National Healthcare Directory Query
1.0.0-ballot - ballot

National Healthcare Directory Query, published by HL7 International - Patient Administration Work Group. This is not an authorized publication; it is the continuous build for version 1.0.0-ballot). This version is based on the current content of https://github.com/HL7/fhir-directory-query/ and changes regularly. See the Directory of published versions

## Resource Profile: NatlDirEndpointQryPractitionerRole - Detailed Descriptions

Active as of 2022-12-08

Definitions for the NatlDirEndpointQry-PractitionerRole resource profile.

- Differential Elements Table
- Key Elements Table
- Snapshot Elements Table

Guidance on how to interpret the contents of this table can be found here.

1. PractitionerRole
Invariants | Defined on this element practitioner-or-organization-or-healthcareservice-or-location: If NatlDirPractitionerRole.practitioner is absent ( NatlDirPractitionerRole.organization, NatlDirPractitionerRole.healthcareservice, NatlDirPractitionerRole.location) must be present (: practitioner.exists() or (organization.exists() or healthcareservice.exists() or location.exists()))
2. PractitionerRole.meta
Control | 0..?
3. PractitionerRole.meta.lastUpdated
Control | 1..?
4. PractitionerRole.extension
Slicing | This element introduces a set of slices on PractitionerRole.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: value @ url
5. PractitionerRole.extension:rating
SliceName | rating
Control | 0..*
Type | Extension(Rating) (Complex Extension)
6. PractitionerRole.extension:newpatients
SliceName | newpatients
Control | 0..*
Type | Extension(NewPatients) (Complex Extension)
7. PractitionerRole.extension:network-reference
SliceName | network-reference
Control | 0..1
Type | Extension(NetworkReference) (Extension Type: Reference(NatlDirEndpointQryNetwork))
8. PractitionerRole.identifier
Note | This is a business identifier, not a resource identifier (see discussion)
Must Support | true
9. PractitionerRole.active
Control | 10..1
10. PractitionerRole.practitioner
Control | 10..1
Type | Reference(NatlDirEndpointQryPractitioner|Practitioner)
Must Support | true
11. PractitionerRole.organization
Control | 10..1
Type | Reference(NatlDirEndpointQryOrganization|Organization)
Must Support | true
12. PractitionerRole.code
Binding | The codes SHALL be taken from PractitionerRole Code Value Set For example codes, see PractitionerRole
Must Support | true
13. PractitionerRole.specialty
Binding | The codes SHALL be taken from Individual and Group Specialties The codes SHOULD be taken from PracticeSettingCodeValueSet
Must Support | true
14. PractitionerRole.location
Type | Reference(NatlDirEndpointQryLocation|Location)
Must Support | true
15. PractitionerRole.healthcareService
Type | Reference(NatlDirEndpointQryHealthcareService|HealthcareService)
Must Support | true
16. PractitionerRole.telecom
Control | 0..?
17. PractitionerRole.telecom.extension:contactpoint-availabletime
SliceName | contactpoint-availabletime
Control | 0..*
Type | Extension(ContactPointAvailableTime) (Complex Extension)
18. PractitionerRole.telecom.extension:via-intermediary
SliceName | via-intermediary
Control | 0..*
Type | Extension(ViaIntermediary) (Extension Type: Reference(NatlDirEndpointQryPractitionerRole|NatlDirEndpointQryOrganizationAffiliation|NatlDirEndpointQryLocation|NatlDirEndpointQryOrganization))
19. PractitionerRole.telecom.system
Control | 1..?
20. PractitionerRole.telecom.value
Control | 1..?
21. PractitionerRole.endpoint
Type | Reference(NatlDirEndpointQryEndpoint|Endpoint)
Must Support | true

Guidance on how to interpret the contents of this table can be found here.

