QI-Core Implementation Guide
7.0.2 - STU 7

QI-Core Implementation Guide, published by HL7 International / Clinical Quality Information. This guide is not an authorized publication; it is the continuous build for version 7.0.2 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-qi-core/ and changes regularly. See the Directory of published versions

## Resource Profile: QICore PractitionerRole

Official URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitionerrole | Version: 7.0.2
Standards status: Trial-use | Maturity Level: 4 | Computable Name: QICorePractitionerRole

Profile of PractitionerRole for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.

"Must Have", "QI Elements" and "primary code path" are defined in the QI-Core Must Support section.
QI Elements:

- identifier.use: (QI) usual | official | temp | secondary | old (If known)
- period: (QI) The period during which the practitioner is authorized to perform in these role(s)
- identifier.value: (QI) The value that is unique
- practitioner: (QI) Practitioner that is able to provide the defined services for the organization
- identifier: (QI) Business Identifiers that are specific to a role/location
- telecom: (QI) Contact details that are specific to the role/location/service
- identifier.system: (QI) The namespace for the identifier value
- organization: (QI) Organization where the roles are available
- location: (QI) The location(s) at which this practitioner provides care
- code: (QI) Roles which this practitioner may perform
- active: (QI) Whether this practitioner role record is in active use
- specialty: (QI) Specific specialty of the practitioner
- endpoint: (QI) Technical endpoints providing access to services operated for the practitioner with this role

Primary code path: code
(PCPath) This element is the primary code path for this resource CQL Retrieve
Usage

See the patterns page for implementation and usage patterns.

### Examples

PractitionerRole Example

Usages:

- Refer to this Profile: QICore AdverseEvent, QICore CareTeam, QICore Claim, QICore ClaimResponse... Show 9 more, QICore DiagnosticReport Profile for Laboratory Results Reporting, QICore Encounter, QICore ImagingStudy, QICore MedicationRequest, QICore NonPatient Observation, QICore Observation Screening Assessment, QICore QuestionnaireResponse, QICore ServiceRequest and QICore Simple Observation
- Examples for this Profile: PractitionerRole/example

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

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

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
PractitionerRole | C | 0..* | USCorePractitionerRoleProfile | Roles/organizations the practitioner is associated with Constraints: pd-1, us-core-13
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 1..* | Identifier | (QI) Business Identifiers that are specific to a role/location
use | ?!Σ | 1..1 | code | (QI) usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system | Σ | 1..1 | uri | (QI) The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value | Σ | 1..1 | string | (QI) The value that is unique Example General: 123456
active | Σ | 1..1 | boolean | (QI) Whether this practitioner role record is in active use
period | Σ | 1..1 | Period | (QI) The period during which the practitioner is authorized to perform in these role(s)
practitioner | S Σ C | 0..1 | Reference(QICore Practitioner) | (QI) Practitioner that is able to provide the defined services for the organization
organization | S Σ C | 0..1 | Reference(QICore Organization) | (QI) Organization where the roles are available
code | S Σ | 0..* | CodeableConcept | (QI) Roles which this practitioner may perform Binding: Care Team Member Function (extensible): Indicates specific responsibility of an individual within the care team, such as Primary physician, Team coordinator, Caregiver, etc.
specialty | S Σ | 0..* | CodeableConcept | (QI) Specific specialty of the practitioner Binding: Healthcare Provider Taxonomy (extensible)
location | S Σ C | 0..* | Reference(QICore Location) | (QI) The location(s) at which this practitioner provides care
healthcareService | C | 0..* | Reference(HealthcareService) | The list of healthcare services that this worker provides for this role's Organization/Location(s)
telecom | S Σ C | 0..* | ContactPoint | (QI) Contact details that are specific to the role/location/service
system | S Σ C | 1..1 | code | (QI) phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value | S Σ | 1..1 | string | (QI) The actual contact point details
use | ?!Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
endpoint | S C | 0..* | Reference(Endpoint) | (QI) Technical endpoints providing access to services operated for the practitioner with this role
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
PractitionerRole.identifier.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
PractitionerRole.code | Base | extensible | Care Team Member Function | 📦20190418 | VSAC v0.18
PractitionerRole.specialty | Base | extensible | Healthcare Provider Taxonomy | 📦20190521 | VSAC v0.18
PractitionerRole.telecom.​system | Base | required | ContactPointSystem | 📍4.0.1 | FHIR Std.
PractitionerRole.telecom.​use | Base | required | ContactPointUse | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | PractitionerRole | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | PractitionerRole | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | PractitionerRole | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | PractitionerRole | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | PractitionerRole | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
pd-1 | error | PractitionerRole | SHALL have contact information or a reference to an Endpoint | `telecom.exists() or endpoint.exists()`
us-core-13 | error | PractitionerRole | SHALL have a practitioner, an organization, a healthcare service, or a location. | `practitioner.exists() or organization.exists() or healthcareService.exists() or location.exists()`

