Canadian Baseline
1.1.0 - CI Build Canada flag

Canadian Baseline, published by HL7 Canada - FHIR Implementation Work Group. This guide is not an authorized publication; it is the continuous build for version 1.1.0 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: 1.1.0
Draft as of 2020-02-18 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).

Usage:

Formal Views of Profile Content

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

This structure is derived from Practitioner

NameFlagsCard.TypeDescription & Constraintsdoco
.. Practitioner 0..* Practitioner Practitioner Profile
... identifier S 0..* IdentifierCABaseline An identifier intended for computation
... name SC 0..* HumanName The name(s) associated with the practitioner
ca-baseline-practitioner-name: Either name.given and/or name.family SHALL be present or a Data Absent Reason Extension SHALL be present
.... 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
..... preferred 0..1 boolean HL7 Preferred Address Flag extension
URL: http://hl7.org/fhir/StructureDefinition/iso21090-preferred

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Practitioner.qualificationexampleQualifiedRoleType
https://fhir.infoway-inforoute.ca/ValueSet/qualifiedroletype
from this IG

Constraints

IdGradePath(s)DetailsRequirements
ca-baseline-practitioner-nameerrorPractitioner.nameEither 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()
NameFlagsCard.TypeDescription & Constraintsdoco
.. 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 0..* IdentifierCABaseline An identifier intended for computation
.... use ?!Σ 0..1 code usual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.

.... family ΣC 0..1 string Family name (often called 'Surname')
.... given ΣC 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.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Practitioner.name.userequiredNameUse
http://hl7.org/fhir/ValueSet/name-use|4.0.1
from the FHIR Standard
Practitioner.qualification.codeexamplev2.0360.2.7 (a valid code from http://terminology.hl7.org/CodeSystem/v2-0360|2.7)
http://terminology.hl7.org/ValueSet/v2-2.7-0360
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
ca-baseline-practitioner-nameerrorPractitioner.nameEither 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-2errorPractitionerIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorPractitionerIf 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-4errorPractitionerIf 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-5errorPractitionerIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practicePractitionerA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
... 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 S 0..* IdentifierCABaseline An identifier intended for computation
... active Σ 0..1 boolean Whether this practitioner's record is in active use
... name SΣC 0..* HumanName The name(s) associated with the practitioner
ca-baseline-practitioner-name: Either name.given and/or name.family SHALL be present or a Data Absent Reason Extension SHALL be present
.... 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 ΣC 0..1 string Family name (often called 'Surname')
.... given ΣC 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
..... 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 BindingsPurpose
AllLanguages Max Binding


doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Practitioner.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Practitioner.name.userequiredNameUse
http://hl7.org/fhir/ValueSet/name-use|4.0.1
from the FHIR Standard
Practitioner.address.userequiredAddressUse
http://hl7.org/fhir/ValueSet/address-use|4.0.1
from the FHIR Standard
Practitioner.address.typerequiredAddressType
http://hl7.org/fhir/ValueSet/address-type|4.0.1
from the FHIR Standard
Practitioner.genderrequiredAdministrativeGender
http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1
from the FHIR Standard
Practitioner.qualification.codeexamplev2.0360.2.7 (a valid code from http://terminology.hl7.org/CodeSystem/v2-0360|2.7)
http://terminology.hl7.org/ValueSet/v2-2.7-0360
from the FHIR Standard
Practitioner.communicationpreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
ca-baseline-practitioner-nameerrorPractitioner.nameEither 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-2errorPractitionerIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorPractitionerIf 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-4errorPractitionerIf 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-5errorPractitionerIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practicePractitionerA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust 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:

Extensions

This structure refers to these extensions:

Differential View

This structure is derived from Practitioner

NameFlagsCard.TypeDescription & Constraintsdoco
.. Practitioner 0..* Practitioner Practitioner Profile
... identifier S 0..* IdentifierCABaseline An identifier intended for computation
... name SC 0..* HumanName The name(s) associated with the practitioner
ca-baseline-practitioner-name: Either name.given and/or name.family SHALL be present or a Data Absent Reason Extension SHALL be present
.... 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
..... preferred 0..1 boolean HL7 Preferred Address Flag extension
URL: http://hl7.org/fhir/StructureDefinition/iso21090-preferred

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Practitioner.qualificationexampleQualifiedRoleType
https://fhir.infoway-inforoute.ca/ValueSet/qualifiedroletype
from this IG

Constraints

IdGradePath(s)DetailsRequirements
ca-baseline-practitioner-nameerrorPractitioner.nameEither 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()

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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 0..* IdentifierCABaseline An identifier intended for computation
.... use ?!Σ 0..1 code usual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.

.... family ΣC 0..1 string Family name (often called 'Surname')
.... given ΣC 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.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Practitioner.name.userequiredNameUse
http://hl7.org/fhir/ValueSet/name-use|4.0.1
from the FHIR Standard
Practitioner.qualification.codeexamplev2.0360.2.7 (a valid code from http://terminology.hl7.org/CodeSystem/v2-0360|2.7)
http://terminology.hl7.org/ValueSet/v2-2.7-0360
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
ca-baseline-practitioner-nameerrorPractitioner.nameEither 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-2errorPractitionerIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorPractitionerIf 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-4errorPractitionerIf 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-5errorPractitionerIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practicePractitionerA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
... 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 S 0..* IdentifierCABaseline An identifier intended for computation
... active Σ 0..1 boolean Whether this practitioner's record is in active use
... name SΣC 0..* HumanName The name(s) associated with the practitioner
ca-baseline-practitioner-name: Either name.given and/or name.family SHALL be present or a Data Absent Reason Extension SHALL be present
.... 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 ΣC 0..1 string Family name (often called 'Surname')
.... given ΣC 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
..... 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 BindingsPurpose
AllLanguages Max Binding


doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Practitioner.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Practitioner.name.userequiredNameUse
http://hl7.org/fhir/ValueSet/name-use|4.0.1
from the FHIR Standard
Practitioner.address.userequiredAddressUse
http://hl7.org/fhir/ValueSet/address-use|4.0.1
from the FHIR Standard
Practitioner.address.typerequiredAddressType
http://hl7.org/fhir/ValueSet/address-type|4.0.1
from the FHIR Standard
Practitioner.genderrequiredAdministrativeGender
http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1
from the FHIR Standard
Practitioner.qualification.codeexamplev2.0360.2.7 (a valid code from http://terminology.hl7.org/CodeSystem/v2-0360|2.7)
http://terminology.hl7.org/ValueSet/v2-2.7-0360
from the FHIR Standard
Practitioner.communicationpreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
ca-baseline-practitioner-nameerrorPractitioner.nameEither 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-2errorPractitionerIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorPractitionerIf 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-4errorPractitionerIf 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-5errorPractitionerIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practicePractitionerA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust 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:

Extensions

This structure refers to these extensions:

 

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"
}