RLPractitionerMedicoPrescrittore

RLPractitionerMedicoPrescrittore

Descrizione

Profilo declinato a partire dalla risorsa standard FHIR Practitioner contenente l’anagrafica dei medici prescrittori della Regione Lombardia destinatari di ricettari RUR. Sono descritte le diverse tipologie di medici a cui è data facoltà di prescrivere prestazioni e farmaci dispensati dal SSR.

In particolare, il file contiene l’elenco dei:

Medici di Medicina Generale e Pediatri di Libera Scelta, i cui dati anagrafici sono conosciuti dai servizi NAR di Scelta&Revoca.
Medici di ATS che operano nelle strutture dell’azienda, come guardia medica, medico incaricato ecc. I dati di questi medici sono recuperabili dei processi di consegna dei ricettari (RUR) ministeriali.
Medici di Aziende Sanitarie Ospedaliere sia pubbliche che private anch’essi destinatari di ricettari (RUR).

Dato che un medico può lavorare (o lavorava) come prescrittore per più di una struttura, è possibile la presenza di più record relativi allo stesso codice fiscale.

Di seguito è presentato il contenuto del profilo in diversi formati. La corrispondente definizione è consultabile al seguente link: RLPractitionerMedicoPrescrittore.

Snapshot View

Practitioner	I		Practitioner	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. Comments Questa risorsa contiene l’anagrafica dei medici prescrittori della Regione Lombardia destinatari di ricettari RUR, che comprenda le diverse tipologie di medici a cui è data facoltà di prescrivere prestazioni e farmaci dispensati dal SSR. L’elenco contiene anche i medici non più attivi da 6 mesi. Data Type Practitioner Constraints dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources `contained.contained.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-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-6:A resource should have narrative for robust management text.`div`.exists() dom-5:If a resource is contained in another resource, it SHALL NOT have a security label `contained.meta.security.empty()` Mappings rim:Entity. Role, or Act v2:PRD (as one example) rim:Role servd:Provider
extension	I	0..*	Extension	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 Sliced: Unordered, Open, by url(Value) 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 rim:N/A
dataUpdate	I	0..1	Extension(date)	Element Id Practitioner.extension:dataUpdate Short description Data dell'ultima modifica del record Alternate names extensions, user content Definition Formato: YYYY-MM-DD secondo lo standard FHIR Comments La fonte del dato è il campo DT_ULTV dell'anagrafe dei medici prescrittori i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type Extension(date) Extension URL https://fhir.siss.regione.lombardia.it/StructureDefinition/RLPractitionerDataUpdate 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 rim:N/A
dataInsert	I	0..1	Extension(date)	Element Id Practitioner.extension:dataInsert Short description Data di inserimento del record Alternate names extensions, user content Definition Formato: YYYY-MM-DD secondo lo standard FHIR Comments La fonte del dato è il campo DT_INSER dell'anagrafe dei medici prescrittori i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type Extension(date) Extension URL https://fhir.siss.regione.lombardia.it/StructureDefinition/RLPractitionerDataInsert 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 rim:N/A
identifier	Σ	1..1	Identifier	Element Id Practitioner.identifier Short description Codice fiscale del medico prescrittore Definition Stringa alfanumerica di 16 caratteri Requirements Often, specific identities are assigned for the agent. Comments La fonte del dato è il campo CD_FISCALE dell'anagrafe dei medici prescrittori i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documeto DC-DDC-SIAA#01 Data Type Identifier Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier w5:FiveWs.identifier v2:PRD-7 (or XCN.1) rim:./id servd:./Identifiers
active	Σ	0..1	boolean	There are no (further) constraints on this element Element 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 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. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a w5:FiveWs.status rim:./statusCode
name	Σ	1..1	HumanName	Element Id Practitioner.name Short description Nominativo del medico prescrittore Definition The name(s) associated with 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 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: There is more than 1 name Use = usual Period is current to the date of the usage Use = official Other order as decided by internal business rules. Data Type HumanName Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:XPN rim:EN (actually, PN) servd:ProviderName v2:XCN Components rim:./name servd:./PreferredName (GivenNames, FamilyName, TitleCode)
use	Σ ?!	0..1	codeBinding	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 rim:n/a v2:XPN.7, but often indicated by which field contains the name rim:unique(./use) servd:./NamePurpose
text	Σ	0..1	string	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 rim:n/a v2:implied by XPN.11 rim:./formatted
family	Σ	1..1	string	Element Id Practitioner.name.family Short description Cognome del medico prescrittore Alternate names surname Definition Stringa alfanumerica di max 40 caratteri. Comments La fonte del dato è il campo DS_COGNOME dell'anagrafe dei medici prescrittori i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:XPN.1/FN.1 rim:./part[partType = FAM] servd:./FamilyName
given	Σ	1..*	string	Element Id Practitioner.name.given Short description Nome del medico prescrittore Alternate names first name, middle name Definition Stringa alfanumerica di max 40 caratteri. Comments La fonte del dato è il campo DS_NOME dell'anagrafe dei medici prescrittori i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:XPN.2 + XPN.3 rim:./part[partType = GIV] servd:./GivenNames
prefix	Σ	0..*	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. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:XPN.5 rim:./part[partType = PFX] servd:./TitleCode
