US Core Implementation Guide
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US Core Implementation Guide, published by HL7 International / Cross-Group Projects. This guide is not an authorized publication; it is the continuous build for version 8.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/US-Core/ and changes regularly. See the Directory of published versions

Resource Profile: US Core PractitionerRole Profile

Official URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole Version: 8.0.0-ballot
Standards status: Trial-use Maturity Level: 3 Computable Name: USCorePractitionerRoleProfile
Other Identifiers: OID:2.16.840.1.113883.4.642.40.2.42.51

Copyright/Legal: Used by permission of HL7 International, all rights reserved Creative Commons License

The US Core PractionerRole Profile inherits from the FHIR PractionerRole resource; refer to it for scope and usage definitions. This profile sets minimum expectations for the PractitionerRole Resource to record, search, and fetch the practitioner role information. It specifies which core elements, extensions, vocabularies, and value sets SHALL be present and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption. The requirements for the US Core Practitioner were drawn from the Argonaut Provider Directory, IHE Healthcare Provider Directory and the ONC Provider Directory Workshop.

Mandatory and Must Support Data Elements

The following data elements must always be present (Mandatory definition) or must be supported if the data is present in the sending system (Must Support definition). They are presented below in a simple human-readable explanation. Profile specific guidance and examples are provided as well. The Formal Views below provides the formal summary, definitions, and terminology requirements.

Each PractitionerRole Must Support:

  1. An associated organization
  2. An associated practitioner
  3. A role
  4. A specialty
  5. An associated location
  6. Contact information
  7. A communication endpoint

Profile Specific Implementation Guidance:

  • At least one of the following elements must be present:
    • PractitionerRole.practitioner
    • PractitionerRole.organization
    • PractitionerRole.healthcareService
    • PractitionerRole.location
  • Due to implementer feedback, some US Core Profiles reference the PractitionerRole resource instead of the US Core PractitionerRole Profile. However, the US Core PractitionerRole Profile SHOULD be used as the default profile if referenced by another US Core profile. See this guidance on Referencing US Core Profiles.
  • A Direct address can be represented in the telecom element using the US Core Direct email Extension or in a referenced Endpoint as a "direct-project" endpoint connection type.
  • When selecting role codes
    • implementers SHOULD choose the code that reflects the specific duties performed within that role rather than the specialty unless the individual's professional specialization characterizes the role.
    • Systems that primarily rely on NUCC codes instead of SNOMED CT to represent role codes can use the Da Vinci HRex NUCC to SNOMED CT Mappings to aid in translations.
  • Clients can request Servers return the Practitioner and Endpoint resources using _include. See the Quick Start section below for further guidance.

Usage:

Changes since version 7.0.0:

  • No changes

    • Formal Views of Profile Content

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

    This structure is derived from PractitionerRole

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. PractitionerRole C 0..* PractitionerRole Roles/organizations the practitioner is associated with
    pd-1: SHALL have contact information or a reference to an Endpoint
    us-core-13: SHALL have a practitioner, an organization, a healthcare service, or a location.
    ... practitioner SC 0..1 Reference(US Core Practitioner Profile) Practitioner that is able to provide the defined services for the organization
    ... organization SC 0..1 Reference(US Core Organization Profile) Organization where the roles are available
    ... code S 0..* CodeableConcept Roles which this practitioner may perform
    Binding: Care Team Member Function . (extensible): Indicates specific responsibility of an individual within the care team, such as Primary physician, Team coordinator, Caregiver, etc.

    ... specialty S 0..* CodeableConcept Specific specialty of the practitioner
    Binding: Healthcare Provider Taxonomy . (extensible)
    ... location SC 0..* Reference(US Core Location Profile) The location(s) at which this practitioner provides care
    ... healthcareService C 0..* Reference(HealthcareService) The list of healthcare services that this worker provides for this role's Organization/Location(s)
    ... telecom SC 0..* ContactPoint Contact details that are specific to the role/location/service
    .... system S 1..1 code phone | fax | email | pager | url | sms | other
    .... value S 1..1 string The actual contact point details
    ... endpoint SC 0..* Reference(Endpoint) Technical endpoints providing access to services operated for the practitioner with this role

    doco Documentation for this format

    Terminology Bindings (Differential)

