Patient Cost Transparency Implementation Guide
1.0.0 - STU 1
Patient Cost Transparency Implementation Guide
1.0.0 - STU 1
Patient Cost Transparency Implementation Guide, published by HL7 International - Financial Management Work Group. This is not an authorized publication; it is the continuous build for version 1.0.0). This version is based on the current content of https://github.com/HL7/davinci-pct/ and changes regularly. See the Directory of published versions
| Official URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-practitioner | Version: 1.0.0 | |||
| Active as of 2023-03-29 | Computable Name: PCTPractitioner | |||
The PCT Practitioner profile builds upon the US Core Practitioner profile. It is used to convey information about the practitioner who will be providing services to the patient as described on the GFE.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from HRexPractitioner
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Practitioner | 0..* | HRexPractitioner | A person with a formal responsibility in the provisioning of healthcare or related services | |
  identifier:NPI | 0..1 | Identifier | The National Provider Identifier assigned to the provider. Required Pattern: At least the following | |
   type | 1..1 | CodeableConcept | Description of identifier Fixed Value: (complex) | |
  coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
  system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203 | |
 code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: NPI | |
 system | 1..1 | uri | The namespace for the identifier value Fixed Value: http://hl7.org/fhir/sid/us-npi | |
| identifier:ccn | 0..1 | Identifier | Medicare Certification Number - Should only be included in Medicare related transactions | |
| identifier:ETIN | S | 0..1 | Identifier | The submitter's Electronic Transmitter Identification Number. Required Pattern: At least the following |
 type | 1..1 | CodeableConcept | Description of identifier Fixed Value: (complex) | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTOrgIdentifierTypeCS | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ETIN | |
| identifier:tin | S | 0..1 | Identifier | Tax ID Number Required Pattern: At least the following |
| type | 1..1 | CodeableConcept | Description of identifier Fixed Value: (complex) | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203 | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: TAX | |
 name | ||||
| given | 1..1 | string | Given names (not always 'first'). Includes middle names | |
| telecom | S | 0..* | ContactPoint | A contact detail for the practitioner (that apply to all roles) |
| qualification | ||||
| code | 1..1 | CodeableConcept | Coded representation of the qualification Binding: NUCCProviderCodes (required) | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Practitioner.qualification.code | required | NUCCProviderCodes (a valid code from http://nucc.org/provider-taxonomy) |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Practitioner | 0..* | HRexPractitioner | 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 pattern:$this |
 identifier:NPI | SΣ | 0..1 | Identifier | The National Provider Identifier assigned to the provider. Required Pattern: At least the following |
 type | 1..1 | CodeableConcept | Description of identifier Fixed Value: (complex) | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203 | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: NPI | |
| system | 1..1 | uri | The namespace for the identifier value Fixed Value: http://hl7.org/fhir/sid/us-npi | |
| identifier:ccn | SΣ | 0..1 | Identifier | Medicare Certification Number - Should only be included in Medicare related transactions Required Pattern: At least the following |
| system | 1..1 | uri | The namespace for the identifier value Fixed Value: http://terminology.hl7.org/NamingSystem/CMSCertificationNumber | |
| identifier:ETIN | SΣ | 0..1 | Identifier | The submitter's Electronic Transmitter Identification Number. Required Pattern: At least the following |
| type | 1..1 | CodeableConcept | Description of identifier Fixed Value: (complex) | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTOrgIdentifierTypeCS | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ETIN | |
 identifier:tin | SΣ | 0..1 | Identifier | Tax ID Number Required Pattern: At least the following |
| type | 1..1 | CodeableConcept | Description of identifier Fixed Value: (complex) | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203 | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: TAX | |
 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') |
| given | Σ | 1..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 |
| telecom | SΣ | 0..* | ContactPoint | A contact detail for the practitioner (that apply to all roles) |
| use | ?!Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point. |
| qualification | S | 0..* | BackboneElement | Certification, licenses, or training pertaining to the provision of care |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | S | 1..1 | CodeableConcept | Coded representation of the qualification Binding: NUCCProviderCodes (required) |
| text | SΣ | 1..1 | string | Plain text representation of the concept |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Practitioner.name.use | required | NameUse |
| Practitioner.telecom.use | required | ContactPointUse |
| Practitioner.qualification.code | required | NUCCProviderCodes (a valid code from http://nucc.org/provider-taxonomy) |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Practitioner | 0..* | HRexPractitioner | 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.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
 extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| Slices for identifier | SΣ | 1..* | Identifier | An identifier for the person as this agent Slice: Unordered, Open by pattern:$this | ||||
