HL7 Czech K-Order Implementation Guide
0.0.3 - ci-build Czechia flag

HL7 Czech K-Order Implementation Guide, published by HL7 Czech Republic. This guide is not an authorized publication; it is the continuous build for version 0.0.3 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-cz/k-order/ and changes regularly. See the Directory of published versions

Resource Profile: OrderPractitionerRoleCz - Detailed Descriptions

Draft as of 2026-04-02

Definitions for the OrderPractitionerRoleCz resource profile.

Guidance on how to interpret the contents of this table can be foundhere

0. PractitionerRole
Definition

Role žadatele nebo jiného zdravotnického pracovníka použitého v rámci české žádanky.


A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time.

ShortOrder PractitionerRoleRoles/organizations the practitioner is associated with
Comments

Key elements include a reference to the healthcare worker (practitioner), institution (organization), role code according to the National Code of Healthcare Professions (NCZP), specialization according to the KRPZS, place of performance (location), contact details (telecom), role status (active) and validity period (period). A specific extension for the Czech Republic is the connection with the Master Register of Healthcare Workers (KRZP) and the KRPZS, which enables verification of expertise and valid registration.

Control0..*
Is Modifierfalse
Impose ProfileThis profile also requires that the instance also conform this additional profile:
Summaryfalse
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. PractitionerRole.implicitRules
Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

ShortA set of rules under which this content was created
Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

Control0..1
Typeuri
Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. PractitionerRole.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Summaryfalse
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
6. PractitionerRole.practitioner
Definition

Practitioner that is able to provide the defined services for the organization.

ShortPractitioner that is able to provide the defined services for the organization
Control10..1
TypeReference(Practitioner (CZ core), Practitioner)
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. PractitionerRole.organization
Definition

The organization where the Practitioner performs the roles associated.

ShortOrganization where the roles are available
Control10..1
TypeReference(Organization (CZ core), Organization)
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
10. PractitionerRole.code
Definition

Roles which this practitioner is authorized to perform for the organization.

For compatibility reasons, CD-HCPARTY is described here to express the role of the practitioner. Other coding systems remain allowed. Towards the future, the use of SNOMED-CT codes is also RECOMMENDED here. In the future, other ways to codfy might however be also proposed.

When available, a provider SHOULD include it. When given, a consumer SHALL record this in its consuming system.


Roles which this practitioner is authorized to perform for the organization.

ShortRoles which this practitioner may perform
Comments

A person may have more than one role.

Control0..*
BindingFor example codes, see PractitionerRolehttp://hl7.org/fhir/ValueSet/practitioner-role|4.0.1
(example to http://hl7.org/fhir/ValueSet/practitioner-role)

The role a person plays representing an organization.

TypeCodeableConcept
Is Modifierfalse
Summarytrue
Requirements

Need to know what authority the practitioner has - what can they do?

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
SlicingThis element introduces a set of slices on PractitionerRole.code. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ coding.system
  • 12. PractitionerRole.code:NRZP_POVOLANI
    Slice NameNRZP_POVOLANI
    Definition

    Roles which this practitioner is authorized to perform for the organization according to the National registry of healthcare practitioners.


    Roles which this practitioner is authorized to perform for the organization.

    ShortRoles which this practitioner may perform
    Comments

    A person may have more than one role.

    Control0..*
    BindingThe codes SHALL be taken from For example codes, see Occupation of healthcare practitioner (CZ)http://hl7.org/fhir/ValueSet/practitioner-role|4.0.1
    (required to https://ncez.mzcr.cz/terminology/ValueSet/nrzp-povolani-vs)
    TypeCodeableConcept
    Is Modifierfalse
    Summarytrue
    Requirements

    Need to know what authority the practitioner has - what can they do?

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    14. PractitionerRole.specialty
    Definition

    Specific specialty of the practitioner.

    ShortSpecific specialty of the practitioner
    Control10..*
    BindingThe codes SHOULD be taken from PracticeSettingCodeValueSethttp://hl7.org/fhir/ValueSet/c80-practice-codes|4.0.1
    (preferred to http://hl7.org/fhir/ValueSet/c80-practice-codes)

    Specific specialty associated with the agency.