This structure is derived from USCorePractitionerRoleProfile

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
PractitionerRole |  | 0..* | USCorePractitionerRoleProfile | Roles/organizations the practitioner is associated with
identifier |  | 1..* | Identifier | (QI) Business Identifiers that are specific to a role/location
use |  | 1..1 | code | (QI) usual | official | temp | secondary | old (If known)
system |  | 1..1 | uri | (QI) The namespace for the identifier value
value |  | 1..1 | string | (QI) The value that is unique
active |  | 1..1 | boolean | (QI) Whether this practitioner role record is in active use
period |  | 1..1 | Period | (QI) The period during which the practitioner is authorized to perform in these role(s)
practitioner |  | 0..1 | Reference(QICore Practitioner) | (QI) Practitioner that is able to provide the defined services for the organization
organization |  | 0..1 | Reference(QICore Organization) | (QI) Organization where the roles are available
code |  | 0..* | CodeableConcept | (QI) Roles which this practitioner may perform Binding: Care Team Member Function (extensible): Indicates specific responsibility of an individual within the care team, such as Primary physician, Team coordinator, Caregiver, etc.
specialty |  | 0..* | CodeableConcept | (QI) Specific specialty of the practitioner Binding: Healthcare Provider Taxonomy (extensible)
location |  | 0..* | Reference(QICore Location) | (QI) The location(s) at which this practitioner provides care
healthcareService | C | 0..* | Reference(HealthcareService) | The list of healthcare services that this worker provides for this role's Organization/Location(s)
telecom | C | 0..* | ContactPoint | (QI) Contact details that are specific to the role/location/service
system |  | 1..1 | code | (QI) phone | fax | email | pager | url | sms | other
value |  | 1..1 | string | (QI) The actual contact point details
endpoint | C | 0..* | Reference(Endpoint) | (QI) Technical endpoints providing access to services operated for the practitioner with this role
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
PractitionerRole.code | Base | extensible | Care Team Member Function | 📦20190418 | VSAC v0.18
PractitionerRole.specialty | Base | extensible | Healthcare Provider Taxonomy | 📦20190521 | VSAC v0.18

