Practitioner (Professionnel de la santé)
URL canonique https://extranet.ti.msss.rtss.qc.ca/FHIR/eReferral/StructureDefinition/EReferralPractitioner
Lien Simplifier https://simplifier.net/qc---ereferral-quebec/EReferralPractitioner
Ressource pan canadienne (1.10) Practitioner CAN 1.10
Ressource de base (R4) Practitioner
Profil de la ressource
Practitioner | I | Practitioner | |
id | Σ | 0..1 | string |
meta | S Σ | 1..1 | Meta |
id | 0..1 | string | |
extension | I | 0..* | Extension |
versionId | Σ | 0..1 | id |
lastUpdated | Σ | 0..1 | instant |
source | Σ | 0..1 | uri |
profile | S Σ | 1..1 | canonical(StructureDefinition) |
security | Σ | 0..* | CodingBinding |
tag | Σ | 0..* | Coding |
implicitRules | Σ ?! | 0..1 | uri |
language | 0..1 | codeBinding | |
text | 0..1 | Narrative | |
contained | 0..* | Resource | |
extension | I | 0..* | Extension |
modifierExtension | ?! I | 0..* | Extension |
identifier | S Σ | 0..* | Identifier DataType Profile (CA Baseline) |
id | 0..1 | string | |
extension | I | 0..* | Extension |
use | Σ ?! | 0..1 | codeBinding |
type | S Σ | 0..1 | CodeableConceptBinding |
id | 0..1 | string | |
extension | I | 0..* | Extension |
coding | S Σ | 0..* | Coding |
id | 0..1 | string | |
extension | I | 0..* | Extension |
system | S Σ | 0..1 | uri |
version | Σ | 0..1 | string |
code | S Σ | 0..1 | code |
display | S Σ | 0..1 | string |
userSelected | Σ | 0..1 | boolean |
text | S Σ | 0..1 | string |
system | S Σ | 1..1 | uri |
value | S Σ | 1..1 | string |
period | Σ I | 0..1 | Period |
assigner | Σ I | 0..1 | Reference(Organization) |
active | Σ | 0..1 | boolean |
name | S Σ | 0..* | HumanName |
id | 0..1 | string | |
extension | I | 0..* | Extension |
use | Σ ?! | 0..1 | codeBinding |
text | Σ | 0..1 | string |
family | S Σ I | 0..1 | string |
given | S Σ I | 0..* | string |
prefix | Σ | 0..* | string |
suffix | Σ | 0..* | string |
period | Σ I | 0..1 | Period |
telecom | S Σ I | 0..* | ContactPoint |
address | S Σ | 0..* | Address |
id | 0..1 | string | |
extension | I | 0..* | Extension |
preferred | I | 0..1 | Extension(boolean) |
use | Σ ?! | 0..1 | codeBinding |
type | Σ | 0..1 | codeBinding |
text | Σ | 0..1 | string |
line | Σ | 0..* | string |
city | Σ | 0..1 | string |
district | Σ | 0..1 | string |
state | Σ | 0..1 | string |
postalCode | Σ | 0..1 | string |
country | Σ | 0..1 | string |
period | Σ I | 0..1 | Period |
gender | Σ | 0..1 | codeBinding |
birthDate | Σ | 0..1 | date |
photo | I | 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 | I | 0..1 | Period |
issuer | I | 0..1 | Reference(Organization) |
communication | 0..* | CodeableConceptBinding |
Practitioner | I | Practitioner | |
id | Σ | 0..1 | string |
meta | S Σ | 1..1 | Meta |
id | 0..1 | string | |
extension | I | 0..* | Extension |
versionId | Σ | 0..1 | id |
lastUpdated | Σ | 0..1 | instant |
source | Σ | 0..1 | uri |
profile | S Σ | 1..1 | canonical(StructureDefinition) |
security | Σ | 0..* | CodingBinding |
tag | Σ | 0..* | Coding |
implicitRules | Σ ?! | 0..1 | uri |
language | 0..1 | codeBinding | |
text | 0..1 | Narrative | |
contained | 0..* | Resource | |
extension | I | 0..* | Extension |
modifierExtension | ?! I | 0..* | Extension |
identifier | S Σ | 0..* | Identifier DataType Profile (CA Baseline) |
id | 0..1 | string | |
extension | I | 0..* | Extension |
use | Σ ?! | 0..1 | codeBinding |
type | S Σ | 0..1 | CodeableConceptBinding |
id | 0..1 | string | |
extension | I | 0..* | Extension |
coding | S Σ | 0..* | Coding |
id | 0..1 | string | |
extension | I | 0..* | Extension |
system | S Σ | 0..1 | uri |
version | Σ | 0..1 | string |
code | S Σ | 0..1 | code |
display | S Σ | 0..1 | string |
userSelected | Σ | 0..1 | boolean |
text | S Σ | 0..1 | string |
system | S Σ | 1..1 | uri |
value | S Σ | 1..1 | string |
period | Σ I | 0..1 | Period |
assigner | Σ I | 0..1 | Reference(Organization) |
active | Σ | 0..1 | boolean |
name | S Σ | 0..* | HumanName |
id | 0..1 | string | |
extension | I | 0..* | Extension |
use | Σ ?! | 0..1 | codeBinding |
text | Σ | 0..1 | string |
family | S Σ I | 0..1 | string |
given | S Σ I | 0..* | string |
prefix | Σ | 0..* | string |
suffix | Σ | 0..* | string |
period | Σ I | 0..1 | Period |
telecom | S Σ I | 0..* | ContactPoint |
address | S Σ | 0..* | Address |
id | 0..1 | string | |
extension | I | 0..* | Extension |
preferred | I | 0..1 | Extension(boolean) |
use | Σ ?! | 0..1 | codeBinding |
type | Σ | 0..1 | codeBinding |
text | Σ | 0..1 | string |
line | Σ | 0..* | string |
city | Σ | 0..1 | string |
district | Σ | 0..1 | string |
state | Σ | 0..1 | string |
postalCode | Σ | 0..1 | string |
country | Σ | 0..1 | string |
period | Σ I | 0..1 | Period |
gender | Σ | 0..1 | codeBinding |
birthDate | Σ | 0..1 | date |
photo | I | 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 | I | 0..1 | Period |
issuer | I | 0..1 | Reference(Organization) |
communication | 0..* | CodeableConceptBinding |
Practitioner | |
Definition | The Practitioner Profile is based upon the core FHIR Practitioner Resource |
