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    1. Index
    2. FHIR Artifacts
    3. Practitioner

DFT-preBallot - The specification is currently in pre-ballot review and subject to change. For a full list of available versions, see the Directory of published versions

Practitioner

Links

Profile

CA-CSD-Practitioner

Derived from

https://profiles.ihe.net/ITI/mCSD/StructureDefinition/IHE.mCSD.Practitioner

Examples

ca-csd-example-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

PractitionerRole

Resource Content

  • Tree view
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  • XML
  • JSON
PractitionerCMCSDPractitioner
There are no (further) constraints on this element
Element id
Practitioner
Short description

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.

Data type

MCSDPractitioner

Constraints
  • dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
    contained.contained.empty()
  • dom-3: 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
    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()
  • dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
    contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
  • dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
    contained.meta.security.empty()
  • dom-6: A resource should have narrative for robust management
    text.`div`.exists()
Mappings
  • rim: Entity. Role, or Act
  • v2: PRD (as one example)
  • rim: Role
  • servd: Provider
idΣ0..1id
There are no (further) constraints on this element
Element id
Practitioner.id
Short description

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.

Comments

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

Data type

id

metaΣ0..1Meta
There are no (further) constraints on this element
Element id
Practitioner.meta
Short description

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.

Data type

Meta

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
implicitRulesΣ ?!0..0uri
There are no (further) constraints on this element
Element id
Practitioner.implicitRules
Short description

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.

Comments

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.

Data type

uri

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
language0..1codeBinding
There are no (further) constraints on this element
Element id
Practitioner.language
Short description

Language of the resource content

Definition

The base language in which the resource is written.

Comments

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).

Data type

code

Binding

A human language.

CommonLanguages (preferred)

Binding extensions
maxValueSetAllLanguages
Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
text0..1Narrative
There are no (further) constraints on this element
Element id
Practitioner.text
Short description

Text summary of the resource, for human interpretation

Alternate names

narrative, html, xhtml, display

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.

Comments

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.

Data type

Narrative

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: Act.text?
contained0..*Resource
There are no (further) constraints on this element
Element id
Practitioner.contained
Short description

Contained, inline Resources

Alternate names

inline resources, anonymous resources, contained 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.

Comments

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.

Data type

Resource

Mappings
  • rim: N/A
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Practitioner.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

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.

Comments

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

Data type

Extension

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: N/A
modifierExtension?! C0..0Extension
There are no (further) constraints on this element
Element id
Practitioner.modifierExtension
Short description

Extension

Definition

An Extension

Data type

Extension

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
identifierSO Σ0..*IdentifierElement id
Practitioner.identifier
Short description

An identifier for the person as this agent

Definition

An identifier that applies to this person in this role.

Requirements

Often, specific identities are assigned for the agent.

Comments

Identified as a query requirement through mCSD CapabilityStatement, and mustSupport element in the CA Baseline.

Data type

Identifier

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • w5: FiveWs.identifier
  • v2: PRD-7 (or XCN.1)
  • rim: ./id
  • servd: ./Identifiers
Obligations
CodeActor
SHALL:able-to-populate
SHOULD:populate
http://fhir.infoway-inforoute.ca/io/CA-CSD/ActorDefinition/server
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/io/CA-CSD/ActorDefinition/client
id0..1string
There are no (further) constraints on this element
Element id
Practitioner.identifier.id
Short description

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.

Data type

string

Mappings
  • rim: n/a
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Practitioner.identifier.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

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.

Comments

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

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
useΣ ?!0..1codeBinding
There are no (further) constraints on this element
Element id
Practitioner.identifier.use
Short description

usual | official | temp | secondary | old (If known)

Definition

The purpose of this identifier.

Requirements

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Comments

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Data type

code

Binding

Identifies the purpose for this identifier, if known .

IdentifierUse (required)

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: N/A
  • rim: Role.code or implied by context
typeΣ0..1CodeableConceptBinding
There are no (further) constraints on this element
Element id
Practitioner.identifier.type
Short description

Description of identifier

Definition

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

Requirements

Allows users to make use of identifiers when the identifier system is not known.

Comments

This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

Data type

CodeableConcept

Binding

A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

Identifier Type Codes (extensible)

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: CX.5
  • rim: Role.code or implied by context
systemSO Σ1..1uriElement id
Practitioner.identifier.system
Short description

The namespace for the identifier value

Definition

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Requirements

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Comments

mustSupport element identified within the CA Core profile.

