Specialty Medication Enrollment
2.1.0 - CI Build

Specialty Medication Enrollment, published by HL7 International - Pharmacy. This is not an authorized publication; it is the continuous build for version 2.1.0). This version is based on the current content of https://github.com/HL7/fhir-specialty-rx/ and changes regularly. See the Directory of published versions

## Resource Profile: Specialty Rx Practitioner

Official URL: http://hl7.org/fhir/us/specialty-rx/StructureDefinition/specialty-rx-practitioner | Version: 2.1.0
Active as of 2020-03-20 | Computable Name: SpecialtyRxPractitioner

This profile tailors the Practitioner resource to support specialty medication dispensing and enrollment in related programs.

This profile is used in the Specialty Rx Query and Specialty Rx Query Response - Unsolicited messages, providing information the recipient can use when identifying the related prescription. It ensures that all identifying information is present, including the prescriber’s full name, address and phone number.

Usage:

- Refer to this Resource Profile: Specialty Rx Parameters - Query Response - Unsolicited and Specialty Rx Parameters - Query
- Examples for this Resource Profile: Practitioner/specialty-rx-practitioner-1

### Formal Views of Profile Content

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

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

This structure is derived from USCorePractitionerProfile

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Practitioner |  | 0..* | USCorePractitionerProfile | A person with a formal responsibility in the provisioning of healthcare or related services
name |  |  |  |
given | S | 1..* | string | Given names (not always 'first'). Includes middle names
Slices for telecom | S | 1..* | ContactPoint | A contact detail for the practitioner (that apply to all roles) Slice: Unordered, Open At End by value:system
telecom:All Slices |  |  |  | Content/Rules for all slices
system | S | 1..1 | code | phone | fax | email | pager | url | sms | other
value | S | 1..1 | string | The actual contact point details
telecom:Phone | S | 1..* | ContactPoint | A contact detail for the practitioner (that apply to all roles)
system | S | 1..1 | code | phone | fax | email | pager | url | sms | other Fixed Value: phone
telecom:Email | S | 0..* | ContactPoint | A contact detail for the practitioner (that apply to all roles)
system |  | 1..1 | code | phone | fax | email | pager | url | sms | other Fixed Value: email
telecom:Fax | S | 0..* | ContactPoint | A contact detail for the practitioner (that apply to all roles)
system |  | 1..1 | code | phone | fax | email | pager | url | sms | other Fixed Value: fax
address | S | 1..* | Address | Address(es) of the practitioner that are not role specific (typically home address)
line | S | 1..* | string | Street name, number, direction & P.O. Box etc.
city | S | 1..1 | string | Name of city, town etc.
state | S | 1..1 | string | Sub-unit of country (abbreviations ok)
postalCode | S | 1..1 | string | Postal code for area
qualification | S | 0..* | BackboneElement | Certification, licenses, or training pertaining to the provision of care
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Practitioner |  | 0..* | USCorePractitionerProfile | 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 | S Σ | 1..* | Identifier | An identifier for the person as this agent Slice: Unordered, Open by pattern:$this
identifier:All Slices |  |  |  | Content/Rules for all slices
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system | S Σ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value | S Σ | 1..1 | string | The value that is unique Example General: 123456
identifier:NPI | S Σ | 0..1 | Identifier | An identifier for the person as this agent Required Pattern: At least the following
system |  | 1..1 | uri | The namespace for the identifier value Fixed Value: http://hl7.org/fhir/sid/us-npi
name | S Σ | 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 | S Σ | 1..1 | string | Family name (often called 'Surname')
given | S Σ | 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
Slices for telecom | S Σ | 1..* | ContactPoint | A contact detail for the practitioner (that apply to all roles) Slice: Unordered, Open At End by value:system
telecom:All Slices |  |  |  | Content/Rules for all slices
system | S Σ C | 1..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value | S Σ | 1..1 | string | The actual contact point details
use | ?!Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
telecom:Phone | S Σ | 1..* | ContactPoint | A contact detail for the practitioner (that apply to all roles)
system | S Σ C | 1..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: phone
use | ?!Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
telecom:Email | S Σ | 0..* | ContactPoint | A contact detail for the practitioner (that apply to all roles)
system | Σ C | 1..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: email
use | ?!Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
telecom:Fax | S Σ | 0..* | ContactPoint | A contact detail for the practitioner (that apply to all roles)
system | Σ C | 1..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: fax
use | ?!Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
address | S Σ | 1..* | Address | Address(es) of the practitioner that are not role specific (typically home address)
use | ?!Σ | 0..1 | code | home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
line | S Σ | 1..* | 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 | S Σ | 1..1 | string | Name of city, town etc. Example General: Erewhon
state | S Σ | 1..1 | string | Sub-unit of country (abbreviations ok)
postalCode | S Σ | 1..1 | string | Postal code for area Example General: 9132
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 |  | 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.
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code
Practitioner.identifier.use | required | IdentifierUse
Practitioner.name.use | required | NameUse
Practitioner.telecom.system | required | ContactPointSystem
Practitioner.telecom.use | required | ContactPointUse
Practitioner.telecom:Phone.system | required | Fixed Value: phone
Practitioner.telecom:Phone.use | required | ContactPointUse
Practitioner.telecom:Email.system | required | Fixed Value: email
Practitioner.telecom:Email.use | required | ContactPointUse
Practitioner.telecom:Fax.system | required | Fixed Value: fax
Practitioner.telecom:Fax.use | required | ContactPointUse
Practitioner.address.use | required | AddressUse
Practitioner.qualification.code | example | v2.0360.2.7 (a valid code from `http://terminology.hl7.org/CodeSystem/v2-0360|2.7`)

