Validated Healthcare Directory
0.2.0 - CI Build United States of America flag

Validated Healthcare Directory, published by HL7 International - Patient Administration Work Group. This is not an authorized publication; it is the continuous build for version 0.2.0). This version is based on the current content of https://github.com/HL7/VhDir/ and changes regularly. See the Directory of published versions

Artifacts Summary

This page provides a list of the FHIR artifacts defined as part of this implementation guide.

Behavior: Capability Statements

The following artifacts define the specific capabilities that different types of systems are expected to have in order to comply with this implementation guide. Systems conforming to this implementation guide are expected to declare conformance to one or more of the following capability statements.

Validated Healthcare Directory Server Capability Statement

This Capability Statement defines the expected capabilities of a validated healthcare directory FHIR server conforming to the Validated Healthcare Directory Implementation Guide.

Behavior: Search Parameters

These define the properties by which a RESTful server can be searched. They can also be used for sorting and including related resources.

VhDir_sp_careteam_category

Select CareTeams of the specified type

VhDir_sp_careteam_endpoint

Select CareTeams with the specified endpoint

VhDir_sp_careteam_identifier_assigner

Select CareTeams with an identifier issued by the specified organization

VhDir_sp_careteam_identifier

Select CareTeams with the specified identifier

VhDir_sp_careteam_location

Select care teams operating at the specified location

VhDir_sp_careteam_name

Select care teams with the specified name

VhDir_sp_careteam_organization

Select care teams managed by the specified organization

VhDir_sp_careteam_member

Select care teams that include the specified member

VhDir_sp_careteam_service

Select care teams providing the specified service

VhDir_sp_careteam_status

Select CareTeams with the specified status

VhDir_sp_careteam_via_intermediary

Select CareTeams with contact information available through the specified intermediary

VhDir_sp_endpoint_connection_type

Select Endpoints that support the specified protocol/profile/standard

VhDir_sp_endpoint_identifier_assigner

Select Endpoints with an identifier issued by the specified organization

VhDir_sp_endpoint_identifier

Select Endpoints with the specified identifier

VhDir_sp_endpoint_mime_type

Select endpoints that support the specified media type

VhDir_sp_endpoint_organization

Select Endpoints managed by the specified organization

VhDir_sp_endpoint_payload_type

Select Endpoints that support the specified type of content

VhDir_sp_endpoint_status

Select Endpoints with the specified status

VhDir_sp_endpoint_usecase_standard

Select endpoints that support the specified standard

VhDir_sp_endpoint_usecase_type

Select endpoints that support the type of services indicated by the specified code

VhDir_sp_endpoint_via_intermediary

Select Endpoints with contact information available through the specified intermediary

VhDir_sp_healthcareservice_characteristic

Select HealthcareServices with the specified characteristic

VhDir_sp_healthcareservice_coverage_area

Select services available in a region described by the specified location

VhDir_sp_healthcareservice_eligibility

Select services with the specified eligibility requirements

VhDir_sp_healthcareservice_endpoint

Select HealthcareServices with the specified endpoint

VhDir_sp_healthcareservice_identifier_assigner

Select HealthcareServices with an identifier issued by the specified organization

VhDir_sp_healthcareservice_identifier

Select HealthcareServices with the specified identifier

VhDir_sp_healthcareservice_location

Select HealthcareServices available at the specified location

VhDir_sp_healthcareservice_name

Select HealthcareServices with the specified name

VhDir_sp_healthcareservice_new_patient_network

Select HealthcareServices that are part of the specified network and are/are not accepting new patients

VhDir_sp_healthcareservice_new_patient

Select HealthcareServices that are/are not accepting new patients

VhDir_sp_healthcareservice_organization

Select HealthcareServices provided by the specified organization

VhDir_sp_healthcareservice_category

Select HealthcareServices providing the specified category of services

VhDir_sp_healthcareservice_type

Select HealthcareServices of the specified type

VhDir_sp_healthcareservice_specialty

Select services associated with the specified specialty

VhDir_sp_healthcareservice_via_intermediary

Select HealthcareServices with contact information available through the specified intermediary

