Profile qicore-practitioner

<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="qicore-practitioner"/>
  <url
       value="http://hl7.org/fhir/qicore/StructureDefinition/qicore-practitioner"/>
  <name value="Profile qicore-practitioner"/>
  <status value="draft"/>
  <publisher
             value="Health Level Seven International (Clinical Quality Information - QICore)"/>
  <contact>
    <telecom>
      <system value="other"/>
      <value value="http://hl7.org/special/committees/CQI"/>
    </telecom>
  </contact>
  <date value="2015-02-27"/>
  <mapping>
    <identity value="qdm"/>
    <uri value="http://www.healthit.gov/quality-data-model"/>
    <name value="Quality Data Model"/>
  </mapping>
  <mapping>
    <identity value="qidam"/>
    <uri
         value="http://www.hl7.org/implement/standards/product_brief.cfm?product_id=378"/>
    <name value="Quality Improvement Domain Analysis Model"/>
  </mapping>
  <mapping>
    <identity value="v2"/>
    <uri value="http://hl7.org/v2"/>
    <name value="HL7 v2 Mapping"/>
  </mapping>
  <mapping>
    <identity value="rim"/>
    <uri value="http://hl7.org/v3"/>
    <name value="RIM Mapping"/>
  </mapping>
  <mapping>
    <identity value="servd"/>
    <uri value="http://www.omg.org/spec/ServD/1.0/"/>
    <name value="ServD"/>
  </mapping>
  <mapping>
    <identity value="w5"/>
    <uri value="http://hl7.org/fhir/w5"/>
    <name value="W5 Mapping"/>
  </mapping>
  <kind value="resource"/>
  <abstract value="false"/>
  <type value="Practitioner"/>
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
  <derivation value="constraint"/>
  <snapshot>
    <element id="Practitioner:qicore-practitioner">
      <path value="Practitioner"/>
      <name value="QICore-Practitioner"/>
      <short
             value="A person with a  formal responsibility in the provisioning of healthcare or related services"/>
      <definition
                  value="A person who is directly or indirectly involved in the provisioning of healthcare."/>
      <comments
                value="Note that a cab driver no longer fits the bill. You probably would be interested in the organization rather than the individual?"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Practitioner"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <constraint>
        <key value="dom-2"/>
        <severity value="error"/>
        <human
               value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/>
        <expression value="contained.contained.empty()"/>
        <xpath value="not(parent::f:contained and f:contained)"/>
      </constraint>
      <constraint>
        <key value="dom-1"/>
        <severity value="error"/>
        <human
               value="If the resource is contained in another resource, it SHALL NOT contain any narrative"/>
        <expression value="contained.text.empty()"/>
        <xpath value="not(parent::f:contained and f:text)"/>
      </constraint>
      <constraint>
        <key value="dom-4"/>
        <severity value="error"/>
        <human
               value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"/>
        <expression
                    value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/>
        <xpath
               value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"/>
      </constraint>
      <constraint>
        <key value="dom-3"/>
        <severity value="error"/>
        <human
               value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource"/>
        <expression
                    value="contained.where(('#'+id in %resource.descendants().reference).not()).empty()"/>
        <xpath
               value="not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))"/>
      </constraint>
      <mustSupport value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="Entity. Role, or Act"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="PRD (as one example)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="Role"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="Provider"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="administrative.individual"/>
      </mapping>
      <mapping>
        <identity value="qdm"/>
        <map value="Provider Characteristic"/>
      </mapping>
    </element>
    <element id="Practitioner:qicore-practitioner.id">
      <path value="Practitioner.id"/>
      <short value="Logical id of this artifact"/>
      <definition
                  value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes."/>
      <comments
                value="The only time that a resource does not have an id is when it is being submitted to the server using a create operation."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element id="Practitioner:qicore-practitioner.meta">
      <path value="Practitioner.meta"/>
      <short value="Metadata about the resource"/>
      <definition
                  value="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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.meta"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Meta"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element id="Practitioner:qicore-practitioner.implicitRules">
      <path value="Practitioner.implicitRules"/>
      <short value="A set of rules under which this content was created"/>
      <definition
                  value="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content."/>
      <comments
                value="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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.implicitRules"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="uri"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
    </element>
    <element id="Practitioner:qicore-practitioner.language">
      <path value="Practitioner.language"/>
      <short value="Language of the resource content"/>
      <definition value="The base language in which the resource is written."/>
      <comments
                value="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)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.language"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
          <valueReference>
            <reference value="http://hl7.org/fhir/ValueSet/all-languages"/>
          </valueReference>
        </extension>
        <strength value="extensible"/>
        <description value="A human language."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/languages"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="Practitioner:qicore-practitioner.text">
      <path value="Practitioner.text"/>
      <short value="Text summary of the resource, for human interpretation"/>
      <definition