1. PractitionerRole
Definition | A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time.
Control | 0..*
Invariants | Defined on this element dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (: contained.contained.empty()) dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (: contained.meta.security.empty()) dom-6: A resource should have narrative for robust management (: text.`div`.exists()) practitioner-or-organization-or-healthcareservice-or-location: If NatlDirPractitionerRole.practitioner is absent ( NatlDirPractitionerRole.organization, NatlDirPractitionerRole.healthcareservice, NatlDirPractitionerRole.location) must be present (: practitioner.exists() or (organization.exists() or healthcareservice.exists() or location.exists()))
2. PractitionerRole.implicitRules
Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Control | 0..1
Type | uri
Is Modifier | true
Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
3. PractitionerRole.extension
Definition | An Extension May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Control | 0..*
Type | Extension
Alternate Names | extensions, user content
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
Slicing | This element introduces a set of slices on PractitionerRole.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: value @ url
4. PractitionerRole.extension:rating
SliceName | rating
Definition | Rating May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Control | This element is affected by the following invariants: ele-1
Type | Extension(Rating) (Complex Extension)
Invariants | Defined on this element ele-1: (: ) ext-1: (: )
5. PractitionerRole.extension:newpatients
SliceName | newpatients
Definition | New Patients indicates whether new patients are being accepted in general, or from a specific network. This extension is included in the PractitionerRole, HealthcareService, and Location profiles. This provides needed flexibility for specifying whether a provider accepts new patients by location and network. May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Control | This element is affected by the following invariants: ele-1
Type | Extension(NewPatients) (Complex Extension)
Invariants | Defined on this element ele-1: (: ) ext-1: (: ) new-patients-characteristics: If no new patients are accepted, no characteristics are allowed (: extension('acceptingPatients').valueCodeableConcept.coding.exists(code = 'no') implies extension('characteristics').empty())
6. PractitionerRole.extension:network-reference
SliceName | network-reference
Definition | A reference to the healthcare provider insurance networks (NatlDirEndpointQry-Network) the practitioner participates in through their role
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(NetworkReference) (Extension Type: Reference(NatlDirEndpointQryNetwork))
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
7. PractitionerRole.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Control | 0..*
Type | Extension
Is Modifier | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
8. PractitionerRole.identifier
Definition | Business Identifiers that are specific to a role/location.
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..*
Type | Identifier
Must Support | true
Requirements | Often, specific identities are assigned for the agent.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
9. PractitionerRole.active
Definition | Whether this practitioner role record is in active use.
Control | 10..1
Type | boolean
Requirements | Need to be able to mark a practitioner role record as not to be used because it was created in error, or otherwise no longer in active use.
Comments | If this value is false, you may refer to the period to see when the role was in active use. If there is no period specified, no inference can be made about when it was active.
Meaning if Missing | This resource is generally assumed to be active if no value is provided for the active element
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
10. PractitionerRole.practitioner
Definition | Practitioner that is able to provide the defined services for the organization.
Control | 10..1
Type | Reference(NatlDirEndpointQryPractitioner|Practitioner)
Must Support | true
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
11. PractitionerRole.organization
Definition | The organization where the Practitioner performs the roles associated.
Control | 10..1
Type | Reference(NatlDirEndpointQryOrganization|Organization)
Must Support | true
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
12. PractitionerRole.code
Definition | Roles which this practitioner is authorized to perform for the organization.
Control | 0..*
Binding | The codes SHALL be taken from PractitionerRole Code Value Set For example codes, see PractitionerRole
Type | CodeableConcept
Must Support | true
Requirements | Need to know what authority the practitioner has - what can they do?
Comments | A person may have more than one role.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
13. PractitionerRole.specialty
Definition | Specific specialty of the practitioner.
Control | 0..*
Binding | The codes SHALL be taken from Individual and Group Specialties The codes SHOULD be taken from PracticeSettingCodeValueSet
Type | CodeableConcept
Must Support | true
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
14. PractitionerRole.location
Definition | The location(s) at which this practitioner provides care.
Control | 0..*
Type | Reference(NatlDirEndpointQryLocation|Location)
Must Support | true
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
15. PractitionerRole.healthcareService
Definition | The list of healthcare services that this worker provides for this role's Organization/Location(s).
Control | 0..*
Type | Reference(NatlDirEndpointQryHealthcareService|HealthcareService)
Must Support | true
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
16. PractitionerRole.endpoint
Definition | Technical endpoints providing access to services operated for the practitioner with this role.
Control | 0..*
Type | Reference(NatlDirEndpointQryEndpoint|Endpoint)
Must Support | true
Requirements | Organizations have multiple systems that provide various services and ,ay also be different for practitioners too. So the endpoint satisfies the need to be able to define the technical connection details for how to connect to them, and for what purpose.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))

