Electronic Long-Term Services and Supports (eLTSS) Release 1 - US Realm
This page is part of the electronic Long-Term Services and Supports Implementation Guide (v1.0.0: STU 1) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions 
The official URL for this profile is:
http://hl7.org/fhir/us/eltss/StructureDefinition/Practitioner-eltss
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from USCorePractitionerProfile
This structure is derived from USCorePractitionerProfile
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Practitioner | 0..* | |||
 address | 0..* | Address | ||
  type | 0..1 | code | ||
| district | S | 0..1 | string | County |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Practitioner | I | 0..* | A person with a formal responsibility in the provisioning of healthcare or related services | |
 id | Σ | 0..1 | id | Logical id of this artifact |
 meta | Σ | 0..1 | Meta | Metadata about the resource |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages | |
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |
 contained | 0..* | Resource | Contained, inline Resources | |
 extension | 0..* | Extension | Additional content defined by implementations | |
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
 identifier | SΣ | 1..* | (Slice Definition) | An identifier for the person as this agent Slice: Unordered, Open by value:system |
  identifier:All Slices | Content/Rules for all slices | |||
 id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required) |
| type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible) |
| system | SΣ | 1..1 | uri | The namespace for the identifier value Example General': http://www.acme.com/identifiers/patient |
| value | SΣ | 1..1 | string | The value that is unique Example General': 123456 |
| period | Σ | 0..1 | Period | Time period when id is/was valid for use |
  assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) |
 identifier:npislice | SΣ | 0..1 | Identifier | An identifier for the person as this agent |
 id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required) |
| type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible) |
| system | SΣ | 1..1 | uri | The namespace for the identifier value Fixed Value: http://hl7.org/fhir/sid/us-npi |
| value | Σ | 0..1 | string | The value that is unique Example General': 123456 |
| period | Σ | 0..1 | Period | Time period when id is/was valid for use |
 assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) |
| active | Σ | 0..1 | boolean | Whether this practitioner's record is in active use |
| name | SΣ | 1..* | HumanName | The name(s) associated with the practitioner |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| use | ?!Σ | 0..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required) |
| text | Σ | 0..1 | string | Text representation of the full name |
| family | SΣ | 1..1 | string | Family name (often called 'Surname') |
| given | Σ | 0..* | string | Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name |
| prefix | Σ | 0..* | string | Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name |
| suffix | Σ | 0..* | string | Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name |
| period | Σ | 0..1 | Period | Time period when name was/is in use |
| telecom | Σ | 0..* | ContactPoint | A contact detail for the practitioner (that apply to all roles) |
| address | Σ | 0..* | Address | Address(es) of the practitioner that are not role specific (typically home address) |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| use | ?!Σ | 0..1 | code | home | work | temp | old | billing - purpose of this address Binding: AddressUse (required) Example General': home |
| type | Σ | 0..1 | code | postal | physical | both Binding: AddressType (required) Example General': both |
| text | Σ | 0..1 | string | Text representation of the address Example General': 137 Nowhere Street, Erewhon 9132 |
| line | Σ | 0..* | string | Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General': 137 Nowhere Street |
| city | Σ | 0..1 | string | Name of city, town etc. Example General': Erewhon |
| district | SΣ | 0..1 | string | County Example General': Madison |
| state | Σ | 0..1 | string | Sub-unit of country (abbreviations ok) |
| postalCode | Σ | 0..1 | string | Postal code for area Example General': 9132 |
| country | Σ | 0..1 | string | Country (e.g. can be ISO 3166 2 or 3 letter code) |
| period | Σ | 0..1 | Period | Time period when address was/is in use Example General': {"start":"2010-03-23T00:00:00-04:00","end":"2010-07-01T00:00:00-04:00"} |
| gender | Σ | 0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required) |
| birthDate | Σ | 0..1 | date | The date on which the practitioner was born |
| photo | 0..* | Attachment | Image of the person | |
| qualification | I | 0..* | BackboneElement | Certification, licenses, or training pertaining to the provision of care |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| identifier | 0..* | Identifier | An identifier for this qualification for the practitioner | |
| code | 1..1 | CodeableConcept | Coded representation of the qualification Binding: v2 table 0360, Version 2.7 (example) | |
| period | 0..1 | Period | Period during which the qualification is valid | |
| issuer | 0..1 | Reference(Organization) | Organization that regulates and issues the qualification | |
| communication | 0..* | CodeableConcept | A language the practitioner can use in patient communication Binding: CommonLanguages (preferred) Max Binding: AllLanguages | |
| Documentation for this format | ||||
This structure is derived from USCorePractitionerProfile
Differential View
This structure is derived from USCorePractitionerProfile
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Practitioner | 0..* | |||
| address | 0..* | Address | ||
| type | 0..1 | code | ||
| district | S | 0..1 | string | County |
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Practitioner | I | 0..* | A person with a formal responsibility in the provisioning of healthcare or related services | |
| id | Σ | 0..1 | id | Logical id of this artifact |