                  value="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."/>
      <comments
                value="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."/>
      <alias value="narrative"/>
      <alias value="html"/>
      <alias value="xhtml"/>
      <alias value="display"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DomainResource.text"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Narrative"/>
      </type>
      <condition value="dom-1"/>
      <mapping>
        <identity value="rim"/>
        <map value="Act.text?"/>
      </mapping>
    </element>
    <element id="Practitioner:qicore-practitioner.contained">
      <path value="Practitioner.contained"/>
      <short value="Contained, inline Resources"/>
      <definition
                  value="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."/>
      <comments
                value="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."/>
      <alias value="inline resources"/>
      <alias value="anonymous resources"/>
      <alias value="contained resources"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.contained"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Resource"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element
             id="Practitioner:qicore-practitioner.extension:practitionerclassification$practitioner-classification">
      <path value="Practitioner.extension"/>
      <name value="Practitioner.classification"/>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DomainResource.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
        <profile
                 value="http://hl7.org/fhir/StructureDefinition/practitioner-classification"/>
      </type>
      <condition value="ele-1"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression value="children().count() > id.count()"/>
        <xpath value="@value|f:*|h:div"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
      </constraint>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="qidam"/>
        <map
             value="Not in QIDAM, but recognized as important. While there is practitionerRole, that may refer more to something like “attending” vs. “consultant” physician, whereas the classification would be useful for classifying the practitioner to things like “Physician”, “Resident”, “Pharmacist”, “Nurse”, “PA”.  This could then determine whether the practitioner should receive a particular CDS."/>
      </mapping>
    </element>
    <element id="Practitioner:qicore-practitioner.modifierExtension">
      <path value="Practitioner.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition
                  value="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."/>
      <comments
                value="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."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Practitioner:qicore-practitioner.identifier">
      <path value="Practitioner.identifier"/>
      <short value="A identifier for the person as this agent"/>
      <definition
                  value="An identifier that applies to this person in this role."/>
      <requirements
                    value="Often, specific identities are assigned for the agent."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Practitioner.identifier"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Identifier"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="PRD-7 (or XCN.1)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="./id"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="./Identifiers"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="id"/>
      </mapping>
    </element>
    <element id="Practitioner:qicore-practitioner.active">
      <path value="Practitioner.active"/>
      <short value="Whether this practitioner's record is in active use"/>
      <definition
                  value="Whether this practitioner's record is in active use."/>
      <comments
                value="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."/>
      <requirements
                    value="Need to be able to mark a practitioner record as not to be used because it was created in error."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Practitioner.active"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
      <defaultValueBoolean value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="./statusCode"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="status"/>
      </mapping>
    </element>
    <element id="Practitioner:qicore-practitioner.name">
      <path value="Practitioner.name"/>
      <short value="The name(s) associated with the practitioner"/>
      <definition value="The name(s) associated with the practitioner."/>
      <comments
                value="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."/>
      <requirements
                    value="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."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Practitioner.name"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="HumanName"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="XCN Components"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="./name"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="./PreferredName (GivenNames, FamilyName, TitleCode)"/>
      </mapping>
    </element>
    <element id="Practitioner:qicore-practitioner.telecom">
      <path value="Practitioner.telecom"/>
      <short
             value="A contact detail for the practitioner (that apply to all roles)"/>
      <definition
                  value="A contact detail for the practitioner, e.g. a telephone number or an email address."/>
      <comments
                value="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."/>
      <requirements
                    value="Need to know how to reach a practitioner independent to any roles the practitioner may have."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Practitioner.telecom"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="ContactPoint"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="PRT-15, STF-10, ROL-12"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="./telecom"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="./ContactPoints"/>
      </mapping>
    </element>
    <element id="Practitioner:qicore-practitioner.address">
      <path value="Practitioner.address"/>
      <short
             value="Address(es) of the practitioner that are not role specific (typically home address)"/>
      <definition
                  value="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."/>
      <comments
                value="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)."/>
      <requirements
