<status value="draft"/> <experimental value="false"/> <date value="2025-11-08"/> <publisher value="Iniciativa HL7® Costa Rica"/> <contact> <name value="Iniciativa HL7® Costa Rica"/> <telecom> <system value="url"/> <value value="https://hl7.or.cr"/> </telecom> <telecom> <system value="email"/> <value value="info@hl7.or.cr"/> </telecom> </contact> <contact> <name value="Iniciativa HL7® Costa Rica"/> <telecom> <system value="email"/> <value value="info@hl7.or.cr"/> <use value="work"/> </telecom> <telecom> <system value="url"/> <value value="https://hl7.or.cr"/> <use value="work"/> </telecom> </contact> <description value="Perfil Practitioner para representar a los médicos, enfermeros, técnicos y otros profesionales de salud."/> <jurisdiction> <coding> <system value="urn:iso:std:iso:3166"/> <code value="CR"/> <display value="Costa Rica"/> </coding> </jurisdiction> <copyright value="Usado con el permiso de HL7 International, todos los derechos resevados en los Licencias de HL7 Internacional."/> <fhirVersion value="5.0.0"/> <mapping> <identity value="w5"/> <uri value="http://hl7.org/fhir/fivews"/> <name value="FiveWs Pattern Mapping"/> </mapping> <mapping> <identity value="v2"/> <uri value="http://hl7.org/v2"/> <name value="HL7 V2 Mapping"/> </mapping> <mapping> <identity value="rim"/> <uri value="http://hl7.org/v3"/> <name value="RIM Mapping"/> </mapping> <mapping> <identity value="interface"/> <uri value="http://hl7.org/fhir/interface"/> <name value="Interface Pattern"/> </mapping> <mapping> <identity value="servd"/> <uri value="http://www.omg.org/spec/ServD/1.0/"/> <name value="ServD"/> </mapping> <kind value="resource"/> <abstract value="false"/> <type value="Practitioner"/> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Practitioner|5.0.0"/> <derivation value="constraint"/> <snapshot> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version"> <valueString value="5.0.0"/> </extension> <element id="Practitioner"> <path value="Practitioner"/> <short value="A person with a formal responsibility in the provisioning of healthcare or related services"/> <definition value="A person who is directly or indirectly involved in the provisioning of healthcare or related services."/> <min value="0"/> <max value="*"/> <base> <path value="Practitioner"/> <min value="0"/> <max value="*"/> </base> <constraint> <key value="dom-2"/> <severity value="error"/> <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/> <expression value="contained.contained.empty()"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource|5.0.0"/> </constraint> <constraint> <key value="dom-3"/> <severity value="error"/> <human value="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"/> <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource|5.0.0"/> </constraint> <constraint> <key value="dom-4"/> <severity value="error"/> <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"/> <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource|5.0.0"/> </constraint> <constraint> <key value="dom-5"/> <severity value="error"/> <human value="If a resource is contained in another resource, it SHALL NOT have a security label"/> <expression value="contained.meta.security.empty()"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource|5.0.0"/> </constraint> <constraint> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice"> <valueBoolean value="true"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation"> <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."/> </extension> <key value="dom-6"/> <severity value="warning"/> <human value="A resource should have narrative for robust management"/> <expression value="text.`div`.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource|5.0.0"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="Entity, Role, or Act,Role"/> </mapping> <mapping> <identity value="w5"/> <map value="administrative.individual"/> </mapping> <mapping> <identity value="v2"/> <map value="PRD (as one example)"/> </mapping> <mapping> <identity value="interface"/> <map value="ParticipantLiving"/> </mapping> <mapping> <identity value="servd"/> <map value="Provider"/> </mapping> </element> <element id="Practitioner.id"> <path value="Practitioner.id"/> <short value="Logical id of this artifact"/> <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes."/> <comment value="Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case."/> <min value="0"/> <max value="1"/> <base> <path value="Resource.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="id"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> </element> <element id="Practitioner.meta"> <path value="Practitioner.meta"/> <short value="Metadata about the resource"/> <definition value="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."/> <min value="0"/> <max value="1"/> <base> <path value="Resource.meta"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Meta"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> </element> <element id="Practitioner.implicitRules"> <path value="Practitioner.implicitRules"/> <short value="A set of rules under which this content was created"/> <definition value="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."/> <comment value="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 its narrative along with other profiles, value sets, etc."/> <min value="0"/> <max value="1"/> <base> <path value="Resource.implicitRules"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="false"/> <isModifier value="true"/> <isModifierReason value="This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation"/> <isSummary value="true"/> </element> <element id="Practitioner.language"> <path value="Practitioner.language"/> <short value="Language of the resource content"/> <definition value="The base language in which the resource is written."/> <comment value="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)."/> <min value="0"/> <max value="1"/> <base> <path value="Resource.language"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="Language"/> </extension> <strength value="required"/> <description value="IETF language tag for a human language"/> <valueSet value="http://hl7.org/fhir/ValueSet/all-languages|5.0.0"/> <additional> <purpose value="starter"/> <valueSet value="http://hl7.org/fhir/ValueSet/languages|5.0.0"/> </additional> </binding> </element> <element id="Practitioner.text"> <path value="Practitioner.text"/> <short value="Text summary of the resource, for human interpretation"/> <definition value="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."/> <comment value="Contained resources do not have a 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."/> <alias value="narrative"/> <alias value="html"/> <alias value="xhtml"/> <alias value="display"/> <min value="0"/> <max value="1"/> <base> <path value="DomainResource.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Narrative"/> </type> <condition value="dom-6"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="Act.text?"/> </mapping> </element> <element id="Practitioner.contained"> <path value="Practitioner.contained"/> <short value="Contained, inline Resources"/> <definition value="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning."/> <comment value="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."/> <alias value="inline resources"/> <alias value="anonymous resources"/> <alias value="contained resources"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.contained"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Resource"/> </type> <condition value="dom-2"/> <condition value="dom-4"/> <condition value="dom-3"/> <condition value="dom-5"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Practitioner.extension"> <path value="Practitioner.extension"/> <short value="Additional content defined by implementations"/> <definition value="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 managable, 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."/> <comment value="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."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Practitioner.modifierExtension"> <path value="Practitioner.modifierExtension"/> <short value="Extensions that cannot be ignored"/> <definition value="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 managable, 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)."/> <comment value="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."/> <requirements value="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](http://hl7.org/fhir/R5/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/> </constraint> <mustSupport value="false"/> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Practitioner.identifier"> <path value="Practitioner.identifier"/> <short value="Identificadores del profesional (cédula, cédula jurídica, etc.)."/> <definition value="Lista de identificadores únicos del profesional. Incluye cédula de identidad o DIMEX del profesional."/> <requirements value="Often, specific identities are assigned for the agent."/> <min value="1"/> <max value="*"/> <base> <path value="Practitioner.identifier"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Identifier"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="w5"/> <map value="FiveWs.identifier"/> </mapping> <mapping> <identity value="v2"/> <map value="PRD-7 (or XCN.1)"/> </mapping> <mapping> <identity value="rim"/> <map value="./id"/> </mapping> <mapping> <identity value="interface"/> <map value="Participant.identifier"/> </mapping> <mapping> <identity value="servd"/> <map value="./Identifiers"/> </mapping> </element> <element id="Practitioner.identifier.id"> <path value="Practitioner.identifier.