    TypeCodeableConcept
    Is Modifierfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    SlicingThis element introduces a set of slices on PractitionerRole.specialty. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • pattern @ coding.system
    • 16. PractitionerRole.specialty:specialty
      Slice Namespecialty
      Definition

      Původní obecný slice pro specialty převzatý z nadřazeného profilu.


      Specific specialty of the practitioner.

      ShortObecná odbornostSpecific specialty of the practitioner
      Control0..*
      BindingThe codes SHOULD be taken from PracticeSettingCodeValueSethttp://hl7.org/fhir/ValueSet/c80-practice-codes|4.0.1
      (preferred to http://hl7.org/fhir/ValueSet/c80-practice-codes)

      Specific specialty associated with the agency.

      TypeCodeableConcept
      Is Modifierfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      18. PractitionerRole.specialty:VZP_ODB
      Slice NameVZP_ODB
      Definition

      Odbornost dle národního číselníku odborností VZP (urn:oid:1.2.203.7898.1.4).


      Specific specialty of the practitioner.

      ShortOdbornost dle číselníku VZPSpecific specialty of the practitioner
      Control10..1*
      BindingThe codes SHALL be taken from The codes SHOULD be taken from VZP Odbornost ValueSethttp://hl7.org/fhir/ValueSet/c80-practice-codes|4.0.1
      (required to https://hl7.cz/fhir/korder/ValueSet/vzp-odbornost-vs)
      TypeCodeableConcept
      Is Modifierfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      20. PractitionerRole.specialty:VZP_ODB.coding
      Definition

      A reference to a code defined by a terminology system.

      ShortCode defined by a terminology system
      Comments

      Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

      Control10..*
      TypeCoding
      Is Modifierfalse
      Summarytrue
      Requirements

      Allows for alternative encodings within a code system, and translations to other code systems.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      SlicingThis element introduces a set of slices on PractitionerRole.specialty.coding. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ system
      • 22. PractitionerRole.specialty:VZP_ODB.coding:vzpOdbornost
        Slice NamevzpOdbornost
        Definition

        A reference to a code defined by a terminology system.

        ShortCode defined by a terminology system
        Comments

        Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

        Control10..1*
        BindingThe codes SHALL be taken from For codes, see VZP Odbornost ValueSet
        (required to https://hl7.cz/fhir/korder/ValueSet/vzp-odbornost-vs)
        TypeCoding
        Is Modifierfalse
        Summarytrue
        Requirements

        Allows for alternative encodings within a code system, and translations to other code systems.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        24. PractitionerRole.specialty:VZP_ODB.coding:vzpOdbornost.system
        Definition

        The identification of the code system that defines the meaning of the symbol in the code.

        ShortIdentity of the terminology system
        Comments

        The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

        Control10..1
        Typeuri
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summarytrue
        Requirements

        Need to be unambiguous about the source of the definition of the symbol.

        Fixed Valueurn:oid:1.2.203.7898.1.4
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

        Guidance on how to interpret the contents of this table can be foundhere

        0. PractitionerRole
        Definition

        Role žadatele nebo jiného zdravotnického pracovníka použitého v rámci české žádanky.

        ShortOrder PractitionerRole
        Impose ProfileThis profile also requires that the instance also conform this additional profile:
        2. PractitionerRole.specialty
        Control1..?
        SlicingThis element introduces a set of slices on PractitionerRole.specialty. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • pattern @ coding.system
        • 4. PractitionerRole.specialty:specialty
          Slice Namespecialty
          Definition

          Původní obecný slice pro specialty převzatý z nadřazeného profilu.

          ShortObecná odbornost
          Control0..*
          6. PractitionerRole.specialty:VZP_ODB
          Slice NameVZP_ODB
          Definition

          Odbornost dle národního číselníku odborností VZP (urn:oid:1.2.203.7898.1.4).