| identifier:NPI | SΣ | 0..1 | Identifier | The National Provider Identifier assigned to the provider. 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 | 1..1 | CodeableConcept | Description of identifier Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203 | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: NPI | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| 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) | |||||
| identifier:ccn | SΣ | 0..1 | Identifier | Medicare Certification Number - Should only be included in Medicare related transactions 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://terminology.hl7.org/NamingSystem/CMSCertificationNumber | |||||
| 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) | |||||
| identifier:ETIN | SΣ | 0..1 | Identifier | The submitter's Electronic Transmitter Identification Number. 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 | 1..1 | CodeableConcept | Description of identifier Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTOrgIdentifierTypeCS | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ETIN | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| system | 0..1 | uri | The namespace for the identifier value | |||||
| 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) | |||||
| identifier:tin | SΣ | 0..1 | Identifier | Tax ID Number 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 | 1..1 | CodeableConcept | Description of identifier Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203 | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: TAX | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| system | 0..1 | uri | The namespace for the identifier value | |||||
| 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) | |||||
| 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 | 1..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 | 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 | ΣC | 0..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. | ||||
| value | Σ | 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 | Σ | 0..* | Address | Address(es) of the practitioner that are not role specific (typically home address) | ||||
| 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 | S | 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 | S | 1..1 | CodeableConcept | Coded representation of the qualification Binding: NUCCProviderCodes (required) | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding | Σ | 0..* | Coding | Code defined by a terminology system | ||||
| text | SΣ | 1..1 | string | Plain text representation of the concept | ||||
| 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.
| |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | ||||
| Practitioner.language | preferred | CommonLanguages
| ||||
| Practitioner.name.use | required | NameUse | ||||
| Practitioner.telecom.system | required | ContactPointSystem | ||||
| Practitioner.telecom.use | required | ContactPointUse | ||||
| Practitioner.gender | required | AdministrativeGender | ||||
| Practitioner.qualification.code | required | NUCCProviderCodes (a valid code from http://nucc.org/provider-taxonomy) | ||||
| Practitioner.communication | preferred | CommonLanguages
|
This structure is derived from HRexPractitioner
Differential View
This structure is derived from HRexPractitioner
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Practitioner | 0..* | HRexPractitioner | A person with a formal responsibility in the provisioning of healthcare or related services | |
| identifier:NPI | 0..1 | Identifier | The National Provider Identifier assigned to the provider. Required Pattern: At least the following | |
| type | 1..1 | CodeableConcept | Description of identifier Fixed Value: (complex) | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203 | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: NPI | |
| system | 1..1 | uri | The namespace for the identifier value Fixed Value: http://hl7.org/fhir/sid/us-npi | |
| identifier:ccn | 0..1 | Identifier | Medicare Certification Number - Should only be included in Medicare related transactions | |
| identifier:ETIN | S | 0..1 | Identifier | The submitter's Electronic Transmitter Identification Number. Required Pattern: At least the following |
| type | 1..1 | CodeableConcept | Description of identifier Fixed Value: (complex) | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTOrgIdentifierTypeCS | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ETIN | |
| identifier:tin | S | 0..1 | Identifier | Tax ID Number Required Pattern: At least the following |
| type | 1..1 | CodeableConcept | Description of identifier Fixed Value: (complex) | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203 | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: TAX | |
| name | ||||
| given | 1..1 | string | Given names (not always 'first'). Includes middle names | |
| telecom | S | 0..* | ContactPoint | A contact detail for the practitioner (that apply to all roles) |
| qualification | ||||
| code | 1..1 | CodeableConcept | Coded representation of the qualification Binding: NUCCProviderCodes (required) | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Practitioner.qualification.code | required | NUCCProviderCodes (a valid code from http://nucc.org/provider-taxonomy) |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Practitioner | 0..* | HRexPractitioner | 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 pattern:$this |
| identifier:NPI | SΣ | 0..1 | Identifier | The National Provider Identifier assigned to the provider. Required Pattern: At least the following |
| type | 1..1 | CodeableConcept | Description of identifier Fixed Value: (complex) | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203 | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: NPI | |
