Advance Care Planning (PZP)
1.0.0-rc1 - trial-use

Advance Care Planning (PZP), published by IKNL. This guide is not an authorized publication; it is the continuous build for version 1.0.0-rc1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IKNL/PZP-FHIR-R4/ and changes regularly. See the Directory of published versions

Resource Profile: ACPHealthProfessionalPractitionerRole - Detailed Descriptions

Draft as of 2025-10-31

Definitions for the ACP-HealthProfessional-PractitionerRole resource profile.

Guidance on how to interpret the contents of this table can be foundhere

0. PractitionerRole
Definition

A health professional is a person who is authorized to perform actions in the field of individual healthcare.


A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time.

ShortHealthProfessionalRoles/organizations the practitioner is associated with
Comments

The zib HealthProfessional is mapped for all but one concept (HealthProfessionalRole) to a profile on Practitioner (http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-Practitioner) and this PractitionerRole profile. The PractitionerRole resource covers the recording of the location and types of services that HealthProfessionals are able to provide for a HealthcareProvider. The zib concepts Specialty and HealthcareProvider are therefore mapped onto PractitionerRole.

Although the zib concept name HealthProfessionalRole superficially seems to match the PractitionerRole resource, this is not the case based on the definition and values of that concept. In FHIR, the role that a HealthProfessional fulfills is captured as part of the clinical resource for that specific case, for example in the Procedure.performer.role element. This prevents the creation of duplicate HealthProfessional instances for each clinical situation where the HealthProfessional performs a different role in the process.

Control0..*
Is Modifierfalse
Summaryfalse
Alternate NamesZorgverlener, nl-core-HealthProfessional-PractitionerRole
Invariantsdom-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 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
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 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. 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. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

ShortA set of rules under which this content was created
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. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

Control0..1
Typeuri
Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. 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 and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored
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.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Summaryfalse
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
6. PractitionerRole.practitioner
Definition

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

ShortPractitioner that is able to provide the defined services for the organization
Control0..1
TypeReference(HealthProfessional Practitioner, Practitioner)
Is Modifierfalse
Obligations
    ObligationsActor
    SHALL:populate-if-knownACP Actor Provider
    SHALL:no-errorACP Actor Consulter
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    8. PractitionerRole.specialty
    Definition

    Specific specialty of the practitioner.

    ShortSpecific specialty of the practitioner
    Control0..*
    BindingThe codes SHOULD be taken from PracticeSettingCodeValueSethttp://hl7.org/fhir/ValueSet/c80-practice-codes|4.0.1
    (preferred to http://hl7.org/fhir/ValueSet/c80-practice-codes|4.0.1)

    Specific specialty associated with the agency.

    TypeCodeableConcept
    Is Modifierfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    SlicingThis element introduces a set of slices on PractitionerRole.specialty. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ $this
    • 10. PractitionerRole.specialty:specialty
      Slice Namespecialty
      Definition

      Health professional’s medical specialty. This refers to the recognized medical specialties as stated in the BIG Act. For example general practitioner or cardiologist.


      Specific specialty of the practitioner.

      ShortSpecialtySpecific specialty of the practitioner
      Comments

      The zib concept Specialty is mapped to a slice on the .specialty element instead of the element itself so that other terminology can be used next to the terminology required by the zib.

      Control0..1*
      BindingThe codes SHALL be taken from The codes SHOULD be taken from SpecialismeCodelijsten (2020-09-01T00:00:00)http://hl7.org/fhir/ValueSet/c80-practice-codes|4.0.1
      (required to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.22--20200901000000|2020-09-01T00:00:00)

      Specific specialty associated with the agency.

      TypeCodeableConcept
      Is Modifierfalse
      Obligations
        ObligationsActor
        SHALL:populate-if-knownACP Actor Provider
        SHALL:no-errorACP Actor Consulter
        Summarytrue
        Alternate NamesSpecialisme
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        12. PractitionerRole.telecom
        Definition

        Health professional’s telephone number(s) or e-mail address(es) that are specific to the role/location/service.


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

        ShortContactInformationContact details that are specific to the role/location/service
        Comments

        The cardinality mismatch between the zib (0..1) and FHIR (0..*) is explained by the containers TelephoneNumbers (0..*) and EmailAddresses (0..*) inside the ContactInformation model. The FHIR datatype ContactPoint does not have these containers.

