Da Vinci - Coverage Requirements Discovery
1.1.0-ballot - STU 1.1 United States of America flag

Da Vinci - Coverage Requirements Discovery, published by HL7 International - Financial Management Work Group. This is not an authorized publication; it is the continuous build for version 1.1.0-ballot). This version is based on the current content of https://github.com/HL7/davinci-crd/ and changes regularly. See the Directory of published versions

Resource Profile: Practitioner

Official URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-practitioner Version: 1.1.0-ballot
Draft as of 2018-07-25 Computable Name: Practitioner

This profile specifies constraints on the Practitioner resource to support coverage requirements discovery.

Usage


CRD Clients SHALL use this profile to resolve references to Practitioner resources passed to CRD Services, including userId context references when invoking the following CDS Hooks:

Information provided in Must Support elements will commonly be required for CRD Services to perform coverage requirements discovery.

Formal Views of Profile Content

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

This structure is derived from USCorePractitionerProfile

Summary

Mandatory: 1 element
Must-Support: 3 elements

This structure is derived from USCorePractitionerProfile

NameFlagsCard.TypeDescription & Constraintsdoco
.. Practitioner 0..*USCorePractitionerProfileA person with a formal responsibility in the provisioning of healthcare or related services
... identifier:NPI S1..1IdentifierAn identifier for the person as this agent
Required Pattern: At least the following
.... system1..1uriThe namespace for the identifier value
Fixed Value: http://hl7.org/fhir/sid/us-npi
... qualification S0..*BackboneElementCertification, licenses, or training pertaining to the provision of care
.... code S1..1CodeableConceptCoded representation of the qualification

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Practitioner 0..*USCorePractitionerProfileA person with a formal responsibility in the provisioning of healthcare or related services
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... Slices for identifier SΣ1..*IdentifierAn identifier for the person as this agent
Slice: Unordered, Open by pattern:$this
.... identifier:NPI SΣ1..1IdentifierAn identifier for the person as this agent

Required Pattern: At least the following
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... use0..1codeusual | official | temp | secondary | old (If known)
..... type0..1CodeableConceptDescription of identifier
..... system1..1uriThe namespace for the identifier value
Fixed Value: http://hl7.org/fhir/sid/us-npi
..... value0..1stringThe value that is unique
..... period0..1PeriodTime period when id is/was valid for use
..... assigner0..1Reference(Organization)Organization that issued id (may be just text)
... active Σ0..1booleanWhether this practitioner's record is in active use
... name SΣ1..*HumanNameThe name(s) associated with the practitioner
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ0..1codeusual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.

.... text Σ0..1stringText representation of the full name
.... family SΣ1..1stringFamily name (often called 'Surname')
.... given Σ0..*stringGiven names (not always 'first'). Includes middle names
This repeating element order: Given Names appear in the correct order for presenting the name
.... prefix Σ0..*stringParts that come before the name
This repeating element order: Prefixes appear in the correct order for presenting the name
.... suffix Σ0..*stringParts that come after the name
This repeating element order: Suffixes appear in the correct order for presenting the name
.... period Σ0..1PeriodTime period when name was/is in use
... telecom Σ0..*ContactPointA contact detail for the practitioner (that apply to all roles)
... address Σ0..*AddressAddress(es) of the practitioner that are not role specific (typically home address)
... gender Σ0..1codemale | female | other | unknown
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.

... birthDate Σ0..1dateThe date on which the practitioner was born
... photo 0..*AttachmentImage of the person
... qualification S0..*BackboneElementCertification, licenses, or training pertaining to the provision of care
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... identifier 0..*IdentifierAn identifier for this qualification for the practitioner
.... code S1..1CodeableConceptCoded representation of the qualification
Binding: v2 table 0360, Version 2.7 (example): Specific qualification the practitioner has to provide a service.

.... period 0..1PeriodPeriod during which the qualification is valid
.... issuer 0..1Reference(Organization)Organization that regulates and issues the qualification
... communication 0..*CodeableConceptA language the practitioner can use in patient communication
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages: A human language.



doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Practitioner 0..*USCorePractitionerProfileA person with a formal responsibility in the provisioning of healthcare or related services
... Slices for identifier Σ1..*IdentifierAn identifier for the person as this agent
Slice: Unordered, Open by pattern:$this
.... identifier:NPI Σ1..1IdentifierAn identifier for the person as this agent

Required Pattern: At least the following
..... system1..1uriThe namespace for the identifier value
Fixed Value: http://hl7.org/fhir/sid/us-npi
... name Σ1..*HumanNameThe name(s) associated with the practitioner
.... family Σ1..1stringFamily name (often called 'Surname')
... qualification 0..*BackboneElementCertification, licenses, or training pertaining to the provision of care
.... code 1..1CodeableConceptCoded 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

