Pan-Canadian Patient Summary (PS-CA) v2.1.0 DFT
2.1.0-DFT 
DFT - For a full list of available versions, see the Directory of published versions
PractitionerRole-Lab (PS-CA)
Links
Profile
Derived from
http://hl7.org/fhir/StructureDefinition/PractitionerRole
Examples
Description
This profile represents the constraints applied to the PractitionerRole resource by the PS-CA project to represent a practitioner in a role acting as an observer for observation results for a specified organization. It is informed by the constraints of the PractitionerRole IPS-UV profile and the Canadian Baseline Profile to allow for cross-border and cross-jurisdiction sharing of details that support Diagnostic Result Information.
References to this resource
DiagnosticReportPSCA, ObservationResultsLaboratoryPathologyPSCA, ObservationResultsRadiologyPSCA
Resource Content
| PractitionerRoleLabPSCA (PractitionerRole) | C | PractitionerRole | |
| id | Σ | 0..1 | string |
| meta | Σ | 0..1 | Meta |
| implicitRules | Σ ?! | 0..1 | uri |
| language | 0..1 | codeBinding | |
| text | 0..1 | Narrative | |
| contained | 0..* | Resource | |
| extension | C | 0..* | Extension |
| modifierExtension | ?! C | 0..* | Extension |
| identifier | Σ | 0..* | IdentifierCABaseline |
| active | Σ | 0..1 | boolean |
| period | Σ | 0..1 | Period |
| practitioner | Σ | 0..1 | Reference(PractitionerLabPSCA) |
| organization | Σ | 0..1 | Reference(OrganizationLabPSCA) |
| code | Σ | 0..* | CodeableConceptPSCABinding |
| specialty | Σ | 0..* | CodeableConcept |
| location | Σ | 0..* | Reference(Location) |
| healthcareService | 0..* | Reference(HealthcareService) | |
| telecom | Σ | 0..* | ContactPoint |
| availableTime | 0..* | BackboneElement | |
| id | 0..1 | string | |
| extension | C | 0..* | Extension |
| modifierExtension | Σ ?! C | 0..* | Extension |
| daysOfWeek | 0..* | codeBinding | |
| allDay | 0..1 | boolean | |
| availableStartTime | 0..1 | time | |
| availableEndTime | 0..1 | time | |
| notAvailable | 0..* | BackboneElement | |
| id | 0..1 | string | |
| extension | C | 0..* | Extension |
| modifierExtension | Σ ?! C | 0..* | Extension |
| description | 1..1 | string | |
| during | 0..1 | Period | |
| availabilityExceptions | 0..1 | string | |
| endpoint | 0..* | Reference(Endpoint) |
| PractitionerRoleLabPSCA (PractitionerRole) | C | PractitionerRole | |
| id | Σ | 0..1 | string |
| meta | Σ | 0..1 | Meta |
| implicitRules | Σ ?! | 0..1 | uri |
| language | 0..1 | codeBinding | |
| text | 0..1 | Narrative | |
| contained | 0..* | Resource | |
| extension | C | 0..* | Extension |
| modifierExtension | ?! C | 0..* | Extension |
| identifier | Σ | 0..* | IdentifierCABaseline |
| active | Σ | 0..1 | boolean |
| period | Σ | 0..1 | Period |
| practitioner | Σ | 0..1 | Reference(PractitionerLabPSCA) |
| organization | Σ | 0..1 | Reference(OrganizationLabPSCA) |
| code | Σ | 0..* | CodeableConceptPSCABinding |
| specialty | Σ | 0..* | CodeableConcept |
| location | Σ | 0..* | Reference(Location) |
| healthcareService | 0..* | Reference(HealthcareService) | |
| telecom | Σ | 0..* | ContactPoint |
| availableTime | 0..* | BackboneElement | |
| id | 0..1 | string | |
| extension | C | 0..* | Extension |
| modifierExtension | Σ ?! C | 0..* | Extension |
| daysOfWeek | 0..* | codeBinding | |
| allDay | 0..1 | boolean | |
| availableStartTime | 0..1 | time | |
| availableEndTime | 0..1 | time | |
| notAvailable | 0..* | BackboneElement | |
| id | 0..1 | string | |
| extension | C | 0..* | Extension |
| modifierExtension | Σ ?! C | 0..* | Extension |
| description | 1..1 | string | |
| during | 0..1 | Period | |
| availabilityExceptions | 0..1 | string | |
| endpoint | 0..* | Reference(Endpoint) |
<url value="http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/practitionerrole-lab-ca-ps" />
<description value="This profile represents the constraints applied to the PractitionerRole resource by the PS-CA project to represent a practitioner in a role acting as an observer for observation results for a specified organization. It is informed by the constraints of the [PractitionerRole IPS-UV profile](http://hl7.org/fhir/uv/ips/StructureDefinition-PractitionerRole-uv-ips.html) and the [Canadian Baseline Profile](http://build.fhir.org/ig/HL7-Canada/ca-baseline/branches/master/StructureDefinition-profile-practitionerrole.html) to allow for cross-border and cross-jurisdiction sharing of details that support Diagnostic Result Information." />
<copyright value="Copyright © 2024+ Canada Health Infoway. All rights reserved. [Terms of Use and License Agreements](https://ic.infoway-inforoute.ca/en/about/tou). [Privacy Policy](https://www.infoway-inforoute.ca/en/legal/privacy-policy)." />
<definition value="A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time." />
</base>
<human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources" />
</constraint>
<human value="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" />
<expression value="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()" />
<xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))" />
</constraint>
<human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated" />
<xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))" />