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="id"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <condition value="ele-1"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Practitioner.identifier.extension"> <path value="Practitioner.identifier.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional content defined by implementations"/> <definition value="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 managable, 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."/> <comment value="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."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Practitioner.identifier.use"> <path value="Practitioner.identifier.use"/> <short value="official | usual | temp | secondary | old"/> <definition value="Propósito del identificador. Se recomienda usar 'official' para la cédula costarricense."/> <comment value="Applications can assume that an identifier is permanent unless it explicitly says that it is temporary."/> <requirements value="Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers."/> <min value="0"/> <max value="1"/> <base> <path value="Identifier.use"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="true"/> <isModifier value="true"/> <isModifierReason value="This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one."/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="IdentifierUse"/> </extension> <strength value="required"/> <description value="Identifies the purpose for this identifier, if known ."/> <valueSet value="http://hl7.org/fhir/ValueSet/identifier-use|5.0.0"/> </binding> <mapping> <identity value="v2"/> <map value="N/A"/> </mapping> <mapping> <identity value="rim"/> <map value="Role.code or implied by context"/> </mapping> </element> <element id="Practitioner.identifier.type"> <path value="Practitioner.identifier.type"/> <short value="Tipo de documento de identificación"/> <definition value="Tipo de identificación: cédula nacional, DIMEX, pasaporte u otro documento válido."/> <comment value="This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type."/> <requirements value="Allows users to make use of identifiers when the identifier system is not known."/> <min value="0"/> <max value="1"/> <base> <path value="Identifier.type"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <binding> <strength value="required"/> <description value="ValueSet de tipos de identificación para profesionales en Costa Rica."/> <valueSet value="https://hl7.or.cr/fhir/terminology/ValueSet/cr-identifier-types"/> </binding> <mapping> <identity value="v2"/> <map value="CX.5"/> </mapping> <mapping> <identity value="rim"/> <map value="Role.code or implied by context"/> </mapping> </element> <element id="Practitioner.identifier.system"> <path value="Practitioner.identifier.system"/> <short value="Sistema que emite el identificador"/> <definition value="Identificador único del sistema que emite o registra el identificador del profesional."/> <comment value="Identifier.system is always case sensitive."/> <requirements value="There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers."/> <min value="0"/> <max value="1"/> <base> <path value="Identifier.system"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <example> <label value="General"/> <valueUri value="http://www.acme.com/identifiers/patient"/> </example> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="CX.4 / EI-2-4"/> </mapping> <mapping> <identity value="rim"/> <map value="II.root or Role.id.root"/> </mapping> <mapping> <identity value="servd"/> <map value="./IdentifierType"/> </mapping> </element> <element id="Practitioner.identifier.value"> <path value="Practitioner.identifier.value"/> <short value="Valor del identificador"/> <definition value="Valor único del identificador dentro del sistema."/> <comment value="If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [http://hl7.org/fhir/StructureDefinition/rendered-value](http://hl7.org/fhir/extensions/StructureDefinition-rendered-value.html)). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe."/> <min value="0"/> <max value="1"/> <base> <path value="Identifier.value"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <example> <label value="General"/> <valueString value="123456"/> </example> <condition value="ident-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="CX.1 / EI.1"/> </mapping> <mapping> <identity value="rim"/> <map value="II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)"/> </mapping> <mapping> <identity value="servd"/> <map value="./Value"/> </mapping> </element> <element id="Practitioner.identifier.period"> <path value="Practitioner.identifier.period"/> <short value="Time period when id is/was valid for use"/> <definition value="Time period during which identifier is/was valid for use."/> <min value="0"/> <max value="1"/> <base> <path value="Identifier.period"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Period"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="CX.7 + CX.8"/> </mapping> <mapping> <identity value="rim"/> <map value="Role.effectiveTime or implied by context"/> </mapping> <mapping> <identity value="servd"/> <map value="./StartDate and ./EndDate"/> </mapping> </element> <element id="Practitioner.identifier.assigner"> <path value="Practitioner.identifier.assigner"/> <short value="Organization that issued id (may be just text)"/> <definition value="Organization that issued/manages the identifier."/> <comment value="The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization."/> <min value="0"/> <max value="1"/> <base> <path value="Identifier.assigner"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization|5.0.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="CX.4 / (CX.4,CX.9,CX.10)"/> </mapping> <mapping> <identity value="rim"/> <map value="II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper"/> </mapping> <mapping> <identity value="servd"/> <map value="./IdentifierIssuingAuthority"/> </mapping> </element> <element id="Practitioner.active"> <path value="Practitioner.active"/> <short value="Si el profesional está activo."/> <definition value="Indica si el profesional está activo en el sistema. Un valor 'true' significa que el profesional está habilitado para ejercer; 'false' indica que está inactivo o suspendido."/> <comment value="If the practitioner is not in use by one organization, then it should mark the period on the PractitonerRole with an end date (even if they are active) as they may be active in another role."/> <requirements value="Need to be able to mark a practitioner record as not to be used because it was created in error."/> <min value="1"/> <max value="1"/> <base> <path value="Practitioner.active"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <meaningWhenMissing value="This resource is generally assumed to be active if no value is provided for the active element"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="true"/> <isModifier value="true"/> <isModifierReason value="This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid"/> <isSummary value="true"/> <mapping> <identity value="w5"/> <map value="FiveWs.status"/> </mapping> <mapping> <identity value="rim"/> <map value="./statusCode"/> </mapping> <mapping> <identity value="interface"/> <map value="Participant.active"/> </mapping> </element> <element id="Practitioner.name"> <path value="Practitioner.name"/> <short value="Nombre(s) y apellido(s) del profesional."/> <definition value="Nombre y apellidos del profesional. Se recomienda usar el nombre oficial tal como aparece en documentos de identidad."/> <comment value="The selection of the use property should ensure that there is a single usual name specified, and others use the nickname (alias), old, or other values as appropriate. In general, select the value to be used in the ResourceReference.display based on this: 1. There is more than 1 name 2. Use = usual 3. Period is current to the date of the usage 4. Use = official 5. Other order as decided by internal business rules."/> <requirements value="The name(s) that a Practitioner is known by. Where there are multiple, the name that the practitioner is usually known as should be used in the display."/> <min value="1"/> <max value="1"/> <base> <path value="Practitioner.name"/> <min value="0"/> <max value="*"/> </base> <type> <code value="HumanName"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="XCN Components"/> </mapping> <mapping> <identity value="rim"/> <map value="./name"/> </mapping> <mapping> <identity value="interface"/> <map value="Participant.name"/> </mapping> <mapping> <identity value="servd"/> <map value="./PreferredName (GivenNames, FamilyName, TitleCode)"/> </mapping> </element> <element id="Practitioner.name.id"> <path value="Practitioner.name.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="id"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <condition value="ele-1"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Practitioner.name.extension"> <path value="Practitioner.name.