US Core Implementation Guide
6.0.0-ballot - STU6 Ballot US

This page is part of the US Core (v6.0.0-ballot: STU6 Ballot 1) based on FHIR R4. The current version which supercedes this version is 5.0.1. For a full list of available versions, see the Directory of published versions

Resource Profile: US Core PractitionerRole Profile

Official URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole Version: 6.0.0-ballot
Active as of 2022-04-20 Computable Name: USCorePractitionerRoleProfile

Copyright/Legal: Used by permission of HL7 International, all rights reserved Creative Commons License

This profile sets minimum expectations for the PractitionerRole Resource to record, search, and fetch the practitioner role for a practitioner to promote interoperability and adoption through common implementation. It identifies which core elements, extensions, vocabularies, and value sets SHALL be present in the resource when using this profile. It provides the floor for standards development for specific use cases. The requirements for the US Core Practitioner were drawn from the Argonaut Provider Directory, IHE Healthcare Provider Directory and the ONC Provider Directory Workshop.

Mandatory and Must Support Data Elements

The following data-elements must always be present (Mandatory definition) or must be supported if the data is present in the sending system (Must Support definition). They are presented below in a simple human-readable explanation. Profile specific guidance and examples are provided as well. The Formal Views below provides the formal summary, definitions, and terminology requirements.

Each PractitionerRole must support:

  1. An associated organization
  2. An associated practitioner
  3. A role
  4. A specialty
  5. An associated location
  6. Contact information
  7. A communication endpoint

Profile specific implementation guidance:

  • At least one of the following elements must be present:
    • PractitionerRole.practitioner
    • PractitionerRole.organization
    • PractitionerRole.healthcareService
    • PractitionerRole.location
  • The PractitionerRole.endpoint is where a Direct address may be represented.
  • Clients can request servers return the Practitioner resource and Endpoint resources by using _include. See Quick Start.
  • As a result of implementation feedback, the US Core Location and PractitionerRole Profiles are not explicitly referenced in any US Core Profile. However they SHOULD be used as the default profile if referenced by another US Core profile. See this guidance on Referencing US Core Profiles.

Usage:

  • Refer to this Resource Profile:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from PractitionerRole

NameFlagsCard.TypeDescription & Constraintsdoco
.. PractitionerRole C0..*PractitionerRoleRoles/organizations the practitioner is associated with
pd-1: SHALL have contact information or a reference to an Endpoint
us-core-13: SHALL have a practitioner, an organization, a healthcare service, or a location.
... practitioner SC0..1Reference(US Core Practitioner Profile)Practitioner that is able to provide the defined services for the organization
... organization SC0..1Reference(US Core Organization Profile)Organization where the roles are available
... code S0..*CodeableConceptRoles which this practitioner may perform
Binding: US Core Provider Role (NUCC) (extensible): Provider role codes consisting of NUCC Health Care Provider Taxonomy Code Set for providers.

... specialty S0..*CodeableConceptSpecific specialty of the practitioner
Binding: Healthcare Provider Taxonomy (extensible)
... location SC0..*Reference(Location)The location(s) at which this practitioner provides care
... healthcareService C0..*Reference(HealthcareService)The list of healthcare services that this worker provides for this role's Organization/Location(s)
... telecom SC0..*ContactPointContact details that are specific to the role/location/service
.... system S1..1codephone | fax | email | pager | url | sms | other
.... value S1..1stringThe actual contact point details
... endpoint SC0..*Reference(Endpoint)Technical endpoints providing access to services operated for the practitioner with this role

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
PractitionerRole.codeextensibleUSCoreProviderRoleNucc (a valid code from http://nucc.org/provider-taxonomy)
PractitionerRole.specialtyextensibleHealthcare Provider Taxonomy (a valid code from http://nucc.org/provider-taxonomy)

Constraints

IdGradePath(s)DetailsRequirements
pd-1errorPractitionerRoleSHALL have contact information or a reference to an Endpoint
: telecom or endpoint
us-core-13errorPractitionerRoleSHALL have a practitioner, an organization, a healthcare service, or a location.
: practitioner or organization or healthcareService or location
NameFlagsCard.TypeDescription & Constraintsdoco
.. PractitionerRole C0..*PractitionerRoleRoles/organizations the practitioner is associated with
pd-1: SHALL have contact information or a reference to an Endpoint
us-core-13: SHALL have a practitioner, an organization, a healthcare service, or a location.
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... practitioner SΣC0..1Reference(US Core Practitioner Profile)Practitioner that is able to provide the defined services for the organization
... organization SΣC0..1Reference(US Core Organization Profile)Organization where the roles are available
... code SΣ0..*CodeableConceptRoles which this practitioner may perform
Binding: US Core Provider Role (NUCC) (extensible): Provider role codes consisting of NUCC Health Care Provider Taxonomy Code Set for providers.


