National Directory of Healthcare Providers & Services (NDH) Implementation Guide, published by HL7 International / Patient Administration. This guide is not an authorized publication; it is the continuous build for version 2.0.0-current built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-us-ndh/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
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Resource Profile: NDH Practitioner Profile

Usages:

• Refer to this Profile: NDH Group, NDH PractitionerRole and NDH Verification
• Examples for this Profile: Practitioner/HansSolo, Practitioner/JoeSmith, Practitioner/PractitionerOneWithNetwork1AndNetwork2 and Practitioner/PractitionerTwoWithNetwork1LeftAfterSixMonths
• CapabilityStatements using this Profile: NDH Server Capability Statement

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Practitioner	C	0..*	USCorePractitionerProfile(6.1.0)	A person with a formal responsibility in the provisioning of healthcare or related services Constraints: practitioner-birthdate-year-only
Practitioner.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Practitioner.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Practitioner.Slices for extension.extension:us-core-race		0..1	(Complex)	US Core Race Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race
Practitioner.Slices for extension.extension:us-core-ethnicity		0..1	(Complex)	US Core ethnicity Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity
Practitioner.Slices for extension.extension:accessibility		0..*	CodeableConcept	Accessibility URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-accessibility Binding: Accessibility Value Set (extensible)
Practitioner.Slices for extension.extension:rating		0..*	(Complex)	Rating URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-rating
Practitioner.Slices for extension.extension:cms-medicare-enrollment-in-good-standing		0..1	boolean	CMS Enrollment In Good Standing URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-cms-medicare-enrollment-in-good-standing
Practitioner.Slices for extension.extension:cms-identity-verified		0..1	boolean	CMS Identity Verified URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-cms-identity-verified
Practitioner.Slices for extension.extension:cms-aligned-with-data-network		0..1	boolean	Aligned with CMS Data Network URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-cms-aligned-with-data-network
Practitioner.Slices for extension.extension:hhs-exclusion-list		0..1	boolean	HHS Exclusion List URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-hhs-exclusion-list
Practitioner.Slices for extension.extension:verification-status		0..1	CodeableConcept	NDH Verification Status URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-verification-status Binding: NDH Verification Status Value Set (extensible)
Practitioner.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Practitioner.Slices for identifier	S This element must be supported. Σ This element is included in summaries.	1..*	Identifier	An identifier for the person as this agent Slice: Unordered, Open by pattern:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Practitioner.Slices for identifier.identifier:All Slices				Content/Rules for all slices
Practitioner.Slices for identifier.identifier:All Slices.Slices for extension				Content/Rules for all slices
Practitioner.Slices for identifier.identifier:All Slices.Slices for extension.extension:identifier-status		0..1	code	NDH Identifier Status URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-identifier-status Binding: Identifier Status Value Set (required)
Practitioner.Slices for identifier.identifier:All Slices.use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Practitioner.Slices for identifier.identifier:All Slices.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
Practitioner.Slices for identifier.identifier:All Slices.value	S This element must be supported. Σ This element is included in summaries.	1..1	string	The value that is unique Example General: 123456
Practitioner.Slices for identifier.identifier:All Slices.assigner	Σ This element is included in summaries.	0..1	Reference(NDH Organization Profile)	Organization that issued id (may be just text)
Practitioner.Slices for identifier.identifier:NPI	S This element must be supported. Σ This element is included in summaries. C	0..*	Identifier	An identifier for the person as this agent Constraints: us-core-16, us-core-17 Required Pattern: { "system" : "http://hl7.org/fhir/sid/us-npi" }
Practitioner.active	Σ This element is included in summaries.	1..1	boolean	Whether this practitioner's record is in active use Required Pattern: true (extensions allowed)
Practitioner.name	S This element must be supported. Σ This element is included in summaries.	1..*	HumanName	The name(s) associated with the practitioner
Practitioner.name.use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
Practitioner.name.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	Text representation of the full name
Practitioner.name.family	S This element must be supported. Σ This element is included in summaries.	1..1	string	Family name (often called 'Surname')
Practitioner.telecom	S This element must be supported. Σ This element is included in summaries.	0..*	ContactPoint	A contact detail for the practitioner (that apply to all roles)
Practitioner.telecom.system	S This element must be supported. Σ This element is included in summaries. C	0..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
Practitioner.telecom.value	S This element must be supported. Σ This element is included in summaries.	0..1	string	The actual contact point details
Practitioner.telecom.use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
Practitioner.address	S This element must be supported. Σ This element is included in summaries.	0..*	Address	Address(es) of the practitioner
Practitioner.address.Slices for extension				Content/Rules for all slices
Practitioner.address.Slices for extension.extension:geolocation	S This element must be supported.	0..1	(Complex)	The absolute geographic location URL: http://hl7.org/fhir/StructureDefinition/geolocation
Practitioner.address.use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
Practitioner.address.line	S This element must be supported. Σ This element is included in summaries.	0..4	string	Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
Practitioner.address.city	S This element must be supported. Σ This element is included in summaries.	0..1	string	Name of city, town etc. Example General: Erewhon
Practitioner.address.state	S This element must be supported. Σ This element is included in summaries.	0..1	string	Sub-unit of country (abbreviations ok) Binding: UspsTwoLetterAlphabeticCodes (6.1.0) (extensible)
Practitioner.address.postalCode	S This element must be supported. Σ This element is included in summaries.	0..1	string	US Zip Codes Example General: 9132
Practitioner.address.country	S This element must be supported. Σ This element is included in summaries.	0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
Practitioner.gender	S This element must be supported. Σ This element is included in summaries.	0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
Practitioner.birthDate	Σ This element is included in summaries.	0..1	date	Year of birth. Publish only the year; a full birth date is more than the directory requires.
Practitioner.qualification	S This element must be supported.	0..*	BackboneElement	Certification, licenses, or training pertaining to the provision of care
Practitioner.qualification.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Practitioner.qualification.Slices for extension.extension:scope		0..1	(Complex)	NDH Practitioner Qualification Scope where valid and status URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-practitioner-qualification-scope
Practitioner.qualification.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Practitioner.qualification.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. Additional Bindings Purpose Documentation Individual Qualifications Value Set Extensible The code that identifies license, or certification; regulated authorization to practice. FaCeT Practitioner Credential Properties Value Set Extensible The code that identifies the credential; evidence that supports or proves an authorization.
Practitioner.qualification.issuer	S This element must be supported.	0..1	Reference(NDH Organization Profile)	Organization that regulates and issues the qualification
Practitioner.communication		0..*	CodeableConcept	A language the practitioner can use in patient communication Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Practitioner.communication.Slices for extension				Content/Rules for all slices
Practitioner.communication.Slices for extension.extension:communication-proficiency		0..1	CodeableConcept	NDH Communication Proficiency URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-communication-proficiency Binding: Interagency Language Roundtable Speaking Skill Scale (extensible)
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Practitioner.identifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Practitioner.name.use	Base	required	NameUse	📍4.0.1	FHIR Std.
Practitioner.telecom.​system	Base	required	ContactPointSystem	📍4.0.1	FHIR Std.
Practitioner.telecom.​use	Base	required	ContactPointUse	📍4.0.1	FHIR Std.
Practitioner.address.​use	Base	required	AddressUse	📍4.0.1	FHIR Std.
Practitioner.address.​state	Base	extensible	USPS Two Letter Alphabetic Codes	📍6.1.0	US Core v6.1
Practitioner.gender	Base	required	AdministrativeGender	📍4.0.1	FHIR Std.
Practitioner.qualification.​code	Base	example	v2 table 0360, Version 2.7	📦0360	FHIR Std.
Practitioner.communication	Base	preferred	Common Languages	📦4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
practitioner-birthdate-year-only	warning	Practitioner	Practitioner.birthDate should contain only the year of birth; a full date discloses more than the directory requires	birthDate.empty() or birthDate.toString().length() = 4
us-core-16	error	Practitioner.identifier:NPI	NPI must be 10 digits	value.matches('^[0-9]{10}$')
us-core-17	error	Practitioner.identifier:NPI	NPI check digit must be valid (Luhn algorithm check)	(((select(value.substring(0,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(1,1).toInteger())+(select(value.substring(2,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(3,1).toInteger())+(select(value.substring(4,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(5,1).toInteger())+(select(value.substring(6,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(7,1).toInteger())+(select(value.substring(8,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(9,1).toInteger()) + 24)mod 10=0)