suffix	Σ	0..*	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. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:XPN/4 rim:./part[partType = SFX]
period	Σ I	0..1	Period	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. 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. Data Type Period Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1:If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim:n/a v2:DR rim:IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2:XPN.13 + XPN.14 rim:./usablePeriod[type="IVL<TS>"] servd:./StartDate and ./EndDate
telecom	Σ I	0..*	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())` cpt-2:A system is required if a value is provided. `value.empty() or system.exists()` Mappings rim:n/a v2:XTN rim:TEL servd:ContactPoint v2:PRT-15, STF-10, ROL-12 rim:./telecom servd:./ContactPoints
address	Σ	0..*	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 rim:n/a v2:XAD rim:AD servd:Address v2:ORC-24, STF-11, ROL-11, PRT-14 rim:./addr servd:./Addresses
gender	Σ	0..1	codeBinding	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. Comments Note that FHIR strings SHALL NOT exceed 1MB in size 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 rim:n/a v2:STF-5 rim:./administrativeGender servd:./GenderCode
birthDate	Σ	0..1	date	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 rim:n/a v2:STF-6 rim:./birthTime servd:(not represented in ServD)
photo	I	0..*	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. 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". Data Type Attachment Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` att-1:If the Attachment has data, it SHALL have a contentType `data.empty() or contentType.exists()` Mappings rim:n/a v2:ED/RP rim:ED rim:./subjectOf/ObservationEvent[code="photo"]/value servd:./ImageURI (only supports the URI reference)
qualification		0..*	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 rim:n/a v2:CER? rim:.playingEntity.playingRole[classCode=QUAL].code servd:./Qualifications
identifier		0..*	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:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier rim:.playingEntity.playingRole[classCode=QUAL].id
code		1..1	CodeableConcept	Element Id Practitioner.qualification.code Short description Codifica della qualifica del medico prescrittore Definition Coded representation of the qualification. 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. 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:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD rim:.playingEntity.playingRole[classCode=QUAL].code servd:./Qualifications.Value
coding	Σ	0..*	Coding	There are no (further) constraints on this element Element Id Practitioner.qualification.code.coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. 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. Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	Σ	0..1	uri	There are no (further) constraints on this element Element Id Practitioner.qualification.code.coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. 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. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id Practitioner.qualification.code.coding.version Short description Version of the system - if relevant 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. 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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	0..1	codeBinding	Element Id Practitioner.qualification.code.coding.code Short description Codice della qualifica del medico prescrittore Definition Singolo carattere alfabetico Requirements Need to refer to a particular code in the system. Comments La fonte del dato è il campo CD_TIPO_PRESCRITTORE dell'anagrafe dei medici prescrittori i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type code Binding ValueSet relativo alle qualifiche dei medici prescrittori DDC Tipo Prescrittore (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	Element Id Practitioner.qualification.code.coding.display Short description Descrizione della qualifica del medico prescrittore Definition Stringa alfanumerica di al più 70 caratteri Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments La fonte del dato è il campo DS_TIPO_PRESCRITTORE dell'anagrafe dei medici prescrittori i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id Practitioner.qualification.code.coding.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). 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. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element Id Practitioner.qualification.code.text Short description Plain text representation of the concept 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. 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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
period	I	0..1	Period	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. 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. Data Type Period Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1:If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim:n/a v2:DR rim:IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] rim:.playingEntity.playingRole[classCode=QUAL].effectiveTime servd:./Qualifications.StartDate and ./Qualifications.EndDate
issuer	I	0..1	Reference(RLOrganizationL1)	Element Id Practitioner.qualification.issuer Short description Reference all'ente L1 in cui il medico prescrittore lavora Definition Organization that regulates and issues the qualification. Comments La fonte del dato è il campo CD_STRUTTURA dell'anagrafe dei medici prescrittori i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type Reference(RLOrganizationL1) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) rim:.playingEntity.playingRole[classCode=QUAL].scoper
communication		0..*	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) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD v2:PID-15, NK1-20, LAN-2 rim:./languageCommunication servd:./Languages.LanguageSpokenCode

