National Directory of Healthcare Providers & Services (NDH) Implementation Guide, published by HL7 International / Patient Administration. This guide is not an authorized publication; it is the continuous build for version 1.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-us-ndh/ and changes regularly. See the Directory of published versions

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Resource Profile: Payer Provider Network Query PractitionerRole

PractionerRole describes details about a provider, which can be a practitioner or an organization. When the provider is a practitioner, there may be a relationship to an organization. A provider renders services to patients at a location. Practitioner participation in healthcare provider insurance networks may be direct or through their role at an organization.

Usage:

• Examples for this Resource Profile: PractitionerRole/JoeSmithRole3

Formal Views of Profile Content

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

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

This structure is derived from NdhPractitionerRole

Name	Flags	Card.	Type	Description & Constraints
PractitionerRole		0..*	NdhPractitionerRole	Roles/organizations the practitioner is associated with
Slices for extension				Content/Rules for all slices
extension:newpatients	S	0..*	NewPatients	NDH New Patients
extension:network	S	0..1	NetworkReference	NDH Network Reference
value[x]		1..1	Reference(Payer Provider Network Query Network Profile)	Value of extension
extension:qualification	S	0..*	Qualification	NDH Qualification
identifier
type	S	0..1	CodeableConcept	Description of identifier
value	S	0..1	string	The value that is unique
active	S	1..1	boolean	Whether this practitioner role record is in active use
period	S	0..1	Period	The period during which the practitioner is authorized to perform in these role(s)
practitioner		0..1	Reference(Payer Provider Network Query Practitioner Profile)	Practitioner that is able to provide the defined services for the organization
organization		0..1	Reference(Payer Provider Network Query Organization Profile)	Organization where the role is available
location		0..*	Reference(Payer Provider Network Query Location Profile)	The location(s) at which this practitioner provides care
healthcareService		0..*	Reference(Payer Provider Network Query HealthcareService Profile)	The list of healthcare services that this worker provides for this role's Organization/Location(s)
telecom
Slices for extension				Content/Rules for all slices
extension:contactpoint-availabletime	S	0..*	ContactPointAvailableTime	NDH Contactpoint Availabletime
extension:via-intermediary	S	0..1	ViaIntermediary	NDH Via Intermediary
rank	S	0..1	positiveInt	Specify preferred order of use (1 = highest)
availableTime	S	0..*	BackboneElement	Times the Service Site is available
daysOfWeek	S	0..*	code	mon | tue | wed | thu | fri | sat | sun
allDay	S	0..1	boolean	Always available? e.g. 24 hour service
availableStartTime	S	0..1	time	Opening time of day (ignored if allDay = true)
availableEndTime	S	0..1	time	Closing time of day (ignored if allDay = true)
notAvailable	S	0..*	BackboneElement	Not available during this time due to provided reason
description	S	1..1	string	Reason presented to the user explaining why time not available
during	S	0..1	Period	Service not available from this date
endpoint		0..*	Reference(Payer Provider Network Local Directory API Endpoint Profile)	Technical endpoints providing access to services operated for the practitioner with this role
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
PractitionerRole	C	0..*	NdhPractitionerRole	Roles/organizations the practitioner is associated with pd-1: SHALL have contact information or a reference to an Endpoint us-core-13: SHALL have a practitioner, an organization, a healthcare service, or a location. practitioner-or-organization-or-healthcareservice-or-location: If NdhPractitionerRole.practitioner is absent ( NdhPractitionerRole.organization, NdhPractitionerRole.healthcareservice, NdhPractitionerRole.location) must be present
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
rating		0..*	(Complex)	NDH Rating URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-rating
newpatients	SC	0..*	(Complex)	NDH New Patients URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-newpatients new-patients-characteristics: If no new patients are accepted, no characteristics are allowed
network	S	0..1	(Complex)	NDH Network Reference URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-network-reference
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-network-reference"
value[x]	S	1..1	Reference(Payer Provider Network Query Network Profile)	Value of extension
usage-restriction		0..*	Reference(NDH Base Restriction) {c}	Usage Restriction URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-usage-restriction
digitalcertificate		0..*	(Complex)	Digital Certificate URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-digitalcertificate
