This profile sets minimum expectations for searching for and fetching information associated with a practitioner. It identifies which core elements, extensions, vocabularies and value sets SHALL be present in the Practitioner resource when using this profile.

Background & Scope

A practitioner is a person who is directly or indirectly involved in providing healthcare.

This profile modifies the base Practitioner resource in the following manner:

• Constrains the cardinality of practitioner.active (1..1), practitioner.name (1..1), practitioner.name.family (1..1), practitioner.name.given (1..*), practitioner.telecom.system (1..1), practitioner.telecom.value (1..1), practitioner.photo (0..1), and practitioner.qualification.issuer (1..1)

• All references SHALL conform to the appropriate Validated Healthcare Directory Implementation Guide profile

• Adds extensions:

1. Identifier status (1..1) - indicates the status of a practitioner's identifier
2. Via intermediary (0..1) - a reference to an alternative point of contact for this practitioner
3. Available time (0..*) - indicates when a practitioner is available for contact
4. Geolocation (0..1) - indicates the absolute geographic location of a practitioner's address
5. Endpoint (0..*) - reference(s) to the endpoint resource, indicating technical endpoints for the practitioner independent of their role at an organization (such as a personal Direct address)
6. Accessibility (0..*) - indicates accessibility options offered by the practitioner (e.g. cultural competence)
7. Proficiency (0..1) - indicates a practitioner's level of spoken proficiency with the language(s) specified in practitioner.communication
8. DigitalCertificate (0..*) - a digital certificate associated with the practitioner
9. Qualification (0..1) - provides additional information about a practitioner's qualifications, including where they are valid and the current/historical status
10. Restriction (0..*) - indicates whether disclosure of any data associated with a practitioner is restricted

Examples:

The following are example uses for the vhdir-practitioner profile:

• George Washington MD, a cardiologist

Mandatory Data Elements

The following data-elements are mandatory (i.e data MUST be present). These are presented below in a simple human-readable explanation. The Formal Profile Definition below provides the formal summary, definitions, and terminology requirements.

Each practitioner must have:

1. A boolean value in practitioner.active
2. One name in practitioner.name
   1. One family name in practitioner.name.family
   2. At least one given name in practitioner.name.given