        Control0..*
        TypeContactPoint
        Is Modifierfalse
        Summarytrue
        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.

        Alternate NamesContactgegevens
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        SlicingThis element introduces a set of slices on PractitionerRole.telecom. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • profile @ $this
        • 14. PractitionerRole.telecom:telephoneNumbers
          Slice NametelephoneNumbers
          Definition

          Details for all kinds of technology mediated contact points for a person or organization, including telephone, email, etc.


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

          ShortTelephoneNumbersContact details that are specific to the role/location/service
          Comments

          Implementation of the "TelephoneNumbers" concept of zib ContactInformation.

          Please note that, although the zib concepts TelecomType and NumberType are functionally equivalent to the FHIR concepts ContactPoint.system and ContactPoint.use respectively, a mismatch occurs on the concept of mobile phone numbers; the zib uses the first concept and FHIR the second. For this reason, the ValueSet on ContactPoint.system is too narrow and the zib code will need to be communicated using the ext-CodeSpecification extension.

          Control0..*
          This element is affected by the following invariants: ele-1
          TypeContactPoint(nl core ContactInformation TelephoneNumbers)
          Is Modifierfalse
          Standard StatusNormative (from Trial Use)
          Summarytrue
          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.

          Alternate NamesTelefoonnummers, nl-core-ContactInformation-TelephoneNumbers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          cpt-2: A system is required if a value is provided. (value.empty() or system.exists())
          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          16. PractitionerRole.telecom:emailAddresses
          Slice NameemailAddresses
          Definition

          Details for all kinds of technology mediated contact points for a person or organization, including telephone, email, etc.


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

          ShortEmailAddressesContact details that are specific to the role/location/service
          Comments

          Implementation of the "EmailAddresses" concept of zib ContactInformation.

          Control0..*
          This element is affected by the following invariants: ele-1
          TypeContactPoint(nl core ContactInformation EmailAddresses)
          Is Modifierfalse
          Standard StatusNormative (from Trial Use)
          Summarytrue
          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.

          Alternate NamesEmailAdressen, nl-core-ContactInformation-EmailAddresses
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          cpt-2: A system is required if a value is provided. (value.empty() or system.exists())
          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

          Guidance on how to interpret the contents of this table can be foundhere

          0. PractitionerRole
          2. PractitionerRole.practitioner
          TypeReference(HealthProfessional Practitioner)
          Obligations
            ObligationsActor
            SHALL:populate-if-knownACP Actor Provider
            SHALL:no-errorACP Actor Consulter
            4. PractitionerRole.specialty:specialty
            Slice Namespecialty
            Obligations
              ObligationsActor
              SHALL:populate-if-knownACP Actor Provider
              SHALL:no-errorACP Actor Consulter

              Guidance on how to interpret the contents of this table can be foundhere

              0. PractitionerRole
              Definition

              A health professional is a person who is authorized to perform actions in the field of individual healthcare.

              ShortHealthProfessional
              Comments

              The zib HealthProfessional is mapped for all but one concept (HealthProfessionalRole) to a profile on Practitioner (http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-Practitioner) and this PractitionerRole profile. The PractitionerRole resource covers the recording of the location and types of services that HealthProfessionals are able to provide for a HealthcareProvider. The zib concepts Specialty and HealthcareProvider are therefore mapped onto PractitionerRole.

              Although the zib concept name HealthProfessionalRole superficially seems to match the PractitionerRole resource, this is not the case based on the definition and values of that concept. In FHIR, the role that a HealthProfessional fulfills is captured as part of the clinical resource for that specific case, for example in the Procedure.performer.role element. This prevents the creation of duplicate HealthProfessional instances for each clinical situation where the HealthProfessional performs a different role in the process.

              Control0..*
              Is Modifierfalse
              Summaryfalse
              Alternate NamesZorgverlener, nl-core-HealthProfessional-PractitionerRole
              Invariantsdom-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 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
              dom-6: A resource should have narrative for robust management (text.`div`.exists())
              2. PractitionerRole.id
              Definition

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

              ShortLogical id of this artifact
              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.