qualification	S	0..*	(Complex)	NDH Qualification URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-qualification
verification-status		0..1	CodeableConcept	NDH Verification Status URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-verification-status Binding: NDH Verification Status Value Set (extensible)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	Business Identifiers that are specific to a role/location
Slices for extension				Content/Rules for all slices
identifier-status		0..1	code	NDH Identifier Status URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-identifier-status Binding: Identifier Status Value Set (required)
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	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.
value	SΣ	0..1	string	The value that is unique Example General: 123456
active	SΣ	1..1	boolean	Whether this practitioner role record is in active use Required Pattern: true
period	SΣ	0..1	Period	The period during which the practitioner is authorized to perform in these role(s)
practitioner	SΣC	0..1	Reference(Payer Provider Network Query Practitioner Profile)	Practitioner that is able to provide the defined services for the organization
organization	SΣC	0..1	Reference(Payer Provider Network Query Organization Profile)	Organization where the role is available
Slices for code	SΣ	0..*	CodeableConcept	Roles which this practitioner may perform Slice: Unordered, Open by pattern:$this Binding: Care Team Member Function (extensible): Indicates specific responsibility of an individual within the care team, such as Primary physician, Team coordinator, Caregiver, etc.
code:NDHPractitionerRoleCode	SΣ	0..*	CodeableConcept	NDH PractitionerRole Code Binding: PractitionerRole Code Value Set (required)
specialty	SΣ	0..*	CodeableConcept	Specific specialty of the practitioner Binding: Individual and Group Specialties (extensible)
location	SΣC	0..*	Reference(Payer Provider Network Query Location Profile)	The location(s) at which this practitioner provides care
healthcareService	SC	0..*	Reference(Payer Provider Network Query HealthcareService Profile)	The list of healthcare services that this worker provides for this role's Organization/Location(s)
telecom	SΣC	0..*	ContactPoint	Contact details that are specific to the role/location/service
Slices for extension				Content/Rules for all slices
contactpoint-availabletime	S	0..*	(Complex)	NDH Contactpoint Availabletime URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-contactpoint-availabletime
via-intermediary	S	0..1	Reference(NDH Base PractitionerRole | NDH Base OrganizationAffiliation Profile | NDH Base Location Profile | NDH Base Organization Profile)	NDH Via Intermediary URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-via-intermediary
system	SΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	SΣ	1..1	string	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	SΣ	0..1	positiveInt	Specify preferred order of use (1 = highest)
availableTime	S	0..*	BackboneElement	Times the Service Site is available
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
daysOfWeek	S	0..*	code	mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required): The days of the week.
allDay	S	0..1	boolean	Always available? e.g. 24 hour service
availableStartTime	S	0..1	time	Opening time of day (ignored if allDay = true)
availableEndTime	S	0..1	time	Closing time of day (ignored if allDay = true)
notAvailable	S	0..*	BackboneElement	Not available during this time due to provided reason
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
description	S	1..1	string	Reason presented to the user explaining why time not available
during	S	0..1	Period	Service not available from this date
endpoint	SC	0..*	Reference(Payer Provider Network Local Directory API Endpoint Profile)	Technical endpoints providing access to services operated for the practitioner with this role
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
PractitionerRole.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
PractitionerRole.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
PractitionerRole.code	extensible	CareTeamMemberFunction http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30 from https://vsac.nlm.nih.gov
PractitionerRole.code:NDHPractitionerRoleCode	required	PractitionerRoleVS (a valid code from Practitioner Role Codes Code System) http://hl7.org/fhir/us/ndh/ValueSet/PractitionerRoleVS from this IG
PractitionerRole.specialty	extensible	IndividualAndGroupSpecialtiesVS http://hl7.org/fhir/us/ndh/ValueSet/IndividualAndGroupSpecialtiesVS from this IG
PractitionerRole.telecom.system	required	ContactPointSystem http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 from the FHIR Standard
PractitionerRole.telecom.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 from the FHIR Standard
PractitionerRole.availableTime.daysOfWeek	required	DaysOfWeek http://hl7.org/fhir/ValueSet/days-of-week|4.0.1 from the FHIR Standard

