "Act.text?" } ] }, { "id": "Practitioner.contained", "path": "Practitioner.contained", "short": "Contained, inline Resources", "definition": "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.", "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.", "alias": [ "inline resources", "anonymous resources", "contained resources" ], "min": 0, "max": "*", "base": { "path": "DomainResource.contained", "min": 0, "max": "*" }, "type": [ { "code": "Resource" } ], "isModifier": false, "isSummary": false, "mapping": [ { "identity": "rim", "map": "N/A" } ] }, { "id": "Practitioner.extension", "path": "Practitioner.extension", "short": "Additional content defined by implementations", "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "DomainResource.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": false, "isSummary": false, "mapping": [ { "identity": "rim", "map": "N/A" } ] }, { "id": "Practitioner.modifierExtension", "path": "Practitioner.modifierExtension", "short": "Extension", "definition": "An Extension", "min": 0, "max": "0", "base": { "path": "DomainResource.modifierExtension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": true, "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them", "isSummary": false }, { "id": "Practitioner.identifier", "path": "Practitioner.identifier", "short": "An identifier for the person as this agent", "definition": "An identifier that applies to this person in this role.", "comment": "Identified as a query requirement through mCSD CapabilityStatement, and mustSupport element in the CA Baseline.", "requirements": "Often, specific identities are assigned for the agent.", "min": 0, "max": "*", "base": { "path": "Practitioner.identifier", "min": 0, "max": "*" }, "type": [ { "code": "Identifier" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isModifier": false, "isSummary": true, "mapping": [ { "identity": "w5", "map": "FiveWs.identifier" }, { "identity": "v2", "map": "PRD-7 (or XCN.1)" }, { "identity": "rim", "map": "./id" }, { "identity": "servd", "map": "./Identifiers" } ] }, { "id": "Practitioner.active", "path": "Practitioner.active", "short": "Whether this practitioner's record is in active use", "definition": "Whether this practitioner's record is in active use.", "comment": "Identified as a query requirement through mCSD CapabilityStatement.", "requirements": "Need to be able to mark a practitioner record as not to be used because it was created in error.", "min": 0, "max": "1", "base": { "path": "Practitioner.active", "min": 0, "max": "1" }, "type": [ { "code": "boolean" } ], "meaningWhenMissing": "This resource is generally assumed to be active if no value is provided for the active element", "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isModifier": false, "isSummary": true, "mapping": [ { "identity": "w5", "map": "FiveWs.status" }, { "identity": "rim", "map": "./statusCode" } ] }, { "id": "Practitioner.name", "path": "Practitioner.name", "short": "The name of the Practitioner.", "definition": "The name of the Practitioner.", "comment": "Identified as a query requirement through mCSD CapabilityStatement. Elements with a modified minimum cardinality of 1 will have a mustSupport element to ensure that it is populated.", "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.", "min": 1, "max": "*", "base": { "path": "Practitioner.name", "min": 0, "max": "*" }, "type": [ { "code": "HumanName" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isModifier": false, "isSummary": true, "mapping": [ { "identity": "v2", "map": "XCN Components" }, { "identity": "rim", "map": "./name" }, { "identity": "servd", "map": "./PreferredName (GivenNames, FamilyName, TitleCode)" } ] }, { "id": "Practitioner.name.id", "path": "Practitioner.name.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "isModifier": false, "isSummary": false, "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Practitioner.name.extension", "path": "Practitioner.name.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": false, "isSummary": false, "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Practitioner.name.use", "path": "Practitioner.name.use", "short": "usual | official | temp | nickname | anonymous | old | maiden", "definition": "Identifies the purpose for this name.", "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.", "min": 0, "max": "1", "base": { "path": "HumanName.use", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": true, "isModifierReason": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary or old name etc.for a current/permanent one", "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "NameUse" } ], "strength": "required", "description": "The use of a human name.", "valueSet": "http://hl7.org/fhir/ValueSet/name-use|4.0.1" }, "mapping": [ { "identity": "v2", "map": "XPN.7, but often indicated by which field contains the