    PathConformanceValueSetURI
    PractitionerRole.codeextensibleCareTeamMemberFunction .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30
    PractitionerRole.specialtyextensibleHealthcareProviderTaxonomy . (a valid code from http://nucc.org/provider-taxonomy)
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066

    Constraints

    IdGradePath(s)DetailsRequirements
    pd-1errorPractitionerRoleSHALL have contact information or a reference to an Endpoint
    : telecom.exists() or endpoint.exists()
    us-core-13errorPractitionerRoleSHALL have a practitioner, an organization, a healthcare service, or a location.
    : practitioner.exists() or organization.exists() or healthcareService.exists() or location.exists()
    NameFlagsCard.TypeDescription & Constraintsdoco
    .. PractitionerRole C 0..* PractitionerRole Roles/organizations the practitioner is associated with
    dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
    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
    dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
    dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
    dom-6: A resource should have narrative for robust management
    pd-1: SHALL have contact information or a reference to an Endpoint
    us-core-13: SHALL have a practitioner, an organization, a healthcare service, or a location.
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ele-1: All FHIR elements must have a @value or children
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ele-1: All FHIR elements must have a @value or children
    ext-1: Must have either extensions or value[x], not both
    ... practitioner SΣC 0..1 Reference(US Core Practitioner Profile) Practitioner that is able to provide the defined services for the organization
    ele-1: All FHIR elements must have a @value or children
    ... organization SΣC 0..1 Reference(US Core Organization Profile) Organization where the roles are available
    ele-1: All FHIR elements must have a @value or children
    ... code SΣ 0..* CodeableConcept Roles which this practitioner may perform
    Binding: Care Team Member Function . (extensible): Indicates specific responsibility of an individual within the care team, such as Primary physician, Team coordinator, Caregiver, etc.


    ele-1: All FHIR elements must have a @value or children
    ... specialty SΣ 0..* CodeableConcept Specific specialty of the practitioner
    Binding: Healthcare Provider Taxonomy . (extensible)
    ele-1: All FHIR elements must have a @value or children
    ... location SΣC 0..* Reference(US Core Location Profile) The location(s) at which this practitioner provides care
    ele-1: All FHIR elements must have a @value or children
    ... healthcareService C 0..* Reference(HealthcareService) The list of healthcare services that this worker provides for this role's Organization/Location(s)
    ele-1: All FHIR elements must have a @value or children
    ... telecom SΣC 0..* ContactPoint Contact details that are specific to the role/location/service
    ele-1: All FHIR elements must have a @value or children
    .... system SΣC 1..1 code phone | fax | email | pager | url | sms | other
    Binding: ContactPointSystem (required): Telecommunications form for contact point.


    ele-1: All FHIR elements must have a @value or children
    .... value SΣ 1..1 string The actual contact point details
    ele-1: All FHIR elements must have a @value or children
    .... use ?!Σ 0..1 code home | work | temp | old | mobile - purpose of this contact point
    Binding: ContactPointUse (required): Use of contact point.


    ele-1: All FHIR elements must have a @value or children
    ... endpoint SC 0..* Reference(Endpoint) Technical endpoints providing access to services operated for the practitioner with this role
    ele-1: All FHIR elements must have a @value or children

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSetURI
    PractitionerRole.codeextensibleCareTeamMemberFunction .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30
    PractitionerRole.specialtyextensibleHealthcareProviderTaxonomy . (a valid code from http://nucc.org/provider-taxonomy)
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066
    PractitionerRole.telecom.systemrequiredContactPointSystem
    http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1
    from the FHIR Standard
    PractitionerRole.telecom.userequiredContactPointUse
    http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1
    from the FHIR Standard

    Constraints

    IdGradePath(s)DetailsRequirements
    pd-1errorPractitionerRoleSHALL have contact information or a reference to an Endpoint
    : telecom.exists() or endpoint.exists()
    us-core-13errorPractitionerRoleSHALL have a practitioner, an organization, a healthcare service, or a location.
    : practitioner.exists() or organization.exists() or healthcareService.exists() or location.exists()
    NameFlagsCard.TypeDescription & Constraintsdoco
    .. PractitionerRole C 0..* PractitionerRole Roles/organizations the practitioner is associated with
    pd-1: SHALL have contact information or a reference to an Endpoint
    us-core-13: SHALL have a practitioner, an organization, a healthcare service, or a location.
    ... id Σ 0..1 id Logical id of this artifact
    ... meta Σ 0..1 Meta Metadata about the resource
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... language 0..1 code Language of the resource content
    Binding: CommonLanguages (preferred): A human language.