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional content defined by implementations"/> <definition value="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 managable, 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."/> <comment value="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."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Practitioner.name.use"> <path value="Practitioner.name.use"/> <short value="usual | official | temp | nickname | anonymous | old | maiden"/> <definition value="Identifies the purpose for this name."/> <comment value="Applications can assume that a name is current unless it explicitly says that it is temporary or old."/> <requirements value="Allows the appropriate name for a particular context of use to be selected from among a set of names."/> <min value="0"/> <max value="1"/> <base> <path value="HumanName.use"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <isModifier value="true"/> <isModifierReason value="This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="NameUse"/> </extension> <strength value="required"/> <description value="The use of a human name."/> <valueSet value="http://hl7.org/fhir/ValueSet/name-use|5.0.0"/> </binding> <mapping> <identity value="v2"/> <map value="XPN.7, but often indicated by which field contains the name"/> </mapping> <mapping> <identity value="rim"/> <map value="unique(./use)"/> </mapping> <mapping> <identity value="servd"/> <map value="./NamePurpose"/> </mapping> </element> <element id="Practitioner.name.text"> <path value="Practitioner.name.text"/> <short value="Text representation of the full name"/> <definition value="Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts."/> <comment value="Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part."/> <requirements value="A renderable, unencoded form."/> <min value="0"/> <max value="1"/> <base> <path value="HumanName.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="implied by XPN.11"/> </mapping> <mapping> <identity value="rim"/> <map value="./formatted"/> </mapping> </element> <element id="Practitioner.name.family"> <path value="Practitioner.name.family"/> <short value="Apellidos del profesional."/> <definition value="Apellidos del profesional. Se recomienda incluir los dos apellidos separados por un espacio en este campo."/> <comment value="Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures)."/> <alias value="surname"/> <min value="1"/> <max value="1"/> <base> <path value="HumanName.family"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="XPN.1/FN.1"/> </mapping> <mapping> <identity value="rim"/> <map value="./part[partType = FAM]"/> </mapping> <mapping> <identity value="servd"/> <map value="./FamilyName"/> </mapping> </element> <element id="Practitioner.name.given"> <path value="Practitioner.name.given"/> <short value="Primer nombre obligatorio, segundo nombre opcional."/> <definition value="Nombre(s) de pila. Se permite máximo dos nombres."/> <comment value="If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first."/> <alias value="first name"/> <alias value="middle name"/> <min value="1"/> <max value="2"/> <base> <path value="HumanName.given"/> <min value="0"/> <max value="*"/> </base> <type> <code value="string"/> </type> <orderMeaning value="Given Names appear in the correct order for presenting the name"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="XPN.2 + XPN.3"/> </mapping> <mapping> <identity value="rim"/> <map value="./part[partType = GIV]"/> </mapping> <mapping> <identity value="servd"/> <map value="./GivenNames"/> </mapping> </element> <element id="Practitioner.name.prefix"> <path value="Practitioner.name.prefix"/> <short value="Parts that come before the name"/> <definition value="Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name."/> <min value="0"/> <max value="*"/> <base> <path value="HumanName.prefix"/> <min value="0"/> <max value="*"/> </base> <type> <code value="string"/> </type> <orderMeaning value="Prefixes appear in the correct order for presenting the name"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="XPN.5"/> </mapping> <mapping> <identity value="rim"/> <map value="./part[partType = PFX]"/> </mapping> <mapping> <identity value="servd"/> <map value="./TitleCode"/> </mapping> </element> <element id="Practitioner.name.suffix"> <path value="Practitioner.name.suffix"/> <short value="Parts that come after the name"/> <definition value="Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name."/> <min value="0"/> <max value="*"/> <base> <path value="HumanName.suffix"/> <min value="0"/> <max value="*"/> </base> <type> <code value="string"/> </type> <orderMeaning value="Suffixes appear in the correct order for presenting the name"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="XPN/4"/> </mapping> <mapping> <identity value="rim"/> <map value="./part[partType = SFX]"/> </mapping> </element> <element id="Practitioner.name.period"> <path value="Practitioner.name.period"/> <short value="Time period when name was/is in use"/> <definition value="Indicates the period of time when this name was valid for the named person."/> <requirements value="Allows names to be placed in historical context."/> <min value="0"/> <max value="1"/> <base> <path value="HumanName.period"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Period"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="XPN.13 + XPN.14"/> </mapping> <mapping> <identity value="rim"/> <map value="./usablePeriod[type="IVL<TS>"]"/> </mapping> <mapping> <identity value="servd"/> <map value="./StartDate and ./EndDate"/> </mapping> </element> <element id="Practitioner.telecom"> <path value="Practitioner.telecom"/> <short value="Información de contacto del profesional (teléfono, correo, etc.)."/> <definition value="Teléfono, correo electrónico u otro medio de contacto para comunicarse con el profesional."/> <comment value="Person may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and to help with identification. These typically will have home numbers, or mobile numbers that are not role specific."/> <requirements value="Need to know how to reach a practitioner independent to any roles the practitioner may have."/> <min value="0"/> <max value="*"/> <base> <path value="Practitioner.telecom"/> <min value="0"/> <max value="*"/> </base> <type> <code value="ContactPoint"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="PRT-15, STF-10, ROL-12"/> </mapping> <mapping> <identity value="rim"/> <map value="./telecom"/> </mapping> <mapping> <identity value="interface"/> <map value="ParticipantContactable.telecom"/> </mapping> <mapping> <identity value="servd"/> <map value="./ContactPoints"/> </mapping> </element> <element id="Practitioner.telecom.id"> <path value="Practitioner.telecom.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="id"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <condition value="ele-1"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Practitioner.telecom.extension"> <path value="Practitioner.telecom.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional content defined by implementations"/> <definition value="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 managable, 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."/> <comment value="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."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Practitioner.telecom.system"> <path value="Practitioner.telecom.system"/> <short value="phone | fax | email | pager | url | sms | other"/> <definition value="Tipo de medio de comunicación."/> <min value="0"/> <max value="1"/> <base> <path value="ContactPoint.system"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <condition value="cpt-2"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ContactPointSystem"/> </extension> <strength value="required"/> <description value="Telecommunications form for contact point."/> <valueSet value="http://hl7.org/fhir/ValueSet/contact-point-system|5.0.0"/> </binding> <mapping> <identity value="v2"/> <map value="XTN.3"/> </mapping> <mapping> <identity value="rim"/> <map value="./scheme"/> </mapping> <mapping> <identity value="servd"/> <map value="./ContactPointType"/> </mapping> </element> <element id="Practitioner.telecom.value"> <path value="Practitioner.telecom.value"/> <short value="Número telefónico o dirección de correo electrónico."/> <definition value="Valor del punto de contacto."/> <comment value="Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value."/> <requirements value="Need to support legacy numbers that are not in a tightly controlled format."/> <min value="0"/> <max value="1"/> <base> <path value="ContactPoint.value"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <condition value="cpt-2"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="XTN.1 (or XTN.12)"/> </mapping> <mapping> <identity value="rim"/> <map value="./url"/> </mapping> <mapping> <identity value="servd"/> <map value="./Value"/> </mapping> </element> <element id="Practitioner.telecom.use"> <path value="Practitioner.telecom.use"/> <short value="Propósito del contacto"/> <definition value="Propósito de este punto de contacto (principal, trabajo, móvil, etc.)."/> <comment value="Applications can assume that a contact is current unless it explicitly says that it is temporary or old."/> <requirements value="Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose."/> <min value="0"/> <max value="1"/> <base> <path value="ContactPoint.use"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="true"/> <isModifier value="true"/> <isModifierReason value="This is labeled as "Is Modifier" because applications should not mistake a temporary or old contact etc.for a current/permanent one"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ContactPointUse"/> </extension> <strength value="required"/> <description value="Use of contact point."/> <valueSet value="http://hl7.org/fhir/ValueSet/contact-point-use|5.0.0"/> </binding> <mapping> <identity value="v2"/> <map value="XTN.2 - but often indicated by field"/> </mapping> <mapping> <identity value="rim"/> <map value="unique(./use)"/> </mapping> <mapping> <identity value="servd"/> <map value="./ContactPointPurpose"/> </mapping> </element> <element id="Practitioner.telecom.rank"> <path value="Practitioner.telecom.rank"/> <short value="Specify preferred order of use (1 = highest)"/> <definition value="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."/> <comment value="Note that rank does not necessarily follow the order in which the contacts are represented in the instance. Ranks need not be unique. E.g. it's possible to have multiple contacts with rank=1. If the ranks have different systems or uses, this would be interpreted to mean "X is my most preferred phone number, Y is my most preferred email address" or "X is my preferred home email and Y is my preferred work email". If the system and use for equally-ranked contacts are the same, then the level of preference is equivalent for both repetitions. Ranks need not be sequential and not all repetitions must have a rank. For example, it's possible to have 4 contacts with ranks of 2, 5 and two with no rank specified. That would be interpreted to mean the first is preferred over the second and no preference stated for the remaining contacts."/> <min value="0"/> <max value="1"/> <base> <path value="ContactPoint.rank"/> <min value="0"/> <max value="1"/> </base> <type> <code value="positiveInt"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="n/a"/> </mapping> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Practitioner.telecom.period"> <path value="Practitioner.telecom.period"/> <short value="Time period when the contact point was/is in use"/> <definition value="Time period when the contact point was/is in use."/> <min value="0"/> <max value="1"/> <base> <path value="ContactPoint.period"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Period"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="N/A"/> </mapping> <mapping> <identity value="rim"/> <map value="./usablePeriod[type="IVL<TS>"]"/> </mapping> <mapping> <identity value="servd"/> <map value="./StartDate and ./EndDate"/> </mapping> </element> <element id="Practitioner.gender"> <path value="Practitioner.gender"/> <short value="Sexo biológico del profesional."/> <definition value="Sexo biológico del profesional. Se restringe a male (hombre) o female (mujer)."/> <requirements value="Needed to address the person correctly."/> <min value="1"/> <max value="1"/> <base> <path value="Practitioner.gender"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <binding> <strength value="required"/> <valueSet value="http://hl7.org/fhir/ValueSet/administrative-gender|5.0.0"/> </binding> <mapping> <identity value="v2"/> <map value="STF-5"/> </mapping> <mapping> <identity value="rim"/> <map value="./administrativeGender"/> </mapping> <mapping> <identity value="interface"/> <map value="ParticipantLiving.gender"/> </mapping> <mapping> <identity value="servd"/> <map value="./GenderCode"/> </mapping> </element> <element id="Practitioner.birthDate"> <path value="Practitioner.birthDate"/> <short value="Fecha de nacimiento del profesional."/> <definition value="Fecha de nacimiento del profesional (opcional)."/> <requirements value="Needed for identification."/> <min value="0"/> <max value="1"/> <base> <path value="Practitioner.birthDate"/> <min value="0"/> <max value="1"/> </base> <type> <code value="date"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="STF-6"/> </mapping> <mapping> <identity value="rim"/> <map value="./birthTime"/> </mapping> <mapping> <identity value="interface"/> <map value="ParticipantLiving.birthDate"/> </mapping> <mapping> <identity value="servd"/> <map value="(not represented in ServD)"/> </mapping> </element> <element id="Practitioner.deceased[x]"> <path value="Practitioner.deceased[x]"/> <slicing> <discriminator> <type value="type"/> <path value="$this"/> </discriminator> <ordered value="false"/> <rules value="closed"/> </slicing> <short value="Información sobre el fallecimiento del profesional."/> <definition value="Indica si el profesional ha fallecido. Puede ser un indicador booleano o una fecha específica."/> <comment value="If there's no value in the instance, it means there is no statement on whether or not the practitioner is deceased. Most systems will interpret the absence of a value as a sign of the person being alive."/> <min value="0"/> <max value="1"/> <base> <path value="Practitioner.deceased[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <type> <code value="dateTime"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedInd, player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedTime"/> </mapping> </element> <element id="Practitioner.deceased[x]:deceasedBoolean"> <path value="Practitioner.deceased[x]"/> <sliceName value="deceasedBoolean"/> <short value="Indica si el profesional ha fallecido (sí/no)."/> <definition value="Indicates if the practitioner is deceased or not."/> <comment value="If there's no value in the instance, it means there is no statement on whether or not the practitioner is deceased. Most systems will interpret the absence of a value as a sign of the person being alive."/> <min value="0"/> <max value="1"/> <base> <path value="Practitioner.deceased[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedInd, player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedTime"/> </mapping> </element> <element id="Practitioner.deceased[x]:deceasedDateTime"> <path value="Practitioner.deceased[x]"/> <sliceName value="deceasedDateTime"/> <short value="Fecha y hora exacta del fallecimiento."/> <definition value="Indicates if the practitioner is deceased or not."/> <comment value="If there's no value in the instance, it means there is no statement on whether or not the practitioner is deceased. Most systems will interpret the absence of a value as a sign of the person being alive."/> <min value="0"/> <max value="1"/> <base> <path value="Practitioner.deceased[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="dateTime"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedInd, player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedTime"/> </mapping> </element> <element id="Practitioner.address"> <path value="Practitioner.address"/> <short value="Dirección(es) del profesional."/> <definition value="Una o más direcciones postales del profesional en Costa Rica. La dirección incluye provincia, cantón, distrito y detalles específicos de ubicación."/> <comment value="The PractitionerRole does not have an address value on it, as it is expected that the location property be used for this purpose (which has an address)."/> <requirements value="The home/mailing address of the practitioner is often required for employee administration purposes, and also for some rostering services where the start point (practitioners home) can be used in calculations."/> <min value="0"/> <max value="*"/> <base> <path value="Practitioner.address"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Address"/> <profile value="https://hl7.or.cr/fhir/core/StructureDefinition/cr-address-base|0.0.1-ballot"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="ORC-24, STF-11, ROL-11, PRT-14"/> </mapping> <mapping> <identity value="rim"/> <map value="./addr"/> </mapping> <mapping> <identity value="interface"/> <map value="ParticipantContactable.address"/> </mapping> <mapping> <identity value="servd"/> <map value="./Addresses"/> </mapping> </element> <element id="Practitioner.address.id"> <path value="Practitioner.address.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="id"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <condition value="ele-1"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Practitioner.address.extension"> <path value="Practitioner.address.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional content defined by implementations"/> <definition value="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 managable, 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."/> <comment value="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."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Practitioner.address.use"> <path value="Practitioner.address.use"/> <short value="home | work | temp | old | billing"/> <definition value="Propósito de la dirección (principal, trabajo, temporal, etc.)."/> <comment value="Applications can assume that an address is current unless it explicitly says that it is temporary or old."/> <requirements value="Allows an appropriate address to be chosen from a list of many."