Differential View

Practitioner	I		Practitioner	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. Comments Questa risorsa contiene l’anagrafica dei medici prescrittori della Regione Lombardia destinatari di ricettari RUR, che comprenda le diverse tipologie di medici a cui è data facoltà di prescrivere prestazioni e farmaci dispensati dal SSR. L’elenco contiene anche i medici non più attivi da 6 mesi. Data Type Practitioner Constraints dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources `contained.contained.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-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-6:A resource should have narrative for robust management text.`div`.exists() dom-5:If a resource is contained in another resource, it SHALL NOT have a security label `contained.meta.security.empty()` Mappings rim:Entity. Role, or Act v2:PRD (as one example) rim:Role servd:Provider
extension	I	0..*	Extension	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 Sliced: Unordered, Open, by url(Value) 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 rim:N/A
dataUpdate	I	0..1	Extension(date)	Element Id Practitioner.extension:dataUpdate Short description Data dell'ultima modifica del record Alternate names extensions, user content Definition Formato: YYYY-MM-DD secondo lo standard FHIR Comments La fonte del dato è il campo DT_ULTV dell'anagrafe dei medici prescrittori i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type Extension(date) Extension URL https://fhir.siss.regione.lombardia.it/StructureDefinition/RLPractitionerDataUpdate 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 rim:N/A
dataInsert	I	0..1	Extension(date)	Element Id Practitioner.extension:dataInsert Short description Data di inserimento del record Alternate names extensions, user content Definition Formato: YYYY-MM-DD secondo lo standard FHIR Comments La fonte del dato è il campo DT_INSER dell'anagrafe dei medici prescrittori i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type Extension(date) Extension URL https://fhir.siss.regione.lombardia.it/StructureDefinition/RLPractitionerDataInsert 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 rim:N/A
identifier	Σ	1..1	Identifier	Element Id Practitioner.identifier Short description Codice fiscale del medico prescrittore Definition Stringa alfanumerica di 16 caratteri Requirements Often, specific identities are assigned for the agent. Comments La fonte del dato è il campo CD_FISCALE dell'anagrafe dei medici prescrittori i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documeto DC-DDC-SIAA#01 Data Type Identifier Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier w5:FiveWs.identifier v2:PRD-7 (or XCN.1) rim:./id servd:./Identifiers
active	Σ	0..1	boolean	There are no (further) constraints on this element Element 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 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. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a w5:FiveWs.status rim:./statusCode
name	Σ	1..1	HumanName	Element Id Practitioner.name Short description Nominativo del medico prescrittore Definition The name(s) associated with 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 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: There is more than 1 name Use = usual Period is current to the date of the usage Use = official Other order as decided by internal business rules. Data Type HumanName Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:XPN rim:EN (actually, PN) servd:ProviderName v2:XCN Components rim:./name servd:./PreferredName (GivenNames, FamilyName, TitleCode)
use	Σ ?!	0..1	codeBinding	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 rim:n/a v2:XPN.7, but often indicated by which field contains the name rim:unique(./use) servd:./NamePurpose
text	Σ	0..1	string	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 rim:n/a v2:implied by XPN.11 rim:./formatted
family	Σ	1..1	string	Element Id Practitioner.name.family Short description Cognome del medico prescrittore Alternate names surname Definition Stringa alfanumerica di max 40 caratteri. Comments La fonte del dato è il campo DS_COGNOME dell'anagrafe dei medici prescrittori i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:XPN.1/FN.1 rim:./part[partType = FAM] servd:./FamilyName
given	Σ	1..*	string	Element Id Practitioner.name.given Short description Nome del medico prescrittore Alternate names first name, middle name Definition Stringa alfanumerica di max 40 caratteri. Comments La fonte del dato è il campo DS_NOME dell'anagrafe dei medici prescrittori i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:XPN.2 + XPN.3 rim:./part[partType = GIV] servd:./GivenNames
prefix	Σ	0..*	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. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:XPN.5 rim:./part[partType = PFX] servd:./TitleCode
suffix	Σ	0..*	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. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:XPN/4 rim:./part[partType = SFX]
period	Σ I	0..1	Period	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. 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. Data Type Period Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1:If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim:n/a v2:DR rim:IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2:XPN.13 + XPN.14 rim:./usablePeriod[type="IVL<TS>"] servd:./StartDate and ./EndDate