    Additional BindingsPurpose
    AllLanguages Max Binding
    ... text 0..1 Narrative Text summary of the resource, for human interpretation
    ... contained 0..* Resource Contained, inline Resources
    ... extension 0..* Extension Additional content defined by implementations
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... identifier Σ 0..* Identifier Business Identifiers that are specific to a role/location
    ... active Σ 0..1 boolean Whether this practitioner role record is in active use
    ... period Σ 0..1 Period The period during which the practitioner is authorized to perform in these role(s)
    ... practitioner SΣC 0..1 Reference(US Core Practitioner Profile) Practitioner that is able to provide the defined services for the organization
    ... organization SΣC 0..1 Reference(US Core Organization Profile) Organization where the roles are available
    ... code SΣ 0..* CodeableConcept Roles which this practitioner may perform
    Binding: Care Team Member Function . (extensible): Indicates specific responsibility of an individual within the care team, such as Primary physician, Team coordinator, Caregiver, etc.


    ... specialty SΣ 0..* CodeableConcept Specific specialty of the practitioner
    Binding: Healthcare Provider Taxonomy . (extensible)
    ... location SΣC 0..* Reference(US Core Location Profile) The location(s) at which this practitioner provides care
    ... healthcareService C 0..* Reference(HealthcareService) The list of healthcare services that this worker provides for this role's Organization/Location(s)
    ... telecom SΣC 0..* ContactPoint Contact details that are specific to the role/location/service
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    .... system SΣC 1..1 code phone | fax | email | pager | url | sms | other
    Binding: ContactPointSystem (required): Telecommunications form for contact point.

    .... value SΣ 1..1 string The actual contact point details
    .... use ?!Σ 0..1 code home | work | temp | old | mobile - purpose of this contact point
    Binding: ContactPointUse (required): Use of contact point.

    .... rank Σ 0..1 positiveInt Specify preferred order of use (1 = highest)
    .... period Σ 0..1 Period Time period when the contact point was/is in use
    ... availableTime 0..* BackboneElement Times the Service Site is available
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    .... daysOfWeek 0..* code mon | tue | wed | thu | fri | sat | sun
    Binding: DaysOfWeek (required): The days of the week.


    .... allDay 0..1 boolean Always available? e.g. 24 hour service
    .... availableStartTime 0..1 time Opening time of day (ignored if allDay = true)
    .... availableEndTime 0..1 time Closing time of day (ignored if allDay = true)
    ... notAvailable 0..* BackboneElement Not available during this time due to provided reason
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    .... description 1..1 string Reason presented to the user explaining why time not available
    .... during 0..1 Period Service not available from this date
    ... availabilityExceptions 0..1 string Description of availability exceptions
    ... endpoint SC 0..* Reference(Endpoint) Technical endpoints providing access to services operated for the practitioner with this role

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSetURI
    PractitionerRole.languagepreferredCommonLanguages
    http://hl7.org/fhir/ValueSet/languages
    from the FHIR Standard
    Additional Bindings Purpose
    AllLanguages Max Binding
    PractitionerRole.codeextensibleCareTeamMemberFunction .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30
    PractitionerRole.specialtyextensibleHealthcareProviderTaxonomy . (a valid code from http://nucc.org/provider-taxonomy)
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066
    PractitionerRole.telecom.systemrequiredContactPointSystem
    http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1
    from the FHIR Standard
    PractitionerRole.telecom.userequiredContactPointUse
    http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1
    from the FHIR Standard
    PractitionerRole.availableTime.daysOfWeekrequiredDaysOfWeek
    http://hl7.org/fhir/ValueSet/days-of-week|4.0.1
    from the FHIR Standard

