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 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
• Mappings
• Examples
• XML
• JSON
• TTL

Resource Profile: NDH Practitioner Profile

Practitioner is a person who is directly or indirectly involved in the provisioning of healthcare.

Usages:

• Derived from this Profile: National Directory API Practitioner Profile
• Refer to this Profile: NDH CareTeam Profile, NDH PractitionerRole, NDH Restriction and NDH Verification
• Examples for this Profile: Practitioner/HansSolo and Practitioner/JoeSmith

Formal Views of Profile Content

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

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Practitioner		0..*	USCorePractitionerProfile(6.1.0)	A person with a formal responsibility in the provisioning of healthcare or related services
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:us-core-race		0..1	(Complex)	US Core Race Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race
extension:us-core-ethnicity		0..1	(Complex)	US Core ethnicity Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity
extension:endpoint		0..*	Reference(NDH Endpoint Profile)	Endpoint Reference URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-endpoint-reference
extension:accessibility		0..*	CodeableConcept	Accessibility URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-accessibility Binding: Accessibility Value Set (extensible)
extension:digitalcertificate		0..*	(Complex)	Digital Certificate URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-digitalcertificate
extension:rating		0..*	(Complex)	Rating URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-rating
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)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	Identifier	An identifier for the person as this agent Slice: Unordered, Open by pattern:$this
identifier:All Slices				Content/Rules for all slices
Slices for extension				Content/Rules for all slices
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)
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
assigner	Σ	0..1	Reference(NDH Organization Profile)	Organization that issued id (may be just text)
identifier:NPI	SΣC	0..*	Identifier	An identifier for the person as this agent Constraints: us-core-16, us-core-17 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	1..1	boolean	Whether this practitioner's record is in active use Required Pattern: true
name	SΣ	1..*	HumanName	The name(s) associated with the practitioner
use	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text	SΣ	0..1	string	Text representation of the full name
family	SΣ	1..1	string	Family name (often called 'Surname')
telecom	SΣ	0..*	ContactPoint	A contact detail for the practitioner (that apply to all roles)
Slices for extension				Content/Rules for all slices
extension:contactpoint-availabletime		0..*	(Complex)	NDH Contactpoint Availabletime URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-contactpoint-availabletime
extension:via-intermediary		0..1	Reference(NDH PractitionerRole | NDH OrganizationAffiliation Profile | NDH Location Profile | NDH Organization Profile)	Via Intermediary URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-via-intermediary
system	SΣC	0..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	SΣ	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.
address	SΣ	0..*	Address	Address(es) of the practitioner
Slices for extension				Content/Rules for all slices
extension:geolocation	S	0..1	(Complex)	The absolute geographic location URL: http://hl7.org/fhir/StructureDefinition/geolocation
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	SΣ	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
city	SΣ	0..1	string	Name of city, town etc. Example General: Erewhon
state	SΣ	0..1	string	Sub-unit of country (abbreviations ok) Binding: UspsTwoLetterAlphabeticCodes (6.1.0) (extensible)
postalCode	SΣ	0..1	string	US Zip Codes Example General: 9132
country	SΣ	0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
qualification	S	0..*	BackboneElement	Certification, licenses, or training pertaining to the provision of care
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:practitioner-qualification		0..1	(Complex)	NDH Practitioner Qualification URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-practitioner-qualification
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Coded representation of the qualification Binding: Individual Specialties, Degrees, Licenses, and Certificates Value Set (extensible)
issuer	S	0..1	Reference(NDH Organization Profile)	Organization that regulates and issues the qualification
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Practitioner.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Practitioner.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 From the FHIR Standard
Practitioner.telecom.system	required	ContactPointSystem http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 From the FHIR Standard
Practitioner.telecom.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 From the FHIR Standard
Practitioner.address.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use|4.0.1 From the FHIR Standard
Practitioner.address.state	extensible	UspsTwoLetterAlphabeticCodes http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state|6.1.0
Practitioner.qualification.code	extensible	IndividualSpecialtyAndDegreeLicenseCertificateVS http://hl7.org/fhir/us/ndh/ValueSet/IndividualSpecialtyAndDegreeLicenseCertificateVS From this IG

