This page is part of the FHIR Specification (v1.0.2: DSTU 2). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions
Definitions for the daf-pract Profile.
Practitioner(DAF-Pract) | |
Definition | This is basic constraint on provider for use in DAF resources. |
Control | 0..* |
Type | Practitioner |
Alternate Names | Provider |
Comments | Note that a cab driver no longer fits the bill. You probably would be interested in the organization rather than the individual? |
Invariants | Defined on this element inv-1: Shall havePractitioner.name and/or Practitioner.identifier. (xpath: exists(f:name) or exists(f:identifier)) |
Practitioner.id | |
Definition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. |
Control | 0..1 |
Type | id |
Comments | The only time that a resource does not have an id is when it is being submitted to the server using a create operation. Bundles always have an id, though it is usually a generated UUID. |
Practitioner.meta | |
Definition | The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource. |
Control | 0..1 |
Type | Meta |
Practitioner.implicitRules | |
Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. |
Control | 0..1 |
Type | uri |
Is Modifier | true |
Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element as much as possible. |
Practitioner.language | |
Definition | The base language in which the resource is written. |
Control | 0..1 |
Binding | A human language. The codes SHALL be taken from http://tools.ietf.org/html/bcp47 |
Type | code |
Comments | Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). |
Practitioner.text | |
Definition | A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. |
Control | 1..1 This element is affected by the following invariants: dom-1 |
Type | Narrative |
Must Support | true |
Alternate Names | narrative, html, xhtml, display |
Comments | Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. |
Practitioner.text.id | |
Definition | unique id for the element within a resource (for internal references). |
Control | 0..1 |
Type | id |
Practitioner.text.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Control | 0..* |
Type | Extension |
Alternate Names | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Practitioner.text.status | |
Definition | The status of the narrative - whether it's entirely generated (from just the defined data or the extensions too), or whether a human authored it and it may contain additional data. |
Control | 1..1 |
Binding | The status of a resource narrative The codes SHALL be taken from NarrativeStatus |
Type | code |
Must Support | true |
Fixed Value | generated |
Practitioner.text.div | |
Definition | The actual narrative content, a stripped down version of XHTML. |
Control | 1..1 |
Type | xhtml |
Comments | The contents of the html element are an XHTML fragment containing only the basic html formatting elements described in chapters 7-11 and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained stylesheets. The XHTML content may not contain a head, a body, external stylesheet references, scripts, forms, base/link/xlink, frames, iframes and objects. |
Invariants | Defined on this element txt-1: The narrative SHALL contain only the basic html formatting elements described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes (xpath: not(descendant-or-self::*[not(local-name(.)=('a', 'abbr', 'acronym', 'b', 'big', 'blockquote', 'br', 'caption', 'cite', 'code', 'col', 'colgroup', 'dd', 'dfn', 'div', 'dl', 'dt', 'em', 'h1', 'h2', 'h3', 'h4', 'h5', 'h6', 'hr', 'i', 'img', 'li', 'ol', 'p', 'pre', 'q', 'samp', 'small', 'span', 'strong', 'table', 'tbody', 'td', 'tfoot', 'th', 'thead', 'tr', 'tt', 'ul', 'var'))])) txt-2: The narrative SHALL have some non-whitespace content (xpath: descendant::text()[normalize-space(.)!=''] or descendant::h:img[@src]) txt-3: The narrative SHALL contain only the basic html formatting attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes (xpath: not(descendant-or-self::*/@*[not(name(.)=('abbr', 'accesskey', 'align', 'alt', 'axis', 'bgcolor', 'border', 'cellhalign', 'cellpadding', 'cellspacing', 'cellvalign', 'char', 'charoff', 'charset', 'cite', 'class', 'colspan', 'compact', 'coords', 'dir', 'frame', 'headers', 'height', 'href', 'hreflang', 'hspace', 'id', 'lang', 'longdesc', 'name', 'nowrap', 'rel', 'rev', 'rowspan', 'rules', 'scope', 'shape', 'span', 'src', 'start', 'style', 'summary', 'tabindex', 'title', 'type', 'valign', 'value', 'vspace', 'width'))])) |
Practitioner.contained | |
Definition | These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. |
Control | 0..* |
Type | Resource |
Alternate Names | inline resources, anonymous resources, contained resources |
Comments | This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. |