| system | 1..1 | uri | The namespace for the identifier value Fixed Value: http://hl7.org/fhir/sid/us-npi | |
| identifier:ccn | SΣ | 0..1 | Identifier | Medicare Certification Number - Should only be included in Medicare related transactions Required Pattern: At least the following |
| system | 1..1 | uri | The namespace for the identifier value Fixed Value: http://terminology.hl7.org/NamingSystem/CMSCertificationNumber | |
| identifier:ETIN | SΣ | 0..1 | Identifier | The submitter's Electronic Transmitter Identification Number. Required Pattern: At least the following |
| type | 1..1 | CodeableConcept | Description of identifier Fixed Value: (complex) | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTOrgIdentifierTypeCS | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ETIN | |
| identifier:tin | SΣ | 0..1 | Identifier | Tax ID Number Required Pattern: At least the following |
| type | 1..1 | CodeableConcept | Description of identifier Fixed Value: (complex) | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203 | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: TAX | |
| 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') |
| given | Σ | 1..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 |
| telecom | SΣ | 0..* | ContactPoint | A contact detail for the practitioner (that apply to all roles) |
| use | ?!Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point. |
| qualification | S | 0..* | BackboneElement | Certification, licenses, or training pertaining to the provision of care |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | S | 1..1 | CodeableConcept | Coded representation of the qualification Binding: NUCCProviderCodes (required) |
| text | SΣ | 1..1 | string | Plain text representation of the concept |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Practitioner.name.use | required | NameUse |
| Practitioner.telecom.use | required | ContactPointUse |
| Practitioner.qualification.code | required | NUCCProviderCodes (a valid code from http://nucc.org/provider-taxonomy) |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Practitioner | 0..* | HRexPractitioner | 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.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| Slices for identifier | SΣ | 1..* | Identifier | An identifier for the person as this agent Slice: Unordered, Open by pattern:$this | ||||
| identifier:NPI | SΣ | 0..1 | Identifier | The National Provider Identifier assigned to the provider. 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 | 1..1 | CodeableConcept | Description of identifier Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203 | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: NPI | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| 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) | |||||
| identifier:ccn | SΣ | 0..1 | Identifier | Medicare Certification Number - Should only be included in Medicare related transactions 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://terminology.hl7.org/NamingSystem/CMSCertificationNumber | |||||
| 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) | |||||
| identifier:ETIN | SΣ | 0..1 | Identifier | The submitter's Electronic Transmitter Identification Number. 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 | 1..1 | CodeableConcept | Description of identifier Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTOrgIdentifierTypeCS | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ETIN | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| system | 0..1 | uri | The namespace for the identifier value | |||||
| 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) | |||||
| identifier:tin | SΣ | 0..1 | Identifier | Tax ID Number 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 | 1..1 | CodeableConcept | Description of identifier Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203 | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: TAX | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| system | 0..1 | uri | The namespace for the identifier value | |||||
| 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) | |||||
| 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 | 1..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 | 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 | ΣC | 0..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. | ||||
| value | Σ | 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 | Σ | 0..* | Address | Address(es) of the practitioner that are not role specific (typically home address) | ||||
| 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 | S | 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 | S | 1..1 | CodeableConcept | Coded representation of the qualification Binding: NUCCProviderCodes (required) | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding | Σ | 0..* | Coding | Code defined by a terminology system | ||||
| text | SΣ | 1..1 | string | Plain text representation of the concept | ||||
| 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.
| |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | ||||
| Practitioner.language | preferred | CommonLanguages
| ||||
| Practitioner.name.use | required | NameUse | ||||
| Practitioner.telecom.system | required | ContactPointSystem | ||||
| Practitioner.telecom.use | required | ContactPointUse | ||||
| Practitioner.gender | required | AdministrativeGender | ||||
| Practitioner.qualification.code | required | NUCCProviderCodes (a valid code from http://nucc.org/provider-taxonomy) | ||||
| Practitioner.communication | preferred | CommonLanguages
|
This structure is derived from HRexPractitioner
Other representations of profile: CSV, Excel, Schematron
IG © 2023+ HL7 International - Financial Management Work Group. Package hl7.fhir.us.davinci-pct#1.0.0 based on FHIR 4.0.1. Generated 2023-03-29
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