Data type

uri

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Examples
General
http://www.acme.com/identifiers/patient
Mappings
  • v2: CX.4 / EI-2-4
  • rim: II.root or Role.id.root
  • servd: ./IdentifierType
Obligations
CodeActor
SHALL:able-to-populate
SHOULD:populate
http://fhir.infoway-inforoute.ca/io/CA-CSD/ActorDefinition/server
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/io/CA-CSD/ActorDefinition/client
valueSO Σ1..1stringElement id
Practitioner.identifier.value
Short description

The value that is unique

Definition

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

Comments

mustSupport element identified within the CA Core profile.

Data type

string

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Examples
General
123456
Mappings
  • v2: CX.1 / EI.1
  • rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
  • servd: ./Value
Obligations
CodeActor
SHALL:able-to-populate
SHOULD:populate
http://fhir.infoway-inforoute.ca/io/CA-CSD/ActorDefinition/server
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/io/CA-CSD/ActorDefinition/client
periodΣ0..1Period
There are no (further) constraints on this element
Element id
Practitioner.identifier.period
Short description

Time period when id is/was valid for use

Definition

Time period during which identifier is/was valid for use.

Data type

Period

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: CX.7 + CX.8
  • rim: Role.effectiveTime or implied by context
  • servd: ./StartDate and ./EndDate
assignerΣ0..1Reference(Organization)
There are no (further) constraints on this element
Element id
Practitioner.identifier.assigner
Short description

Organization that issued id (may be just text)

Definition

Organization that issued/manages the identifier.

Comments

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

Data type

Reference(Organization)

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: CX.4 / (CX.4,CX.9,CX.10)
  • rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
  • servd: ./IdentifierIssuingAuthority
activeSO Σ0..1booleanElement id
Practitioner.active
Short description

Whether this practitioner's record is in active use

Definition

Whether this practitioner's record is in active use.

Requirements

Need to be able to mark a practitioner record as not to be used because it was created in error.

Comments

Identified as a query requirement through mCSD CapabilityStatement.

Meaning when missing

This resource is generally assumed to be active if no value is provided for the active element

Data type

boolean

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • w5: FiveWs.status
  • rim: ./statusCode
Obligations
CodeActor
SHALL:able-to-populate
SHOULD:populate
http://fhir.infoway-inforoute.ca/io/CA-CSD/ActorDefinition/server
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/io/CA-CSD/ActorDefinition/client
nameSO Σ1..*HumanNameElement id
Practitioner.name
Short description

The name of the Practitioner.

Definition

The name of the Practitioner.

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.

Comments

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.

Data type

HumanName

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: XCN Components
  • rim: ./name
  • servd: ./PreferredName (GivenNames, FamilyName, TitleCode)
Obligations
CodeActor
SHALL:able-to-populate
SHOULD:populate
http://fhir.infoway-inforoute.ca/io/CA-CSD/ActorDefinition/server
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/io/CA-CSD/ActorDefinition/client
id0..1string
There are no (further) constraints on this element
Element id
Practitioner.name.id
Short description

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.

Data type

string

Mappings
  • rim: n/a
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Practitioner.name.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

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.

Comments

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

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
useΣ ?!0..1codeBinding
There are no (further) constraints on this element
Element id
Practitioner.name.use
Short description

usual | official | temp | nickname | anonymous | old | maiden

Definition

Identifies the purpose for this name.

Requirements

Allows the appropriate name for a particular context of use to be selected from among a set of names.

Comments

Applications can assume that a name is current unless it explicitly says that it is temporary or old.

Data type

code

Binding

The use of a human name.

NameUse (required)

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: XPN.7, but often indicated by which field contains the name
  • rim: unique(./use)
  • servd: ./NamePurpose
textΣ0..1string
There are no (further) constraints on this element
Element id
Practitioner.name.text
Short description

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.

Requirements

A renderable, unencoded form.

Comments

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.

Data type

string

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: implied by XPN.11
  • rim: ./formatted
familySO Σ0..1stringElement id
Practitioner.name.family
Short description

Family name (often called 'Surname')

Alternate names

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.

Comments

Identified as a query requirement through mCSD CapabilityStatement.

