This page is part of the Vital Records Common Profile Library (v1.1.0: STU 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions
| Official URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Practitioner-vr | Version: 1.1.0 | |||
| Active as of 2023-10-06 | Computable Name: PractitionerVitalRecords | |||
This Practitioner profile represents a practitioner who is involved in vital records (births, fetal death, death, etc.) as a certifier or an attendant. This profile is based on the US Core Practitioner and adds a further constraint to capture the title of the practitioner.
This profile is mapped to:
| Use Case | IJE Field# | Description | IJE Name | Field | 
|---|---|---|---|---|
| Natality | 124 | Attendant Title | ATTEND | qualification.code | 
| Natality | 326 | Attendant’s Name | ATTEND_NAME | name | 
| Natality | 327 | Attendant’s NPI | ATTEND_NPI | id | 
| Natality | 304 | Attendant (“Other” specified text) | ATTEND_OTH_TXT | qualification.code.text | 
| Natality | 330 | Certifier Title | CERTIF | qualification.code | 
| Natality | 328 | Certifier’s Name | CERTIF_NAME | name | 
| Natality | 329 | Certifier’s NPI | CERTIF_NPI | id | 
| Natality | 331 | Certifier (“Other” specified text) | CERTIF_OTH_TXT | qualification.code.text | 
| Fetal Death | 78 | Attendant | ATTEND | qualification.code | 
| Fetal Death | 340 | Attendant’s Name | ATTEND_NAME | name | 
| Fetal Death | 341 | Attendant’s NPI | ATTEND_NPI | id | 
| Fetal Death | 342 | Attendant (“Other” specified text) | ATTEND_OTH_TXT | qualification.code.text | 
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from USCorePractitionerProfile
| Name | Flags | Card. | Type | Description & Constraints  | 
|---|---|---|---|---|
|   Practitioner | 0..* | USCorePractitionerProfile | A person with a formal responsibility in the provisioning of healthcare or related services | |
|    qualification | S | 0..1 | BackboneElement | Certification, licenses, or training pertaining to the provision of care | 
|     code | 1..1 | CodeableConcept | List of titles Binding: Birth Attendant Titles (NCHS) (required): Live Birth/Fetal Death Practitioner title | |
|  Documentation for this format | ||||
| Path | Conformance | ValueSet | 
| Practitioner.qualification.code | required | PHVS_BirthAttendantTitles_NCHS | 
| Name | Flags | Card. | Type | Description & Constraints  | 
|---|---|---|---|---|
|   Practitioner | 0..* | USCorePractitionerProfile | A person with a  formal responsibility in the provisioning of healthcare or related services | |
|    implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | 
|    modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | 
|    Slices for identifier | SΣ | 1..* | Identifier | An identifier for the person as this agent Slice: Unordered, Open by pattern:$this | 
|     identifier:All Slices | Content/Rules for all slices | |||
|      use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | 
|      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 | 
|     identifier:NPI | SΣ | 0..1 | Identifier | An identifier for the person as this agent Required Pattern: At least the following | 
|      system | 1..1 | uri | The namespace for the identifier value Fixed Value: http://hl7.org/fhir/sid/us-npi | |
|    name | SΣ | 1..* | HumanName | The name(s) associated with the practitioner | 
|     use | ?!Σ | 0..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. | 
|     family | SΣ | 1..1 | string | Family name (often called 'Surname') | 
|    telecom | SΣ | 0..* | ContactPoint | A contact detail for the practitioner (that apply to all roles) | 
|     system | SΣC | 0..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. | 
|     value | SΣ | 0..1 | string | The actual contact point details | 
|     use | ?!Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point. | 
|    address | SΣ | 0..* | Address | Address(es) of the practitioner that are not role specific (typically home address) | 
|     use | ?!Σ | 0..1 | code | home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home | 
|     line | SΣ | 0..4 | 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 | SΣ | 0..1 | string | Name of city, town etc. Example General: Erewhon | 
|     state | SΣ | 0..1 | string | Sub-unit of country (abbreviations ok) Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes. | 
|     postalCode | SΣ | 0..1 | string | US Zip Codes Example General: 9132 | 
|     country | SΣ | 0..1 | string | Country (e.g. can be ISO 3166 2 or 3 letter code) | 
|    qualification | S | 0..1 | BackboneElement | Certification, licenses, or training pertaining to the provision of care | 
|     modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | 
|     code | 1..1 | CodeableConcept | List of titles Binding: Birth Attendant Titles (NCHS) (required): Live Birth/Fetal Death Practitioner title | |
|  Documentation for this format | ||||
| Path | Conformance | ValueSet | 
| Practitioner.identifier.use | required | IdentifierUse | 
| Practitioner.name.use | required | NameUse | 
| Practitioner.telecom.system | required | ContactPointSystem | 
| Practitioner.telecom.use | required | ContactPointUse | 
| Practitioner.address.use | required | AddressUse | 
| Practitioner.address.state | extensible | UspsTwoLetterAlphabeticCodes (a valid code from https://www.usps.com/) | 
| Practitioner.qualification.code | required | PHVS_BirthAttendantTitles_NCHS | 
| Id | Grade | Path(s) | Details | Requirements | 
| dom-2 | error | Practitioner | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | 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-4 | error | 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-5 | error | Practitioner | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Practitioner | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | 
| Name | Flags | Card. | Type | Description & Constraints  | ||||
|---|---|---|---|---|---|---|---|---|
|   Practitioner | 0..* | USCorePractitionerProfile | 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): A human language. 