          ShortOdbornost dle číselníku VZP
          Control1..1
          BindingThe codes SHALL be taken from VZP Odbornost ValueSet
          (required to https://hl7.cz/fhir/korder/ValueSet/vzp-odbornost-vs)
          8. PractitionerRole.specialty:VZP_ODB.coding
          Control1..?
          SlicingThis element introduces a set of slices on PractitionerRole.specialty.coding. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ system
          • 10. PractitionerRole.specialty:VZP_ODB.coding:vzpOdbornost
            Slice NamevzpOdbornost
            Control1..1
            BindingThe codes SHALL be taken from VZP Odbornost ValueSet
            (required to https://hl7.cz/fhir/korder/ValueSet/vzp-odbornost-vs)
            12. PractitionerRole.specialty:VZP_ODB.coding:vzpOdbornost.system
            Control1..?
            Fixed Valueurn:oid:1.2.203.7898.1.4

            Guidance on how to interpret the contents of this table can be foundhere

            0. PractitionerRole
            Definition

            Role žadatele nebo jiného zdravotnického pracovníka použitého v rámci české žádanky.

            ShortOrder PractitionerRole
            Comments

            Key elements include a reference to the healthcare worker (practitioner), institution (organization), role code according to the National Code of Healthcare Professions (NCZP), specialization according to the KRPZS, place of performance (location), contact details (telecom), role status (active) and validity period (period). A specific extension for the Czech Republic is the connection with the Master Register of Healthcare Workers (KRZP) and the KRPZS, which enables verification of expertise and valid registration.

            Control0..*
            Is Modifierfalse
            Impose ProfileThis profile also requires that the instance also conform this additional profile:
            Summaryfalse
            Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
            dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
            dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
            dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
            dom-6: A resource should have narrative for robust management (text.`div`.exists())
            2. PractitionerRole.id
            Definition

            The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

            ShortLogical id of this artifact
            Comments

            The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

            Control0..1
            Typeid
            Is Modifierfalse
            Summarytrue
            4. PractitionerRole.meta
            Definition

            The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

            ShortMetadata about the resource
            Control0..1
            TypeMeta
            Is Modifierfalse
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            6. PractitionerRole.implicitRules
            Definition

            A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

            ShortA set of rules under which this content was created
            Comments

            Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

            Control0..1
            Typeuri
            Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            8. PractitionerRole.language
            Definition

            The base language in which the resource is written.

            ShortLanguage of the resource content
            Comments

            Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

            Control0..1
            BindingThe codes SHOULD be taken from CommonLanguages
            (preferred to http://hl7.org/fhir/ValueSet/languages)

            A human language.

            Additional BindingsPurpose
            AllLanguagesMax Binding
            Typecode
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            10. PractitionerRole.text
            Definition

            A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

            ShortText summary of the resource, for human interpretation
            Comments

            Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

            Control0..1
            TypeNarrative
            Is Modifierfalse
            Summaryfalse
            Alternate Namesnarrative, html, xhtml, display
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            12. PractitionerRole.contained
            Definition

            These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

            ShortContained, inline Resources
            Comments

            This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

            Control0..*
            TypeResource
            Is Modifierfalse
            Summaryfalse
            Alternate Namesinline resources, anonymous resources, contained resources
            14. PractitionerRole.extension
            Definition

            May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

            ShortAdditional content defined by implementations
            Comments

            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

            Control0..*
            TypeExtension
            Is Modifierfalse
            Summaryfalse
            Alternate Namesextensions, user content
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            16. PractitionerRole.modifierExtension
            Definition

            May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

            ShortExtensions that cannot be ignored
            Comments

            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

            Control0..*
            TypeExtension
            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
            Summaryfalse
            Requirements

            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

            Alternate Namesextensions, user content
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            18. PractitionerRole.identifier
            Definition

            Business Identifiers that are specific to a role/location.

            ShortBusiness identifier
            NoteThis is a business identifier, not a resource identifier (see discussion)
            Control0..*
            TypeIdentifier
            Is Modifierfalse
            Summarytrue
            Requirements

            Often, specific identities are assigned for the agent.

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            20. PractitionerRole.active
            Definition

            Whether this practitioner role record is in active use.

            ShortWhether this practitioner role record is in active use
            Comments

            If this value is false, you may refer to the period to see when the role was in active use. If there is no period specified, no inference can be made about when it was active.

            Control0..1
            Typeboolean
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Requirements

            Need to be able to mark a practitioner role record as not to be used because it was created in error, or otherwise no longer in active use.

            Meaning if MissingThis resource is generally assumed to be active if no value is provided for the active element
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            22. PractitionerRole.period
            Definition

            The period during which the person is authorized to act as a practitioner in these role(s) for the organization.

