This page is part of the National Directory of Healthcare Providers and Services (NDH) Implementation Guide (v1.0.0-ballot: STU1 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON
• TTL

Resource Profile: Payer Provider Network Query Practitioner Profile

Practitioner is a person who is directly or indirectly involved in the provisioning of healthcare.

Usage:

• Refer to this Resource Profile: Payer Provider Network Query PractitionerRole
• Examples for this Resource Profile: Practitioner/GaryGroup

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from NdhPractitioner

Name	Flags	Card.	Type	Description & Constraints
Practitioner		0..*	NdhPractitioner	A person with a formal responsibility in the provisioning of healthcare or related services
extension:endpoint		0..*	EndpointReference	NDH Endpoint Reference
value[x]		1..1	Reference(Payer Provider Network Query Endpoint Profile)	Value of extension
identifier		1..*	Identifier	An identifier for the person as this agent
type	S	0..1	CodeableConcept	Description of identifier
assigner		0..1	Reference(Payer Provider Network Query Organization Profile)	Organization that issued id (may be just text)
active	S	1..1	boolean	Whether this practitioner's record is in active use
name
given	S	0..*	string	Given names (not always 'first'). Includes middle names
qualification
extension:practitioner-qualification	S	0..1	PractitionerQualification	NDH Practitioner Qualification
identifier	S	0..*	Identifier	An identifier for this qualification for the practitioner
code	S	1..1	CodeableConcept	Coded representation of the qualification
period	S	0..1	Period	Period during which the qualification is valid
communication	S	0..*	CodeableConcept	A language the practitioner can use in patient communication
extension:communication-proficiency	S	0..1	CommunicationProficiency	NDH Communication Proficiency
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Practitioner		0..*	NdhPractitioner	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
us-core-race		0..1	(Complex)	US Core Race Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race
us-core-ethnicity		0..1	(Complex)	US Core ethnicity Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity
individual-genderIdentity		0..*	(Complex)	The individual's gender identity URL: http://hl7.org/fhir/StructureDefinition/individual-genderIdentity
individual-pronouns		0..*	(Complex)	The pronouns to use when communicating about an individual. URL: http://hl7.org/fhir/StructureDefinition/individual-pronouns
individual-recordedSexOrGender		0..*	(Complex)	A recorded sex or gender property for the individual URL: http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender
usage-restriction		0..*	Reference(NDH Base Restriction) {c}	Usage Restriction URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-usage-restriction
endpoint		0..*	Reference(NDH Base Endpoint Profile)	NDH Endpoint Reference URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-endpoint-reference
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-endpoint-reference"
value[x]		1..1	Reference(Payer Provider Network Query Endpoint Profile)	Value of extension
accessibility		0..*	CodeableConcept	Accessibility URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-accessibility Binding: Accessibility Value Set (extensible)
digitalcertificate		0..*	(Complex)	Digital Certificate URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-digitalcertificate
rating		0..*	(Complex)	Rating URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-rating
verification-status		0..1	CodeableConcept	NDH Verification Status URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-verification-status Binding: NDH Verification Status Value Set (extensible)
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
identifier-status		0..1	code	NDH Identifier Status URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-identifier-status Binding: Identifier Status Value Set (required)
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	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
assigner	Σ	0..1	Reference(Payer Provider Network Query Organization Profile)	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
system		1..1	uri	The namespace for the identifier value Fixed Value: http://hl7.org/fhir/sid/us-npi
active	SΣ	1..1	boolean	Whether this practitioner's record is in active use Required Pattern: true
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.
text	SΣ	0..1	string	Text representation of the full name
family	SΣ	1..1	string	Family name (often called 'Surname')
given	SΣ	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
telecom	SΣ	0..*	ContactPoint	A contact detail for the practitioner (that apply to all roles)
contactpoint-availabletime		0..*	(Complex)	NDH Contactpoint Availabletime URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-contactpoint-availabletime
via-intermediary		0..1	Reference(NDH Base PractitionerRole | NDH Base OrganizationAffiliation Profile | NDH Base Location Profile | NDH Base Organization Profile)	Via Intermediary URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-via-intermediary
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)
geolocation	S	0..1	(Complex)	The absolute geographic location URL: http://hl7.org/fhir/StructureDefinition/geolocation
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..*	BackboneElement	Certification, licenses, or training pertaining to the provision of care
practitioner-qualification	S	0..1	(Complex)	NDH Practitioner Qualification URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-practitioner-qualification
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
identifier	S	0..*	Identifier	An identifier for this qualification for the practitioner
identifier-status		0..1	code	NDH Identifier Status URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-identifier-status Binding: Identifier Status Value Set (required)
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
code	S	1..1	CodeableConcept	Coded representation of the qualification Binding: Individual Specialties, Degrees, Licenses, and Certificates Value Set (extensible)
period	S	0..1	Period	Period during which the qualification is valid
issuer	S	0..1	Reference(NDH Base Organization Profile)	Organization that regulates and issues the qualification
communication	S	0..*	CodeableConcept	A language the practitioner can use in patient communication Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
communication-proficiency	S	0..1	CodeableConcept	NDH Communication Proficiency URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-communication-proficiency Binding: Language Proficiency Value Set (extensible)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
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.state	extensible	UspsTwoLetterAlphabeticCodes (a valid code from https://www.usps.com/)
Practitioner.qualification.identifier.use	required	IdentifierUse
Practitioner.qualification.code	extensible	IndividualSpecialtyAndDegreeLicenseCertificateVS
Practitioner.communication	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding

Name	Flags	Card.	Type	Description & Constraints
Practitioner		0..*	NdhPractitioner	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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	1..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
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. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
us-core-race		0..1	(Complex)	US Core Race Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race
us-core-ethnicity		0..1	(Complex)	US Core ethnicity Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity
individual-genderIdentity		0..*	(Complex)	The individual's gender identity URL: http://hl7.org/fhir/StructureDefinition/individual-genderIdentity
individual-pronouns		0..*	(Complex)	The pronouns to use when communicating about an individual. URL: http://hl7.org/fhir/StructureDefinition/individual-pronouns
individual-recordedSexOrGender		0..*	(Complex)	A recorded sex or gender property for the individual URL: http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender
usage-restriction		0..*	Reference(NDH Base Restriction) {c}	Usage Restriction URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-usage-restriction
endpoint		0..*	Reference(NDH Base Endpoint Profile)	NDH Endpoint Reference URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-endpoint-reference
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-endpoint-reference"
value[x]		1..1	Reference(Payer Provider Network Query Endpoint Profile)	Value of extension
accessibility		0..*	CodeableConcept	Accessibility URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-accessibility Binding: Accessibility Value Set (extensible)
digitalcertificate		0..*	(Complex)	Digital Certificate URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-digitalcertificate
rating		0..*	(Complex)	Rating URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-rating
verification-status		0..1	CodeableConcept	NDH Verification Status URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-verification-status Binding: NDH Verification Status Value Set (extensible)
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
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
identifier-status		0..1	code	NDH Identifier Status URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-identifier-status Binding: Identifier Status Value Set (required)
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	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(Payer Provider Network Query Organization Profile)	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	SΣ	1..1	boolean	Whether this practitioner's record is in active use Required Pattern: true
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	SΣ	0..1	string	Text representation of the full name
family	SΣ	1..1	string	Family name (often called 'Surname')
given	SΣ	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
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
contactpoint-availabletime		0..*	(Complex)	NDH Contactpoint Availabletime URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-contactpoint-availabletime
via-intermediary		0..1	Reference(NDH Base PractitionerRole | NDH Base OrganizationAffiliation Profile | NDH Base Location Profile | NDH Base Organization Profile)	Via Intermediary URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-via-intermediary
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
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
geolocation	S	0..1	(Complex)	The absolute geographic location URL: http://hl7.org/fhir/StructureDefinition/geolocation
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..*	BackboneElement	Certification, licenses, or training pertaining to the provision of care
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitioner-qualification	S	0..1	(Complex)	NDH Practitioner Qualification URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-practitioner-qualification
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
identifier	S	0..*	Identifier	An identifier for this qualification for the practitioner
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
identifier-status		0..1	code	NDH Identifier Status URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-identifier-status Binding: Identifier Status Value Set (required)
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	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(NDH Base Organization Profile)	Organization that issued id (may be just text)
code	S	1..1	CodeableConcept	Coded representation of the qualification Binding: Individual Specialties, Degrees, Licenses, and Certificates Value Set (extensible)
period	S	0..1	Period	Period during which the qualification is valid
issuer	S	0..1	Reference(NDH Base Organization Profile)	Organization that regulates and issues the qualification
communication	S	0..*	CodeableConcept	A language the practitioner can use in patient communication Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
communication-proficiency	S	0..1	CodeableConcept	NDH Communication Proficiency URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-communication-proficiency Binding: Language Proficiency Value Set (extensible)
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Practitioner.meta.security	extensible	All Security Labels
Practitioner.meta.tag	example	CommonTags
Practitioner.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
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.identifier.use	required	IdentifierUse
Practitioner.qualification.identifier.type	extensible	Identifier Type Codes
Practitioner.qualification.code	extensible	IndividualSpecialtyAndDegreeLicenseCertificateVS
Practitioner.communication	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding

This structure is derived from NdhPractitioner

Summary

Must-Support: 9 elements

Structures

This structure refers to these other structures:

• Payer Provider Network Query Endpoint Profile (http://hl7.org/fhir/us/ndh/StructureDefinition/ndhPnQry-Endpoint)
• Payer Provider Network Query Organization Profile (http://hl7.org/fhir/us/ndh/StructureDefinition/ndhPnQry-Organization)

Differential View

This structure is derived from NdhPractitioner

Name	Flags	Card.	Type	Description & Constraints
Practitioner		0..*	NdhPractitioner	A person with a formal responsibility in the provisioning of healthcare or related services
extension:endpoint		0..*	EndpointReference	NDH Endpoint Reference
value[x]		1..1	Reference(Payer Provider Network Query Endpoint Profile)	Value of extension
identifier		1..*	Identifier	An identifier for the person as this agent
type	S	0..1	CodeableConcept	Description of identifier
assigner		0..1	Reference(Payer Provider Network Query Organization Profile)	Organization that issued id (may be just text)
active	S	1..1	boolean	Whether this practitioner's record is in active use
name
given	S	0..*	string	Given names (not always 'first'). Includes middle names
qualification
extension:practitioner-qualification	S	0..1	PractitionerQualification	NDH Practitioner Qualification
identifier	S	0..*	Identifier	An identifier for this qualification for the practitioner
code	S	1..1	CodeableConcept	Coded representation of the qualification
period	S	0..1	Period	Period during which the qualification is valid
communication	S	0..*	CodeableConcept	A language the practitioner can use in patient communication
extension:communication-proficiency	S	0..1	CommunicationProficiency	NDH Communication Proficiency
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Practitioner		0..*	NdhPractitioner	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
us-core-race		0..1	(Complex)	US Core Race Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race
us-core-ethnicity		0..1	(Complex)	US Core ethnicity Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity
individual-genderIdentity		0..*	(Complex)	The individual's gender identity URL: http://hl7.org/fhir/StructureDefinition/individual-genderIdentity
individual-pronouns		0..*	(Complex)	The pronouns to use when communicating about an individual. URL: http://hl7.org/fhir/StructureDefinition/individual-pronouns
individual-recordedSexOrGender		0..*	(Complex)	A recorded sex or gender property for the individual URL: http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender
usage-restriction		0..*	Reference(NDH Base Restriction) {c}	Usage Restriction URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-usage-restriction
endpoint		0..*	Reference(NDH Base Endpoint Profile)	NDH Endpoint Reference URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-endpoint-reference
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-endpoint-reference"
value[x]		1..1	Reference(Payer Provider Network Query Endpoint Profile)	Value of extension
accessibility		0..*	CodeableConcept	Accessibility URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-accessibility Binding: Accessibility Value Set (extensible)
digitalcertificate		0..*	(Complex)	Digital Certificate URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-digitalcertificate
rating		0..*	(Complex)	Rating URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-rating
verification-status		0..1	CodeableConcept	NDH Verification Status URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-verification-status Binding: NDH Verification Status Value Set (extensible)
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
identifier-status		0..1	code	NDH Identifier Status URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-identifier-status Binding: Identifier Status Value Set (required)
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	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
assigner	Σ	0..1	Reference(Payer Provider Network Query Organization Profile)	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
system		1..1	uri	The namespace for the identifier value Fixed Value: http://hl7.org/fhir/sid/us-npi
active	SΣ	1..1	boolean	Whether this practitioner's record is in active use Required Pattern: true
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.
text	SΣ	0..1	string	Text representation of the full name
family	SΣ	1..1	string	Family name (often called 'Surname')
given	SΣ	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
telecom	SΣ	0..*	ContactPoint	A contact detail for the practitioner (that apply to all roles)
contactpoint-availabletime		0..*	(Complex)	NDH Contactpoint Availabletime URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-contactpoint-availabletime
via-intermediary		0..1	Reference(NDH Base PractitionerRole | NDH Base OrganizationAffiliation Profile | NDH Base Location Profile | NDH Base Organization Profile)	Via Intermediary URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-via-intermediary
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)
geolocation	S	0..1	(Complex)	The absolute geographic location URL: http://hl7.org/fhir/StructureDefinition/geolocation
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..*	BackboneElement	Certification, licenses, or training pertaining to the provision of care
practitioner-qualification	S	0..1	(Complex)	NDH Practitioner Qualification URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-practitioner-qualification
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
identifier	S	0..*	Identifier	An identifier for this qualification for the practitioner
identifier-status		0..1	code	NDH Identifier Status URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-identifier-status Binding: Identifier Status Value Set (required)
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
code	S	1..1	CodeableConcept	Coded representation of the qualification Binding: Individual Specialties, Degrees, Licenses, and Certificates Value Set (extensible)
period	S	0..1	Period	Period during which the qualification is valid
issuer	S	0..1	Reference(NDH Base Organization Profile)	Organization that regulates and issues the qualification
communication	S	0..*	CodeableConcept	A language the practitioner can use in patient communication Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
communication-proficiency	S	0..1	CodeableConcept	NDH Communication Proficiency URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-communication-proficiency Binding: Language Proficiency Value Set (extensible)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