</constraint>
<human value="If a resource is contained in another resource, it SHALL NOT have a security label" />
</constraint>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
<valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time." />
</extension>
</constraint>
</mapping>
</mapping>
</mapping>
</mapping>
</element>
<definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes." />
<comment value="The only time that a resource does not have an id is when it is being submitted to the server using a create operation." />
</base>
</extension>
</type>
</element>
<definition value="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource." />
</base>
</type>
</constraint>
</element>
<definition value="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc." />
<comment value="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." />
</base>
</type>
</constraint>
<isModifierReason value="This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation" />
</element>
<comment value="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)." />
</base>
</type>
</constraint>
</extension>
</extension>
</extension>
</binding>
</element>
<definition value="A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety." />
<comment value="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." />
</base>
</type>
</constraint>
</mapping>
</element>
<definition value="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope." />
<comment value="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." />
</base>
</type>
</mapping>
</element>
<definition value="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." />
<comment value="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." />
</base>
</type>
</constraint>
</constraint>
</mapping>
</element>
<definition value="May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." />
<comment value="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." />
<requirements value="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](extensibility.html#modifierExtension)." />
</base>
</type>
</constraint>
</constraint>
<isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them" />
</mapping>
</element>
<definition value="An identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers." />
</base>
</type>
</constraint>
</mapping>
</mapping>
</mapping>
</mapping>
</mapping>
</mapping>
<map value="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]" />
</mapping>
</mapping>
</element>
<comment value="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." />
<requirements value="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." />
</base>
</type>
<meaningWhenMissing value="This resource is generally assumed to be active if no value is provided for the active element" />
</constraint>
</mapping>
</mapping>
</mapping>
</element>
<short value="The period during which the practitioner is authorized to perform in these role(s)" />
<definition value="The period during which the person is authorized to act as a practitioner in these role(s) for the organization." />
<requirements value="Even after the agencies is revoked, the fact that it existed must still be recorded." />
</base>
</type>
</constraint>
</mapping>
</mapping>
</mapping>
<map value="(ServD maps Practitioners and Organizations via another entity, so this concept is not available)" />
</mapping>
</element>
<definition value="Practitioner that is able to provide the defined services for the organization." />
</base>
<targetProfile value="http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/practitioner-lab-ca-ps" />
</type>
</constraint>
</mapping>
</element>
<comment value="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." />
</base>
<targetProfile value="http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/organization-lab-ca-ps" />
</type>
</constraint>
</mapping>
</element>
</extension>
</extension>
<comment value="For all CodeableConcepts, at least one of coding or text must be present. If coding contains only a display value (no code) then CodeableConcept must include text." />
</base>
<profile value="http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/CodeableConcept-ca-ps" />
</type>
</constraint>
</extension>
</extension>
</extension>
<valueMarkdown value="Healthcare professional role codes from International Standard Classification of Occupations (ISCO) utilized in IPS. While not the preferred terminology for broader pan-Canadian exchange use cases, this additional binding is surfaced to socialize the value sets that are proposed for international exchange in IPS. Where multiple codings can be supplied, it is encouraged to supply the original coding alongside the pan-Canadian preferred terminology." />
</extension>
</extension>
<description value="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." />
</binding>
<map value="PRD-1 / STF-18 / PRA-3 / PRT-4 / ROL-3 / ORC-12 / OBR-16 / PV1-7 / PV1-8 / PV1-9 / PV1-17" />
</mapping>
</mapping>
<map value="(ServD maps Practitioners and Organizations via another entity, so this concept is not available)" />
</mapping>
</mapping>
</mapping>
</mapping>
</mapping>
</element>
