2nd DSTU Draft For Comment

This page is part of the FHIR Specification (v0.4.0: DSTU 2 Draft). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions

Profile Clinical Quality Framework (CQF) Practitioner Profile - Definitions

Todo

Definitions for the cqf-practitioner-cqf-practitioner Profile.

Practitioner(cqf-practitioner)
Definition

A person who is directly or indirectly involved in the provisioning of healthcare.

Control1..1
Requirements

Need to track doctors, staff, locums etc. for both healthcare practitioners, funders, etc.

Comments

Note that a cab driver no longer fits the bill. You probably would be interested in the organization rather than the individual?.

Practitioner.id
Definition

The logical id of the resource, as used in the url for the resoure. Once assigned, this value never changes.

Control0..1
Typeid
Requirements
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. Bundles always have an id, though it is usually a generated UUID.

Practitioner.meta
Definition

The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.

Control0..1
TypeMeta
Requirements
Comments
Practitioner.implicitRules
Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.

Control0..1
Typeuri
Is Modifiertrue
Requirements
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 as much as possible.

Practitioner.language
Definition

The base language in which the resource is written.

Control0..1
BindingA human language
The codes SHALL be taken from http://tools.ietf.org/html/bcp47
Typecode
Requirements
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).

Practitioner.text
Definition

A human-readable narrative that contains a summary of the resource, and may 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.

Control0..1 This element is affected by the following invariants: dom-1
TypeNarrative
Requirements
Alternate Namesnarrative, html, xhtml, display
Comments

Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative.

Practitioner.contained
Definition

These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

Control0..*
TypeResource
Requirements
Alternate Namesinline 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.

Practitioner.extension
Definition

May be used to represent additional information that is not part of the basic definition of the resource. In order 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.

Control0..*
TypeExtension
Requirements
Alternate Namesextensions, 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.

Practitioner.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order 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.

Control0..*
TypeExtension
Requirements
Alternate Namesextensions, 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.

Practitioner.identifier
Definition

An identifier that applies to this person in this role.

Control0..*
TypeIdentifier
Requirements

Often, specific identities are assigned for the agent.

Comments
Practitioner.name
Definition

A name associated with the person.

Control0..1
TypeHumanName
Must Supporttrue
Requirements

Contact persons need to be identified by name, but it is uncommon to need details about multiple other names for that person.

Comments
Practitioner.telecom
Definition

A contact detail for the practitioner, e.g. a telephone number or an email address.

Control0..*
TypeContactPoint
Must Supporttrue
Requirements

Need to know how to reach a practitioner.

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 also to help with identification.

Practitioner.address
Definition

The postal address where the practitioner can be found or visited or to which mail can be delivered.

Control0..*
TypeAddress
Must Supporttrue
Requirements

Need to keep track where the practitioner can found during work or for directing mail.

Comments
Practitioner.gender
Definition

Administrative Gender - the gender that the person is considered to have for administration and record keeping purposes.

Control0..1
BindingThe gender of a person used for administrative purposes
The codes SHALL be taken from AdministrativeGender
Typecode
Must Supporttrue
Requirements

Needed to address the person correctly.

Comments
Practitioner.birthDate
Definition

The date of birth for the practitioner.

Control0..1
Typedate
Must Supporttrue
Requirements

Needed for identification.

Comments
Practitioner.photo
Definition

Image of the person.

Control0..*
TypeAttachment
Requirements

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

Comments
Practitioner.practitionerRole
Definition

The list of Roles/Organizations that the Practitioner is associated with.

Control0..*
Requirements
Comments
Practitioner.practitionerRole.id
Definition

unique id for the element within a resource (for internal references).

Control0..1
Typeid
Requirements
Comments
Practitioner.practitionerRole.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. In order 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.

Control0..*
TypeExtension
Requirements
Alternate Namesextensions, 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.

Practitioner.practitionerRole.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order 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.

Control0..*
TypeExtension
Requirements
Alternate Namesextensions, user content, modifiers
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.

Practitioner.practitionerRole.managingOrganization
Definition

The Organization where the Practitioner performs the roles associated.

Control0..1
TypeReference(Profile = (Profile = http://hl7.org/fhir/Profile/Organization))
Requirements
Comments
Practitioner.practitionerRole.role
Definition

Roles which this practitioner is authorized to perform for the organization.

Control0..1
BindingThe role a person plays representing an organization
For example codes, see PractitionerRole
TypeCodeableConcept
Requirements

Need to know what authority the practitioner has - what can they do?.

Comments

A person may have more than one role. At least one role is required.

Practitioner.practitionerRole.specialty
Definition

Specific specialty of the practitioner.

Control0..*
BindingSpecific specialty associated with the agency
For example codes, see PractitionerSpecialty
TypeCodeableConcept
Requirements
Comments
Practitioner.practitionerRole.period
Definition

The period during which the person is authorized to act as a practitioner in these role(s) for the organization.

Control0..1
TypePeriod
Requirements

Even after the agencies is revoked, the fact that it existed must still be recorded.

Comments
Practitioner.practitionerRole.location
Definition

The location(s) at which this practitioner provides care.

Control0..*
TypeReference(Profile = (Profile = http://hl7.org/fhir/Profile/Location))
Requirements
Comments
Practitioner.practitionerRole.healthcareService
Definition

The list of healthcare services that this worker offers at this location of this organization.

Control0..*
TypeReference(Profile = (Profile = http://hl7.org/fhir/Profile/HealthcareService))
Requirements
Comments
Practitioner.qualification
Definition

Qualifications obtained by training and certification.

Control0..*
Requirements
Comments
Practitioner.qualification.id
Definition

unique id for the element within a resource (for internal references).

Control0..1
Typeid
Requirements
Comments
Practitioner.qualification.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. In order 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.

Control0..*
TypeExtension
Requirements
Alternate Namesextensions, 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.

Practitioner.qualification.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order 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.

Control0..*
TypeExtension
Requirements
Alternate Namesextensions, user content, modifiers
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.

Practitioner.qualification.identifier
Definition

An identifier that applies to this person's qualification in this role.

Control0..*
TypeIdentifier
Requirements

Often, specific identities are assigned for the qualification.

Comments
Practitioner.qualification.code
Definition

Coded representation of the qualification.

Control1..1
BindingSpecific qualification the practitioner has to provide a service
For example codes, see ANZSCO -- Australian and New Zealand Standard Classification of Occupations, 2013, Version 1.2
TypeCodeableConcept
Requirements
Comments
Practitioner.qualification.period
Definition

Period during which the qualification is valid.

Control0..1
TypePeriod
Requirements

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

Comments
Practitioner.qualification.issuer
Definition

Organization that regulates and issues the qualification.

Control0..1
TypeReference(Profile = (Profile = http://hl7.org/fhir/Profile/Organization))
Requirements
Comments
Practitioner.communication
Definition

A language the practitioner is able to use in patient communication.

Control0..*
BindingA human language
The codes SHALL be taken from http://tools.ietf.org/html/bcp47
TypeCodeableConcept
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 actually code this but instead have it as free text. Hence CodeableConcept instead of code as the data type.