Data type

string

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: XPN.1/FN.1
  • rim: ./part[partType = FAM]
  • servd: ./FamilyName
Obligations
CodeActor
SHALL:able-to-populate
SHOULD:populate
http://fhir.infoway-inforoute.ca/io/CA-CSD/ActorDefinition/server
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/io/CA-CSD/ActorDefinition/client
givenSO Σ0..*stringElement id
Practitioner.name.given
Short description

Given names (not always 'first'). Includes middle names

Alternate names

first name, middle name

Definition

Given name.

Comments

Identified as a query requirement through mCSD CapabilityStatement.

Data type

string

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: XPN.2 + XPN.3
  • rim: ./part[partType = GIV]
  • servd: ./GivenNames
Obligations
CodeActor
SHALL:able-to-populate
SHOULD:populate
http://fhir.infoway-inforoute.ca/io/CA-CSD/ActorDefinition/server
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/io/CA-CSD/ActorDefinition/client
prefixΣ0..*string
There are no (further) constraints on this element
Element id
Practitioner.name.prefix
Short description

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.

Data type

string

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: XPN.5
  • rim: ./part[partType = PFX]
  • servd: ./TitleCode
suffixΣ0..*string
There are no (further) constraints on this element
Element id
Practitioner.name.suffix
Short description

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.

Data type

string

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: XPN/4
  • rim: ./part[partType = SFX]
periodΣ0..1Period
There are no (further) constraints on this element
Element id
Practitioner.name.period
Short description

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.

Data type

Period

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: XPN.13 + XPN.14
  • rim: ./usablePeriod[type="IVL<TS>"]
  • servd: ./StartDate and ./EndDate
telecomΣ0..*ContactPoint
There are no (further) constraints on this element
Element id
Practitioner.telecom
Short description

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.

Requirements

Need to know how to reach a practitioner independent to any roles the practitioner may have.

Comments

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.

Data type

ContactPoint

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: PRT-15, STF-10, ROL-12
  • rim: ./telecom
  • servd: ./ContactPoints
addressΣ0..*Address
There are no (further) constraints on this element
Element id
Practitioner.address
Short description

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). Work addresses are not typically entered in this property as they are usually role dependent.

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.

Comments

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).

Data type

Address

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: ORC-24, STF-11, ROL-11, PRT-14
  • rim: ./addr
  • servd: ./Addresses
genderΣ0..1codeBinding
There are no (further) constraints on this element
Element id
Practitioner.gender
Short description

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.

Data type

code

Binding

The gender of a person used for administrative purposes.

AdministrativeGender (required)

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: STF-5
  • rim: ./administrativeGender
  • servd: ./GenderCode
birthDateΣ0..1date
There are no (further) constraints on this element
Element id
Practitioner.birthDate
Short description

The date on which the practitioner was born

Definition

The date of birth for the practitioner.

Requirements

Needed for identification.

Data type

date

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: STF-6
  • rim: ./birthTime
  • servd: (not represented in ServD)
photo0..*Attachment
There are no (further) constraints on this element
Element id
Practitioner.photo
Short description

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.

Data type

Attachment

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: ./subjectOf/ObservationEvent[code="photo"]/value
  • servd: ./ImageURI (only supports the URI reference)
qualification0..*BackboneElement
There are no (further) constraints on this element
Element id
Practitioner.qualification
Short description

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.

Data type

BackboneElement

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: CER?
  • rim: .playingEntity.playingRole[classCode=QUAL].code
  • servd: ./Qualifications
id0..1string
There are no (further) constraints on this element
Element id
Practitioner.qualification.id
Short description

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.

Data type

string

Mappings
  • rim: n/a
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Practitioner.qualification.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

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.

Comments

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

Data type

Extension

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
modifierExtensionΣ ?! C0..*Extension
There are no (further) constraints on this element
Element id
Practitioner.qualification.modifierExtension
Short description

Extensions that cannot be ignored even if unrecognized

Alternate names

extensions, user content, modifiers

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.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

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.

Comments

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

Data type

Extension

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: N/A
identifier0..*Identifier
There are no (further) constraints on this element
Element id
Practitioner.qualification.identifier
Short description

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.

Data type

Identifier

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: .playingEntity.playingRole[classCode=QUAL].id
code1..1CodeableConcept
There are no (further) constraints on this element
Element id
Practitioner.qualification.code
Short description

Coded representation of the qualification

Definition

Coded representation of the qualification.