This structure is derived from USCorePractitionerProfile

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Practitioner	C	0..*	USCorePractitionerProfile(6.1.0)	A person with a formal responsibility in the provisioning of healthcare or related services Constraints: practitioner-birthdate-year-only
Practitioner.meta
Practitioner.meta.lastUpdated		1..1	instant	When the resource version last changed
Practitioner.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Practitioner.Slices for extension.extension:us-core-race		0..1	(Complex)	US Core Race Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race
Practitioner.Slices for extension.extension:us-core-ethnicity		0..1	(Complex)	US Core ethnicity Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity
Practitioner.Slices for extension.extension:individual-genderIdentity		0..0	(Complex)	The individual's gender identity URL: http://hl7.org/fhir/StructureDefinition/individual-genderIdentity
Practitioner.Slices for extension.extension:individual-pronouns		0..0	(Complex)	The pronouns to use when communicating about an individual. URL: http://hl7.org/fhir/StructureDefinition/individual-pronouns
Practitioner.Slices for extension.extension:individual-recordedSexOrGender		0..0	(Complex)	A recorded sex or gender property for the individual URL: http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender
Practitioner.Slices for extension.extension:accessibility		0..*	CodeableConcept	Accessibility URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-accessibility Binding: Accessibility Value Set (extensible)
Practitioner.Slices for extension.extension:rating		0..*	(Complex)	Rating URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-rating
Practitioner.Slices for extension.extension:cms-medicare-enrollment-in-good-standing		0..1	boolean	CMS Enrollment In Good Standing URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-cms-medicare-enrollment-in-good-standing
Practitioner.Slices for extension.extension:cms-identity-verified		0..1	boolean	CMS Identity Verified URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-cms-identity-verified
Practitioner.Slices for extension.extension:cms-aligned-with-data-network		0..1	boolean	Aligned with CMS Data Network URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-cms-aligned-with-data-network
Practitioner.Slices for extension.extension:hhs-exclusion-list		0..1	boolean	HHS Exclusion List URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-hhs-exclusion-list
Practitioner.Slices for extension.extension:verification-status		0..1	CodeableConcept	NDH Verification Status URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-verification-status Binding: NDH Verification Status Value Set (extensible)
Practitioner.identifier		1..*	Identifier	An identifier for the person as this agent
Practitioner.identifier.Slices for extension				Content/Rules for all slices
Practitioner.identifier.Slices for extension.extension:identifier-status		0..1	code	NDH Identifier Status URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-identifier-status Binding: Identifier Status Value Set (required)
Practitioner.identifier.assigner		0..1	Reference(NDH Organization Profile)	Organization that issued id (may be just text)
Practitioner.active		1..1	boolean	Whether this practitioner's record is in active use Required Pattern: true (extensions allowed)
Practitioner.name		1..*	HumanName	The name(s) associated with the practitioner
Practitioner.name.text	S This element must be supported.	0..1	string	Text representation of the full name
Practitioner.telecom		0..*	ContactPoint	A contact detail for the practitioner (that apply to all roles)
Practitioner.address		0..*	Address	Address(es) of the practitioner
Practitioner.address.Slices for extension				Content/Rules for all slices
Practitioner.address.Slices for extension.extension:geolocation	S This element must be supported.	0..1	(Complex)	The absolute geographic location URL: http://hl7.org/fhir/StructureDefinition/geolocation
Practitioner.address.state		0..1	string	Sub-unit of country (abbreviations ok) Binding: UspsTwoLetterAlphabeticCodes (6.1.0) (extensible)
Practitioner.gender	S This element must be supported.	0..1	code	male | female | other | unknown
Practitioner.birthDate		0..1	date	Year of birth. Publish only the year; a full birth date is more than the directory requires.
Practitioner.qualification	S This element must be supported.	0..*	BackboneElement	Certification, licenses, or training pertaining to the provision of care
Practitioner.qualification.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Practitioner.qualification.Slices for extension.extension:scope		0..1	(Complex)	NDH Practitioner Qualification Scope where valid and status URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-practitioner-qualification-scope
Practitioner.qualification.identifier
Practitioner.qualification.identifier.Slices for extension				Content/Rules for all slices
Practitioner.qualification.identifier.Slices for extension.extension:identifier-status		0..1	code	NDH Identifier Status URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-identifier-status Binding: Identifier Status Value Set (required)
Practitioner.qualification.identifier.assigner		0..1	Reference(NDH Organization Profile)	Organization that issued id (may be just text)
Practitioner.qualification.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. Additional Bindings Purpose Documentation Individual Qualifications Value Set Extensible The code that identifies license, or certification; regulated authorization to practice. FaCeT Practitioner Credential Properties Value Set Extensible The code that identifies the credential; evidence that supports or proves an authorization.
Practitioner.qualification.issuer	S This element must be supported.	0..1	Reference(NDH Organization Profile)	Organization that regulates and issues the qualification
Practitioner.communication		0..*	CodeableConcept	A language the practitioner can use in patient communication
Practitioner.communication.Slices for extension				Content/Rules for all slices
Practitioner.communication.Slices for extension.extension:communication-proficiency		0..1	CodeableConcept	NDH Communication Proficiency URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-communication-proficiency Binding: Interagency Language Roundtable Speaking Skill Scale (extensible)
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Practitioner.address.​state	Base	extensible	USPS Two Letter Alphabetic Codes	📍6.1.0	US Core v6.1
Practitioner.qualification.​code	Base	example	v2 table 0360, Version 2.7	📦0360	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
practitioner-birthdate-year-only	warning	Practitioner	Practitioner.birthDate should contain only the year of birth; a full date discloses more than the directory requires	birthDate.empty() or birthDate.toString().length() = 4

