Da Vinci Payer Data exchange Implementation Guide Release 0.1.0

This page is part of the Da Vinci Payer Data Exchange (v0.1.0: STU 1 Ballot 1) based on FHIR R4. The current version which supercedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions

3-6-14 US Core PractitionerRole

The US Core PractitionerRole profile SHALL be used to record information about the roles that practitioners take in providing services to their patients.

The essential fields to be provided in the US Core PractitionerRole resource are:

R4 Hierarchical Name R4 Name Flags Card. Type
PractitionerRole PractitionerRole I 0..*  
PractitionerRole.id id   0..1 id
PractitionerRole.practitioner practitioner S 1..1 Reference(US Core Practitioner Profile)
PractitionerRole.organization organization S 1..1 Reference(US Core Organization Profile)
PractitionerRole.code code S 1..1 CodeableConcept
PractitionerRole.specialty specialty S 1..1 CodeableConcept
PractitionerRole.location location S 0..* Reference(US Core Location Profile)
PractitionerRole.telecom telecom S 0..* ContactPoint
PractitionerRole.telecom.system system SI 1..1 code
PractitionerRole.telecom.value value S 1..1 string
PractitionerRole.notAvailable.description description   1..1 string
PractitionerRole.endpoint endpoint S 0..* Reference(Endpoint)

3-6-14-1 Example PractitionerRole Resource

An example mapping of an PractitionerRole resource is shown here:

{
  "resourceType" : "Bundle",
  "id" : "66c8856b-ba11-4876-8aa8-467aad8c11a2",
  "type" : "searchset",
  "total" : 1,
  "link" : [
    {
      "relation" : "self",
      "url" : "http://52.90.126.238:8080/fhir/baseDstu3/PractitionerRole?_id=PractitionerRole-1&_include=PractitionerRole%3Apractitioner&_include=PractitionerRole%3Aendpoint"
    }
  ],
  "entry" : [
    {
      "fullUrl" : "http://52.90.126.238:8080/fhir/baseDstu3/PractitionerRole/PractitionerRole-1",
      "resource" : {
        "resourceType" : "PractitionerRole",
        "id" : "PractitionerRole-1",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">

Generated Narrative with Details

id: PractitionerRole-1

meta:

practitioner: <a href=\"Practitioner/Practitioner-1011\">Brenda Jennings Richard MD</a>

organization: <a href=\"Organization-acme-lab.html\">Acme Lab. Generated Summary: id: acme-lab; 1144221847, 2523423456; active; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/organization-type prov}\">Healthcare Provider</span>; name: Acme Labs; ph: (+1) 734-677-7777, hq@acme.org</a>

code: Primary Care <span style=\"background: LightGoldenRodYellow\">(Details : {http://nucc.org/provider-taxonomy code '261QP2300X' = 'Primary Care', given as 'Primary Care'})</span>

specialty: General Practice <span style=\"background: LightGoldenRodYellow\">(Details : {http://nucc.org/provider-taxonomy code '208D00000X' = 'General Practice', given as 'General Practice'})</span>

location: <a href=\"Location-hl7east.html\">Health Level Seven International. Generated Summary: id: hl7east; 29; status: active; name: Health Level Seven International - Amherst; description: HL7 Headquarters - East; ph: (+1) 734-677-7777</a>

endpoint:

  • <a href=\"http://52.90.126.238:8080/fhir/baseDstu3/Endpoint/Endpoint-71\">Westwood Physicians Organization ADT</a>
  • <a href=\"http://52.90.126.238:8080/fhir/baseDstu3/Endpoint/Endpoint-71\">Brenda.Jennings.Richard.MD@direct.example.org</a>
</div>" }, "practitioner" : { "reference" : "Practitioner/Practitioner-1011", "display" : "Brenda Jennings Richard MD" }, "organization" : { "reference" : "Organization/acme-lab", "display" : "Acme Lab" }, "code" : [ { "coding" : [ { "system" : "http://nucc.org/provider-taxonomy", "code" : "261QP2300X", "display" : "Primary Care" } ] } ], "specialty" : [ { "coding" : [ { "system" : "http://nucc.org/provider-taxonomy", "code" : "208D00000X", "display" : "General Practice" } ] } ], "location" : [ { "reference" : "Location/hl7east", "display" : "Health Level Seven International" } ], "endpoint" : [ { "reference" : "http://52.90.126.238:8080/fhir/baseDstu3/Endpoint/Endpoint-71", "display" : "Westwood Physicians Organization ADT" }, { "reference" : "http://52.90.126.238:8080/fhir/baseDstu3/Endpoint/Endpoint-71", "display" : "Brenda.Jennings.Richard.MD@direct.example.org" } ] }, "search" : { "mode" : "match" } }, { "fullUrl" : "http://52.90.126.238:8080/fhir/baseDstu3/Practitioner/Practitioner-1011", "resource" : { "resourceType" : "Practitioner", "id" : "Practitioner-1011", "meta" : { "profile" : [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner" ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">