Data type

CodeableConcept

Binding

Specific qualification the practitioner has to provide a service.

v2.0360.2.7 (example)

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: .playingEntity.playingRole[classCode=QUAL].code
  • servd: ./Qualifications.Value
period0..1Period
There are no (further) constraints on this element
Element id
Practitioner.qualification.period
Short description

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.

Data type

Period

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: .playingEntity.playingRole[classCode=QUAL].effectiveTime
  • servd: ./Qualifications.StartDate and ./Qualifications.EndDate
issuer0..1Reference(Organization)
There are no (further) constraints on this element
Element id
Practitioner.qualification.issuer
Short description

Organization that regulates and issues the qualification

Definition

Organization that regulates and issues the qualification.

Data type

Reference(Organization)

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: .playingEntity.playingRole[classCode=QUAL].scoper
communication0..*CodeableConceptBinding
There are no (further) constraints on this element
Element id
Practitioner.communication
Short description

A language the practitioner can use in patient communication

Definition

A language the practitioner can use in patient communication.

Requirements

Knowing which language a practitioner speaks can help in facilitating communication with patients.

Comments

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.

Data type

CodeableConcept

Binding

A human language.

CommonLanguages (preferred)

Binding extensions
maxValueSetAllLanguages
Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: PID-15, NK1-20, LAN-2
  • rim: ./languageCommunication
  • servd: ./Languages.LanguageSpokenCode
PractitionerMCSDPractitioner
There are no (further) constraints on this element
Data type

MCSDPractitioner

identifierSOElement id
Practitioner.identifier
Comments

Identified as a query requirement through mCSD CapabilityStatement, and mustSupport element in the CA Baseline.

Obligations
CodeActor
SHALL:able-to-populate
SHOULD:populate
http://fhir.infoway-inforoute.ca/io/CA-CSD/ActorDefinition/server
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/io/CA-CSD/ActorDefinition/client
systemSO1..1Element id
Practitioner.identifier.system
Comments

mustSupport element identified within the CA Core profile.

Obligations
CodeActor
SHALL:able-to-populate
SHOULD:populate
http://fhir.infoway-inforoute.ca/io/CA-CSD/ActorDefinition/server
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/io/CA-CSD/ActorDefinition/client
valueSO1..1Element id
Practitioner.identifier.value
Comments

mustSupport element identified within the CA Core profile.

Obligations
CodeActor
SHALL:able-to-populate
SHOULD:populate
http://fhir.infoway-inforoute.ca/io/CA-CSD/ActorDefinition/server
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/io/CA-CSD/ActorDefinition/client
activeSOElement id
Practitioner.active
Comments

Identified as a query requirement through mCSD CapabilityStatement.

Obligations
CodeActor
SHALL:able-to-populate
SHOULD:populate
http://fhir.infoway-inforoute.ca/io/CA-CSD/ActorDefinition/server
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/io/CA-CSD/ActorDefinition/client
nameSOElement id
Practitioner.name
Comments

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.

Obligations
CodeActor
SHALL:able-to-populate
SHOULD:populate
http://fhir.infoway-inforoute.ca/io/CA-CSD/ActorDefinition/server
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/io/CA-CSD/ActorDefinition/client
familySOElement id
Practitioner.name.family
Comments

Identified as a query requirement through mCSD CapabilityStatement.

Obligations
CodeActor
SHALL:able-to-populate
SHOULD:populate
http://fhir.infoway-inforoute.ca/io/CA-CSD/ActorDefinition/server
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/io/CA-CSD/ActorDefinition/client
givenSOElement id
Practitioner.name.given
Comments

Identified as a query requirement through mCSD CapabilityStatement.