              Control0..1
              Typeid
              Is Modifierfalse
              Summarytrue
              4. PractitionerRole.meta
              Definition

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

              ShortMetadata about the resource
              Control0..1
              TypeMeta
              Is Modifierfalse
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              6. 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. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

              ShortA set of rules under which this content was created
              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. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

              Control0..1
              Typeuri
              Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              8. PractitionerRole.language
              Definition

              The base language in which the resource is written.

              ShortLanguage of the resource content
              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).

              Control0..1
              BindingThe codes SHOULD be taken from CommonLanguages
              (preferred to http://hl7.org/fhir/ValueSet/languages|4.0.1)

              A human language.

              Additional BindingsPurpose
              AllLanguagesMax Binding
              Typecode
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              10. PractitionerRole.text
              Definition

              A human-readable narrative that contains a summary of the resource and can 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.

              ShortText summary of the resource, for human interpretation
              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 information is added later.

              Control0..1
              TypeNarrative
              Is Modifierfalse
              Summaryfalse
              Alternate Namesnarrative, html, xhtml, display
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              12. 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.

              ShortContained, inline 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. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

              Control0..*
              TypeResource
              Is Modifierfalse
              Summaryfalse
              Alternate Namesinline resources, anonymous resources, contained resources
              14. PractitionerRole.extension
              Definition

              May be used to represent additional information that is not part of the basic definition of the resource. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

              ShortAdditional content defined by implementations
              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.

              Control0..*
              TypeExtension
              Is Modifierfalse
              Summaryfalse
              Alternate Namesextensions, user content
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              16. 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 and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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.

              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

              ShortExtensions that cannot be ignored
              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.

              Control0..*
              TypeExtension
              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
              Summaryfalse
              Requirements

              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

              Alternate Namesextensions, user content
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              18. PractitionerRole.identifier
              Definition

              Business Identifiers that are specific to a role/location.

              ShortBusiness Identifiers that are specific to a role/location
              NoteThis is a business identifier, not a resource identifier (see discussion)
              Control0..*
              TypeIdentifier
              Is Modifierfalse
              Summarytrue
              Requirements

              Often, specific identities are assigned for the agent.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              20. PractitionerRole.active
              Definition

              Whether this practitioner role record is in active use.

              ShortWhether this practitioner role record is in active use
              Comments

              If this value is false, you may refer to the period to see when the role was in active use. If there is no period specified, no inference can be made about when it was active.

              Control0..1
              Typeboolean
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Requirements

              Need to be able to mark a practitioner role record as not to be used because it was created in error, or otherwise no longer in active use.

              Meaning if MissingThis resource is generally assumed to be active if no value is provided for the active element
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              22. PractitionerRole.period
              Definition

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

              ShortThe period during which the practitioner is authorized to perform in these role(s)
              Control0..1
              TypePeriod
              Is Modifierfalse
              Summarytrue
              Requirements

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

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              24. PractitionerRole.practitioner
              Definition

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

              ShortPractitioner that is able to provide the defined services for the organization
              Control0..1
              TypeReference(HealthProfessional Practitioner)
              Is Modifierfalse
              Obligations
                ObligationsActor
                SHALL:populate-if-knownACP Actor Provider
                SHALL:no-errorACP Actor Consulter
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                26. PractitionerRole.organization
                Definition

                The organization the health professional works for.

                ShortHealthcareProvider
                Comments

                A HealthcareProvider in zib terms is primarily a location where care is provided, and so the zib concept HealthcareProvider (NL-CM:17.1.6) would normally be fulfilled using a reference to a Location resource (profile nl-core-HealthcareProvider). However, this particular context refers to the organizational aspects of a HealthcareProvider rather than its physical location:

                • the zib concept name is not preceded by a role indicator of the zib (like Location::HealthcareProvider, concept id NL-CM:14.1.5, in the zib Procedure).
                • the PractitionerRole.location cardinality (0..*) does not match the zib concept (0..1) and restricting it is not correct as a health professional could be working on multiple locations.

                Therefore, this concept is fulfilled using a reference to the Organization resource (profile nl-core-HealthcareProvider-Organization) and mapped onto PractitionerRole.organization instead of PractitionerRole.location.

                Control0..1
                TypeReference(Organization, nl core HealthcareProvider Organization)
                Is Modifierfalse
                Summarytrue
                Alternate NamesZorgaanbieder
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                28. PractitionerRole.code
                Definition

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

                ShortRoles which this practitioner may perform
                Comments

                A person may have more than one role.