Cardinality | 0...* |
Invariants |
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Mappings |
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Practitioner.id | |
Definition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. |
Cardinality | 0...1 |
Type | string |
Summary | True |
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. |
Practitioner.meta | |
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. |
Cardinality | 1...1 |
Type | Meta |
Must Support | True |
Summary | True |
Invariants |
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Mappings |
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Practitioner.meta.id | |
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Cardinality | 0...1 |
Type | string |
Mappings |
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Practitioner.meta.extension | |
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. |
Cardinality | 0...* |
Type | Extension |
Alias | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Slicing | Unordered, Open, by url(Value) |
Invariants |
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Mappings |
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Practitioner.meta.versionId | |
Definition | The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted. |
Cardinality | 0...1 |
Type | id |
Summary | True |
Comments | The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes. |
Invariants |
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Mappings |
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Practitioner.meta.lastUpdated | |
Definition | When the resource last changed - e.g. when the version changed. |
Cardinality | 0...1 |
Type | instant |
Summary | True |
Comments | This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction. |
Invariants |
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Mappings |
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Practitioner.meta.source | |
Definition | A uri that identifies the source system of the resource. This provides a minimal amount of [Provenance](provenance.html#) information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc. |
Cardinality | 0...1 |
Type | uri |
Summary | True |
Comments | In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL. |
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Mappings |
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Practitioner.meta.profile | |
Definition | A list of profiles (references to [StructureDefinition](structuredefinition.html#) resources) that this resource claims to conform to. The URL is a reference to [StructureDefinition.url](structuredefinition-definitions.html#StructureDefinition.url). |
Cardinality | 1...1 |
Type | canonical(StructureDefinition) |
Must Support | True |
Summary | True |
Comments | Profils à laquelle cette ressource se conforme : https://extranet.ti.msss.rtss.qc.ca/FHIR/eReferral/StructureDefinition/EReferralPractitioner|1.0.0 It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set. |
Invariants |
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Mappings |
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Practitioner.meta.security | |
Definition | Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure. |
Cardinality | 0...* |
Type | Coding |
Binding | Security Labels from the Healthcare Privacy and Security Classification System. |
Summary | True |
Comments | The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored. |
Invariants |
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Mappings |
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Practitioner.meta.tag | |
Definition | Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource. |
Cardinality | 0...* |
Type | Coding |
Binding | Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". |
Summary | True |
Comments | The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored. |
Invariants |
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Mappings |
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Practitioner.implicitRules | |
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. |
Cardinality | 0...1 |
Type | uri |
Modifier | True |
Summary | True |
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. |
Invariants |
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Mappings |
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Practitioner.language | |
Definition | The base language in which the resource is written. |
Cardinality | 0...1 |
Type | code |
Binding | A human language. |
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). |
Invariants |
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Mappings |
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Practitioner.text | |
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. |
Cardinality | 0...1 |
Type | Narrative |
Alias | narrative, html, xhtml, display |
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. |
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Mappings |
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Practitioner.contained | |