VhDir_sp_insuranceplan_administered_by

Select products that are administered by the specified organization

VhDir_sp_insuranceplan_coverage_area

Select products that are offered in the specified location

VhDir_sp_insuranceplan_coverage_benefit_type

Select health insurance products offering covered benefits of the specified type

VhDir_sp_insuranceplan_coverage_limit_value

Select health insurance products with covered benefits limited in the specified manner

VhDir_sp_insuranceplan_coverage_network

Select products offering covered benefits through the specified health insurance provider network

VhDir_sp_insuranceplan_coverage_type

Select products offering the specified type of coverage

VhDir_sp_insuranceplan_endpoint

Select health insurance products/plans with the specified endpoint

VhDir_sp_insuranceplan_general_cost_groupsize

Select plans with costs for the specified group size

VhDir_sp_insuranceplan_general_cost_type

Select plans with the specified type of cost

VhDir_sp_insuranceplan_general_cost_value

Select plans which include the specified cost

VhDir_sp_insuranceplan_identifier

Select products with the specified identifier

VhDir_sp_insuranceplan_name

Select products with the specified name

VhDir_sp_insuranceplan_network

Select products associated with the specified health insurance provider network

VhDir_sp_insuranceplan_owned_by

Select products that are owned by the specified organization

VhDir_sp_insuranceplan_plan_coverage_area

Select plans that are available in the specified location

VhDir_sp_insuranceplan_plan_identifier

Select plans with the specified identifier

VhDir_sp_insuranceplan_plan_network

Select plans associated with the specified health insurance provider network

VhDir_sp_insuranceplan_plan_type

Select plans of the specified type

VhDir_sp_insuranceplan_specific_cost_benefit_type

Select plans which include costs for the specified type of benefit

VhDir_sp_insuranceplan_specific_cost_category

Select plans which include costs for the specified category of coverage

VhDir_sp_insuranceplan_specific_cost_cost_type

Select plans which include the specified type of cost

VhDir_sp_insuranceplan_specific_cost_value

Select plans which include the specified cost

VhDir_sp_insuranceplan_status

Select health insurance products/plans with the specified status

VhDir_sp_insuranceplan_type

Select insurance plans of the specified type

VhDir_sp_location_accessibility

Select locations that offer the specified accessibility options

VhDir_sp_location_address

Select Locations with the specified address

VhDir_sp_location_contains

Select locations that contain the specified co-ordinates

VhDir_sp_location_endpoint

Select Locations with the specified endpoint

VhDir_sp_location_identifier_assigner

Select Locations with an identifier issued by the specified organization

VhDir_sp_location_identifier

Select Locations with the specified identifier

VhDir_sp_location_new_patient_network

Select locations that are part of the specified network and are/are not accepting new patients

VhDir_sp_location_new_patient

Select locations that are/are not accepting new patients

VhDir_sp_location_organization

Select Locations managed by the specified organization

VhDir_sp_location_partof

Select Locations that are part of the specified location

VhDir_sp_location_status

Select Locations with the specified status

VhDir_sp_location_type

Select Locations of the specified type

VhDir_sp_location_via_intermediary

Select Locations with contact information available through the specified intermediary

VhDir_sp_organization_address_city

Select organizations with an address in the specified city

VhDir_sp_organization_address_country

Select organizations with an address in the specified country

VhDir_sp_organization_address_postalcode

Select organizations with an address with the specified postal code

VhDir_sp_organization_address_state

Select organizations with an address in the specified state

VhDir_sp_organization_address

Select organizations with the specified address (matches any of the string elements of an address)

VhDir_sp_network_coverage_area

Select health insurance provider networks available in a region described by the specified location

VhDir_sp_organization_endpoint

Select Organizations with the specified endpoint

VhDir_sp_organization_identifier_assigner

Select Organizations with an identifier issued by the specified organization

VhDir_sp_organization_identifier

Select Organizations with the specified identifier

VhDir_sp_organization_name

Select Organizations with the specified name

VhDir_sp_organization_partof

Select Organizations that are part of the specified organization

VhDir_sp_organization_qualification_code

Select Organizations with a type of qualification matching the specified code

VhDir_sp_organization_qualification_issuer

Select Organizations with a qualification issued by the specified organization

VhDir_sp_organization_qualification_status

Select Organizations with a qualification status matching the specified code

VhDir_sp_organization_qualification_wherevalid_code

Select Organizations with a qualification that is valid at the location indicated by the specified code

