This page is part of the FHIR Specification (v3.5.0: R4 Ballot #2). 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

8.5 Resource PractitionerRole - Content

Patient Administration

Work Group

Maturity Level: 2

Trial Use

Compartments: Practitioner

A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time.

8.5.1 Scope and Usage

PractitionerRole covers the recording of the location and types of services that Practitioners are able to provide for an organization.

The role, specialty, Location telecom and HealthcareService properties can be repeated if required in other instances of the PractitionerRole. Some systems record a collection of service values for a single location, others record the single service and the list of locations it is available. Both are acceptable options for representing this data.

8.5.2 Boundaries and Relationships

Qualifications (from the Practitioner resource) do not imply a Role, but might be considered when an Organization allocates practitioners to roles within their organization, and could provide useful information (such as expiry information) which could need to be tracked in some situations to ensure they continue to be eligible for a specific role.

The CareTeam resource is also often used to provide details of a role that a practitioner is allocated to perform, but is usually scoped to a much finer granularity of care, and often within the specific context of a Patient, or functional role (e.g. Crisis planning team). In contrast the PractitionerRole is used in a more general sense to cover all the places that the practitioner is allocated to work (and specific details relevant to that role - such as a specific contact number, or electronic services endpoint).

8.5.3 Background and Context

Practitioner performs different roles within the same or even different organizations. Depending on jurisdiction and custom, it may be necessary to maintain a specific Practitioner Resource for each such role or have a single Practitioner with multiple roles. The role can be limited to a specific period, after which authorization for this role ends. Note that the represented organization need not necessarily be the (direct) employer of a Practitioner.

This resource is referenced by AdverseEvent, AuditEvent, BiologicallyDerivedProduct, CarePlan, CareTeam, ChargeItem, Claim, ClaimResponse, Communication, CommunicationRequest, Composition, Condition, Consent, Contract, CoverageEligibilityRequest, CoverageEligibilityResponse, DeviceRequest, DiagnosticReport, DocumentManifest, DocumentReference, EnrollmentRequest, EnrollmentResponse, ExplanationOfBenefit, Group, ImagingStudy, Immunization, List, MeasureReport, Media, MedicationAdministration, MedicationDispense, MedicationRequest, MedicinalProduct, NutritionOrder, Observation, Patient, PaymentNotice, PaymentReconciliation, Procedure, ProcessRequest, ProcessResponse, Provenance, QuestionnaireResponse, Schedule, ServiceRequest, SupplyDelivery, SupplyRequest, Task and VisionPrescription

Structure

Name	Flags	Card.	Type	Description & Constraints
PractitionerRole	TU		DomainResource	Roles/organizations the practitioner is associated with Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
identifier	Σ	0..*	Identifier	Business Identifiers that are specific to a role/location
active	Σ	0..1	boolean	Whether this practitioner role record is in active use
period	Σ	0..1	Period	The period during which the practitioner is authorized to perform in these role(s)
practitioner	Σ	0..1	Reference(Practitioner)	Practitioner that is able to provide the defined services for the organization
organization	Σ	0..1	Reference(Organization)	Organization where the roles are available
code	Σ	0..*	CodeableConcept	Roles which this practitioner may perform Practitioner role (Example)
specialty	Σ	0..*	CodeableConcept	Specific specialty of the practitioner Practice Setting Code Value Set (Preferred)
location	Σ	0..*	Reference(Location)	The location(s) at which this practitioner provides care
healthcareService		0..*	Reference(HealthcareService)	The list of healthcare services that this worker provides for this role's Organization/Location(s)
telecom	Σ	0..*	ContactPoint	Contact details that are specific to the role/location/service
availableTime		0..*	BackboneElement	Times the Service Site is available
daysOfWeek		0..*	code	mon \| tue \| wed \| thu \| fri \| sat \| sun DaysOfWeek (Required)
allDay		0..1	boolean	Always available? e.g. 24 hour service
availableStartTime		0..1	time	Opening time of day (ignored if allDay = true)
availableEndTime		0..1	time	Closing time of day (ignored if allDay = true)
notAvailable		0..*	BackboneElement	Not available during this time due to provided reason
description		1..1	string	Reason presented to the user explaining why time not available
during		0..1	Period	Service not available from this date
availabilityExceptions		0..1	string	Description of availability exceptions
endpoint		0..*	Reference(Endpoint)	Technical endpoints providing access to services operated for the practitioner with this role
Documentation for this format