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. |
Cardinality | 0...* |
Type | Resource |
Alias | inline resources, anonymous resources, contained resources |
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. |
Mappings |
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Practitioner.extension | |
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. |
Cardinality | 0...* |
Type | Extension |
Alias | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Slicing | Unordered, Open, by url(Value) |
Invariants |
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Mappings |
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Practitioner.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Cardinality | 0...* |
Type | Extension |
Modifier | True |
Alias | extensions, user content |
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. |
Slicing | Unordered, Open, by url(Value) |
Invariants |
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Mappings |
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Practitioner.identifier | |
Definition | An identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers. |
Cardinality | 0...* |
Type | Identifier DataType Profile (CA Baseline) |
Must Support | True |
Summary | True |
Requirements | Often, specific identities are assigned for the agent. |
Invariants |
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Mappings |
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Practitioner.identifier.id | |
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Cardinality | 0...1 |
Type | string |
Mappings |
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Practitioner.identifier.extension | |
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. |
Cardinality | 0...* |
Type | Extension |
Alias | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Slicing | Unordered, Open, by url(Value) |
Invariants |
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Mappings |
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Practitioner.identifier.use | |
Definition | The purpose of this identifier. |
Cardinality | 0...1 |
Type | code |
Binding | Identifies the purpose for this identifier, if known . |
Modifier | True |
Summary | True |
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. |
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Mappings |
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Practitioner.identifier.type | |
Definition | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. |
Cardinality | 0...1 |
Type | CodeableConcept |
Binding | A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. |
Must Support | True |
Summary | True |
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. |
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Mappings |
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Practitioner.identifier.type.id | |
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Cardinality | 0...1 |
Type | string |
Mappings |
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Practitioner.identifier.type.extension | |
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. |
Cardinality | 0...* |
Type | Extension |
Alias | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Slicing | Unordered, Open, by url(Value) |
Invariants |
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Mappings |
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Practitioner.identifier.type.coding | |
Definition | A reference to a code defined by a terminology system. |
Cardinality | 0...* |
Type | Coding |
Must Support | True |
Summary | True |
Requirements | Allows for alternative encodings within a code system, and translations to other code systems. |
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. |
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Mappings |
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Practitioner.identifier.type.coding.id | |
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Cardinality | 0...1 |
Type | string |
Mappings |
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Practitioner.identifier.type.coding.extension | |
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. |
Cardinality | 0...* |
Type | Extension |
Alias | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Slicing | Unordered, Open, by url(Value) |
Invariants |
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Mappings |
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Practitioner.identifier.type.coding.system | |
Definition | The identification of the code system that defines the meaning of the symbol in the code. |
Cardinality | 0...1 |
Type | uri |
Must Support | True |
Summary | True |
Requirements | Need to be unambiguous about the source of the definition of the symbol. |
Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. |
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Practitioner.identifier.type.coding.version | |
Definition | The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. |
Cardinality | 0...1 |
Type | string |