VhDir_sp_organization_qualification_wherevalid_location

Select Organizations with a qualification that is valid at the specified location

VhDir_sp_organization_type

Select Organizations of the specified type

VhDir_sp_organization_via_intermediary

Select Organizations with contact information available through the specified intermediary

VhDir_sp_organizationaffiliation_endpoint

Select OrganizationAffiliations with the specified endpoint

VhDir_sp_organizationaffiliation_identifier_assigner

Select OrganizationAffiliations with an identifier issued by the specified organization

VhDir_sp_organizationaffiliation_identifier

Select OrganizationAffiliations with the specified identifier

VhDir_sp_organizationaffiliation_location

Select OrganizationAffiliations available at the specified location

VhDir_sp_organizationaffiliation_network

Select roles where the organization is a member of the specified health insurance provider network

VhDir_sp_organizationaffiliation_participating_organization

Select roles filled by the specified organization

VhDir_sp_organizationaffiliation_primary_organization

Select roles offered by the specified organization

VhDir_sp_organizationaffiliation_role

Select OrganizationAffiliations with the specified role

VhDir_sp_organizationaffiliation_service

Select OrganizationAffiliations providing the specified service

VhDir_sp_organizationaffiliation_specialty

Select OrganizationAffiliations associated with the specified specialty

VhDir_sp_organizationaffiliation_via_intermediary

Select OrganizationAffiliations with contact information available through the specified intermediary

VhDir_sp_practitioner_endpoint

Select Practitioners with the specified endpoint

VhDir_sp_practitioner_family_name

Select Practitioners with the specified family name

VhDir_sp_practitioner_given_name

Select Practitioners with the specified given name

VhDir_sp_practitioner_identifier_assigner

Select Practitioners with an identifier issued by the specified organization

VhDir_sp_practitioner_identifier

Select Practitioners with the specified identifier

VhDir_sp_practitioner_name

Select Practitioners with the specified name (matches against any of the elements in the HumanName data type)

VhDir_sp_practitioner_phonetic

Select Practitioners with the specified name (A portion of name using some kind of phonetic matching algorithm)

VhDir_sp_practitioner_qualification_code

Select Practitioners with a type of qualification matching the specified code

VhDir_sp_practitioner_qualification_issuer

Select Practitioners with a qualification issued by the specified organization

VhDir_sp_practitioner_qualification_period

Select Practitioners that have a qualification relevant to the date provided

VhDir_sp_practitioner_qualification_status

Select Practitioners with a qualification status matching the specified code

VhDir_sp_practitioner_qualification_wherevalid_code

Select Practitioners with a qualification that is valid at the location indicated by the specified code

VhDir_sp_practitioner_qualification_wherevalid_location

Select Practitioners with a qualification that is valid at the specified location

VhDir_sp_practitioner_via_intermediary

Select Practitioners with contact information available through the specified intermediary

VhDir_sp_practitionerrole_endpoint

Select PractitionerRoles with the specified endpoint

VhDir_sp_practitionerrole_identifier_assigner

Select PractitionerRoles with an identifier issued by the specified organization

VhDir_sp_practitionerrole_identifier

Select PractitionerRoles with the specified identifier

VhDir_sp_practitionerrole_location

Select PractitionerRoles available at the specified location

VhDir_sp_practitionerrole_network

Select roles where the practitioner is a member of the specified health insurance provider network

VhDir_sp_practitionerrole_new_patient_network

Select PractitionerRoles that are part of the specified network and are/are not accepting new patients

VhDir_sp_practitionerrole_new_patient

Select PractitionerRoles that are/are not accepting new patients

VhDir_sp_practitionerrole_organization

Select PractitionerRoles available at the specified organization

VhDir_sp_practitionerrole_practitioner

Select roles filled by the specified practitioner

VhDir_sp_practitionerrole_qualification_code

Select PractitionerRoles with a type of qualification matching the specified code

VhDir_sp_practitionerrole_qualification_issuer

Select PractitionerRoles with a qualification issued by the specified organization

VhDir_sp_practitionerrole_qualification_status

Select PractitionerRoles with a qualification status matching the specified code

VhDir_sp_practitionerrole_qualification_wherevalid_code

Select PractitionerRoles with a qualification that is valid at the location indicated by the specified code

VhDir_sp_practitionerrole_qualification_wherevalid_location

Select PractitionerRoles with a qualification that is valid at the specified location