#### Constraints

Id | Grade | Path(s) | Details | Requirements
dom-2 | error | Practitioner | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | Practitioner | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() |
dom-4 | error | Practitioner | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() |
dom-5 | error | Practitioner | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | Practitioner | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Practitioner |  | 0..* | USCorePractitionerProfile | 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
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
Slices for identifier | S Σ | 1..* | Identifier | An identifier for the person as this agent Slice: Unordered, Open by pattern:$this
identifier:All Slices |  |  |  | Content/Rules for all slices
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system | S Σ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value | S Σ | 1..1 | string | The value that is unique Example General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
identifier:NPI | S Σ | 0..1 | Identifier | An identifier for the person as this agent Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
use |  | 0..1 | code | usual | official | temp | secondary | old (If known)
type |  | 0..1 | CodeableConcept | Description of identifier
system |  | 1..1 | uri | The namespace for the identifier value Fixed Value: http://hl7.org/fhir/sid/us-npi
value |  | 0..1 | string | The value that is unique
period |  | 0..1 | Period | Time period when id is/was valid for use
assigner |  | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
active | Σ | 0..1 | boolean | Whether this practitioner's record is in active use
name | S Σ | 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 | S Σ | 1..1 | string | Family name (often called 'Surname')
given | S Σ | 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
Slices for telecom | S Σ | 1..* | ContactPoint | A contact detail for the practitioner (that apply to all roles) Slice: Unordered, Open At End by value:system
telecom:All Slices |  |  |  | Content/Rules for all slices
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | S Σ C | 1..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value | S Σ | 1..1 | string | The actual contact point details
use | ?!Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
rank | Σ | 0..1 | positiveInt | Specify preferred order of use (1 = highest)
period | Σ | 0..1 | Period | Time period when the contact point was/is in use
telecom:Phone | S Σ | 1..* | 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 | S Σ C | 1..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: phone
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
telecom:Email | S Σ | 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 | Σ C | 1..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: email
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
telecom:Fax | S Σ | 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 | Σ C | 1..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: fax
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 | S Σ | 1..* | Address | Address(es) of the practitioner that are not role specific (typically home address)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
type | Σ | 0..1 | code | postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both
text | Σ | 0..1 | string | Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
line | S Σ | 1..* | 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 | S Σ | 1..1 | string | Name of city, town etc. Example General: Erewhon
district | Σ | 0..1 | string | District name (aka county) Example General: Madison
state | S Σ | 1..1 | string | Sub-unit of country (abbreviations ok)
postalCode | S Σ | 1..1 | string | Postal code for area Example General: 9132
country | Σ | 0..1 | string | Country (e.g. can be ISO 3166 2 or 3 letter code)
period | Σ | 0..1 | Period | Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
gender | Σ | 0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate | Σ | 0..1 | date | The date on which the practitioner was born
photo |  | 0..* | Attachment | Image of the person
qualification | 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 |  | 1..1 | CodeableConcept | Coded representation of the qualification Binding: v2 table 0360, Version 2.7 (example): Specific qualification the practitioner has to provide a service.
period |  | 0..1 | Period | Period during which the qualification is valid
issuer |  | 0..1 | Reference(Organization) | Organization that regulates and issues the qualification
communication |  | 0..* | CodeableConcept | A language the practitioner can use in patient communication Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code
Practitioner.language | preferred | CommonLanguages
Additional Bindings | Purpose
AllLanguages | Max Binding
Practitioner.identifier.use | required | IdentifierUse
Practitioner.identifier.type | extensible | Identifier Type Codes
Practitioner.name.use | required | NameUse
Practitioner.telecom.system | required | ContactPointSystem
Practitioner.telecom.use | required | ContactPointUse
Practitioner.telecom:Phone.system | required | Fixed Value: phone
Practitioner.telecom:Phone.use | required | ContactPointUse
Practitioner.telecom:Email.system | required | Fixed Value: email
Practitioner.telecom:Email.use | required | ContactPointUse
Practitioner.telecom:Fax.system | required | Fixed Value: fax
Practitioner.telecom:Fax.use | required | ContactPointUse
Practitioner.address.use | required | AddressUse
Practitioner.address.type | required | AddressType
Practitioner.gender | required | AdministrativeGender
Practitioner.qualification.code | example | v2.0360.2.7 (a valid code from `http://terminology.hl7.org/CodeSystem/v2-0360|2.7`)
Practitioner.communication | preferred | CommonLanguages
Additional Bindings | Purpose
AllLanguages | Max Binding

