Canadian Baseline
1.2.0 - CI Build

Canadian Baseline, published by HL7 Canada - FHIR Implementation Work Group. This guide is not an authorized publication; it is the continuous build for version 1.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-Canada/ca-baseline/ and changes regularly. See the Directory of published versions

## Resource Profile: Practitioner Profile (General)

Official URL: http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-practitioner | Version: 1.2.0
Draft as of 2024-08-09 | Computable Name: PractitionerProfile

Proposed constraints and extensions on the Practitioner Resource for general use.

# CA Baseline Practitioner Profile

This Practitioner profile sets minimum expectations for the Practitioner resource to record, search and fetch demographics and other administrative information about a person who is directly or indirectly involved in the provisioning of healthcare.

This profile defines localization concepts for use in an Canadian context.

## Differences from US Core

Note: This profile was generated from HL7 Practitioner StructureDefinition on 2020-02-19 and constrained during a review of US Core and a review against Canadian sources.

## Mandatory Data Elements

All elements or attributes defined in FHIR have cardinality as part of their definition - a minimum number of required appearances and a maximum number.

Most elements in FHIR specification have a minimum cardinality of 0, which means that they may be missing from a resource when it is exchanged between systems.

In this Canadian Baseline Practitioner Profile all elements are optional, i.e., there is no element with a minimum cardinality of 1. However, some optional elements (e.g., identifier) have required components that MUST be present if that optional element is provided.

### Data Absent Reason

In situations where the minimum cardinality of an element or attribute is 1 and information is missing and the Responder knows the precise reason for the absence of data, Responders SHALL send the reason for the missing information using values (such as NullFlavor) from the value set where they exist or using the DataAbsentReason extension.

## Must Support Data Elements

Some elements are labeled as MustSupport meaning that implementations that produce or consume resources SHALL provide "support" for the element in some meaningful way (see Must Support definition).

Following elements are marked as Must Support in the Practitioner profile to aid record matching in databases with many pediatric records.

Must Support elements:

1. an identifier
2. a practitioner name

## Usage Note

This Practitioner profile is intended for general use, e.g. to be included into a Bundle along with the Patient resource (Patient.generalPractitioner).

Usages:

- Derived from this Profile: Practitioner Profile (Provider Registry)
- Refer to this Profile: AllergyIntolerance Profile, Condition Profile, DiagnosticReport Profile for Laboratory Results Reporting, Diagnostic Report for Report and Note Exchange Profile... Show 12 more, DocumentReference Profile for metadata about the document, Encounter Profile, Immunization Profile, MedicationAdministration Profile, MedicationDispense Profile, MedicationRequest Profile, MedicationStatement Profile, Observation Profile (Laboratory Results), PractitionerRole Profile (Provider Registry), PractitionerRole Profile (General), Procedure Profile and ServiceRequest Profile for Results Reporting

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

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

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Practitioner |  | 0..* | Practitioner | Practitioner Profile
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 0..* | IdentifierCABaseline | An identifier for the person as this agent
name | S Σ C | 0..* | HumanName | The name(s) associated with the practitioner Constraints: ca-baseline-practitioner-name
use | ?!Σ | 0..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
family | Σ C | 0..1 | string | Family name (often called 'Surname')
given | Σ C | 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
qualification |  | 0..* | BackboneElement | Certification, licenses, or training pertaining to the provision of care
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 1..1 | CodeableConcept | Coded representation of the qualification Binding: v2 table 0360, Version 2.7 (example): Specific qualification the practitioner has to provide a service.
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Practitioner.name.use | Base | required | NameUse | 📍4.0.1 | FHIR Std.
Practitioner.qualification.​code | Base | example | v2 table 0360, Version 2.7 | 📦0360 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
ca-baseline-practitioner-name | error | Practitioner.name | Either name.given and/or name.family SHALL be present or a Data Absent Reason Extension SHALL be present | `(family.exists() or given.exists()) xor extension.where(url='http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()`
dom-2 | error | Practitioner | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Practitioner | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Practitioner | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Practitioner | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Practitioner | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from Practitioner