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()
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			USCorePractitionerProfile(6.1.0)
meta
lastUpdated		1..1	instant	When the resource version last changed
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:us-core-race		0..1	(Complex)	US Core Race Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race
extension:us-core-ethnicity		0..1	(Complex)	US Core ethnicity Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity
extension:individual-genderIdentity		0..0	(Complex)
extension:individual-pronouns		0..0	(Complex)
extension:individual-recordedSexOrGender		0..0	(Complex)
extension:endpoint		0..*	Reference(NDH Endpoint Profile)	Endpoint Reference URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-endpoint-reference
extension:accessibility		0..*	CodeableConcept	Accessibility URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-accessibility Binding: Accessibility Value Set (extensible)
extension:digitalcertificate		0..*	(Complex)	Digital Certificate URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-digitalcertificate
extension:rating		0..*	(Complex)	Rating URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-rating
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)
identifier		1..*	Identifier	An identifier for the person as this agent
Slices for extension				Content/Rules for all slices
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)
assigner		0..1	Reference(NDH Organization Profile)	Organization that issued id (may be just text)
active		1..1	boolean	Whether this practitioner's record is in active use Required Pattern: true
name
text	S	0..1	string	Text representation of the full name
telecom
Slices for extension				Content/Rules for all slices
extension:contactpoint-availabletime		0..*	(Complex)	NDH Contactpoint Availabletime URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-contactpoint-availabletime
extension:via-intermediary		0..1	Reference(NDH PractitionerRole | NDH OrganizationAffiliation Profile | NDH Location Profile | NDH Organization Profile)	Via Intermediary URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-via-intermediary
address
Slices for extension				Content/Rules for all slices
extension:geolocation	S	0..1	(Complex)	The absolute geographic location URL: http://hl7.org/fhir/StructureDefinition/geolocation
state		0..1	string	Sub-unit of country (abbreviations ok) Binding: UspsTwoLetterAlphabeticCodes (6.1.0) (extensible)
qualification	S	0..*	BackboneElement	Certification, licenses, or training pertaining to the provision of care
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:practitioner-qualification		0..1	(Complex)	NDH Practitioner Qualification URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-practitioner-qualification
identifier
Slices for extension				Content/Rules for all slices
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)
assigner		0..1	Reference(NDH Organization Profile)	Organization that issued id (may be just text)
code		1..1	CodeableConcept	Coded representation of the qualification Binding: Individual Specialties, Degrees, Licenses, and Certificates Value Set (extensible)
issuer	S	0..1	Reference(NDH Organization Profile)	Organization that regulates and issues the qualification
communication
Slices for extension				Content/Rules for all slices
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	Conformance	ValueSet	URI
Practitioner.address.state	extensible	UspsTwoLetterAlphabeticCodes http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state|6.1.0
Practitioner.qualification.code	extensible	IndividualSpecialtyAndDegreeLicenseCertificateVS http://hl7.org/fhir/us/ndh/ValueSet/IndividualSpecialtyAndDegreeLicenseCertificateVS From this IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Practitioner		0..*	USCorePractitionerProfile(6.1.0)	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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	1..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	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".
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:us-core-race		0..1	(Complex)	US Core Race Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race
extension:us-core-ethnicity		0..1	(Complex)	US Core ethnicity Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity
extension:endpoint		0..*	Reference(NDH Endpoint Profile)	Endpoint Reference URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-endpoint-reference
extension:accessibility		0..*	CodeableConcept	Accessibility URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-accessibility Binding: Accessibility Value Set (extensible)
extension:digitalcertificate		0..*	(Complex)	Digital Certificate URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-digitalcertificate
extension:rating		0..*	(Complex)	Rating URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-rating
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)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	Identifier	An identifier for the person as this agent Slice: Unordered, Open by pattern:$this
identifier:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
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)
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	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	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(NDH Organization Profile)	Organization that issued id (may be just text)
identifier:NPI	SΣC	0..*	Identifier	An identifier for the person as this agent Constraints: us-core-16, us-core-17 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	1..1	boolean	Whether this practitioner's record is in active use Required Pattern: true
name	SΣ	1..*	HumanName	The name(s) associated with the practitioner
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text	SΣ	0..1	string	Text representation of the full name
family	SΣ	1..1	string	Family name (often called 'Surname')
given	Σ	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
prefix	Σ	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix	Σ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
period	Σ	0..1	Period	Time period when name was/is in use
telecom	SΣ	0..*	ContactPoint	A contact detail for the practitioner (that apply to all roles)
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:contactpoint-availabletime		0..*	(Complex)	NDH Contactpoint Availabletime URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-contactpoint-availabletime
extension:via-intermediary		0..1	Reference(NDH PractitionerRole | NDH OrganizationAffiliation Profile | NDH Location Profile | NDH Organization Profile)	Via Intermediary URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-via-intermediary
system	SΣC	0..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	SΣ	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	SΣ	0..*	Address	Address(es) of the practitioner
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:geolocation	S	0..1	(Complex)	The absolute geographic location URL: http://hl7.org/fhir/StructureDefinition/geolocation
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	SΣ	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
city	SΣ	0..1	string	Name of city, town etc. Example General: Erewhon
district	Σ	0..1	string	District name (aka county) Example General: Madison
state	SΣ	0..1	string	Sub-unit of country (abbreviations ok) Binding: UspsTwoLetterAlphabeticCodes (6.1.0) (extensible)
postalCode	SΣ	0..1	string	US Zip Codes Example General: 9132
country	SΣ	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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:practitioner-qualification		0..1	(Complex)	NDH Practitioner Qualification URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-practitioner-qualification
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
identifier		0..*	Identifier	An identifier for this qualification for the practitioner
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
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)
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	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	0..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(NDH Organization Profile)	Organization that issued id (may be just text)
code		1..1	CodeableConcept	Coded representation of the qualification Binding: Individual Specialties, Degrees, Licenses, and Certificates Value Set (extensible)
period		0..1	Period	Period during which the qualification is valid
issuer	S	0..1	Reference(NDH Organization Profile)	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
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
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)
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Practitioner.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels From the FHIR Standard
Practitioner.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags From the FHIR Standard
Practitioner.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Practitioner.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Practitioner.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Practitioner.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 From the FHIR Standard
Practitioner.telecom.system	required	ContactPointSystem http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 From the FHIR Standard
Practitioner.telecom.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 From the FHIR Standard
Practitioner.address.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use|4.0.1 From the FHIR Standard
Practitioner.address.type	required	AddressType http://hl7.org/fhir/ValueSet/address-type|4.0.1 From the FHIR Standard
Practitioner.address.state	extensible	UspsTwoLetterAlphabeticCodes http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state|6.1.0
Practitioner.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 From the FHIR Standard
Practitioner.qualification.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Practitioner.qualification.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Practitioner.qualification.code	extensible	IndividualSpecialtyAndDegreeLicenseCertificateVS http://hl7.org/fhir/us/ndh/ValueSet/IndividualSpecialtyAndDegreeLicenseCertificateVS From this IG
Practitioner.communication	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding

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()
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: 4 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
• http://hl7.org/fhir/StructureDefinition/individual-pronouns
• http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender
• http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-endpoint-reference
• http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-accessibility
• http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-digitalcertificate
• http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-rating
• 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/us/ndh/StructureDefinition/base-ext-contactpoint-availabletime
• http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-via-intermediary
• http://hl7.org/fhir/StructureDefinition/geolocation|4.0.1
• http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-practitioner-qualification
• http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-communication-proficiency

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Practitioner		0..*	USCorePractitionerProfile(6.1.0)	A person with a formal responsibility in the provisioning of healthcare or related services
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:us-core-race		0..1	(Complex)	US Core Race Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race
extension:us-core-ethnicity		0..1	(Complex)	US Core ethnicity Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity
extension:endpoint		0..*	Reference(NDH Endpoint Profile)	Endpoint Reference URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-endpoint-reference
extension:accessibility		0..*	CodeableConcept	Accessibility URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-accessibility Binding: Accessibility Value Set (extensible)
extension:digitalcertificate		0..*	(Complex)	Digital Certificate URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-digitalcertificate
extension:rating		0..*	(Complex)	Rating URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-rating
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)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	Identifier	An identifier for the person as this agent Slice: Unordered, Open by pattern:$this
identifier:All Slices				Content/Rules for all slices
Slices for extension				Content/Rules for all slices
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)
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
assigner	Σ	0..1	Reference(NDH Organization Profile)	Organization that issued id (may be just text)
identifier:NPI	SΣC	0..*	Identifier	An identifier for the person as this agent Constraints: us-core-16, us-core-17 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	1..1	boolean	Whether this practitioner's record is in active use Required Pattern: true
name	SΣ	1..*	HumanName	The name(s) associated with the practitioner
use	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text	SΣ	0..1	string	Text representation of the full name
family	SΣ	1..1	string	Family name (often called 'Surname')
telecom	SΣ	0..*	ContactPoint	A contact detail for the practitioner (that apply to all roles)
Slices for extension				Content/Rules for all slices
extension:contactpoint-availabletime		0..*	(Complex)	NDH Contactpoint Availabletime URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-contactpoint-availabletime
extension:via-intermediary		0..1	Reference(NDH PractitionerRole | NDH OrganizationAffiliation Profile | NDH Location Profile | NDH Organization Profile)	Via Intermediary URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-via-intermediary
system	SΣC	0..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	SΣ	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.
address	SΣ	0..*	Address	Address(es) of the practitioner
Slices for extension				Content/Rules for all slices
extension:geolocation	S	0..1	(Complex)	The absolute geographic location URL: http://hl7.org/fhir/StructureDefinition/geolocation
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	SΣ	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
city	SΣ	0..1	string	Name of city, town etc. Example General: Erewhon
state	SΣ	0..1	string	Sub-unit of country (abbreviations ok) Binding: UspsTwoLetterAlphabeticCodes (6.1.0) (extensible)
postalCode	SΣ	0..1	string	US Zip Codes Example General: 9132
country	SΣ	0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
qualification	S	0..*	BackboneElement	Certification, licenses, or training pertaining to the provision of care
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:practitioner-qualification		0..1	(Complex)	NDH Practitioner Qualification URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-practitioner-qualification
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Coded representation of the qualification Binding: Individual Specialties, Degrees, Licenses, and Certificates Value Set (extensible)
issuer	S	0..1	Reference(NDH Organization Profile)	Organization that regulates and issues the qualification
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Practitioner.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Practitioner.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 From the FHIR Standard
Practitioner.telecom.system	required	ContactPointSystem http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 From the FHIR Standard
Practitioner.telecom.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 From the FHIR Standard
Practitioner.address.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use|4.0.1 From the FHIR Standard
Practitioner.address.state	extensible	UspsTwoLetterAlphabeticCodes http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state|6.1.0
Practitioner.qualification.code	extensible	IndividualSpecialtyAndDegreeLicenseCertificateVS http://hl7.org/fhir/us/ndh/ValueSet/IndividualSpecialtyAndDegreeLicenseCertificateVS From this IG