 | |||||
|    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 | ||||
|    Slices for identifier | SΣ | 1..* | Identifier | An identifier for the person as this agent Slice: Unordered, Open by pattern:$this | ||||
|     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): Identifies the purpose for this identifier, if known . | ||||
|      type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
|      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:NPI | SΣ | 0..1 | Identifier | An identifier for the person as this agent Required Pattern: At least the following | ||||
|      id | 0..1 | string | Unique id for inter-element referencing | |||||
|      extension | 0..* | Extension | Additional content defined by implementations | |||||
|      use | 0..1 | code | usual | official | temp | secondary | old (If known) | |||||
|      type | 0..1 | CodeableConcept | Description of identifier | |||||
|      system | 1..1 | uri | The namespace for the identifier value Fixed Value: http://hl7.org/fhir/sid/us-npi | |||||
|      value | 0..1 | string | The value that is unique | |||||
|      period | 0..1 | Period | Time period when id is/was valid for use | |||||
|      assigner | 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): The use of a human name. | ||||
|     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 | SΣ | 0..* | ContactPoint | A contact detail for the practitioner (that apply to all roles) | ||||
|     id | 0..1 | string | Unique id for inter-element referencing | |||||
|     extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
|     system | SΣC | 0..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. | ||||
|     value | SΣ | 0..1 | string | The actual contact point details | ||||
|     use | ?!Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point. | ||||
|     rank | Σ | 0..1 | positiveInt | Specify preferred order of use (1 = highest) | ||||
|     period | Σ | 0..1 | Period | Time period when the contact point was/is in use | ||||
|    address | SΣ | 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): The use of an address. Example General: home | ||||
|     type | Σ | 0..1 | code | postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both | ||||
|     text | Σ | 0..1 | string | Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132 | ||||
|     line | SΣ | 0..4 | 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 | SΣ | 0..1 | string | Name of city, town etc. Example General: Erewhon | ||||
|     district | Σ | 0..1 | string | District name (aka county) Example General: Madison | ||||
|     state | SΣ | 0..1 | string | Sub-unit of country (abbreviations ok) Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes. | ||||
|     postalCode | SΣ | 0..1 | string | US Zip Codes Example General: 9132 | ||||
|     country | SΣ | 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":"2010-03-23","end":"2010-07-01"} | ||||
|    gender | Σ | 0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes. | ||||
|    birthDate | Σ | 0..1 | date | The date on which the practitioner was born | ||||
|    photo | 0..* | Attachment | Image of the person | |||||
|    qualification | S | 0..1 | 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 | List of titles Binding: Birth Attendant Titles (NCHS) (required): Live Birth/Fetal Death Practitioner title | |||||
|     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): A human language. 
