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D.4.1.4 StructureDefinition: - Detailed Descriptions

Definitions for the StructureDefinition-argo-practitionerrole Profile.

PractitionerRole(Argonaut-PD)
Definition

This is basic constraint on PractitionerRole for use in Argonaut Provider Directory resources.

Control0..*
InvariantsDefined on this element
dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative (: contained.text.empty())
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (: contained.contained.empty())
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource (: contained.where(('#'+id in %resource.descendants().reference).not()).empty())
dom-4: 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())
pd-1: SHALL have contact information or a reference to an Endpoint (: telecom or endpoint)
PractitionerRole.id
Definition

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

Control0..1
Typeid
Comments

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

PractitionerRole.meta
Definition

The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.

Control0..1
TypeMeta
PractitionerRole.implicitRules
Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.

Control0..1
Typeuri
Is Modifiertrue
Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element.

This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.

PractitionerRole.language
Definition

The base language in which the resource is written.

Control0..1
BindingA human language.
The codes SHALL be taken from Common Languages; other codes may be used where these codes are not suitable
Typecode
Comments

Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

PractitionerRole.text
Definition

A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

Control0..1 This element is affected by the following invariants: dom-1
TypeNarrative
Alternate Namesnarrative, html, xhtml, display
Comments

Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later.

PractitionerRole.contained
Definition

These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

Control0..*
TypeResource
Alternate Namesinline resources, anonymous resources, contained resources
Comments

This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.

PractitionerRole.extension
Definition

May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

PractitionerRole.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Control0..*
TypeExtension
Is Modifiertrue
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

PractitionerRole.identifier
Definition

Business Identifiers that are specific to a role/location.

NoteThis is a business identifer, not a resource identifier (see discussion)
Control0..*
TypeIdentifier
Requirements

Often, specific identities are assigned for the agent.

PractitionerRole.active
Definition

Whether this practitioner's record is in active use.

Control0..1
Typeboolean
Requirements

Need to be able to mark a practitioner record as not to be used because it was created in error.

Comments

Default is true.

If the practitioner is not in use by one organization, then it should mark the period on the PractitonerRole with an end date (even if they are active) as they may be active in another role.

Default Valuetrue
PractitionerRole.period
Definition

The period during which the person is authorized to act as a practitioner in these role(s) for the organization.

Control0..1
TypePeriod
Requirements

Even after the agencies is revoked, the fact that it existed must still be recorded.

PractitionerRole.practitioner
Definition

Practitioner that is able to provide the defined services for the organation.

Control1..1
TypeReference(http://fhir.org/guides/argonaut-pd/StructureDefinition-argo-practitioner)
Must Supporttrue
PractitionerRole.organization
Definition

The organization where the Practitioner performs the roles associated.

Control1..1
TypeReference(http://fhir.org/guides/argonaut-pd/StructureDefinition-argo-organization)
Must Supporttrue
PractitionerRole.code
Definition

Roles which this practitioner is authorized to perform for the organization.

Control1..1
BindingProvider role codes consisting of NUCC Health Care Provider Taxonomy Code Set for providers.
The codes SHALL be taken from Argonaut Provider Directory Provider Role (NUCC)
TypeCodeableConcept
Must Supporttrue
Requirements

Need to know what authority the practitioner has - what can they do?

Comments

A person may have more than one role. At least one role is required.

PractitionerRole.specialty
Definition

Specific specialty of the practitioner.

Control1..1
BindingProvider specialty codes consist of NUCC Health Care Provider Taxonomy Code Set for providers.
The codes SHALL be taken from Argonaut Provider Directory Provider Speciality (NUCC)
TypeCodeableConcept
Must Supporttrue
PractitionerRole.location
Definition

The location(s) at which this practitioner provides care.

Control0..*
TypeReference(http://fhir.org/guides/argonaut-pd/StructureDefinition-argo-location)
Must Supporttrue
PractitionerRole.healthcareService
Definition

The list of healthcare services that this worker provides for this role's Organization/Location(s).

Control0..*
TypeReference(HealthcareService)
PractitionerRole.telecom
Definition

Contact details that are specific to the role/location/service.