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()
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			USCorePractitionerProfile(6.1.0)
meta
lastUpdated		1..1	instant	When the resource version last changed
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:us-core-race		0..1	(Complex)	US Core Race Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race
extension:us-core-ethnicity		0..1	(Complex)	US Core ethnicity Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity
extension:individual-genderIdentity		0..0	(Complex)
extension:individual-pronouns		0..0	(Complex)
extension:individual-recordedSexOrGender		0..0	(Complex)
extension:endpoint		0..*	Reference(NDH Endpoint Profile)	Endpoint Reference URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-endpoint-reference
extension:accessibility		0..*	CodeableConcept	Accessibility URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-accessibility Binding: Accessibility Value Set (extensible)
extension:digitalcertificate		0..*	(Complex)	Digital Certificate URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-digitalcertificate
extension:rating		0..*	(Complex)	Rating URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-rating
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)
identifier		1..*	Identifier	An identifier for the person as this agent
Slices for extension				Content/Rules for all slices
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)
assigner		0..1	Reference(NDH Organization Profile)	Organization that issued id (may be just text)
active		1..1	boolean	Whether this practitioner's record is in active use Required Pattern: true
name
text	S	0..1	string	Text representation of the full name
telecom
Slices for extension				Content/Rules for all slices
extension:contactpoint-availabletime		0..*	(Complex)	NDH Contactpoint Availabletime URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-contactpoint-availabletime
extension:via-intermediary		0..1	Reference(NDH PractitionerRole | NDH OrganizationAffiliation Profile | NDH Location Profile | NDH Organization Profile)	Via Intermediary URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-via-intermediary
address
Slices for extension				Content/Rules for all slices
extension:geolocation	S	0..1	(Complex)	The absolute geographic location URL: http://hl7.org/fhir/StructureDefinition/geolocation
state		0..1	string	Sub-unit of country (abbreviations ok) Binding: UspsTwoLetterAlphabeticCodes (6.1.0) (extensible)
qualification	S	0..*	BackboneElement	Certification, licenses, or training pertaining to the provision of care
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:practitioner-qualification		0..1	(Complex)	NDH Practitioner Qualification URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-practitioner-qualification
identifier
Slices for extension				Content/Rules for all slices
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)
assigner		0..1	Reference(NDH Organization Profile)	Organization that issued id (may be just text)
code		1..1	CodeableConcept	Coded representation of the qualification Binding: Individual Specialties, Degrees, Licenses, and Certificates Value Set (extensible)
issuer	S	0..1	Reference(NDH Organization Profile)	Organization that regulates and issues the qualification
communication
Slices for extension				Content/Rules for all slices
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	Conformance	ValueSet	URI
Practitioner.address.state	extensible	UspsTwoLetterAlphabeticCodes http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state|6.1.0
Practitioner.qualification.code	extensible	IndividualSpecialtyAndDegreeLicenseCertificateVS http://hl7.org/fhir/us/ndh/ValueSet/IndividualSpecialtyAndDegreeLicenseCertificateVS From this IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Practitioner		0..*	USCorePractitionerProfile(6.1.0)	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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	1..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	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".
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:us-core-race		0..1	(Complex)	US Core Race Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race
extension:us-core-ethnicity		0..1	(Complex)	US Core ethnicity Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity
extension:endpoint		0..*	Reference(NDH Endpoint Profile)	Endpoint Reference URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-endpoint-reference
extension:accessibility		0..*	CodeableConcept	Accessibility URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-accessibility Binding: Accessibility Value Set (extensible)
extension:digitalcertificate		0..*	(Complex)	Digital Certificate URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-digitalcertificate
extension:rating		0..*	(Complex)	Rating URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-rating
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)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	Identifier	An identifier for the person as this agent Slice: Unordered, Open by pattern:$this
identifier:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
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)
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	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	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(NDH Organization Profile)	Organization that issued id (may be just text)
identifier:NPI	SΣC	0..*	Identifier	An identifier for the person as this agent Constraints: us-core-16, us-core-17 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	1..1	boolean	Whether this practitioner's record is in active use Required Pattern: true