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Practitioner	C	0..*	USCorePractitionerProfile(6.1.0)	A person with a formal responsibility in the provisioning of healthcare or related services Constraints: practitioner-birthdate-year-only
Practitioner.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
Practitioner.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
Practitioner.meta.id		0..1	string	Unique id for inter-element referencing
Practitioner.meta.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Practitioner.meta.versionId	Σ This element is included in summaries.	0..1	id	Version specific identifier
Practitioner.meta.lastUpdated	Σ This element is included in summaries.	1..1	instant	When the resource version last changed
Practitioner.meta.source	Σ This element is included in summaries.	0..1	uri	Identifies where the resource comes from
Practitioner.meta.profile	Σ This element is included in summaries.	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
Practitioner.meta.security	Σ This element is included in summaries.	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
Practitioner.meta.tag	Σ This element is included in summaries.	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
Practitioner.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Practitioner.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Practitioner.text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Practitioner.contained		0..*	Resource	Contained, inline Resources
Practitioner.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Practitioner.Slices for extension.extension:us-core-race		0..1	(Complex)	US Core Race Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race
Practitioner.Slices for extension.extension:us-core-ethnicity		0..1	(Complex)	US Core ethnicity Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity
Practitioner.Slices for extension.extension:accessibility		0..*	CodeableConcept	Accessibility URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-accessibility Binding: Accessibility Value Set (extensible)
Practitioner.Slices for extension.extension:rating		0..*	(Complex)	Rating URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-rating
Practitioner.Slices for extension.extension:cms-medicare-enrollment-in-good-standing		0..1	boolean	CMS Enrollment In Good Standing URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-cms-medicare-enrollment-in-good-standing
Practitioner.Slices for extension.extension:cms-identity-verified		0..1	boolean	CMS Identity Verified URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-cms-identity-verified
Practitioner.Slices for extension.extension:cms-aligned-with-data-network		0..1	boolean	Aligned with CMS Data Network URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-cms-aligned-with-data-network
Practitioner.Slices for extension.extension:hhs-exclusion-list		0..1	boolean	HHS Exclusion List URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-hhs-exclusion-list
Practitioner.Slices for extension.extension:verification-status		0..1	CodeableConcept	NDH Verification Status URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-verification-status Binding: NDH Verification Status Value Set (extensible)
Practitioner.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Practitioner.Slices for identifier	S This element must be supported. Σ This element is included in summaries.	1..*	Identifier	An identifier for the person as this agent Slice: Unordered, Open by pattern:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Practitioner.Slices for identifier.identifier:All Slices				Content/Rules for all slices
Practitioner.Slices for identifier.identifier:All Slices.id		0..1	string	Unique id for inter-element referencing
Practitioner.Slices for identifier.identifier:All Slices.Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Practitioner.Slices for identifier.identifier:All Slices.Slices for extension.extension:identifier-status		0..1	code	NDH Identifier Status URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-identifier-status Binding: Identifier Status Value Set (required)
Practitioner.Slices for identifier.identifier:All Slices.use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Practitioner.Slices for identifier.identifier:All Slices.type	Σ This element is included in summaries.	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.
Practitioner.Slices for identifier.identifier:All Slices.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
Practitioner.Slices for identifier.identifier:All Slices.value	S This element must be supported. Σ This element is included in summaries.	1..1	string	The value that is unique Example General: 123456
Practitioner.Slices for identifier.identifier:All Slices.period	Σ This element is included in summaries.	0..1	Period	Time period when id is/was valid for use
Practitioner.Slices for identifier.identifier:All Slices.assigner	Σ This element is included in summaries.	0..1	Reference(NDH Organization Profile)	Organization that issued id (may be just text)
Practitioner.Slices for identifier.identifier:NPI	S This element must be supported. Σ This element is included in summaries. C	0..*	Identifier	An identifier for the person as this agent Constraints: us-core-16, us-core-17 Required Pattern: { "system" : "http://hl7.org/fhir/sid/us-npi" }
Practitioner.active	Σ This element is included in summaries.	1..1	boolean	Whether this practitioner's record is in active use Required Pattern: true (extensions allowed)
Practitioner.name	S This element must be supported. Σ This element is included in summaries.	1..*	HumanName	The name(s) associated with the practitioner
Practitioner.name.id		0..1	string	Unique id for inter-element referencing
Practitioner.name.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Practitioner.name.use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
Practitioner.name.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	Text representation of the full name
Practitioner.name.family	S This element must be supported. Σ This element is included in summaries.	1..1	string	Family name (often called 'Surname')
Practitioner.name.given	Σ This element is included in summaries.	0..*	string	Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
Practitioner.name.prefix	Σ This element is included in summaries.	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
Practitioner.name.suffix	Σ This element is included in summaries.	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
Practitioner.name.period	Σ This element is included in summaries.	0..1	Period	Time period when name was/is in use
Practitioner.telecom	S This element must be supported. Σ This element is included in summaries.	0..*	ContactPoint	A contact detail for the practitioner (that apply to all roles)
Practitioner.telecom.id		0..1	string	Unique id for inter-element referencing
Practitioner.telecom.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Practitioner.telecom.system	S This element must be supported. Σ This element is included in summaries. C	0..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
Practitioner.telecom.value	S This element must be supported. Σ This element is included in summaries.	0..1	string	The actual contact point details
Practitioner.telecom.use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
Practitioner.telecom.rank	Σ This element is included in summaries.	0..1	positiveInt	Specify preferred order of use (1 = highest)
Practitioner.telecom.period	Σ This element is included in summaries.	0..1	Period	Time period when the contact point was/is in use
Practitioner.address	S This element must be supported. Σ This element is included in summaries.	0..*	Address	Address(es) of the practitioner
Practitioner.address.id		0..1	string	Unique id for inter-element referencing
