PractitionerDirectory

Das PractitionerDirectory-Profil beschreibt Leistungserbringer, welche direkt oder indirekt an der Erbringung von Gesundheitsdienstleistungen beteiligt sind. Zu ihrer Beschreibung gehören Informationen zur Identität, Qualifikation und spezifischer Rolle oder Funktion innerhalb des Gesundheitssystems, wie etwa Ärzte oder Apotheker.

Ein wesentliches Merkmal dieser Ressource ist die Telematik-ID. Diese muss in der Ressource vorhanden sein, damit der Medication Service einen Deduplizierungsmechanismus durchführen kann. Die Telematik-ID ermöglicht eine eindeutige Identifizierung und Vermeidung von Duplikaten innerhalb des Systems, was zur Effizienz und Genauigkeit der Gesundheitsdienstleistungen beiträgt. Der Medication Service verwendet dazu das FHIR-Profil des FHIR-Verzeichnisdienstes.

Profile

Practitioner in gematik Directory

idS Σ0..1string
id0..1string
extensionI0..*Extension
versionIdΣ0..1id
lastUpdatedΣ0..1instant
sourceΣ0..1uri
profileΣ0..*canonical(StructureDefinition)
securityΣ0..*CodingBinding
id0..1string
extensionI0..*Extension
systemΣ1..1uriPattern
versionΣ0..1string
codeΣ0..1code
displayΣ0..1string
userSelectedΣ0..1boolean
implicitRulesΣ ?!0..1uri
language0..1codeBinding
text0..1Narrative
contained0..*Resource
extensionI0..*Extension
modifierExtension?! I0..*Extension
TelematikIDS Σ1..1IdentifierTelematikId
LANRS Σ0..*IdentifierLanr
ZANRS Σ0..*IdentifierZanr
activeΣ0..1boolean
id0..1string
extensionI0..*Extension
useΣ ?!0..1codeBinding
textS Σ1..1string
familyS Σ1..1string
givenS Σ1..*string
prefixS Σ0..*string
suffixS Σ0..*string
periodΣ I0..1Period
id0..1string
extensionI0..*Extension
systemS Σ I0..1codeBinding
valueS Σ0..1string
useS Σ ?!0..1codeBinding
rankΣ0..1positiveInt
periodΣ I0..1Period
addressΣ0..*Address
genderS Σ0..1codeBinding
birthDateS Σ0..1date
photoS I0..*Attachment
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
identifier0..*Identifier
codeS1..1CodeableConceptBinding
periodI0..1Period
issuerI0..1Reference(Organization)
communicationS0..*CodeableConceptBinding
Practitioner
DefinitionA person who is directly or indirectly involved in the provisioning of healthcare.
Cardinality0...*
Invariants
  • 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
Practitioner.id
DefinitionThe logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
Cardinality0...1
Typestring
Must SupportTrue
SummaryTrue
Comments

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

Practitioner.meta
DefinitionThe metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
Cardinality0...1
TypeMeta
SummaryTrue
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: N/A
Practitioner.meta.id
DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality0...1
Typestring
Mappings
  • rim: n/a
Practitioner.meta.extension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality0...*
TypeExtension
Aliasextensions, user content
Comments

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

SlicingUnordered, Open, by url(Value)
Invariants
  • 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
Practitioner.meta.versionId
DefinitionThe version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted.
Cardinality0...1
Typeid
SummaryTrue
Comments

The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Practitioner.meta.lastUpdated
DefinitionWhen the resource last changed - e.g. when the version changed.
Cardinality0...1
Typeinstant
SummaryTrue
Comments

This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Practitioner.meta.source
DefinitionA uri that identifies the source system of the resource. This provides a minimal amount of [Provenance](provenance.html#) information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.
Cardinality0...1
Typeuri
SummaryTrue
Comments

In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used.

This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Practitioner.meta.profile
DefinitionA list of profiles (references to [StructureDefinition](structuredefinition.html#) resources) that this resource claims to conform to. The URL is a reference to [StructureDefinition.url](structuredefinition-definitions.html#StructureDefinition.url).
Cardinality0...*
Typecanonical(StructureDefinition)
SummaryTrue
Comments

It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Practitioner.meta.security
DefinitionSecurity labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.
Cardinality0...*
TypeCoding
Binding

Security Labels from the Healthcare Privacy and Security Classification System.