This structure is derived from USCorePractitionerProfile

Summary

Mandatory: 1 element
Must-Support: 3 elements

Differential View

This structure is derived from USCorePractitionerProfile

NameFlagsCard.TypeDescription & Constraintsdoco
.. Practitioner 0..*USCorePractitionerProfileA person with a formal responsibility in the provisioning of healthcare or related services
... identifier:NPI S1..1IdentifierAn identifier for the person as this agent
Required Pattern: At least the following
.... system1..1uriThe namespace for the identifier value
Fixed Value: http://hl7.org/fhir/sid/us-npi
... qualification S0..*BackboneElementCertification, licenses, or training pertaining to the provision of care
.... code S1..1CodeableConceptCoded representation of the qualification

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Practitioner 0..*USCorePractitionerProfileA person with a formal responsibility in the provisioning of healthcare or related services
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... Slices for identifier SΣ1..*IdentifierAn identifier for the person as this agent
Slice: Unordered, Open by pattern:$this
.... identifier:NPI SΣ1..1IdentifierAn identifier for the person as this agent

Required Pattern: At least the following
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... use0..1codeusual | official | temp | secondary | old (If known)
..... type0..1CodeableConceptDescription of identifier
..... system1..1uriThe namespace for the identifier value
Fixed Value: http://hl7.org/fhir/sid/us-npi
..... value0..1stringThe value that is unique
..... period0..1PeriodTime period when id is/was valid for use
..... assigner0..1Reference(Organization)Organization that issued id (may be just text)
... active Σ0..1booleanWhether this practitioner's record is in active use
... name SΣ1..*HumanNameThe name(s) associated with the practitioner
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ0..1codeusual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.

.... text Σ0..1stringText representation of the full name
.... family SΣ1..1stringFamily name (often called 'Surname')
.... given Σ0..*stringGiven names (not always 'first'). Includes middle names
This repeating element order: Given Names appear in the correct order for presenting the name
.... prefix Σ0..*stringParts that come before the name
This repeating element order: Prefixes appear in the correct order for presenting the name
.... suffix Σ0..*stringParts that come after the name
This repeating element order: Suffixes appear in the correct order for presenting the name
.... period Σ0..1PeriodTime period when name was/is in use
... telecom Σ0..*ContactPointA contact detail for the practitioner (that apply to all roles)
... address Σ0..*AddressAddress(es) of the practitioner that are not role specific (typically home address)
... gender Σ0..1codemale | female | other | unknown
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.

... birthDate Σ0..1dateThe date on which the practitioner was born
... photo 0..*AttachmentImage of the person
... qualification S0..*BackboneElementCertification, licenses, or training pertaining to the provision of care
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... identifier 0..*IdentifierAn identifier for this qualification for the practitioner
.... code S1..1CodeableConceptCoded representation of the qualification
Binding: v2 table 0360, Version 2.7 (example): Specific qualification the practitioner has to provide a service.

.... period 0..1PeriodPeriod during which the qualification is valid
.... issuer 0..1Reference(Organization)Organization that regulates and issues the qualification
... communication 0..*CodeableConceptA language the practitioner can use in patient communication
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages: A human language.



doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

PathConformanceValueSet
Practitioner.languagepreferredCommonLanguages
Max Binding: AllLanguages
Practitioner.name.userequiredNameUse
Practitioner.genderrequiredAdministrativeGender
Practitioner.qualification.codeexamplev2.0360.2.7
Practitioner.communicationpreferredCommonLanguages
Max Binding: AllLanguages

Constraints

IdGradePathDetailsRequirements
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-1errorPractitioner.metaAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorPractitioner.implicitRulesAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorPractitioner.languageAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorPractitioner.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorPractitioner.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorPractitioner.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorPractitioner.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorPractitioner.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorPractitioner.identifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorPractitioner.identifier:NPIAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorPractitioner.activeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorPractitioner.nameAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorPractitioner.name.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorPractitioner.name.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorPractitioner.name.useAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorPractitioner.name.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorPractitioner.name.familyAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorPractitioner.name.givenAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorPractitioner.name.prefixAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorPractitioner.name.suffixAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorPractitioner.name.periodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorPractitioner.telecomAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorPractitioner.addressAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorPractitioner.genderAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorPractitioner.birthDateAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorPractitioner.photoAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorPractitioner.qualificationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorPractitioner.qualification.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorPractitioner.qualification.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorPractitioner.qualification.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorPractitioner.qualification.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorPractitioner.qualification.identifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorPractitioner.qualification.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorPractitioner.qualification.periodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorPractitioner.qualification.issuerAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorPractitioner.communicationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())