                Control0..*
                BindingFor example codes, see PractitionerRole
                (example to http://hl7.org/fhir/ValueSet/practitioner-role|4.0.1)

                The role a person plays representing an organization.

                TypeCodeableConcept
                Is Modifierfalse
                Summarytrue
                Requirements

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

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                30. PractitionerRole.specialty
                Definition

                Specific specialty of the practitioner.

                ShortSpecific specialty of the practitioner
                Control0..*
                BindingThe codes SHOULD be taken from PracticeSettingCodeValueSet
                (preferred to http://hl7.org/fhir/ValueSet/c80-practice-codes|4.0.1)

                Specific specialty associated with the agency.

                TypeCodeableConcept
                Is Modifierfalse
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                SlicingThis element introduces a set of slices on PractitionerRole.specialty. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • value @ $this
                • 32. PractitionerRole.specialty:specialty
                  Slice Namespecialty
                  Definition

                  Health professional’s medical specialty. This refers to the recognized medical specialties as stated in the BIG Act. For example general practitioner or cardiologist.

                  ShortSpecialty
                  Comments

                  The zib concept Specialty is mapped to a slice on the .specialty element instead of the element itself so that other terminology can be used next to the terminology required by the zib.

                  Control0..1
                  BindingThe codes SHALL be taken from SpecialismeCodelijsten (2020-09-01T00:00:00)
                  (required to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.22--20200901000000|2020-09-01T00:00:00)

                  Specific specialty associated with the agency.

                  TypeCodeableConcept
                  Is Modifierfalse
                  Obligations
                    ObligationsActor
                    SHALL:populate-if-knownACP Actor Provider
                    SHALL:no-errorACP Actor Consulter
                    Summarytrue
                    Alternate NamesSpecialisme
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    34. PractitionerRole.location
                    Definition

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

                    ShortThe location(s) at which this practitioner provides care
                    Control0..*
                    TypeReference(Location, nl core HealthcareProvider)
                    Is Modifierfalse
                    Summarytrue
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    36. PractitionerRole.healthcareService
                    Definition

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

                    ShortThe list of healthcare services that this worker provides for this role's Organization/Location(s)
                    Control0..*
                    TypeReference(HealthcareService)
                    Is Modifierfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    38. PractitionerRole.telecom
                    Definition

                    Health professional’s telephone number(s) or e-mail address(es) that are specific to the role/location/service.

                    ShortContactInformation
                    Comments

                    The cardinality mismatch between the zib (0..1) and FHIR (0..*) is explained by the containers TelephoneNumbers (0..*) and EmailAddresses (0..*) inside the ContactInformation model. The FHIR datatype ContactPoint does not have these containers.

                    Control0..*
                    TypeContactPoint
                    Is Modifierfalse
                    Summarytrue
                    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.

                    Alternate NamesContactgegevens
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    SlicingThis element introduces a set of slices on PractitionerRole.telecom. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                    • profile @ $this
                    • 40. PractitionerRole.telecom:telephoneNumbers
                      Slice NametelephoneNumbers
                      Definition

                      Details for all kinds of technology mediated contact points for a person or organization, including telephone, email, etc.

                      ShortTelephoneNumbers
                      Comments

                      Implementation of the "TelephoneNumbers" concept of zib ContactInformation.

                      Please note that, although the zib concepts TelecomType and NumberType are functionally equivalent to the FHIR concepts ContactPoint.system and ContactPoint.use respectively, a mismatch occurs on the concept of mobile phone numbers; the zib uses the first concept and FHIR the second. For this reason, the ValueSet on ContactPoint.system is too narrow and the zib code will need to be communicated using the ext-CodeSpecification extension.

                      Control0..*
                      This element is affected by the following invariants: ele-1
                      TypeContactPoint(nl core ContactInformation TelephoneNumbers)
                      Is Modifierfalse
                      Standard StatusNormative (from Trial Use)
                      Summarytrue
                      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.