UML Diagram (Legend)

XML Template

<PractitionerRole xmlns="http://hl7.org/fhir"> 
 <!-- from Resource: id, meta, implicitRules, and language -->
 <!-- from DomainResource: text, contained, extension, and modifierExtension -->
 <identifier><!-- 0..* Identifier Business Identifiers that are specific to a role/location --></identifier>
 <active value="[boolean]"/><!-- 0..1 Whether this practitioner role record is in active use -->
 <period><!-- 0..1 Period The period during which the practitioner is authorized to perform in these role(s) --></period>
 <practitioner><!-- 0..1 Reference(Practitioner) Practitioner that is able to provide the defined services for the organization --></practitioner>
 <organization><!-- 0..1 Reference(Organization) Organization where the roles are available --></organization>
 <code><!-- 0..* CodeableConcept Roles which this practitioner may perform --></code>
 <specialty><!-- 0..* CodeableConcept Specific specialty of the practitioner --></specialty>
 <location><!-- 0..* Reference(Location) The location(s) at which this practitioner provides care --></location>
 <healthcareService><!-- 0..* Reference(HealthcareService) The list of healthcare services that this worker provides for this role's Organization/Location(s) --></healthcareService>
 <telecom><!-- 0..* ContactPoint Contact details that are specific to the role/location/service --></telecom>
 <availableTime>  <!-- 0..* Times the Service Site is available -->
  <daysOfWeek value="[code]"/><!-- 0..* mon | tue | wed | thu | fri | sat | sun -->
  <allDay value="[boolean]"/><!-- 0..1 Always available? e.g. 24 hour service -->
  <availableStartTime value="[time]"/><!-- 0..1 Opening time of day (ignored if allDay = true) -->
  <availableEndTime value="[time]"/><!-- 0..1 Closing time of day (ignored if allDay = true) -->
 </availableTime>
 <notAvailable>  <!-- 0..* Not available during this time due to provided reason -->
  <description value="[string]"/><!-- 1..1 Reason presented to the user explaining why time not available -->
  <during><!-- 0..1 Period Service not available from this date --></during>
 </notAvailable>
 <availabilityExceptions value="[string]"/><!-- 0..1 Description of availability exceptions -->
 <endpoint><!-- 0..* Reference(Endpoint) Technical endpoints providing access to services operated for the practitioner with this role --></endpoint>
</PractitionerRole>

JSON Template

{
  "resourceType" : "PractitionerRole",
  // from Resource: id, meta, implicitRules, and language
  // from DomainResource: text, contained, extension, and modifierExtension
  "identifier" : [{ Identifier }], // Business Identifiers that are specific to a role/location
  "active" : <boolean>, // Whether this practitioner role record is in active use
  "period" : { Period }, // The period during which the practitioner is authorized to perform in these role(s)
  "practitioner" : { Reference(Practitioner) }, // Practitioner that is able to provide the defined services for the organization
  "organization" : { Reference(Organization) }, // Organization where the roles are available
  "code" : [{ CodeableConcept }], // Roles which this practitioner may perform
  "specialty" : [{ CodeableConcept }], // Specific specialty of the practitioner
  "location" : [{ Reference(Location) }], // The location(s) at which this practitioner provides care
  "healthcareService" : [{ Reference(HealthcareService) }], // The list of healthcare services that this worker provides for this role's Organization/Location(s)
  "telecom" : [{ ContactPoint }], // Contact details that are specific to the role/location/service
  "availableTime" : [{ // Times the Service Site is available
    "daysOfWeek" : ["<code>"], // mon | tue | wed | thu | fri | sat | sun
    "allDay" : <boolean>, // Always available? e.g. 24 hour service
    "availableStartTime" : "<time>", // Opening time of day (ignored if allDay = true)
    "availableEndTime" : "<time>" // Closing time of day (ignored if allDay = true)
  }],
  "notAvailable" : [{ // Not available during this time due to provided reason
    "description" : "<string>", // R!  Reason presented to the user explaining why time not available
    "during" : { Period } // Service not available from this date
  }],
  "availabilityExceptions" : "<string>", // Description of availability exceptions
  "endpoint" : [{ Reference(Endpoint) }] // Technical endpoints providing access to services operated for the practitioner with this role
}