Obligations
CodeActor
SHALL:able-to-populate
SHOULD:populate
http://fhir.infoway-inforoute.ca/io/CA-CSD/ActorDefinition/server
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/io/CA-CSD/ActorDefinition/client
<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.identifier.system" />
</extension>
<extension url="elementId">
<valueString value="Practitioner.identifier.value" />
</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.identifier.system" />
</extension>
<extension url="elementId">
<valueString value="Practitioner.identifier.value" />
</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" />
<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.identifier.system">
<path value="Practitioner.identifier.system" />
<comment value="mustSupport element identified within the CA Core profile." />
<min value="1" />
<max value="1" />
<mustSupport value="true" />
</element>
<element id="Practitioner.identifier.value">
<path value="Practitioner.identifier.value" />
<comment value="mustSupport element identified within the CA Core profile." />
<min value="1" />
<max value="1" />
<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",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/obligation",
"extension": [
{
"url": "code",
"valueCode": "SHALL:able-to-populate"
},
{
"url": "code",
"valueCode": "SHOULD:populate"
},
{
"url": "elementId",
"valueString": "Practitioner.identifier"
},
{
"url": "elementId",
"valueString": "Practitioner.identifier.system"
},
{
"url": "elementId",
"valueString": "Practitioner.identifier.value"
},
{
"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.identifier.system"
},
{
"url": "elementId",
"valueString": "Practitioner.identifier.value"
},
{
"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"
}
]
}
],
"id": "CA-CSD-Practitioner",
"url": "http://fhir.infoway-inforoute.ca/io/CA-CSD/StructureDefinition/CA-CSD-Practitioner",
"name": "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.",
"status": "draft",
"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",
"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.identifier.system",
"path": "Practitioner.identifier.system",
"comment": "mustSupport element identified within the CA Core profile.",
"min": 1,
"max": "1",
"mustSupport": true
},
{
"id": "Practitioner.identifier.value",
"path": "Practitioner.identifier.value",
"comment": "mustSupport element identified within the CA Core profile.",
"min": 1,
"max": "1",
"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 (Differential)

Terminology bindings (Snapshot)

PathConformanceValueSet
Practitioner.languagepreferredhttp://hl7.org/fhir/ValueSet/languages
Practitioner.identifier.userequiredhttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
Practitioner.identifier.typeextensiblehttp://hl7.org/fhir/ValueSet/identifier-type
Practitioner.name.userequiredhttp://hl7.org/fhir/ValueSet/name-use|4.0.1
Practitioner.genderrequiredhttp://hl7.org/fhir/ValueSet/administrative-gender|4.0.1
Practitioner.qualification.codeexamplehttp://terminology.hl7.org/ValueSet/v2-2.7-0360
Practitioner.communicationpreferredhttp://hl7.org/fhir/ValueSet/languages
PathConformanceValueSet
Practitioner.languagepreferredhttp://hl7.org/fhir/ValueSet/languages
Practitioner.identifier.userequiredhttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
Practitioner.identifier.typeextensiblehttp://hl7.org/fhir/ValueSet/identifier-type
Practitioner.name.userequiredhttp://hl7.org/fhir/ValueSet/name-use|4.0.1
Practitioner.genderrequiredhttp://hl7.org/fhir/ValueSet/administrative-gender|4.0.1
Practitioner.qualification.codeexamplehttp://terminology.hl7.org/ValueSet/v2-2.7-0360
Practitioner.communicationpreferredhttp://hl7.org/fhir/ValueSet/languages

Constraints

Obligations

ObligationsActorElement
SHALL:able-to-populate, SHOULD:populatehttp://fhir.infoway-inforoute.ca/io/CA-CSD/ActorDefinition/serverPractitioner.identifier, Practitioner.identifier.system, Practitioner.identifier.value, Practitioner.active, Practitioner.name, Practitioner.name.family, Practitioner.name.given
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/io/CA-CSD/ActorDefinition/clientPractitioner.identifier, Practitioner.identifier.system, Practitioner.identifier.value, Practitioner.active, Practitioner.name, Practitioner.name.family, Practitioner.name.given

Additional Functionalities Usage

Search for Active Providers by Identifier/Verify Practitioner Credentials

  • Use of .identifier, .active (for active status), and use of .identifier.system and .identifier.value to avoid ambiguity on the provider's credentials

Search for providers by role and all associated relationships in a specific City

  • Chained search on practitioner.identifier

Retrieve all roles associated with a single provider

  • Search for practitioners through .identifier, and associating roles through PractitionerRole search using .practitionerRole (reference)

Alternative: Without _revinclude, a client can still get all roles by first querying Practitioner (to get the .id or .identifier) and then querying PractitionerRole by practitioner (e.g., PractitionerRole?practitioner=[PractitionerId]). CA-CSD supports search by practitioner reference (should) for this two-step approach.

  • Recommend using "_revinclude" is beneficial as a one-step approach

IG © based on FHIR R4 | Package package:ca.infoway.io.ca-csd@1.1.1-dft-preBallot
HL7® and FHIR® are the registered trademarks of Health Level Seven International