                      Alternate NamesTelefoonnummers, nl-core-ContactInformation-TelephoneNumbers
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      cpt-2: A system is required if a value is provided. (value.empty() or system.exists())
                      42. PractitionerRole.telecom:emailAddresses
                      Slice NameemailAddresses
                      Definition

                      Details for all kinds of technology mediated contact points for a person or organization, including telephone, email, etc.

                      ShortEmailAddresses
                      Comments

                      Implementation of the "EmailAddresses" concept of zib ContactInformation.

                      Control0..*
                      This element is affected by the following invariants: ele-1
                      TypeContactPoint(nl core ContactInformation EmailAddresses)
                      Is Modifierfalse
                      Standard StatusNormative (from Trial Use)
                      Summarytrue
                      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.

                      Alternate NamesEmailAdressen, nl-core-ContactInformation-EmailAddresses
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      cpt-2: A system is required if a value is provided. (value.empty() or system.exists())
                      44. PractitionerRole.availableTime
                      Definition

                      A collection of times the practitioner is available or performing this role at the location and/or healthcareservice.

                      ShortTimes the Service Site is available
                      Comments

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

                      Control0..*
                      TypeBackboneElement
                      Is Modifierfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      46. 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.

                      ShortUnique id for inter-element referencing
                      Control0..1
                      Typestring
                      Is Modifierfalse
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Summaryfalse
                      48. PractitionerRole.availableTime.extension
                      Definition

                      May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                      ShortAdditional content defined by implementations
                      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.

                      Control0..*
                      TypeExtension
                      Is Modifierfalse
                      Summaryfalse
                      Alternate Namesextensions, user content
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      50. 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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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.

                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                      ShortExtensions that cannot be ignored even if unrecognized
                      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.

                      Control0..*
                      TypeExtension
                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                      Summarytrue
                      Requirements

                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                      Alternate Namesextensions, user content, modifiers
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      52. PractitionerRole.availableTime.daysOfWeek
                      Definition

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

                      Shortmon | tue | wed | thu | fri | sat | sun
                      Control0..*
                      BindingThe codes SHALL be taken from DaysOfWeek
                      (required to http://hl7.org/fhir/ValueSet/days-of-week|4.0.1)

                      The days of the week.

                      Typecode
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      54. PractitionerRole.availableTime.allDay
                      Definition

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

                      ShortAlways available? e.g. 24 hour service
                      Control0..1
                      Typeboolean
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      56. PractitionerRole.availableTime.availableStartTime
                      Definition

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

                      ShortOpening time of day (ignored if allDay = true)
                      Comments

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

                      Control0..1
                      Typetime
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      58. PractitionerRole.availableTime.availableEndTime
                      Definition

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

                      ShortClosing time of day (ignored if allDay = true)
                      Comments

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

                      Control0..1
                      Typetime
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      60. PractitionerRole.notAvailable
                      Definition

                      The practitioner is not available or performing this role during this period of time due to the provided reason.

                      ShortNot available during this time due to provided reason
                      Control0..*
                      TypeBackboneElement
                      Is Modifierfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      62. 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.

                      ShortUnique id for inter-element referencing
                      Control0..1
                      Typestring
                      Is Modifierfalse
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Summaryfalse
                      64. PractitionerRole.notAvailable.extension
                      Definition

                      May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                      ShortAdditional content defined by implementations
                      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.

                      Control0..*
                      TypeExtension
                      Is Modifierfalse
                      Summaryfalse
                      Alternate Namesextensions, user content
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      66. 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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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.

                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                      ShortExtensions that cannot be ignored even if unrecognized
                      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.

                      Control0..*
                      TypeExtension
                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                      Summarytrue
                      Requirements

                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                      Alternate Namesextensions, user content, modifiers
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      68. PractitionerRole.notAvailable.description
                      Definition

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

                      ShortReason presented to the user explaining why time not available
                      Control1..1
                      Typestring
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      70. PractitionerRole.notAvailable.during
                      Definition

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

                      ShortService not available from this date
                      Control0..1
                      TypePeriod
                      Is Modifierfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      72. 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.

                      ShortDescription of availability exceptions
                      Control0..1
                      Typestring
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      74. PractitionerRole.endpoint
                      Definition

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

                      ShortTechnical endpoints providing access to services operated for the practitioner with this role
                      Control0..*
                      TypeReference(Endpoint)
                      Is Modifierfalse
                      Summaryfalse
                      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.

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))