Guidance on how to interpret the contents of this table can be found here.

1. PractitionerRole
Definition | A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time.
Control | 0..*
2. PractitionerRole.id
Definition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
Control | 0..1
Type | id
Comments | The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
3. PractitionerRole.meta
Definition | The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
Control | 0..1
Type | Meta
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
4. PractitionerRole.meta.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Control | 0..1
Type | string
XML Representation | In the XML format, this property is represented as an attribute.
5. PractitionerRole.meta.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Control | 0..*
Type | Extension
Alternate Names | extensions, user content
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
Slicing | This element introduces a set of slices on PractitionerRole.meta.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: value @ url
6. PractitionerRole.meta.versionId
Definition | The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted.
Control | 0..1
Type | id
Comments | The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
7. PractitionerRole.meta.lastUpdated
Definition | When the resource last changed - e.g. when the version changed.
Control | 1..1
Type | instant
Comments | This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
8. PractitionerRole.meta.source
Definition | A uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.
Control | 0..1
Type | uri
Comments | In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
9. PractitionerRole.meta.profile
Definition | A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url.
Control | 0..*
Type | canonical(StructureDefinition)
Comments | It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
10. PractitionerRole.meta.security
Definition | Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.
Control | 0..*
Binding | The codes SHALL be taken from All Security Labels; other codes may be used where these codes are not suitable Security Labels from the Healthcare Privacy and Security Classification System
Type | Coding
Comments | The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
11. PractitionerRole.meta.tag
Definition | Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.
Control | 0..*
Binding | For example codes, see CommonTags Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones"
Type | Coding
Comments | The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
12. PractitionerRole.implicitRules
Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Control | 0..1
Type | uri
Is Modifier | true
Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
13. PractitionerRole.language
Definition | The base language in which the resource is written.
Control | 0..1
Binding | The codes SHOULD be taken from CommonLanguages A human language
Additional Bindings | Purpose
AllLanguages | Max Binding
Type | code
Comments | Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
14. PractitionerRole.text
Definition | A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
Control | 0..1
Type | Narrative
Alternate Names | narrative, html, xhtml, display
Comments | Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
15. PractitionerRole.contained
Definition | These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
Control | 0..*
Type | Resource
Alternate Names | inline resources, anonymous resources, contained resources
Comments | This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
16. PractitionerRole.extension
Definition | An Extension
Control | 0..*
Type | Extension
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
Slicing | This element introduces a set of slices on PractitionerRole.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: value @ url
17. PractitionerRole.extension:rating
SliceName | rating
Definition | Rating
Control | 0..* This element is affected by the following invariants: ele-1
Type | Extension(Rating) (Complex Extension)
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
18. PractitionerRole.extension:newpatients
SliceName | newpatients
Definition | New Patients indicates whether new patients are being accepted in general, or from a specific network. This extension is included in the PractitionerRole, HealthcareService, and Location profiles. This provides needed flexibility for specifying whether a provider accepts new patients by location and network.
Control | 0..* This element is affected by the following invariants: ele-1
Type | Extension(NewPatients) (Complex Extension)
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) new-patients-characteristics: If no new patients are accepted, no characteristics are allowed (: extension('acceptingPatients').valueCodeableConcept.coding.exists(code = 'no') implies extension('characteristics').empty())
19. PractitionerRole.extension:network-reference
SliceName | network-reference
Definition | A reference to the healthcare provider insurance networks (NatlDirEndpointQry-Network) the practitioner participates in through their role
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(NetworkReference) (Extension Type: Reference(NatlDirEndpointQryNetwork))
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
20. PractitionerRole.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Control | 0..*
