Example Usage Scenarios:

The following are example usage scenarios for this profile:

• Query for a practitioner by name or NPI
• Reference from other Resources

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 Practitioner Must Have:

1. An identifier that Must Support a National Provider Identifier (NPI) if available*

2. A name

Each PractitionerRole Must Support:

1. Contact information*
2. An address*

* see guidance below

Profile Specific Implementation Guidance

This section provides detailed implementation guidance for the US Core Profile to support implementation and certification.

• *Other identifiers beyond NPI, such as the National Council of State Boards of Nursing Identifier (NCSBN ID), may be used to uniquely refer to a practitioner when appropriate.
• *The Practitioner and PractitionerRole directly and indirectly communicate the address(es) and contact information of the practitioner. Servers that support only the US Core Practitioner Profile and do not support the US Core PractitionerRole Profile SHALL provide implementation-specific guidance on how to access a provider's location and contact information using only the Practitioner resource.
  • Although Practitioner.address is marked as Must Support, the Server system is not required to support it if they support the US Core PractitionerRole Profile, but SHALL support it if they do not support the US Core PractitionerRole Profile. The Client application SHALL support both.
• It is important to balance the privacy of healthcare workers with the patient's right to access information. Only professional/work contact information about the practitioner SHOULD be available to the patient (such as a work address or office telephone number).
• This profile may be referenced by different capability statements, such as the Conformance requirements for the US Core Server or a provider directory capability statement.
• * Systems SHOULD enable the user who enters the address to follow the Project US@ Technical Specification for Patient Addresses Final Version 1.0 as the standard style guide for Practitioner.address.line and Practitioner.address.city.
• * For Practitioner.address.state, this profile uses USPS Two Letter Alphabetic Codes for US states. When encoding addresses outside the US, systems SHOULD use the ISO 3166 subdivision codes.

Changes since version 8.0.0:

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Practitioner		0..*	Practitioner	A person with a formal responsibility in the provisioning of healthcare or related services
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	Identifier	An identifier for the person as this agent Slice: Unordered, Open by value:$this
identifier:All Slices				Content/Rules for all slices
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
identifier:NPI	SΣC	0..*	Identifier	An identifier for the person as this agent Constraints: us-core-16, us-core-17 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		0..1	CodeableConcept	Description of identifier
system		1..1	uri	The namespace for the identifier value Fixed Value: http://hl7.org/fhir/sid/us-npi
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
name	SΣ	1..*	HumanName	The name(s) associated with the practitioner
use	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
family	SΣ	1..1	string	Family name (often called 'Surname')
telecom	SΣ	0..*	ContactPoint	A contact detail for the practitioner (that apply to all roles)
system	SΣC	0..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	SΣ	0..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.
address	SΣ	0..*	Address	Address(es) of the practitioner
use	?!Σ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
line	SΣ	0..4	string	Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street Example US Core: 49 MEADOW ST
city	SΣ	0..1	string	Name of city, town etc. Example General: Erewhon Example US Core: EVERYTOWN
state	SΣ	0..1	string	Sub-unit of country (abbreviations ok) Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes. Example US Core: OK
postalCode	SΣ	0..1	string	US Zip Codes Example General: 9132 Example US Core: 74047
country	SΣ	0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Practitioner.identifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Practitioner.identifier:NPI.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Practitioner.name.use	Base	required	NameUse	📍4.0.1	FHIR Std.
Practitioner.telecom.​system	Base	required	ContactPointSystem	📍4.0.1	FHIR Std.
Practitioner.telecom.​use	Base	required	ContactPointUse	📍4.0.1	FHIR Std.
Practitioner.address.​use	Base	required	AddressUse	📍4.0.1	FHIR Std.
Practitioner.address.​state	Base	extensible	USPS Two Letter Alphabetic Codes	📦1.0.0	THO v6.5

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Practitioner	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Practitioner	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Practitioner	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Practitioner	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Practitioner	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
us-core-16	error	Practitioner.identifier:NPI	NPI must be 10 digits	value.matches('^[0-9]{10}$')
us-core-17	error	Practitioner.identifier:NPI	NPI check digit must be valid (Luhn algorithm check)	(((select(value.substring(0,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(1,1).toInteger())+(select(value.substring(2,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(3,1).toInteger())+(select(value.substring(4,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(5,1).toInteger())+(select(value.substring(6,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(7,1).toInteger())+(select(value.substring(8,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(9,1).toInteger()) + 24)mod 10=0)