... specialty SΣ0..*CodeableConceptSpecific specialty of the practitioner
Binding: Healthcare Provider Taxonomy (extensible)
... location SΣC0..*Reference(Location)The location(s) at which this practitioner provides care
... healthcareService C0..*Reference(HealthcareService)The list of healthcare services that this worker provides for this role's Organization/Location(s)
... telecom SΣC0..*ContactPointContact details that are specific to the role/location/service
.... system SΣC1..1codephone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.

.... value SΣ1..1stringThe actual contact point details
.... use ?!Σ0..1codehome | work | temp | old | mobile - purpose of this contact point
Binding: ContactPointUse (required): Use of contact point.

... endpoint SC0..*Reference(Endpoint)Technical endpoints providing access to services operated for the practitioner with this role

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
PractitionerRole.codeextensibleUSCoreProviderRoleNucc (a valid code from http://nucc.org/provider-taxonomy)
PractitionerRole.specialtyextensibleHealthcare Provider Taxonomy (a valid code from http://nucc.org/provider-taxonomy)
PractitionerRole.telecom.systemrequiredContactPointSystem
PractitionerRole.telecom.userequiredContactPointUse

Constraints

IdGradePath(s)DetailsRequirements
pd-1errorPractitionerRoleSHALL have contact information or a reference to an Endpoint
: telecom or endpoint
us-core-13errorPractitionerRoleSHALL have a practitioner, an organization, a healthcare service, or a location.
: practitioner or organization or healthcareService or location
NameFlagsCard.TypeDescription & Constraintsdoco
.. PractitionerRole C0..*PractitionerRoleRoles/organizations the practitioner is associated with
pd-1: SHALL have contact information or a reference to an Endpoint
us-core-13: SHALL have a practitioner, an organization, a healthcare service, or a location.
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierBusiness Identifiers that are specific to a role/location
... active Σ0..1booleanWhether this practitioner role record is in active use
... period Σ0..1PeriodThe period during which the practitioner is authorized to perform in these role(s)
... practitioner SΣC0..1Reference(US Core Practitioner Profile)Practitioner that is able to provide the defined services for the organization
... organization SΣC0..1Reference(US Core Organization Profile)Organization where the roles are available
... code SΣ0..*CodeableConceptRoles which this practitioner may perform
Binding: US Core Provider Role (NUCC) (extensible): Provider role codes consisting of NUCC Health Care Provider Taxonomy Code Set for providers.


... specialty SΣ0..*CodeableConceptSpecific specialty of the practitioner
Binding: Healthcare Provider Taxonomy (extensible)
... location SΣC0..*Reference(Location)The location(s) at which this practitioner provides care
... healthcareService C0..*Reference(HealthcareService)The list of healthcare services that this worker provides for this role's Organization/Location(s)
... telecom SΣC0..*ContactPointContact details that are specific to the role/location/service
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... system SΣC1..1codephone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.

.... value SΣ1..1stringThe actual contact point details
.... use ?!Σ0..1codehome | work | temp | old | mobile - purpose of this contact point
Binding: ContactPointUse (required): Use of contact point.

.... rank Σ0..1positiveIntSpecify preferred order of use (1 = highest)
.... period Σ0..1PeriodTime period when the contact point was/is in use
... availableTime 0..*BackboneElementTimes the Service Site is available
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... daysOfWeek 0..*codemon | tue | wed | thu | fri | sat | sun
Binding: DaysOfWeek (required): The days of the week.


.... allDay 0..1booleanAlways available? e.g. 24 hour service
.... availableStartTime 0..1timeOpening time of day (ignored if allDay = true)
.... availableEndTime 0..1timeClosing time of day (ignored if allDay = true)
... notAvailable 0..*BackboneElementNot available during this time due to provided reason
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... description 1..1stringReason presented to the user explaining why time not available
.... during 0..1PeriodService not available from this date
... availabilityExceptions 0..1stringDescription of availability exceptions
... endpoint SC0..*Reference(Endpoint)Technical endpoints providing access to services operated for the practitioner with this role

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
PractitionerRole.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
PractitionerRole.codeextensibleUSCoreProviderRoleNucc (a valid code from http://nucc.org/provider-taxonomy)
PractitionerRole.specialtyextensibleHealthcare Provider Taxonomy (a valid code from http://nucc.org/provider-taxonomy)
PractitionerRole.telecom.systemrequiredContactPointSystem
PractitionerRole.telecom.userequiredContactPointUse
PractitionerRole.availableTime.daysOfWeekrequiredDaysOfWeek

This structure is derived from PractitionerRole

Summary

Mandatory: 0 element (2 nested mandatory elements)
Must-Support: 9 elements

Structures

This structure refers to these other structures:

Differential View

This structure is derived from PractitionerRole

NameFlagsCard.TypeDescription & Constraintsdoco
.. PractitionerRole C0..*PractitionerRoleRoles/organizations the practitioner is associated with
pd-1: SHALL have contact information or a reference to an Endpoint
us-core-13: SHALL have a practitioner, an organization, a healthcare service, or a location.
... practitioner SC0..1Reference(US Core Practitioner Profile)Practitioner that is able to provide the defined services for the organization
... organization SC0..1Reference(US Core Organization Profile)Organization where the roles are available
... code S0..*CodeableConceptRoles which this practitioner may perform
Binding: US Core Provider Role (NUCC) (extensible): Provider role codes consisting of NUCC Health Care Provider Taxonomy Code Set for providers.

... specialty S0..*CodeableConceptSpecific specialty of the practitioner
Binding: Healthcare Provider Taxonomy (extensible)
... location SC0..*Reference(Location)The location(s) at which this practitioner provides care
... healthcareService C0..*Reference(HealthcareService)The list of healthcare services that this worker provides for this role's Organization/Location(s)
... telecom SC0..*ContactPointContact details that are specific to the role/location/service
.... system S1..1codephone | fax | email | pager | url | sms | other
.... value S1..1stringThe actual contact point details
... endpoint SC0..*Reference(Endpoint)Technical endpoints providing access to services operated for the practitioner with this role

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
PractitionerRole.codeextensibleUSCoreProviderRoleNucc (a valid code from http://nucc.org/provider-taxonomy)
PractitionerRole.specialtyextensibleHealthcare Provider Taxonomy (a valid code from http://nucc.org/provider-taxonomy)

Constraints

IdGradePath(s)DetailsRequirements
pd-1errorPractitionerRoleSHALL have contact information or a reference to an Endpoint
: telecom or endpoint
us-core-13errorPractitionerRoleSHALL have a practitioner, an organization, a healthcare service, or a location.
: practitioner or organization or healthcareService or location

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. PractitionerRole C0..*PractitionerRoleRoles/organizations the practitioner is associated with
pd-1: SHALL have contact information or a reference to an Endpoint
us-core-13: SHALL have a practitioner, an organization, a healthcare service, or a location.
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... practitioner SΣC0..1Reference(US Core Practitioner Profile)Practitioner that is able to provide the defined services for the organization
... organization SΣC0..1Reference(US Core Organization Profile)Organization where the roles are available
... code SΣ0..*CodeableConceptRoles which this practitioner may perform
Binding: US Core Provider Role (NUCC) (extensible): Provider role codes consisting of NUCC Health Care Provider Taxonomy Code Set for providers.


... specialty SΣ0..*CodeableConceptSpecific specialty of the practitioner
Binding: Healthcare Provider Taxonomy (extensible)
... location SΣC0..*Reference(Location)The location(s) at which this practitioner provides care
... healthcareService C0..*Reference(HealthcareService)The list of healthcare services that this worker provides for this role's Organization/Location(s)
... telecom SΣC0..*ContactPointContact details that are specific to the role/location/service
.... system SΣC1..1codephone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.

.... value SΣ1..1stringThe actual contact point details
.... use ?!Σ0..1codehome | work | temp | old | mobile - purpose of this contact point
Binding: ContactPointUse (required): Use of contact point.

... endpoint SC0..*Reference(Endpoint)Technical endpoints providing access to services operated for the practitioner with this role

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
PractitionerRole.codeextensibleUSCoreProviderRoleNucc (a valid code from http://nucc.org/provider-taxonomy)
PractitionerRole.specialtyextensibleHealthcare Provider Taxonomy (a valid code from http://nucc.org/provider-taxonomy)
PractitionerRole.telecom.systemrequiredContactPointSystem
PractitionerRole.telecom.userequiredContactPointUse

Constraints

IdGradePath(s)DetailsRequirements
pd-1errorPractitionerRoleSHALL have contact information or a reference to an Endpoint
: telecom or endpoint
us-core-13errorPractitionerRoleSHALL have a practitioner, an organization, a healthcare service, or a location.
: practitioner or organization or healthcareService or location

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. PractitionerRole C0..*PractitionerRoleRoles/organizations the practitioner is associated with
pd-1: SHALL have contact information or a reference to an Endpoint
us-core-13: SHALL have a practitioner, an organization, a healthcare service, or a location.
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierBusiness Identifiers that are specific to a role/location
... active Σ0..1booleanWhether this practitioner role record is in active use
... period Σ0..1PeriodThe period during which the practitioner is authorized to perform in these role(s)
... practitioner SΣC0..1Reference(US Core Practitioner Profile)Practitioner that is able to provide the defined services for the organization
... organization SΣC0..1Reference(US Core Organization Profile)Organization where the roles are available
... code SΣ0..*CodeableConceptRoles which this practitioner may perform
Binding: US Core Provider Role (NUCC) (extensible): Provider role codes consisting of NUCC Health Care Provider Taxonomy Code Set for providers.