Type | Extension
Is Modifier | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
21. PractitionerRole.identifier
Definition | Business Identifiers that are specific to a role/location.
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..*
Type | Identifier
Must Support | true
Requirements | Often, specific identities are assigned for the agent.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
22. PractitionerRole.active
Definition | Whether this practitioner role record is in active use.
Control | 1..1
Type | boolean
Requirements | Need to be able to mark a practitioner role record as not to be used because it was created in error, or otherwise no longer in active use.
Comments | If this value is false, you may refer to the period to see when the role was in active use. If there is no period specified, no inference can be made about when it was active.
Meaning if Missing | This resource is generally assumed to be active if no value is provided for the active element
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
23. PractitionerRole.period
Definition | The period during which the person is authorized to act as a practitioner in these role(s) for the organization.
Control | 0..1
Type | Period
Requirements | Even after the agencies is revoked, the fact that it existed must still be recorded.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
24. PractitionerRole.practitioner
Definition | Practitioner that is able to provide the defined services for the organization.
Control | 1..1
Type | Reference(NatlDirEndpointQryPractitioner)
Must Support | true
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
25. PractitionerRole.organization
Definition | The organization where the Practitioner performs the roles associated.
Control | 1..1
Type | Reference(NatlDirEndpointQryOrganization)
Must Support | true
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
26. PractitionerRole.code
Definition | Roles which this practitioner is authorized to perform for the organization.
Control | 0..*
Binding | The codes SHALL be taken from PractitionerRole Code Value Set
Type | CodeableConcept
Must Support | true
Requirements | Need to know what authority the practitioner has - what can they do?
Comments | A person may have more than one role.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
27. PractitionerRole.specialty
Definition | Specific specialty of the practitioner.
Control | 0..*
Binding | The codes SHALL be taken from Individual and Group Specialties
Type | CodeableConcept
Must Support | true
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
28. PractitionerRole.location
Definition | The location(s) at which this practitioner provides care.
Control | 0..*
Type | Reference(NatlDirEndpointQryLocation)
Must Support | true
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
29. PractitionerRole.healthcareService
Definition | The list of healthcare services that this worker provides for this role's Organization/Location(s).
Control | 0..*
Type | Reference(NatlDirEndpointQryHealthcareService)
Must Support | true
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
30. PractitionerRole.telecom
Definition | Contact details that are specific to the role/location/service.
Control | 0..*
Type | ContactPoint
Requirements | Often practitioners have a dedicated line for each location (or service) that they work at, and need to be able to define separate contact details for each of these.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
31. PractitionerRole.telecom.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Control | 0..1
Type | string
XML Representation | In the XML format, this property is represented as an attribute.
32. PractitionerRole.telecom.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Control | 0..*
Type | Extension
Alternate Names | extensions, user content
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
Slicing | This element introduces a set of slices on PractitionerRole.telecom.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: value @ url
33. PractitionerRole.telecom.extension:contactpoint-availabletime
SliceName | contactpoint-availabletime
Definition | An extension representing the days and times a contact point is available
Control | 0..*
Type | Extension(ContactPointAvailableTime) (Complex Extension)
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
34. PractitionerRole.telecom.extension:via-intermediary
SliceName | via-intermediary
Definition | A reference to an alternative point of contact (NatlDirEndpointQry-PractitionerRole, NatlDirEndpointQry-Organization, NatlDirEndpointQry-OrganizationAffiliation, or NatlDirEndpointQry-Location) for this organization
Control | 0..*
Type | Extension(ViaIntermediary) (Extension Type: Reference(NatlDirEndpointQryPractitionerRole|NatlDirEndpointQryOrganizationAffiliation|NatlDirEndpointQryLocation|NatlDirEndpointQryOrganization))
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
35. PractitionerRole.telecom.system
Definition | Telecommunications form for contact point - what communications system is required to make use of the contact.
Control | 1..1 This element is affected by the following invariants: cpt-2
Binding | The codes SHALL be taken from ContactPointSystem Telecommunications form for contact point
Type | code
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
36. PractitionerRole.telecom.value
Definition | The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address).