/> <min value="0"/> <max value="1"/> <base> <path value="Address.use"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <example> <label value="General"/> <valueCode value="home"/> </example> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="true"/> <isModifier value="true"/> <isModifierReason value="This is labeled as "Is Modifier" because applications should not mistake a temporary or old address etc.for a current/permanent one"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="AddressUse"/> </extension> <strength value="required"/> <description value="The use of an address (home / work / etc.)."/> <valueSet value="http://hl7.org/fhir/ValueSet/address-use|5.0.0"/> </binding> <mapping> <identity value="v2"/> <map value="XAD.7"/> </mapping> <mapping> <identity value="rim"/> <map value="unique(./use)"/> </mapping> <mapping> <identity value="servd"/> <map value="./AddressPurpose"/> </mapping> </element> <element id="Practitioner.address.type"> <path value="Practitioner.address.type"/> <short value="postal | physical | both"/> <definition value="Tipo de dirección (postal, física o ambas)."/> <comment value="The definition of Address states that "address is intended to describe postal addresses, not physical locations". However, many applications track whether an address has a dual purpose of being a location that can be visited as well as being a valid delivery destination, and Postal addresses are often used as proxies for physical locations (also see the [Location](http://hl7.org/fhir/R5/location.html#) resource)."/> <min value="0"/> <max value="1"/> <base> <path value="Address.type"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <example> <label value="General"/> <valueCode value="both"/> </example> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="AddressType"/> </extension> <strength value="required"/> <description value="The type of an address (physical / postal)."/> <valueSet value="http://hl7.org/fhir/ValueSet/address-type|5.0.0"/> </binding> <mapping> <identity value="v2"/> <map value="XAD.18"/> </mapping> <mapping> <identity value="rim"/> <map value="unique(./use)"/> </mapping> <mapping> <identity value="vcard"/> <map value="address type parameter"/> </mapping> </element> <element id="Practitioner.address.text"> <path value="Practitioner.address.text"/> <short value="Text representation of the address"/> <definition value="Specifies the entire address as it should be displayed e.g. on a postal label. This may be provided instead of or as well as the specific parts."/> <comment value="Can provide both a text representation and parts. Applications updating an address SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part."/> <requirements value="A renderable, unencoded form."/> <min value="0"/> <max value="1"/> <base> <path value="Address.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <example> <label value="General"/> <valueString value="137 Nowhere Street, Erewhon 9132"/> </example> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="XAD.1 + XAD.2 + XAD.3 + XAD.4 + XAD.5 + XAD.6"/> </mapping> <mapping> <identity value="rim"/> <map value="./formatted"/> </mapping> <mapping> <identity value="vcard"/> <map value="address label parameter"/> </mapping> </element> <element id="Practitioner.address.line"> <path value="Practitioner.address.line"/> <short value="Línea de dirección (calle, número, referencias)."/> <definition value="Calle, número, apartamento y otras líneas de dirección específicas. Mínimo una línea requerida."/> <min value="1"/> <max value="*"/> <base> <path value="Address.line"/> <min value="0"/> <max value="*"/> </base> <type> <code value="string"/> </type> <orderMeaning value="The order in which lines should appear in an address label"/> <example> <label value="General"/> <valueString value="137 Nowhere Street"/> </example> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="XAD.1 + XAD.2 (note: XAD.1 and XAD.2 have different meanings for a company address than for a person address)"/> </mapping> <mapping> <identity value="rim"/> <map value="AD.part[parttype = AL]"/> </mapping> <mapping> <identity value="vcard"/> <map value="street"/> </mapping> <mapping> <identity value="servd"/> <map value="./StreetAddress (newline delimitted)"/> </mapping> </element> <element id="Practitioner.address.city"> <path value="Practitioner.address.city"/> <short value="Cantón de Costa Rica."/> <definition value="Nombre del cantón (ciudad). Incluye una extensión con el código del cantón basado en el ZipCode de Costa Rica."/> <alias value="Municpality"/> <min value="0"/> <max value="1"/> <base> <path value="Address.city"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <example> <label value="General"/> <valueString value="Erewhon"/> </example> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="XAD.3"/> </mapping> <mapping> <identity value="rim"/> <map value="AD.part[parttype = CTY]"/> </mapping> <mapping> <identity value="vcard"/> <map value="locality"/> </mapping> <mapping> <identity value="servd"/> <map value="./Jurisdiction"/> </mapping> </element> <element id="Practitioner.address.city.id"> <path value="Practitioner.address.city.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references)"/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Practitioner.address.city.extension"> <path value="Practitioner.address.city.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Código de la ciudad basado en el ZipCode de Costa Rica"/> <definition value="Código de la ciudad basado en el ZipCode de Costa Rica."/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Practitioner.address.city.extension:cityCode"> <path value="Practitioner.address.city.extension"/> <sliceName value="cityCode"/> <short value="Extensión para cantón"/> <definition value="Extensión para el código del cantón basado en el ZipCode de Costa Rica."/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="https://hl7.or.cr/fhir/core/StructureDefinition/cr-city-ext|0.0.1-ballot"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Practitioner.address.city.value"> <path value="Practitioner.address.city.value"/> <representation value="xmlAttr"/> <short value="Primitive value for string"/> <definition value="The actual value"/> <min value="0"/> <max value="1"/> <base> <path value="string.value"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/regex"> <valueString value="^[\s\S]+$"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <maxLength value="1048576"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Practitioner.address.district"> <path value="Practitioner.address.district"/> <short value="Distrito de Costa Rica."/> <definition value="Nombre del distrito. Incluye una extensión con el código del distrito basado en el ZipCode de Costa Rica."/> <comment value="District is sometimes known as county, but in some regions 'county' is used in place of city (municipality), so county name should be conveyed in city instead."/> <alias value="County"/> <min value="0"/> <max value="1"/> <base> <path value="Address.district"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <example> <label value="General"/> <valueString value="Madison"/> </example> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="XAD.9"/> </mapping> <mapping> <identity value="rim"/> <map value="AD.part[parttype = CNT | CPA]"/> </mapping> </element> <element id="Practitioner.address.district.id"> <path value="Practitioner.address.district.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references)"/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Practitioner.address.district.extension"> <path value="Practitioner.address.district.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Código del distrito basado en el ZipCode de Costa Rica"/> <definition value="Código del distrito basado en el ZipCode de Costa Rica."/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Practitioner.address.district.extension:districtCode"> <path value="Practitioner.address.district.extension"/> <sliceName value="districtCode"/> <short value="Extensión para distrito"/> <definition value="Extensión para el código del distrito basado en el ZipCode de Costa Rica."/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="https://hl7.or.cr/fhir/core/StructureDefinition/cr-district-ext|0.0.1-ballot"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Practitioner.address.district.value"> <path value="Practitioner.address.district.value"/> <representation value="xmlAttr"/> <short value="Primitive value for string"/> <definition value="The actual value"/> <min value="0"/> <max value="1"/> <base> <path value="string.value"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/regex"> <valueString value="^[\s\S]+$"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <maxLength value="1048576"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Practitioner.address.state"> <path value="Practitioner.address.state"/> <short value="Provincia de Costa Rica."/> <definition value="Nombre de la provincia. Incluye una extensión con el código de la provincia basado en el ZipCode de Costa Rica."/> <alias value="Province"/> <alias value="Territory"/> <min value="0"/> <max value="1"/> <base> <path value="Address.state"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="XAD.4"/> </mapping> <mapping> <identity value="rim"/> <map value="AD.part[parttype = STA]"/> </mapping> <mapping> <identity value="vcard"/> <map value="region"/> </mapping> <mapping> <identity value="servd"/> <map value="./Region"/> </mapping> </element> <element id="Practitioner.address.state.id"> <path value="Practitioner.address.state.