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

This structure is derived from Practitioner

Name	Flags	Card.	Type	Description & Constraints
Practitioner	S	0..*	Practitioner	A person with a formal responsibility in the provisioning of healthcare or related services
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
restriction	S	0..*	Reference(VhDir Restriction)	Restriction URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/usage-restriction
endpoint	S	0..*	Reference(VhDir Endpoint)	Reference to endpoint(s) unique to the practitioner URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/endpoint-reference
accessibility	S	0..*	CodeableConcept	Accessibility options offered by practitioner URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/accessibility Binding: VhDir Accessibility Value Set (example)
digitalcertificate	S	0..*	(Complex)	Practitioner's digital certificate URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/digitalcertificate
identifier	SΣ	0..*	Identifier	An identifier for the person as this agent
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
status	S	1..1	code	Status URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/identifier-status Binding: VhDir Identifier Status Value Set (required)
use	?!SΣ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	0..1	CodeableConcept	Description of identifier Binding: VhDir Identifier Type Value Set (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	The value that is unique Example General: 123456
period	SΣ	0..1	Period	Time period when id is/was valid for use
assigner	SΣ	0..1	Reference(VhDir Organization)	Organization that issued id (may be just text)
active	SΣ	1..1	boolean	Whether this practitioner's record is in active use
name	SΣ	1..*	HumanName	The name(s) associated with the practitioner
use	?!SΣ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text	SΣ	0..1	string	Text representation of the full name
family	SΣ	1..1	string	Family name (often called 'Surname')
given	SΣ	1..*	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	SΣ	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix	SΣ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
period	SΣ	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)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
viaintermediary	S	0..1	Reference(VhDir Practitioner Role | VhDir Organization | VhDir Organization Affiliation | VhDir Location)	via intermediary URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/contactpoint-viaintermediary
availabletime	S	0..*	(Complex)	Available time URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/contactpoint-availabletime
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	?!SΣ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
rank	SΣ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	SΣ	0..1	Period	Time period when the contact point was/is in use
address	SΣ	0..*	Address	Address(es) of the practitioner that are not role specific (typically home address)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
position	S	0..1	(Complex)	The absolute geographic location URL: http://hl7.org/fhir/StructureDefinition/geolocation
use	?!SΣ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
type	SΣ	0..1	code	postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both
text	SΣ	0..1	string	Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
line	SΣ	0..*	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
city	SΣ	0..1	string	Name of city, town etc. Example General: Erewhon
district	SΣ	0..1	string	District name (aka county) Example General: Madison
state	SΣ	0..1	string	Sub-unit of country (abbreviations ok)
postalCode	SΣ	0..1	string	Postal code for area Example General: 9132
country	SΣ	0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
period	SΣ	0..1	Period	Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
gender	SΣ	0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate	SΣ	0..1	date	The date on which the practitioner was born
photo	S	0..1	Attachment	Image of the person
qualification	S	0..*	BackboneElement	Certification, licenses, or training pertaining to the provision of care
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitioner-qualification	S	0..1	(Complex)	Status, whereValid, and history of a practitioner's qualification URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/practitioner-qualification
identifier	S	0..*	Identifier	An identifier for this qualification for the practitioner
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
status	S	1..1	code	Status URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/identifier-status Binding: VhDir Identifier Status Value Set (required)
use	?!SΣ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	0..1	CodeableConcept	Description of identifier Binding: VhDir Identifier Type Value Set (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	The value that is unique Example General: 123456
period	SΣ	0..1	Period	Time period when id is/was valid for use
assigner	SΣ	0..1	Reference(VhDir Organization)	Organization that issued id (may be just text)
code	S	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	S	0..1	Period	Period during which the qualification is valid
issuer	S	1..1	Reference(VhDir Organization)	Organization that regulates and issues the qualification
communication	S	0..*	CodeableConcept	A language the practitioner can use in patient communication Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
proficiency	S	0..*	CodeableConcept	Spoken language proficiency URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/communication-proficiency Binding: VhDir Spoken Language Proficiency (example)
coding	SΣ	0..*	Coding	Code defined by a terminology system
text	SΣ	0..1	string	Plain text representation of the concept
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Practitioner.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use from the FHIR Standard
Practitioner.identifier.type	extensible	VhDirIdentifierType http://hl7.org/fhir/uv/vhdir/ValueSet/identifier-type from this IG
Practitioner.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use from the FHIR Standard
Practitioner.telecom.system	required	ContactPointSystem http://hl7.org/fhir/ValueSet/contact-point-system from the FHIR Standard
Practitioner.telecom.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use from the FHIR Standard
Practitioner.address.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use from the FHIR Standard
Practitioner.address.type	required	AddressType http://hl7.org/fhir/ValueSet/address-type from the FHIR Standard
Practitioner.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender from the FHIR Standard
Practitioner.qualification.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use from the FHIR Standard
Practitioner.qualification.identifier.type	extensible	VhDirIdentifierType http://hl7.org/fhir/uv/vhdir/ValueSet/identifier-type from this IG
Practitioner.qualification.code	example	v2.0360.2.7 (a valid code from http://terminology.hl7.org/CodeSystem/v2-0360|2.7) http://terminology.hl7.org/ValueSet/v2-2.7-0360 from the FHIR Standard
Practitioner.communication	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard

Name	Flags	Card.	Type	Description & Constraints
Practitioner	S	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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
restriction	S	0..*	Reference(VhDir Restriction)	Restriction URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/usage-restriction
endpoint	S	0..*	Reference(VhDir Endpoint)	Reference to endpoint(s) unique to the practitioner URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/endpoint-reference
accessibility	S	0..*	CodeableConcept	Accessibility options offered by practitioner URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/accessibility Binding: VhDir Accessibility Value Set (example)
digitalcertificate	S	0..*	(Complex)	Practitioner's digital certificate URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/digitalcertificate
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	An identifier for the person as this agent
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
status	S	1..1	code	Status URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/identifier-status Binding: VhDir Identifier Status Value Set (required)
use	?!SΣ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	0..1	CodeableConcept	Description of identifier Binding: VhDir Identifier Type Value Set (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	The value that is unique Example General: 123456
period	SΣ	0..1	Period	Time period when id is/was valid for use
assigner	SΣ	0..1	Reference(VhDir Organization)	Organization that issued id (may be just text)
active	SΣ	1..1	boolean	Whether this practitioner's record is in active use
name	SΣ	1..*	HumanName	The name(s) associated with the practitioner
use	?!SΣ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text	SΣ	0..1	string	Text representation of the full name
family	SΣ	1..1	string	Family name (often called 'Surname')
given	SΣ	1..*	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	SΣ	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix	SΣ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
period	SΣ	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)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
viaintermediary	S	0..1	Reference(VhDir Practitioner Role | VhDir Organization | VhDir Organization Affiliation | VhDir Location)	via intermediary URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/contactpoint-viaintermediary
availabletime	S	0..*	(Complex)	Available time URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/contactpoint-availabletime
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	?!SΣ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
rank	SΣ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	SΣ	0..1	Period	Time period when the contact point was/is in use
address	SΣ	0..*	Address	Address(es) of the practitioner that are not role specific (typically home address)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
position	S	0..1	(Complex)	The absolute geographic location URL: http://hl7.org/fhir/StructureDefinition/geolocation
use	?!SΣ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
type	SΣ	0..1	code	postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both
text	SΣ	0..1	string	Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
line	SΣ	0..*	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
city	SΣ	0..1	string	Name of city, town etc. Example General: Erewhon
district	SΣ	0..1	string	District name (aka county) Example General: Madison
state	SΣ	0..1	string	Sub-unit of country (abbreviations ok)
postalCode	SΣ	0..1	string	Postal code for area Example General: 9132
country	SΣ	0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
period	SΣ	0..1	Period	Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
gender	SΣ	0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate	SΣ	0..1	date	The date on which the practitioner was born
photo	S	0..1	Attachment	Image of the person
qualification	S	0..*	BackboneElement	Certification, licenses, or training pertaining to the provision of care
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitioner-qualification	S	0..1	(Complex)	Status, whereValid, and history of a practitioner's qualification URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/practitioner-qualification
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
identifier	S	0..*	Identifier	An identifier for this qualification for the practitioner
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
status	S	1..1	code	Status URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/identifier-status Binding: VhDir Identifier Status Value Set (required)
use	?!SΣ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	0..1	CodeableConcept	Description of identifier Binding: VhDir Identifier Type Value Set (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	The value that is unique Example General: 123456
period	SΣ	0..1	Period	Time period when id is/was valid for use
assigner	SΣ	0..1	Reference(VhDir Organization)	Organization that issued id (may be just text)
code	S	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	S	0..1	Period	Period during which the qualification is valid
issuer	S	1..1	Reference(VhDir Organization)	Organization that regulates and issues the qualification
communication	S	0..*	CodeableConcept	A language the practitioner can use in patient communication Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
proficiency	S	0..*	CodeableConcept	Spoken language proficiency URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/communication-proficiency Binding: VhDir Spoken Language Proficiency (example)
coding	SΣ	0..*	Coding	Code defined by a terminology system
text	SΣ	0..1	string	Plain text representation of the concept
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Practitioner.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use from the FHIR Standard
Practitioner.identifier.type	extensible	VhDirIdentifierType http://hl7.org/fhir/uv/vhdir/ValueSet/identifier-type from this IG
Practitioner.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use from the FHIR Standard
Practitioner.telecom.system	required	ContactPointSystem http://hl7.org/fhir/ValueSet/contact-point-system from the FHIR Standard
Practitioner.telecom.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use from the FHIR Standard
Practitioner.address.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use from the FHIR Standard
Practitioner.address.type	required	AddressType http://hl7.org/fhir/ValueSet/address-type from the FHIR Standard
Practitioner.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender from the FHIR Standard
Practitioner.qualification.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use from the FHIR Standard
Practitioner.qualification.identifier.type	extensible	VhDirIdentifierType http://hl7.org/fhir/uv/vhdir/ValueSet/identifier-type from this IG
Practitioner.qualification.code	example	v2.0360.2.7 (a valid code from http://terminology.hl7.org/CodeSystem/v2-0360|2.7) http://terminology.hl7.org/ValueSet/v2-2.7-0360 from the FHIR Standard
Practitioner.communication	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard

Name	Flags	Card.	Type	Description & Constraints
Practitioner	S	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
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
restriction	S	0..*	Reference(VhDir Restriction)	Restriction URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/usage-restriction
endpoint	S	0..*	Reference(VhDir Endpoint)	Reference to endpoint(s) unique to the practitioner URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/endpoint-reference
accessibility	S	0..*	CodeableConcept	Accessibility options offered by practitioner URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/accessibility Binding: VhDir Accessibility Value Set (example)
digitalcertificate	S	0..*	(Complex)	Practitioner's digital certificate URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/digitalcertificate
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	An identifier for the person as this agent
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
status	S	1..1	code	Status URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/identifier-status Binding: VhDir Identifier Status Value Set (required)
use	?!SΣ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	0..1	CodeableConcept	Description of identifier Binding: VhDir Identifier Type Value Set (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	The value that is unique Example General: 123456
period	SΣ	0..1	Period	Time period when id is/was valid for use
assigner	SΣ	0..1	Reference(VhDir Organization)	Organization that issued id (may be just text)
active	SΣ	1..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	?!SΣ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text	SΣ	0..1	string	Text representation of the full name
family	SΣ	1..1	string	Family name (often called 'Surname')
given	SΣ	1..*	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	SΣ	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix	SΣ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
period	SΣ	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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
viaintermediary	S	0..1	Reference(VhDir Practitioner Role | VhDir Organization | VhDir Organization Affiliation | VhDir Location)	via intermediary URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/contactpoint-viaintermediary
availabletime	S	0..*	(Complex)	Available time URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/contactpoint-availabletime
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	?!SΣ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
rank	SΣ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	SΣ	0..1	Period	Time period when the contact point was/is in use
address	SΣ	0..*	Address	Address(es) of the practitioner that are not role specific (typically home address)
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
position	S	0..1	(Complex)	The absolute geographic location URL: http://hl7.org/fhir/StructureDefinition/geolocation
use	?!SΣ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
type	SΣ	0..1	code	postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both
text	SΣ	0..1	string	Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
line	SΣ	0..*	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
city	SΣ	0..1	string	Name of city, town etc. Example General: Erewhon
district	SΣ	0..1	string	District name (aka county) Example General: Madison
state	SΣ	0..1	string	Sub-unit of country (abbreviations ok)
postalCode	SΣ	0..1	string	Postal code for area Example General: 9132
country	SΣ	0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
period	SΣ	0..1	Period	Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
gender	SΣ	0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate	SΣ	0..1	date	The date on which the practitioner was born
photo	S	0..1	Attachment	Image of the person
qualification	S	0..*	BackboneElement	Certification, licenses, or training pertaining to the provision of care
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitioner-qualification	S	0..1	(Complex)	Status, whereValid, and history of a practitioner's qualification URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/practitioner-qualification
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
identifier	S	0..*	Identifier	An identifier for this qualification for the practitioner
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
status	S	1..1	code	Status URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/identifier-status Binding: VhDir Identifier Status Value Set (required)
use	?!SΣ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	0..1	CodeableConcept	Description of identifier Binding: VhDir Identifier Type Value Set (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	The value that is unique Example General: 123456
period	SΣ	0..1	Period	Time period when id is/was valid for use
assigner	SΣ	0..1	Reference(VhDir Organization)	Organization that issued id (may be just text)
code	S	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	S	0..1	Period	Period during which the qualification is valid
issuer	S	1..1	Reference(VhDir Organization)	Organization that regulates and issues the qualification
communication	S	0..*	CodeableConcept	A language the practitioner can use in patient communication Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
proficiency	S	0..*	CodeableConcept	Spoken language proficiency URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/communication-proficiency Binding: VhDir Spoken Language Proficiency (example)
coding	SΣ	0..*	Coding	Code defined by a terminology system
text	SΣ	0..1	string	Plain text representation of the concept
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Practitioner.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Practitioner.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use from the FHIR Standard
Practitioner.identifier.type	extensible	VhDirIdentifierType http://hl7.org/fhir/uv/vhdir/ValueSet/identifier-type from this IG
Practitioner.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use from the FHIR Standard
Practitioner.telecom.system	required	ContactPointSystem http://hl7.org/fhir/ValueSet/contact-point-system from the FHIR Standard
Practitioner.telecom.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use from the FHIR Standard
Practitioner.address.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use from the FHIR Standard
Practitioner.address.type	required	AddressType http://hl7.org/fhir/ValueSet/address-type from the FHIR Standard
Practitioner.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender from the FHIR Standard
Practitioner.qualification.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use from the FHIR Standard
Practitioner.qualification.identifier.type	extensible	VhDirIdentifierType http://hl7.org/fhir/uv/vhdir/ValueSet/identifier-type from this IG
Practitioner.qualification.code	example	v2.0360.2.7 (a valid code from http://terminology.hl7.org/CodeSystem/v2-0360|2.7) http://terminology.hl7.org/ValueSet/v2-2.7-0360 from the FHIR Standard
Practitioner.communication	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard

Differential View

This structure is derived from Practitioner

Name	Flags	Card.	Type	Description & Constraints
Practitioner	S	0..*	Practitioner	A person with a formal responsibility in the provisioning of healthcare or related services
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
restriction	S	0..*	Reference(VhDir Restriction)	Restriction URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/usage-restriction
endpoint	S	0..*	Reference(VhDir Endpoint)	Reference to endpoint(s) unique to the practitioner URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/endpoint-reference
accessibility	S	0..*	CodeableConcept	Accessibility options offered by practitioner URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/accessibility Binding: VhDir Accessibility Value Set (example)
digitalcertificate	S	0..*	(Complex)	Practitioner's digital certificate URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/digitalcertificate
identifier	SΣ	0..*	Identifier	An identifier for the person as this agent
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
status	S	1..1	code	Status URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/identifier-status Binding: VhDir Identifier Status Value Set (required)
use	?!SΣ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	0..1	CodeableConcept	Description of identifier Binding: VhDir Identifier Type Value Set (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	The value that is unique Example General: 123456
period	SΣ	0..1	Period	Time period when id is/was valid for use
assigner	SΣ	0..1	Reference(VhDir Organization)	Organization that issued id (may be just text)
active	SΣ	1..1	boolean	Whether this practitioner's record is in active use
name	SΣ	1..*	HumanName	The name(s) associated with the practitioner
use	?!SΣ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text	SΣ	0..1	string	Text representation of the full name
family	SΣ	1..1	string	Family name (often called 'Surname')
given	SΣ	1..*	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	SΣ	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix	SΣ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
period	SΣ	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)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
viaintermediary	S	0..1	Reference(VhDir Practitioner Role | VhDir Organization | VhDir Organization Affiliation | VhDir Location)	via intermediary URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/contactpoint-viaintermediary
availabletime	S	0..*	(Complex)	Available time URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/contactpoint-availabletime
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	?!SΣ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
rank	SΣ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	SΣ	0..1	Period	Time period when the contact point was/is in use
address	SΣ	0..*	Address	Address(es) of the practitioner that are not role specific (typically home address)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
position	S	0..1	(Complex)	The absolute geographic location URL: http://hl7.org/fhir/StructureDefinition/geolocation
use	?!SΣ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
type	SΣ	0..1	code	postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both
text	SΣ	0..1	string	Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
line	SΣ	0..*	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
city	SΣ	0..1	string	Name of city, town etc. Example General: Erewhon
district	SΣ	0..1	string	District name (aka county) Example General: Madison
state	SΣ	0..1	string	Sub-unit of country (abbreviations ok)
postalCode	SΣ	0..1	string	Postal code for area Example General: 9132
country	SΣ	0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
period	SΣ	0..1	Period	Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
gender	SΣ	0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate	SΣ	0..1	date	The date on which the practitioner was born
photo	S	0..1	Attachment	Image of the person
qualification	S	0..*	BackboneElement	Certification, licenses, or training pertaining to the provision of care
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitioner-qualification	S	0..1	(Complex)	Status, whereValid, and history of a practitioner's qualification URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/practitioner-qualification
identifier	S	0..*	Identifier	An identifier for this qualification for the practitioner
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
status	S	1..1	code	Status URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/identifier-status Binding: VhDir Identifier Status Value Set (required)
use	?!SΣ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	0..1	CodeableConcept	Description of identifier Binding: VhDir Identifier Type Value Set (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	The value that is unique Example General: 123456
period	SΣ	0..1	Period	Time period when id is/was valid for use
assigner	SΣ	0..1	Reference(VhDir Organization)	Organization that issued id (may be just text)
code	S	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	S	0..1	Period	Period during which the qualification is valid
issuer	S	1..1	Reference(VhDir Organization)	Organization that regulates and issues the qualification
communication	S	0..*	CodeableConcept	A language the practitioner can use in patient communication Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
proficiency	S	0..*	CodeableConcept	Spoken language proficiency URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/communication-proficiency Binding: VhDir Spoken Language Proficiency (example)
