Pan-Canadian Patient Summary (PS-CA) IGuide v1.1.0 DFT-Ballot

This is the current version of the PS-CA Implementation Guide. Other releases of the PS-CA Implementation Guide may be found on a table on the Home Page of this Project.

PractitionerRole-Lab (PS-CA)

Additional information on this profile (including the JSON & XML structure and detailed element descriptions) can be found at package/structuredefinition-profile-practitionerrole-lab-ca-ps.json

Profile

PractitionerRole	I		PractitionerRole	There are no (further) constraints on this element Element Id PractitionerRole Short description Roles/organizations the practitioner is associated with Definition A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time. Data Type PractitionerRole 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:ServiceSiteProvider
identifier	Σ	0..*	Identifier DataType Profile (CA Baseline)	Element Id PractitionerRole.identifier Short description An identifier intended for computation Definition An identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers. Requirements Often, specific identities are assigned for the agent. Data Type Identifier DataType Profile (CA Baseline) 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 PractitionerRole.active Short description Whether this practitioner role record is in active use Definition Whether this practitioner role record is in active use. Requirements Need to be able to mark a practitioner role record as not to be used because it was created in error, or otherwise no longer in active use. Comments If this value is false, you may refer to the period to see when the role was in active use. If there is no period specified, no inference can be made about when it was active. Meaning When Missing This resource is generally assumed to be active if no value is provided for the active element Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a w5:FiveWs.status v2:STF-7 rim:.statusCode
period	Σ I	0..1	Period	There are no (further) constraints on this element Element Id PractitionerRole.period Short description The period during which the practitioner is authorized to perform in these role(s) Definition The period during which the person is authorized to act as a practitioner in these role(s) for the organization. Requirements Even after the agencies is revoked, the fact that it existed must still be recorded. 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"] w5:FiveWs.done[x] v2:PRD-8/9 / PRA-5.4 rim:.performance[@typeCode <= 'PPRF'].ActDefinitionOrEvent.effectiveTime servd:(ServD maps Practitioners and Organizations via another entity, so this concept is not available)
practitioner	Σ I	0..1	Reference(package/structuredefinition-profile-practitioner-lab-ca-ps.json)	Element Id PractitionerRole.practitioner Short description Practitioner that is able to provide the defined services for the organization Definition Practitioner that is able to provide the defined services for the 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. Data Type Reference(package/structuredefinition-profile-practitioner-lab-ca-ps.json) 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:.player
organization	Σ I	0..1	Reference(package/structuredefinition-profile-organization-lab-ca-ps.json)	Element Id PractitionerRole.organization Short description Organization where the roles are available Definition The organization where the Practitioner performs the roles associated. Comments While IPS-UV considers PractitionerRole.organization a Must Support element, a number of jurisdictional systems may not capture the organization the practitioner is performing that role for, in the scope of a practitioner that is the performer of an observation or diagnostic report. Further feedback is required on whether these systems are still expected to be able to demonstrate they can construct this element when developing a patient summary instance that includes diagnostic result information. Data Type Reference(package/structuredefinition-profile-organization-lab-ca-ps.json) 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:.scoper
code	Σ	0..*	package/StructureDefinition-CodeableConcept-ca-ps.jsonBinding	Element Id PractitionerRole.code Short description Concept - reference to a terminology or just text Definition Roles which this practitioner is authorized to perform for the organization. Requirements Need to know what authority the practitioner has - what can they do? Comments Work is underway to define the pan-Canadian terminology that will be preferred and/or socialized for PractitionerRole.specialty Data Type package/StructureDefinition-CodeableConcept-ca-ps.json Binding A role type that is used to categorize an entity that delivers health care in an expected and professional manner to an entity in need of health care services. Examples: Registered Nurse, Chiropractor, Physician, Custodial Care Clinic. https://fhir.infoway-inforoute.ca/ValueSet/healthcareproviderroletype (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:PRD-1 / STF-18 / PRA-3 / PRT-4 / ROL-3 / ORC-12 / OBR-16 / PV1-7 / PV1-8 / PV1-9 / PV1-17 rim:.code servd:(ServD maps Practitioners and Organizations via another entity, so this concept is not available)
specialty	Σ	0..*	CodeableConceptBinding	Element Id PractitionerRole.specialty Short description PractitionerSpecialty Definition Specific specialty of the practitioner. Comments Work is underway to define the pan-Canadian terminology that will be preferred and/or socialized for PractitionerRole.specialty Data Type CodeableConcept Binding Defines the clinical, medical, surgical or other healthcare-related service specialty of a practitioner who interacts, treats or provides such services to or for a patient. https://fhir.infoway-inforoute.ca/ValueSet/practitionerspecialty (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:PRA-5 rim:.player.HealthCareProvider[@classCode = 'PROV'].code servd:./Specialty
location	Σ I	0..*	Reference(Location)	There are no (further) constraints on this element Element Id PractitionerRole.location Short description The location(s) at which this practitioner provides care Definition The location(s) at which this practitioner provides care. 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. Data Type Reference(Location) 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) w5:FiveWs.where[x] rim:.performance.ActDefinitionOrEvent.ServiceDeliveryLocation[@classCode = 'SDLOC'] servd:(ServD maps Practitioners and Organizations via another entity, so this concept is not available)<br/> However these are accessed via the Site.ServiceSite.ServiceSiteProvider record. (The Site has the location)