<comment value="Work is underway to define the pan-Canadian terminology that will be preferred and/or socialized for PractitionerRole.specialty" />
</base>
</type>
</constraint>
</extension>
<description value="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." />
</binding>
</mapping>
</mapping>
</mapping>
</element>
</base>
</type>
</constraint>
</mapping>
</mapping>
<map value="(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)" />
</mapping>
</element>
<short value="The list of healthcare services that this worker provides for this role's Organization/Location(s)" />
<definition value="The list of healthcare services that this worker provides for this role's Organization/Location(s)." />
</base>
</type>
</constraint>
</mapping>
</mapping>
</element>
<requirements value="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." />
</base>
</type>
</constraint>
</mapping>
</element>
<definition value="A collection of times the practitioner is available or performing this role at the location and/or healthcareservice." />
<comment value="More detailed availability information may be provided in associated Schedule/Slot resources." />
</base>
</type>
</constraint>
</mapping>
</element>
<definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
</base>
</extension>
</type>
</mapping>
</element>
<definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="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." />
</base>
</type>
</constraint>
</constraint>
</mapping>
</element>
<definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." />
<comment value="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." />
<requirements value="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](extensibility.html#modifierExtension)." />
</base>
</type>
</constraint>
</constraint>
<isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" />
</mapping>
</element>
<definition value="Indicates which days of the week are available between the start and end Times." />
</base>
</type>
</constraint>
</extension>
</binding>
</mapping>
</element>
</base>
</type>
</constraint>
</mapping>
</element>
<definition value="The opening time of day. Note: If the AllDay flag is set, then this time is ignored." />
</base>
</type>
</constraint>
</mapping>
</element>
<definition value="The closing time of day. Note: If the AllDay flag is set, then this time is ignored." />
</base>
</type>
</constraint>
</mapping>
</element>
<definition value="The practitioner is not available or performing this role during this period of time due to the provided reason." />
</base>
</type>
</constraint>
</mapping>
</element>
<definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
</base>
</extension>
</type>
</mapping>
</element>
<definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="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." />
</base>
</type>
</constraint>
</constraint>
</mapping>
</element>
<definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." />
<comment value="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." />
<requirements value="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](extensibility.html#modifierExtension)." />
</base>
</type>
</constraint>
</constraint>
<isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" />
</mapping>
</element>
<definition value="The reason that can be presented to the user as to why this time is not available." />
</base>
</type>
</constraint>
</mapping>
</element>
<definition value="Service is not available (seasonally or for a public holiday) from this date." />
</base>
</type>
</constraint>
</mapping>
</element>
<definition value="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." />
</base>
</type>
</constraint>
</mapping>
</element>
<short value="Technical endpoints providing access to services operated for the practitioner with this role" />
<definition value="Technical endpoints providing access to services operated for the practitioner with this role." />
<requirements value="Organizations have multiple systems that provide various services and ,ay also be different for practitioners too.\n\nSo the endpoint satisfies the need to be able to define the technical connection details for how to connect to them, and for what purpose." />
</base>
</type>
</constraint>
</mapping>
</element>
</snapshot>
</type>
</element>
<targetProfile value="http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/practitioner-lab-ca-ps" />
</type>
</element>
<comment value="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." />
<targetProfile value="http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/organization-lab-ca-ps" />
</type>
</element>
<profile value="http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/CodeableConcept-ca-ps" />
</type>
</extension>
</extension>
<valueMarkdown value="Healthcare professional role codes from International Standard Classification of Occupations (ISCO) utilized in IPS. While not the preferred terminology for broader pan-Canadian exchange use cases, this additional binding is surfaced to socialize the value sets that are proposed for international exchange in IPS. Where multiple codings can be supplied, it is encouraged to supply the original coding alongside the pan-Canadian preferred terminology." />