Turtle Template

@prefix fhir: <http://hl7.org/fhir/> .


[ a fhir:PractitionerRole;
  fhir:nodeRole fhir:treeRoot; # if this is the parser root

  # from Resource: .id, .meta, .implicitRules, and .language
  # from DomainResource: .text, .contained, .extension, and .modifierExtension
  fhir:PractitionerRole.identifier [ Identifier ], ... ; # 0..* Business Identifiers that are specific to a role/location
  fhir:PractitionerRole.active [ boolean ]; # 0..1 Whether this practitioner role record is in active use
  fhir:PractitionerRole.period [ Period ]; # 0..1 The period during which the practitioner is authorized to perform in these role(s)
  fhir:PractitionerRole.practitioner [ Reference(Practitioner) ]; # 0..1 Practitioner that is able to provide the defined services for the organization
  fhir:PractitionerRole.organization [ Reference(Organization) ]; # 0..1 Organization where the roles are available
  fhir:PractitionerRole.code [ CodeableConcept ], ... ; # 0..* Roles which this practitioner may perform
  fhir:PractitionerRole.specialty [ CodeableConcept ], ... ; # 0..* Specific specialty of the practitioner
  fhir:PractitionerRole.location [ Reference(Location) ], ... ; # 0..* The location(s) at which this practitioner provides care
  fhir:PractitionerRole.healthcareService [ Reference(HealthcareService) ], ... ; # 0..* The list of healthcare services that this worker provides for this role's Organization/Location(s)
  fhir:PractitionerRole.telecom [ ContactPoint ], ... ; # 0..* Contact details that are specific to the role/location/service
  fhir:PractitionerRole.availableTime [ # 0..* Times the Service Site is available
    fhir:PractitionerRole.availableTime.daysOfWeek [ code ], ... ; # 0..* mon | tue | wed | thu | fri | sat | sun
    fhir:PractitionerRole.availableTime.allDay [ boolean ]; # 0..1 Always available? e.g. 24 hour service
    fhir:PractitionerRole.availableTime.availableStartTime [ time ]; # 0..1 Opening time of day (ignored if allDay = true)
    fhir:PractitionerRole.availableTime.availableEndTime [ time ]; # 0..1 Closing time of day (ignored if allDay = true)
  ], ...;
  fhir:PractitionerRole.notAvailable [ # 0..* Not available during this time due to provided reason
    fhir:PractitionerRole.notAvailable.description [ string ]; # 1..1 Reason presented to the user explaining why time not available
    fhir:PractitionerRole.notAvailable.during [ Period ]; # 0..1 Service not available from this date
  ], ...;
  fhir:PractitionerRole.availabilityExceptions [ string ]; # 0..1 Description of availability exceptions
  fhir:PractitionerRole.endpoint [ Reference(Endpoint) ], ... ; # 0..* Technical endpoints providing access to services operated for the practitioner with this role
]

Changes since R3

PractitionerRole

PractitionerRole.active

Default Value "true" removed

See the Full Difference for further information

This analysis is available as XML or JSON.

See R3 <--> R4 Conversion Maps (status = 1 test that all execute ok. 1 fail round-trip testing and 1 r3 resources are invalid (0 errors).)