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
PractitionerRole | C | 0..* | USCorePractitionerRoleProfile | Roles/organizations the practitioner is associated with Constraints: pd-1, us-core-13
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 1..* | Identifier | (QI) Business Identifiers that are specific to a role/location
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 1..1 | code | (QI) usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system | Σ | 1..1 | uri | (QI) The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value | Σ | 1..1 | string | (QI) The value that is unique Example General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
active | Σ | 1..1 | boolean | (QI) Whether this practitioner role record is in active use
period | Σ | 1..1 | Period | (QI) The period during which the practitioner is authorized to perform in these role(s)
practitioner | S Σ C | 0..1 | Reference(QICore Practitioner) | (QI) Practitioner that is able to provide the defined services for the organization
organization | S Σ C | 0..1 | Reference(QICore Organization) | (QI) Organization where the roles are available
code | S Σ | 0..* | CodeableConcept | (QI) Roles which this practitioner may perform Binding: Care Team Member Function (extensible): Indicates specific responsibility of an individual within the care team, such as Primary physician, Team coordinator, Caregiver, etc.
specialty | S Σ | 0..* | CodeableConcept | (QI) Specific specialty of the practitioner Binding: Healthcare Provider Taxonomy (extensible)
location | S Σ C | 0..* | Reference(QICore Location) | (QI) The location(s) at which this practitioner provides care
healthcareService | C | 0..* | Reference(HealthcareService) | The list of healthcare services that this worker provides for this role's Organization/Location(s)
telecom | S Σ C | 0..* | ContactPoint | (QI) Contact details that are specific to the role/location/service
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | S Σ C | 1..1 | code | (QI) phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value | S Σ | 1..1 | string | (QI) The actual contact point details
use | ?!Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
rank | Σ | 0..1 | positiveInt | Specify preferred order of use (1 = highest)
period | Σ | 0..1 | Period | Time period when the contact point was/is in use
availableTime |  | 0..* | BackboneElement | Times the Service Site is available
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
daysOfWeek |  | 0..* | code | mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required): The days of the week.
allDay |  | 0..1 | boolean | Always available? e.g. 24 hour service
availableStartTime |  | 0..1 | time | Opening time of day (ignored if allDay = true)
availableEndTime |  | 0..1 | time | Closing time of day (ignored if allDay = true)
notAvailable |  | 0..* | BackboneElement | Not available during this time due to provided reason
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
description |  | 1..1 | string | Reason presented to the user explaining why time not available
during |  | 0..1 | Period | Service not available from this date
availabilityExceptions |  | 0..1 | string | Description of availability exceptions
endpoint | S C | 0..* | Reference(Endpoint) | (QI) Technical endpoints providing access to services operated for the practitioner with this role
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
PractitionerRole.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std.
PractitionerRole.identifier.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
PractitionerRole.identifier.​type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std.
PractitionerRole.code | Base | extensible | Care Team Member Function | 📦20190418 | VSAC v0.18
PractitionerRole.specialty | Base | extensible | Healthcare Provider Taxonomy | 📦20190521 | VSAC v0.18
PractitionerRole.telecom.​system | Base | required | ContactPointSystem | 📍4.0.1 | FHIR Std.
PractitionerRole.telecom.​use | Base | required | ContactPointUse | 📍4.0.1 | FHIR Std.
PractitionerRole.availableTime.​daysOfWeek | Base | required | DaysOfWeek | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | PractitionerRole | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | PractitionerRole | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | PractitionerRole | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | PractitionerRole | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | PractitionerRole | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
pd-1 | error | PractitionerRole | SHALL have contact information or a reference to an Endpoint | `telecom.exists() or endpoint.exists()`
us-core-13 | error | PractitionerRole | SHALL have a practitioner, an organization, a healthcare service, or a location. | `practitioner.exists() or organization.exists() or healthcareService.exists() or location.exists()`

This structure is derived from USCorePractitionerRoleProfile

Summary

Mandatory: 6 elements(2 nested mandatory elements)

Structures

This structure refers to these other structures:

- QICore Practitioner (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner)
- QICore Organization (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization)
- QICore Location (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-location)