name	SΣ	1..*	HumanName	The name(s) associated with the practitioner
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text	SΣ	0..1	string	Text representation of the full name
family	SΣ	1..1	string	Family name (often called 'Surname')
given	Σ	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
prefix	Σ	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix	Σ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
period	Σ	0..1	Period	Time period when name was/is in use
telecom	SΣ	0..*	ContactPoint	A contact detail for the practitioner (that apply to all roles)
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:contactpoint-availabletime		0..*	(Complex)	NDH Contactpoint Availabletime URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-contactpoint-availabletime
extension:via-intermediary		0..1	Reference(NDH PractitionerRole | NDH OrganizationAffiliation Profile | NDH Location Profile | NDH Organization Profile)	Via Intermediary URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-via-intermediary
system	SΣC	0..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	SΣ	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	SΣ	0..*	Address	Address(es) of the practitioner
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:geolocation	S	0..1	(Complex)	The absolute geographic location URL: http://hl7.org/fhir/StructureDefinition/geolocation
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	SΣ	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
city	SΣ	0..1	string	Name of city, town etc. Example General: Erewhon
district	Σ	0..1	string	District name (aka county) Example General: Madison
state	SΣ	0..1	string	Sub-unit of country (abbreviations ok) Binding: UspsTwoLetterAlphabeticCodes (6.1.0) (extensible)
postalCode	SΣ	0..1	string	US Zip Codes Example General: 9132
country	SΣ	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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:practitioner-qualification		0..1	(Complex)	NDH Practitioner Qualification URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-practitioner-qualification
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
identifier		0..*	Identifier	An identifier for this qualification for the practitioner
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
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)
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	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	0..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(NDH Organization Profile)	Organization that issued id (may be just text)
code		1..1	CodeableConcept	Coded representation of the qualification Binding: Individual Specialties, Degrees, Licenses, and Certificates Value Set (extensible)
period		0..1	Period	Period during which the qualification is valid
issuer	S	0..1	Reference(NDH Organization Profile)	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
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
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)
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Practitioner.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels From the FHIR Standard
Practitioner.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags From the FHIR Standard
Practitioner.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Practitioner.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Practitioner.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Practitioner.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 From the FHIR Standard
Practitioner.telecom.system	required	ContactPointSystem http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 From the FHIR Standard
Practitioner.telecom.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 From the FHIR Standard
Practitioner.address.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use|4.0.1 From the FHIR Standard
Practitioner.address.type	required	AddressType http://hl7.org/fhir/ValueSet/address-type|4.0.1 From the FHIR Standard
Practitioner.address.state	extensible	UspsTwoLetterAlphabeticCodes http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state|6.1.0
Practitioner.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 From the FHIR Standard
Practitioner.qualification.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Practitioner.qualification.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Practitioner.qualification.code	extensible	IndividualSpecialtyAndDegreeLicenseCertificateVS http://hl7.org/fhir/us/ndh/ValueSet/IndividualSpecialtyAndDegreeLicenseCertificateVS From this IG
Practitioner.communication	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding

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()
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: 4 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
• http://hl7.org/fhir/StructureDefinition/individual-pronouns
• http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender
• http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-endpoint-reference
• http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-accessibility
• http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-digitalcertificate
• http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-rating
• 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/us/ndh/StructureDefinition/base-ext-contactpoint-availabletime
• http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-via-intermediary
• http://hl7.org/fhir/StructureDefinition/geolocation|4.0.1
• http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-practitioner-qualification
• http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-communication-proficiency