All Security Labels (extensible)
SummaryTrue
Comments

The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.

Invariants
  • 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
Practitioner.meta.tag
DefinitionTags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.
Cardinality1...*
TypeCoding
Binding

Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".

CommonTags (example)
Must SupportTrue
SummaryTrue
Comments

The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.

SlicingUnordered, Open, by system(Value)
Invariants
  • 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
Practitioner.meta.tag:Origin
DefinitionTags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.
Cardinality1...1
TypeCoding
Binding

Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".

OriginVS (required)
Must SupportTrue
SummaryTrue
Comments

The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.

Invariants
  • 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
Practitioner.meta.tag:Origin.id
DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality0...1
Typestring
Mappings
  • rim: n/a
Practitioner.meta.tag:Origin.extension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality0...*
TypeExtension
Aliasextensions, user content
Comments

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

SlicingUnordered, Open, by url(Value)
Invariants
  • 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
Practitioner.meta.tag:Origin.system
DefinitionThe identification of the code system that defines the meaning of the symbol in the code.
Cardinality1...1
Typeuri
SummaryTrue
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.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Pattern

https://gematik.de/fhir/directory/CodeSystem/Origin

Mappings
  • rim: n/a
  • v2: C*E.3
  • rim: ./codeSystem
  • orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
Practitioner.meta.tag:Origin.version
DefinitionThe 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.
Cardinality0...1
Typestring
SummaryTrue
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.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: C*E.7
  • rim: ./codeSystemVersion
  • orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
Practitioner.meta.tag:Origin.code
DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Cardinality0...1
Typecode
SummaryTrue
Requirements

Need to refer to a particular code in the system.

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: C*E.1
  • rim: ./code
  • orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
Practitioner.meta.tag:Origin.display
DefinitionA representation of the meaning of the code in the system, following the rules of the system.
Cardinality0...1
Typestring
SummaryTrue
Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: C*E.2 - but note this is not well followed
  • rim: CV.displayName
  • orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
Practitioner.meta.tag:Origin.userSelected
DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).
Cardinality0...1
Typeboolean
SummaryTrue
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.

Invariants
  • 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 ]
Practitioner.implicitRules
DefinitionA reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Cardinality0...1
Typeuri
ModifierTrue
SummaryTrue
Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Practitioner.language
DefinitionThe base language in which the resource is written.
Cardinality0...1
Typecode
Binding

A human language.

CommonLanguages (preferred)
Comments

Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Practitioner.text
DefinitionA human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
Cardinality0...1
TypeNarrative
Aliasnarrative, html, xhtml, display
Comments

Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: N/A
  • rim: Act.text?
Practitioner.contained
DefinitionThese resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
Cardinality0...*
TypeResource
Aliasinline resources, anonymous resources, contained resources
Comments

This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

Mappings
  • rim: Entity. Role, or Act
  • rim: N/A
Practitioner.extension
DefinitionMay 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.
Cardinality0...*
TypeExtension
Aliasextensions, user content
Comments

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

SlicingUnordered, Open, by url(Value)
Invariants
  • 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
Practitioner.modifierExtension
DefinitionMay be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Cardinality0...*
TypeExtension
ModifierTrue
Aliasextensions, user content
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Comments

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

SlicingUnordered, Open, by url(Value)
Invariants
  • 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
Practitioner.identifier
DefinitionAn identifier that applies to this person in this role.
Cardinality1...*
TypeIdentifier
Must SupportTrue
SummaryTrue
Requirements

Often, specific identities are assigned for the agent.

SlicingUnordered, Open, by system(Value)
Invariants
  • 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
Practitioner.identifier:TelematikID
DefinitionAn identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers.
Cardinality1...1
TypeIdentifierTelematikId
Must SupportTrue
SummaryTrue
Requirements

Often, specific identities are assigned for the agent.

Invariants
  • 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
Practitioner.identifier:LANR
DefinitionAn identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers.
Cardinality0...*
TypeIdentifierLanr
Must SupportTrue
SummaryTrue
Requirements

Often, specific identities are assigned for the agent.

Invariants
  • 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
Practitioner.identifier:ZANR
DefinitionAn identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers.
Cardinality0...*
TypeIdentifierZanr
Must SupportTrue
SummaryTrue
Requirements

Often, specific identities are assigned for the agent.