coding	SΣ	0..*	Coding	Code defined by a terminology system
text	SΣ	0..1	string	Plain text representation of the concept
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Practitioner.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use from the FHIR Standard
Practitioner.identifier.type	extensible	VhDirIdentifierType http://hl7.org/fhir/uv/vhdir/ValueSet/identifier-type from this IG
Practitioner.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use from the FHIR Standard
Practitioner.telecom.system	required	ContactPointSystem http://hl7.org/fhir/ValueSet/contact-point-system from the FHIR Standard
Practitioner.telecom.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use from the FHIR Standard
Practitioner.address.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use from the FHIR Standard
Practitioner.address.type	required	AddressType http://hl7.org/fhir/ValueSet/address-type from the FHIR Standard
Practitioner.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender from the FHIR Standard
Practitioner.qualification.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use from the FHIR Standard
Practitioner.qualification.identifier.type	extensible	VhDirIdentifierType http://hl7.org/fhir/uv/vhdir/ValueSet/identifier-type from this IG
Practitioner.qualification.code	example	v2.0360.2.7 (a valid code from http://terminology.hl7.org/CodeSystem/v2-0360|2.7) http://terminology.hl7.org/ValueSet/v2-2.7-0360 from the FHIR Standard
Practitioner.communication	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Practitioner	S	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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
restriction	S	0..*	Reference(VhDir Restriction)	Restriction URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/usage-restriction
endpoint	S	0..*	Reference(VhDir Endpoint)	Reference to endpoint(s) unique to the practitioner URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/endpoint-reference
accessibility	S	0..*	CodeableConcept	Accessibility options offered by practitioner URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/accessibility Binding: VhDir Accessibility Value Set (example)
digitalcertificate	S	0..*	(Complex)	Practitioner's digital certificate URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/digitalcertificate
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	An identifier for the person as this agent
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
status	S	1..1	code	Status URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/identifier-status Binding: VhDir Identifier Status Value Set (required)
use	?!SΣ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	0..1	CodeableConcept	Description of identifier Binding: VhDir Identifier Type Value Set (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	The value that is unique Example General: 123456
period	SΣ	0..1	Period	Time period when id is/was valid for use
assigner	SΣ	0..1	Reference(VhDir Organization)	Organization that issued id (may be just text)
active	SΣ	1..1	boolean	Whether this practitioner's record is in active use
name	SΣ	1..*	HumanName	The name(s) associated with the practitioner
use	?!SΣ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text	SΣ	0..1	string	Text representation of the full name
family	SΣ	1..1	string	Family name (often called 'Surname')
given	SΣ	1..*	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	SΣ	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix	SΣ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
period	SΣ	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)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
viaintermediary	S	0..1	Reference(VhDir Practitioner Role | VhDir Organization | VhDir Organization Affiliation | VhDir Location)	via intermediary URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/contactpoint-viaintermediary
availabletime	S	0..*	(Complex)	Available time URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/contactpoint-availabletime
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	?!SΣ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
rank	SΣ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	SΣ	0..1	Period	Time period when the contact point was/is in use
address	SΣ	0..*	Address	Address(es) of the practitioner that are not role specific (typically home address)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
position	S	0..1	(Complex)	The absolute geographic location URL: http://hl7.org/fhir/StructureDefinition/geolocation
use	?!SΣ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
type	SΣ	0..1	code	postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both
text	SΣ	0..1	string	Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
line	SΣ	0..*	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
city	SΣ	0..1	string	Name of city, town etc. Example General: Erewhon
district	SΣ	0..1	string	District name (aka county) Example General: Madison
state	SΣ	0..1	string	Sub-unit of country (abbreviations ok)
postalCode	SΣ	0..1	string	Postal code for area Example General: 9132
country	SΣ	0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
period	SΣ	0..1	Period	Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
gender	SΣ	0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate	SΣ	0..1	date	The date on which the practitioner was born
photo	S	0..1	Attachment	Image of the person
qualification	S	0..*	BackboneElement	Certification, licenses, or training pertaining to the provision of care