                    value="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."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Practitioner.address"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Address"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="ORC-24, STF-11, ROL-11, PRT-14"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="./addr"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="./Addresses"/>
      </mapping>
    </element>
    <element id="Practitioner:qicore-practitioner.gender">
      <path value="Practitioner.gender"/>
      <short value="male | female | other | unknown"/>
      <definition
                  value="Administrative Gender - the gender that the person is considered to have for administration and record keeping purposes."/>
      <requirements value="Needed to address the person correctly."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Practitioner.gender"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <mustSupport value="true"/>
      <isSummary value="false"/>
      <binding>
        <strength value="required"/>
        <description
                     value="The gender of a person used for administrative purposes."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/administrative-gender"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="STF-5"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="./administrativeGender"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="./GenderCode"/>
      </mapping>
    </element>
    <element id="Practitioner:qicore-practitioner.birthDate">
      <path value="Practitioner.birthDate"/>
      <short value="The date  on which the practitioner was born"/>
      <definition value="The date of birth for the practitioner."/>
      <requirements value="Needed for identification."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Practitioner.birthDate"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="date"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="STF-6"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="./birthTime"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="(not represented in ServD)"/>
      </mapping>
    </element>
    <element id="Practitioner:qicore-practitioner.photo">
      <path value="Practitioner.photo"/>
      <short value="Image of the person"/>
      <definition value="Image of the person."/>
      <requirements
                    value="Many EHR systems have the capability to capture an image of patients and personnel. Fits with newer social media usage too."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Practitioner.photo"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Attachment"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="./subjectOf/ObservationEvent[code="photo"]/value"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="./ImageURI (only supports the URI reference)"/>
      </mapping>
    </element>
    <element id="Practitioner:qicore-practitioner.role">
      <path value="Practitioner.role"/>
      <short value="Roles/organizations the practitioner is associated with"/>
      <definition
                  value="The list of roles/organizations that the practitioner is associated with."/>
      <comments
                value="The address to be used for this PractitionerRole is in the referenced location (removing duplication across all the services provided at the location)."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Practitioner.role"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <mustSupport value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value=".playingEntity.playingRole"/>
      </mapping>
    </element>
    <element id="Practitioner:qicore-practitioner.role.id">
      <path value="Practitioner.role.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition
                  value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Practitioner:qicore-practitioner.role.extension">
      <path value="Practitioner.role.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition
                  value="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."/>
      <comments
                value="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."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Practitioner:qicore-practitioner.role.modifierExtension">
      <path value="Practitioner.role.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition
                  value="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."/>
      <comments
                value="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."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Practitioner:qicore-practitioner.role.organization">
      <path value="Practitioner.role.organization"/>
      <short value="A grouping of people or organizations with a common purpose"/>
      <definition
                  value="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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Practitioner.role.organization"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile
                 value="http://hl7.org/fhir/qicore/StructureDefinition/qicore-organization"/>
      </type>
      <mustSupport value="true"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="Entity. Role, or Act"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="(also see master files messages)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="Organization(classCode=ORG, determinerCode=INST)"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="Organization"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="administrative.group"/>
      </mapping>
      <mapping>
        <identity value="qdm"/>
        <map
             value=""Provider Characteristic" or "facility location" (of "Diagnostic Study, Performed", "Encounter, Order", or "Encounter, Recommended")"/>
      </mapping>
    </element>
    <element id="Practitioner:qicore-practitioner.role.code">
      <path value="Practitioner.role.code"/>
      <short value="Roles which this practitioner may perform"/>
      <definition
                  value="Roles which this practitioner is authorized to perform for the organization."/>
      <comments
                value="A person may have more than one role. At least one role is required."/>
      <requirements
                    value="Need to know what authority the practitioner has - what can they do?"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Practitioner.role.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <mustSupport value="true"/>
      <isSummary value="false"/>
      <binding>
        <strength value="example"/>
        <description