telecom	Σ I	0..*	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())` cpt-2:A system is required if a value is provided. `value.empty() or system.exists()` Mappings rim:n/a v2:XTN rim:TEL servd:ContactPoint v2:PRT-15, STF-10, ROL-12 rim:./telecom servd:./ContactPoints
address	Σ	0..*	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 rim:n/a v2:XAD rim:AD servd:Address v2:ORC-24, STF-11, ROL-11, PRT-14 rim:./addr servd:./Addresses
gender	Σ	0..1	codeBinding	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. Comments Note that FHIR strings SHALL NOT exceed 1MB in size 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 rim:n/a v2:STF-5 rim:./administrativeGender servd:./GenderCode
birthDate	Σ	0..1	date	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 rim:n/a v2:STF-6 rim:./birthTime servd:(not represented in ServD)
photo	I	0..*	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. 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". Data Type Attachment Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` att-1:If the Attachment has data, it SHALL have a contentType `data.empty() or contentType.exists()` Mappings rim:n/a v2:ED/RP rim:ED rim:./subjectOf/ObservationEvent[code="photo"]/value servd:./ImageURI (only supports the URI reference)
qualification		0..*	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 rim:n/a v2:CER? rim:.playingEntity.playingRole[classCode=QUAL].code servd:./Qualifications
identifier		0..*	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:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier rim:.playingEntity.playingRole[classCode=QUAL].id
code		1..1	CodeableConcept	Element Id Practitioner.qualification.code Short description Codifica della qualifica del medico prescrittore Definition Coded representation of the qualification. 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. 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:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD rim:.playingEntity.playingRole[classCode=QUAL].code servd:./Qualifications.Value
coding	Σ	0..*	Coding	There are no (further) constraints on this element Element Id Practitioner.qualification.code.coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. 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. Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	Σ	0..1	uri	There are no (further) constraints on this element Element Id Practitioner.qualification.code.coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. 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. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id Practitioner.qualification.code.coding.version Short description Version of the system - if relevant 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. 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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	0..1	codeBinding	Element Id Practitioner.qualification.code.coding.code Short description Codice della qualifica del medico prescrittore Definition Singolo carattere alfabetico Requirements Need to refer to a particular code in the system. Comments La fonte del dato è il campo CD_TIPO_PRESCRITTORE dell'anagrafe dei medici prescrittori i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type code Binding ValueSet relativo alle qualifiche dei medici prescrittori DDC Tipo Prescrittore (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	Element Id Practitioner.qualification.code.coding.display Short description Descrizione della qualifica del medico prescrittore Definition Stringa alfanumerica di al più 70 caratteri Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments La fonte del dato è il campo DS_TIPO_PRESCRITTORE dell'anagrafe dei medici prescrittori i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id Practitioner.qualification.code.coding.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). 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. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element Id Practitioner.qualification.code.text Short description Plain text representation of the concept 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. 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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
period	I	0..1	Period	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. 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. Data Type Period Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1:If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim:n/a v2:DR rim:IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] rim:.playingEntity.playingRole[classCode=QUAL].effectiveTime servd:./Qualifications.StartDate and ./Qualifications.EndDate
issuer	I	0..1	Reference(RLOrganizationL1)	Element Id Practitioner.qualification.issuer Short description Reference all'ente L1 in cui il medico prescrittore lavora Definition Organization that regulates and issues the qualification. Comments La fonte del dato è il campo CD_STRUTTURA dell'anagrafe dei medici prescrittori i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type Reference(RLOrganizationL1) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) rim:.playingEntity.playingRole[classCode=QUAL].scoper
communication		0..*	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) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD v2:PID-15, NK1-20, LAN-2 rim:./languageCommunication servd:./Languages.LanguageSpokenCode