Practitioner.address.Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Practitioner.address.Slices for extension.extension:geolocation	S This element must be supported.	0..1	(Complex)	The absolute geographic location URL: http://hl7.org/fhir/StructureDefinition/geolocation
Practitioner.address.use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
Practitioner.address.type	Σ This element is included in summaries.	0..1	code	postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both
Practitioner.address.text	Σ This element is included in summaries.	0..1	string	Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
Practitioner.address.line	S This element must be supported. Σ This element is included in summaries.	0..4	string	Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
Practitioner.address.city	S This element must be supported. Σ This element is included in summaries.	0..1	string	Name of city, town etc. Example General: Erewhon
Practitioner.address.district	Σ This element is included in summaries.	0..1	string	District name (aka county) Example General: Madison
Practitioner.address.state	S This element must be supported. Σ This element is included in summaries.	0..1	string	Sub-unit of country (abbreviations ok) Binding: UspsTwoLetterAlphabeticCodes (6.1.0) (extensible)
Practitioner.address.postalCode	S This element must be supported. Σ This element is included in summaries.	0..1	string	US Zip Codes Example General: 9132
Practitioner.address.country	S This element must be supported. Σ This element is included in summaries.	0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
Practitioner.address.period	Σ This element is included in summaries.	0..1	Period	Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
Practitioner.gender	S This element must be supported. Σ This element is included in summaries.	0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
Practitioner.birthDate	Σ This element is included in summaries.	0..1	date	Year of birth. Publish only the year; a full birth date is more than the directory requires.
Practitioner.photo		0..*	Attachment	Image of the person
Practitioner.qualification	S This element must be supported.	0..*	BackboneElement	Certification, licenses, or training pertaining to the provision of care
Practitioner.qualification.id		0..1	string	Unique id for inter-element referencing
Practitioner.qualification.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Practitioner.qualification.Slices for extension.extension:scope		0..1	(Complex)	NDH Practitioner Qualification Scope where valid and status URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-practitioner-qualification-scope
Practitioner.qualification.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Practitioner.qualification.identifier		0..*	Identifier	An identifier for this qualification for the practitioner
Practitioner.qualification.identifier.id		0..1	string	Unique id for inter-element referencing
Practitioner.qualification.identifier.Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Practitioner.qualification.identifier.Slices for extension.extension:identifier-status		0..1	code	NDH Identifier Status URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-identifier-status Binding: Identifier Status Value Set (required)
Practitioner.qualification.identifier.use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Practitioner.qualification.identifier.type	Σ This element is included in summaries.	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.
Practitioner.qualification.identifier.system	Σ This element is included in summaries.	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
Practitioner.qualification.identifier.value	Σ This element is included in summaries.	0..1	string	The value that is unique Example General: 123456
Practitioner.qualification.identifier.period	Σ This element is included in summaries.	0..1	Period	Time period when id is/was valid for use
Practitioner.qualification.identifier.assigner	Σ This element is included in summaries.	0..1	Reference(NDH Organization Profile)	Organization that issued id (may be just text)
Practitioner.qualification.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. Additional Bindings Purpose Documentation Individual Qualifications Value Set Extensible The code that identifies license, or certification; regulated authorization to practice. FaCeT Practitioner Credential Properties Value Set Extensible The code that identifies the credential; evidence that supports or proves an authorization.
Practitioner.qualification.period		0..1	Period	Period during which the qualification is valid
Practitioner.qualification.issuer	S This element must be supported.	0..1	Reference(NDH Organization Profile)	Organization that regulates and issues the qualification
Practitioner.communication		0..*	CodeableConcept	A language the practitioner can use in patient communication Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Practitioner.communication.id		0..1	string	Unique id for inter-element referencing
Practitioner.communication.Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Practitioner.communication.Slices for extension.extension:communication-proficiency		0..1	CodeableConcept	NDH Communication Proficiency URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-communication-proficiency Binding: Interagency Language Roundtable Speaking Skill Scale (extensible)
Practitioner.communication.coding	Σ This element is included in summaries.	0..*	Coding	Code defined by a terminology system
Practitioner.communication.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Practitioner.meta.security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
Practitioner.meta.tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
Practitioner.language	Base	preferred	Common Languages	📦4.0.1	FHIR Std.
Practitioner.identifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Practitioner.identifier.​type	Base	extensible	IdentifierType	📦4.0.1	FHIR Std.
Practitioner.name.use	Base	required	NameUse	📍4.0.1	FHIR Std.
Practitioner.telecom.​system	Base	required	ContactPointSystem	📍4.0.1	FHIR Std.
Practitioner.telecom.​use	Base	required	ContactPointUse	📍4.0.1	FHIR Std.
Practitioner.address.​use	Base	required	AddressUse	📍4.0.1	FHIR Std.
Practitioner.address.​type	Base	required	AddressType	📍4.0.1	FHIR Std.
Practitioner.address.​state	Base	extensible	USPS Two Letter Alphabetic Codes	📍6.1.0	US Core v6.1
Practitioner.gender	Base	required	AdministrativeGender	📍4.0.1	FHIR Std.
Practitioner.qualification.​identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Practitioner.qualification.​identifier.type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Practitioner.qualification.​code	Base	example	v2 table 0360, Version 2.7	📦0360	FHIR Std.
Practitioner.communication	Base	preferred	Common Languages	📦4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
practitioner-birthdate-year-only	warning	Practitioner	Practitioner.birthDate should contain only the year of birth; a full date discloses more than the directory requires	birthDate.empty() or birthDate.toString().length() = 4
us-core-16	error	Practitioner.identifier:NPI	NPI must be 10 digits	value.matches('^[0-9]{10}$')
us-core-17	error	Practitioner.identifier:NPI	NPI check digit must be valid (Luhn algorithm check)	(((select(value.substring(0,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(1,1).toInteger())+(select(value.substring(2,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(3,1).toInteger())+(select(value.substring(4,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(5,1).toInteger())+(select(value.substring(6,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(7,1).toInteger())+(select(value.substring(8,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(9,1).toInteger()) + 24)mod 10=0)