| meta | Σ | 0..1 | Meta | Metadata about the resource |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages | |
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |
| contained | 0..* | Resource | Contained, inline Resources | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier | SΣ | 1..* | (Slice Definition) | An identifier for the person as this agent Slice: Unordered, Open by value:system |
| identifier:All Slices | Content/Rules for all slices | |||
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required) |
| type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible) |
| system | SΣ | 1..1 | uri | The namespace for the identifier value Example General': http://www.acme.com/identifiers/patient |
| value | SΣ | 1..1 | string | The value that is unique Example General': 123456 |
| period | Σ | 0..1 | Period | Time period when id is/was valid for use |
| assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) |
| identifier:npislice | SΣ | 0..1 | Identifier | An identifier for the person as this agent |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required) |
| type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible) |
| system | SΣ | 1..1 | uri | The namespace for the identifier value Fixed Value: http://hl7.org/fhir/sid/us-npi |
| value | Σ | 0..1 | string | The value that is unique Example General': 123456 |
| period | Σ | 0..1 | Period | Time period when id is/was valid for use |
| assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) |
| active | Σ | 0..1 | boolean | Whether this practitioner's record is in active use |
| name | SΣ | 1..* | HumanName | The name(s) associated with the practitioner |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| use | ?!Σ | 0..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required) |
| text | Σ | 0..1 | string | Text representation of the full name |
| family | SΣ | 1..1 | string | Family name (often called 'Surname') |
| given | Σ | 0..* | string | Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name |
| prefix | Σ | 0..* | string | Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name |
| suffix | Σ | 0..* | string | Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name |
| period | Σ | 0..1 | Period | Time period when name was/is in use |
| telecom | Σ | 0..* | ContactPoint | A contact detail for the practitioner (that apply to all roles) |
| address | Σ | 0..* | Address | Address(es) of the practitioner that are not role specific (typically home address) |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| use | ?!Σ | 0..1 | code | home | work | temp | old | billing - purpose of this address Binding: AddressUse (required) Example General': home |
| type | Σ | 0..1 | code | postal | physical | both Binding: AddressType (required) Example General': both |
| text | Σ | 0..1 | string | Text representation of the address Example General': 137 Nowhere Street, Erewhon 9132 |
| line | Σ | 0..* | string | Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General': 137 Nowhere Street |
| city | Σ | 0..1 | string | Name of city, town etc. Example General': Erewhon |
| district | SΣ | 0..1 | string | County Example General': Madison |
| state | Σ | 0..1 | string | Sub-unit of country (abbreviations ok) |
| postalCode | Σ | 0..1 | string | Postal code for area Example General': 9132 |
| country | Σ | 0..1 | string | Country (e.g. can be ISO 3166 2 or 3 letter code) |
| period | Σ | 0..1 | Period | Time period when address was/is in use Example General': {"start":"2010-03-23T00:00:00-04:00","end":"2010-07-01T00:00:00-04:00"} |
| gender | Σ | 0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required) |
| birthDate | Σ | 0..1 | date | The date on which the practitioner was born |
| photo | 0..* | Attachment | Image of the person | |
| qualification | I | 0..* | BackboneElement | Certification, licenses, or training pertaining to the provision of care |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| identifier | 0..* | Identifier | An identifier for this qualification for the practitioner | |
| code | 1..1 | CodeableConcept | Coded representation of the qualification Binding: v2 table 0360, Version 2.7 (example) | |
| period | 0..1 | Period | Period during which the qualification is valid | |
| issuer | 0..1 | Reference(Organization) | Organization that regulates and issues the qualification | |
| communication | 0..* | CodeableConcept | A language the practitioner can use in patient communication Binding: CommonLanguages (preferred) Max Binding: AllLanguages | |
| Documentation for this format | ||||
Other representations of profile: Schematron
| Path | Conformance | ValueSet |
| Practitioner.language | preferred | CommonLanguages Max Binding: AllLanguages |
| Practitioner.identifier.use | required | IdentifierUse |
| Practitioner.identifier.type | extensible | Identifier Type Codes |
| Practitioner.identifier:npislice.use | required | IdentifierUse |
| Practitioner.identifier:npislice.type | extensible | Identifier Type Codes |
| Practitioner.name.use | required | NameUse |
| Practitioner.address.use | required | AddressUse |
| Practitioner.address.type | required | AddressType |
| Practitioner.gender | required | AdministrativeGender |
| Practitioner.qualification.code | example | v2.0360.2.7 |
| Practitioner.communication | preferred | CommonLanguages Max Binding: AllLanguages |
| Id | Path | Details | Requirements |
| dom-2 | Practitioner | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-4 | Practitioner | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-3 | Practitioner | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-6 | Practitioner | A resource should have narrative for robust management : text.div.exists() | |
| dom-5 | Practitioner | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| ele-1 | Practitioner.qualification | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
Implementation Guide © 2017+ HL7 International Community-Based Care and Privacy Work Group hl7.fhir.us.eltss#1.0.0 based on FHIR v4.0.0 generated 2019-09-12.
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