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Practitioner		0..*	Practitioner	A person with a formal responsibility in the provisioning of healthcare or related services
Slices for identifier	S	1..*	Identifier	An identifier for the person as this agent Slice: Unordered, Open by value:$this
identifier:All Slices				Content/Rules for all slices
system	S	1..1	uri	The namespace for the identifier value
value	S	1..1	string	The value that is unique
identifier:NPI	SC	0..*	Identifier	An identifier for the person as this agent Constraints: us-core-16, us-core-17 Required Pattern: At least the following
system		1..1	uri	The namespace for the identifier value Fixed Value: http://hl7.org/fhir/sid/us-npi
name	S	1..*	HumanName	The name(s) associated with the practitioner
family	S	1..1	string	Family name (often called 'Surname')
telecom	S	0..*	ContactPoint	A contact detail for the practitioner (that apply to all roles)
system	S	0..1	code	phone | fax | email | pager | url | sms | other
value	S	0..1	string	The actual contact point details
address	S	0..*	Address	Address(es) of the practitioner
line	S	0..4	string	Street name, number, direction & P.O. Box etc. Example US Core: 49 MEADOW ST
city	S	0..1	string	Name of city, town etc. Example US Core: EVERYTOWN
state	S	0..1	string	Sub-unit of country (abbreviations ok) Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes. Example US Core: OK
postalCode	S	0..1	string	US Zip Codes Example US Core: 74047
country	S	0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Practitioner.address.​state	Base	extensible	USPS Two Letter Alphabetic Codes	📦1.0.0	THO v6.5

Constraints

Id	Grade	Path(s)	Description	Expression
us-core-16	error	Practitioner.identifier:NPI	NPI must be 10 digits	value.matches('^[0-9]{10}$')
us-core-17	error	Practitioner.identifier:NPI	NPI check digit must be valid (Luhn algorithm check)	(((select(value.substring(0,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(1,1).toInteger())+(select(value.substring(2,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(3,1).toInteger())+(select(value.substring(4,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(5,1).toInteger())+(select(value.substring(6,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(7,1).toInteger())+(select(value.substring(8,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(9,1).toInteger()) + 24)mod 10=0)