VhDir_sp_practitionerrole_role

Select PractitionerRoles with the specified role

VhDir_sp_practitionerrole_service

Select PractitionerRoles providing the specified service

VhDir_sp_practitionerrole_specialty

Select PractitionerRoles associated with the specified specialty

VhDir_sp_practitionerrole_via_intermediary

Select PractitionerRoles with contact information available through the specified intermediary

VhDir_sp_verificationresult_attestation_method

Select validation information for data that was attested to using the specified method

VhDir_sp_verificationresult_attestation_onbehalfof

Select validation information for data that was attested to on behalf of the specified source

VhDir_sp_verificationresult_attestation_who

Select validation information for data that was attested to by the specified source

VhDir_sp_verificationresult_primarysource_date

Select validation information for data that was validated against a primary source on the specified date

VhDir_sp_verificationresult_primarysource_type

Select validation information for data that was validated against the specified type of primary source organization

VhDir_sp_verificationresult_primarysource_who

Select validation information for data that was validated against the specified primary source

VhDir_sp_verificationresult_status_date

Select validation information with a validation status that occurred at the specified date/time

VhDir_sp_verificationresult_target

Select validation information for the specified resource

VhDir_sp_verificationresult_validation_status

Select validation information with the specified status

VhDir_sp_verificationresult_validator_organization

Select validation information for data that was validated by the specified organization

Structures: Resource Profiles

These define constraints on FHIR resources for systems conforming to this implementation guide.

VhDir Care Team

Defines the basic constraints and extensions on the CareTeam resource for use in a Validated Healthcare Directory

VhDir Endpoint

Defines the basic constraints and extensions on the Endpoint resource for use in a Validated Healthcare Directory

VhDir Healthcare Service

Defines the basic constraints and extensions on the HealthcareService resource for use in a Validated Healthcare Directory

VhDir Insurance Plan

The details of a health insurance product/plan

VhDir Location

Defines the basic constraints and extensions on the Location resource for use in a Validated Healthcare Directory

VhDir Network

Defines the properties of a Network (through extending an Organization resource) for use in a Validated Healthcare Directory

VhDir Organization

Defines the basic constraints and extensions on the Organization resource for use in a Validated Healthcare Directory

VhDir Organization Affiliation

Details about the role a participating organization plays in relation to a primary organization

VhDir Practitioner

Defines the basic constraints and extensions on the Practitioner resource for use in a Validated Healthcare Directory

VhDir Practitioner Role
VhDir Restriction

Restriction on use/release of exchanged information

VhDir Validation

Describes validation requirements, source(s), status and dates for one or more elements

Structures: Extension Definitions

These define constraints on FHIR data types for systems conforming to this implementation guide.

VhDir Accessibility

Accessibility options offered to the patient/consumer

VhDir Careteam Alias

Alternate names by which the team is known

VhDir Communication Proficiency

Level of proficiency

VhDir Contactpoint Availabletime

Time period when the contact point is to be used

VhDir Contactpoint Viaintermediary

Represents an external point of contact responsible for handling communications with this entity

VhDir Digitalcertificate

A digital certificate, used to identify a user or group of users, or for encrypted communications

VhDir Ehr

Information about the EHR system/module used at a location

VhDir Endpoint Rank

Order established by a Role, Organization… for Endpoints capable of transferring the same content

VhDir Practitioner Endpoint Reference

The technical details of an endpoint that can be used for electronic services

VhDir Endpoint Usecase

An enumeration of specific use cases (service descriptions) supported by the endpoint

VhDir Healthcareservice Reference

Reference to healthcareservice resource

VhDir Identifier Status

Describes the status of an identifier

VhDir Insurance Plan Reference

A reference to the insurancePlan resource

VhDir Location Reference

A reference to the location resource

VhDir Network Reference

A reference to the Network

VhDir New Patient Profile

Additional information about new patients a practitioner/service/location accepts (e.g. only children)

VhDir Newpatients

An indication of whether a location, service, or practitioner is accepting new patients

VhDir Org Alias Period

the period of time the alias was actively used

VhDir Org Alias Type
Type of alias (legal alternative historical)
VhDir Org Description

Additional descriptive content

VhDir Practitioner Qualification

Extension to practitioner.qualification adding the status of the qualification, where it is valid, and the history of the qualification

VhDir Qualification

Qualifications obtained by training and certification

VhDir Usage Restriction

The FHIR specification contains a security meta tag which can be used to inform systems of the sensitivity of resources, as well as by access control mechanisms to ensure content isn’t exposed that shouldn’t be. This mechanism only goes to the resource level, this reference to a usage-restriction (consent) extends this further into the resource, and can be applied to any element, and may apply to all properties beneath the element (e.g. If applied to an identifier on a practitioner, then all the properties of the identifier should not be exposed unless it is understood) This will be expected to be used as a modifier extension.