Practitioner.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Control | 0..* |
Type | Extension |
Alternate Names | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Practitioner.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. |
Control | 0..* |
Type | Extension |
Is Modifier | true |
Alternate Names | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Practitioner.identifier | |
Definition | An identifier that applies to this person in this role. |
Control | 0..* |
Type | Identifier |
Must Support | true |
Requirements | Either id or name is needed. |
Practitioner.identifier.id | |
Definition | unique id for the element within a resource (for internal references). |
Control | 0..1 |
Type | id |
Practitioner.identifier.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Control | 0..* |
Type | Extension |
Alternate Names | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Practitioner.identifier.use | |
Definition | The purpose of this identifier. |
Control | 0..1 |
Binding | Identifies the purpose for this identifier, if known . The codes SHALL be taken from IdentifierUse |
Type | code |
Is Modifier | true |
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. |
Comments | This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. |
Practitioner.identifier.type | |
Definition | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. |
Control | 0..1 |
Binding | A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. The codes SHALL be taken from Identifier Type Codes; other codes may be used where these codes are not suitable |
Type | CodeableConcept |
Requirements | Allows users to make use of identifiers when the identifier system is not known. |
Comments | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. |
Practitioner.identifier.system | |
Definition | NPI could be used as the identifier system in the US. |
Control | 1..1 |
Type | uri |
Must Support | true |
Requirements | There are many sequences of identifiers. To perform matching, we need to know what sequence we're dealing with. The system identifies a particular sequence or set of unique identifiers. |
Comments | NPI could be used as the identifier system in the US. |
Example | NPI could be used as the identifier system in the US. |
Practitioner.identifier.value | |
Definition | The portion of the identifier typically displayed to the user and which is unique within the context of the system. |
Control | 1..1 |
Type | string |
Must Support | true |
Comments | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. |
Example | 123456 |
Practitioner.identifier.period | |
Definition | Time period during which identifier is/was valid for use. |
Control | 0..1 |
Type | Period |
Practitioner.identifier.assigner | |
Definition | Organization that issued/manages the identifier. |
Control | 0..1 |
Type | Reference(Organization) |
Comments | The reference may be just a text description of the assigner. |
Practitioner.active | |
Definition | Whether this practitioner's record is in active use. |
Control | 0..1 |
Type | boolean |
Requirements | Need to be able to mark a practitioner record as not to be used because it was created in error. |
Comments | Default is true. If the practitioner is not in use by one organization, then it should mark the period on the PractitonerRole with an end date (even if they are active) as they may be active in another role. |
Default Value | true |
Practitioner.name | |
Definition | A name associated with the person. |
Control | 0..1 |
Type | HumanName |
Must Support | true |
Requirements | Contact persons need to be identified by name, but it is uncommon to need details about multiple other names for that person. |
Practitioner.name.id | |
Definition | unique id for the element within a resource (for internal references). |
Control | 0..1 |
Type | id |
Practitioner.name.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Control | 0..* |
Type | Extension |
Alternate Names | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Practitioner.name.use | |
Definition | Identifies the purpose for this name. |
Control | 0..1 |
Binding | The use of a human name The codes SHALL be taken from NameUse |
Type | code |
Is Modifier | true |
Requirements | Allows the appropriate name for a particular context of use to be selected from among a set of names. |
Comments | This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one. Applications can assume that a name is current unless it explicitly says that it is temporary or old. |
Practitioner.name.text | |
Definition | A full text representation of the name. |
Control | 0..1 |
Type | string |
Requirements | A renderable, unencoded form. |
Comments | Can provide both a text representation and structured parts. |
Practitioner.name.family | |