Invariants
  • 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
Practitioner.active
DefinitionWhether this practitioner's record is in active use.
Cardinality0...1
Typeboolean
SummaryTrue
Requirements

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

Comments

If the practitioner is not in use by one organization, then it should mark the period on the PractitonerRole with an end date (even if they are active) as they may be active in another role.

Invariants
  • 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
Practitioner.name
DefinitionThe name(s) associated with the practitioner.
Cardinality1...1
TypeHumanName
Must SupportTrue
SummaryTrue
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:

  1. There is more than 1 name
  2. Use = usual
  3. Period is current to the date of the usage
  4. Use = official
  5. Other order as decided by internal business rules.
Invariants
  • 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)
Practitioner.name.id
DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality0...1
Typestring
Mappings
  • rim: n/a
Practitioner.name.extension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality0...*
TypeExtension
Aliasextensions, user content
Comments

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

SlicingUnordered, Open, by url(Value)
Invariants
  • 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
Practitioner.name.use
DefinitionIdentifies the purpose for this name.
Cardinality0...1
Typecode
Binding

The use of a human name.

NameUse (required)
ModifierTrue
SummaryTrue
Requirements

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

Comments

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

Invariants
  • 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
Practitioner.name.text
DefinitionSpecifies 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.
Cardinality1...1
Typestring
Must SupportTrue
SummaryTrue
Requirements

A renderable, unencoded form.

Comments

Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.

Invariants
  • 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
Practitioner.name.family
DefinitionThe part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.
Cardinality1...1
Typestring
Must SupportTrue
SummaryTrue
Aliassurname
Comments

Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).

Invariants
  • 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
Practitioner.name.given
DefinitionGiven name.
Cardinality1...*
Typestring
Must SupportTrue
SummaryTrue
Aliasfirst name, middle name
Comments

If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first.

Invariants
  • 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
Practitioner.name.prefix
DefinitionPart of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name.
Cardinality0...*
Typestring
Must SupportTrue
SummaryTrue
Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Invariants
  • 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
Practitioner.name.suffix
DefinitionPart of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name.
Cardinality0...*
Typestring
Must SupportTrue
SummaryTrue
Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Invariants
  • 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]
Practitioner.name.period
DefinitionIndicates the period of time when this name was valid for the named person.
Cardinality0...1
TypePeriod
SummaryTrue
Requirements

Allows names to be placed in historical context.

Comments

A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times").

Period is not used for a duration (a measure of elapsed time). See Duration.

Invariants
  • 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
Practitioner.telecom
DefinitionA contact detail for the practitioner, e.g. a telephone number or an email address.
Cardinality0...*
TypeContactPoint
Must SupportTrue
SummaryTrue
Requirements

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

Comments

Person may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and to help with identification. These typically will have home numbers, or mobile numbers that are not role specific.

Invariants
  • 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
Practitioner.telecom.id
DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality0...1
Typestring
Mappings
  • rim: n/a
Practitioner.telecom.extension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality0...*
TypeExtension
Aliasextensions, user content
Comments

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

SlicingUnordered, Open, by url(Value)
Invariants
  • 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
Practitioner.telecom.system
DefinitionTelecommunications form for contact point - what communications system is required to make use of the contact.
Cardinality0...1
Typecode
Binding

Telecommunications form for contact point.

ContactPointSystem (required)
Must SupportTrue
SummaryTrue
Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: XTN.3
  • rim: ./scheme
  • servd: ./ContactPointType
Practitioner.telecom.value
DefinitionThe actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address).
Cardinality0...1
Typestring
Must SupportTrue
SummaryTrue
Requirements

Need to support legacy numbers that are not in a tightly controlled format.

Comments

Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: XTN.1 (or XTN.12)
  • rim: ./url
  • servd: ./Value
Practitioner.telecom.use
DefinitionIdentifies the purpose for the contact point.
Cardinality0...1
Typecode
Binding

Use of contact point.

ContactPointUse (required)
Must SupportTrue
ModifierTrue
SummaryTrue
Requirements

Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.

Comments

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

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: XTN.2 - but often indicated by field
  • rim: unique(./use)
  • servd: ./ContactPointPurpose
Practitioner.telecom.rank
DefinitionSpecifies a preferred order in which to use a set of contacts. ContactPoints with lower rank values are more preferred than those with higher rank values.
Cardinality0...1
TypepositiveInt
SummaryTrue
Comments

Note that rank does not necessarily follow the order in which the contacts are represented in the instance.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: n/a
Practitioner.telecom.period
DefinitionTime period when the contact point was/is in use.
Cardinality0...1
TypePeriod
SummaryTrue
Comments

A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times").