name" }, { "identity": "rim", "map": "unique(./use)" }, { "identity": "servd", "map": "./NamePurpose" } ] }, { "id": "Practitioner.name.text", "path": "Practitioner.name.text", "short": "Text representation of the full name", "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.", "requirements": "A renderable, unencoded form.", "min": 0, "max": "1", "base": { "path": "HumanName.text", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": false, "isSummary": true, "mapping": [ { "identity": "v2", "map": "implied by XPN.11" }, { "identity": "rim", "map": "./formatted" } ] }, { "id": "Practitioner.name.family", "path": "Practitioner.name.family", "short": "Family name (often called 'Surname')", "definition": "The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.", "comment": "Identified as a query requirement through mCSD CapabilityStatement.", "alias": [ "surname" ], "min": 0, "max": "1", "base": { "path": "HumanName.family", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isModifier": false, "isSummary": true, "mapping": [ { "identity": "v2", "map": "XPN.1/FN.1" }, { "identity": "rim", "map": "./part[partType = FAM]" }, { "identity": "servd", "map": "./FamilyName" } ] }, { "id": "Practitioner.name.given", "path": "Practitioner.name.given", "short": "Given names (not always 'first'). Includes middle names", "definition": "Given name.", "comment": "Identified as a query requirement through mCSD CapabilityStatement.", "alias": [ "first name", "middle name" ], "min": 0, "max": "*", "base": { "path": "HumanName.given", "min": 0, "max": "*" }, "type": [ { "code": "string" } ], "orderMeaning": "Given Names appear in the correct order for presenting the name", "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isModifier": false, "isSummary": true, "mapping": [ { "identity": "v2", "map": "XPN.2 + XPN.3" }, { "identity": "rim", "map": "./part[partType = GIV]" }, { "identity": "servd", "map": "./GivenNames" } ] }, { "id": "Practitioner.name.prefix", "path": "Practitioner.name.prefix", "short": "Parts that come before the name", "definition": "Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name.", "min": 0, "max": "*", "base": { "path": "HumanName.prefix", "min": 0, "max": "*" }, "type": [ { "code": "string" } ], "orderMeaning": "Prefixes appear in the correct order for presenting the name", "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": false, "isSummary": true, "mapping": [ { "identity": "v2", "map": "XPN.5" }, { "identity": "rim", "map": "./part[partType = PFX]" }, { "identity": "servd", "map": "./TitleCode" } ] }, { "id": "Practitioner.name.suffix", "path": "Practitioner.name.suffix", "short": "Parts that come after the name", "definition": "Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name.", "min": 0, "max": "*", "base": { "path": "HumanName.suffix", "min": 0, "max": "*" }, "type": [ { "code": "string" } ], "orderMeaning": "Suffixes appear in the correct order for presenting the name", "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": false, "isSummary": true, "mapping": [ { "identity": "v2", "map": "XPN/4" }, { "identity": "rim", "map": "./part[partType = SFX]" } ] }, { "id": "Practitioner.name.period", "path": "Practitioner.name.period", "short": "Time period when name was/is in use", "definition": "Indicates the period of time when this name was valid for the named person.", "requirements": "Allows names to be placed in historical context.", "min": 0, "max": "1", "base": { "path": "HumanName.period", "min": 0, "max": "1" }, "type": [ { "code": "Period" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": false, "isSummary": true, "mapping": [ { "identity": "v2", "map": "XPN.13 + XPN.14" }, { "identity": "rim", "map": "./usablePeriod[type=\"IVL<TS>\"]" }, { "identity": "servd", "map": "./StartDate and ./EndDate" } ] }, { "id": "Practitioner.telecom", "path": "Practitioner.telecom", "short": "A contact detail for the practitioner (that apply to all roles)", "definition": "A contact detail for the practitioner, e.g. a telephone number or an email address.", "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.", "min": 0, "max": "*", "base": { "path": "Practitioner.telecom", "min": 0, "max": "*" }, "type": [ { "code": "ContactPoint" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": false, "isSummary": true, "mapping": [ { "identity": "v2", "map": "PRT-15, STF-10, ROL-12" }, { "identity": "rim", "map": "./telecom" }, { "identity": "servd", "map": "./ContactPoints" } ] }, { "id": "Practitioner.address", "path": "Practitioner.address", "short": "Address(es) of the practitioner that are not role specific (typically home address)", "definition": "Address(es) of the practitioner that are not role specific (typically home address). \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.", "min": 0, "max": "*", "base": { "path": "Practitioner.address", "min": 