    Constraints

    IdGradePath(s)DetailsRequirements
    pd-1errorPractitionerRoleSHALL have contact information or a reference to an Endpoint
    : telecom.exists() or endpoint.exists()
    us-core-13errorPractitionerRoleSHALL have a practitioner, an organization, a healthcare service, or a location.
    : practitioner.exists() or organization.exists() or healthcareService.exists() or location.exists()

    Differential View

    This structure is derived from PractitionerRole

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. PractitionerRole C 0..* PractitionerRole Roles/organizations the practitioner is associated with
    pd-1: SHALL have contact information or a reference to an Endpoint
    us-core-13: SHALL have a practitioner, an organization, a healthcare service, or a location.
    ... practitioner SC 0..1 Reference(US Core Practitioner Profile) Practitioner that is able to provide the defined services for the organization
    ... organization SC 0..1 Reference(US Core Organization Profile) Organization where the roles are available
    ... code S 0..* CodeableConcept Roles which this practitioner may perform
    Binding: Care Team Member Function . (extensible): Indicates specific responsibility of an individual within the care team, such as Primary physician, Team coordinator, Caregiver, etc.

    ... specialty S 0..* CodeableConcept Specific specialty of the practitioner
    Binding: Healthcare Provider Taxonomy . (extensible)
    ... location SC 0..* Reference(US Core Location Profile) The location(s) at which this practitioner provides care
    ... healthcareService C 0..* Reference(HealthcareService) The list of healthcare services that this worker provides for this role's Organization/Location(s)
    ... telecom SC 0..* ContactPoint Contact details that are specific to the role/location/service
    .... system S 1..1 code phone | fax | email | pager | url | sms | other
    .... value S 1..1 string The actual contact point details
    ... endpoint SC 0..* Reference(Endpoint) Technical endpoints providing access to services operated for the practitioner with this role

    doco Documentation for this format

    Terminology Bindings (Differential)

    PathConformanceValueSetURI
    PractitionerRole.codeextensibleCareTeamMemberFunction .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30
    PractitionerRole.specialtyextensibleHealthcareProviderTaxonomy . (a valid code from http://nucc.org/provider-taxonomy)
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066

    Constraints

    IdGradePath(s)DetailsRequirements
    pd-1errorPractitionerRoleSHALL have contact information or a reference to an Endpoint
    : telecom.exists() or endpoint.exists()
    us-core-13errorPractitionerRoleSHALL have a practitioner, an organization, a healthcare service, or a location.
    : practitioner.exists() or organization.exists() or healthcareService.exists() or location.exists()

    Key Elements View

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. PractitionerRole C 0..* PractitionerRole Roles/organizations the practitioner is associated with
    dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
    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
    dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
    dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
    dom-6: A resource should have narrative for robust management
    pd-1: SHALL have contact information or a reference to an Endpoint
    us-core-13: SHALL have a practitioner, an organization, a healthcare service, or a location.
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ele-1: All FHIR elements must have a @value or children
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ele-1: All FHIR elements must have a @value or children
    ext-1: Must have either extensions or value[x], not both
    ... practitioner SΣC 0..1 Reference(US Core Practitioner Profile) Practitioner that is able to provide the defined services for the organization
    ele-1: All FHIR elements must have a @value or children
    ... organization SΣC 0..1 Reference(US Core Organization Profile) Organization where the roles are available
    ele-1: All FHIR elements must have a @value or children
    ... code SΣ 0..* CodeableConcept Roles which this practitioner may perform
    Binding: Care Team Member Function . (extensible): Indicates specific responsibility of an individual within the care team, such as Primary physician, Team coordinator, Caregiver, etc.


    ele-1: All FHIR elements must have a @value or children
    ... specialty SΣ 0..* CodeableConcept Specific specialty of the practitioner
    Binding: Healthcare Provider Taxonomy . (extensible)
    ele-1: All FHIR elements must have a @value or children
    ... location SΣC 0..* Reference(US Core Location Profile) The location(s) at which this practitioner provides care
    ele-1: All FHIR elements must have a @value or children
    ... healthcareService C 0..* Reference(HealthcareService) The list of healthcare services that this worker provides for this role's Organization/Location(s)
    ele-1: All FHIR elements must have a @value or children
    ... telecom SΣC 0..* ContactPoint Contact details that are specific to the role/location/service
    ele-1: All FHIR elements must have a @value or children
    .... system SΣC 1..1 code phone | fax | email | pager | url | sms | other
    Binding: ContactPointSystem (required): Telecommunications form for contact point.