Period is not used for a duration (a measure of elapsed time). See Duration.

Invariants
  • 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: N/A
  • rim: ./usablePeriod[type="IVL<TS>"]
  • servd: ./StartDate and ./EndDate
Practitioner.address
DefinitionAddress(es) of the practitioner that are not role specific (typically home address). Work addresses are not typically entered in this property as they are usually role dependent.
Cardinality0...*
TypeAddress
SummaryTrue
Requirements

The home/mailing address of the practitioner is often required for employee administration purposes, and also for some rostering services where the start point (practitioners home) can be used in calculations.

Comments

The PractitionerRole does not have an address value on it, as it is expected that the location property be used for this purpose (which has an address).

Invariants
  • 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
Practitioner.gender
DefinitionAdministrative Gender - the gender that the person is considered to have for administration and record keeping purposes.
Cardinality0...1
Typecode
Binding

The gender of a person used for administrative purposes.

AdministrativeGender (required)
Must SupportTrue
SummaryTrue
Requirements

Needed to address the person correctly.

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Invariants
  • 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
Practitioner.birthDate
DefinitionThe date of birth for the practitioner.
Cardinality0...1
Typedate
Must SupportTrue
SummaryTrue
Requirements

Needed for identification.

Invariants
  • 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)
Practitioner.photo
DefinitionImage of the person.
Cardinality0...*
TypeAttachment
Must SupportTrue
Requirements

Many EHR systems have the capability to capture an image of patients and personnel. Fits with newer social media usage too.

Comments

When providing a summary view (for example with Observation.value[x]) Attachment should be represented with a brief display text such as "Signed Procedure Consent".

Invariants
  • 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)
Practitioner.qualification
DefinitionThe official certifications, training, and licenses that authorize or otherwise pertain to the provision of care by the practitioner. For example, a medical license issued by a medical board authorizing the practitioner to practice medicine within a certian locality.
Cardinality0...*
TypeBackboneElement
Must SupportTrue
Invariants
  • 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
Practitioner.qualification.id
DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality0...1
Typestring
Mappings
  • rim: n/a
Practitioner.qualification.extension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality0...*
TypeExtension
Aliasextensions, user content
Comments

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

SlicingUnordered, Open, by url(Value)
Invariants
  • 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
Practitioner.qualification.modifierExtension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Cardinality0...*
TypeExtension
ModifierTrue
SummaryTrue
Aliasextensions, user content, modifiers
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Comments

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

Invariants
  • 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
Practitioner.qualification.identifier
DefinitionAn identifier that applies to this person's qualification in this role.
Cardinality0...*
TypeIdentifier
Requirements

Often, specific identities are assigned for the qualification.

Invariants
  • 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
Practitioner.qualification.code
DefinitionCoded representation of the qualification.
Cardinality1...1
TypeCodeableConcept
Binding

Specific qualification the practitioner has to provide a service.

PractitionerQualificationVS (extensible)
Must SupportTrue
Comments

Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

Invariants
  • 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
Practitioner.qualification.period
DefinitionPeriod during which the qualification is valid.
Cardinality0...1
TypePeriod
Requirements

Qualifications are often for a limited period of time, and can be revoked.

Comments

A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times").

Period is not used for a duration (a measure of elapsed time). See Duration.

Invariants
  • 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
Practitioner.qualification.issuer
DefinitionOrganization that regulates and issues the qualification.
Cardinality0...1
TypeReference(Organization)
Comments

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

Invariants
  • 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
Practitioner.communication
DefinitionA language the practitioner can use in patient communication.
Cardinality0...*
TypeCodeableConcept
Binding

A human language.

CommonLanguages (preferred)
Must SupportTrue
Requirements

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

Comments

The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems code this but instead have it as free text. Hence CodeableConcept instead of code as the data type.