#### Constraints

Id | Grade | Path(s) | Details | Requirements
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |

This structure is derived from USCorePractitionerProfile

Summary

Mandatory: 11 elements (2 nested mandatory elements)
Must-Support: 14 elements
Fixed Value: 3 elements

Slices

This structure defines the following Slices:

- The element Practitioner.telecom is sliced based on the value of value:system (Open at End)

Differential View

This structure is derived from USCorePractitionerProfile

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Practitioner |  | 0..* | USCorePractitionerProfile | A person with a formal responsibility in the provisioning of healthcare or related services
name |  |  |  |
given | S | 1..* | string | Given names (not always 'first'). Includes middle names
Slices for telecom | S | 1..* | ContactPoint | A contact detail for the practitioner (that apply to all roles) Slice: Unordered, Open At End by value:system
telecom:All Slices |  |  |  | Content/Rules for all slices
system | S | 1..1 | code | phone | fax | email | pager | url | sms | other
value | S | 1..1 | string | The actual contact point details
telecom:Phone | S | 1..* | ContactPoint | A contact detail for the practitioner (that apply to all roles)
system | S | 1..1 | code | phone | fax | email | pager | url | sms | other Fixed Value: phone
telecom:Email | S | 0..* | ContactPoint | A contact detail for the practitioner (that apply to all roles)
system |  | 1..1 | code | phone | fax | email | pager | url | sms | other Fixed Value: email
telecom:Fax | S | 0..* | ContactPoint | A contact detail for the practitioner (that apply to all roles)
system |  | 1..1 | code | phone | fax | email | pager | url | sms | other Fixed Value: fax
address | S | 1..* | Address | Address(es) of the practitioner that are not role specific (typically home address)
line | S | 1..* | string | Street name, number, direction & P.O. Box etc.
city | S | 1..1 | string | Name of city, town etc.
state | S | 1..1 | string | Sub-unit of country (abbreviations ok)
postalCode | S | 1..1 | string | Postal code for area
qualification | S | 0..* | BackboneElement | Certification, licenses, or training pertaining to the provision of care
Documentation for this format