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Practitioner		0..*	Practitioner	A person with a formal responsibility in the provisioning of healthcare or related services
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	Identifier	An identifier for the person as this agent Slice: Unordered, Open by value:$this
identifier:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:NPI	SΣC	0..*	Identifier	An identifier for the person as this agent Constraints: us-core-16, us-core-17 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		0..1	CodeableConcept	Description of identifier
system		1..1	uri	The namespace for the identifier value Fixed Value: http://hl7.org/fhir/sid/us-npi
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
active	Σ	0..1	boolean	Whether this practitioner's record is in active use
name	SΣ	1..*	HumanName	The name(s) associated with the practitioner
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text	Σ	0..1	string	Text representation of the full name
family	SΣ	1..1	string	Family name (often called 'Surname')
given	Σ	0..*	string	Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
prefix	Σ	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix	Σ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
period	Σ	0..1	Period	Time period when name was/is in use
telecom	SΣ	0..*	ContactPoint	A contact detail for the practitioner (that apply to all roles)
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	0..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	SΣ	0..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
address	SΣ	0..*	Address	Address(es) of the practitioner
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
type	Σ	0..1	code	postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both
text	Σ	0..1	string	Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
line	SΣ	0..4	string	Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street Example US Core: 49 MEADOW ST
city	SΣ	0..1	string	Name of city, town etc. Example General: Erewhon Example US Core: EVERYTOWN
district	Σ	0..1	string	District name (aka county) Example General: Madison
state	SΣ	0..1	string	Sub-unit of country (abbreviations ok) Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes. Example US Core: OK
postalCode	SΣ	0..1	string	US Zip Codes Example General: 9132 Example US Core: 74047
country	SΣ	0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
period	Σ	0..1	Period	Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
gender	Σ	0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate	Σ	0..1	date	The date on which the practitioner was born
photo		0..*	Attachment	Image of the person
qualification		0..*	BackboneElement	Certification, licenses, or training pertaining to the provision of care
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
identifier		0..*	Identifier	An identifier for this qualification for the practitioner
code		1..1	CodeableConcept	Coded representation of the qualification Binding: v2 table 0360, Version 2.7 (example): Specific qualification the practitioner has to provide a service.
period		0..1	Period	Period during which the qualification is valid
issuer		0..1	Reference(Organization)	Organization that regulates and issues the qualification
communication		0..*	CodeableConcept	A language the practitioner can use in patient communication Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Practitioner.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Practitioner.identifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Practitioner.identifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Practitioner.identifier:NPI.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Practitioner.identifier:NPI.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Practitioner.name.use	Base	required	NameUse	📍4.0.1	FHIR Std.
Practitioner.telecom.​system	Base	required	ContactPointSystem	📍4.0.1	FHIR Std.
Practitioner.telecom.​use	Base	required	ContactPointUse	📍4.0.1	FHIR Std.
Practitioner.address.​use	Base	required	AddressUse	📍4.0.1	FHIR Std.
Practitioner.address.​type	Base	required	AddressType	📍4.0.1	FHIR Std.
Practitioner.address.​state	Base	extensible	USPS Two Letter Alphabetic Codes	📦1.0.0	THO v6.5
Practitioner.gender	Base	required	AdministrativeGender	📍4.0.1	FHIR Std.
Practitioner.qualification.​code	Base	example	v2 table 0360, Version 2.7	📦0360	FHIR Std.
Practitioner.communication	Base	preferred	Common Languages	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Practitioner	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Practitioner	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Practitioner	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Practitioner	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Practitioner	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
us-core-16	error	Practitioner.identifier:NPI	NPI must be 10 digits	value.matches('^[0-9]{10}$')
us-core-17	error	Practitioner.identifier:NPI	NPI check digit must be valid (Luhn algorithm check)	(((select(value.substring(0,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(1,1).toInteger())+(select(value.substring(2,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(3,1).toInteger())+(select(value.substring(4,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(5,1).toInteger())+(select(value.substring(6,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(7,1).toInteger())+(select(value.substring(8,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(9,1).toInteger()) + 24)mod 10=0)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Practitioner		0..*	Practitioner	A person with a formal responsibility in the provisioning of healthcare or related services
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	Identifier	An identifier for the person as this agent Slice: Unordered, Open by value:$this
identifier:All Slices				Content/Rules for all slices
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
identifier:NPI	SΣC	0..*	Identifier	An identifier for the person as this agent Constraints: us-core-16, us-core-17 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		0..1	CodeableConcept	Description of identifier
system		1..1	uri	The namespace for the identifier value Fixed Value: http://hl7.org/fhir/sid/us-npi
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
name	SΣ	1..*	HumanName	The name(s) associated with the practitioner
use	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
family	SΣ	1..1	string	Family name (often called 'Surname')
telecom	SΣ	0..*	ContactPoint	A contact detail for the practitioner (that apply to all roles)
system	SΣC	0..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	SΣ	0..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.
address	SΣ	0..*	Address	Address(es) of the practitioner
use	?!Σ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
line	SΣ	0..4	string	Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street Example US Core: 49 MEADOW ST
city	SΣ	0..1	string	Name of city, town etc. Example General: Erewhon Example US Core: EVERYTOWN
state	SΣ	0..1	string	Sub-unit of country (abbreviations ok) Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes. Example US Core: OK
postalCode	SΣ	0..1	string	US Zip Codes Example General: 9132 Example US Core: 74047
country	SΣ	0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Practitioner.identifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Practitioner.identifier:NPI.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Practitioner.name.use	Base	required	NameUse	📍4.0.1	FHIR Std.
Practitioner.telecom.​system	Base	required	ContactPointSystem	📍4.0.1	FHIR Std.
Practitioner.telecom.​use	Base	required	ContactPointUse	📍4.0.1	FHIR Std.
Practitioner.address.​use	Base	required	AddressUse	📍4.0.1	FHIR Std.
Practitioner.address.​state	Base	extensible	USPS Two Letter Alphabetic Codes	📦1.0.0	THO v6.5