Hybrid View

Practitioner	I		Practitioner	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. Comments Questa risorsa contiene l’anagrafica dei medici prescrittori della Regione Lombardia destinatari di ricettari RUR, che comprenda le diverse tipologie di medici a cui è data facoltà di prescrivere prestazioni e farmaci dispensati dal SSR. L’elenco contiene anche i medici non più attivi da 6 mesi. Data Type Practitioner Constraints dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources `contained.contained.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-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-6:A resource should have narrative for robust management text.`div`.exists() dom-5:If a resource is contained in another resource, it SHALL NOT have a security label `contained.meta.security.empty()` Mappings rim:Entity. Role, or Act v2:PRD (as one example) rim:Role servd:Provider
extension	I	0..*	Extension	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 Sliced: Unordered, Open, by url(Value) 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 rim:N/A
dataUpdate	I	0..1	Extension(date)	Element Id Practitioner.extension:dataUpdate Short description Data dell'ultima modifica del record Alternate names extensions, user content Definition Formato: YYYY-MM-DD secondo lo standard FHIR Comments La fonte del dato è il campo DT_ULTV dell'anagrafe dei medici prescrittori i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type Extension(date) Extension URL https://fhir.siss.regione.lombardia.it/StructureDefinition/RLPractitionerDataUpdate 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 rim:N/A
dataInsert	I	0..1	Extension(date)	Element Id Practitioner.extension:dataInsert Short description Data di inserimento del record Alternate names extensions, user content Definition Formato: YYYY-MM-DD secondo lo standard FHIR Comments La fonte del dato è il campo DT_INSER dell'anagrafe dei medici prescrittori i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type Extension(date) Extension URL https://fhir.siss.regione.lombardia.it/StructureDefinition/RLPractitionerDataInsert 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 rim:N/A
identifier	Σ	1..1	Identifier	Element Id Practitioner.identifier Short description Codice fiscale del medico prescrittore Definition Stringa alfanumerica di 16 caratteri Requirements Often, specific identities are assigned for the agent. Comments La fonte del dato è il campo CD_FISCALE dell'anagrafe dei medici prescrittori i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documeto DC-DDC-SIAA#01 Data Type Identifier Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier w5:FiveWs.identifier v2:PRD-7 (or XCN.1) rim:./id servd:./Identifiers
active	Σ	0..1	boolean	There are no (further) constraints on this element Element 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 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. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a w5:FiveWs.status rim:./statusCode
name	Σ	1..1	HumanName	Element Id Practitioner.name Short description Nominativo del medico prescrittore Definition The name(s) associated with 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 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: There is more than 1 name Use = usual Period is current to the date of the usage Use = official Other order as decided by internal business rules. Data Type HumanName Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:XPN rim:EN (actually, PN) servd:ProviderName v2:XCN Components rim:./name servd:./PreferredName (GivenNames, FamilyName, TitleCode)
use	Σ ?!	0..1	codeBinding	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 rim:n/a v2:XPN.7, but often indicated by which field contains the name rim:unique(./use) servd:./NamePurpose
text	Σ	0..1	string	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 rim:n/a v2:implied by XPN.11 rim:./formatted
family	Σ	1..1	string	Element Id Practitioner.name.family Short description Cognome del medico prescrittore Alternate names surname Definition Stringa alfanumerica di max 40 caratteri. Comments La fonte del dato è il campo DS_COGNOME dell'anagrafe dei medici prescrittori i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:XPN.1/FN.1 rim:./part[partType = FAM] servd:./FamilyName
given	Σ	1..*	string	Element Id Practitioner.name.given Short description Nome del medico prescrittore Alternate names first name, middle name Definition Stringa alfanumerica di max 40 caratteri. Comments La fonte del dato è il campo DS_NOME dell'anagrafe dei medici prescrittori i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:XPN.2 + XPN.3 rim:./part[partType = GIV] servd:./GivenNames
prefix	Σ	0..*	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. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:XPN.5 rim:./part[partType = PFX] servd:./TitleCode
suffix	Σ	0..*	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. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:XPN/4 rim:./part[partType = SFX]
period	Σ I	0..1	Period	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. 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. Data Type Period Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1:If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim:n/a v2:DR rim:IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2:XPN.13 + XPN.14 rim:./usablePeriod[type="IVL<TS>"] servd:./StartDate and ./EndDate