Control | 1..1
Type | string
Requirements | Need to support legacy numbers that are not in a tightly controlled format.
Comments | Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
37. PractitionerRole.telecom.use
Definition | Identifies the purpose for the contact point.
Control | 0..1
Binding | The codes SHALL be taken from ContactPointUse Use of contact point
Type | code
Is Modifier | true
Requirements | Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.
Comments | Applications can assume that a contact is current unless it explicitly says that it is temporary or old.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
38. PractitionerRole.telecom.rank
Definition | 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.
Control | 0..1
Type | positiveInt
Comments | Note that rank does not necessarily follow the order in which the contacts are represented in the instance.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
39. PractitionerRole.telecom.period
Definition | Time period when the contact point was/is in use.
Control | 0..1
Type | Period
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
40. PractitionerRole.availableTime
Definition | A collection of times the practitioner is available or performing this role at the location and/or healthcareservice.
Control | 0..*
Type | BackboneElement
Comments | More detailed availability information may be provided in associated Schedule/Slot resources.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
41. PractitionerRole.availableTime.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Control | 0..1
Type | string
XML Representation | In the XML format, this property is represented as an attribute.
42. PractitionerRole.availableTime.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Control | 0..*
Type | Extension
Alternate Names | extensions, user content
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
43. PractitionerRole.availableTime.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Control | 0..*
Type | Extension
Is Modifier | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
44. PractitionerRole.availableTime.daysOfWeek
Definition | Indicates which days of the week are available between the start and end Times.
Control | 0..*
Binding | The codes SHALL be taken from DaysOfWeek The days of the week
Type | code
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
45. PractitionerRole.availableTime.allDay
Definition | Is this always available? (hence times are irrelevant) e.g. 24 hour service.
Control | 0..1
Type | boolean
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
46. PractitionerRole.availableTime.availableStartTime
Definition | The opening time of day. Note: If the AllDay flag is set, then this time is ignored.
Control | 0..1
Type | time
Comments | The timezone is expected to be for where this HealthcareService is provided at.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
47. PractitionerRole.availableTime.availableEndTime
Definition | The closing time of day. Note: If the AllDay flag is set, then this time is ignored.
Control | 0..1
Type | time
Comments | The timezone is expected to be for where this HealthcareService is provided at.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
48. PractitionerRole.notAvailable
Definition | The practitioner is not available or performing this role during this period of time due to the provided reason.
Control | 0..*
Type | BackboneElement
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
49. PractitionerRole.notAvailable.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Control | 0..1
Type | string
XML Representation | In the XML format, this property is represented as an attribute.
50. PractitionerRole.notAvailable.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Control | 0..*
Type | Extension
Alternate Names | extensions, user content
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
51. PractitionerRole.notAvailable.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Control | 0..*
Type | Extension
Is Modifier | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
52. PractitionerRole.notAvailable.description
Definition | The reason that can be presented to the user as to why this time is not available.
Control | 1..1
Type | string
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
53. PractitionerRole.notAvailable.during
Definition | Service is not available (seasonally or for a public holiday) from this date.
Control | 0..1
Type | Period
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
54. PractitionerRole.availabilityExceptions
Definition | A description of site availability exceptions, e.g. public holiday availability. Succinctly describing all possible exceptions to normal site availability as details in the available Times and not available Times.
Control | 0..1
Type | string
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
55. PractitionerRole.endpoint
Definition | Technical endpoints providing access to services operated for the practitioner with this role.
Control | 0..*
Type | Reference(NatlDirEndpointQryEndpoint)
Must Support | true
Requirements | Organizations have multiple systems that provide various services and ,ay also be different for practitioners too. So the endpoint satisfies the need to be able to define the technical connection details for how to connect to them, and for what purpose.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))