healthcareService	I	0..*	Reference(HealthcareService)	There are no (further) constraints on this element Element Id PractitionerRole.healthcareService Short description The list of healthcare services that this worker provides for this role's Organization/Location(s) Definition The list of healthcare services that this worker provides for this role's Organization/Location(s). 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. Data Type Reference(HealthcareService) 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) v2:EDU-2 / AFF-3 rim:.player.QualifiedEntity[@classCode = 'QUAL'].code
telecom	Σ I	0..*	ContactPoint	There are no (further) constraints on this element Element Id PractitionerRole.telecom Short description Contact details that are specific to the role/location/service Definition Contact details that are specific to the role/location/service. Requirements Often practitioners have a dedicated line for each location (or service) that they work at, and need to be able to define separate contact details for each of these. 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 rim:.telecom
availableTime		0..*	BackboneElement	There are no (further) constraints on this element Element Id PractitionerRole.availableTime Short description Times the Service Site is available Definition A collection of times the practitioner is available or performing this role at the location and/or healthcareservice. Comments More detailed availability information may be provided in associated Schedule/Slot resources. 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 rim:.effectiveTime
daysOfWeek		0..*	codeBinding	There are no (further) constraints on this element Element Id PractitionerRole.availableTime.daysOfWeek Short description mon \| tue \| wed \| thu \| fri \| sat \| sun Definition Indicates which days of the week are available between the start and end Times. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type code Binding The days of the week. DaysOfWeek (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:.effectiveTime
allDay		0..1	boolean	There are no (further) constraints on this element Element Id PractitionerRole.availableTime.allDay Short description Always available? e.g. 24 hour service Definition Is this always available? (hence times are irrelevant) e.g. 24 hour service. 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 rim:.effectiveTime
availableStartTime		0..1	time	There are no (further) constraints on this element Element Id PractitionerRole.availableTime.availableStartTime Short description Opening time of day (ignored if allDay = true) Definition The opening time of day. Note: If the AllDay flag is set, then this time is ignored. Comments The timezone is expected to be for where this HealthcareService is provided at. Data Type time Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:.effectiveTime
availableEndTime		0..1	time	There are no (further) constraints on this element Element Id PractitionerRole.availableTime.availableEndTime Short description Closing time of day (ignored if allDay = true) Definition The closing time of day. Note: If the AllDay flag is set, then this time is ignored. Comments The timezone is expected to be for where this HealthcareService is provided at. Data Type time Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:.effectiveTime
notAvailable		0..*	BackboneElement	There are no (further) constraints on this element Element Id PractitionerRole.notAvailable Short description Not available during this time due to provided reason Definition The practitioner is not available or performing this role during this period of time due to the provided reason. 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 rim:.effectiveTime
description		1..1	string	There are no (further) constraints on this element Element Id PractitionerRole.notAvailable.description Short description Reason presented to the user explaining why time not available Definition The reason that can be presented to the user as to why this time is not available. 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
during	I	0..1	Period	There are no (further) constraints on this element Element Id PractitionerRole.notAvailable.during Short description Service not available from this date Definition Service is not available (seasonally or for a public holiday) from this date. 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:.effectiveTime
availabilityExceptions		0..1	string	There are no (further) constraints on this element Element Id PractitionerRole.availabilityExceptions Short description Description of availability exceptions Definition A description of site availability exceptions, e.g. public holiday availability. Succinctly describing all possible exceptions to normal site availability as details in the available Times and not available Times. 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 rim:.effectiveTime
endpoint	I	0..*	Reference(Endpoint)	There are no (further) constraints on this element Element Id PractitionerRole.endpoint Short description Technical endpoints providing access to services operated for the practitioner with this role Definition Technical endpoints providing access to services operated for the practitioner with this role. Requirements Organizations have multiple systems that provide various services and ,ay also be different for practitioners too. So the endpoint satisfies the need to be able to define the technical connection details for how to connect to them, and for what purpose. 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. Data Type Reference(Endpoint) 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)

Extensions

There are no additional extensions in this profile

Key Differences between the IPS-UV and PS-CA

Must Support Differences:

PS-CA removed a Must Support flag to PractitionerRole.organization

Note: Systems that do support these elements are encouraged to include it in generated Patient Summary documents, and support it when received

Cardinality Differences:

There are no cardinality differences between this profile and IPS-UV

Vocabulary Differences:

PractitionerRole.code
- additionalBindings added for:
  - Healthcare Professional Role codes ISCO HealthcareProfessionalRolesUvIps
PractitionerRole.speciality
- Practitioner Speciality https://fhir.infoway-inforoute.ca/ValueSet/practitionerspecialty indicated as preferred Note: Work is underway to define a pan-Canadian valueset for specialty.

Other differences between the IPS and PS-CA Include:

There are no additional differences between this profile and IPS-UV

Note: Additionally, the use of CA Baseline PractitionerRole profile will be superseded by the CA Core profile (or profiles that impose the CA Core) in the PS-CA 2.0 release but the current usage of CA Baseline profile for PractitionerRole will be maintained until a further stabilized CA Core profile (or further Patient Summary requirements) exist.