    ele-1: All FHIR elements must have a @value or children
    .... value SΣ 1..1 string The actual contact point details
    ele-1: All FHIR elements must have a @value or children
    .... use ?!Σ 0..1 code home | work | temp | old | mobile - purpose of this contact point
    Binding: ContactPointUse (required): Use of contact point.


    ele-1: All FHIR elements must have a @value or children
    ... endpoint SC 0..* Reference(Endpoint) Technical endpoints providing access to services operated for the practitioner with this role
    ele-1: All FHIR elements must have a @value or children

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSetURI
    PractitionerRole.codeextensibleCareTeamMemberFunction .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30
    PractitionerRole.specialtyextensibleHealthcareProviderTaxonomy . (a valid code from http://nucc.org/provider-taxonomy)
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066
    PractitionerRole.telecom.systemrequiredContactPointSystem
    http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1
    from the FHIR Standard
    PractitionerRole.telecom.userequiredContactPointUse
    http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1
    from the FHIR Standard

    Constraints

    IdGradePath(s)DetailsRequirements
    pd-1errorPractitionerRoleSHALL have contact information or a reference to an Endpoint
    : telecom.exists() or endpoint.exists()
    us-core-13errorPractitionerRoleSHALL have a practitioner, an organization, a healthcare service, or a location.
    : practitioner.exists() or organization.exists() or healthcareService.exists() or location.exists()

    Snapshot View

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. PractitionerRole C 0..* PractitionerRole Roles/organizations the practitioner is associated with
    pd-1: SHALL have contact information or a reference to an Endpoint
    us-core-13: SHALL have a practitioner, an organization, a healthcare service, or a location.
    ... id Σ 0..1 id Logical id of this artifact
    ... meta Σ 0..1 Meta Metadata about the resource
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... language 0..1 code Language of the resource content
    Binding: CommonLanguages (preferred): A human language.

    Additional BindingsPurpose
    AllLanguages Max Binding
    ... text 0..1 Narrative Text summary of the resource, for human interpretation
    ... contained 0..* Resource Contained, inline Resources
    ... extension 0..* Extension Additional content defined by implementations
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... identifier Σ 0..* Identifier Business Identifiers that are specific to a role/location
    ... active Σ 0..1 boolean Whether this practitioner role record is in active use
    ... period Σ 0..1 Period The period during which the practitioner is authorized to perform in these role(s)
    ... practitioner SΣC 0..1 Reference(US Core Practitioner Profile) Practitioner that is able to provide the defined services for the organization
    ... organization SΣC 0..1 Reference(US Core Organization Profile) Organization where the roles are available
    ... code SΣ 0..* CodeableConcept Roles which this practitioner may perform
    Binding: Care Team Member Function . (extensible): Indicates specific responsibility of an individual within the care team, such as Primary physician, Team coordinator, Caregiver, etc.


    ... specialty SΣ 0..* CodeableConcept Specific specialty of the practitioner
    Binding: Healthcare Provider Taxonomy . (extensible)
    ... location SΣC 0..* Reference(US Core Location Profile) The location(s) at which this practitioner provides care
    ... healthcareService C 0..* Reference(HealthcareService) The list of healthcare services that this worker provides for this role's Organization/Location(s)
    ... telecom SΣC 0..* ContactPoint Contact details that are specific to the role/location/service
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    .... system SΣC 1..1 code phone | fax | email | pager | url | sms | other
    Binding: ContactPointSystem (required): Telecommunications form for contact point.

    .... value SΣ 1..1 string The actual contact point details
    .... use ?!Σ 0..1 code home | work | temp | old | mobile - purpose of this contact point
    Binding: ContactPointUse (required): Use of contact point.

    .... rank Σ 0..1 positiveInt Specify preferred order of use (1 = highest)
    .... period Σ 0..1 Period Time period when the contact point was/is in use
    ... availableTime 0..* BackboneElement Times the Service Site is available
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    .... daysOfWeek 0..* code mon | tue | wed | thu | fri | sat | sun
    Binding: DaysOfWeek (required): The days of the week.