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Practitioner	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Practitioner	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Practitioner	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Practitioner	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Practitioner	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
us-core-16	error	Practitioner.identifier:NPI	NPI must be 10 digits	value.matches('^[0-9]{10}$')
us-core-17	error	Practitioner.identifier:NPI	NPI check digit must be valid (Luhn algorithm check)	(((select(value.substring(0,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(1,1).toInteger())+(select(value.substring(2,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(3,1).toInteger())+(select(value.substring(4,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(5,1).toInteger())+(select(value.substring(6,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(7,1).toInteger())+(select(value.substring(8,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(9,1).toInteger()) + 24)mod 10=0)

Differential View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Practitioner		0..*	Practitioner	A person with a formal responsibility in the provisioning of healthcare or related services
Slices for identifier	S	1..*	Identifier	An identifier for the person as this agent Slice: Unordered, Open by value:$this
identifier:All Slices				Content/Rules for all slices
system	S	1..1	uri	The namespace for the identifier value
value	S	1..1	string	The value that is unique
identifier:NPI	SC	0..*	Identifier	An identifier for the person as this agent Constraints: us-core-16, us-core-17 Required Pattern: At least the following
system		1..1	uri	The namespace for the identifier value Fixed Value: http://hl7.org/fhir/sid/us-npi
name	S	1..*	HumanName	The name(s) associated with the practitioner
family	S	1..1	string	Family name (often called 'Surname')
telecom	S	0..*	ContactPoint	A contact detail for the practitioner (that apply to all roles)
system	S	0..1	code	phone | fax | email | pager | url | sms | other
value	S	0..1	string	The actual contact point details
address	S	0..*	Address	Address(es) of the practitioner
line	S	0..4	string	Street name, number, direction & P.O. Box etc. Example US Core: 49 MEADOW ST
city	S	0..1	string	Name of city, town etc. Example US Core: EVERYTOWN
state	S	0..1	string	Sub-unit of country (abbreviations ok) Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes. Example US Core: OK
postalCode	S	0..1	string	US Zip Codes Example US Core: 74047
country	S	0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Practitioner.address.​state	Base	extensible	USPS Two Letter Alphabetic Codes	📦1.0.0	THO v6.5

Constraints

Id	Grade	Path(s)	Description	Expression
us-core-16	error	Practitioner.identifier:NPI	NPI must be 10 digits	value.matches('^[0-9]{10}$')
us-core-17	error	Practitioner.identifier:NPI	NPI check digit must be valid (Luhn algorithm check)	(((select(value.substring(0,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(1,1).toInteger())+(select(value.substring(2,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(3,1).toInteger())+(select(value.substring(4,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(5,1).toInteger())+(select(value.substring(6,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(7,1).toInteger())+(select(value.substring(8,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(9,1).toInteger()) + 24)mod 10=0)