telecom	Σ I	0..*	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())` cpt-2:A system is required if a value is provided. `value.empty() or system.exists()` Mappings rim:n/a v2:XTN rim:TEL servd:ContactPoint v2:PRT-15, STF-10, ROL-12 rim:./telecom servd:./ContactPoints
address	Σ	0..*	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 rim:n/a v2:XAD rim:AD servd:Address v2:ORC-24, STF-11, ROL-11, PRT-14 rim:./addr servd:./Addresses
gender	Σ	0..1	codeBinding	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. Comments Note that FHIR strings SHALL NOT exceed 1MB in size 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 rim:n/a v2:STF-5 rim:./administrativeGender servd:./GenderCode
birthDate	Σ	0..1	date	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 rim:n/a v2:STF-6 rim:./birthTime servd:(not represented in ServD)
photo	I	0..*	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. 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". Data Type Attachment Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` att-1:If the Attachment has data, it SHALL have a contentType `data.empty() or contentType.exists()` Mappings rim:n/a v2:ED/RP rim:ED rim:./subjectOf/ObservationEvent[code="photo"]/value servd:./ImageURI (only supports the URI reference)
qualification		0..*	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 rim:n/a v2:CER? rim:.playingEntity.playingRole[classCode=QUAL].code servd:./Qualifications
identifier		0..*	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:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier rim:.playingEntity.playingRole[classCode=QUAL].id
code		1..1	CodeableConcept	Element Id Practitioner.qualification.code Short description Codifica della qualifica del medico prescrittore Definition Coded representation of the qualification. 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. 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:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD rim:.playingEntity.playingRole[classCode=QUAL].code servd:./Qualifications.Value
coding	Σ	0..*	Coding	There are no (further) constraints on this element Element Id Practitioner.qualification.code.coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. 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. Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	Σ	0..1	uri	There are no (further) constraints on this element Element Id Practitioner.qualification.code.coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. 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. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id Practitioner.qualification.code.coding.version Short description Version of the system - if relevant 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. 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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	0..1	codeBinding	Element Id Practitioner.qualification.code.coding.code Short description Codice della qualifica del medico prescrittore Definition Singolo carattere alfabetico Requirements Need to refer to a particular code in the system. Comments La fonte del dato è il campo CD_TIPO_PRESCRITTORE dell'anagrafe dei medici prescrittori i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type code Binding ValueSet relativo alle qualifiche dei medici prescrittori DDC Tipo Prescrittore (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	Element Id Practitioner.qualification.code.coding.display Short description Descrizione della qualifica del medico prescrittore Definition Stringa alfanumerica di al più 70 caratteri Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments La fonte del dato è il campo DS_TIPO_PRESCRITTORE dell'anagrafe dei medici prescrittori i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id Practitioner.qualification.code.coding.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). 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. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element Id Practitioner.qualification.code.text Short description Plain text representation of the concept 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. 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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
period	I	0..1	Period	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. 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. Data Type Period Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1:If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim:n/a v2:DR rim:IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] rim:.playingEntity.playingRole[classCode=QUAL].effectiveTime servd:./Qualifications.StartDate and ./Qualifications.EndDate
issuer	I	0..1	Reference(RLOrganizationL1)	Element Id Practitioner.qualification.issuer Short description Reference all'ente L1 in cui il medico prescrittore lavora Definition Organization that regulates and issues the qualification. Comments La fonte del dato è il campo CD_STRUTTURA dell'anagrafe dei medici prescrittori i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01 Data Type Reference(RLOrganizationL1) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) rim:.playingEntity.playingRole[classCode=QUAL].scoper
communication		0..*	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) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD v2:PID-15, NK1-20, LAN-2 rim:./languageCommunication servd:./Languages.LanguageSpokenCode