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references)"/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Practitioner.address.state.extension"> <path value="Practitioner.address.state.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Código de la provincia basado en el ZipCode de Costa Rica"/> <definition value="Código de la provincia basado en el ZipCode de Costa Rica."/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Practitioner.address.state.extension:stateCode"> <path value="Practitioner.address.state.extension"/> <sliceName value="stateCode"/> <short value="Extensión para provincia"/> <definition value="Extensión para el código de la provincia basado en el ZipCode de Costa Rica."/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="https://hl7.or.cr/fhir/core/StructureDefinition/cr-state-ext|0.0.1-ballot"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Practitioner.address.state.value"> <path value="Practitioner.address.state.value"/> <representation value="xmlAttr"/> <short value="Primitive value for string"/> <definition value="The actual value"/> <min value="0"/> <max value="1"/> <base> <path value="string.value"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/regex"> <valueString value="^[\s\S]+$"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <maxLength value="1048576"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Practitioner.address.postalCode"> <path value="Practitioner.address.postalCode"/> <short value="Código postal."/> <definition value="Código postal o código de localidad de Costa Rica (opcional)."/> <alias value="Zip"/> <min value="0"/> <max value="1"/> <base> <path value="Address.postalCode"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <example> <label value="General"/> <valueString value="9132"/> </example> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="XAD.5"/> </mapping> <mapping> <identity value="rim"/> <map value="AD.part[parttype = ZIP]"/> </mapping> <mapping> <identity value="vcard"/> <map value="code"/> </mapping> <mapping> <identity value="servd"/> <map value="./PostalIdentificationCode"/> </mapping> </element> <element id="Practitioner.address.country"> <path value="Practitioner.address.country"/> <short value="Nombre del país (CR)."/> <definition value="Nombre del país. Incluye una extensión con el código ISO 3166-1 alpha-3 (CR para Costa Rica)."/> <comment value="ISO 3166 2- or 3- letter codes MAY be used in place of a human readable country name."/> <min value="0"/> <max value="1"/> <base> <path value="Address.country"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="XAD.6"/> </mapping> <mapping> <identity value="rim"/> <map value="AD.part[parttype = CNT]"/> </mapping> <mapping> <identity value="vcard"/> <map value="country"/> </mapping> <mapping> <identity value="servd"/> <map value="./Country"/> </mapping> </element> <element id="Practitioner.address.country.id"> <path value="Practitioner.address.country.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references)"/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Practitioner.address.country.extension"> <path value="Practitioner.address.country.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Código de país en formato ISO 3166-1 alpha-3"/> <definition value="Código de país en formato ISO 3166-1 alpha-3"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Practitioner.address.country.extension:countryCode"> <path value="Practitioner.address.country.extension"/> <sliceName value="countryCode"/> <short value="Extensión para país"/> <definition value="Extensión para el código de país en formato ISO 3166-1 alpha-3."/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="https://hl7.or.cr/fhir/core/StructureDefinition/cr-country-ext|0.0.1-ballot"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Practitioner.address.country.value"> <path value="Practitioner.address.country.value"/> <representation value="xmlAttr"/> <short value="Primitive value for string"/> <definition value="The actual value"/> <min value="0"/> <max value="1"/> <base> <path value="string.value"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/regex"> <valueString value="^[\s\S]+$"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <maxLength value="1048576"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Practitioner.address.period"> <path value="Practitioner.address.period"/> <short value="Time period when address was/is in use"/> <definition value="Time period when address was/is in use."/> <requirements value="Allows addresses to be placed in historical context."/> <min value="0"/> <max value="1"/> <base> <path value="Address.period"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Period"/> </type> <example> <label value="General"/> <valuePeriod> <start value="2010-03-23"/> <end value="2010-07-01"/> </valuePeriod> </example> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="XAD.12 / XAD.13 + XAD.14"/> </mapping> <mapping> <identity value="rim"/> <map value="./usablePeriod[type="IVL<TS>"]"/> </mapping> <mapping> <identity value="servd"/> <map value="./StartDate and ./EndDate"/> </mapping> </element> <element id="Practitioner.photo"> <path value="Practitioner.photo"/> <short value="Image of the person"/> <definition value="Image of the person."/> <requirements value="Many EHR systems have the capability to capture an image of patients and personnel. Fits with newer social media usage too."/> <min value="0"/> <max value="*"/> <base> <path value="Practitioner.photo"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Attachment"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="./subjectOf/ObservationEvent[code="photo"]/value"/> </mapping> <mapping> <identity value="interface"/> <map value="ParticipantLiving.photo"/> </mapping> <mapping> <identity value="servd"/> <map value="./ImageURI (only supports the URI reference)"/> </mapping> </element> <element id="Practitioner.qualification"> <path value="Practitioner.qualification"/> <short value="Calificaciones, credenciales y licencias del profesional."/> <definition value="Credenciales profesionales, licencias, certificados y especializaciones del profesional."/> <comment value="The PractitionerRole.specialty defines the functional role that they are practicing at a given organization or location. Those specialties may or might not require a qualification, and are not defined on the practitioner."/> <min value="0"/> <max value="*"/> <base> <path value="Practitioner.qualification"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="v2"/> <map value="CER?"/> </mapping> <mapping> <identity value="rim"/> <map value=".playingEntity.playingRole[classCode=QUAL].code"/> </mapping> <mapping> <identity value="servd"/> <map value="./Qualifications"/> </mapping> </element> <element id="Practitioner.qualification.id"> <path value="Practitioner.qualification.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <condition value="ele-1"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Practitioner.qualification.extension"> <path value="Practitioner.qualification.extension"/> <short value="Additional content defined by implementations"/> <definition value="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 managable, 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."/> <comment value="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."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Practitioner.qualification.modifierExtension"> <path value="Practitioner.qualification.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="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 managable, 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)."/> <comment value="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."/> <requirements value="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](http://hl7.org/fhir/R5/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Practitioner.qualification.identifier"> <path value="Practitioner.qualification.identifier"/> <short value="Identificador único e inmutable de la calificación (número de colegiado, licencia, etc.)."/> <definition value="Identificador único y permanente de la calificación profesional, como número de colegiado expedido por el colegio profesional. Este identificador no cambia independientemente de donde el profesional trabaje o se traslade a otra organización."/> <requirements value="Often, specific identities are assigned for the qualification."/> <min value="1"/> <max value="*"/> <base> <path value="Practitioner.qualification.identifier"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Identifier"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".playingEntity.playingRole[classCode=QUAL].id"/> </mapping> </element> <element id="Practitioner.qualification.code"> <path value="Practitioner.qualification.code"/> <short value="Código de la calificación o rol del profesional."/> <definition value="Código del rol o especialidad profesional. Utiliza el CodeSystem de roles de profesionales de Costa Rica."/> <min value="1"/> <max value="1"/> <base> <path value="Practitioner.qualification.code"/> <min value="1"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <strength value="extensible"/> <description value="CodeSystem de roles y especialidades de profesionales de salud en Costa Rica."