Name	Flags	Card.	Type	Description & Constraints
PractitionerRole	C	0..*	NdhPractitionerRole	Roles/organizations the practitioner is associated with pd-1: SHALL have contact information or a reference to an Endpoint us-core-13: SHALL have a practitioner, an organization, a healthcare service, or a location. practitioner-or-organization-or-healthcareservice-or-location: If NdhPractitionerRole.practitioner is absent ( NdhPractitionerRole.organization, NdhPractitionerRole.healthcareservice, NdhPractitionerRole.location) must be present
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	1..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
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
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
rating		0..*	(Complex)	NDH Rating URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-rating
newpatients	SC	0..*	(Complex)	NDH New Patients URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-newpatients new-patients-characteristics: If no new patients are accepted, no characteristics are allowed
network	S	0..1	(Complex)	NDH Network Reference URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-network-reference
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-network-reference"
value[x]	S	1..1	Reference(Payer Provider Network Query Network Profile)	Value of extension
usage-restriction		0..*	Reference(NDH Base Restriction) {c}	Usage Restriction URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-usage-restriction
digitalcertificate		0..*	(Complex)	Digital Certificate URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-digitalcertificate
qualification	S	0..*	(Complex)	NDH Qualification URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-qualification
verification-status		0..1	CodeableConcept	NDH Verification Status URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-verification-status Binding: NDH Verification Status Value Set (extensible)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	Business Identifiers that are specific to a role/location
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
identifier-status		0..1	code	NDH Identifier Status URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-identifier-status Binding: Identifier Status Value Set (required)
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	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	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	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(NDH Base Organization Profile)	Organization that issued id (may be just text)
active	SΣ	1..1	boolean	Whether this practitioner role record is in active use Required Pattern: true
period	SΣ	0..1	Period	The period during which the practitioner is authorized to perform in these role(s)
practitioner	SΣC	0..1	Reference(Payer Provider Network Query Practitioner Profile)	Practitioner that is able to provide the defined services for the organization
organization	SΣC	0..1	Reference(Payer Provider Network Query Organization Profile)	Organization where the role is available
Slices for code	SΣ	0..*	CodeableConcept	Roles which this practitioner may perform Slice: Unordered, Open by pattern:$this Binding: Care Team Member Function (extensible): Indicates specific responsibility of an individual within the care team, such as Primary physician, Team coordinator, Caregiver, etc.
code:NDHPractitionerRoleCode	SΣ	0..*	CodeableConcept	NDH PractitionerRole Code Binding: PractitionerRole Code Value Set (required)
specialty	SΣ	0..*	CodeableConcept	Specific specialty of the practitioner Binding: Individual and Group Specialties (extensible)
location	SΣC	0..*	Reference(Payer Provider Network Query Location Profile)	The location(s) at which this practitioner provides care
healthcareService	SC	0..*	Reference(Payer Provider Network Query HealthcareService Profile)	The list of healthcare services that this worker provides for this role's Organization/Location(s)
telecom	SΣC	0..*	ContactPoint	Contact details that are specific to the role/location/service
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
contactpoint-availabletime	S	0..*	(Complex)	NDH Contactpoint Availabletime URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-contactpoint-availabletime
via-intermediary	S	0..1	Reference(NDH Base PractitionerRole | NDH Base OrganizationAffiliation Profile | NDH Base Location Profile | NDH Base Organization Profile)	NDH Via Intermediary URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-via-intermediary
system	SΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	SΣ	1..1	string	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	SΣ	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	S	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	S	0..*	code	mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required): The days of the week.
allDay	S	0..1	boolean	Always available? e.g. 24 hour service
availableStartTime	S	0..1	time	Opening time of day (ignored if allDay = true)
availableEndTime	S	0..1	time	Closing time of day (ignored if allDay = true)
notAvailable	S	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	S	1..1	string	Reason presented to the user explaining why time not available
during	S	0..1	Period	Service not available from this date
availabilityExceptions		0..1	string	Description of availability exceptions
endpoint	SC	0..*	Reference(Payer Provider Network Local Directory API Endpoint Profile)	Technical endpoints providing access to services operated for the practitioner with this role
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
PractitionerRole.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
PractitionerRole.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard
PractitionerRole.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
PractitionerRole.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
PractitionerRole.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
PractitionerRole.code	extensible	CareTeamMemberFunction http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30 from https://vsac.nlm.nih.gov
PractitionerRole.code:NDHPractitionerRoleCode	required	PractitionerRoleVS (a valid code from Practitioner Role Codes Code System) http://hl7.org/fhir/us/ndh/ValueSet/PractitionerRoleVS from this IG
PractitionerRole.specialty	extensible	IndividualAndGroupSpecialtiesVS http://hl7.org/fhir/us/ndh/ValueSet/IndividualAndGroupSpecialtiesVS from this IG
PractitionerRole.telecom.system	required	ContactPointSystem http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 from the FHIR Standard
PractitionerRole.telecom.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 from the FHIR Standard
PractitionerRole.availableTime.daysOfWeek	required	DaysOfWeek http://hl7.org/fhir/ValueSet/days-of-week|4.0.1 from the FHIR Standard

