Da Vinci Payer Data Exchange
2.1.1 - STU 2.1

Da Vinci Payer Data Exchange, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.1.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-epdx/ and changes regularly. See the Directory of published versions

## US Core PractitionerRole

Page standards status: Informative

Previous Page - US Core Practitioner

The US Core 3.1.1 PractitionerRole or US Core 6.1.0 PractitionerRole SHALL be used to record information about the roles that practitioners take in providing services to their patients.

The essential fields (Must Support or Cardinality greater than 0..*) to be provided in the US Core 3.1.1 PractitionerRole or US Core 6.1.0 PractitionerRole resource are:

R4 Element | Name | Cardinality | Type
--- | --- | --- | ---
PractitionerRole.practitioner | practitioner | 1..1 | Reference(US Core Practitioner Profile)
PractitionerRole.organization | organization | 1..1 | Reference(US Core Organization Profile)
PractitionerRole.code | code | 0..* | CodeableConcept
PractitionerRole.specialty | specialty | 0..* | CodeableConcept
PractitionerRole.location | location | 0..* | Reference(Location)
PractitionerRole.telecom | telecom | 0..* | ContactPoint
PractitionerRole.telecom.system | system | 1..1 | code
PractitionerRole.telecom.value | value | 1..1 | string
PractitionerRole.endpoint | endpoint | 0..* | Reference(Endpoint)

Table Definition

#### Example PractitionerRole Resource

An example mapping of an PractitionerRole resource is shown here:

###

    {
      "resourceType" : "Bundle",
      "id" : "66c8856b-ba11-4876-8aa8-467aad8c11a2",
      "type" : "searchset",
      "total" : 1,
      "link" : [
        {
          "relation" : "self",
          "url" : "http://52.90.126.238:8080/fhir/baseDstu3/PractitionerRole?_id=PractitionerRole-1&_include=PractitionerRole%3Apractitioner&_include=PractitionerRole%3Aendpoint"
        }
      ],
      "entry" : [
        {
          "fullUrl" : "http://52.90.126.238:8080/fhir/baseDstu3/PractitionerRole/PractitionerRole-1",
          "resource" : {
            "resourceType" : "PractitionerRole",
            "id" : "PractitionerRole-1",
            "meta" : {
              "profile" : [
                "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative with Detailsid: PractitionerRole-1meta: practitioner: <a href=\"Practitioner/Practitioner-1011\">Brenda Jennings Richard MD</a>organization: <a href=\"Organization-acme-lab.html\">Acme Lab. Generated Summary: id: acme-lab; 1144221847, 2523423456; active; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/organization-type prov}\">Healthcare Provider</span>; name: Acme Labs; ph: (+1) 734-677-7777, hq@acme.org</a>code: Primary Care <span style=\"background: LightGoldenRodYellow\">(Details : {http://nucc.org/provider-taxonomy code '261QP2300X' = 'Primary Care', given as 'Primary Care'})</span>specialty: General Practice <span style=\"background: LightGoldenRodYellow\">(Details : {http://nucc.org/provider-taxonomy code '208D00000X' = 'General Practice', given as 'General Practice'})</span>location: <a href=\"Location-hl7east.html\">Health Level Seven International. Generated Summary: id: hl7east; 29; status: active; name: Health Level Seven International - Amherst; description: HL7 Headquarters - East; ph: (+1) 734-677-7777</a>endpoint: <a href=\"http://52.90.126.238:8080/fhir/baseDstu3/Endpoint/Endpoint-71\">Westwood Physicians Organization ADT</a><a href=\"http://52.90.126.238:8080/fhir/baseDstu3/Endpoint/Endpoint-71\">Brenda.Jennings.Richard.MD@direct.example.org</a></div>"
            },
            "practitioner" : {
              "reference" : "Practitioner/Practitioner-1011",
              "display" : "Brenda Jennings Richard MD"
            },
            "organization" : {
              "reference" : "Organization/acme-lab",
              "display" : "Acme Lab"
            },
            "code" : [
              {
                "coding" : [
                  {
                    "system" : "http://nucc.org/provider-taxonomy",
                    "code" : "261QP2300X",
                    "display" : "Primary Care"
                  }
                ]
              }
            ],
            "specialty" : [
              {
                "coding" : [
                  {
                    "system" : "http://nucc.org/provider-taxonomy",
                    "code" : "208D00000X",
                    "display" : "General Practice"
                  }
                ]
              }
            ],
            "location" : [
              {
                "reference" : "Location/hl7east",
                "display" : "Health Level Seven International"
              }
            ],
            "endpoint" : [
              {
                "reference" : "http://52.90.126.238:8080/fhir/baseDstu3/Endpoint/Endpoint-71",
                "display" : "Westwood Physicians Organization ADT"
              },
              {
                "reference" : "http://52.90.126.238:8080/fhir/baseDstu3/Endpoint/Endpoint-71",
                "display" : "Brenda.Jennings.Richard.MD@direct.example.org"
              }
            ]
          },
          "search" : {
            "mode" : "match"
          }
        },
        {
          "fullUrl" : "http://52.90.126.238:8080/fhir/baseDstu3/Practitioner/Practitioner-1011",
          "resource" : {
            "resourceType" : "Practitioner",
            "id" : "Practitioner-1011",
            "meta" : {
              "profile" : [
                "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative with Detailsid: Practitioner-1011meta: identifier: US Social Security Number = 000001011 (OFFICIAL), US National Provider Identifier = 9999991011 (OFFICIAL), Michigan Common Key Service Identifier = d46f70565a1042f6a6ece48dd81b408f (OFFICIAL)name: Brenda Jennings Richard telecom: ph: 313-555-6868(HOME), ph: 313-555-6443(WORK)address: 346 W Plum Avenu Dearborn MI 48123gender: femalebirthDate: Nov 15, 1976Qualifications<table class=\"grid\">-IdentifierCodeIssuer*Michigan Medical License = LARA-1011 (OFFICIAL)Medical Doctor <span style=\"background: LightGoldenRodYellow\">(Details : {http://michigan.gov/lara/license-type code '4305' = '4305', given as 'Medical Doctor'})</span>Michigan Department of Licensing and Regulatory Affairs</table></div>"
            },
            "identifier" : [
              {
                "use" : "official",
                "type" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/identifier-type",
                      "code" : "SB",
                      "display" : "Social Beneficiary Identifier"
                    }
                  ],
                  "text" : "US Social Security Number"
                },
                "system" : "http://hl7.org/fhir/sid/us-ssn",
                "value" : "000001011"
              },
              {
                "use" : "official",
                "type" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                      "code" : "PRN",
                      "display" : "Provider number"
                    }
                  ],
                  "text" : "US National Provider Identifier"
                },
                "system" : "http://hl7.org/fhir/sid/us-npi",
                "value" : "9999991011"
              },
              {
                "use" : "official",
                "type" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/identifier-type",
                      "code" : "SB",
                      "display" : "Social Beneficiary Identifier"
                    }
                  ],
                  "text" : "Michigan Common Key Service Identifier"
                },
                "system" : "http://mihin.org/fhir/cks",
                "value" : "d46f70565a1042f6a6ece48dd81b408f"
              }
            ],
            "name" : [
              {
                "family" : "Richard",
                "given" : [
                  "Brenda",
                  "Jennings"
                ],
                "suffix" : [
                  "MD"
                ]
              }
            ],
            "telecom" : [
              {
                "system" : "phone",
                "value" : "313-555-6868",
                "use" : "home"
              },
              {
                "system" : "phone",
                "value" : "313-555-6443",
                "use" : "work"
              }
            ],
            "address" : [
              {
                "text" : "346 W Plum Avenu Dearborn MI 48123",
                "line" : [
                  "346 W Plum Avenue"
                ],
                "city" : "Dearborn",
                "state" : "MI",
                "postalCode" : "48126"
              }
            ],
            "gender" : "female",
            "birthDate" : "1976-11-15",
            "qualification" : [
              {
                "identifier" : [
                  {
                    "use" : "official",
                    "type" : {
                      "coding" : [
                        {
                          "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                          "code" : "MD",
                          "display" : "Medical License number"
                        }
                      ],
                      "text" : "Michigan Medical License"
                    },
                    "system" : "http://michigan.gov/fhir/medical-license",
                    "value" : "LARA-1011",
                    "assigner" : {
                      "display" : "State of Michigan"
                    }
                  }
                ],
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://michigan.gov/lara/license-type",
                      "code" : "4305",
                      "display" : "Medical Doctor"
                    }
                  ]
                },
                "issuer" : {
                  "display" : "Michigan Department of Licensing and Regulatory Affairs"
                }
              }
            ]
          },
          "search" : {
            "mode" : "include"
          }
        },
        {
          "fullUrl" : "http://52.90.126.238:8080/fhir/baseDstu3/Endpoint/Endpoint-71",
          "resource" : {
            "resourceType" : "Endpoint",
            "id" : "71",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative with Detailsid: 71status: activeconnectionType: Direct Project (Details: http://terminology.hl7.org/CodeSystem/endpoint-connection-type code direct-project = 'Direct Project', stated as 'null')name: Brenda.Jennings.Richard.MD@direct.example.orgmanagingOrganization: <a href=\"Organization-acme-lab.html\">Generated Summary: id: acme-lab; 1144221847, 2523423456; active; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/organization-type prov}\">Healthcare Provider</span>; name: Acme Labs; ph: (+1) 734-677-7777, hq@acme.org</a>payloadType: urn:hl7-org:sdwg:ccda-structuredBody:1.1 <span style=\"background: LightGoldenRodYellow\">(Details : {urn:oid:1.3.6.1.4.1.19376.1.2.3 code 'urn:hl7-org:sdwg:ccda-structuredBody:1.1' = 'urn:hl7-org:sdwg:ccda-structuredBody:1.1)</span>payloadMimeType: text/xmladdress: <a href=\"mailto:Brenda.Jennings.Richard.MD@direct.example.org\">Brenda.Jennings.Richard.MD@direct.example.org</a></div>"
            },
            "status" : "active",
            "connectionType" : {
              "system" : "http://terminology.hl7.org/CodeSystem/endpoint-connection-type",
              "code" : "direct-project"
            },
            "name" : "Brenda.Jennings.Richard.MD@direct.example.org",
            "managingOrganization" : {
              "reference" : "Organization/acme-lab"
            },
            "payloadType" : [
              {
                "coding" : [
                  {
                    "system" : "urn:oid:1.3.6.1.4.1.19376.1.2.3",
                    "code" : "urn:hl7-org:sdwg:ccda-structuredBody:1.1"
                  }
                ]
              }
            ],
            "payloadMimeType" : [
              "text/xml"
            ],
            "address" : "mailto:Brenda.Jennings.Richard.MD@direct.example.org"
          },
          "search" : {
            "mode" : "include"
          }
        }
      ]
    }

Refer to the US Core Additional examples of the US Core 3.1.1 or US Core 6.1.0 Implementation Guide for further examples of completed PractitionerRole Profiles.

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