0, "max": "*" }, "type": [ { "code": "Address" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": false, "isSummary": true, "mapping": [ { "identity": "v2", "map": "ORC-24, STF-11, ROL-11, PRT-14" }, { "identity": "rim", "map": "./addr" }, { "identity": "servd", "map": "./Addresses" } ] }, { "id": "Practitioner.gender", "path": "Practitioner.gender", "short": "male | female | other | unknown", "definition": "Administrative Gender - the gender that the person is considered to have for administration and record keeping purposes.", "requirements": "Needed to address the person correctly.", "min": 0, "max": "1", "base": { "path": "Practitioner.gender", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": false, "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "AdministrativeGender" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding", "valueBoolean": true } ], "strength": "required", "description": "The gender of a person used for administrative purposes.", "valueSet": "http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1" }, "mapping": [ { "identity": "v2", "map": "STF-5" }, { "identity": "rim", "map": "./administrativeGender" }, { "identity": "servd", "map": "./GenderCode" } ] }, { "id": "Practitioner.birthDate", "path": "Practitioner.birthDate", "short": "The date on which the practitioner was born", "definition": "The date of birth for the practitioner.", "requirements": "Needed for identification.", "min": 0, "max": "1", "base": { "path": "Practitioner.birthDate", "min": 0, "max": "1" }, "type": [ { "code": "date" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": false, "isSummary": true, "mapping": [ { "identity": "v2", "map": "STF-6" }, { "identity": "rim", "map": "./birthTime" }, { "identity": "servd", "map": "(not represented in ServD)" } ] }, { "id": "Practitioner.photo", "path": "Practitioner.photo", "short": "Image of the person", "definition": "Image of the person.", "requirements": "Many EHR systems have the capability to capture an image of patients and personnel. Fits with newer social media usage too.", "min": 0, "max": "*", "base": { "path": "Practitioner.photo", "min": 0, "max": "*" }, "type": [ { "code": "Attachment" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": false, "isSummary": false, "mapping": [ { "identity": "rim", "map": "./subjectOf/ObservationEvent[code=\"photo\"]/value" }, { "identity": "servd", "map": "./ImageURI (only supports the URI reference)" } ] }, { "id": "Practitioner.qualification", "path": "Practitioner.qualification", "short": "Certification, licenses, or training pertaining to the provision of care", "definition": "The official certifications, training, and licenses that authorize or otherwise pertain to the provision of care by the practitioner. For example, a medical license issued by a medical board authorizing the practitioner to practice medicine within a certian locality.", "min": 0, "max": "*", "base": { "path": "Practitioner.qualification", "min": 0, "max": "*" }, "type": [ { "code": "BackboneElement" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": false, "isSummary": false, "mapping": [ { "identity": "v2", "map": "CER?" }, { "identity": "rim", "map": ".playingEntity.playingRole[classCode=QUAL].code" }, { "identity": "servd", "map": "./Qualifications" } ] }, { "id": "Practitioner.qualification.id", "path": "Practitioner.qualification.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "isModifier": false, "isSummary": false, "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Practitioner.qualification.extension", "path": "Practitioner.qualification.extension", "short": "Additional content defined by implementations", "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": false, "isSummary": false, "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Practitioner.qualification.modifierExtension", "path": "Practitioner.qualification.modifierExtension", "short": "Extensions that cannot be ignored even if unrecognized", "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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).", "alias": [ "extensions", "user content", "modifiers" ], "min": 0, "max": "*", "base": { "path": "BackboneElement.modifierExtension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": true, "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them", "isSummary": true, "mapping": [ { "identity": "rim", "map": "N/A" } ] }, { "id": "Practitioner.qualification.identifier", "path": "Practitioner.qualification.identifier", "short": "An identifier for this qualification for the practitioner", "definition": "An identifier that applies to this person's qualification in this role.", "requirements": "Often, specific identities are assigned for the qualification.", "min": 0, "max": "*", "base": { "path": "Practitioner.qualification.identifier", "min": 0, "max": "*" }, "type": [ { "code": "Identifier" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": false, "isSummary": false, "mapping": [ { "identity": "rim", "map": ".playingEntity.playingRole[classCode=QUAL].id" } ] }, { "id": "Practitioner.qualification.code", "path": "Practitioner.qualification.code", "short": "Coded representation of the qualification", "definition": "Coded representation of the qualification.", "min": 1, "max": "1", "base": { "path": "Practitioner.qualification.code", "min": 1, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": false, "isSummary": false, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "Qualification" } ], "strength": "example", "description": "Specific qualification the practitioner has to provide a service.", "valueSet": "http://terminology.hl7.org/ValueSet/v2-2.7-0360" }, "mapping": [ { "identity": "rim", "map": ".playingEntity.playingRole[classCode=QUAL].code" }, { "identity": "servd", "map": "./Qualifications.Value" } ] }, { "id": "Practitioner.qualification.period", "path": "Practitioner.qualification.period", "short": "Period during which the qualification is valid", "definition": "Period during which the qualification is valid.", "requirements": "Qualifications are often for a limited period of time, and can be revoked.", "min": 0, "max": "1", "base": { "path": "Practitioner.qualification.period", "min": 0, "max": "1" }, "type": [ { "code": "Period" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": false, "isSummary": false, "mapping": [ { "identity": "rim", "map": ".playingEntity.playingRole[classCode=QUAL].effectiveTime" }, { "identity": "servd", "map": "./Qualifications.StartDate and ./Qualifications.EndDate" } ] }, { "id": "Practitioner.qualification.issuer", "path": "Practitioner.qualification.issuer", "short": "Organization that regulates and issues the qualification", "definition": "Organization that regulates and issues the qualification.", "min": 0, "max": "1", "base": { "path": "Practitioner.qualification.issuer", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Organization" ] } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": false, "isSummary": false, "mapping": [ { "identity": "rim", "map": ".playingEntity.playingRole[classCode=QUAL].scoper" } ] }, { "id": "Practitioner.communication", "path": "Practitioner.communication", "short": "A language the practitioner can use in patient communication", "definition": "A language the practitioner can use in patient communication.", "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.", "min": 0, "max": "*", "base": { "path": "Practitioner.communication", "min": 0, "max": "*" }, "type": [ { "code": "CodeableConcept" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": false, "isSummary": false, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet", "valueCanonical": "http://hl7.org/fhir/ValueSet/all-languages" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "Language" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding", "valueBoolean": true } ], "strength": "preferred", "description": "A human language.", "valueSet": "http://hl7.org/fhir/ValueSet/languages" }, "mapping": [ { "identity": "v2", "map": "PID-15, NK1-20, LAN-2" }, { "identity": "rim", "map": "./languageCommunication" }, { "identity": "servd", "map": "./Languages.LanguageSpokenCode" } ] } ] }, "differential": { "element": [ { "id": "Practitioner.identifier", "path": "Practitioner.identifier", "comment": "Identified as a query requirement through mCSD CapabilityStatement, and mustSupport element in the CA Baseline.", "mustSupport": true }, { "id": "Practitioner.active", "path": "Practitioner.active", "comment": "Identified as a query requirement through mCSD CapabilityStatement.", "mustSupport": true }, { "id": "Practitioner.name", "path": "Practitioner.name", "comment": "Identified as a query requirement through mCSD CapabilityStatement. Elements with a modified minimum cardinality of 1 will have a mustSupport element to ensure that it is populated.", "mustSupport": true }, { "id": "Practitioner.name.family", "path": "Practitioner.name.family", "comment": "Identified as a query requirement through mCSD CapabilityStatement.", "mustSupport": true }, { "id": "Practitioner.name.given", "path": "Practitioner.name.given", "comment": "Identified as a query requirement through mCSD CapabilityStatement.", "mustSupport": true } ] } }
Terminology bindings
Constraints
Obligations
Obligations | Actor | Element |
---|---|---|
SHALL:able-to-populate; SHOULD:populate | http://fhir.infoway-inforoute.ca/io/CA-CSD/ActorDefinition/server | Practitioner.identifier; Practitioner.active; Practitioner.name; Practitioner.name.family; Practitioner.name.given |
SHALL:no-error | http://fhir.infoway-inforoute.ca/io/CA-CSD/ActorDefinition/client | Practitioner.identifier; Practitioner.active; Practitioner.name; Practitioner.name.family; Practitioner.name.given |