This structure is derived from NdhPractitionerRole

Summary

Must-Support: 18 elements

Structures

This structure refers to these other structures:

• Payer Provider Network Query Network Profile (http://hl7.org/fhir/us/ndh/StructureDefinition/ndhPn-ldapi-Network)
• Payer Provider Network Query Practitioner Profile (http://hl7.org/fhir/us/ndh/StructureDefinition/ndhPn-ldapi-Practitioner)
• Payer Provider Network Query Organization Profile (http://hl7.org/fhir/us/ndh/StructureDefinition/ndhPn-ldapi-Organization)
• Payer Provider Network Query Location Profile (http://hl7.org/fhir/us/ndh/StructureDefinition/ndhPn-ldapi-Location)
• Payer Provider Network Query HealthcareService Profile (http://hl7.org/fhir/us/ndh/StructureDefinition/ndhPn-ldapi-HealthcareService)
• Payer Provider Network Local Directory API Endpoint Profile (http://hl7.org/fhir/us/ndh/StructureDefinition/ndhPn-ldapi-Endpoint)

Differential View

This structure is derived from NdhPractitionerRole

Name	Flags	Card.	Type	Description & Constraints
PractitionerRole		0..*	NdhPractitionerRole	Roles/organizations the practitioner is associated with
Slices for extension				Content/Rules for all slices
extension:newpatients	S	0..*	NewPatients	NDH New Patients
extension:network	S	0..1	NetworkReference	NDH Network Reference
value[x]		1..1	Reference(Payer Provider Network Query Network Profile)	Value of extension
extension:qualification	S	0..*	Qualification	NDH Qualification
identifier
type	S	0..1	CodeableConcept	Description of identifier
value	S	0..1	string	The value that is unique
active	S	1..1	boolean	Whether this practitioner role record is in active use
period	S	0..1	Period	The period during which the practitioner is authorized to perform in these role(s)
practitioner		0..1	Reference(Payer Provider Network Query Practitioner Profile)	Practitioner that is able to provide the defined services for the organization
organization		0..1	Reference(Payer Provider Network Query Organization Profile)	Organization where the role is available
location		0..*	Reference(Payer Provider Network Query Location Profile)	The location(s) at which this practitioner provides care
healthcareService		0..*	Reference(Payer Provider Network Query HealthcareService Profile)	The list of healthcare services that this worker provides for this role's Organization/Location(s)
telecom
Slices for extension				Content/Rules for all slices
extension:contactpoint-availabletime	S	0..*	ContactPointAvailableTime	NDH Contactpoint Availabletime
extension:via-intermediary	S	0..1	ViaIntermediary	NDH Via Intermediary
rank	S	0..1	positiveInt	Specify preferred order of use (1 = highest)
availableTime	S	0..*	BackboneElement	Times the Service Site is available
daysOfWeek	S	0..*	code	mon | tue | wed | thu | fri | sat | sun
allDay	S	0..1	boolean	Always available? e.g. 24 hour service
availableStartTime	S	0..1	time	Opening time of day (ignored if allDay = true)
availableEndTime	S	0..1	time	Closing time of day (ignored if allDay = true)
notAvailable	S	0..*	BackboneElement	Not available during this time due to provided reason
description	S	1..1	string	Reason presented to the user explaining why time not available
during	S	0..1	Period	Service not available from this date
endpoint		0..*	Reference(Payer Provider Network Local Directory API Endpoint Profile)	Technical endpoints providing access to services operated for the practitioner with this role
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
PractitionerRole	C	0..*	NdhPractitionerRole	Roles/organizations the practitioner is associated with pd-1: SHALL have contact information or a reference to an Endpoint us-core-13: SHALL have a practitioner, an organization, a healthcare service, or a location. practitioner-or-organization-or-healthcareservice-or-location: If NdhPractitionerRole.practitioner is absent ( NdhPractitionerRole.organization, NdhPractitionerRole.healthcareservice, NdhPractitionerRole.location) must be present
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
rating		0..*	(Complex)	NDH Rating URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-rating
newpatients	SC	0..*	(Complex)	NDH New Patients URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-newpatients new-patients-characteristics: If no new patients are accepted, no characteristics are allowed
network	S	0..1	(Complex)	NDH Network Reference URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-network-reference
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-network-reference"
value[x]	S	1..1	Reference(Payer Provider Network Query Network Profile)	Value of extension
usage-restriction		0..*	Reference(NDH Base Restriction) {c}	Usage Restriction URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-usage-restriction
digitalcertificate		0..*	(Complex)	Digital Certificate URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-digitalcertificate