This structure is derived from USCorePractitionerProfile

Summary

Mandatory: 1 element(1 nested mandatory element)
Must-Support: 5 elements
Prohibited: 3 elements

Structures

This structure refers to these other structures:

• NDH Organization Profile (http://hl7.org/fhir/us/ndh/StructureDefinition/ndh-Organization)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/us/core/StructureDefinition/us-core-race|6.1.0
• http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity|6.1.0
• http://hl7.org/fhir/StructureDefinition/individual-genderIdentity|5.3.0
• http://hl7.org/fhir/StructureDefinition/individual-pronouns|5.3.0
• http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender|5.3.0
• http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-accessibility
• http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-rating
• http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-cms-medicare-enrollment-in-good-standing
• http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-cms-identity-verified
• http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-cms-aligned-with-data-network
• http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-hhs-exclusion-list
• http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-verification-status
• http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-identifier-status
• http://hl7.org/fhir/StructureDefinition/geolocation|4.0.1
• http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-practitioner-qualification-scope
• http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-communication-proficiency

Maturity: 4

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Practitioner	C	0..*	USCorePractitionerProfile(6.1.0)	A person with a formal responsibility in the provisioning of healthcare or related services Constraints: practitioner-birthdate-year-only
Practitioner.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Practitioner.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Practitioner.Slices for extension.extension:us-core-race		0..1	(Complex)	US Core Race Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race
Practitioner.Slices for extension.extension:us-core-ethnicity		0..1	(Complex)	US Core ethnicity Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity
Practitioner.Slices for extension.extension:accessibility		0..*	CodeableConcept	Accessibility URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-accessibility Binding: Accessibility Value Set (extensible)
Practitioner.Slices for extension.extension:rating		0..*	(Complex)	Rating URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-rating
Practitioner.Slices for extension.extension:cms-medicare-enrollment-in-good-standing		0..1	boolean	CMS Enrollment In Good Standing URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-cms-medicare-enrollment-in-good-standing
Practitioner.Slices for extension.extension:cms-identity-verified		0..1	boolean	CMS Identity Verified URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-cms-identity-verified
Practitioner.Slices for extension.extension:cms-aligned-with-data-network		0..1	boolean	Aligned with CMS Data Network URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-cms-aligned-with-data-network
Practitioner.Slices for extension.extension:hhs-exclusion-list		0..1	boolean	HHS Exclusion List URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-hhs-exclusion-list
Practitioner.Slices for extension.extension:verification-status		0..1	CodeableConcept	NDH Verification Status URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-verification-status Binding: NDH Verification Status Value Set (extensible)
Practitioner.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Practitioner.Slices for identifier	S This element must be supported. Σ This element is included in summaries.	1..*	Identifier	An identifier for the person as this agent Slice: Unordered, Open by pattern:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Practitioner.Slices for identifier.identifier:All Slices				Content/Rules for all slices
Practitioner.Slices for identifier.identifier:All Slices.Slices for extension				Content/Rules for all slices
Practitioner.Slices for identifier.identifier:All Slices.Slices for extension.extension:identifier-status		0..1	code	NDH Identifier Status URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-identifier-status Binding: Identifier Status Value Set (required)
Practitioner.Slices for identifier.identifier:All Slices.use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Practitioner.Slices for identifier.identifier:All Slices.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
Practitioner.Slices for identifier.identifier:All Slices.value	S This element must be supported. Σ This element is included in summaries.	1..1	string	The value that is unique Example General: 123456
Practitioner.Slices for identifier.identifier:All Slices.assigner	Σ This element is included in summaries.	0..1	Reference(NDH Organization Profile)	Organization that issued id (may be just text)
Practitioner.Slices for identifier.identifier:NPI	S This element must be supported. Σ This element is included in summaries. C	0..*	Identifier	An identifier for the person as this agent Constraints: us-core-16, us-core-17 Required Pattern: { "system" : "http://hl7.org/fhir/sid/us-npi" }
Practitioner.active	Σ This element is included in summaries.	1..1	boolean	Whether this practitioner's record is in active use Required Pattern: true (extensions allowed)
Practitioner.name	S This element must be supported. Σ This element is included in summaries.	1..*	HumanName	The name(s) associated with the practitioner
Practitioner.name.use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
Practitioner.name.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	Text representation of the full name
Practitioner.name.family	S This element must be supported. Σ This element is included in summaries.	1..1	string	Family name (often called 'Surname')
Practitioner.telecom	S This element must be supported. Σ This element is included in summaries.	0..*	ContactPoint	A contact detail for the practitioner (that apply to all roles)
Practitioner.telecom.system	S This element must be supported. Σ This element is included in summaries. C	0..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
Practitioner.telecom.value	S This element must be supported. Σ This element is included in summaries.	0..1	string	The actual contact point details
Practitioner.telecom.use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
Practitioner.address	S This element must be supported. Σ This element is included in summaries.	0..*	Address	Address(es) of the practitioner
Practitioner.address.Slices for extension				Content/Rules for all slices
Practitioner.address.Slices for extension.extension:geolocation	S This element must be supported.	0..1	(Complex)	The absolute geographic location URL: http://hl7.org/fhir/StructureDefinition/geolocation
Practitioner.address.use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
Practitioner.address.line	S This element must be supported. Σ This element is included in summaries.	0..4	string	Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
Practitioner.address.city	S This element must be supported. Σ This element is included in summaries.	0..1	string	Name of city, town etc. Example General: Erewhon
Practitioner.address.state	S This element must be supported. Σ This element is included in summaries.	0..1	string	Sub-unit of country (abbreviations ok) Binding: UspsTwoLetterAlphabeticCodes (6.1.0) (extensible)
Practitioner.address.postalCode	S This element must be supported. Σ This element is included in summaries.	0..1	string	US Zip Codes Example General: 9132
Practitioner.address.country	S This element must be supported. Σ This element is included in summaries.	0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
Practitioner.gender	S This element must be supported. Σ This element is included in summaries.	0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
Practitioner.birthDate	Σ This element is included in summaries.	0..1	date	Year of birth. Publish only the year; a full birth date is more than the directory requires.
Practitioner.qualification	S This element must be supported.	0..*	BackboneElement	Certification, licenses, or training pertaining to the provision of care
Practitioner.qualification.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Practitioner.qualification.Slices for extension.extension:scope		0..1	(Complex)	NDH Practitioner Qualification Scope where valid and status URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-practitioner-qualification-scope
Practitioner.qualification.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Practitioner.qualification.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. Additional Bindings Purpose Documentation Individual Qualifications Value Set Extensible The code that identifies license, or certification; regulated authorization to practice. FaCeT Practitioner Credential Properties Value Set Extensible The code that identifies the credential; evidence that supports or proves an authorization.
Practitioner.qualification.issuer	S This element must be supported.	0..1	Reference(NDH Organization Profile)	Organization that regulates and issues the qualification
Practitioner.communication		0..*	CodeableConcept	A language the practitioner can use in patient communication Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Practitioner.communication.Slices for extension				Content/Rules for all slices
Practitioner.communication.Slices for extension.extension:communication-proficiency		0..1	CodeableConcept	NDH Communication Proficiency URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-communication-proficiency Binding: Interagency Language Roundtable Speaking Skill Scale (extensible)
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Practitioner.identifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Practitioner.name.use	Base	required	NameUse	📍4.0.1	FHIR Std.
Practitioner.telecom.​system	Base	required	ContactPointSystem	📍4.0.1	FHIR Std.
Practitioner.telecom.​use	Base	required	ContactPointUse	📍4.0.1	FHIR Std.
Practitioner.address.​use	Base	required	AddressUse	📍4.0.1	FHIR Std.
Practitioner.address.​state	Base	extensible	USPS Two Letter Alphabetic Codes	📍6.1.0	US Core v6.1
Practitioner.gender	Base	required	AdministrativeGender	📍4.0.1	FHIR Std.
Practitioner.qualification.​code	Base	example	v2 table 0360, Version 2.7	📦0360	FHIR Std.
Practitioner.communication	Base	preferred	Common Languages	📦4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
practitioner-birthdate-year-only	warning	Practitioner	Practitioner.birthDate should contain only the year of birth; a full date discloses more than the directory requires	birthDate.empty() or birthDate.toString().length() = 4
us-core-16	error	Practitioner.identifier:NPI	NPI must be 10 digits	value.matches('^[0-9]{10}$')
us-core-17	error	Practitioner.identifier:NPI	NPI check digit must be valid (Luhn algorithm check)	(((select(value.substring(0,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(1,1).toInteger())+(select(value.substring(2,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(3,1).toInteger())+(select(value.substring(4,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(5,1).toInteger())+(select(value.substring(6,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(7,1).toInteger())+(select(value.substring(8,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(9,1).toInteger()) + 24)mod 10=0)