Maturity: 4

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
PractitionerRole | C | 0..* | USCorePractitionerRoleProfile | Roles/organizations the practitioner is associated with Constraints: pd-1, us-core-13
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 1..* | Identifier | (QI) Business Identifiers that are specific to a role/location
use | ?!Σ | 1..1 | code | (QI) usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system | Σ | 1..1 | uri | (QI) The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value | Σ | 1..1 | string | (QI) The value that is unique Example General: 123456
active | Σ | 1..1 | boolean | (QI) Whether this practitioner role record is in active use
period | Σ | 1..1 | Period | (QI) The period during which the practitioner is authorized to perform in these role(s)
practitioner | S Σ C | 0..1 | Reference(QICore Practitioner) | (QI) Practitioner that is able to provide the defined services for the organization
organization | S Σ C | 0..1 | Reference(QICore Organization) | (QI) Organization where the roles are available
code | S Σ | 0..* | CodeableConcept | (QI) Roles which this practitioner may perform Binding: Care Team Member Function (extensible): Indicates specific responsibility of an individual within the care team, such as Primary physician, Team coordinator, Caregiver, etc.
specialty | S Σ | 0..* | CodeableConcept | (QI) Specific specialty of the practitioner Binding: Healthcare Provider Taxonomy (extensible)
location | S Σ C | 0..* | Reference(QICore Location) | (QI) The location(s) at which this practitioner provides care
healthcareService | C | 0..* | Reference(HealthcareService) | The list of healthcare services that this worker provides for this role's Organization/Location(s)
telecom | S Σ C | 0..* | ContactPoint | (QI) Contact details that are specific to the role/location/service
system | S Σ C | 1..1 | code | (QI) phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value | S Σ | 1..1 | string | (QI) The actual contact point details
use | ?!Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
endpoint | S C | 0..* | Reference(Endpoint) | (QI) Technical endpoints providing access to services operated for the practitioner with this role
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
PractitionerRole.identifier.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
PractitionerRole.code | Base | extensible | Care Team Member Function | 📦20190418 | VSAC v0.18
PractitionerRole.specialty | Base | extensible | Healthcare Provider Taxonomy | 📦20190521 | VSAC v0.18
PractitionerRole.telecom.​system | Base | required | ContactPointSystem | 📍4.0.1 | FHIR Std.
PractitionerRole.telecom.​use | Base | required | ContactPointUse | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | PractitionerRole | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | PractitionerRole | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | PractitionerRole | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | PractitionerRole | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | PractitionerRole | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
pd-1 | error | PractitionerRole | SHALL have contact information or a reference to an Endpoint | `telecom.exists() or endpoint.exists()`
us-core-13 | error | PractitionerRole | SHALL have a practitioner, an organization, a healthcare service, or a location. | `practitioner.exists() or organization.exists() or healthcareService.exists() or location.exists()`

Differential View

This structure is derived from USCorePractitionerRoleProfile

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
PractitionerRole |  | 0..* | USCorePractitionerRoleProfile | Roles/organizations the practitioner is associated with
identifier |  | 1..* | Identifier | (QI) Business Identifiers that are specific to a role/location
use |  | 1..1 | code | (QI) usual | official | temp | secondary | old (If known)
system |  | 1..1 | uri | (QI) The namespace for the identifier value
value |  | 1..1 | string | (QI) The value that is unique
active |  | 1..1 | boolean | (QI) Whether this practitioner role record is in active use
period |  | 1..1 | Period | (QI) The period during which the practitioner is authorized to perform in these role(s)
practitioner |  | 0..1 | Reference(QICore Practitioner) | (QI) Practitioner that is able to provide the defined services for the organization
organization |  | 0..1 | Reference(QICore Organization) | (QI) Organization where the roles are available
code |  | 0..* | CodeableConcept | (QI) Roles which this practitioner may perform Binding: Care Team Member Function (extensible): Indicates specific responsibility of an individual within the care team, such as Primary physician, Team coordinator, Caregiver, etc.
specialty |  | 0..* | CodeableConcept | (QI) Specific specialty of the practitioner Binding: Healthcare Provider Taxonomy (extensible)
location |  | 0..* | Reference(QICore Location) | (QI) The location(s) at which this practitioner provides care
healthcareService | C | 0..* | Reference(HealthcareService) | The list of healthcare services that this worker provides for this role's Organization/Location(s)
telecom | C | 0..* | ContactPoint | (QI) Contact details that are specific to the role/location/service
system |  | 1..1 | code | (QI) phone | fax | email | pager | url | sms | other
value |  | 1..1 | string | (QI) The actual contact point details
endpoint | C | 0..* | Reference(Endpoint) | (QI) Technical endpoints providing access to services operated for the practitioner with this role
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
PractitionerRole.code | Base | extensible | Care Team Member Function | 📦20190418 | VSAC v0.18
PractitionerRole.specialty | Base | extensible | Healthcare Provider Taxonomy | 📦20190521 | VSAC v0.18