qualification	S	0..*	(Complex)	NDH Qualification URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-qualification
verification-status		0..1	CodeableConcept	NDH Verification Status URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-verification-status Binding: NDH Verification Status Value Set (extensible)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	Business Identifiers that are specific to a role/location
Slices for extension				Content/Rules for all slices
identifier-status		0..1	code	NDH Identifier Status URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-identifier-status Binding: Identifier Status Value Set (required)
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	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.
value	SΣ	0..1	string	The value that is unique Example General: 123456
active	SΣ	1..1	boolean	Whether this practitioner role record is in active use Required Pattern: true
period	SΣ	0..1	Period	The period during which the practitioner is authorized to perform in these role(s)
practitioner	SΣC	0..1	Reference(Payer Provider Network Query Practitioner Profile)	Practitioner that is able to provide the defined services for the organization
organization	SΣC	0..1	Reference(Payer Provider Network Query Organization Profile)	Organization where the role is available
Slices for code	SΣ	0..*	CodeableConcept	Roles which this practitioner may perform Slice: Unordered, Open by pattern:$this Binding: Care Team Member Function (extensible): Indicates specific responsibility of an individual within the care team, such as Primary physician, Team coordinator, Caregiver, etc.
code:NDHPractitionerRoleCode	SΣ	0..*	CodeableConcept	NDH PractitionerRole Code Binding: PractitionerRole Code Value Set (required)
specialty	SΣ	0..*	CodeableConcept	Specific specialty of the practitioner Binding: Individual and Group Specialties (extensible)
location	SΣC	0..*	Reference(Payer Provider Network Query Location Profile)	The location(s) at which this practitioner provides care
healthcareService	SC	0..*	Reference(Payer Provider Network Query HealthcareService Profile)	The list of healthcare services that this worker provides for this role's Organization/Location(s)
telecom	SΣC	0..*	ContactPoint	Contact details that are specific to the role/location/service
Slices for extension				Content/Rules for all slices
contactpoint-availabletime	S	0..*	(Complex)	NDH Contactpoint Availabletime URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-contactpoint-availabletime
via-intermediary	S	0..1	Reference(NDH Base PractitionerRole | NDH Base OrganizationAffiliation Profile | NDH Base Location Profile | NDH Base Organization Profile)	NDH Via Intermediary URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-via-intermediary
system	SΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	SΣ	1..1	string	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	SΣ	0..1	positiveInt	Specify preferred order of use (1 = highest)
availableTime	S	0..*	BackboneElement	Times the Service Site is available
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
daysOfWeek	S	0..*	code	mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required): The days of the week.
allDay	S	0..1	boolean	Always available? e.g. 24 hour service
availableStartTime	S	0..1	time	Opening time of day (ignored if allDay = true)
availableEndTime	S	0..1	time	Closing time of day (ignored if allDay = true)
notAvailable	S	0..*	BackboneElement	Not available during this time due to provided reason
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
description	S	1..1	string	Reason presented to the user explaining why time not available
during	S	0..1	Period	Service not available from this date
endpoint	SC	0..*	Reference(Payer Provider Network Local Directory API Endpoint Profile)	Technical endpoints providing access to services operated for the practitioner with this role
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
PractitionerRole.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
PractitionerRole.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
PractitionerRole.code	extensible	CareTeamMemberFunction http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30 from https://vsac.nlm.nih.gov
PractitionerRole.code:NDHPractitionerRoleCode	required	PractitionerRoleVS (a valid code from Practitioner Role Codes Code System) http://hl7.org/fhir/us/ndh/ValueSet/PractitionerRoleVS from this IG
PractitionerRole.specialty	extensible	IndividualAndGroupSpecialtiesVS http://hl7.org/fhir/us/ndh/ValueSet/IndividualAndGroupSpecialtiesVS from this IG
PractitionerRole.telecom.system	required	ContactPointSystem http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 from the FHIR Standard
PractitionerRole.telecom.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 from the FHIR Standard
PractitionerRole.availableTime.daysOfWeek	required	DaysOfWeek http://hl7.org/fhir/ValueSet/days-of-week|4.0.1 from the FHIR Standard