            ShortThe period during which the practitioner is authorized to perform in these role(s)
            Control0..1
            TypePeriod
            Is Modifierfalse
            Summarytrue
            Requirements

            Even after the agencies is revoked, the fact that it existed must still be recorded.

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            24. PractitionerRole.practitioner
            Definition

            Practitioner that is able to provide the defined services for the organization.

            ShortPractitioner that is able to provide the defined services for the organization
            Control1..1
            TypeReference(Practitioner (CZ core))
            Is Modifierfalse
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            26. PractitionerRole.organization
            Definition

            The organization where the Practitioner performs the roles associated.

            ShortOrganization where the roles are available
            Control1..1
            TypeReference(Organization (CZ core))
            Is Modifierfalse
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            28. PractitionerRole.code
            Definition

            Roles which this practitioner is authorized to perform for the organization.

            For compatibility reasons, CD-HCPARTY is described here to express the role of the practitioner. Other coding systems remain allowed. Towards the future, the use of SNOMED-CT codes is also RECOMMENDED here. In the future, other ways to codfy might however be also proposed.

            When available, a provider SHOULD include it. When given, a consumer SHALL record this in its consuming system.

            ShortRoles which this practitioner may perform
            Comments

            A person may have more than one role.

            Control0..*
            BindingFor example codes, see PractitionerRole
            (example to http://hl7.org/fhir/ValueSet/practitioner-role)

            The role a person plays representing an organization.

            TypeCodeableConcept
            Is Modifierfalse
            Summarytrue
            Requirements

            Need to know what authority the practitioner has - what can they do?

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            SlicingThis element introduces a set of slices on PractitionerRole.code. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ coding.system
            • 30. PractitionerRole.code:NRZP_POVOLANI
              Slice NameNRZP_POVOLANI
              Definition

              Roles which this practitioner is authorized to perform for the organization according to the National registry of healthcare practitioners.

              ShortRoles which this practitioner may perform
              Comments

              A person may have more than one role.

              Control0..*
              BindingThe codes SHALL be taken from Occupation of healthcare practitioner (CZ)
              (required to https://ncez.mzcr.cz/terminology/ValueSet/nrzp-povolani-vs)
              TypeCodeableConcept
              Is Modifierfalse
              Summarytrue
              Requirements

              Need to know what authority the practitioner has - what can they do?

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              32. PractitionerRole.code:NRZP_POVOLANI.id
              Definition

              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

              ShortUnique id for inter-element referencing
              Control0..1
              Typestring
              Is Modifierfalse
              XML FormatIn the XML format, this property is represented as an attribute.
              Summaryfalse
              34. PractitionerRole.code:NRZP_POVOLANI.extension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

              ShortAdditional content defined by implementations
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Is Modifierfalse
              Summaryfalse
              Alternate Namesextensions, user content
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              SlicingThis element introduces a set of slices on PractitionerRole.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • value @ url
              • 36. PractitionerRole.code:NRZP_POVOLANI.coding
                Definition

                A reference to a code defined by a terminology system.

                ShortCode defined by a terminology system
                Comments

                Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                Control0..*
                TypeCoding
                Is Modifierfalse
                Summarytrue
                Requirements

                Allows for alternative encodings within a code system, and translations to other code systems.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                38. PractitionerRole.code:NRZP_POVOLANI.coding.id
                Definition

                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                ShortUnique id for inter-element referencing
                Control0..1
                Typestring
                Is Modifierfalse
                XML FormatIn the XML format, this property is represented as an attribute.
                Summaryfalse
                40. PractitionerRole.code:NRZP_POVOLANI.coding.extension
                Definition

                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                ShortAdditional content defined by implementations
                Comments

                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                Control0..*
                TypeExtension
                Is Modifierfalse
                Summaryfalse
                Alternate Namesextensions, user content
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                SlicingThis element introduces a set of slices on PractitionerRole.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • value @ url
                • 42. PractitionerRole.code:NRZP_POVOLANI.coding.system
                  Definition

                  The identification of the code system that defines the meaning of the symbol in the code.

                  ShortIdentity of the terminology system
                  Comments

                  The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                  Control1..1
                  Typeuri
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Requirements

                  Need to be unambiguous about the source of the definition of the symbol.