Control0..*
TypeContactPoint
Must Supporttrue
Requirements

Often practitioners have a dedicated line for each location (or service) that they work at, and need to be able to define separate contact details for each of these.

PractitionerRole.telecom.id
Definition

unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
PractitionerRole.telecom.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

PractitionerRole.telecom.system
Definition

Telecommunications form for contact point - what communications system is required to make use of the contact.

Control1..1 This element is affected by the following invariants: cpt-2
BindingTelecommunications form for contact point
The codes SHALL be taken from ContactPointSystem
Typecode
Must Supporttrue
PractitionerRole.telecom.value
Definition

The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address).

Control1..1
Typestring
Must Supporttrue
Requirements

Need to support legacy numbers that are not in a tightly controlled format.

Comments

Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.

PractitionerRole.telecom.use
Definition

Identifies the purpose for the contact point.

Control0..1
BindingUse of contact point
The codes SHALL be taken from ContactPointUse
Typecode
Is Modifiertrue
Requirements

Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.

Comments

This is labeled as "Is Modifier" because applications should not mistake a temporary or old contact etc.for a current/permanent one. Applications can assume that a contact is current unless it explicitly says that it is temporary or old.

PractitionerRole.telecom.rank
Definition

Specifies a preferred order in which to use a set of contacts. Contacts are ranked with lower values coming before higher values.

Control0..1
TypepositiveInt
Comments

Note that rank does not necessarily follow the order in which the contacts are represented in the instance.

PractitionerRole.telecom.period
Definition

Time period when the contact point was/is in use.

Control0..1
TypePeriod
PractitionerRole.availableTime
Definition

A collection of times that the Service Site is available.

Control0..*
TypeBackboneElement
Comments

More detailed availability information may be provided in associated Schedule/Slot resources.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() | (children().count() > id.count()))
PractitionerRole.availableTime.id
Definition

unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
PractitionerRole.availableTime.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

PractitionerRole.availableTime.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Control0..*
TypeExtension
Is Modifiertrue
Alternate Namesextensions, user content, modifiers
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

PractitionerRole.availableTime.daysOfWeek
Definition

Indicates which days of the week are available between the start and end Times.

Control0..*
BindingThe days of the week.
The codes SHALL be taken from DaysOfWeek
Typecode
PractitionerRole.availableTime.allDay
Definition

Is this always available? (hence times are irrelevant) e.g. 24 hour service.

Control0..1
Typeboolean
PractitionerRole.availableTime.availableStartTime
Definition

The opening time of day. Note: If the AllDay flag is set, then this time is ignored.

Control0..1
Typetime
Comments

The timezone is expected to be for where this HealthcareService is provided at.

PractitionerRole.availableTime.availableEndTime
Definition

The closing time of day. Note: If the AllDay flag is set, then this time is ignored.

Control0..1
Typetime
Comments

The timezone is expected to be for where this HealthcareService is provided at.

PractitionerRole.notAvailable
Definition

The HealthcareService is not available during this period of time due to the provided reason.

Control0..*
TypeBackboneElement
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() | (children().count() > id.count()))
PractitionerRole.notAvailable.id
Definition

unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
PractitionerRole.notAvailable.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

PractitionerRole.notAvailable.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Control0..*
TypeExtension
Is Modifiertrue
Alternate Namesextensions, user content, modifiers
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

PractitionerRole.notAvailable.description
Definition

The reason that can be presented to the user as to why this time is not available.

Control1..1
Typestring
PractitionerRole.notAvailable.during
Definition

Service is not available (seasonally or for a public holiday) from this date.

Control0..1
TypePeriod
PractitionerRole.availabilityExceptions
Definition

A description of site availability exceptions, e.g. public holiday availability. Succinctly describing all possible exceptions to normal site availability as details in the available Times and not available Times.

Control0..1
Typestring
PractitionerRole.endpoint
Definition

Technical endpoints providing access to services operated for the practitioner with this role.

Control0..*
TypeReference(http://fhir.org/guides/argonaut-pd/StructureDefinition-argo-endpoint)
Must Supporttrue
Requirements

Organizations have multiple systems that provide various services and ,ay also be different for practitioners too.

So the endpoint satisfies the need to be able to define the technical connection details for how to connect to them, and for what purpose.