Mandatory and Must Support Data Elements

The following data elements must always be present (in other words, mandatory resource properties where the minimum cardinality is 1) or must be supported (Must Support definition). Servers cannot restrict access to mandatory elements when authorizing an application. However, servers may choose to provide additional information or may be required to do so by national or other profiles that apply to the server’s context.

Applications must support:

• a practitioner reference (which is an IPA Practitioner)

Profile Specific Implementation Rules and Guidance

This section describes how applications fetch PractitionerRole resources that provide information about other individuals that are involved in the care of the patient.

Example Usage Scenarios:

A patient’s record is full of records of events or planned actions where the actors are care practitioners of various kinds. Note that these include any person employed by a healthcare provider, including clerical staff, orderlies, etc as well as the more obvious practitioners such as doctors and nurses. All these may be represented as a PractitionerRole resource.

Note that the Patient Access API provides access to both Practitioner and PractitionerRole resources. The difference in underlying record keeping that leads to this choice is not of interest to clients that access patient records, but they can expect to encounter both types of resource.

All servers SHALL provide an API to access PractitionerRole Resources as described here. Note that servers are allowed to provide some practitioner role records as contained resources, but SHOULD avoid doing so where ever possible.

Clients access PractitionerRole resources using this call:

GET [url]/PractitionerRole/[id]

where id is found in some other resource that refers to a PractitionerRole. The result of this request is a PractitionerRole resource, or an error if there is no resource the client can access for that id.

Search

Servers are not required to support search functionality on PractitionerRole, but may do so. If they do, the search SHALL be limited to Practitioner resources that relate to the patient in scope. Typical search parameters a Server could choose to support would be role and active

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

This structure is derived from PractitionerRole

Name	Flags	Card.	Type	Description & Constraints
PractitionerRole		0..*	PractitionerRole	Roles/organizations the practitioner is associated with
practitioner	S	0..1	Reference(IPA-Practitioner)	Practitioner that is able to provide the defined services for the organization
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
PractitionerRole		0..*	PractitionerRole	Roles/organizations the practitioner is associated with
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
practitioner	SΣ	0..1	Reference(IPA-Practitioner)	Practitioner that is able to provide the defined services for the organization
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
PractitionerRole		0..*	PractitionerRole	Roles/organizations the practitioner is associated with
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. Additional Bindings Purpose AllLanguages Max Binding
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
identifier	Σ	0..*	Identifier	Business Identifiers that are specific to a role/location
active	Σ	0..1	boolean	Whether this practitioner role record is in active use
period	Σ	0..1	Period	The period during which the practitioner is authorized to perform in these role(s)
practitioner	SΣ	0..1	Reference(IPA-Practitioner)	Practitioner that is able to provide the defined services for the organization
organization	Σ	0..1	Reference(Organization)	Organization where the roles are available
code	Σ	0..*	CodeableConcept	Roles which this practitioner may perform Binding: PractitionerRole (example): The role a person plays representing an organization.
specialty	Σ	0..*	CodeableConcept	Specific specialty of the practitioner Binding: PracticeSettingCodeValueSet (preferred): Specific specialty associated with the agency.
location	Σ	0..*	Reference(Location)	The location(s) at which this practitioner provides care
healthcareService		0..*	Reference(HealthcareService)	The list of healthcare services that this worker provides for this role's Organization/Location(s)
telecom	Σ	0..*	ContactPoint	Contact details that are specific to the role/location/service
availableTime		0..*	BackboneElement	Times the Service Site is available
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
daysOfWeek		0..*	code	mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required): The days of the week.
allDay		0..1	boolean	Always available? e.g. 24 hour service
availableStartTime		0..1	time	Opening time of day (ignored if allDay = true)
availableEndTime		0..1	time	Closing time of day (ignored if allDay = true)
notAvailable		0..*	BackboneElement	Not available during this time due to provided reason
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
description		1..1	string	Reason presented to the user explaining why time not available
during		0..1	Period	Service not available from this date
availabilityExceptions		0..1	string	Description of availability exceptions
endpoint		0..*	Reference(Endpoint)	Technical endpoints providing access to services operated for the practitioner with this role
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
PractitionerRole.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
PractitionerRole.code	example	PractitionerRole
PractitionerRole.specialty	preferred	PracticeSettingCodeValueSet
PractitionerRole.availableTime.daysOfWeek	required	DaysOfWeek

Differential View

This structure is derived from PractitionerRole

Name	Flags	Card.	Type	Description & Constraints
PractitionerRole		0..*	PractitionerRole	Roles/organizations the practitioner is associated with
practitioner	S	0..1	Reference(IPA-Practitioner)	Practitioner that is able to provide the defined services for the organization
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
PractitionerRole		0..*	PractitionerRole	Roles/organizations the practitioner is associated with
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
practitioner	SΣ	0..1	Reference(IPA-Practitioner)	Practitioner that is able to provide the defined services for the organization
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
PractitionerRole		0..*	PractitionerRole	Roles/organizations the practitioner is associated with
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. Additional Bindings Purpose AllLanguages Max Binding
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
identifier	Σ	0..*	Identifier	Business Identifiers that are specific to a role/location
active	Σ	0..1	boolean	Whether this practitioner role record is in active use
period	Σ	0..1	Period	The period during which the practitioner is authorized to perform in these role(s)
practitioner	SΣ	0..1	Reference(IPA-Practitioner)	Practitioner that is able to provide the defined services for the organization
organization	Σ	0..1	Reference(Organization)	Organization where the roles are available
code	Σ	0..*	CodeableConcept	Roles which this practitioner may perform Binding: PractitionerRole (example): The role a person plays representing an organization.
specialty	Σ	0..*	CodeableConcept	Specific specialty of the practitioner Binding: PracticeSettingCodeValueSet (preferred): Specific specialty associated with the agency.
location	Σ	0..*	Reference(Location)	The location(s) at which this practitioner provides care
healthcareService		0..*	Reference(HealthcareService)	The list of healthcare services that this worker provides for this role's Organization/Location(s)
telecom	Σ	0..*	ContactPoint	Contact details that are specific to the role/location/service
availableTime		0..*	BackboneElement	Times the Service Site is available
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
daysOfWeek		0..*	code	mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required): The days of the week.
allDay		0..1	boolean	Always available? e.g. 24 hour service
availableStartTime		0..1	time	Opening time of day (ignored if allDay = true)
availableEndTime		0..1	time	Closing time of day (ignored if allDay = true)
notAvailable		0..*	BackboneElement	Not available during this time due to provided reason
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
description		1..1	string	Reason presented to the user explaining why time not available
during		0..1	Period	Service not available from this date
availabilityExceptions		0..1	string	Description of availability exceptions
endpoint		0..*	Reference(Endpoint)	Technical endpoints providing access to services operated for the practitioner with this role
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
PractitionerRole.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
PractitionerRole.code	example	PractitionerRole
PractitionerRole.specialty	preferred	PracticeSettingCodeValueSet
PractitionerRole.availableTime.daysOfWeek	required	DaysOfWeek

This structure is derived from PractitionerRole

Summary

Must-Support: 1 element

Structures

This structure refers to these other structures:

• IPA-Practitioner (http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-practitioner)