 | |||||
|  Documentation for this format | ||||||||
| Path | Conformance | ValueSet | ||||
| Practitioner.language | preferred | CommonLanguages 
 | ||||
| Practitioner.identifier.use | required | IdentifierUse | ||||
| Practitioner.identifier.type | extensible | Identifier Type Codes | ||||
| Practitioner.name.use | required | NameUse | ||||
| Practitioner.telecom.system | required | ContactPointSystem | ||||
| Practitioner.telecom.use | required | ContactPointUse | ||||
| Practitioner.address.use | required | AddressUse | ||||
| Practitioner.address.type | required | AddressType | ||||
| Practitioner.address.state | extensible | UspsTwoLetterAlphabeticCodes (a valid code from https://www.usps.com/) | ||||
| Practitioner.gender | required | AdministrativeGender | ||||
| Practitioner.qualification.code | required | PHVS_BirthAttendantTitles_NCHS | ||||
| Practitioner.communication | preferred | CommonLanguages 
 | 
| Id | Grade | Path(s) | Details | Requirements | 
| dom-2 | error | Practitioner | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | 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-4 | error | 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-5 | error | Practitioner | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Practitioner | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | 
This structure is derived from USCorePractitionerProfile
Differential View
This structure is derived from USCorePractitionerProfile
| Name | Flags | Card. | Type | Description & Constraints  | 
|---|---|---|---|---|
|   Practitioner | 0..* | USCorePractitionerProfile | A person with a formal responsibility in the provisioning of healthcare or related services | |
|    qualification | S | 0..1 | BackboneElement | Certification, licenses, or training pertaining to the provision of care | 
|     code | 1..1 | CodeableConcept | List of titles Binding: Birth Attendant Titles (NCHS) (required): Live Birth/Fetal Death Practitioner title | |
|  Documentation for this format | ||||
| Path | Conformance | ValueSet | 
| Practitioner.qualification.code | required | PHVS_BirthAttendantTitles_NCHS | 
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints  | 
|---|---|---|---|---|
|   Practitioner | 0..* | USCorePractitionerProfile | A person with a  formal responsibility in the provisioning of healthcare or related services | |
|    implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | 
|    modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | 
|    Slices for identifier | SΣ | 1..* | Identifier | An identifier for the person as this agent Slice: Unordered, Open by pattern:$this | 
|     identifier:All Slices | Content/Rules for all slices | |||
|      use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | 
|      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 | 
|     identifier:NPI | SΣ | 0..1 | Identifier | An identifier for the person as this agent Required Pattern: At least the following | 
|      system | 1..1 | uri | The namespace for the identifier value Fixed Value: http://hl7.org/fhir/sid/us-npi | |
|    name | SΣ | 1..* | HumanName | The name(s) associated with the practitioner | 
|     use | ?!Σ | 0..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. | 
|     family | SΣ | 1..1 | string | Family name (often called 'Surname') | 
|    telecom | SΣ | 0..* | ContactPoint | A contact detail for the practitioner (that apply to all roles) | 
|     system | SΣC | 0..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. | 
|     value | SΣ | 0..1 | string | The actual contact point details | 
|     use | ?!Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point. | 
|    address | SΣ | 0..* | Address | Address(es) of the practitioner that are not role specific (typically home address) | 
|     use | ?!Σ | 0..1 | code | home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home | 
|     line | SΣ | 0..4 | 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 | SΣ | 0..1 | string | Name of city, town etc. Example General: Erewhon | 
|     state | SΣ | 0..1 | string | Sub-unit of country (abbreviations ok) Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes. | 
|     postalCode | SΣ | 0..1 | string | US Zip Codes Example General: 9132 | 
|     country | SΣ | 0..1 | string | Country (e.g. can be ISO 3166 2 or 3 letter code) | 
|    qualification | S | 0..1 | BackboneElement | Certification, licenses, or training pertaining to the provision of care | 
|     modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | 
|     code | 1..1 | CodeableConcept | List of titles Binding: Birth Attendant Titles (NCHS) (required): Live Birth/Fetal Death Practitioner title | |
|  Documentation for this format | ||||
| Path | Conformance | ValueSet | 
| Practitioner.identifier.use | required | IdentifierUse | 
| Practitioner.name.use | required | NameUse | 
| Practitioner.telecom.system | required | ContactPointSystem | 
| Practitioner.telecom.use | required | ContactPointUse | 
| Practitioner.address.use | required | AddressUse | 
| Practitioner.address.state | extensible | UspsTwoLetterAlphabeticCodes (a valid code from https://www.usps.com/) | 
| Practitioner.qualification.code | required | PHVS_BirthAttendantTitles_NCHS | 
| Id | Grade | Path(s) | Details | Requirements | 
| dom-2 | error | Practitioner | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | 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-4 | error | 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-5 | error | Practitioner | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Practitioner | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | 
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints  | ||||
|---|---|---|---|---|---|---|---|---|
|   Practitioner | 0..* | USCorePractitionerProfile | 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): A human language. 