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.state	extensible	UspsTwoLetterAlphabeticCodes (a valid code from https://www.usps.com/)
Practitioner.qualification.identifier.use	required	IdentifierUse
Practitioner.qualification.code	extensible	IndividualSpecialtyAndDegreeLicenseCertificateVS
Practitioner.communication	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Practitioner		0..*	NdhPractitioner	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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	1..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
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. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
us-core-race		0..1	(Complex)	US Core Race Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race
us-core-ethnicity		0..1	(Complex)	US Core ethnicity Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity
individual-genderIdentity		0..*	(Complex)	The individual's gender identity URL: http://hl7.org/fhir/StructureDefinition/individual-genderIdentity
individual-pronouns		0..*	(Complex)	The pronouns to use when communicating about an individual. URL: http://hl7.org/fhir/StructureDefinition/individual-pronouns
individual-recordedSexOrGender		0..*	(Complex)	A recorded sex or gender property for the individual URL: http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender
usage-restriction		0..*	Reference(NDH Base Restriction) {c}	Usage Restriction URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-usage-restriction
endpoint		0..*	Reference(NDH Base Endpoint Profile)	NDH Endpoint Reference URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-endpoint-reference
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-endpoint-reference"
value[x]		1..1	Reference(Payer Provider Network Query Endpoint Profile)	Value of extension
accessibility		0..*	CodeableConcept	Accessibility URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-accessibility Binding: Accessibility Value Set (extensible)
digitalcertificate		0..*	(Complex)	Digital Certificate URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-digitalcertificate
rating		0..*	(Complex)	Rating URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-rating
verification-status		0..1	CodeableConcept	NDH Verification Status URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-verification-status Binding: NDH Verification Status Value Set (extensible)
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
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
identifier-status		0..1	code	NDH Identifier Status URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-identifier-status Binding: Identifier Status Value Set (required)
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	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(Payer Provider Network Query Organization Profile)	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	SΣ	1..1	boolean	Whether this practitioner's record is in active use Required Pattern: true
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	SΣ	0..1	string	Text representation of the full name
family	SΣ	1..1	string	Family name (often called 'Surname')
given	SΣ	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
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
contactpoint-availabletime		0..*	(Complex)	NDH Contactpoint Availabletime URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-contactpoint-availabletime
via-intermediary		0..1	Reference(NDH Base PractitionerRole | NDH Base OrganizationAffiliation Profile | NDH Base Location Profile | NDH Base Organization Profile)	Via Intermediary URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-via-intermediary
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
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
geolocation	S	0..1	(Complex)	The absolute geographic location URL: http://hl7.org/fhir/StructureDefinition/geolocation
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..*	BackboneElement	Certification, licenses, or training pertaining to the provision of care
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitioner-qualification	S	0..1	(Complex)	NDH Practitioner Qualification URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-practitioner-qualification
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
identifier	S	0..*	Identifier	An identifier for this qualification for the practitioner
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
identifier-status		0..1	code	NDH Identifier Status URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-identifier-status Binding: Identifier Status Value Set (required)
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	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(NDH Base Organization Profile)	Organization that issued id (may be just text)
code	S	1..1	CodeableConcept	Coded representation of the qualification Binding: Individual Specialties, Degrees, Licenses, and Certificates Value Set (extensible)
period	S	0..1	Period	Period during which the qualification is valid
issuer	S	0..1	Reference(NDH Base Organization Profile)	Organization that regulates and issues the qualification
communication	S	0..*	CodeableConcept	A language the practitioner can use in patient communication Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
communication-proficiency	S	0..1	CodeableConcept	NDH Communication Proficiency URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-communication-proficiency Binding: Language Proficiency Value Set (extensible)
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Practitioner.meta.security	extensible	All Security Labels
Practitioner.meta.tag	example	CommonTags
Practitioner.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
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.identifier.use	required	IdentifierUse
Practitioner.qualification.identifier.type	extensible	Identifier Type Codes
Practitioner.qualification.code	extensible	IndividualSpecialtyAndDegreeLicenseCertificateVS
Practitioner.communication	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding

This structure is derived from NdhPractitioner

Summary

Must-Support: 9 elements

Structures

This structure refers to these other structures:

• Payer Provider Network Query Endpoint Profile (http://hl7.org/fhir/us/ndh/StructureDefinition/ndhPnQry-Endpoint)
• Payer Provider Network Query Organization Profile (http://hl7.org/fhir/us/ndh/StructureDefinition/ndhPnQry-Organization)

Other representations of profile: CSV, Excel, Schematron