                     value="The role a person plays representing an organization"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/practitioner-role"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map
             value="PRD-1 / STF-18  / PRA-3  / PRT-4  / ROL-3 / ORC-12 / OBR-16 / PV1-7 / PV1-8 / PV1-9 / PV1-17"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".playingEntity.playingRole.code"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map
             value="(ServD maps Practitioners and Organizations via another entity, so this concept is not available)"/>
      </mapping>
    </element>
    <element id="Practitioner:qicore-practitioner.role.specialty">
      <path value="Practitioner.role.specialty"/>
      <short value="Specific specialty of the practitioner"/>
      <definition value="Specific specialty of the practitioner."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Practitioner.role.specialty"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <mustSupport value="true"/>
      <isSummary value="false"/>
      <binding>
        <strength value="example"/>
        <description value="Specific specialty associated with the agency"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/practitioner-specialty"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="PRA-5"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".playingEntity.playingRole[classCode=QUAL].code"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="./Specialty"/>
      </mapping>
    </element>
    <element id="Practitioner:qicore-practitioner.role.specialty.id">
      <path value="Practitioner.role.specialty.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition
                  value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="Practitioner:qicore-practitioner.role.specialty.extension:practitionerrolespecialtyprimaryind$practitioner-primaryInd">
      <path value="Practitioner.role.specialty.extension"/>
      <name value="Practitioner.role.specialty.primaryInd"/>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
        <profile
                 value="http://hl7.org/fhir/StructureDefinition/practitioner-primaryInd"/>
      </type>
      <condition value="ele-1"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression value="children().count() > id.count()"/>
        <xpath value="@value|f:*|h:div"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
      </constraint>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="qidam"/>
        <map
             value="Not in QIDAM, but recognized as important. The primary specialty could drive the order sets or order preferences that are provided as default in an order entry system.  Also, a population health management system may want to manage patients with heart failure who are managed by a provider whose primary specialty is cardiology."/>
      </mapping>
    </element>
    <element id="Practitioner:qicore-practitioner.role.specialty.coding">
      <path value="Practitioner.role.specialty.coding"/>
      <short value="Code defined by a terminology system"/>
      <definition value="A reference to a code defined by a terminology system."/>
      <comments
                value="Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labelled as UserSelected = true."/>
      <requirements
                    value="Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="CodeableConcept.coding"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="C*E.1-8, C*E.10-22"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="union(., ./translation)"/>
      </mapping>
      <mapping>
        <identity value="orim"/>
        <map value="fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"/>
      </mapping>
    </element>
    <element id="Practitioner:qicore-practitioner.role.specialty.text">
      <path value="Practitioner.role.specialty.text"/>
      <short value="Plain text representation of the concept"/>
      <definition
                  value="A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user."/>
      <comments
                value="Very often the text is the same as a displayName of one of the codings."/>
      <requirements
                    value="The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CodeableConcept.text"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="C*E.9. But note many systems use C*E.2 for this"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="./originalText[mediaType/code="text/plain"]/data"/>
      </mapping>
      <mapping>
        <identity value="orim"/>
        <map
             value="fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"/>
      </mapping>
    </element>
    <element id="Practitioner:qicore-practitioner.role.identifier">
      <path value="Practitioner.role.identifier"/>
      <short value="Business Identifiers that are specific to a role/location"/>
      <definition
                  value="Business Identifiers that are specific to a role/location."/>
      <requirements
                    value="Some business identifiers are specific to a location and should be able to be associated."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Practitioner.role.identifier"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Identifier"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value=".playingEntity.playingRole.id"/>
      </mapping>
    </element>
    <element id="Practitioner:qicore-practitioner.role.telecom">
      <path value="Practitioner.role.telecom"/>
      <short
             value="Contact details that are specific to the role/location/service"/>
      <definition
                  value="Contact details that are specific to the role/location/service."/>
      <requirements
                    value="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."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Practitioner.role.telecom"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="ContactPoint"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value=".playingEntity.playingRole.telecom"/>
      </mapping>
    </element>
    <element id="Practitioner:qicore-practitioner.role.period">
      <path value="Practitioner.role.period"/>
      <short
             value="The period during which the practitioner is authorized to perform in these role(s)"/>
      <definition
                  value="The period during which the person is authorized to act as a practitioner in these role(s) for the organization."/>
      <requirements
                    value="Even after the agencies is revoked, the fact that it existed must still be recorded."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Practitioner.role.period"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Period"/>