Structure

Name	Flags	Card.	Type	Description & Constraints
PractitionerRole	TU		DomainResource	Roles/organizations the practitioner is associated with Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
identifier	Σ	0..*	Identifier	Business Identifiers that are specific to a role/location
active	Σ	0..1	boolean	Whether this practitioner role record is in active use
period	Σ	0..1	Period	The period during which the practitioner is authorized to perform in these role(s)
practitioner	Σ	0..1	Reference(Practitioner)	Practitioner that is able to provide the defined services for the organization
organization	Σ	0..1	Reference(Organization)	Organization where the roles are available
code	Σ	0..*	CodeableConcept	Roles which this practitioner may perform Practitioner role (Example)
specialty	Σ	0..*	CodeableConcept	Specific specialty of the practitioner Practice Setting Code Value Set (Preferred)
location	Σ	0..*	Reference(Location)	The location(s) at which this practitioner provides care
healthcareService		0..*	Reference(HealthcareService)	The list of healthcare services that this worker provides for this role's Organization/Location(s)
telecom	Σ	0..*	ContactPoint	Contact details that are specific to the role/location/service
availableTime		0..*	BackboneElement	Times the Service Site is available
daysOfWeek		0..*	code	mon \| tue \| wed \| thu \| fri \| sat \| sun DaysOfWeek (Required)
allDay		0..1	boolean	Always available? e.g. 24 hour service
availableStartTime		0..1	time	Opening time of day (ignored if allDay = true)
availableEndTime		0..1	time	Closing time of day (ignored if allDay = true)
notAvailable		0..*	BackboneElement	Not available during this time due to provided reason
description		1..1	string	Reason presented to the user explaining why time not available
during		0..1	Period	Service not available from this date
availabilityExceptions		0..1	string	Description of availability exceptions
endpoint		0..*	Reference(Endpoint)	Technical endpoints providing access to services operated for the practitioner with this role
Documentation for this format

UML Diagram (Legend)

XML Template

<PractitionerRole xmlns="http://hl7.org/fhir"> 
 <!-- from Resource: id, meta, implicitRules, and language -->
 <!-- from DomainResource: text, contained, extension, and modifierExtension -->
 <identifier><!-- 0..* Identifier Business Identifiers that are specific to a role/location --></identifier>
 <active value="[boolean]"/><!-- 0..1 Whether this practitioner role record is in active use -->
 <period><!-- 0..1 Period The period during which the practitioner is authorized to perform in these role(s) --></period>
 <practitioner><!-- 0..1 Reference(Practitioner) Practitioner that is able to provide the defined services for the organization --></practitioner>
 <organization><!-- 0..1 Reference(Organization) Organization where the roles are available --></organization>
 <code><!-- 0..* CodeableConcept Roles which this practitioner may perform --></code>
 <specialty><!-- 0..* CodeableConcept Specific specialty of the practitioner --></specialty>
 <location><!-- 0..* Reference(Location) The location(s) at which this practitioner provides care --></location>
 <healthcareService><!-- 0..* Reference(HealthcareService) The list of healthcare services that this worker provides for this role's Organization/Location(s) --></healthcareService>
 <telecom><!-- 0..* ContactPoint Contact details that are specific to the role/location/service --></telecom>
 <availableTime>  <!-- 0..* Times the Service Site is available -->
  <daysOfWeek value="[code]"/><!-- 0..* mon | tue | wed | thu | fri | sat | sun -->
  <allDay value="[boolean]"/><!-- 0..1 Always available? e.g. 24 hour service -->
  <availableStartTime value="[time]"/><!-- 0..1 Opening time of day (ignored if allDay = true) -->
  <availableEndTime value="[time]"/><!-- 0..1 Closing time of day (ignored if allDay = true) -->
 </availableTime>
 <notAvailable>  <!-- 0..* Not available during this time due to provided reason -->
  <description value="[string]"/><!-- 1..1 Reason presented to the user explaining why time not available -->
  <during><!-- 0..1 Period Service not available from this date --></during>
 </notAvailable>
 <availabilityExceptions value="[string]"/><!-- 0..1 Description of availability exceptions -->
 <endpoint><!-- 0..* Reference(Endpoint) Technical endpoints providing access to services operated for the practitioner with this role --></endpoint>
</PractitionerRole>