                  Fixed Valuehttps://ncez.mzcr.cz/terminology/CodeSystem/nrzp-povolani
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  44. PractitionerRole.code:NRZP_POVOLANI.coding.version
                  Definition

                  The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                  ShortVersion of the system - if relevant
                  Comments

                  Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                  NoteThis is a business version Id, not a resource version Id (see discussion)
                  Control0..1
                  Typestring
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  46. PractitionerRole.code:NRZP_POVOLANI.coding.code
                  Definition

                  A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                  ShortSymbol in syntax defined by the system
                  Control1..1
                  Typecode
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Requirements

                  Need to refer to a particular code in the system.

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  48. PractitionerRole.code:NRZP_POVOLANI.coding.display
                  Definition

                  A representation of the meaning of the code in the system, following the rules of the system.

                  ShortRepresentation defined by the system
                  Control0..1
                  Typestring
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Requirements

                  Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  50. PractitionerRole.code:NRZP_POVOLANI.coding.userSelected
                  Definition

                  Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                  ShortIf this coding was chosen directly by the user
                  Comments

                  Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                  Control0..1
                  Typeboolean
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Requirements

                  This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  52. PractitionerRole.code:NRZP_POVOLANI.text
                  Definition

                  A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                  ShortPlain text representation of the concept
                  Comments

                  Very often the text is the same as a displayName of one of the codings.

                  Control0..1
                  Typestring
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Requirements

                  The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  54. PractitionerRole.specialty
                  Definition

                  Specific specialty of the practitioner.

                  ShortSpecific specialty of the practitioner
                  Control1..*
                  BindingThe codes SHOULD be taken from PracticeSettingCodeValueSet
                  (preferred to http://hl7.org/fhir/ValueSet/c80-practice-codes)

                  Specific specialty associated with the agency.

                  TypeCodeableConcept
                  Is Modifierfalse
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  SlicingThis element introduces a set of slices on PractitionerRole.specialty. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                  • pattern @ coding.system
                  • 56. PractitionerRole.specialty:specialty
                    Slice Namespecialty
                    Definition

                    Původní obecný slice pro specialty převzatý z nadřazeného profilu.

                    ShortObecná odbornost
                    Control0..*
                    BindingThe codes SHOULD be taken from PracticeSettingCodeValueSet
                    (preferred to http://hl7.org/fhir/ValueSet/c80-practice-codes)

                    Specific specialty associated with the agency.

                    TypeCodeableConcept
                    Is Modifierfalse
                    Summarytrue
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    58. PractitionerRole.specialty:VZP_ODB
                    Slice NameVZP_ODB
                    Definition

                    Odbornost dle národního číselníku odborností VZP (urn:oid:1.2.203.7898.1.4).

                    ShortOdbornost dle číselníku VZP
                    Control1..1
                    BindingThe codes SHALL be taken from VZP Odbornost ValueSet
                    (required to https://hl7.cz/fhir/korder/ValueSet/vzp-odbornost-vs)
                    TypeCodeableConcept
                    Is Modifierfalse
                    Summarytrue
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    60. PractitionerRole.specialty:VZP_ODB.id
                    Definition

                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                    ShortUnique id for inter-element referencing
                    Control0..1
                    Typestring
                    Is Modifierfalse
                    XML FormatIn the XML format, this property is represented as an attribute.
                    Summaryfalse
                    62. PractitionerRole.specialty:VZP_ODB.extension
                    Definition

                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                    ShortAdditional content defined by implementations
                    Comments

                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                    Control0..*
                    TypeExtension
                    Is Modifierfalse
                    Summaryfalse
                    Alternate Namesextensions, user content
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    SlicingThis element introduces a set of slices on PractitionerRole.specialty.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                    • value @ url
                    • 64. PractitionerRole.specialty:VZP_ODB.coding
                      Definition

                      A reference to a code defined by a terminology system.

                      ShortCode defined by a terminology system
                      Comments

                      Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                      Control1..*
                      TypeCoding
                      Is Modifierfalse
                      Summarytrue
                      Requirements

                      Allows for alternative encodings within a code system, and translations to other code systems.