Summary | True |
Comments | Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. |
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Practitioner.identifier.type.coding.code | |
Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). |
Cardinality | 0...1 |
Type | code |
Must Support | True |
Summary | True |
Requirements | Need to refer to a particular code in the system. |
Comments | Note that FHIR strings SHALL NOT exceed 1MB in size |
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Practitioner.identifier.type.coding.display | |
Definition | A representation of the meaning of the code in the system, following the rules of the system. |
Cardinality | 0...1 |
Type | string |
Must Support | True |
Summary | True |
Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system. |
Comments | Note that FHIR strings SHALL NOT exceed 1MB in size |
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Practitioner.identifier.type.coding.userSelected | |
Definition | Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). |
Cardinality | 0...1 |
Type | boolean |
Summary | True |
Requirements | This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. |
Comments | Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. |
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Practitioner.identifier.type.text | |
Definition | A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. |
Cardinality | 0...1 |
Type | string |
Must Support | True |
Summary | True |
Requirements | The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. |
Comments | Very often the text is the same as a displayName of one of the codings. |
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Practitioner.identifier.system | |
Definition | Establishes the namespace for the value - that is, a URL that describes a set values that are unique. |
Cardinality | 1...1 |
Type | uri |
Must Support | True |
Summary | True |
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 | Identifier.system is always case sensitive. |
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Examples | General http://www.acme.com/identifiers/patient |
Mappings |
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Practitioner.identifier.value | |
Definition | The portion of the identifier typically relevant to the user and which is unique within the context of the system. |
Cardinality | 1...1 |
Type | string |
Must Support | True |
Summary | True |
Comments | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. |
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Examples | General 123456 |
Mappings |
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Practitioner.identifier.period | |
Definition | Time period during which identifier is/was valid for use. |
Cardinality | 0...1 |
Type | Period |
Summary | True |
Comments | A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. |
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Practitioner.identifier.assigner | |
Definition | Organization that issued/manages the identifier. |
Cardinality | 0...1 |
Type | Reference(Organization) |
Summary | True |
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. |
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Practitioner.active | |
Definition | Whether this practitioner's record is in active use. |
Cardinality | 0...1 |
Type | boolean |
Summary | True |
Requirements | Need to be able to mark a practitioner record as not to be used because it was created in error. |
Comments | If the practitioner is not in use by one organization, then it should mark the period on the PractitonerRole with an end date (even if they are active) as they may be active in another role. |
Invariants |
|
Mappings |
|
Practitioner.name | |
Definition | The name(s) associated with the practitioner. |
Cardinality | 0...* |
Type | HumanName |
Must Support | True |
Summary | True |
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 | The selection of the use property should ensure that there is a single usual name specified, and others use the nickname (alias), old, or other values as appropriate. In general, select the value to be used in the ResourceReference.display based on this:
|
Invariants |
|
Mappings |
|
Practitioner.name.id | |
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Cardinality | 0...1 |
Type | string |
Mappings |
|
Practitioner.name.extension | |
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. |
Cardinality | 0...* |
Type | Extension |
Alias | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Slicing | Unordered, Open, by url(Value) |
Invariants |
|
Mappings |
|
Practitioner.name.use | |
Definition | Identifies the purpose for this name. |
Cardinality | 0...1 |
Type | code |
Binding | The use of a human name. |
Modifier | True |
Summary | True |
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. |
Invariants |
|
Mappings |
|
Practitioner.name.text | |
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. |
Cardinality | 0...1 |
Type | string |
Summary | True |
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. |