JSON Template

{
  "resourceType" : "PractitionerRole",
  // from Resource: id, meta, implicitRules, and language
  // from DomainResource: text, contained, extension, and modifierExtension
  "identifier" : [{ Identifier }], // Business Identifiers that are specific to a role/location
  "active" : <boolean>, // Whether this practitioner role record is in active use
  "period" : { Period }, // The period during which the practitioner is authorized to perform in these role(s)
  "practitioner" : { Reference(Practitioner) }, // Practitioner that is able to provide the defined services for the organization
  "organization" : { Reference(Organization) }, // Organization where the roles are available
  "code" : [{ CodeableConcept }], // Roles which this practitioner may perform
  "specialty" : [{ CodeableConcept }], // Specific specialty of the practitioner
  "location" : [{ Reference(Location) }], // The location(s) at which this practitioner provides care
  "healthcareService" : [{ Reference(HealthcareService) }], // The list of healthcare services that this worker provides for this role's Organization/Location(s)
  "telecom" : [{ ContactPoint }], // Contact details that are specific to the role/location/service
  "availableTime" : [{ // Times the Service Site is available
    "daysOfWeek" : ["<code>"], // mon | tue | wed | thu | fri | sat | sun
    "allDay" : <boolean>, // Always available? e.g. 24 hour service
    "availableStartTime" : "<time>", // Opening time of day (ignored if allDay = true)
    "availableEndTime" : "<time>" // Closing time of day (ignored if allDay = true)
  }],
  "notAvailable" : [{ // Not available during this time due to provided reason
    "description" : "<string>", // R!  Reason presented to the user explaining why time not available
    "during" : { Period } // Service not available from this date
  }],
  "availabilityExceptions" : "<string>", // Description of availability exceptions
  "endpoint" : [{ Reference(Endpoint) }] // Technical endpoints providing access to services operated for the practitioner with this role
}

Turtle Template

@prefix fhir: <http://hl7.org/fhir/> .


[ a fhir:PractitionerRole;
  fhir:nodeRole fhir:treeRoot; # if this is the parser root

  # from Resource: .id, .meta, .implicitRules, and .language
  # from DomainResource: .text, .contained, .extension, and .modifierExtension
  fhir:PractitionerRole.identifier [ Identifier ], ... ; # 0..* Business Identifiers that are specific to a role/location
  fhir:PractitionerRole.active [ boolean ]; # 0..1 Whether this practitioner role record is in active use
  fhir:PractitionerRole.period [ Period ]; # 0..1 The period during which the practitioner is authorized to perform in these role(s)
  fhir:PractitionerRole.practitioner [ Reference(Practitioner) ]; # 0..1 Practitioner that is able to provide the defined services for the organization
  fhir:PractitionerRole.organization [ Reference(Organization) ]; # 0..1 Organization where the roles are available
  fhir:PractitionerRole.code [ CodeableConcept ], ... ; # 0..* Roles which this practitioner may perform
  fhir:PractitionerRole.specialty [ CodeableConcept ], ... ; # 0..* Specific specialty of the practitioner
  fhir:PractitionerRole.location [ Reference(Location) ], ... ; # 0..* The location(s) at which this practitioner provides care
  fhir:PractitionerRole.healthcareService [ Reference(HealthcareService) ], ... ; # 0..* The list of healthcare services that this worker provides for this role's Organization/Location(s)
  fhir:PractitionerRole.telecom [ ContactPoint ], ... ; # 0..* Contact details that are specific to the role/location/service
  fhir:PractitionerRole.availableTime [ # 0..* Times the Service Site is available
    fhir:PractitionerRole.availableTime.daysOfWeek [ code ], ... ; # 0..* mon | tue | wed | thu | fri | sat | sun
    fhir:PractitionerRole.availableTime.allDay [ boolean ]; # 0..1 Always available? e.g. 24 hour service
    fhir:PractitionerRole.availableTime.availableStartTime [ time ]; # 0..1 Opening time of day (ignored if allDay = true)
    fhir:PractitionerRole.availableTime.availableEndTime [ time ]; # 0..1 Closing time of day (ignored if allDay = true)
  ], ...;
  fhir:PractitionerRole.notAvailable [ # 0..* Not available during this time due to provided reason
    fhir:PractitionerRole.notAvailable.description [ string ]; # 1..1 Reason presented to the user explaining why time not available
    fhir:PractitionerRole.notAvailable.during [ Period ]; # 0..1 Service not available from this date
  ], ...;
  fhir:PractitionerRole.availabilityExceptions [ string ]; # 0..1 Description of availability exceptions
  fhir:PractitionerRole.endpoint [ Reference(Endpoint) ], ... ; # 0..* Technical endpoints providing access to services operated for the practitioner with this role
]