</extension>
</extension>
<description value="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." />
</binding>
</element>
<comment value="Work is underway to define the pan-Canadian terminology that will be preferred and/or socialized for PractitionerRole.specialty" />
<description value="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." />
</binding>
</element>
</differential>
</StructureDefinition>
{
"description": "This profile represents the constraints applied to the PractitionerRole resource by the PS-CA project to represent a practitioner in a role acting as an observer for observation results for a specified organization. It is informed by the constraints of the [PractitionerRole IPS-UV profile](http://hl7.org/fhir/uv/ips/StructureDefinition-PractitionerRole-uv-ips.html) and the [Canadian Baseline Profile](http://build.fhir.org/ig/HL7-Canada/ca-baseline/branches/master/StructureDefinition-profile-practitionerrole.html) to allow for cross-border and cross-jurisdiction sharing of details that support Diagnostic Result Information.",
"copyright": "Copyright © 2024+ Canada Health Infoway. All rights reserved. [Terms of Use and License Agreements](https://ic.infoway-inforoute.ca/en/about/tou). [Privacy Policy](https://www.infoway-inforoute.ca/en/legal/privacy-policy).",
{
"definition": "A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time.",
},
{
},
{
"human": "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",
"expression": "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()",
"xpath": "not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
},
{
"human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
"xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
},
{
},
{
{
},
{
"valueMarkdown": "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
}
],
}
],
{
},
{
},
{
},
{
}
]
},
{
"definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
"comment": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
},
{
{
}
],
}
],
},
{
"definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
},
],
{
}
],
},
{
"definition": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
"comment": "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.",
},
],
{
}
],
"isModifierReason": "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
},
{
"comment": "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).",
},
],
{
}
],
{
},
{
},
{
}
],
}
},
{
"definition": "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
"comment": "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.",
"narrative",
"html",
"xhtml",
"display"
],
},
],
{
}
],
]
},
{
"definition": "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
"comment": "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.",
"inline resources",
"anonymous resources",
"contained resources"
],
},
],
]
},
{
"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.",
"comment": "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.",
"extensions",
"user content"
],
},
],
{
},
{
}
],
]
},
{
"definition": "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment": "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.",
"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](extensibility.html#modifierExtension).",
"extensions",
"user content"
],
},
],
{
},
{
}
],
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
]
},
{
"definition": "An identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers.",
},
{
"http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-identifier"
]
}
],
"ele-1"
],
{
}
],
{
},
{
},
{
},
{
},
{
},
{
},
{
"map": "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]"
},
{
}
]
},
{
"comment": "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.",
"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.",
},
],
"meaningWhenMissing": "This resource is generally assumed to be active if no value is provided for the active element",
{
}
],
{
},
{
},
{
}
]
},
{
"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.",
},
],
{
}
],
{
},
{
},
{
},
{
"map": "(ServD maps Practitioners and Organizations via another entity, so this concept is not available)"
}
]
},
{
},
{
"http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/practitioner-lab-ca-ps"
]
}
],
{
}
],
]
},
{
"comment": "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.",
},
{
"http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/organization-lab-ca-ps"
]
}
],
{
}
],
]
},
{
{
},
{
}
],
"comment": "For all CodeableConcepts, at least one of coding or text must be present. If coding contains only a display value (no code) then CodeableConcept must include text.",
},
{
"http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/CodeableConcept-ca-ps"
]
}
],
"ele-1"
],
{
}
],
{
},
{
{
},
{
},
{
"valueMarkdown": "Healthcare professional role codes from International Standard Classification of Occupations (ISCO) utilized in IPS. While not the preferred terminology for broader pan-Canadian exchange use cases, this additional binding is surfaced to socialize the value sets that are proposed for international exchange in IPS. Where multiple codings can be supplied, it is encouraged to supply the original coding alongside the pan-Canadian preferred terminology."