Invariants |
|
Mappings |
|
Practitioner.name.family | |
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. |
Cardinality | 0...1 |
Type | string |
Must Support | True |
Summary | True |
Alias | surname |
Comments | Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures). |
Invariants |
|
Mappings |
|
Practitioner.name.given | |
Definition | Given name. |
Cardinality | 0...* |
Type | string |
Must Support | True |
Summary | True |
Alias | first name, middle name |
Comments | If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first. |
Invariants |
|
Mappings |
|
Practitioner.name.prefix | |
Definition | Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name. |
Cardinality | 0...* |
Type | string |
Summary | True |
Comments | Note that FHIR strings SHALL NOT exceed 1MB in size |
Invariants |
|
Mappings |
|
Practitioner.name.suffix | |
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. |
Cardinality | 0...* |
Type | string |
Summary | True |
Comments | Note that FHIR strings SHALL NOT exceed 1MB in size |
Invariants |
|
Mappings |
|
Practitioner.name.period | |
Definition | Indicates the period of time when this name was valid for the named person. |
Cardinality | 0...1 |
Type | Period |
Summary | True |
Requirements | Allows names to be placed in historical context. |
Comments | A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. |
Invariants |
|
Mappings |
|
Practitioner.telecom | |
Definition | A contact detail for the practitioner, e.g. a telephone number or an email address. |
Cardinality | 0...* |
Type | ContactPoint |
Must Support | True |
Summary | True |
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. |
Invariants |
|
Mappings |
|
Practitioner.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. |
Cardinality | 0...* |
Type | Address |
Must Support | True |
Summary | True |
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). |
Invariants |
|
Mappings |
|
Practitioner.address.id | |
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Cardinality | 0...1 |
Type | string |
Mappings |
|
Practitioner.address.extension | |
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. |
Cardinality | 0...* |
Type | Extension |
Alias | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Slicing | Unordered, Open, by url(Value) |
Invariants |
|
Mappings |
|
Practitioner.address.extension:preferred | |
Definition | Flag denoting whether parent address item is preferred |
Cardinality | 0...1 |
Type | Extension(boolean) |
Alias | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Invariants |
|
Mappings |
|
Practitioner.address.use | |
Definition | The purpose of this address. |
Cardinality | 0...1 |
Type | code |
Binding | The use of an address. |
Modifier | True |
Summary | True |
Requirements | Allows an appropriate address to be chosen from a list of many. |
Comments | Applications can assume that an address is current unless it explicitly says that it is temporary or old. |
Invariants |
|
Examples | General home |
Mappings |
|
Practitioner.address.type | |
Definition | Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both. |
Cardinality | 0...1 |
Type | code |
Binding | The type of an address (physical / postal). |
Summary | True |
Comments | The definition of Address states that "address is intended to describe postal addresses, not physical locations". However, many applications track whether an address has a dual purpose of being a location that can be visited as well as being a valid delivery destination, and Postal addresses are often used as proxies for physical locations (also see the Location resource). |
Invariants |
|
Examples | General both |
Mappings |
|
Practitioner.address.text | |
Definition | Specifies the entire address as it should be displayed e.g. on a postal label. This may be provided instead of or as well as the specific parts. |
Cardinality | 0...1 |
Type | string |
Summary | True |
Requirements | A renderable, unencoded form. |
Comments | Can provide both a text representation and parts. Applications updating an address SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part. |
Invariants |
|
Examples | General 137 Nowhere Street, Erewhon 9132 |
Mappings |
|
Practitioner.address.line | |
Definition | This component contains the house number, apartment number, street name, street direction, P.O. Box number, delivery hints, and similar address information. |
Cardinality | 0...* |
Type | string |
Summary | True |
Comments | Note that FHIR strings SHALL NOT exceed 1MB in size |
Invariants |
|
Examples | General 137 Nowhere Street |
Mappings |
|
Practitioner.address.city | |
Definition | The name of the city, town, suburb, village or other community or delivery center. |
Cardinality | 0...1 |
Type | string |
Summary | True |
Alias | Municpality |
Comments | Note that FHIR strings SHALL NOT exceed 1MB in size |
Invariants |
|
Examples | General Erewhon |
Mappings |
|
Practitioner.address.district | |
Definition | The name of the administrative area (county). |
Cardinality | 0...1 |