Terminology: Value Sets

These define sets of codes used by systems conforming to this implementation guide.

VhDir Accessibility Value Set

Codes for documenting general categories of accommodations available.

VhDir Alias Type Value Set

Codes for documenting the reason behind the existence of an alias.

VhDir Attestation Method

This value set includes a codes that describe the relationship between the list of standards defining digital certificates.

VhDir Benefit Type

This value set defines a set of codes that indicate the type of benefit in a product/plan.

VhDir Certification Edition Value Set

Codes for documenting the certification edition of an electronic health record system.

VhDir Consent Value Set

Codes for use in defining access levels for sharing subsets of constrained content (as an example)

VhDir Coverage Type

This value set defines a set of codes that indicate the type of coverage of a plan.

VhDir Digital Certificate Standard Value Set

This value set includes a list of standards defining digital certificates.

VhDir Digital Certificate Trust Framework Value Set

A trust framework is developed by a community whose members have similar goals and perspectives. It defines the rights and responsibilities of that community’s participants in an identity ecosystem, specifies the policies and standards specific to the community, and defines the community-specific processes and procedures that provide assurance. A trust framework may define how community members conduct identity management responsibilities; share, use, protect, and secure identity information; perform specific roles within the community; and/or manage liability and legal issues. This value set defines common trust frameworks for certificate-based public key cryptographic systems in healthcare.

VhDir Digital Certificate Type Value Set

In a certificate-based public key cryptographic system, certificates are issued to subscribers, whose name appears as the subject in the certificate. This value set defines a set of terms describing the types of subscribers who may be issued digital certificates.

VhDir Digital Certificate Use Value Set

This value set defines the purpose of the key contained in a public key certificate.

VhDir External Validation Type Value Set

Attested information varies in the means by which it is validated. For example information some information may be validated by a single external source. Other information such as participation in a network or another relationship may require mulitple sources. Some cannot, and will be validated. This value set defines a set of codes describing the means of validation.

VhDir Failure Action

This value set defines a set of codes that indicate the disposition of a primary source validation process that has failed.

VhDir Healthcare Service Characteristic

This value set defines a set of codes that indicate the characteristics of a healthcare service.

VhDir Healthcare Service Eligibility

This value set defines a set of codes that indicate the eligibilty requirements for a service.

VhDir Identifier Type Value Set

Codes for documenting practitioner identifier type.

VhDir Identifier Status Value Set

Codes for documenting the status of an identifier.

VhDir Insurance Plan Type

This value set defines a set of codes that indicate the type of a insurance plan.

VhDir Insurance Plan Benefit Cost Type

This value set defines a set of codes that indicate the cost for a particular benefit on a plan.

VhDir Insurance Plan Benefit Type

This value set defines a set of codes that indicate the benefit type of a plan.

VhDir Insurance Plan Cost Category

This value set defines a set of codes that indicate the cost catagory of a plan.

VhDir Insurance Plan Cost Qualifier

This value set defines a set of codes that further qualify the cost of a plan.

VhDir Insurance Plan Cost Type

This value set defines a set of codes that indicate the cost type of a plan.

VhDir Insurance Plan Group Size

This value set defines a set of codes that indicate the size of coverage.

VhDir Spoken Language Proficiency

Codes for documenting spoken language proficiency based on the Interagency Language Roundtable scale of abilities to communicate in a language.

VhDir Limit Unit

This value set defines a set of codes that indicates the unit of any limit on a benefit in a product/plan.

VhDir Network Type Value Set

Codes for documenting network type.

VhDir Ehr Patient Access Value Set

Codes for documenting patient facing access to an electronic health record system.

VhDir Plan Type

This value set defines a set of codes that indicate the type of a plan.