Differential View

This structure is derived from USCorePractitionerProfile

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Practitioner	C	0..*	USCorePractitionerProfile(6.1.0)	A person with a formal responsibility in the provisioning of healthcare or related services Constraints: practitioner-birthdate-year-only
Practitioner.meta
Practitioner.meta.lastUpdated		1..1	instant	When the resource version last changed
Practitioner.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Practitioner.Slices for extension.extension:us-core-race		0..1	(Complex)	US Core Race Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race
Practitioner.Slices for extension.extension:us-core-ethnicity		0..1	(Complex)	US Core ethnicity Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity
Practitioner.Slices for extension.extension:individual-genderIdentity		0..0	(Complex)	The individual's gender identity URL: http://hl7.org/fhir/StructureDefinition/individual-genderIdentity
Practitioner.Slices for extension.extension:individual-pronouns		0..0	(Complex)	The pronouns to use when communicating about an individual. URL: http://hl7.org/fhir/StructureDefinition/individual-pronouns
Practitioner.Slices for extension.extension:individual-recordedSexOrGender		0..0	(Complex)	A recorded sex or gender property for the individual URL: http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender
Practitioner.Slices for extension.extension:accessibility		0..*	CodeableConcept	Accessibility URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-accessibility Binding: Accessibility Value Set (extensible)
Practitioner.Slices for extension.extension:rating		0..*	(Complex)	Rating URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-rating
Practitioner.Slices for extension.extension:cms-medicare-enrollment-in-good-standing		0..1	boolean	CMS Enrollment In Good Standing URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-cms-medicare-enrollment-in-good-standing
Practitioner.Slices for extension.extension:cms-identity-verified		0..1	boolean	CMS Identity Verified URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-cms-identity-verified
Practitioner.Slices for extension.extension:cms-aligned-with-data-network		0..1	boolean	Aligned with CMS Data Network URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-cms-aligned-with-data-network
Practitioner.Slices for extension.extension:hhs-exclusion-list		0..1	boolean	HHS Exclusion List URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-hhs-exclusion-list
Practitioner.Slices for extension.extension:verification-status		0..1	CodeableConcept	NDH Verification Status URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-verification-status Binding: NDH Verification Status Value Set (extensible)
Practitioner.identifier		1..*	Identifier	An identifier for the person as this agent
Practitioner.identifier.Slices for extension				Content/Rules for all slices
Practitioner.identifier.Slices for extension.extension:identifier-status		0..1	code	NDH Identifier Status URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-identifier-status Binding: Identifier Status Value Set (required)
Practitioner.identifier.assigner		0..1	Reference(NDH Organization Profile)	Organization that issued id (may be just text)
Practitioner.active		1..1	boolean	Whether this practitioner's record is in active use Required Pattern: true (extensions allowed)
Practitioner.name		1..*	HumanName	The name(s) associated with the practitioner
Practitioner.name.text	S This element must be supported.	0..1	string	Text representation of the full name
Practitioner.telecom		0..*	ContactPoint	A contact detail for the practitioner (that apply to all roles)
Practitioner.address		0..*	Address	Address(es) of the practitioner
Practitioner.address.Slices for extension				Content/Rules for all slices
Practitioner.address.Slices for extension.extension:geolocation	S This element must be supported.	0..1	(Complex)	The absolute geographic location URL: http://hl7.org/fhir/StructureDefinition/geolocation
Practitioner.address.state		0..1	string	Sub-unit of country (abbreviations ok) Binding: UspsTwoLetterAlphabeticCodes (6.1.0) (extensible)
Practitioner.gender	S This element must be supported.	0..1	code	male | female | other | unknown
Practitioner.birthDate		0..1	date	Year of birth. Publish only the year; a full birth date is more than the directory requires.
Practitioner.qualification	S This element must be supported.	0..*	BackboneElement	Certification, licenses, or training pertaining to the provision of care
Practitioner.qualification.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Practitioner.qualification.Slices for extension.extension:scope		0..1	(Complex)	NDH Practitioner Qualification Scope where valid and status URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-practitioner-qualification-scope
Practitioner.qualification.identifier
Practitioner.qualification.identifier.Slices for extension				Content/Rules for all slices
Practitioner.qualification.identifier.Slices for extension.extension:identifier-status		0..1	code	NDH Identifier Status URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-identifier-status Binding: Identifier Status Value Set (required)
Practitioner.qualification.identifier.assigner		0..1	Reference(NDH Organization Profile)	Organization that issued id (may be just text)
Practitioner.qualification.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. Additional Bindings Purpose Documentation Individual Qualifications Value Set Extensible The code that identifies license, or certification; regulated authorization to practice. FaCeT Practitioner Credential Properties Value Set Extensible The code that identifies the credential; evidence that supports or proves an authorization.
Practitioner.qualification.issuer	S This element must be supported.	0..1	Reference(NDH Organization Profile)	Organization that regulates and issues the qualification
Practitioner.communication		0..*	CodeableConcept	A language the practitioner can use in patient communication
Practitioner.communication.Slices for extension				Content/Rules for all slices
Practitioner.communication.Slices for extension.extension:communication-proficiency		0..1	CodeableConcept	NDH Communication Proficiency URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-communication-proficiency Binding: Interagency Language Roundtable Speaking Skill Scale (extensible)
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Practitioner.address.​state	Base	extensible	USPS Two Letter Alphabetic Codes	📍6.1.0	US Core v6.1
Practitioner.qualification.​code	Base	example	v2 table 0360, Version 2.7	📦0360	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
practitioner-birthdate-year-only	warning	Practitioner	Practitioner.birthDate should contain only the year of birth; a full date discloses more than the directory requires	birthDate.empty() or birthDate.toString().length() = 4