Changes since Release 3

PractitionerRole

PractitionerRole.active

Default Value "true" removed

See the Full Difference for further information

This analysis is available as XML or JSON.

See R3 <--> R4 Conversion Maps (status = 1 test that all execute ok. 1 fail round-trip testing and 1 r3 resources are invalid (0 errors).)

See the Profiles & Extensions and the alternate definitions: Master Definition XML + JSON, XML Schema/Schematron + JSON Schema, ShEx (for Turtle) + see the extensions & the dependency analysis

8.5.4.1 Terminology Bindings

Path	Definition	Type	Reference
PractitionerRole.code	The role a person plays representing an organization.	Example	PractitionerRole
PractitionerRole.specialty	Specific specialty associated with the agency.	Preferred	PracticeSettingCodeValueSet
PractitionerRole.availableTime.daysOfWeek	The days of the week.	Required	DaysOfWeek

Path

Definition

Type

Reference

PractitionerRole.code

The role a person plays representing an organization.

Example

PractitionerRole

PractitionerRole.specialty

Specific specialty associated with the agency.

Preferred

PracticeSettingCodeValueSet

PractitionerRole.availableTime.daysOfWeek

The days of the week.

Required

DaysOfWeek

8.5.5 Notes:

There is no address on the PractitionerRole as the location that is defined here contains the address.
This prevents having to duplicate the address values across multiple resources.

8.5.6 Search Parameters

Search parameters for this resource. The common parameters also apply. See Searching for more information about searching in REST, messaging, and services.

Name	Type	Description	Expression	In Common
active	token	Whether this practitioner role record is in active use	PractitionerRole.active
date	date	The period during which the practitioner is authorized to perform in these role(s)	PractitionerRole.period
email	token	A value in an email contact	PractitionerRole.telecom.where(system='email')	4 Resources
endpoint	reference	Technical endpoints providing access to services operated for the practitioner with this role	PractitionerRole.endpoint (Endpoint)
identifier	token	A practitioner's Identifier	PractitionerRole.identifier
location	reference	One of the locations at which this practitioner provides care	PractitionerRole.location (Location)
organization	reference	The identity of the organization the practitioner represents / acts on behalf of	PractitionerRole.organization (Organization)
phone	token	A value in a phone contact	PractitionerRole.telecom.where(system='phone')	4 Resources
practitioner	reference	Practitioner that is able to provide the defined services for the organization	PractitionerRole.practitioner (Practitioner)
role	token	The practitioner can perform this role at for the organization	PractitionerRole.code
service	reference	The list of healthcare services that this worker provides for this role's Organization/Location(s)	PractitionerRole.healthcareService (HealthcareService)
specialty	token	The practitioner has this specialty at an organization	PractitionerRole.specialty
telecom	token	The value in any kind of contact	PractitionerRole.telecom	4 Resources