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
PractitionerRole	C	0..*	NdhPractitionerRole	Roles/organizations the practitioner is associated with pd-1: SHALL have contact information or a reference to an Endpoint us-core-13: SHALL have a practitioner, an organization, a healthcare service, or a location. practitioner-or-organization-or-healthcareservice-or-location: If NdhPractitionerRole.practitioner is absent ( NdhPractitionerRole.organization, NdhPractitionerRole.healthcareservice, NdhPractitionerRole.location) must be present
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	1..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
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
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
rating		0..*	(Complex)	NDH Rating URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-rating
newpatients	SC	0..*	(Complex)	NDH New Patients URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-newpatients new-patients-characteristics: If no new patients are accepted, no characteristics are allowed
network	S	0..1	(Complex)	NDH Network Reference URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-network-reference
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-network-reference"
value[x]	S	1..1	Reference(Payer Provider Network Query Network Profile)	Value of extension
usage-restriction		0..*	Reference(NDH Base Restriction) {c}	Usage Restriction URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-usage-restriction
digitalcertificate		0..*	(Complex)	Digital Certificate URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-digitalcertificate
qualification	S	0..*	(Complex)	NDH Qualification URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-qualification
verification-status		0..1	CodeableConcept	NDH Verification Status URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-verification-status Binding: NDH Verification Status Value Set (extensible)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	Business Identifiers that are specific to a role/location
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
identifier-status		0..1	code	NDH Identifier Status URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-identifier-status Binding: Identifier Status Value Set (required)
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	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	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	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(NDH Base Organization Profile)	Organization that issued id (may be just text)
active	SΣ	1..1	boolean	Whether this practitioner role record is in active use Required Pattern: true
period	SΣ	0..1	Period	The period during which the practitioner is authorized to perform in these role(s)
practitioner	SΣC	0..1	Reference(Payer Provider Network Query Practitioner Profile)	Practitioner that is able to provide the defined services for the organization
organization	SΣC	0..1	Reference(Payer Provider Network Query Organization Profile)	Organization where the role is available
Slices for code	SΣ	0..*	CodeableConcept	Roles which this practitioner may perform Slice: Unordered, Open by pattern:$this Binding: Care Team Member Function (extensible): Indicates specific responsibility of an individual within the care team, such as Primary physician, Team coordinator, Caregiver, etc.
code:NDHPractitionerRoleCode	SΣ	0..*	CodeableConcept	NDH PractitionerRole Code Binding: PractitionerRole Code Value Set (required)
specialty	SΣ	0..*	CodeableConcept	Specific specialty of the practitioner Binding: Individual and Group Specialties (extensible)
location	SΣC	0..*	Reference(Payer Provider Network Query Location Profile)	The location(s) at which this practitioner provides care
healthcareService	SC	0..*	Reference(Payer Provider Network Query HealthcareService Profile)	The list of healthcare services that this worker provides for this role's Organization/Location(s)