 | |||||
|    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 | ||||
|    Slices for identifier | SΣ | 1..* | Identifier | An identifier for the person as this agent Slice: Unordered, Open by pattern:$this | ||||
|     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): Identifies the purpose for this identifier, if known . | ||||
|      type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
|      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:NPI | SΣ | 0..1 | Identifier | An identifier for the person as this agent Required Pattern: At least the following | ||||
|      id | 0..1 | string | Unique id for inter-element referencing | |||||
|      extension | 0..* | Extension | Additional content defined by implementations | |||||
|      use | 0..1 | code | usual | official | temp | secondary | old (If known) | |||||
|      type | 0..1 | CodeableConcept | Description of identifier | |||||
|      system | 1..1 | uri | The namespace for the identifier value Fixed Value: http://hl7.org/fhir/sid/us-npi | |||||
|      value | 0..1 | string | The value that is unique | |||||
|      period | 0..1 | Period | Time period when id is/was valid for use | |||||
|      assigner | 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): The use of a human name. | ||||
|     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 | SΣ | 0..* | ContactPoint | A contact detail for the practitioner (that apply to all roles) | ||||
|     id | 0..1 | string | Unique id for inter-element referencing | |||||
|     extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
|     system | SΣC | 0..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. | ||||
|     value | SΣ | 0..1 | string | The actual contact point details | ||||
|     use | ?!Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point. | ||||
|     rank | Σ | 0..1 | positiveInt | Specify preferred order of use (1 = highest) | ||||
|     period | Σ | 0..1 | Period | Time period when the contact point was/is in use | ||||
|    address | SΣ | 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): The use of an address. Example General: home | ||||
|     type | Σ | 0..1 | code | postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both | ||||
|     text | Σ | 0..1 | string | Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132 | ||||
|     line | SΣ | 0..4 | 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 | SΣ | 0..1 | string | Name of city, town etc. Example General: Erewhon | ||||
|     district | Σ | 0..1 | string | District name (aka county) Example General: Madison | ||||
|     state | SΣ | 0..1 | string | Sub-unit of country (abbreviations ok) Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes. | ||||
|     postalCode | SΣ | 0..1 | string | US Zip Codes Example General: 9132 | ||||
|     country | SΣ | 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":"2010-03-23","end":"2010-07-01"} | ||||
|    gender | Σ | 0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes. | ||||
|    birthDate | Σ | 0..1 | date | The date on which the practitioner was born | ||||
|    photo | 0..* | Attachment | Image of the person | |||||
|    qualification | S | 0..1 | 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 | List of titles Binding: Birth Attendant Titles (NCHS) (required): Live Birth/Fetal Death Practitioner title | |||||
|     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): A human language. 
 | |||||
|  Documentation for this format | ||||||||
| Path | Conformance | ValueSet | ||||
| Practitioner.language | preferred | CommonLanguages 
 | ||||
| Practitioner.identifier.use | required | IdentifierUse | ||||
| Practitioner.identifier.type | extensible | Identifier Type Codes | ||||
| Practitioner.name.use | required | NameUse | ||||
| Practitioner.telecom.system | required | ContactPointSystem | ||||
| Practitioner.telecom.use | required | ContactPointUse | ||||
| Practitioner.address.use | required | AddressUse | ||||
| Practitioner.address.type | required | AddressType | ||||
| Practitioner.address.state | extensible | UspsTwoLetterAlphabeticCodes (a valid code from https://www.usps.com/) | ||||
| Practitioner.gender | required | AdministrativeGender | ||||
| Practitioner.qualification.code | required | PHVS_BirthAttendantTitles_NCHS | ||||
| Practitioner.communication | preferred | CommonLanguages 
 | 
| Id | Grade | Path(s) | Details | Requirements | 
| dom-2 | error | Practitioner | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | 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-4 | error | 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-5 | error | Practitioner | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Practitioner | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | 
This structure is derived from USCorePractitionerProfile
Other representations of profile: CSV, Excel, Schematron