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitioner-qualification	S	0..1	(Complex)	Status, whereValid, and history of a practitioner's qualification URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/practitioner-qualification
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
identifier	S	0..*	Identifier	An identifier for this qualification for the practitioner
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
status	S	1..1	code	Status URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/identifier-status Binding: VhDir Identifier Status Value Set (required)
use	?!SΣ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	0..1	CodeableConcept	Description of identifier Binding: VhDir Identifier Type Value Set (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	The value that is unique Example General: 123456
period	SΣ	0..1	Period	Time period when id is/was valid for use
assigner	SΣ	0..1	Reference(VhDir Organization)	Organization that issued id (may be just text)
code	S	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	S	0..1	Period	Period during which the qualification is valid
issuer	S	1..1	Reference(VhDir Organization)	Organization that regulates and issues the qualification
communication	S	0..*	CodeableConcept	A language the practitioner can use in patient communication Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
proficiency	S	0..*	CodeableConcept	Spoken language proficiency URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/communication-proficiency Binding: VhDir Spoken Language Proficiency (example)
coding	SΣ	0..*	Coding	Code defined by a terminology system
text	SΣ	0..1	string	Plain text representation of the concept
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Practitioner.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use from the FHIR Standard
Practitioner.identifier.type	extensible	VhDirIdentifierType http://hl7.org/fhir/uv/vhdir/ValueSet/identifier-type from this IG
Practitioner.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use from the FHIR Standard
Practitioner.telecom.system	required	ContactPointSystem http://hl7.org/fhir/ValueSet/contact-point-system from the FHIR Standard
Practitioner.telecom.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use from the FHIR Standard
Practitioner.address.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use from the FHIR Standard
Practitioner.address.type	required	AddressType http://hl7.org/fhir/ValueSet/address-type from the FHIR Standard
Practitioner.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender from the FHIR Standard
Practitioner.qualification.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use from the FHIR Standard
Practitioner.qualification.identifier.type	extensible	VhDirIdentifierType http://hl7.org/fhir/uv/vhdir/ValueSet/identifier-type from this IG
Practitioner.qualification.code	example	v2.0360.2.7 (a valid code from http://terminology.hl7.org/CodeSystem/v2-0360|2.7) http://terminology.hl7.org/ValueSet/v2-2.7-0360 from the FHIR Standard
Practitioner.communication	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Practitioner	S	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
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
restriction	S	0..*	Reference(VhDir Restriction)	Restriction URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/usage-restriction
endpoint	S	0..*	Reference(VhDir Endpoint)	Reference to endpoint(s) unique to the practitioner URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/endpoint-reference
accessibility	S	0..*	CodeableConcept	Accessibility options offered by practitioner URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/accessibility Binding: VhDir Accessibility Value Set (example)
digitalcertificate	S	0..*	(Complex)	Practitioner's digital certificate URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/digitalcertificate
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	An identifier for the person as this agent
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
status	S	1..1	code	Status URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/identifier-status Binding: VhDir Identifier Status Value Set (required)
use	?!SΣ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	0..1	CodeableConcept	Description of identifier Binding: VhDir Identifier Type Value Set (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	The value that is unique Example General: 123456
period	SΣ	0..1	Period	Time period when id is/was valid for use
assigner	SΣ	0..1	Reference(VhDir Organization)	Organization that issued id (may be just text)
active	SΣ	1..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	?!SΣ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text	SΣ	0..1	string	Text representation of the full name
family	SΣ	1..1	string	Family name (often called 'Surname')
given	SΣ	1..*	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	SΣ	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix	SΣ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
period	SΣ	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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
viaintermediary	S	0..1	Reference(VhDir Practitioner Role | VhDir Organization | VhDir Organization Affiliation | VhDir Location)	via intermediary URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/contactpoint-viaintermediary
availabletime	S	0..*	(Complex)	Available time URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/contactpoint-availabletime
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	?!SΣ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