Snapshot ViewView

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Practitioner		0..*	Practitioner	A person with a formal responsibility in the provisioning of healthcare or related services
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	Identifier	An identifier for the person as this agent Slice: Unordered, Open by value:$this
identifier:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:NPI	SΣC	0..*	Identifier	An identifier for the person as this agent Constraints: us-core-16, us-core-17 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		0..1	CodeableConcept	Description of identifier
system		1..1	uri	The namespace for the identifier value Fixed Value: http://hl7.org/fhir/sid/us-npi
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
active	Σ	0..1	boolean	Whether this practitioner's record is in active use
name	SΣ	1..*	HumanName	The name(s) associated with the practitioner
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text	Σ	0..1	string	Text representation of the full name
family	SΣ	1..1	string	Family name (often called 'Surname')
given	Σ	0..*	string	Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
prefix	Σ	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix	Σ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
period	Σ	0..1	Period	Time period when name was/is in use
telecom	SΣ	0..*	ContactPoint	A contact detail for the practitioner (that apply to all roles)
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	0..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	SΣ	0..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
address	SΣ	0..*	Address	Address(es) of the practitioner
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
type	Σ	0..1	code	postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both
text	Σ	0..1	string	Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
line	SΣ	0..4	string	Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street Example US Core: 49 MEADOW ST
city	SΣ	0..1	string	Name of city, town etc. Example General: Erewhon Example US Core: EVERYTOWN
district	Σ	0..1	string	District name (aka county) Example General: Madison
state	SΣ	0..1	string	Sub-unit of country (abbreviations ok) Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes. Example US Core: OK
postalCode	SΣ	0..1	string	US Zip Codes Example General: 9132 Example US Core: 74047
country	SΣ	0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
period	Σ	0..1	Period	Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
gender	Σ	0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate	Σ	0..1	date	The date on which the practitioner was born
photo		0..*	Attachment	Image of the person
qualification		0..*	BackboneElement	Certification, licenses, or training pertaining to the provision of care
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
identifier		0..*	Identifier	An identifier for this qualification for the practitioner
code		1..1	CodeableConcept	Coded representation of the qualification Binding: v2 table 0360, Version 2.7 (example): Specific qualification the practitioner has to provide a service.
period		0..1	Period	Period during which the qualification is valid
issuer		0..1	Reference(Organization)	Organization that regulates and issues the qualification
communication		0..*	CodeableConcept	A language the practitioner can use in patient communication Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Practitioner.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Practitioner.identifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Practitioner.identifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Practitioner.identifier:NPI.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Practitioner.identifier:NPI.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Practitioner.name.use	Base	required	NameUse	📍4.0.1	FHIR Std.
Practitioner.telecom.​system	Base	required	ContactPointSystem	📍4.0.1	FHIR Std.
Practitioner.telecom.​use	Base	required	ContactPointUse	📍4.0.1	FHIR Std.
Practitioner.address.​use	Base	required	AddressUse	📍4.0.1	FHIR Std.
Practitioner.address.​type	Base	required	AddressType	📍4.0.1	FHIR Std.
Practitioner.address.​state	Base	extensible	USPS Two Letter Alphabetic Codes	📦1.0.0	THO v6.5
Practitioner.gender	Base	required	AdministrativeGender	📍4.0.1	FHIR Std.
Practitioner.qualification.​code	Base	example	v2 table 0360, Version 2.7	📦0360	FHIR Std.
Practitioner.communication	Base	preferred	Common Languages	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Practitioner	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Practitioner	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Practitioner	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Practitioner	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Practitioner	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
us-core-16	error	Practitioner.identifier:NPI	NPI must be 10 digits	value.matches('^[0-9]{10}$')
us-core-17	error	Practitioner.identifier:NPI	NPI check digit must be valid (Luhn algorithm check)	(((select(value.substring(0,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(1,1).toInteger())+(select(value.substring(2,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(3,1).toInteger())+(select(value.substring(4,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(5,1).toInteger())+(select(value.substring(6,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(7,1).toInteger())+(select(value.substring(8,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(9,1).toInteger()) + 24)mod 10=0)

Summary

Mandatory: 3 elements(2 nested mandatory elements)
Must-Support: 15 elements

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Practitioner.identifier

Maturity: 3

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 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.

Mandatory Search Parameters:

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

1. SHALL support searching for a practitioner by a string match of any part of name using the name search parameter:

   GET [base]/Practitioner?name=[string]

   Example:

   1. GET [base]/Practitioner?name=Smith

   Implementation Notes: Fetches a bundle of all Practitioner resources matching the name (how to search by string)

2. SHALL support searching a practitioner by an identifier such as an NPI using the identifier search parameter:

   GET [base]/Practitioner?identifier={system|}[code]

   Example:

   1. GET [base]/Practitioner?dentifier=http://hl7.org/fhir/sid/us-npi|97860456

   Implementation Notes: Fetches a bundle containing any Practitioner resources matching the identifier (how to search by token)

Optional Search Parameters:

The following search parameter combinations SHOULD be supported:

1. SHOULD support both read Practitioner by id AND Practitioner search using the _id search parameter:

   GET [base]/Practitioner/[id] or GET [base]/Practitioner?_id=[id]

   Example:

   1. GET [base]/Practitioner/practitioner-1
   2. GET [base]/Practitioner?_id=practitioner-1

   Implementation Notes: (how to search by the logical id of the resource)