}
],
}
],
"description": "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.",
},
{
},
{
},
{
"map": "(ServD maps Practitioners and Organizations via another entity, so this concept is not available)"
},
{
},
{
},
{
},
{
}
]
},
{
"comment": "Work is underway to define the pan-Canadian terminology that will be preferred and/or socialized for PractitionerRole.specialty",
},
],
{
}
],
{
}
],
"description": "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.",
},
{
},
{
},
{
}
]
},
{
},
],
{
}
],
{
},
{
},
{
"map": "(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)"
}
]
},
{
"short": "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).",
},
{
"http://hl7.org/fhir/StructureDefinition/HealthcareService"
]
}
],
{
}
],
{
},
{
}
]
},
{
"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.",
},
],
{
}
],
]
},
{
"definition": "A collection of times the practitioner is available or performing this role at the location and/or healthcareservice.",
"comment": "More detailed availability information may be provided in associated Schedule/Slot resources.",
},
],
{
}
],
]
},
{
"xmlAttr"
],
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
},
{
{
}
],
}
],
]
},
{
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "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.",
"extensions",
"user content"
],
},
],
{
},
{
}
],
]
},
{
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment": "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.",
"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](extensibility.html#modifierExtension).",
"extensions",
"user content",
"modifiers"
],
},
],
{
},
{
}
],
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
]
},
{
},
],
{
}
],
{
}
],
},
]
},
{
},
],
{
}
],
]
},
{
"definition": "The opening time of day. Note: If the AllDay flag is set, then this time is ignored.",
},
],
{
}
],
]
},
{
"definition": "The closing time of day. Note: If the AllDay flag is set, then this time is ignored.",
},
],
{
}
],
]
},
{
"definition": "The practitioner is not available or performing this role during this period of time due to the provided reason.",
},
],
{
}
],
]
},
{
"xmlAttr"
],
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
},
{
{
}
],
}
],
]
},
{
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "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.",
"extensions",
"user content"
],
},
],
{
},
{
}
],
]
},
{
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment": "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.",
"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](extensibility.html#modifierExtension).",
"extensions",
"user content",
"modifiers"
],
},
],
{
},
{
}
],
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
]
},
{
},
],
{
}
],
]
},
{
},
],
{
}
],
]
},
{
"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.",
},
],
{
}
],
]
},
{
"short": "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.\n\nSo the endpoint satisfies the need to be able to define the technical connection details for how to connect to them, and for what purpose.",
},
],
{
}
],
]
}
]
},
{
{
"http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-identifier"
]
}
]
},
{
{
"http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/practitioner-lab-ca-ps"
]
}
]
},
{
"comment": "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.",
{
"http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/organization-lab-ca-ps"
]
}
]
},
{
{
"http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/CodeableConcept-ca-ps"
]
}
],
{
{
},
{
},
{
"valueMarkdown": "Healthcare professional role codes from International Standard Classification of Occupations (ISCO) utilized in IPS. While not the preferred terminology for broader pan-Canadian exchange use cases, this additional binding is surfaced to socialize the value sets that are proposed for international exchange in IPS. Where multiple codings can be supplied, it is encouraged to supply the original coding alongside the pan-Canadian preferred terminology."
}
],
}
],
"description": "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.",
}
},
{
"comment": "Work is underway to define the pan-Canadian terminology that will be preferred and/or socialized for PractitionerRole.specialty",
"description": "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.",
}
}
]
}
}
Terminology bindings (Differential)
| Path | Conformance | ValueSet |
|---|---|---|
| PractitionerRole.code | preferred | https://fhir.infoway-inforoute.ca/ValueSet/healthcareproviderroletype |
| PractitionerRole.specialty | example | https://fhir.infoway-inforoute.ca/ValueSet/practitionerspecialty |
Terminology bindings (Snapshot)
| Path | Conformance | ValueSet |
|---|---|---|
| PractitionerRole.language | preferred | http://hl7.org/fhir/ValueSet/languages |
| PractitionerRole.code | preferred | https://fhir.infoway-inforoute.ca/ValueSet/healthcareproviderroletype |
| PractitionerRole.specialty | example | https://fhir.infoway-inforoute.ca/ValueSet/practitionerspecialty |
| PractitionerRole.availableTime.daysOfWeek | required | http://hl7.org/fhir/ValueSet/days-of-week|4.0.1 |
Constraints
Obligations
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
- additionalBindings added for:
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:
- Data type profiles (e.g., CodeableConcept) and reference targets (e.g., Practitioner) replaced with PS-CA equivalents when appropriate
Note: Additionally, the use of CA Baseline Pratitioner, PractitionerRole, Organization profiles will be superseded by the CA Core profiles (or profiles that impose the CA Core) in future releases but the current usage of CA Baseline profiles will be maintained until a further stabilized CA Core profile (or further Patient Summary requirements) exist.