Snapshot ViewView

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Practitioner	C	0..*	USCorePractitionerProfile(6.1.0)	A person with a formal responsibility in the provisioning of healthcare or related services Constraints: practitioner-birthdate-year-only
Practitioner.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
Practitioner.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
Practitioner.meta.id		0..1	string	Unique id for inter-element referencing
Practitioner.meta.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Practitioner.meta.versionId	Σ This element is included in summaries.	0..1	id	Version specific identifier
Practitioner.meta.lastUpdated	Σ This element is included in summaries.	1..1	instant	When the resource version last changed
Practitioner.meta.source	Σ This element is included in summaries.	0..1	uri	Identifies where the resource comes from
Practitioner.meta.profile	Σ This element is included in summaries.	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
Practitioner.meta.security	Σ This element is included in summaries.	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
Practitioner.meta.tag	Σ This element is included in summaries.	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
Practitioner.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Practitioner.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Practitioner.text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Practitioner.contained		0..*	Resource	Contained, inline Resources
Practitioner.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Practitioner.Slices for extension.extension:us-core-race		0..1	(Complex)	US Core Race Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race
Practitioner.Slices for extension.extension:us-core-ethnicity		0..1	(Complex)	US Core ethnicity Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity
Practitioner.Slices for extension.extension:accessibility		0..*	CodeableConcept	Accessibility URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-accessibility Binding: Accessibility Value Set (extensible)
Practitioner.Slices for extension.extension:rating		0..*	(Complex)	Rating URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-rating
Practitioner.Slices for extension.extension:cms-medicare-enrollment-in-good-standing		0..1	boolean	CMS Enrollment In Good Standing URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-cms-medicare-enrollment-in-good-standing
Practitioner.Slices for extension.extension:cms-identity-verified		0..1	boolean	CMS Identity Verified URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-cms-identity-verified
Practitioner.Slices for extension.extension:cms-aligned-with-data-network		0..1	boolean	Aligned with CMS Data Network URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-cms-aligned-with-data-network
Practitioner.Slices for extension.extension:hhs-exclusion-list		0..1	boolean	HHS Exclusion List URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-hhs-exclusion-list
Practitioner.Slices for extension.extension:verification-status		0..1	CodeableConcept	NDH Verification Status URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-verification-status Binding: NDH Verification Status Value Set (extensible)
Practitioner.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Practitioner.Slices for identifier	S This element must be supported. Σ This element is included in summaries.	1..*	Identifier	An identifier for the person as this agent Slice: Unordered, Open by pattern:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Practitioner.Slices for identifier.identifier:All Slices				Content/Rules for all slices
Practitioner.Slices for identifier.identifier:All Slices.id		0..1	string	Unique id for inter-element referencing
Practitioner.Slices for identifier.identifier:All Slices.Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Practitioner.Slices for identifier.identifier:All Slices.Slices for extension.extension:identifier-status		0..1	code	NDH Identifier Status URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-identifier-status Binding: Identifier Status Value Set (required)
Practitioner.Slices for identifier.identifier:All Slices.use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Practitioner.Slices for identifier.identifier:All Slices.type	Σ This element is included in summaries.	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.
Practitioner.Slices for identifier.identifier:All Slices.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
Practitioner.Slices for identifier.identifier:All Slices.value	S This element must be supported. Σ This element is included in summaries.	1..1	string	The value that is unique Example General: 123456
Practitioner.Slices for identifier.identifier:All Slices.period	Σ This element is included in summaries.	0..1	Period	Time period when id is/was valid for use
Practitioner.Slices for identifier.identifier:All Slices.assigner	Σ This element is included in summaries.	0..1	Reference(NDH Organization Profile)	Organization that issued id (may be just text)
Practitioner.Slices for identifier.identifier:NPI	S This element must be supported. Σ This element is included in summaries. C	0..*	Identifier	An identifier for the person as this agent Constraints: us-core-16, us-core-17 Required Pattern: { "system" : "http://hl7.org/fhir/sid/us-npi" }
Practitioner.active	Σ This element is included in summaries.	1..1	boolean	Whether this practitioner's record is in active use Required Pattern: true (extensions allowed)
Practitioner.name	S This element must be supported. Σ This element is included in summaries.	1..*	HumanName	The name(s) associated with the practitioner
Practitioner.name.id		0..1	string	Unique id for inter-element referencing
Practitioner.name.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Practitioner.name.use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
Practitioner.name.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	Text representation of the full name
Practitioner.name.family	S This element must be supported. Σ This element is included in summaries.	1..1	string	Family name (often called 'Surname')
Practitioner.name.given	Σ This element is included in summaries.	0..*	string	Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
Practitioner.name.prefix	Σ This element is included in summaries.	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
Practitioner.name.suffix	Σ This element is included in summaries.	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
Practitioner.name.period	Σ This element is included in summaries.	0..1	Period	Time period when name was/is in use
Practitioner.telecom	S This element must be supported. Σ This element is included in summaries.	0..*	ContactPoint	A contact detail for the practitioner (that apply to all roles)
Practitioner.telecom.id		0..1	string	Unique id for inter-element referencing
Practitioner.telecom.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Practitioner.telecom.system	S This element must be supported. Σ This element is included in summaries. C	0..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
Practitioner.telecom.value	S This element must be supported. Σ This element is included in summaries.	0..1	string	The actual contact point details
Practitioner.telecom.use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
Practitioner.telecom.rank	Σ This element is included in summaries.	0..1	positiveInt	Specify preferred order of use (1 = highest)
Practitioner.telecom.period	Σ This element is included in summaries.	0..1	Period	Time period when the contact point was/is in use
Practitioner.address	S This element must be supported. Σ This element is included in summaries.	0..*	Address	Address(es) of the practitioner
Practitioner.address.id		0..1	string	Unique id for inter-element referencing
Practitioner.address.Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Practitioner.address.Slices for extension.extension:geolocation	S This element must be supported.	0..1	(Complex)	The absolute geographic location URL: http://hl7.org/fhir/StructureDefinition/geolocation
Practitioner.address.use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
Practitioner.address.type	Σ This element is included in summaries.	0..1	code	postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both
Practitioner.address.text	Σ This element is included in summaries.	0..1	string	Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
Practitioner.address.line	S This element must be supported. Σ This element is included in summaries.	0..4	string	Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