Generated Narrative with Details

id: Practitioner-1011

meta:

identifier: US Social Security Number = 000001011 (OFFICIAL), US National Provider Identifier = 9999991011 (OFFICIAL), Michigan Common Key Service Identifier = d46f70565a1042f6a6ece48dd81b408f (OFFICIAL)

name: Brenda Jennings Richard

telecom: ph: 313-555-6868(HOME), ph: 313-555-6443(WORK)

address: 346 W Plum Avenu Dearborn MI 48123

gender: female

birthDate: Nov 15, 1976

Qualifications

<table class=\"grid\">-IdentifierCodeIssuer*Michigan Medical License = LARA-1011 (OFFICIAL)Medical Doctor <span style=\"background: LightGoldenRodYellow\">(Details : {http://michigan.gov/lara/license-type code '4305' = '4305', given as 'Medical Doctor'})</span>Michigan Department of Licensing and Regulatory Affairs</table></div>" }, "identifier" : [ { "use" : "official", "type" : { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/identifier-type", "code" : "SB", "display" : "Social Beneficiary Identifier" } ], "text" : "US Social Security Number" }, "system" : "http://hl7.org/fhir/sid/us-ssn", "value" : "000001011" }, { "use" : "official", "type" : { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "PRN", "display" : "Provider number" } ], "text" : "US National Provider Identifier" }, "system" : "http://hl7.org/fhir/sid/us-npi", "value" : "9999991011" }, { "use" : "official", "type" : { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/identifier-type", "code" : "SB", "display" : "Social Beneficiary Identifier" } ], "text" : "Michigan Common Key Service Identifier" }, "system" : "http://mihin.org/fhir/cks", "value" : "d46f70565a1042f6a6ece48dd81b408f" } ], "name" : [ { "family" : "Richard", "given" : [ "Brenda", "Jennings" ], "suffix" : [ "MD" ] } ], "telecom" : [ { "system" : "phone", "value" : "313-555-6868", "use" : "home" }, { "system" : "phone", "value" : "313-555-6443", "use" : "work" } ], "address" : [ { "text" : "346 W Plum Avenu Dearborn MI 48123", "line" : [ "346 W Plum Avenue" ], "city" : "Dearborn", "state" : "MI", "postalCode" : "48126" } ], "gender" : "female", "birthDate" : "1976-11-15", "qualification" : [ { "identifier" : [ { "use" : "official", "type" : { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "MD", "display" : "Medical License number" } ], "text" : "Michigan Medical License" }, "system" : "http://michigan.gov/fhir/medical-license", "value" : "LARA-1011", "assigner" : { "display" : "State of Michigan" } } ], "code" : { "coding" : [ { "system" : "http://michigan.gov/lara/license-type", "code" : "4305", "display" : "Medical Doctor" } ] }, "issuer" : { "display" : "Michigan Department of Licensing and Regulatory Affairs" } } ] }, "search" : { "mode" : "include" } }, { "fullUrl" : "http://52.90.126.238:8080/fhir/baseDstu3/Endpoint/Endpoint-71", "resource" : { "resourceType" : "Endpoint", "id" : "71", "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">

Generated Narrative with Details

id: 71

status: active

connectionType: Direct Project (Details: http://terminology.hl7.org/CodeSystem/endpoint-connection-type code direct-project = 'Direct Project', stated as 'null')

name: Brenda.Jennings.Richard.MD@direct.example.org

managingOrganization: <a href=\"Organization-acme-lab.html\">Generated Summary: id: acme-lab; 1144221847, 2523423456; active; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/organization-type prov}\">Healthcare Provider</span>; name: Acme Labs; ph: (+1) 734-677-7777, hq@acme.org</a>

payloadType: urn:hl7-org:sdwg:ccda-structuredBody:1.1 <span style=\"background: LightGoldenRodYellow\">(Details : {urn:oid:1.3.6.1.4.1.19376.1.2.3 code 'urn:hl7-org:sdwg:ccda-structuredBody:1.1' = 'urn:hl7-org:sdwg:ccda-structuredBody:1.1)</span>

payloadMimeType: text/xml

address: <a href=\"mailto:Brenda.Jennings.Richard.MD@direct.example.org\">Brenda.Jennings.Richard.MD@direct.example.org</a>

</div>" }, "status" : "active", "connectionType" : { "system" : "http://terminology.hl7.org/CodeSystem/endpoint-connection-type", "code" : "direct-project" }, "name" : "Brenda.Jennings.Richard.MD@direct.example.org", "managingOrganization" : { "reference" : "Organization/acme-lab" }, "payloadType" : [ { "coding" : [ { "system" : "urn:oid:1.3.6.1.4.1.19376.1.2.3", "code" : "urn:hl7-org:sdwg:ccda-structuredBody:1.1" } ] } ], "payloadMimeType" : [ "text/xml" ], "address" : "mailto:Brenda.Jennings.Richard.MD@direct.example.org" }, "search" : { "mode" : "include" } } ] }

Refer to the US Core Additional examples of the US Core R4 Implementation Guide for further examples of completed US Core Practitioner Profiles .