Table View

Practitioner		..
Practitioner.extension		0..
Practitioner.extension	Extension	0..1
Practitioner.extension	Extension	0..1
Practitioner.identifier		1..1
Practitioner.name		1..1
Practitioner.name.family		1..
Practitioner.name.given		1..
Practitioner.qualification		..
Practitioner.qualification.code		..
Practitioner.qualification.code.coding		..
Practitioner.qualification.code.coding.code		..
Practitioner.qualification.code.coding.display		..
Practitioner.qualification.issuer	Reference(RLOrganizationL1)	..

XML View

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="RLPractitionerMedicoPrescrittore" />
    <meta>
        <lastUpdated value="2023-01-31T15:57:15.1665388+00:00" />
    </meta>
    <url value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLPractitionerMedicoPrescrittore" />
    <name value="RLPractitionerMedicoPrescrittore" />
    <status value="active" />
    <experimental value="false" />
    <description value="Profilo che contiene l’anagrafica dei medici prescrittori della Regione Lombardia destinatari di ricettari RUR." />
    <keyword>
        <system value="https://fhir.siss.regione.lombardia.it/CodeSystem/Tag" />
        <code value="DDC" />
    </keyword>
    <fhirVersion value="4.0.1" />
    <kind value="resource" />
    <abstract value="false" />
    <type value="Practitioner" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Practitioner" />
    <derivation value="constraint" />
    <differential>
        <element id="Practitioner">
            <path value="Practitioner" />
            <comment value="Questa risorsa contiene l’anagrafica dei medici prescrittori della Regione Lombardia destinatari di ricettari RUR, che comprenda le diverse tipologie di medici a cui &#232; data facolt&#224; di prescrivere prestazioni e farmaci dispensati dal SSR. L’elenco contiene anche i medici non pi&#249; attivi da 6 mesi." />
        </element>
        <element id="Practitioner.extension">
            <path value="Practitioner.extension" />
            <slicing>
                <discriminator>
                    <type value="value" />
                    <path value="url" />
                </discriminator>
                <rules value="open" />
            </slicing>
            <min value="0" />
        </element>
        <element id="Practitioner.extension:dataUpdate">
            <path value="Practitioner.extension" />
            <sliceName value="dataUpdate" />
            <short value="Data dell&#39;ultima modifica del record" />
            <definition value="Formato: YYYY-MM-DD secondo lo standard FHIR" />
            <comment value="La fonte del dato &#232; il campo DT_ULTV dell&#39;anagrafe dei medici prescrittori i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01" />
            <min value="0" />
            <max value="1" />
            <type>
                <code value="Extension" />
                <profile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLPractitionerDataUpdate" />
            </type>
            <isModifier value="false" />
        </element>
        <element id="Practitioner.extension:dataInsert">
            <path value="Practitioner.extension" />
            <sliceName value="dataInsert" />
            <short value="Data di inserimento del record" />
            <definition value="Formato: YYYY-MM-DD secondo lo standard FHIR" />
            <comment value="La fonte del dato &#232; il campo DT_INSER dell&#39;anagrafe dei medici prescrittori i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01" />
            <min value="0" />
            <max value="1" />
            <type>
                <code value="Extension" />
                <profile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLPractitionerDataInsert" />
            </type>
            <isModifier value="false" />
        </element>
        <element id="Practitioner.identifier">
            <path value="Practitioner.identifier" />
            <short value="Codice fiscale del medico prescrittore" />
            <definition value="Stringa alfanumerica di 16 caratteri" />
            <comment value="La fonte del dato &#232; il campo  CD_FISCALE dell&#39;anagrafe dei medici prescrittori i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documeto DC-DDC-SIAA#01" />
            <min value="1" />
            <max value="1" />
        </element>
        <element id="Practitioner.name">
            <path value="Practitioner.name" />
            <short value="Nominativo del medico prescrittore" />
            <min value="1" />
            <max value="1" />
        </element>
        <element id="Practitioner.name.family">
            <path value="Practitioner.name.family" />
            <short value="Cognome del medico prescrittore" />
            <definition value="Stringa alfanumerica di max 40 caratteri." />
            <comment value="La fonte del dato &#232; il campo DS_COGNOME dell&#39;anagrafe dei medici prescrittori i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01" />
            <min value="1" />
        </element>
        <element id="Practitioner.name.given">
            <path value="Practitioner.name.given" />
            <short value="Nome del medico prescrittore" />
            <definition value="Stringa alfanumerica di max 40 caratteri." />
            <comment value="La fonte del dato &#232; il campo DS_NOME dell&#39;anagrafe dei medici prescrittori i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01" />
            <min value="1" />
        </element>
        <element id="Practitioner.qualification.code">
            <path value="Practitioner.qualification.code" />
            <short value="Codifica della qualifica del medico prescrittore" />
        </element>
        <element id="Practitioner.qualification.code.coding.code">
            <path value="Practitioner.qualification.code.coding.code" />
            <short value="Codice della qualifica del medico prescrittore" />
            <definition value="Singolo carattere alfabetico" />
            <comment value="La fonte del dato &#232; il campo CD_TIPO_PRESCRITTORE dell&#39;anagrafe dei medici prescrittori i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01" />
            <binding>
                <strength value="required" />
                <description value="ValueSet relativo alle qualifiche dei medici prescrittori" />
                <valueSet value="https://fhir.siss.regione.lombardia.it/ValueSet/DDC-TipoPrescrittore" />
            </binding>
        </element>
        <element id="Practitioner.qualification.code.coding.display">
            <path value="Practitioner.qualification.code.coding.display" />
            <short value="Descrizione della qualifica del medico prescrittore" />
            <definition value="Stringa alfanumerica di al pi&#249; 70 caratteri" />
            <comment value="La fonte del dato &#232; il campo DS_TIPO_PRESCRITTORE dell&#39;anagrafe dei medici prescrittori i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01" />
        </element>
        <element id="Practitioner.qualification.issuer">
            <path value="Practitioner.qualification.issuer" />
            <short value="Reference all&#39;ente L1 in cui il medico prescrittore lavora" />
            <comment value="La fonte del dato &#232; il campo CD_STRUTTURA dell&#39;anagrafe dei medici prescrittori i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationL1" />
            </type>
        </element>
    </differential>
</StructureDefinition>