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Practitioner |  | 0..* | Practitioner | Practitioner Profile
identifier | S | 0..* | IdentifierCABaseline | An identifier for the person as this agent
name | S C | 0..* | HumanName | The name(s) associated with the practitioner Constraints: ca-baseline-practitioner-name
family | C | 0..1 | string | Family name (often called 'Surname')
given | C | 0..* | string | Given names (not always 'first'). Includes middle names
address |  |  |  |
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:preferred |  | 0..1 | boolean | HL7 Preferred Address Flag extension URL: http://hl7.org/fhir/StructureDefinition/iso21090-preferred
qualification |  | 0..* | BackboneElement | Certification, licenses, or training pertaining to the provision of care Binding: QualifiedRoleType (example): A code system for the degree or educational rank that the credential specifies
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Practitioner.qualification | Base | example | QualifiedRoleType | 📦1.2.0 | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression
ca-baseline-practitioner-name | error | Practitioner.name | Either name.given and/or name.family SHALL be present or a Data Absent Reason Extension SHALL be present | `(family.exists() or given.exists()) xor extension.where(url='http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()`

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Practitioner |  | 0..* | Practitioner | Practitioner Profile
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 0..* | IdentifierCABaseline | An identifier for the person as this agent
active | Σ | 0..1 | boolean | Whether this practitioner's record is in active use
name | S Σ C | 0..* | HumanName | The name(s) associated with the practitioner Constraints: ca-baseline-practitioner-name
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text | Σ | 0..1 | string | Text representation of the full name
family | Σ C | 0..1 | string | Family name (often called 'Surname')
given | Σ C | 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 | Σ | 0..* | ContactPoint | A contact detail for the practitioner (that apply to all roles)
address | Σ | 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 | Extension Slice: Unordered, Open by value:url
extension:preferred |  | 0..1 | boolean | HL7 Preferred Address Flag extension URL: http://hl7.org/fhir/StructureDefinition/iso21090-preferred
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 | Σ | 0..* | 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 | Σ | 0..1 | string | Name of city, town etc. Example General: Erewhon
district | Σ | 0..1 | string | District name (aka county) Example General: Madison
state | Σ | 0..1 | string | Sub-unit of country (abbreviations ok)
postalCode | Σ | 0..1 | string | Postal code for area Example General: 9132
country | Σ | 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 |  | 0..* | BackboneElement | Certification, licenses, or training pertaining to the provision of care
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
identifier |  | 0..* | Identifier | An identifier for this qualification for the practitioner
code |  | 1..1 | CodeableConcept | Coded representation of the qualification Binding: v2 table 0360, Version 2.7 (example): Specific qualification the practitioner has to provide a service.
period |  | 0..1 | Period | Period during which the qualification is valid
issuer |  | 0..1 | Reference(Organization) | Organization that regulates and issues the qualification
communication |  | 0..* | CodeableConcept | A language the practitioner can use in patient communication Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Practitioner.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Practitioner.name.use | Base | required | NameUse | 📍4.0.1 | FHIR Std.
Practitioner.address.​use | Base | required | AddressUse | 📍4.0.1 | FHIR Std.
Practitioner.address.​type | Base | required | AddressType | 📍4.0.1 | FHIR Std.
Practitioner.gender | Base | required | AdministrativeGender | 📍4.0.1 | FHIR Std.
Practitioner.qualification.​code | Base | example | v2 table 0360, Version 2.7 | 📦0360 | FHIR Std.
Practitioner.communication | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
ca-baseline-practitioner-name | error | Practitioner.name | Either name.given and/or name.family SHALL be present or a Data Absent Reason Extension SHALL be present | `(family.exists() or given.exists()) xor extension.where(url='http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()`
dom-2 | error | Practitioner | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Practitioner | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Practitioner | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Practitioner | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Practitioner | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from Practitioner