    .... allDay 0..1 boolean Always available? e.g. 24 hour service
    .... availableStartTime 0..1 time Opening time of day (ignored if allDay = true)
    .... availableEndTime 0..1 time Closing time of day (ignored if allDay = true)
    ... notAvailable 0..* BackboneElement Not available during this time due to provided reason
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    .... description 1..1 string Reason presented to the user explaining why time not available
    .... during 0..1 Period Service not available from this date
    ... availabilityExceptions 0..1 string Description of availability exceptions
    ... endpoint SC 0..* Reference(Endpoint) Technical endpoints providing access to services operated for the practitioner with this role

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSetURI
    PractitionerRole.languagepreferredCommonLanguages
    http://hl7.org/fhir/ValueSet/languages
    from the FHIR Standard
    Additional Bindings Purpose
    AllLanguages Max Binding
    PractitionerRole.codeextensibleCareTeamMemberFunction .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30
    PractitionerRole.specialtyextensibleHealthcareProviderTaxonomy . (a valid code from http://nucc.org/provider-taxonomy)
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066
    PractitionerRole.telecom.systemrequiredContactPointSystem
    http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1
    from the FHIR Standard
    PractitionerRole.telecom.userequiredContactPointUse
    http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1
    from the FHIR Standard
    PractitionerRole.availableTime.daysOfWeekrequiredDaysOfWeek
    http://hl7.org/fhir/ValueSet/days-of-week|4.0.1
    from the FHIR Standard

    Constraints

    IdGradePath(s)DetailsRequirements
    pd-1errorPractitionerRoleSHALL have contact information or a reference to an Endpoint
    : telecom.exists() or endpoint.exists()
    us-core-13errorPractitionerRoleSHALL have a practitioner, an organization, a healthcare service, or a location.
    : practitioner.exists() or organization.exists() or healthcareService.exists() or location.exists()

     

    Other representations of profile: CSV, Excel, Schematron

    Notes:

    Quick Start

    Below is an overview of the required Server RESTful FHIR interactions for this profile - for example, search and read operations - when supporting the US Core interactions to access this profile's information (Profile Support + Interaction Support). Note that systems that support only US Core Profiles (Profile Only Support) are not required to support these interactions. See the US Core Server CapabilityStatement for a complete list of supported RESTful interactions for this IG.

    • See the Scopes Format section for a description of the SMART scopes syntax.
    • See the Search Syntax section for a description of the US Core search syntax.
    • See the General Requirements section for additional rules and expectations when a Server requires status parameters.
    • See the General Guidance section for additional guidance on searching for multiple patients.

    US Core Scopes

    Servers providing access to practitioner role data SHALL support these US Core SMART Scopes:

    Mandatory Search Parameters:

    The following search parameters and search parameter combinations SHALL be supported:

    1. SHALL support searching practitioner role by specialty using the specialty search parameter:

      • including optional support for these _include parameters: PractitionerRole:endpoint,PractitionerRole:practitioner

      GET [base]/PractitionerRole?specialty={system|}[code]

      Example:

      1. GET [base]/PractitionerRole?specialty=http://nucc.org/provider-taxonomy|208D0000X

      Implementation Notes: Fetches a bundle containing PractitionerRole resources matching the specialty (how to search by token)

    2. SHALL support searching practitioner role by practitioner name and identifier using chained parameters using the practitioner search parameter:

      • including support for these chained parameters: practitioner.identifier,practitioner.name
      • including optional support for these _include parameters: PractitionerRole:endpoint,PractitionerRole:practitioner

      GET [base]/PractitionerRole?practitioner={Type/}[id]

      Example:

      1. GET [base]/PractitionerRole?practitioner.identifier=http://hl7.org/fhir/sid/us-npi|97860456&_include=PractitionerRole:practitioner&_include=PractitionerRole?endpoint
      2. GET [base]/PractitionerRole?practitioner.name=Henry&_include=PractitionerRole:practitioner&_include=PractitionerRole?endpoint

      Implementation Notes: Fetches a bundle containing PractitionerRole resources matching the chained parameter practitioner.name or practitioner.identifier.SHOULD support the _include for PractionerRole.practitioner and PractitionerRole.endpoint. (how to search by reference)