Invariants
  • 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
<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="PractitionerDirectory" />
    <url value="https://gematik.de/fhir/directory/StructureDefinition/PractitionerDirectory" />
    <version value="0.11.12" />
    <name value="PractitionerDirectory" />
    <title value="Practitioner in gematik Directory" />
    <status value="active" />
    <publisher value="gematik GmbH" />
    <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.id">
            <path value="Practitioner.id" />
            <mustSupport value="true" />
        </element>
        <element id="Practitioner.meta.tag">
            <path value="Practitioner.meta.tag" />
            <slicing>
                <discriminator>
                    <type value="value" />
                    <path value="system" />
                </discriminator>
                <rules value="open" />
            </slicing>
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Practitioner.meta.tag:Origin">
            <path value="Practitioner.meta.tag" />
            <sliceName value="Origin" />
            <min value="1" />
            <max value="1" />
            <mustSupport value="true" />
            <binding>
                <strength value="required" />
                <valueSet value="https://gematik.de/fhir/directory/ValueSet/OriginVS" />
            </binding>
        </element>
        <element id="Practitioner.meta.tag:Origin.system">
            <path value="Practitioner.meta.tag.system" />
            <min value="1" />
            <patternUri value="https://gematik.de/fhir/directory/CodeSystem/Origin" />
        </element>
        <element id="Practitioner.identifier">
            <path value="Practitioner.identifier" />
            <slicing>
                <discriminator>
                    <type value="value" />
                    <path value="system" />
                </discriminator>
                <rules value="open" />
            </slicing>
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Practitioner.identifier:TelematikID">
            <path value="Practitioner.identifier" />
            <sliceName value="TelematikID" />
            <min value="1" />
            <max value="1" />
            <type>
                <code value="Identifier" />
                <profile value="http://fhir.de/StructureDefinition/identifier-telematik-id" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="Practitioner.identifier:LANR">
            <path value="Practitioner.identifier" />
            <sliceName value="LANR" />
            <min value="0" />
            <max value="*" />
            <type>
                <code value="Identifier" />
                <profile value="http://fhir.de/StructureDefinition/identifier-lanr" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="Practitioner.identifier:ZANR">
            <path value="Practitioner.identifier" />
            <sliceName value="ZANR" />
            <min value="0" />
            <max value="*" />
            <type>
                <code value="Identifier" />
                <profile value="http://fhir.de/StructureDefinition/identifier-zanr" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="Practitioner.name">
            <path value="Practitioner.name" />
            <min value="1" />
            <max value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Practitioner.name.text">
            <path value="Practitioner.name.text" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Practitioner.name.family">
            <path value="Practitioner.name.family" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Practitioner.name.given">
            <path value="Practitioner.name.given" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Practitioner.name.prefix">
            <path value="Practitioner.name.prefix" />
            <mustSupport value="true" />
        </element>
        <element id="Practitioner.name.suffix">
            <path value="Practitioner.name.suffix" />
            <mustSupport value="true" />
        </element>
        <element id="Practitioner.telecom">
            <path value="Practitioner.telecom" />
            <mustSupport value="true" />
        </element>
        <element id="Practitioner.telecom.system">
            <path value="Practitioner.telecom.system" />
            <mustSupport value="true" />
        </element>
        <element id="Practitioner.telecom.value">
            <path value="Practitioner.telecom.value" />
            <mustSupport value="true" />
        </element>
        <element id="Practitioner.telecom.use">
            <path value="Practitioner.telecom.use" />
            <mustSupport value="true" />
        </element>
        <element id="Practitioner.gender">
            <path value="Practitioner.gender" />
            <mustSupport value="true" />
        </element>
        <element id="Practitioner.birthDate">
            <path value="Practitioner.birthDate" />
            <mustSupport value="true" />
        </element>
        <element id="Practitioner.photo">
            <path value="Practitioner.photo" />
            <mustSupport value="true" />
        </element>
        <element id="Practitioner.qualification">
            <path value="Practitioner.qualification" />
            <mustSupport value="true" />
        </element>
        <element id="Practitioner.qualification.code">
            <path value="Practitioner.qualification.code" />
            <mustSupport value="true" />
            <binding>
                <strength value="extensible" />
                <valueSet value="https://gematik.de/fhir/directory/ValueSet/PractitionerQualificationVS" />
            </binding>
        </element>
        <element id="Practitioner.communication">
            <path value="Practitioner.communication" />
            <mustSupport value="true" />
        </element>
    </differential>
</StructureDefinition>
{
    "resourceType": "StructureDefinition",
    "id": "PractitionerDirectory",
    "url": "https://gematik.de/fhir/directory/StructureDefinition/PractitionerDirectory",
