This page is part of the Data Access Framework (v1.6.0: STU 2 Ballot 1) based on FHIR v1.6.0. . For a full list of available versions, see the Directory of published versions
Definitions for the daf-core-pract Profile.
Practitioner(DAFCorePract) | |
Definition | This is basic constraint on provider for use in DAF resources. |
Control | 0..* |
Alternate Names | Provider |
Comments | Note that a cab driver no longer fits the bill. You probably would be interested in the organization rather than the individual? |
Invariants | Defined on this element dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative (xpath: not(parent::f:contained and f:text)) dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (xpath: not(parent::f:contained and f:contained)) dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource (xpath: not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))) dom-4: 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))) |
Practitioner.id | |
Definition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. |
Control | 0..1 |
Type | id |
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. |
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. |
Control | 0..1 |
Type | Meta |
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. |
Control | 0..1 |
Type | uri |
Is Modifier | true |
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. |
Control | 0..1 |
Binding | A human language. The codes SHALL be taken from Common Languages; other codes may be used where these codes are not suitable |
Type | code |
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. |
Control | 0..1 This element is affected by the following invariants: dom-1 |
Type | Narrative |
Alternate Names | narrative, html, xhtml, display |
Comments | 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 in formation is added later. |
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. |
Control | 0..* |
Type | Resource |
Alternate Names | inline 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. |
Control | 0..* |
Type | Extension |
Alternate Names | extensions, 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. |
Control | 0..* |
Type | Extension |
Is Modifier | true |
Alternate Names | extensions, 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. |
Note | This is a business identifer, not a resource identifier (see discussion) |
Control | 1..* |
Type | Identifier |
Must Support | true |
Requirements | Either id or name is needed. |
Practitioner.identifier.id | |
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Control | 0..1 |
Type | string |
Practitioner.identifier.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. |
Control | 0..* |
Type | Extension |
Alternate Names | extensions, 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.use | |
Definition | The purpose of this identifier. |
Control | 0..1 |
Binding | Identifies the purpose for this identifier, if known . The codes SHALL be taken from IdentifierUse |
Type | code |
Is Modifier | true |
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. |
Comments | This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. |
Practitioner.identifier.type | |
Definition | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. |
Control | 0..1 |
Binding | A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. The codes SHALL be taken from Identifier Type Codes; other codes may be used where these codes are not suitable |
Type | CodeableConcept |
Requirements | Allows users to make use of identifiers when the identifier system is not known. |
Comments | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. |
Practitioner.identifier.system | |
Definition | Establishes the namespace in which set of possible id values is unique. |
Control | 1..1 |
Type | uri |
Must Support | true |
Requirements | There are many sequences of identifiers. To perform matching, we need to know what sequence we're dealing with. The system identifies a particular sequence or set of unique identifiers. |
Comments | NPI could be used as the identifier system in the US. |
Example | NPI preferred, Tax id is allowed, Local id is allowed in addition to 'authoritative' identifier |
Practitioner.identifier.value | |
Definition | The portion of the identifier typically relevant to the user and which is unique within the context of the system. |
Control | 1..1 |
Type | string |
Must Support | true |
Comments | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. |
Example | 123456 |
Practitioner.identifier.period | |
Definition | Time period during which identifier is/was valid for use. |
Control | 0..1 |
Type | Period |
Practitioner.identifier.assigner | |
Definition | Organization that issued/manages the identifier. |
Control | 0..1 |
Type | Reference(Organization) |
Comments | The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization. |
Practitioner.active | |
Definition | Whether this practitioner's record is in active use. |
Control | 0..1 |
Type | boolean |
Requirements | Need to be able to mark a practitioner record as not to be used because it was created in error. |
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. |
Default Value | true |
Practitioner.name | |