Key Elements View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Practitioner |  | 0..* | USCorePractitionerProfile | 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 | S Σ | 1..* | Identifier | An identifier for the person as this agent Slice: Unordered, Open by pattern:$this
identifier:All Slices |  |  |  | Content/Rules for all slices
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system | S Σ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value | S Σ | 1..1 | string | The value that is unique Example General: 123456
identifier:NPI | S Σ | 0..1 | Identifier | An identifier for the person as this agent Required Pattern: At least the following
system |  | 1..1 | uri | The namespace for the identifier value Fixed Value: http://hl7.org/fhir/sid/us-npi
name | S Σ | 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 | S Σ | 1..1 | string | Family name (often called 'Surname')
given | S Σ | 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
Slices for telecom | S Σ | 1..* | ContactPoint | A contact detail for the practitioner (that apply to all roles) Slice: Unordered, Open At End by value:system
telecom:All Slices |  |  |  | Content/Rules for all slices
system | S Σ C | 1..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value | S Σ | 1..1 | string | The actual contact point details
use | ?!Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
telecom:Phone | S Σ | 1..* | ContactPoint | A contact detail for the practitioner (that apply to all roles)
system | S Σ C | 1..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: phone
use | ?!Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
telecom:Email | S Σ | 0..* | ContactPoint | A contact detail for the practitioner (that apply to all roles)
system | Σ C | 1..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: email
use | ?!Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
telecom:Fax | S Σ | 0..* | ContactPoint | A contact detail for the practitioner (that apply to all roles)
system | Σ C | 1..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: fax
use | ?!Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
address | S Σ | 1..* | Address | Address(es) of the practitioner that are not role specific (typically home address)
use | ?!Σ | 0..1 | code | home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
line | S Σ | 1..* | 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 | S Σ | 1..1 | string | Name of city, town etc. Example General: Erewhon
state | S Σ | 1..1 | string | Sub-unit of country (abbreviations ok)
postalCode | S Σ | 1..1 | string | Postal code for area Example General: 9132
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 |  | 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.
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code
Practitioner.identifier.use | required | IdentifierUse
Practitioner.name.use | required | NameUse
Practitioner.telecom.system | required | ContactPointSystem
Practitioner.telecom.use | required | ContactPointUse
Practitioner.telecom:Phone.system | required | Fixed Value: phone
Practitioner.telecom:Phone.use | required | ContactPointUse
Practitioner.telecom:Email.system | required | Fixed Value: email
Practitioner.telecom:Email.use | required | ContactPointUse
Practitioner.telecom:Fax.system | required | Fixed Value: fax
Practitioner.telecom:Fax.use | required | ContactPointUse
Practitioner.address.use | required | AddressUse
Practitioner.qualification.code | example | v2.0360.2.7 (a valid code from `http://terminology.hl7.org/CodeSystem/v2-0360|2.7`)