      </type>
      <mustSupport value="true"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="v2"/>
        <map value="PRD-8/9 / PRA-5.4"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".playingEntity.playingRole.effectiveTime"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map
             value="(ServD maps Practitioners and Organizations via another entity, so this concept is not available)"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="when.done"/>
      </mapping>
    </element>
    <element id="Practitioner:qicore-practitioner.role.location">
      <path value="Practitioner.role.location"/>
      <short value="Details and position information for a physical place"/>
      <definition
                  value="Details and position information for a physical place where services are provided  and resources and participants may be stored, found, contained or accommodated."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Practitioner.role.location"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile
                 value="http://hl7.org/fhir/qicore/StructureDefinition/qicore-location"/>
      </type>
      <mustSupport value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="Entity. Role, or Act"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".Role[classCode=SDLC]"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="administrative.entity"/>
      </mapping>
      <mapping>
        <identity value="qdm"/>
        <map value="Encounter.facility location"/>
      </mapping>
    </element>
    <element id="Practitioner:qicore-practitioner.role.healthcareService">
      <path value="Practitioner.role.healthcareService"/>
      <short
             value="The list of healthcare services that this worker provides for this role's Organization/Location(s)"/>
      <definition
                  value="The list of healthcare services that this worker provides for this role's Organization/Location(s)."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Practitioner.role.healthcareService"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile
                 value="http://hl7.org/fhir/StructureDefinition/HealthcareService"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Practitioner:qicore-practitioner.role.endpoint">
      <path value="Practitioner.role.endpoint"/>
      <short
             value="Technical endpoints providing access to services operated for the PractitonerRole"/>
      <definition
                  value="Technical endpoints providing access to services operated for the PractitonerRole."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Practitioner.role.endpoint"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Endpoint"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Practitioner:qicore-practitioner.qualification">
      <path value="Practitioner.qualification"/>
      <short value="Qualifications obtained by training and certification"/>
      <definition value="Qualifications obtained by training and certification."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Practitioner.qualification"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <mustSupport value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="v2"/>
        <map value="CER?"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".playingEntity.playingRole[classCode=QUAL].code"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="./Qualifications"/>
      </mapping>
    </element>
    <element id="Practitioner:qicore-practitioner.qualification.id">
      <path value="Practitioner.qualification.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition
                  value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Practitioner:qicore-practitioner.qualification.extension">
      <path value="Practitioner.qualification.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition
                  value="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."/>
      <comments
                value="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."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="Practitioner:qicore-practitioner.qualification.modifierExtension">
      <path value="Practitioner.qualification.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition
                  value="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."/>
      <comments
                value="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."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Practitioner:qicore-practitioner.qualification.identifier">
      <path value="Practitioner.qualification.identifier"/>
      <short value="An identifier for this qualification for the practitioner"/>
      <definition
                  value="An identifier that applies to this person's qualification in this role."/>
      <requirements
                    value="Often, specific identities are assigned for the qualification."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Practitioner.qualification.identifier"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Identifier"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value=".playingEntity.playingRole[classCode=QUAL].id"/>
      </mapping>
    </element>
    <element id="Practitioner:qicore-practitioner.qualification.code">
      <path value="Practitioner.qualification.code"/>
      <short value="Coded representation of the qualification"/>
      <definition value="Coded representation of the qualification."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Practitioner.qualification.code"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <strength value="example"/>
        <description
                     value="Specific qualification the practitioner has to provide a service"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/anzsco-occupations"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value=".playingEntity.playingRole[classCode=QUAL].code"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="./Qualifications.Value"/>
      </mapping>
    </element>
    <element id="Practitioner:qicore-practitioner.qualification.period">
      <path value="Practitioner.qualification.period"/>
      <short value="Period during which the qualification is valid"/>
      <definition value="Period during which the qualification is valid."/>
      <requirements
                    value="Qualifications are often for a limited period of time, and can be revoked."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Practitioner.qualification.period"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Period"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value=".playingEntity.playingRole[classCode=QUAL].effectiveTime"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="./Qualifications.StartDate and ./Qualifications.EndDate"/>