Type | string |
Summary | True |
Alias | County |
Comments | District is sometimes known as county, but in some regions 'county' is used in place of city (municipality), so county name should be conveyed in city instead. |
Invariants |
|
Examples | General Madison |
Mappings |
|
Practitioner.address.state | |
Definition | Sub-unit of a country with limited sovereignty in a federally organized country. A code may be used if codes are in common use (e.g. US 2 letter state codes). |
Cardinality | 0...1 |
Type | string |
Summary | True |
Alias | Province, Territory |
Comments | Note that FHIR strings SHALL NOT exceed 1MB in size |
Invariants |
|
Mappings |
|
Practitioner.address.postalCode | |
Definition | A postal code designating a region defined by the postal service. |
Cardinality | 0...1 |
Type | string |
Summary | True |
Alias | Zip |
Comments | Note that FHIR strings SHALL NOT exceed 1MB in size |
Invariants |
|
Examples | General 9132 |
Mappings |
|
Practitioner.address.country | |
Definition | Country - a nation as commonly understood or generally accepted. |
Cardinality | 0...1 |
Type | string |
Summary | True |
Comments | ISO 3166 3 letter codes can be used in place of a human readable country name. |
Invariants |
|
Mappings |
|
Practitioner.address.period | |
Definition | Time period when address was/is in use. |
Cardinality | 0...1 |
Type | Period |
Summary | True |
Requirements | Allows addresses to be placed in historical context. |
Comments | A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. |
Invariants |
|
Examples | General { "start": "2010-03-23", "end": "2010-07-01" } |
Mappings |
|
Practitioner.gender | |
Definition | Administrative Gender - the gender that the person is considered to have for administration and record keeping purposes. |
Cardinality | 0...1 |
Type | code |
Binding | The gender of a person used for administrative purposes. |
Summary | True |
Requirements | Needed to address the person correctly. |
Comments | Note that FHIR strings SHALL NOT exceed 1MB in size |
Invariants |
|
Mappings |
|
Practitioner.birthDate | |
Definition | The date of birth for the practitioner. |
Cardinality | 0...1 |
Type | date |
Summary | True |
Requirements | Needed for identification. |
Invariants |
|
Mappings |
|
Practitioner.photo | |
Definition | Image of the person. |
Cardinality | 0...* |
Type | Attachment |
Requirements | Many EHR systems have the capability to capture an image of patients and personnel. Fits with newer social media usage too. |
Comments | When providing a summary view (for example with Observation.value[x]) Attachment should be represented with a brief display text such as "Signed Procedure Consent". |
Invariants |
|
Mappings |
|
Practitioner.qualification | |
Definition | A code system for the degree or educational rank that the credential specifies. May also apply to an Expertise type. |
Cardinality | 0...* |
Type | BackboneElement |
Comments | The binding strength of this element is Preferred, meaning that codes are encouraged to draw from the QualifiedRoleType code system for interoperability purposes but are not required to do so to be considered conformant. |
Invariants |
|
Mappings |
|
Practitioner.qualification.id | |
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Cardinality | 0...1 |
Type | string |
Mappings |
|
Practitioner.qualification.extension | |
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. |
Cardinality | 0...* |
Type | Extension |
Alias | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Slicing | Unordered, Open, by url(Value) |
Invariants |
|
Mappings |
|
Practitioner.qualification.modifierExtension | |
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). |
Cardinality | 0...* |
Type | Extension |
Modifier | True |
Summary | True |
Alias | extensions, user content, modifiers |
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. |
Invariants |
|
Mappings |
|
Practitioner.qualification.identifier | |
Definition | An identifier that applies to this person's qualification in this role. |
Cardinality | 0...* |
Type | Identifier |
Requirements | Often, specific identities are assigned for the qualification. |
Invariants |
|
Mappings |
|
Practitioner.qualification.code | |
Definition | Coded representation of the qualification. |
Cardinality | 1...1 |
Type | CodeableConcept |
Binding | Specific qualification the practitioner has to provide a service. |
Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. |
Invariants |
|
Mappings |
|
Practitioner.qualification.period | |
Definition | Period during which the qualification is valid. |
Cardinality | 0...1 |
Type | Period |
Requirements | Qualifications are often for a limited period of time, and can be revoked. |
Comments | A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. |
Invariants |
|
Mappings |
|
Practitioner.qualification.issuer | |
Definition | Organization that regulates and issues the qualification. |
Cardinality | 0...1 |
Type | Reference(Organization) |
Comments | References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. |