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      SlicingThis element introduces a set of slices on PractitionerRole.specialty.coding. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                      • value @ system
                      • 66. PractitionerRole.specialty:VZP_ODB.coding:vzpOdbornost
                        Slice NamevzpOdbornost
                        Definition

                        A reference to a code defined by a terminology system.

                        ShortCode defined by a terminology system
                        Comments

                        Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                        Control1..1
                        BindingThe codes SHALL be taken from VZP Odbornost ValueSet
                        (required to https://hl7.cz/fhir/korder/ValueSet/vzp-odbornost-vs)
                        TypeCoding
                        Is Modifierfalse
                        Summarytrue
                        Requirements

                        Allows for alternative encodings within a code system, and translations to other code systems.

                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        68. PractitionerRole.specialty:VZP_ODB.coding:vzpOdbornost.id
                        Definition

                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                        ShortUnique id for inter-element referencing
                        Control0..1
                        Typestring
                        Is Modifierfalse
                        XML FormatIn the XML format, this property is represented as an attribute.
                        Summaryfalse
                        70. PractitionerRole.specialty:VZP_ODB.coding:vzpOdbornost.extension
                        Definition

                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                        ShortAdditional content defined by implementations
                        Comments

                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                        Control0..*
                        TypeExtension
                        Is Modifierfalse
                        Summaryfalse
                        Alternate Namesextensions, user content
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        SlicingThis element introduces a set of slices on PractitionerRole.specialty.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                        • value @ url
                        • 72. PractitionerRole.specialty:VZP_ODB.coding:vzpOdbornost.system
                          Definition

                          The identification of the code system that defines the meaning of the symbol in the code.

                          ShortIdentity of the terminology system
                          Comments

                          The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                          Control1..1
                          Typeuri
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Requirements

                          Need to be unambiguous about the source of the definition of the symbol.

                          Fixed Valueurn:oid:1.2.203.7898.1.4
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          74. PractitionerRole.specialty:VZP_ODB.coding:vzpOdbornost.version
                          Definition

                          The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                          ShortVersion of the system - if relevant
                          Comments

                          Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                          NoteThis is a business version Id, not a resource version Id (see discussion)
                          Control0..1
                          Typestring
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          76. PractitionerRole.specialty:VZP_ODB.coding:vzpOdbornost.code
                          Definition

                          A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                          ShortSymbol in syntax defined by the system
                          Control0..1
                          Typecode
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Requirements

                          Need to refer to a particular code in the system.

                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          78. PractitionerRole.specialty:VZP_ODB.coding:vzpOdbornost.display
                          Definition

                          A representation of the meaning of the code in the system, following the rules of the system.

                          ShortRepresentation defined by the system
                          Control0..1
                          Typestring
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Requirements

                          Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          80. PractitionerRole.specialty:VZP_ODB.coding:vzpOdbornost.userSelected
                          Definition

                          Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                          ShortIf this coding was chosen directly by the user
                          Comments

                          Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                          Control0..1
                          Typeboolean
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Requirements

                          This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          82. PractitionerRole.specialty:VZP_ODB.text
                          Definition

                          A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                          ShortPlain text representation of the concept
                          Comments

                          Very often the text is the same as a displayName of one of the codings.

                          Control0..1
                          Typestring
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Requirements

                          The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          84. PractitionerRole.location
                          Definition

                          The location(s) at which this practitioner provides care.

                          ShortThe location(s) at which this practitioner provides care
                          Control0..*
                          TypeReference(Location (CZ core))
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          86. PractitionerRole.healthcareService
                          Definition

                          The list of healthcare services that this worker provides for this role's Organization/Location(s).

                          ShortThe list of healthcare services that this worker provides for this role's Organization/Location(s)
                          Control0..*
                          TypeReference(HealthcareService)
                          Is Modifierfalse
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          88. PractitionerRole.telecom
                          Definition

                          Contact details that are specific to the role/location/service.

                          ShortContact details that are specific to the role/location/service
                          Control0..*
                          TypeContactPoint
                          Is Modifierfalse
                          Summarytrue
                          Requirements

                          Often practitioners have a dedicated line for each location (or service) that they work at, and need to be able to define separate contact details for each of these.

                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          90. PractitionerRole.availableTime
                          Definition

                          A collection of times the practitioner is available or performing this role at the location and/or healthcareservice.