Definition | The name(s) associated with the practitioner. |
Control | 1..1 |
Type | HumanName |
Must Support | true |
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. |
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.name.id | |
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Control | 0..1 |
Type | string |
Practitioner.name.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. |
Control | 0..* |
Type | Extension |
Alternate Names | extensions, 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.name.use | |
Definition | Identifies the purpose for this name. |
Control | 0..1 |
Binding | The use of a human name The codes SHALL be taken from NameUse |
Type | code |
Is Modifier | true |
Requirements | Allows the appropriate name for a particular context of use to be selected from among a set of names. |
Comments | This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one. Applications can assume that a name is current unless it explicitly says that it is temporary or old. |
Practitioner.name.text | |
Definition | A full text representation of the name. |
Control | 0..1 |
Type | string |
Requirements | A renderable, unencoded form. |
Comments | Can provide both a text representation and structured parts. |
Practitioner.name.family | |
Definition | The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father. |
Control | 1..* |
Type | string |
Must Support | true |
Alternate Names | surname |
Comments | For family name, hyphenated names such as "Smith-Jones" are a single name, but names with spaces such as "Smith Jones" are broken into multiple parts. |
Practitioner.name.given | |
Definition | Given name. |
Control | 0..* |
Type | string |
Alternate Names | first name, middle name |
Comments | If only initials are recorded, they may be used in place of the full name. Not called "first name" since given names do not always come first. |
Practitioner.name.prefix | |
Definition | Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name. |
Control | 0..* |
Type | string |
Practitioner.name.suffix | |
Definition | Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name. |
Control | 0..* |
Type | string |
Practitioner.name.period | |
Definition | Indicates the period of time when this name was valid for the named person. |
Control | 0..1 |
Type | Period |
Requirements | Allows names to be placed in historical context. |
Practitioner.telecom | |
Definition | A contact detail for the practitioner, e.g. a telephone number or an email address. |
Control | 0..* |
Type | ContactPoint |
Requirements | Need to know how to reach a practitioner independent to any roles the practitioner may have. |
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. |
Control | 0..* |
Type | Address |
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. |
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. |
Control | 0..1 |
Binding | The gender of a person used for administrative purposes. The codes SHALL be taken from AdministrativeGender |
Type | code |
Requirements | Needed to address the person correctly. |
Practitioner.birthDate | |
Definition | The date of birth for the practitioner. |
Control | 0..1 |
Type | date |
Requirements | Needed for identification. |
Practitioner.photo | |
Definition | Image of the person. |
Control | 0..* |
Type | Attachment |
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. |
Control | 1..* |
Type | BackboneElement |
Must Support | true |
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.id | |
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Control | 0..1 |
Type | string |
Practitioner.role.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. |
Control | 0..* |
Type | Extension |
Alternate Names | extensions, 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.role.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. |
Control | 0..* |
Type | Extension |
Is Modifier | true |
Alternate Names | extensions, 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.role.organization | |
Definition | A formally or informally recognized grouping of people or organizations formed for the purpose of achieving some form of collective action. Includes companies, institutions, corporations, departments, community groups, healthcare practice groups, etc. |
Control | 0..1 |
Type | Reference(Profile daf-core-organization) |
Must Support | true |
Practitioner.role.code | |
Definition | Roles which this practitioner is authorized to perform for the organization. |
Control | 1..1 |
Binding | Provider role codes consisting of NUCC Health Care Provider Taxonomy Code Set for providers. The codes SHALL be taken from DAF Provider Role (NUCC) |
Type | CodeableConcept |
Must Support | true |
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.role.specialty | |
Definition | Specific specialty of the practitioner. |
Control | 0..* |
Binding | Provider specialty codes consist of NUCC Health Care Provider Taxonomy Code Set for providers. The codes SHALL be taken from DAF Provider Speciality (NUCC) |
Type | CodeableConcept |
Must Support | true |
Practitioner.role.identifier | |
Definition | Business Identifiers that are specific to a role/location. |