/> <valueSet value="https://hl7.or.cr/fhir/terminology/ValueSet/cr-practitioner-roles"/> </binding> <mapping> <identity value="rim"/> <map value=".playingEntity.playingRole[classCode=QUAL].code"/> </mapping> <mapping> <identity value="servd"/> <map value="./Qualifications.Value"/> </mapping> </element> <element id="Practitioner.qualification.period"> <path value="Practitioner.qualification.period"/> <short value="Period during which the qualification is valid"/> <definition value="Period during which the qualification is valid."/> <requirements value="Qualifications are often for a limited period of time, and can be revoked."/> <min value="0"/> <max value="1"/> <base> <path value="Practitioner.qualification.period"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Period"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".playingEntity.playingRole[classCode=QUAL].effectiveTime"/> </mapping> <mapping> <identity value="servd"/> <map value="./Qualifications.StartDate and ./Qualifications.EndDate"/> </mapping> </element> <element id="Practitioner.qualification.issuer"> <path value="Practitioner.qualification.issuer"/> <short value="Organización que emitió la calificación o credencial."/> <definition value="Referencia a la organización (como colegio profesional o institución educativa) que emitió la calificación o credencial."/> <min value="0"/> <max value="1"/> <base> <path value="Practitioner.qualification.issuer"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization|5.0.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".playingEntity.playingRole[classCode=QUAL].scoper"/> </mapping> </element> <element id="Practitioner.communication"> <path value="Practitioner.communication"/> <short value="A language which may be used to communicate with the practitioner"/> <definition value="A language which may be used to communicate with the practitioner, often for correspondence/administrative purposes. The `PractitionerRole.communication` property should be used for publishing the languages that a practitioner is able to communicate with patients (on a per Organization/Role basis)."/> <comment value="If no language is specified, this *implies* that the default local language is spoken. If you need to convey proficiency for multiple modes, then you need multiple Practitioner.Communication associations. For animals, language is not a relevant field, and should be absent from the instance."/> <min value="0"/> <max value="*"/> <base> <path value="Practitioner.communication"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="LanguageCommunication"/> </mapping> </element> <element id="Practitioner.communication.id"> <path value="Practitioner.communication.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <condition value="ele-1"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Practitioner.communication.extension"> <path value="Practitioner.communication.extension"/> <short value="Additional content defined by implementations"/> <definition value="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 managable, 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."/> <comment value="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."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Practitioner.communication.modifierExtension"> <path value="Practitioner.communication.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="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 managable, 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)."/> <comment value="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."/> <requirements value="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](http://hl7.org/fhir/R5/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Practitioner.communication.language"> <path value="Practitioner.communication.language"/> <short value="The language code used to communicate with the practitioner"/> <definition value="The ISO-639-1 alpha 2 code in lower case for the language, optionally followed by a hyphen and the ISO-3166-1 alpha 2 code for the region in upper case; e.g. "en" for English, or "en-US" for American English versus "en-AU" for Australian English."/> <comment value="The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems actually code this but instead have it as free text. Hence CodeableConcept instead of code as the data type."/> <requirements value="Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect."/> <min value="1"/> <max value="1"/> <base> <path value="Practitioner.communication.language"/> <min value="1"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="Language"/> </extension> <strength value="required"/> <description value="IETF language tag for a human language"/> <valueSet value="http://hl7.org/fhir/ValueSet/all-languages|5.0.0"/> <additional> <purpose value="starter"/> <valueSet value="http://hl7.org/fhir/ValueSet/languages|5.0.0"/> </additional> </binding> <mapping> <identity value="v2"/> <map value="PID-15, LAN-2"/> </mapping> <mapping> <identity value="rim"/> <map value="player[classCode=PSN|ANM and determinerCode=INSTANCE]/languageCommunication/code"/> </mapping> </element> <element id="Practitioner.communication.preferred"> <path value="Practitioner.communication.preferred"/> <short value="Language preference indicator"/> <definition value="Indicates whether or not the person prefers this language (over other languages he masters up a certain level)."/> <comment value="This language is specifically identified for communicating directly with the practitioner (typically un-related to patient communications)."/> <requirements value="People that master multiple languages up to certain level may prefer one or more, i.e. feel more confident in communicating in a particular language making other languages sort of a fall back method."/> <min value="0"/> <max value="1"/> <base> <path value="Practitioner.communication.preferred"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="preferenceInd"/> </mapping> </element> </snapshot> <differential> <element id="Practitioner"> <path value="Practitioner"/> </element> <element id="Practitioner.identifier"> <path value="Practitioner.identifier"/> <short value="Identificadores del profesional (cédula, cédula jurídica, etc.)."/> <definition value="Lista de identificadores únicos del profesional. Incluye cédula de identidad o DIMEX del profesional."/> <min value="1"/> <mustSupport value="true"/> </element> <element id="Practitioner.identifier.use"> <path value="Practitioner.identifier.use"/> <short value="official | usual | temp | secondary | old"/> <definition value="Propósito del identificador. Se recomienda usar 'official' para la cédula costarricense."/> <mustSupport value="true"/> </element> <element id="Practitioner.identifier.type"> <path value="Practitioner.identifier.type"/> <short value="Tipo de documento de identificación"/> <definition value="Tipo de identificación: cédula nacional, DIMEX, pasaporte u otro documento válido."/> <mustSupport value="true"/> <binding> <strength value="required"/> <description value="ValueSet de tipos de identificación para profesionales en Costa Rica."/> <valueSet value="https://hl7.or.cr/fhir/terminology/ValueSet/cr-identifier-types"/> </binding> </element> <element id="Practitioner.identifier.system"> <path value="Practitioner.identifier.system"/> <short value="Sistema que emite el identificador"/> <definition value="Identificador único del sistema que emite o registra el identificador del profesional."/> <mustSupport value="true"/> </element> <element id="Practitioner.identifier.value"> <path value="Practitioner.identifier.value"/> <short value="Valor del identificador"/> <definition value="Valor único del identificador dentro del sistema."/> <mustSupport value="true"/> </element> <element id="Practitioner.active"> <path value="Practitioner.active"/> <short value="Si el profesional está activo."/> <definition value="Indica si el profesional está activo en el sistema. Un valor 'true' significa que el profesional está habilitado para ejercer; 'false' indica que está inactivo o suspendido."/> <min value="1"/> <mustSupport value="true"/> </element> <element id="Practitioner.name"> <path value="Practitioner.name"/> <short value="Nombre(s) y apellido(s) del profesional."/> <definition value="Nombre y apellidos del profesional. Se recomienda usar el nombre oficial tal como aparece en documentos de identidad."/> <min value="1"/> <max value="1"/> <mustSupport value="true"/> </element> <element id="Practitioner.name.family"> <path value="Practitioner.name.family"/> <short value="Apellidos del profesional."/> <definition value="Apellidos del profesional. Se recomienda incluir los dos apellidos separados por un espacio en este campo."/> <min value="1"/> <mustSupport value="true"/> </element> <element id="Practitioner.name.given"> <path value="Practitioner.name.given"/> <short value="Primer nombre obligatorio, segundo nombre opcional."/> <definition value="Nombre(s) de pila. Se permite máximo dos nombres."/> <min value="1"/> <max value="2"/> <mustSupport value="true"/> </element> <element id="Practitioner.telecom"> <path value="Practitioner.telecom"/> <short value="Información de contacto del profesional (teléfono, correo, etc.)."/> <definition value="Teléfono, correo electrónico u otro medio de contacto para comunicarse con el profesional."/> <mustSupport value="true"/> </element> <element id="Practitioner.telecom.system"> <path value="Practitioner.telecom.system"/> <definition value="Tipo de medio de comunicación."