VhDir Primary Source Failure Action

This value set defines a set of codes that indicate the disposition of a primary source validation process that has failed.

VhDir Primary Source Push

This value set defines a set of codes that indicate if a primary source of validated data has the capacity to send validation details directly to a validated healthcare directory.

VhDir Primary Source Push Type

This value set defines a set of codes that indicate the scope of data sent from a primary source of validated data to a validated healthcare directory when there is a push model (from the sender) for sending data.

VhDir Primary Source Validation Type

This value set defines a set of codes that describes the entity that provides validatation of attested data.

VhDir Primary Source Validation Process

Attested information may be validated by process that are manual or automated. For automated processes it may accomplished by the system of record reaching out through another system’s API or information may be sent to the system of record. This value set defines a set of codes to describing the process, the how, a resource or data element is validated.

VhDir Primary Source Validation Status

This value set defines a set of codes that indicate various states in the validation process that a given that a resource or element may be in at a point in time.

VhDir Qualification Status

Codes for documenting the status of a qualification.

VhDir Use Case Type

Codes for documenting business use case by a general grouping by business area.

VhDir Primary Source Validation Need

Attested information may require validation once, on a periodic basis, or in the case of information that is only self attested no validation at all. This value set defines a set of codes that describe how often validation is needed, if at all.

VhDir Validation Process

Documents the external source validation requirements for this element or set of elements.

Terminology: Code Systems

These define new code systems used by systems conforming to this implementation guide.

VhDir Accessibility Code System

This code system contains codes for documenting the attributes of accessibility

VhDir Consent Code System

Codes for use in defining access levels for sharing subsets of constrained content (as an example)

VhDir Credential Status Code System

This code system contains codes for indicating the status of a credential, such as an identifier or qualification.

VhDir Digital Certificate Code System

Public key infrastructure (PKI) refers to the architecture, organizations, techniques, practices, and procedures that collectively support the implementation and operation of a certificate-based public key cryptographic system. A certificate is a set of data that uniquely identifies a key pair and an owner that is authorized to use the key pair. The certificate contains the owner’s public key and other information, and is digitally signed by a Certification Authority (i.e., a trusted party), thereby binding the public key to the owner. This code system includes terms describing various aspects of a certificate-based public key cryptographic system, such as applicable standards, types of certificates, uses of certificates, and associated trust frameworks.

VhDir Ehr Characteristics Code System

This code system contains codes for describing attributes of an electronic health record (EHR) product.

VhDir Healthcare Service Characteristic

This code system contains codes for documenting the attributes of a health care services.

VhDir Healthcare Service Eligibility

This code system contains codes for documenting the attributes of eligibility for health care services.

VhDir Insurance Plan Code System

This code system contains codes for documenting the various attributes of an Insurance Plan

VhDir Spoken Language Proficiency Code System

This code system contains codes for documenting the attributes of spoken language proficiency

VhDir Network Type Code System

This code system contains codes for documenting network.

VhDir Organization Demographics Code System

This code system contains codes for documenting the attributes of an Organization.

VhDir Payer Characteristics Code System

This code system contains codes for documenting attributes of a Payor related resources.

VhDir Primary Source Code System

This code system contains codes for documenting the attributes related to the business process of primary source validation durign the maintenance of a Healthcare Directory.

VhDir Use Case Code System

This code system contains codes for documenting the various attributes of a Use Case

VhDir Validation Type Code System

This code system contains codes for documenting the attributes of the FHIR resource Validation to reflect the business process of validating information in a Healthcare Directory.

Terminology: Concept Maps

These define transformations to convert between codes by systems conforming with this implementation guide.

VhDir Qualification Status Value Set – Status Code Mapping

Canonical Mapping for “Codes for documenting the status of a qualification.”

Example: Example Instances

These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.

cardiologycareteam1
direct321
ffcardiology
independencerehab1
independencerehab2
hcs-ws
insuranceplan1
loc-ffmh-hvi

Heart and Vascular Institute Specialty Wing

loc-ffmh

Main campus of Founding Fathers Memorial Hospital

wash-dc-metro
loc-ws
patriotppo
foundingfathers
homeland
mtvernon
patriotdental
independencerehab
monumentHIE
orgrole2
orgrole1
practitionerrole1
practitioner1
example-license
womens-shelter