telecom	SΣC	0..*	ContactPoint	Contact details that are specific to the role/location/service
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
contactpoint-availabletime	S	0..*	(Complex)	NDH Contactpoint Availabletime URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-contactpoint-availabletime
via-intermediary	S	0..1	Reference(NDH Base PractitionerRole | NDH Base OrganizationAffiliation Profile | NDH Base Location Profile | NDH Base Organization Profile)	NDH Via Intermediary URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-via-intermediary
system	SΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	SΣ	1..1	string	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	SΣ	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	S	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	S	0..*	code	mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required): The days of the week.
allDay	S	0..1	boolean	Always available? e.g. 24 hour service
availableStartTime	S	0..1	time	Opening time of day (ignored if allDay = true)
availableEndTime	S	0..1	time	Closing time of day (ignored if allDay = true)
notAvailable	S	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	S	1..1	string	Reason presented to the user explaining why time not available
during	S	0..1	Period	Service not available from this date
availabilityExceptions		0..1	string	Description of availability exceptions
endpoint	SC	0..*	Reference(Payer Provider Network Local Directory API Endpoint Profile)	Technical endpoints providing access to services operated for the practitioner with this role
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
PractitionerRole.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
PractitionerRole.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard
PractitionerRole.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
PractitionerRole.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
PractitionerRole.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
PractitionerRole.code	extensible	CareTeamMemberFunction http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30 from https://vsac.nlm.nih.gov
PractitionerRole.code:NDHPractitionerRoleCode	required	PractitionerRoleVS (a valid code from Practitioner Role Codes Code System) http://hl7.org/fhir/us/ndh/ValueSet/PractitionerRoleVS from this IG
PractitionerRole.specialty	extensible	IndividualAndGroupSpecialtiesVS http://hl7.org/fhir/us/ndh/ValueSet/IndividualAndGroupSpecialtiesVS from this IG
PractitionerRole.telecom.system	required	ContactPointSystem http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 from the FHIR Standard
PractitionerRole.telecom.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 from the FHIR Standard
PractitionerRole.availableTime.daysOfWeek	required	DaysOfWeek http://hl7.org/fhir/ValueSet/days-of-week|4.0.1 from the FHIR Standard

This structure is derived from NdhPractitionerRole

Summary

Must-Support: 18 elements

Structures

This structure refers to these other structures:

• Payer Provider Network Query Network Profile (http://hl7.org/fhir/us/ndh/StructureDefinition/ndhPn-ldapi-Network)
• Payer Provider Network Query Practitioner Profile (http://hl7.org/fhir/us/ndh/StructureDefinition/ndhPn-ldapi-Practitioner)
• Payer Provider Network Query Organization Profile (http://hl7.org/fhir/us/ndh/StructureDefinition/ndhPn-ldapi-Organization)
• Payer Provider Network Query Location Profile (http://hl7.org/fhir/us/ndh/StructureDefinition/ndhPn-ldapi-Location)
• Payer Provider Network Query HealthcareService Profile (http://hl7.org/fhir/us/ndh/StructureDefinition/ndhPn-ldapi-HealthcareService)
• Payer Provider Network Local Directory API Endpoint Profile (http://hl7.org/fhir/us/ndh/StructureDefinition/ndhPn-ldapi-Endpoint)

Other representations of profile: CSV, Excel, Schematron