Definition | The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father. |
Control | 1..* |
Type | string |
Must Support | true |
Alternate Names | surname |
Comments | For family name, hyphenated names such as "Smith-Jones" are a single name, but names with spaces such as "Smith Jones" are broken into multiple parts. |
Practitioner.name.given | |
Definition | Given name. |
Control | 0..2 |
Type | string |
Must Support | true |
Alternate Names | first name, middle name |
Comments | Can be first and middle name or initial. |
Practitioner.name.prefix | |
Definition | Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name. |
Control | 0..1 |
Type | string |
Must Support | true |
Practitioner.name.suffix | |
Definition | Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name. |
Control | 0..1 |
Type | string |
Must Support | true |
Practitioner.name.period | |
Definition | Indicates the period of time when this name was valid for the named person. |
Control | 0..1 |
Type | Period |
Requirements | Allows names to be placed in historical context. |
Practitioner.telecom | |
Definition | A contact detail for the practitioner, e.g. a telephone number or an email address. |
Control | 0..* |
Type | ContactPoint |
Must Support | true |
Requirements | Need to know how to reach a practitioner. |
Comments | Person may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently, and also to help with identification. |
Practitioner.telecom.id | |
Definition | unique id for the element within a resource (for internal references). |
Control | 0..1 |
Type | id |
Practitioner.telecom.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Control | 0..* |
Type | Extension |
Alternate Names | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Slicing | This element introduces a set of slices. The slicing rules are:
|
Practitioner.telecom.extension (http://hl7.org/fhir/StructureDefinition/us-core-direct) | |
Definition | This email address is associated with a "direct" service - e.g. http://wiki.directproject.org/Addressing+Specification. |
Control | 0..1 |
Type | Extension (Extension Type: boolean) |
Comments | This extension can only be used on contact points where the system = 'email'. |
Practitioner.telecom.system | |
Definition | Telecommunications form for contact point - what communications system is required to make use of the contact. |
Control | 1..1 This element is affected by the following invariants: cpt-2 |
Binding | Telecommunications form for contact point The codes SHALL be taken from ContactPointSystem |
Type | code |
Must Support | true |
Practitioner.telecom.value | |
Definition | The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address). |
Control | 1..1 |
Type | string |
Must Support | true |
Requirements | Need to support legacy numbers that are not in a tightly controlled format. |
Comments | Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value. |
Practitioner.telecom.use | |
Definition | Identifies the purpose for the contact point. |
Control | 0..1 |
Binding | Use of contact point The codes SHALL be taken from ContactPointUse |
Type | code |
Is Modifier | true |
Requirements | Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose. |
Comments | This is labeled as "Is Modifier" because applications should not mistake a temporary or old contact etc.for a current/permanent one. Applications can assume that a contact is current unless it explicitly says that it is temporary or old. |
Practitioner.telecom.rank | |
Definition | Specifies a preferred order in which to use a set of contacts. Contacts are ranked with lower values coming before higher values. |
Control | 0..1 |
Type | positiveInt |
Comments | Note that rank does not necessarily follow the order in which the contacts are represented in the instance. |
Practitioner.telecom.period | |
Definition | Time period when the contact point was/is in use. |
Control | 0..1 |
Type | Period |
Practitioner.address | |
Definition | The postal address where the practitioner can be found or visited or to which mail can be delivered. |
Control | 0..* |
Type | Address |
Requirements | Need to keep track where the practitioner can found during work or for directing mail. |
Practitioner.gender | |
Definition | Administrative Gender - the gender that the person is considered to have for administration and record keeping purposes. |
Control | 0..1 |
Binding | The gender of a person used for administrative purposes. The codes SHALL be taken from AdministrativeGender |
Type | code |
Requirements | Needed to address the person correctly. |
Practitioner.birthDate | |
Definition | The date of birth for the practitioner. |
Control | 0..1 |
Type | date |
Requirements | Needed for identification. |
Practitioner.photo | |
Definition | Image of the person. |
Control | 0..* |
