STU 3 Ballot

This page is part of the FHIR Specification (v1.6.0: STU 3 Ballot 4). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

8.4.8 Resource Practitioner - Detailed Descriptions

Detailed Descriptions for the elements in the Practitioner resource.

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.identifier
Definition

An identifier that applies to this person in this role.

NoteThis is a business identifer, not a resource identifier (see discussion)
Control0..*
TypeIdentifier
Requirements

Often, specific identities are assigned for the agent.

Summarytrue
Practitioner.active
Definition

Whether this practitioner's record is in active use.

Control0..1
Typeboolean
Default Valuetrue
Requirements

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

Summarytrue
Comments

Default is true.

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.

Practitioner.name
Definition

The name(s) associated with the practitioner.

Control0..*
TypeHumanName
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.

Summarytrue
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.
Practitioner.telecom
Definition

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

Control0..*
TypeContactPoint
Requirements

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

Summarytrue
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

These typically will have home numbers, or mobile numbers that are not role specific.

Practitioner.address
Definition

Address(es) of the practitioner that are not role specific (typically home address). Work addresses are not typically entered in this property as they are usually role dependent.

Control0..*
TypeAddress
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.

Summarytrue
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).

Practitioner.gender
Definition

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

Control0..1
BindingAdministrativeGender: The gender of a person used for administrative purposes. (Required)
Typecode
Requirements

Needed to address the person correctly.

Summarytrue
Practitioner.birthDate
Definition

The date of birth for the practitioner.

Control0..1
Typedate
Requirements

Needed for identification.

Summarytrue
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.

Practitioner.role
Definition

The list of roles/organizations that the practitioner is associated with.

Control0..*
Comments

The address to be used for this PractitionerRole is in the referenced location (removing duplication across all the services provided at the location).

Practitioner.role.organization
Definition

The organization where the Practitioner performs the roles associated.

Control0..1
TypeReference(Organization)
Practitioner.role.code
Definition

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

Control0..1
BindingPractitionerRole: The role a person plays representing an organization (Example)
TypeCodeableConcept
Requirements

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

Summarytrue
Comments

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

Practitioner.role.specialty
Definition

Specific specialty of the practitioner.

Control0..*
BindingPractitionerSpecialty: Specific specialty associated with the agency (Example)
TypeCodeableConcept
Summarytrue
Practitioner.role.identifier
Definition

Business Identifiers that are specific to a role/location.

NoteThis is a business identifer, not a resource identifier (see discussion)
Control0..*
TypeIdentifier
Requirements

Some business identifiers are specific to a location and should be able to be associated.

Summarytrue
Practitioner.role.telecom
Definition

Contact details that are specific to the role/location/service.

Control0..*
TypeContactPoint
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.

Summarytrue
Practitioner.role.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.

Summarytrue
Practitioner.role.location
Definition

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

Control0..*
TypeReference(Location)
Practitioner.role.healthcareService
Definition

The list of healthcare services that this worker provides for this role's Organization/Location(s).

Control0..*
TypeReference(HealthcareService)
Practitioner.role.endpoint
Definition

Technical endpoints providing access to services operated for the PractitonerRole.

Control0..*
TypeReference(Endpoint)
Practitioner.qualification
Definition

Qualifications obtained by training and certification.

Control0..*
Practitioner.qualification.identifier
Definition

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

NoteThis is a business identifer, not a resource identifier (see discussion)
Control0..*
TypeIdentifier
Requirements

Often, specific identities are assigned for the qualification.

Practitioner.qualification.code
Definition

Coded representation of the qualification.

Control1..1
BindingANZSCO -- Australian and New Zealand Standard Classification of Occupations, 2013, Version 1.2: Specific qualification the practitioner has to provide a service (Example)
TypeCodeableConcept
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.

Practitioner.qualification.issuer
Definition

Organization that regulates and issues the qualification.

Control0..1
TypeReference(Organization)
Practitioner.communication
Definition

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

Control0..*
BindingCommon Languages: A human language. (Extensible but limited to ??)
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.