/> <mustSupport value="true"/> </element> <element id="Practitioner.telecom.value"> <path value="Practitioner.telecom.value"/> <short value="Número telefónico o dirección de correo electrónico."/> <definition value="Valor del punto de contacto."/> <mustSupport value="true"/> </element> <element id="Practitioner.telecom.use"> <path value="Practitioner.telecom.use"/> <short value="Propósito del contacto"/> <definition value="Propósito de este punto de contacto (principal, trabajo, móvil, etc.)."/> <mustSupport value="true"/> </element> <element id="Practitioner.gender"> <path value="Practitioner.gender"/> <short value="Sexo biológico del profesional."/> <definition value="Sexo biológico del profesional. Se restringe a male (hombre) o female (mujer)."/> <min value="1"/> <mustSupport value="true"/> <binding> <strength value="required"/> <valueSet value="http://hl7.org/fhir/ValueSet/administrative-gender|5.0.0"/> </binding> </element> <element id="Practitioner.birthDate"> <path value="Practitioner.birthDate"/> <short value="Fecha de nacimiento del profesional."/> <definition value="Fecha de nacimiento del profesional (opcional)."/> <mustSupport value="true"/> </element> <element id="Practitioner.deceased[x]"> <path value="Practitioner.deceased[x]"/> <slicing> <discriminator> <type value="type"/> <path value="$this"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Información sobre el fallecimiento del profesional."/> <definition value="Indica si el profesional ha fallecido. Puede ser un indicador booleano o una fecha específica."/> <mustSupport value="true"/> </element> <element id="Practitioner.deceased[x]:deceasedBoolean"> <path value="Practitioner.deceased[x]"/> <sliceName value="deceasedBoolean"/> <short value="Indica si el profesional ha fallecido (sí/no)."/> <min value="0"/> <max value="1"/> <type> <code value="boolean"/> </type> <mustSupport value="true"/> </element> <element id="Practitioner.deceased[x]:deceasedDateTime"> <path value="Practitioner.deceased[x]"/> <sliceName value="deceasedDateTime"/> <short value="Fecha y hora exacta del fallecimiento."/> <min value="0"/> <max value="1"/> <type> <code value="dateTime"/> </type> <mustSupport value="true"/> </element> <element id="Practitioner.address"> <path value="Practitioner.address"/> <short value="Dirección(es) del profesional."/> <definition value="Una o más direcciones postales del profesional en Costa Rica. La dirección incluye provincia, cantón, distrito y detalles específicos de ubicación."/> <type> <code value="Address"/> <profile value="https://hl7.or.cr/fhir/core/StructureDefinition/cr-address-base|0.0.1-ballot"/> </type> <mustSupport value="true"/> </element> <element id="Practitioner.address.use"> <path value="Practitioner.address.use"/> <short value="home | work | temp | old | billing"/> <definition value="Propósito de la dirección (principal, trabajo, temporal, etc.)."/> <mustSupport value="true"/> </element> <element id="Practitioner.address.type"> <path value="Practitioner.address.type"/> <short value="postal | physical | both"/> <definition value="Tipo de dirección (postal, física o ambas)."/> <mustSupport value="true"/> </element> <element id="Practitioner.address.line"> <path value="Practitioner.address.line"/> <short value="Línea de dirección (calle, número, referencias)."/> <definition value="Calle, número, apartamento y otras líneas de dirección específicas. Mínimo una línea requerida."/> </element> <element id="Practitioner.address.city"> <path value="Practitioner.address.city"/> <short value="Cantón de Costa Rica."/> <definition value="Nombre del cantón (ciudad). Incluye una extensión con el código del cantón basado en el ZipCode de Costa Rica."/> <mustSupport value="true"/> </element> <element id="Practitioner.address.district"> <path value="Practitioner.address.district"/> <short value="Distrito de Costa Rica."/> <definition value="Nombre del distrito. Incluye una extensión con el código del distrito basado en el ZipCode de Costa Rica."/> <mustSupport value="true"/> </element> <element id="Practitioner.address.state"> <path value="Practitioner.address.state"/> <short value="Provincia de Costa Rica."/> <definition value="Nombre de la provincia. Incluye una extensión con el código de la provincia basado en el ZipCode de Costa Rica."/> <mustSupport value="true"/> </element> <element id="Practitioner.address.postalCode"> <path value="Practitioner.address.postalCode"/> <definition value="Código postal o código de localidad de Costa Rica (opcional)."/> <mustSupport value="true"/> </element> <element id="Practitioner.address.country"> <path value="Practitioner.address.country"/> <short value="Nombre del país (CR)."/> <definition value="Nombre del país. Incluye una extensión con el código ISO 3166-1 alpha-3 (CR para Costa Rica)."/> </element> <element id="Practitioner.qualification"> <path value="Practitioner.qualification"/> <short value="Calificaciones, credenciales y licencias del profesional."/> <definition value="Credenciales profesionales, licencias, certificados y especializaciones del profesional."/> <mustSupport value="true"/> </element> <element id="Practitioner.qualification.identifier"> <path value="Practitioner.qualification.identifier"/> <short value="Identificador único e inmutable de la calificación (número de colegiado, licencia, etc.)."/> <definition value="Identificador único y permanente de la calificación profesional, como número de colegiado expedido por el colegio profesional. Este identificador no cambia independientemente de donde el profesional trabaje o se traslade a otra organización."/> <min value="1"/> <mustSupport value="true"/> </element> <element id="Practitioner.qualification.code"> <path value="Practitioner.qualification.code"/> <short value="Código de la calificación o rol del profesional."/> <definition value="Código del rol o especialidad profesional. Utiliza el CodeSystem de roles de profesionales de Costa Rica."/> <mustSupport value="true"/> <binding> <strength value="extensible"/> <description value="CodeSystem de roles y especialidades de profesionales de salud en Costa Rica."/> <valueSet value="https://hl7.or.cr/fhir/terminology/ValueSet/cr-practitioner-roles"/> </binding> </element> <element id="Practitioner.qualification.issuer"> <path value="Practitioner.qualification.issuer"/> <short value="Organización que emitió la calificación o credencial."/> <definition value="Referencia a la organización (como colegio profesional o institución educativa) que emitió la calificación o credencial."/> <mustSupport value="true"/> </element> </differential> </StructureDefinition>

Generated Narrative: StructureDefinition cr-core-practitioner

Language: es

Name	Flags	Card.	Type	Description & Constraints
Practitioner		0..*	Practitioner(5.0.0)	A person with a formal responsibility in the provisioning of healthcare or related services
identifier	S	1..*	Identifier	Identificadores del profesional (cédula, cédula jurídica, etc.).
use	S	0..1	code	official \| usual \| temp \| secondary \| old
type	S	0..1	CodeableConcept	Tipo de documento de identificación Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-identifier-types (required): ValueSet de tipos de identificación para profesionales en Costa Rica.
system	S	0..1	uri	Sistema que emite el identificador
value	S	0..1	string	Valor del identificador
active	S	1..1	boolean	Si el profesional está activo.
name	S	1..1	HumanName	Nombre(s) y apellido(s) del profesional.
family	S	1..1	string	Apellidos del profesional.
given	S	1..2	string	Primer nombre obligatorio, segundo nombre opcional.
telecom	S	0..*	ContactPoint	Información de contacto del profesional (teléfono, correo, etc.).
system	S	0..1	code	phone \| fax \| email \| pager \| url \| sms \| other
value	S	0..1	string	Número telefónico o dirección de correo electrónico.
use	S	0..1	code	Propósito del contacto
gender	S	1..1	code	Sexo biológico del profesional. Binding: AdministrativeGender (required)
birthDate	S	0..1	date	Fecha de nacimiento del profesional.
Slices for deceased[x]	S	0..1	boolean, dateTime	Información sobre el fallecimiento del profesional. Slice: Unordered, Open by type:$this
deceased[x]:deceasedBoolean	S	0..1	boolean	Indica si el profesional ha fallecido (sí/no).
deceased[x]:deceasedDateTime	S	0..1	dateTime	Fecha y hora exacta del fallecimiento.
address	S	0..*	CRCoreAddress(0.0.1-ballot)	Dirección(es) del profesional.
use	S	0..1	code	home \| work \| temp \| old \| billing
type	S	0..1	code	postal \| physical \| both
line		1..*	string	Línea de dirección (calle, número, referencias).
city	S	0..1	string	Cantón de Costa Rica.
district	S	0..1	string	Distrito de Costa Rica.
state	S	0..1	string	Provincia de Costa Rica.
postalCode	S	0..1	string	Código postal.
country		0..1	string	Nombre del país (CR).
qualification	S	0..*	BackboneElement	Calificaciones, credenciales y licencias del profesional.
identifier	S	1..*	Identifier	Identificador único e inmutable de la calificación (número de colegiado, licencia, etc.).
code	S	1..1	CodeableConcept	Código de la calificación o rol del profesional. Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-practitioner-roles (extensible): CodeSystem de roles y especialidades de profesionales de salud en Costa Rica.
issuer	S	0..1	Reference(Organization)	Organización que emitió la calificación o credencial.
Documentation for this format