Summary

Must-Support: 2 elements

Structures

This structure refers to these other structures:

- Identifier DataType Profile (CA Baseline) (http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-identifier)

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/StructureDefinition/iso21090-preferred

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Practitioner |  | 0..* | Practitioner | Practitioner Profile
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 0..* | IdentifierCABaseline | An identifier for the person as this agent
name | S Σ C | 0..* | HumanName | The name(s) associated with the practitioner Constraints: ca-baseline-practitioner-name
use | ?!Σ | 0..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
family | Σ C | 0..1 | string | Family name (often called 'Surname')
given | Σ C | 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
qualification |  | 0..* | BackboneElement | Certification, licenses, or training pertaining to the provision of care
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 1..1 | CodeableConcept | Coded representation of the qualification Binding: v2 table 0360, Version 2.7 (example): Specific qualification the practitioner has to provide a service.
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Practitioner.name.use | Base | required | NameUse | 📍4.0.1 | FHIR Std.
Practitioner.qualification.​code | Base | example | v2 table 0360, Version 2.7 | 📦0360 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
ca-baseline-practitioner-name | error | Practitioner.name | Either name.given and/or name.family SHALL be present or a Data Absent Reason Extension SHALL be present | `(family.exists() or given.exists()) xor extension.where(url='http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()`
dom-2 | error | Practitioner | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Practitioner | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Practitioner | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Practitioner | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Practitioner | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

Differential View

This structure is derived from Practitioner

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Practitioner |  | 0..* | Practitioner | Practitioner Profile
identifier | S | 0..* | IdentifierCABaseline | An identifier for the person as this agent
name | S C | 0..* | HumanName | The name(s) associated with the practitioner Constraints: ca-baseline-practitioner-name
family | C | 0..1 | string | Family name (often called 'Surname')
given | C | 0..* | string | Given names (not always 'first'). Includes middle names
address |  |  |  |
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:preferred |  | 0..1 | boolean | HL7 Preferred Address Flag extension URL: http://hl7.org/fhir/StructureDefinition/iso21090-preferred
qualification |  | 0..* | BackboneElement | Certification, licenses, or training pertaining to the provision of care Binding: QualifiedRoleType (example): A code system for the degree or educational rank that the credential specifies
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Practitioner.qualification | Base | example | QualifiedRoleType | 📦1.2.0 | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression
ca-baseline-practitioner-name | error | Practitioner.name | Either name.given and/or name.family SHALL be present or a Data Absent Reason Extension SHALL be present | `(family.exists() or given.exists()) xor extension.where(url='http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()`