Practitioner.address.city	S This element must be supported. Σ This element is included in summaries.	0..1	string	Name of city, town etc. Example General: Erewhon
Practitioner.address.district	Σ This element is included in summaries.	0..1	string	District name (aka county) Example General: Madison
Practitioner.address.state	S This element must be supported. Σ This element is included in summaries.	0..1	string	Sub-unit of country (abbreviations ok) Binding: UspsTwoLetterAlphabeticCodes (6.1.0) (extensible)
Practitioner.address.postalCode	S This element must be supported. Σ This element is included in summaries.	0..1	string	US Zip Codes Example General: 9132
Practitioner.address.country	S This element must be supported. Σ This element is included in summaries.	0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
Practitioner.address.period	Σ This element is included in summaries.	0..1	Period	Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
Practitioner.gender	S This element must be supported. Σ This element is included in summaries.	0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
Practitioner.birthDate	Σ This element is included in summaries.	0..1	date	Year of birth. Publish only the year; a full birth date is more than the directory requires.
Practitioner.photo		0..*	Attachment	Image of the person
Practitioner.qualification	S This element must be supported.	0..*	BackboneElement	Certification, licenses, or training pertaining to the provision of care
Practitioner.qualification.id		0..1	string	Unique id for inter-element referencing
Practitioner.qualification.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Practitioner.qualification.Slices for extension.extension:scope		0..1	(Complex)	NDH Practitioner Qualification Scope where valid and status URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-practitioner-qualification-scope
Practitioner.qualification.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Practitioner.qualification.identifier		0..*	Identifier	An identifier for this qualification for the practitioner
Practitioner.qualification.identifier.id		0..1	string	Unique id for inter-element referencing
Practitioner.qualification.identifier.Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Practitioner.qualification.identifier.Slices for extension.extension:identifier-status		0..1	code	NDH Identifier Status URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-identifier-status Binding: Identifier Status Value Set (required)
Practitioner.qualification.identifier.use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Practitioner.qualification.identifier.type	Σ This element is included in summaries.	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.
Practitioner.qualification.identifier.system	Σ This element is included in summaries.	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
Practitioner.qualification.identifier.value	Σ This element is included in summaries.	0..1	string	The value that is unique Example General: 123456
Practitioner.qualification.identifier.period	Σ This element is included in summaries.	0..1	Period	Time period when id is/was valid for use
Practitioner.qualification.identifier.assigner	Σ This element is included in summaries.	0..1	Reference(NDH Organization Profile)	Organization that issued id (may be just text)
Practitioner.qualification.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. Additional Bindings Purpose Documentation Individual Qualifications Value Set Extensible The code that identifies license, or certification; regulated authorization to practice. FaCeT Practitioner Credential Properties Value Set Extensible The code that identifies the credential; evidence that supports or proves an authorization.
Practitioner.qualification.period		0..1	Period	Period during which the qualification is valid
Practitioner.qualification.issuer	S This element must be supported.	0..1	Reference(NDH Organization Profile)	Organization that regulates and issues the qualification
Practitioner.communication		0..*	CodeableConcept	A language the practitioner can use in patient communication Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Practitioner.communication.id		0..1	string	Unique id for inter-element referencing
Practitioner.communication.Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Practitioner.communication.Slices for extension.extension:communication-proficiency		0..1	CodeableConcept	NDH Communication Proficiency URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-communication-proficiency Binding: Interagency Language Roundtable Speaking Skill Scale (extensible)
Practitioner.communication.coding	Σ This element is included in summaries.	0..*	Coding	Code defined by a terminology system
Practitioner.communication.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Practitioner.meta.security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
Practitioner.meta.tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
Practitioner.language	Base	preferred	Common Languages	📦4.0.1	FHIR Std.
Practitioner.identifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Practitioner.identifier.​type	Base	extensible	IdentifierType	📦4.0.1	FHIR Std.
Practitioner.name.use	Base	required	NameUse	📍4.0.1	FHIR Std.
Practitioner.telecom.​system	Base	required	ContactPointSystem	📍4.0.1	FHIR Std.
Practitioner.telecom.​use	Base	required	ContactPointUse	📍4.0.1	FHIR Std.
Practitioner.address.​use	Base	required	AddressUse	📍4.0.1	FHIR Std.
Practitioner.address.​type	Base	required	AddressType	📍4.0.1	FHIR Std.
Practitioner.address.​state	Base	extensible	USPS Two Letter Alphabetic Codes	📍6.1.0	US Core v6.1
Practitioner.gender	Base	required	AdministrativeGender	📍4.0.1	FHIR Std.
Practitioner.qualification.​identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Practitioner.qualification.​identifier.type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Practitioner.qualification.​code	Base	example	v2 table 0360, Version 2.7	📦0360	FHIR Std.
Practitioner.communication	Base	preferred	Common Languages	📦4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
practitioner-birthdate-year-only	warning	Practitioner	Practitioner.birthDate should contain only the year of birth; a full date discloses more than the directory requires	birthDate.empty() or birthDate.toString().length() = 4
us-core-16	error	Practitioner.identifier:NPI	NPI must be 10 digits	value.matches('^[0-9]{10}$')
us-core-17	error	Practitioner.identifier:NPI	NPI check digit must be valid (Luhn algorithm check)	(((select(value.substring(0,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(1,1).toInteger())+(select(value.substring(2,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(3,1).toInteger())+(select(value.substring(4,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(5,1).toInteger())+(select(value.substring(6,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(7,1).toInteger())+(select(value.substring(8,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(9,1).toInteger()) + 24)mod 10=0)

This structure is derived from USCorePractitionerProfile

Summary

Mandatory: 1 element(1 nested mandatory element)
Must-Support: 5 elements
Prohibited: 3 elements

Structures

This structure refers to these other structures:

• NDH Organization Profile (http://hl7.org/fhir/us/ndh/StructureDefinition/ndh-Organization)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/us/core/StructureDefinition/us-core-race|6.1.0
• http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity|6.1.0
• http://hl7.org/fhir/StructureDefinition/individual-genderIdentity|5.3.0
• http://hl7.org/fhir/StructureDefinition/individual-pronouns|5.3.0
• http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender|5.3.0
• http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-accessibility
• http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-rating
• http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-cms-medicare-enrollment-in-good-standing
• http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-cms-identity-verified
• http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-cms-aligned-with-data-network
• http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-hhs-exclusion-list
• http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-verification-status
• http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-identifier-status
• http://hl7.org/fhir/StructureDefinition/geolocation|4.0.1
• http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-practitioner-qualification-scope
• http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-communication-proficiency

Maturity: 4