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
PractitionerRole | C | 0..* | USCorePractitionerRoleProfile | Roles/organizations the practitioner is associated with Constraints: pd-1, us-core-13
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 1..* | Identifier | (QI) Business Identifiers that are specific to a role/location
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 1..1 | code | (QI) usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system | Σ | 1..1 | uri | (QI) The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value | Σ | 1..1 | string | (QI) The value that is unique Example General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
active | Σ | 1..1 | boolean | (QI) Whether this practitioner role record is in active use
period | Σ | 1..1 | Period | (QI) The period during which the practitioner is authorized to perform in these role(s)
practitioner | S Σ C | 0..1 | Reference(QICore Practitioner) | (QI) Practitioner that is able to provide the defined services for the organization
organization | S Σ C | 0..1 | Reference(QICore Organization) | (QI) Organization where the roles are available
code | S Σ | 0..* | CodeableConcept | (QI) Roles which this practitioner may perform Binding: Care Team Member Function (extensible): Indicates specific responsibility of an individual within the care team, such as Primary physician, Team coordinator, Caregiver, etc.
specialty | S Σ | 0..* | CodeableConcept | (QI) Specific specialty of the practitioner Binding: Healthcare Provider Taxonomy (extensible)
location | S Σ C | 0..* | Reference(QICore Location) | (QI) The location(s) at which this practitioner provides care
healthcareService | C | 0..* | Reference(HealthcareService) | The list of healthcare services that this worker provides for this role's Organization/Location(s)
telecom | S Σ C | 0..* | ContactPoint | (QI) Contact details that are specific to the role/location/service
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | S Σ C | 1..1 | code | (QI) phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value | S Σ | 1..1 | string | (QI) The actual contact point details
use | ?!Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
rank | Σ | 0..1 | positiveInt | Specify preferred order of use (1 = highest)
period | Σ | 0..1 | Period | Time period when the contact point was/is in use
availableTime |  | 0..* | BackboneElement | Times the Service Site is available
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
daysOfWeek |  | 0..* | code | mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required): The days of the week.
allDay |  | 0..1 | boolean | Always available? e.g. 24 hour service
availableStartTime |  | 0..1 | time | Opening time of day (ignored if allDay = true)
availableEndTime |  | 0..1 | time | Closing time of day (ignored if allDay = true)
notAvailable |  | 0..* | BackboneElement | Not available during this time due to provided reason
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
description |  | 1..1 | string | Reason presented to the user explaining why time not available
during |  | 0..1 | Period | Service not available from this date
availabilityExceptions |  | 0..1 | string | Description of availability exceptions
endpoint | S C | 0..* | Reference(Endpoint) | (QI) Technical endpoints providing access to services operated for the practitioner with this role
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
PractitionerRole.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std.
PractitionerRole.identifier.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
PractitionerRole.identifier.​type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std.
PractitionerRole.code | Base | extensible | Care Team Member Function | 📦20190418 | VSAC v0.18
PractitionerRole.specialty | Base | extensible | Healthcare Provider Taxonomy | 📦20190521 | VSAC v0.18
PractitionerRole.telecom.​system | Base | required | ContactPointSystem | 📍4.0.1 | FHIR Std.
PractitionerRole.telecom.​use | Base | required | ContactPointUse | 📍4.0.1 | FHIR Std.
PractitionerRole.availableTime.​daysOfWeek | Base | required | DaysOfWeek | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | PractitionerRole | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | PractitionerRole | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | PractitionerRole | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | PractitionerRole | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | PractitionerRole | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
pd-1 | error | PractitionerRole | SHALL have contact information or a reference to an Endpoint | `telecom.exists() or endpoint.exists()`
us-core-13 | error | PractitionerRole | SHALL have a practitioner, an organization, a healthcare service, or a location. | `practitioner.exists() or organization.exists() or healthcareService.exists() or location.exists()`

This structure is derived from USCorePractitionerRoleProfile

Summary

Mandatory: 6 elements(2 nested mandatory elements)

Structures

This structure refers to these other structures:

- QICore Practitioner (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner)
- QICore Organization (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization)
- QICore Location (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-location)

Maturity: 4

Other representations of profile: CSV, Excel, Schematron