... specialty SΣ0..*CodeableConceptSpecific specialty of the practitioner
Binding: Healthcare Provider Taxonomy (extensible)
... location SΣC0..*Reference(Location)The location(s) at which this practitioner provides care
... healthcareService C0..*Reference(HealthcareService)The list of healthcare services that this worker provides for this role's Organization/Location(s)
... telecom SΣC0..*ContactPointContact details that are specific to the role/location/service
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... system SΣC1..1codephone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.

.... value SΣ1..1stringThe actual contact point details
.... use ?!Σ0..1codehome | work | temp | old | mobile - purpose of this contact point
Binding: ContactPointUse (required): Use of contact point.

.... rank Σ0..1positiveIntSpecify preferred order of use (1 = highest)
.... period Σ0..1PeriodTime period when the contact point was/is in use
... availableTime 0..*BackboneElementTimes the Service Site is available
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... daysOfWeek 0..*codemon | tue | wed | thu | fri | sat | sun
Binding: DaysOfWeek (required): The days of the week.


.... allDay 0..1booleanAlways available? e.g. 24 hour service
.... availableStartTime 0..1timeOpening time of day (ignored if allDay = true)
.... availableEndTime 0..1timeClosing time of day (ignored if allDay = true)
... notAvailable 0..*BackboneElementNot available during this time due to provided reason
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... description 1..1stringReason presented to the user explaining why time not available
.... during 0..1PeriodService not available from this date
... availabilityExceptions 0..1stringDescription of availability exceptions
... endpoint SC0..*Reference(Endpoint)Technical endpoints providing access to services operated for the practitioner with this role

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
PractitionerRole.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
PractitionerRole.codeextensibleUSCoreProviderRoleNucc (a valid code from http://nucc.org/provider-taxonomy)
PractitionerRole.specialtyextensibleHealthcare Provider Taxonomy (a valid code from http://nucc.org/provider-taxonomy)
PractitionerRole.telecom.systemrequiredContactPointSystem
PractitionerRole.telecom.userequiredContactPointUse
PractitionerRole.availableTime.daysOfWeekrequiredDaysOfWeek

This structure is derived from PractitionerRole

Summary

Mandatory: 0 element (2 nested mandatory elements)
Must-Support: 9 elements

Structures

This structure refers to these other structures:

 

Other representations of profile: CSV, Excel, Schematron

Notes:

Quick Start

Below is an overview of the required Server RESTful FHIR interactions for this profile - for example, search and read operations - when supporting the US Core interactions to access this profile’s information (Profile Support + Interaction Support). Note that systems that support only US Core Profiles (Profile Only Support) are not required to support these interactions. See the US Core Server CapabilityStatement for a complete list of supported RESTful interactions for this IG.

  • The syntax used to describe the interactions is described here.
  • See the General Requirements section for additional rules and expectations when a server requires status parameters.
  • See the General Guidance section for additional guidance on searching for multiple patients.

Mandatory Search Parameters:

The following search parameters and search parameter combinations SHALL be supported:

  1. SHALL support searching practitioner role by specialty using the specialty search parameter:

    • including optional support for these _include parameters: PractitionerRole:endpoint,PractitionerRole:practitioner

    GET [base]/PractitionerRole?specialty={system|}[code]

    Example:

    1. GET [base]/PractitionerRole?specialty=http://nucc.org/provider-taxonomy|208D0000X

    Implementation Notes: Fetches a bundle containing PractitionerRole resources matching the specialty (how to search by token)

  2. SHALL support searching practitioner role by practitioner name and identifier using chained parameters using the practitioner search parameter:

    • including support for these chained parameters: practitioner.identifier,practitioner.name
    • including optional support for these _include parameters: PractitionerRole:endpoint,PractitionerRole:practitioner

    GET [base]/PractitionerRole?practitioner={Type/}[id]

    Example:

    1. GET [base]/PractitionerRole?practitioner.identifier=http://hl7.org/fhir/sid/us-npi|97860456&_include=PractitionerRole:practitioner&_include=PractitionerRole?endpoint
    2. GET [base]/PractitionerRole?practitioner.name=Henry&_include=PractitionerRole:practitioner&_include=PractitionerRole?endpoint

    Implementation Notes: Fetches a bundle containing PractitionerRole resources matching the chained parameter practitioner.name or practitioner.identifier. SHOULD support the _include for PractionerRole.practitioner and PractitionerRole.endpoint. (how to search by reference)