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Practitioner |  | 0..* | Practitioner | Practitioner Profile
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 0..* | IdentifierCABaseline | An identifier for the person as this agent
active | Σ | 0..1 | boolean | Whether this practitioner's record is in active use
name | S Σ C | 0..* | HumanName | The name(s) associated with the practitioner Constraints: ca-baseline-practitioner-name
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text | Σ | 0..1 | string | Text representation of the full name
family | Σ C | 0..1 | string | Family name (often called 'Surname')
given | Σ C | 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 | Σ | 0..* | ContactPoint | A contact detail for the practitioner (that apply to all roles)
address | Σ | 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 | Extension Slice: Unordered, Open by value:url
extension:preferred |  | 0..1 | boolean | HL7 Preferred Address Flag extension URL: http://hl7.org/fhir/StructureDefinition/iso21090-preferred
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 | Σ | 0..* | 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 | Σ | 0..1 | string | Name of city, town etc. Example General: Erewhon
district | Σ | 0..1 | string | District name (aka county) Example General: Madison
state | Σ | 0..1 | string | Sub-unit of country (abbreviations ok)
postalCode | Σ | 0..1 | string | Postal code for area Example General: 9132
country | Σ | 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 |  | 0..* | BackboneElement | Certification, licenses, or training pertaining to the provision of care
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
identifier |  | 0..* | Identifier | An identifier for this qualification for the practitioner
code |  | 1..1 | CodeableConcept | Coded representation of the qualification Binding: v2 table 0360, Version 2.7 (example): Specific qualification the practitioner has to provide a service.
period |  | 0..1 | Period | Period during which the qualification is valid
issuer |  | 0..1 | Reference(Organization) | Organization that regulates and issues the qualification
communication |  | 0..* | CodeableConcept | A language the practitioner can use in patient communication Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Practitioner.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Practitioner.name.use | Base | required | NameUse | 📍4.0.1 | FHIR Std.
Practitioner.address.​use | Base | required | AddressUse | 📍4.0.1 | FHIR Std.
Practitioner.address.​type | Base | required | AddressType | 📍4.0.1 | FHIR Std.
Practitioner.gender | Base | required | AdministrativeGender | 📍4.0.1 | FHIR Std.
Practitioner.qualification.​code | Base | example | v2 table 0360, Version 2.7 | 📦0360 | FHIR Std.
Practitioner.communication | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
ca-baseline-practitioner-name | error | Practitioner.name | Either name.given and/or name.family SHALL be present or a Data Absent Reason Extension SHALL be present | `(family.exists() or given.exists()) xor extension.where(url='http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()`
dom-2 | error | Practitioner | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Practitioner | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Practitioner | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Practitioner | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Practitioner | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from Practitioner

Summary

Must-Support: 2 elements

Structures

This structure refers to these other structures:

- Identifier DataType Profile (CA Baseline) (http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-identifier)

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/StructureDefinition/iso21090-preferred

Other representations of profile: CSV, Excel, Schematron

### Notes:

## Identifiers

Multiple types of provider identifiers may be used in Practitioner.identifier element in the Canadian context:

- Provincial health plan provider/ Billing number
- License Number
- Medical Doctor Number

Implementers may use other identifiers to capture in a more specific way such as internal provider number, jurisdictions providing credentials. The full list of possible identifier types is in Canadian URI Registry

In some cases, the same license number can be used as the provider identifier and provider's qualification identifier.

## Telecom

A provider may have multiple ways to be contacted with different uses or applicable periods. This Practitioner profile allows multiple contact points (e.g. a telephone number or an email address) by which the individual may be contacted.

To indicate the preferred way to contact use Practitioner.telecom.rank attribute (i.e., the ContactPoint.rank component) that specifies a preferred order in which to use a set of contacts. ContactPoints with lower rank values are more preferred than those with higher rank values.

## Address

The Practitioner profile is provided for use in a Canadian context where some constraint on content is desirable to guarantee the quality of the Canadian address whilst still supporting other type of address (e.g., other countries or unstructured addresses).

### Canadian postal code

If an address in the Practitioner resource instance represents Canadian address, it SHOULD follow Canadian postal code format.

The Canadian Postal Code SHOULD be a six-character uniformly structured uppercase alphanumeric code in the form of "ANA NAN", where "A" represents an alphabetic character and "N" represents a numeric character, with one space between the first three and the last three characters.

A hyphen SHOULD NOT be used (example of unacceptable format: T0L-1K0).

### Preferred

The Practitioner.address MAY have a Preferred extension. This is the FHIR standard defined extension used as a flag denoting whether parent address item is preferred.

### Qualifications

This profile recommends to use Canadian QualifiedRoleType value set as the coded representation of the provider's qualification. This value set lists codes for the degree or educational rank that the credential specifies. It may also apply to an Expertise type.

The binding strength for the Practitioner.qualification.code element is Preferred meaning that implementers are encouraged to draw codes from the specified code system for interoperability purposes but are not required to do so to be considered conformant.

Example:

    "code": {
      "coding": [
        {
          "system": "https://fhir.infoway-inforoute.ca/CodeSystem/scpqual",
          "code": "BSC",
          "display": "Bachelor of Science Degree"
        }
      ],
      "text": "Bachelor of Science Degree"
    }