JSON View

{
    "resourceType": "StructureDefinition",
    "id": "RLPractitionerMedicoPrescrittore",
    "meta": {
        "lastUpdated": "2023-01-31T15:57:15.1665388+00:00"
    },
    "url": "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLPractitionerMedicoPrescrittore",
    "name": "RLPractitionerMedicoPrescrittore",
    "status": "active",
    "experimental": false,
    "description": "Profilo che contiene l’anagrafica dei medici prescrittori della Regione Lombardia destinatari di ricettari RUR.",
    "keyword":  [
        {
            "system": "https://fhir.siss.regione.lombardia.it/CodeSystem/Tag",
            "code": "DDC"
        }
    ],
    "fhirVersion": "4.0.1",
    "kind": "resource",
    "abstract": false,
    "type": "Practitioner",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Practitioner",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "Practitioner",
                "path": "Practitioner",
                "comment": "Questa risorsa contiene l’anagrafica dei medici prescrittori della Regione Lombardia destinatari di ricettari RUR, che comprenda le diverse tipologie di medici a cui è data facoltà di prescrivere prestazioni e farmaci dispensati dal SSR. L’elenco contiene anche i medici non più attivi da 6 mesi."
            },
            {
                "id": "Practitioner.extension",
                "path": "Practitioner.extension",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "value",
                            "path": "url"
                        }
                    ],
                    "rules": "open"
                },
                "min": 0
            },
            {
                "id": "Practitioner.extension:dataUpdate",
                "path": "Practitioner.extension",
                "sliceName": "dataUpdate",
                "short": "Data dell'ultima modifica del record",
                "definition": "Formato: YYYY-MM-DD secondo lo standard FHIR",
                "comment": "La fonte del dato è il campo DT_ULTV dell'anagrafe dei medici prescrittori i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01",
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLPractitionerDataUpdate"
                        ]
                    }
                ],
                "isModifier": false
            },
            {
                "id": "Practitioner.extension:dataInsert",
                "path": "Practitioner.extension",
                "sliceName": "dataInsert",
                "short": "Data di inserimento del record",
                "definition": "Formato: YYYY-MM-DD secondo lo standard FHIR",
                "comment": "La fonte del dato è il campo DT_INSER dell'anagrafe dei medici prescrittori i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01",
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLPractitionerDataInsert"
                        ]
                    }
                ],
                "isModifier": false
            },
            {
                "id": "Practitioner.identifier",
                "path": "Practitioner.identifier",
                "short": "Codice fiscale del medico prescrittore",
                "definition": "Stringa alfanumerica di 16 caratteri",
                "comment": "La fonte del dato è il campo  CD_FISCALE dell'anagrafe dei medici prescrittori i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documeto DC-DDC-SIAA#01",
                "min": 1,
                "max": "1"
            },
            {
                "id": "Practitioner.name",
                "path": "Practitioner.name",
                "short": "Nominativo del medico prescrittore",
                "min": 1,
                "max": "1"
            },
            {
                "id": "Practitioner.name.family",
                "path": "Practitioner.name.family",
                "short": "Cognome del medico prescrittore",
                "definition": "Stringa alfanumerica di max 40 caratteri.",
                "comment": "La fonte del dato è il campo DS_COGNOME dell'anagrafe dei medici prescrittori i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01",
                "min": 1
            },
            {
                "id": "Practitioner.name.given",
                "path": "Practitioner.name.given",
                "short": "Nome del medico prescrittore",
                "definition": "Stringa alfanumerica di max 40 caratteri.",
                "comment": "La fonte del dato è il campo DS_NOME dell'anagrafe dei medici prescrittori i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01",
                "min": 1
            },
            {
                "id": "Practitioner.qualification.code",
                "path": "Practitioner.qualification.code",
                "short": "Codifica della qualifica del medico prescrittore"
            },
            {
                "id": "Practitioner.qualification.code.coding.code",
                "path": "Practitioner.qualification.code.coding.code",
                "short": "Codice della qualifica del medico prescrittore",
                "definition": "Singolo carattere alfabetico",
                "comment": "La fonte del dato è il campo CD_TIPO_PRESCRITTORE dell'anagrafe dei medici prescrittori i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01",
                "binding": {
                    "strength": "required",
                    "description": "ValueSet relativo alle qualifiche dei medici prescrittori",
                    "valueSet": "https://fhir.siss.regione.lombardia.it/ValueSet/DDC-TipoPrescrittore"
                }
            },
            {
                "id": "Practitioner.qualification.code.coding.display",
                "path": "Practitioner.qualification.code.coding.display",
                "short": "Descrizione della qualifica del medico prescrittore",
                "definition": "Stringa alfanumerica di al più 70 caratteri",
                "comment": "La fonte del dato è il campo DS_TIPO_PRESCRITTORE dell'anagrafe dei medici prescrittori i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01"
            },
            {
                "id": "Practitioner.qualification.issuer",
                "path": "Practitioner.qualification.issuer",
                "short": "Reference all'ente L1 in cui il medico prescrittore lavora",
                "comment": "La fonte del dato è il campo CD_STRUTTURA dell'anagrafe dei medici prescrittori i cui dettagli sono consultabili nel documento DC-DDC-SIAA#02 ed accessibili tramite i servizi descritti nel documento DC-DDC-SIAA#01",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationL1"
                        ]
                    }
                ]
            }
        ]
    }
}

Esempi

Martino Rossi

Tipologie di ricerca

Attualmente non sono stati definiti criteri di ricerca.

Search parameter

Attualmente non sono definiti Search Parameters oltre quelli previsti dallo standard per la risorsa Practitioner.

Value set

Attualmente non sono definiti value set specifici per il profilo RLPractitionerMedicoPrescrittore.