Invariants |
|
Mappings |
|
Practitioner.communication | |
Definition | A language the practitioner can use in patient communication. |
Cardinality | 0...* |
Type | CodeableConcept |
Binding | A human language. |
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. |
Invariants |
|
Mappings |
|
{ "resourceType": "StructureDefinition", "id": "EReferralPractitioner", "url": "https://extranet.ti.msss.rtss.qc.ca/FHIR/eReferral/StructureDefinition/EReferralPractitioner", "version": "1.0.0", "name": "EReferralPractitioner", "status": "draft", "date": "2023-11-20T13:09:55.2324887+00:00", "fhirVersion": "4.0.1", "kind": "resource", "abstract": false, "type": "Practitioner", "baseDefinition": "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-practitioner", "derivation": "constraint", "differential": { "element": [ { "id": "Practitioner.meta", "path": "Practitioner.meta", "min": 1, "mustSupport": true }, { "id": "Practitioner.meta.profile", "path": "Practitioner.meta.profile", "comment": "Profils à laquelle cette ressource se conforme : https://extranet.ti.msss.rtss.qc.ca/FHIR/eReferral/StructureDefinition/EReferralPractitioner|1.0.0\n\nIt is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.", "min": 1, "max": "1", "mustSupport": true }, { "id": "Practitioner.identifier.type", "path": "Practitioner.identifier.type", "mustSupport": true, "binding": { "strength": "extensible", "valueSet": "http://hl7.org/fhir/ValueSet/identifier-type|4.0.1" } }, { "id": "Practitioner.identifier.type.coding", "path": "Practitioner.identifier.type.coding", "mustSupport": true }, { "id": "Practitioner.identifier.type.coding.system", "path": "Practitioner.identifier.type.coding.system", "mustSupport": true }, { "id": "Practitioner.identifier.type.coding.code", "path": "Practitioner.identifier.type.coding.code", "mustSupport": true }, { "id": "Practitioner.identifier.type.coding.display", "path": "Practitioner.identifier.type.coding.display", "mustSupport": true }, { "id": "Practitioner.identifier.type.text", "path": "Practitioner.identifier.type.text", "mustSupport": true }, { "id": "Practitioner.identifier.system", "path": "Practitioner.identifier.system", "mustSupport": true }, { "id": "Practitioner.identifier.value", "path": "Practitioner.identifier.value", "mustSupport": true }, { "id": "Practitioner.name.family", "path": "Practitioner.name.family", "mustSupport": true }, { "id": "Practitioner.name.given", "path": "Practitioner.name.given", "mustSupport": true }, { "id": "Practitioner.telecom", "path": "Practitioner.telecom", "mustSupport": true }, { "id": "Practitioner.address", "path": "Practitioner.address", "mustSupport": true } ] } }
Utilisation
La ressource Practitioner
est utilisée pour tous les individus engagés dans le processus de soins de santé et les services liés à la santé dans le cadre de leurs responsabilités formelles.
Cette ressource est utilisée pour l'attribution d'activités et de responsabilités à ces individus. Les praticiens incluent (sans s'y limiter) : les médecins, autres cliniciens, fournisseurs de soins à domicile, personnel administratif, et plus encore.
Notes
.id
- Identifiant unique de la ressource
- En cas d'absence d'un identifiant unique reconnu lors de la construction d'un Bundle de communication, un UUID
DEVRAIT
être utilisé dans cet élément (avec une valeur correspondante dansBundle.entry.fullUrl
)
.meta.profile
utilisé pour déclarer la conformité à ce profil
DOIT
être renseigné avec la valeur attendue suivante :
https://extranet.ti.msss.rtss.qc.ca/FHIR/eReferral/StructureDefinition/EReferralPractitioner|1.0.0
.identifier
Identifiant(s) pour le Practitioner
, PEUT
inclure d'autres identifiants, lorsque fourni:
.type
DOIT
être lié à l'ensemble de valeurs suivant : IdentifierType.type.coding
DOIT
inclure un code (.type.coding.code
), un système (.type.coding.system
) quiDOIT
être renseigné avec la valeur fixehttp://terminology.hl7.org/CodeSystem/v2-0203
et le nom tel qu'affiché duPractitioner
(.type.coding.display
).type.text
DOIT
toujours inclure une description textuelle de l'intitulé duPractitioner
.system
DOIT
être renseigné avec la valeur l'authorité de l'identifiant.value
DOIT
être renseigné avec la valeur de l'identifiant
.name
le nom du Practitioner
, lorsque fourni:
.name.family
DEVRAIT
être renseigné avec le nom de famille duPractitioner
.name.given
DEVRAIT
être renseigné avec le nom de famille duPractitioner
.name.given
POURRAIT
être instancié plusieurs fois si le praticien a plusieurs prénoms (par exemple, prénom et deuxième prénom)
.telecom
- fournit des informations de contact pour le
Practitioner
, lorsque utilisé: - Pour indiquer le moyen de contact préféré, utilisez l'attribut
Practitioner.telecom.rank
(c'est-à-dire le composantContactPoint.rank
) qui spécifie un ordre de préférence pour utiliser un ensemble de contacts. Les points de contact avec des valeurs de rang plus basses sont plus préférés que ceux avec des valeurs de rang plus élevées.
.address
- contient l'adresse physique du
Practitioner