      </mapping>
    </element>
    <element id="Practitioner:qicore-practitioner.qualification.issuer">
      <path value="Practitioner.qualification.issuer"/>
      <short value="A grouping of people or organizations with a common purpose"/>
      <definition
                  value="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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Practitioner.qualification.issuer"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile
                 value="http://hl7.org/fhir/qicore/StructureDefinition/qicore-organization"/>
      </type>
      <mustSupport value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="Entity. Role, or Act"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="(also see master files messages)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="Organization(classCode=ORG, determinerCode=INST)"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="Organization"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="administrative.group"/>
      </mapping>
      <mapping>
        <identity value="qdm"/>
        <map
             value=""Provider Characteristic" or "facility location" (of "Diagnostic Study, Performed", "Encounter, Order", or "Encounter, Recommended")"/>
      </mapping>
    </element>
    <element id="Practitioner:qicore-practitioner.communication">
      <path value="Practitioner.communication"/>
      <short
             value="A language the practitioner is able to use in patient communication"/>
      <definition
                  value="A language the practitioner is able to use in patient communication."/>
      <comments
                value="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."/>
      <requirements
                    value="Knowing which language a practitioner speaks can help in facilitating communication with patients."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Practitioner.communication"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
          <valueReference>
            <reference value="http://hl7.org/fhir/ValueSet/all-languages"/>
          </valueReference>
        </extension>
        <strength value="extensible"/>
        <description value="A human language."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/languages"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="PID-15, NK1-20, LAN-2"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="./languageCommunication"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="./Languages.LanguageSpokenCode"/>
      </mapping>
    </element>
  </snapshot>
  <differential>
    <element id="Practitioner:qicore-practitioner">
      <path value="Practitioner"/>
      <name value="QICore-Practitioner"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="qdm"/>
        <map value="Provider Characteristic"/>
      </mapping>
    </element>
    <element
             id="Practitioner:qicore-practitioner.extension:practitionerclassification$practitioner-classification">
      <path value="Practitioner.extension"/>
      <name value="Practitioner.classification"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Extension"/>
        <profile
                 value="http://hl7.org/fhir/StructureDefinition/practitioner-classification"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="qidam"/>
        <map
             value="Not in QIDAM, but recognized as important. While there is practitionerRole, that may refer more to something like “attending” vs. “consultant” physician, whereas the classification would be useful for classifying the practitioner to things like “Physician”, “Resident”, “Pharmacist”, “Nurse”, “PA”.  This could then determine whether the practitioner should receive a particular CDS."/>
      </mapping>
    </element>
    <element id="Practitioner:qicore-practitioner.gender">
      <path value="Practitioner.gender"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="Practitioner:qicore-practitioner.role">
      <path value="Practitioner.role"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="Practitioner:qicore-practitioner.role.organization">
      <path value="Practitioner.role.organization"/>
      <type>
        <code value="Reference"/>
        <profile
                 value="http://hl7.org/fhir/qicore/StructureDefinition/qicore-organization"/>
      </type>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="Practitioner:qicore-practitioner.role.code">
      <path value="Practitioner.role.code"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="Practitioner:qicore-practitioner.role.specialty">
      <path value="Practitioner.role.specialty"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element
             id="Practitioner:qicore-practitioner.role.specialty.extension:practitionerrolespecialtyprimaryind$practitioner-primaryInd">
      <path value="Practitioner.role.specialty.extension"/>
      <name value="Practitioner.role.specialty.primaryInd"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Extension"/>
        <profile
                 value="http://hl7.org/fhir/StructureDefinition/practitioner-primaryInd"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="qidam"/>
        <map
             value="Not in QIDAM, but recognized as important. The primary specialty could drive the order sets or order preferences that are provided as default in an order entry system.  Also, a population health management system may want to manage patients with heart failure who are managed by a provider whose primary specialty is cardiology."/>
      </mapping>
    </element>
    <element id="Practitioner:qicore-practitioner.role.period">
      <path value="Practitioner.role.period"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="Practitioner:qicore-practitioner.role.location">
      <path value="Practitioner.role.location"/>
      <type>
        <code value="Reference"/>
        <profile
                 value="http://hl7.org/fhir/qicore/StructureDefinition/qicore-location"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="Practitioner:qicore-practitioner.qualification">
      <path value="Practitioner.qualification"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="Practitioner:qicore-practitioner.qualification.issuer">
      <path value="Practitioner.qualification.issuer"/>
      <type>
        <code value="Reference"/>
        <profile
                 value="http://hl7.org/fhir/qicore/StructureDefinition/qicore-organization"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
  </differential>
</StructureDefinition>