Note | This is a business identifer, not a resource identifier (see discussion) |
Control | 0..* |
Type | Identifier |
Requirements | Some business identifiers are specific to a location and should be able to be associated. |
Practitioner.role.telecom | |
Definition | Contact details that are specific to the role/location/service. |
Control | 1..* |
Type | ContactPoint |
Must Support | true |
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. |
Practitioner.role.telecom.id | |
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Control | 0..1 |
Type | string |
Practitioner.role.telecom.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. |
Control | 0..* |
Type | Extension |
Alternate Names | extensions, 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.role.telecom.system | |
Definition | Telecommunications form for contact point - what communications system is required to make use of the contact. |
Control | 1..1 This element is affected by the following invariants: cpt-2 |
Binding | Telecommunications form for contact point The codes SHALL be taken from ContactPointSystem |
Type | code |
Must Support | true |
Practitioner.role.telecom.value | |
Definition | The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address). |
Control | 1..1 |
Type | string |
Must Support | true |
Requirements | Need to support legacy numbers that are not in a tightly controlled format. |
Comments | Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value. |
Practitioner.role.telecom.use | |
Definition | Identifies the purpose for the contact point. |
Control | 0..1 |
Binding | Use of contact point The codes SHALL be taken from ContactPointUse |
Type | code |
Is Modifier | true |
Requirements | Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose. |
Comments | This is labeled as "Is Modifier" because applications should not mistake a temporary or old contact etc.for a current/permanent one. Applications can assume that a contact is current unless it explicitly says that it is temporary or old. |
Practitioner.role.telecom.rank | |
Definition | Specifies a preferred order in which to use a set of contacts. Contacts are ranked with lower values coming before higher values. |
Control | 0..1 |
Type | positiveInt |
Comments | Note that rank does not necessarily follow the order in which the contacts are represented in the instance. |
Practitioner.role.telecom.period | |
Definition | Time period when the contact point was/is in use. |
Control | 0..1 |
Type | Period |
Practitioner.role.period | |
Definition | The period during which the person is authorized to act as a practitioner in these role(s) for the organization. |
Control | 0..1 |
Type | Period |
Requirements | Even after the agencies is revoked, the fact that it existed must still be recorded. |
Practitioner.role.location | |
Definition | Details and position information for a physical place where services are provided and resources and participants may be stored, found, contained or accommodated. |
Control | 0..* |
Type | Reference(Profile daf-core-location) |
Must Support | true |
Practitioner.role.healthcareService | |
Definition | The list of healthcare services that this worker provides for this role's Organization/Location(s). |
Control | 0..* |
Type | Reference(HealthcareService) |
Practitioner.role.endpoint | |
Definition | The technical details of an endpoint that can be used for electronic services, such as for web services providing XDS.b or a REST endpoint for another FHIR server. This may include any security context information. |
Control | 0..* |
Type | Reference(Endpoint) |
Must Support | true |
Practitioner.qualification | |
Definition | Qualifications obtained by training and certification. |
Control | 0..* |
Type | BackboneElement |
Practitioner.qualification.id | |
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Control | 0..1 |
Type | string |
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. |
Control | 0..* |
Type | Extension |
Alternate Names | extensions, 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. |
Control | 0..* |
Type | Extension |
Is Modifier | true |
Alternate Names | extensions, 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. |
Note | This is a business identifer, not a resource identifier (see discussion) |
Control | 0..* |
Type | Identifier |
Requirements | Often, specific identities are assigned for the qualification. |
Practitioner.qualification.code | |
Definition | Coded representation of the qualification. |
Control | 1..1 |
Binding | Specific 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 |
Type | CodeableConcept |
Practitioner.qualification.period | |
Definition | Period during which the qualification is valid. |
Control | 0..1 |
Type | Period |
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. |
Control | 0..1 |
Type | Reference(Organization) |
Practitioner.communication | |
Definition | A language the practitioner is able to use in patient communication. |
Control | 0..* |
Binding | A human language. The codes SHALL be taken from Common Languages; other codes may be used where these codes are not suitable |
Type | CodeableConcept |
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. |