                          ShortTimes the Service Site is available
                          Comments

                          More detailed availability information may be provided in associated Schedule/Slot resources.

                          Control0..*
                          TypeBackboneElement
                          Is Modifierfalse
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          92. PractitionerRole.availableTime.id
                          Definition

                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                          ShortUnique id for inter-element referencing
                          Control0..1
                          Typestring
                          Is Modifierfalse
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Summaryfalse
                          94. PractitionerRole.availableTime.extension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                          ShortAdditional content defined by implementations
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifierfalse
                          Summaryfalse
                          Alternate Namesextensions, user content
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          96. PractitionerRole.availableTime.modifierExtension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                          ShortExtensions that cannot be ignored even if unrecognized
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                          Summarytrue
                          Requirements

                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                          Alternate Namesextensions, user content, modifiers
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          98. PractitionerRole.availableTime.daysOfWeek
                          Definition

                          Indicates which days of the week are available between the start and end Times.

                          Shortmon | tue | wed | thu | fri | sat | sun
                          Control0..*
                          BindingThe codes SHALL be taken from DaysOfWeek
                          (required to http://hl7.org/fhir/ValueSet/days-of-week|4.0.1)

                          The days of the week.

                          Typecode
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          100. PractitionerRole.availableTime.allDay
                          Definition

                          Is this always available? (hence times are irrelevant) e.g. 24 hour service.

                          ShortAlways available? e.g. 24 hour service
                          Control0..1
                          Typeboolean
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          102. PractitionerRole.availableTime.availableStartTime
                          Definition

                          The opening time of day. Note: If the AllDay flag is set, then this time is ignored.

                          ShortOpening time of day (ignored if allDay = true)
                          Comments

                          The timezone is expected to be for where this HealthcareService is provided at.

                          Control0..1
                          Typetime
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          104. PractitionerRole.availableTime.availableEndTime
                          Definition

                          The closing time of day. Note: If the AllDay flag is set, then this time is ignored.

                          ShortClosing time of day (ignored if allDay = true)
                          Comments

                          The timezone is expected to be for where this HealthcareService is provided at.

                          Control0..1
                          Typetime
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          106. PractitionerRole.notAvailable
                          Definition

                          The practitioner is not available or performing this role during this period of time due to the provided reason.

                          ShortNot available during this time due to provided reason
                          Control0..*
                          TypeBackboneElement
                          Is Modifierfalse
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          108. PractitionerRole.notAvailable.id
                          Definition

                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                          ShortUnique id for inter-element referencing
                          Control0..1
                          Typestring
                          Is Modifierfalse
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Summaryfalse
                          110. PractitionerRole.notAvailable.extension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                          ShortAdditional content defined by implementations
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifierfalse
                          Summaryfalse
                          Alternate Namesextensions, user content
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          112. PractitionerRole.notAvailable.modifierExtension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                          ShortExtensions that cannot be ignored even if unrecognized
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                          Summarytrue
                          Requirements

                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                          Alternate Namesextensions, user content, modifiers
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          114. PractitionerRole.notAvailable.description
                          Definition

                          The reason that can be presented to the user as to why this time is not available.

                          ShortReason presented to the user explaining why time not available
                          Control1..1
                          Typestring
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          116. PractitionerRole.notAvailable.during
                          Definition

                          Service is not available (seasonally or for a public holiday) from this date.

                          ShortService not available from this date
                          Control0..1
                          TypePeriod
                          Is Modifierfalse
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          118. PractitionerRole.availabilityExceptions
                          Definition

                          A description of site availability exceptions, e.g. public holiday availability. Succinctly describing all possible exceptions to normal site availability as details in the available Times and not available Times.

                          ShortDescription of availability exceptions
                          Control0..1
                          Typestring
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          120. PractitionerRole.endpoint
                          Definition

                          Technical endpoints providing access to services operated for the practitioner with this role.

                          ShortTechnical endpoints providing access to services operated for the practitioner with this role
                          Control0..*
                          TypeReference(Endpoint)
                          Is Modifierfalse
                          Summaryfalse
                          Requirements

                          Organizations have multiple systems that provide various services and ,ay also be different for practitioners too.

                          So the endpoint satisfies the need to be able to define the technical connection details for how to connect to them, and for what purpose.

                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))