    "version": "0.11.12",
    "name": "PractitionerDirectory",
    "title": "Practitioner in gematik Directory",
    "status": "active",
    "publisher": "gematik GmbH",
    "fhirVersion": "4.0.1",
    "kind": "resource",
    "abstract": false,
    "type": "Practitioner",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Practitioner",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "Practitioner.id",
                "path": "Practitioner.id",
                "mustSupport": true
            },
            {
                "id": "Practitioner.meta.tag",
                "path": "Practitioner.meta.tag",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "value",
                            "path": "system"
                        }
                    ],
                    "rules": "open"
                },
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Practitioner.meta.tag:Origin",
                "path": "Practitioner.meta.tag",
                "sliceName": "Origin",
                "min": 1,
                "max": "1",
                "mustSupport": true,
                "binding": {
                    "strength": "required",
                    "valueSet": "https://gematik.de/fhir/directory/ValueSet/OriginVS"
                }
            },
            {
                "id": "Practitioner.meta.tag:Origin.system",
                "path": "Practitioner.meta.tag.system",
                "min": 1,
                "patternUri": "https://gematik.de/fhir/directory/CodeSystem/Origin"
            },
            {
                "id": "Practitioner.identifier",
                "path": "Practitioner.identifier",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "value",
                            "path": "system"
                        }
                    ],
                    "rules": "open"
                },
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Practitioner.identifier:TelematikID",
                "path": "Practitioner.identifier",
                "sliceName": "TelematikID",
                "min": 1,
                "max": "1",
                "type":  [
                    {
                        "code": "Identifier",
                        "profile":  [
                            "http://fhir.de/StructureDefinition/identifier-telematik-id"
                        ]
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "Practitioner.identifier:LANR",
                "path": "Practitioner.identifier",
                "sliceName": "LANR",
                "min": 0,
                "max": "*",
                "type":  [
                    {
                        "code": "Identifier",
                        "profile":  [
                            "http://fhir.de/StructureDefinition/identifier-lanr"
                        ]
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "Practitioner.identifier:ZANR",
                "path": "Practitioner.identifier",
                "sliceName": "ZANR",
                "min": 0,
                "max": "*",
                "type":  [
                    {
                        "code": "Identifier",
                        "profile":  [
                            "http://fhir.de/StructureDefinition/identifier-zanr"
                        ]
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "Practitioner.name",
                "path": "Practitioner.name",
                "min": 1,
                "max": "1",
                "mustSupport": true
            },
            {
                "id": "Practitioner.name.text",
                "path": "Practitioner.name.text",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Practitioner.name.family",
                "path": "Practitioner.name.family",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Practitioner.name.given",
                "path": "Practitioner.name.given",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Practitioner.name.prefix",
                "path": "Practitioner.name.prefix",
                "mustSupport": true
            },
            {
                "id": "Practitioner.name.suffix",
                "path": "Practitioner.name.suffix",
                "mustSupport": true
            },
            {
                "id": "Practitioner.telecom",
                "path": "Practitioner.telecom",
                "mustSupport": true
            },
            {
                "id": "Practitioner.telecom.system",
                "path": "Practitioner.telecom.system",
                "mustSupport": true
            },
            {
                "id": "Practitioner.telecom.value",
                "path": "Practitioner.telecom.value",
                "mustSupport": true
            },
            {
                "id": "Practitioner.telecom.use",
                "path": "Practitioner.telecom.use",
                "mustSupport": true
            },
            {
                "id": "Practitioner.gender",
                "path": "Practitioner.gender",
                "mustSupport": true
            },
            {
                "id": "Practitioner.birthDate",
                "path": "Practitioner.birthDate",
                "mustSupport": true
            },
            {
                "id": "Practitioner.photo",
                "path": "Practitioner.photo",
                "mustSupport": true
            },
            {
                "id": "Practitioner.qualification",
                "path": "Practitioner.qualification",
                "mustSupport": true
            },
            {
                "id": "Practitioner.qualification.code",
                "path": "Practitioner.qualification.code",
                "mustSupport": true,
                "binding": {
                    "strength": "extensible",
                    "valueSet": "https://gematik.de/fhir/directory/ValueSet/PractitionerQualificationVS"
                }
            },
            {
                "id": "Practitioner.communication",
                "path": "Practitioner.communication",
                "mustSupport": true
            }
        ]
    }
}