#### Constraints

Id | Grade | Path(s) | Details | Requirements
dom-2 | error | Practitioner | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | Practitioner | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() |
dom-4 | error | Practitioner | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() |
dom-5 | error | Practitioner | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | Practitioner | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Practitioner |  | 0..* | USCorePractitionerProfile | 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
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
Slices for identifier | S Σ | 1..* | Identifier | An identifier for the person as this agent Slice: Unordered, Open by pattern:$this
identifier:All Slices |  |  |  | Content/Rules for all slices
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system | S Σ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value | S Σ | 1..1 | string | The value that is unique Example General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
identifier:NPI | S Σ | 0..1 | Identifier | An identifier for the person as this agent Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
use |  | 0..1 | code | usual | official | temp | secondary | old (If known)
type |  | 0..1 | CodeableConcept | Description of identifier
system |  | 1..1 | uri | The namespace for the identifier value Fixed Value: http://hl7.org/fhir/sid/us-npi
value |  | 0..1 | string | The value that is unique
period |  | 0..1 | Period | Time period when id is/was valid for use
assigner |  | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
active | Σ | 0..1 | boolean | Whether this practitioner's record is in active use
name | S Σ | 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 | S Σ | 1..1 | string | Family name (often called 'Surname')
given | S Σ | 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
Slices for telecom | S Σ | 1..* | ContactPoint | A contact detail for the practitioner (that apply to all roles) Slice: Unordered, Open At End by value:system
telecom:All Slices |  |  |  | Content/Rules for all slices
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | S Σ C | 1..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value | S Σ | 1..1 | string | The actual contact point details
use | ?!Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
rank | Σ | 0..1 | positiveInt | Specify preferred order of use (1 = highest)
period | Σ | 0..1 | Period | Time period when the contact point was/is in use
telecom:Phone | S Σ | 1..* | 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 | S Σ C | 1..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: phone
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
telecom:Email | S Σ | 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 | Σ C | 1..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: email
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
telecom:Fax | S Σ | 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 | Σ C | 1..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: fax
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 | S Σ | 1..* | Address | Address(es) of the practitioner that are not role specific (typically home address)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
type | Σ | 0..1 | code | postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both
text | Σ | 0..1 | string | Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
line | S Σ | 1..* | 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 | S Σ | 1..1 | string | Name of city, town etc. Example General: Erewhon
district | Σ | 0..1 | string | District name (aka county) Example General: Madison
state | S Σ | 1..1 | string | Sub-unit of country (abbreviations ok)
postalCode | S Σ | 1..1 | string | Postal code for area Example General: 9132
country | Σ | 0..1 | string | Country (e.g. can be ISO 3166 2 or 3 letter code)
period | Σ | 0..1 | Period | Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
gender | Σ | 0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate | Σ | 0..1 | date | The date on which the practitioner was born
photo |  | 0..* | Attachment | Image of the person
qualification | 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 |  | 1..1 | CodeableConcept | Coded representation of the qualification Binding: v2 table 0360, Version 2.7 (example): Specific qualification the practitioner has to provide a service.
period |  | 0..1 | Period | Period during which the qualification is valid
issuer |  | 0..1 | Reference(Organization) | Organization that regulates and issues the qualification
communication |  | 0..* | CodeableConcept | A language the practitioner can use in patient communication Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code
Practitioner.language | preferred | CommonLanguages
Additional Bindings | Purpose
AllLanguages | Max Binding
Practitioner.identifier.use | required | IdentifierUse
Practitioner.identifier.type | extensible | Identifier Type Codes
Practitioner.name.use | required | NameUse
Practitioner.telecom.system | required | ContactPointSystem
Practitioner.telecom.use | required | ContactPointUse
Practitioner.telecom:Phone.system | required | Fixed Value: phone
Practitioner.telecom:Phone.use | required | ContactPointUse
Practitioner.telecom:Email.system | required | Fixed Value: email
Practitioner.telecom:Email.use | required | ContactPointUse
Practitioner.telecom:Fax.system | required | Fixed Value: fax
Practitioner.telecom:Fax.use | required | ContactPointUse
Practitioner.address.use | required | AddressUse
Practitioner.address.type | required | AddressType
Practitioner.gender | required | AdministrativeGender
Practitioner.qualification.code | example | v2.0360.2.7 (a valid code from `http://terminology.hl7.org/CodeSystem/v2-0360|2.7`)
Practitioner.communication | preferred | CommonLanguages
Additional Bindings | Purpose
AllLanguages | Max Binding

#### Constraints

Id | Grade | Path(s) | Details | Requirements
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |

This structure is derived from USCorePractitionerProfile

Summary

Mandatory: 11 elements (2 nested mandatory elements)
Must-Support: 14 elements
Fixed Value: 3 elements

Slices

This structure defines the following Slices:

- The element Practitioner.telecom is sliced based on the value of value:system (Open at End)

Other representations of profile: CSV, Excel, Schematron