Type | Attachment |
Requirements | Many EHR systems have the capability to capture an image of patients and personnel. Fits with newer social media usage too. |
Practitioner.practitionerRole | |
Definition | The list of roles/organizations that the practitioner is associated with. |
Control | 0..* |
Type | BackboneElement |
Must Support | true |
Practitioner.practitionerRole.id | |
Definition | unique id for the element within a resource (for internal references). |
Control | 0..1 |
Type | id |
Practitioner.practitionerRole.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Control | 0..* |
Type | Extension |
Alternate Names | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Practitioner.practitionerRole.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. |
Control | 0..* |
Type | Extension |
Is Modifier | true |
Alternate Names | extensions, user content, modifiers |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Practitioner.practitionerRole.managingOrganization | |
Definition | The organization where the Practitioner performs the roles associated. |
Control | 0..1 |
Type | Reference(U.S. DAF Organization Profile) |
Must Support | true |
Practitioner.practitionerRole.role | |
Definition | Roles which this practitioner is authorized to perform for the organization. |
Control | 0..1 |
Binding | The role a person plays representing an organization For example codes, see PractitionerRole |
Type | CodeableConcept |
Requirements | Need to know what authority the practitioner has - what can they do? |
Comments | A person may have more than one role. At least one role is required. |
Practitioner.practitionerRole.specialty | |
Definition | Specific specialty of the practitioner. |
Control | 0..* |
Binding | Specific specialty associated with the agency For example codes, see PractitionerSpecialty |
Type | CodeableConcept |
Practitioner.practitionerRole.period | |
Definition | The period during which the person is authorized to act as a practitioner in these role(s) for the organization. |
Control | 0..1 |
Type | Period |
Requirements | Even after the agencies is revoked, the fact that it existed must still be recorded. |
Practitioner.practitionerRole.location | |
Definition | The location(s) at which this practitioner provides care. |
Control | 0..* |
Type | Reference(Location) |
Practitioner.practitionerRole.healthcareService | |
Definition | The list of healthcare services that this worker provides for this role's Organization/Location(s). |
Control | 0..* |
Type | Reference(HealthcareService) |
Practitioner.qualification | |
Definition | Qualifications obtained by training and certification. |
Control | 0..* |
Type | BackboneElement |
Practitioner.qualification.id | |
Definition | unique id for the element within a resource (for internal references). |
Control | 0..1 |
Type | id |
Practitioner.qualification.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Control | 0..* |
Type | Extension |
Alternate Names | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Practitioner.qualification.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. |
Control | 0..* |
Type | Extension |
Is Modifier | true |
Alternate Names | extensions, user content, modifiers |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Practitioner.qualification.identifier | |
Definition | An identifier that applies to this person's qualification in this role. |
Control | 0..* |
Type | Identifier |
Requirements | Often, specific identities are assigned for the qualification. |
Practitioner.qualification.code | |
Definition | Coded representation of the qualification. |
Control | 1..1 |
Binding | Specific qualification the practitioner has to provide a service For example codes, see ANZSCO -- Australian and New Zealand Standard Classification of Occupations, 2013, Version 1.2 |
Type | CodeableConcept |
Practitioner.qualification.period | |
Definition | Period during which the qualification is valid. |
Control | 0..1 |
Type | Period |
Requirements | Qualifications are often for a limited period of time, and can be revoked. |
Practitioner.qualification.issuer | |
Definition | Organization that regulates and issues the qualification. |
Control | 0..1 |
Type | Reference(Organization) |
Practitioner.communication | |
Definition | A language the practitioner is able to use in patient communication. |
Control | 0..* |
Binding | A human language. The codes SHALL be taken from http://tools.ietf.org/html/bcp47 |
Type | CodeableConcept |
Requirements | Knowing which language a practitioner speaks can help in facilitating communication with patients. |
Comments | The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems actually code this but instead have it as free text. Hence CodeableConcept instead of code as the data type. |