rank	SΣ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	SΣ	0..1	Period	Time period when the contact point was/is in use
address	SΣ	0..*	Address	Address(es) of the practitioner that are not role specific (typically home address)
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
position	S	0..1	(Complex)	The absolute geographic location URL: http://hl7.org/fhir/StructureDefinition/geolocation
use	?!SΣ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
type	SΣ	0..1	code	postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both
text	SΣ	0..1	string	Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
line	SΣ	0..*	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
city	SΣ	0..1	string	Name of city, town etc. Example General: Erewhon
district	SΣ	0..1	string	District name (aka county) Example General: Madison
state	SΣ	0..1	string	Sub-unit of country (abbreviations ok)
postalCode	SΣ	0..1	string	Postal code for area Example General: 9132
country	SΣ	0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
period	SΣ	0..1	Period	Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
gender	SΣ	0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate	SΣ	0..1	date	The date on which the practitioner was born
photo	S	0..1	Attachment	Image of the person
qualification	S	0..*	BackboneElement	Certification, licenses, or training pertaining to the provision of care
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitioner-qualification	S	0..1	(Complex)	Status, whereValid, and history of a practitioner's qualification URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/practitioner-qualification
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
identifier	S	0..*	Identifier	An identifier for this qualification for the practitioner
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
status	S	1..1	code	Status URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/identifier-status Binding: VhDir Identifier Status Value Set (required)
use	?!SΣ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	0..1	CodeableConcept	Description of identifier Binding: VhDir Identifier Type Value Set (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	The value that is unique Example General: 123456
period	SΣ	0..1	Period	Time period when id is/was valid for use
assigner	SΣ	0..1	Reference(VhDir Organization)	Organization that issued id (may be just text)
code	S	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	S	0..1	Period	Period during which the qualification is valid
issuer	S	1..1	Reference(VhDir Organization)	Organization that regulates and issues the qualification
communication	S	0..*	CodeableConcept	A language the practitioner can use in patient communication Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
proficiency	S	0..*	CodeableConcept	Spoken language proficiency URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/communication-proficiency Binding: VhDir Spoken Language Proficiency (example)
coding	SΣ	0..*	Coding	Code defined by a terminology system
text	SΣ	0..1	string	Plain text representation of the concept
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Practitioner.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Practitioner.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use from the FHIR Standard
Practitioner.identifier.type	extensible	VhDirIdentifierType http://hl7.org/fhir/uv/vhdir/ValueSet/identifier-type from this IG
Practitioner.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use from the FHIR Standard
Practitioner.telecom.system	required	ContactPointSystem http://hl7.org/fhir/ValueSet/contact-point-system from the FHIR Standard
Practitioner.telecom.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use from the FHIR Standard
Practitioner.address.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use from the FHIR Standard
Practitioner.address.type	required	AddressType http://hl7.org/fhir/ValueSet/address-type from the FHIR Standard
Practitioner.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender from the FHIR Standard
Practitioner.qualification.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use from the FHIR Standard
Practitioner.qualification.identifier.type	extensible	VhDirIdentifierType http://hl7.org/fhir/uv/vhdir/ValueSet/identifier-type from this IG
Practitioner.qualification.code	example	v2.0360.2.7 (a valid code from http://terminology.hl7.org/CodeSystem/v2-0360|2.7) http://terminology.hl7.org/ValueSet/v2-2.7-0360 from the FHIR Standard
Practitioner.communication	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard

This structure is derived from Practitioner

Summary

Mandatory: 4 elements(6 nested mandatory elements)
Must-Support: 61 elements

Structures

This structure refers to these other structures:

• VhDir Organization (http://hl7.org/fhir/uv/vhdir/StructureDefinition/vhdir-organization)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/uv/vhdir/StructureDefinition/usage-restriction
• http://hl7.org/fhir/uv/vhdir/StructureDefinition/endpoint-reference
• http://hl7.org/fhir/uv/vhdir/StructureDefinition/accessibility
• http://hl7.org/fhir/uv/vhdir/StructureDefinition/digitalcertificate
• http://hl7.org/fhir/uv/vhdir/StructureDefinition/identifier-status
• http://hl7.org/fhir/uv/vhdir/StructureDefinition/contactpoint-viaintermediary
• http://hl7.org/fhir/uv/vhdir/StructureDefinition/contactpoint-availabletime
• http://hl7.org/fhir/StructureDefinition/geolocation
• http://hl7.org/fhir/uv/vhdir/StructureDefinition/practitioner-qualification
• http://hl7.org/fhir/uv/vhdir/StructureDefinition/communication-proficiency