Smart Health Checks
0.3.0 - ci-build Australia flag

Smart Health Checks, published by AEHRC CSIRO. This guide is not an authorized publication; it is the continuous build for version 0.3.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/aehrc/smart-forms-ig/ and changes regularly. See the Directory of published versions

Resource Profile: SmartHealthChecksPractitioner - Detailed Descriptions

Draft as of 2025-09-05

Definitions for the SHCPractitioner resource profile.

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

0. Practitioner
Definition

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

ShortA person with a formal responsibility in the provisioning of servicesA person with a formal responsibility in the provisioning of healthcare or related services
Control0..*
Is Modifierfalse
Summaryfalse
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())
inv-pra-0: Individual gender identity shall be a member of the Gender Identity Response value set if any codes within that value set can apply (extension('http://hl7.org/fhir/StructureDefinition/individual-genderIdentity').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-genderIdentity').all(extension('value').value.memberOf('https://healthterminologies.gov.au/fhir/ValueSet/gender-identity-response-1')))
inv-pra-1: Individual pronouns shall be a member of the Australian Pronouns value set if any codes within that value set can apply (extension('http://hl7.org/fhir/StructureDefinition/individual-pronouns').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-pronouns').all(extension('value').value.memberOf('https://healthterminologies.gov.au/fhir/ValueSet/australian-pronouns-1')))
inv-pra-2: Recorded sex or gender type shall be a member of the AU Recorded Sex or Gender Type value set if any codes within that value set can apply (extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('type').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').all(extension('type').value.memberOf('http://terminology.hl7.org.au/ValueSet/rsg-type')))
inv-pra-3: Recorded sex or gender source document type shall be a member of the AU Recorded Sex or Gender (RSG) Source Document Type value set if any codes within that value set can apply (extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('sourceDocument').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').all(extension('sourceDocument').value.memberOf('http://terminology.hl7.org.au/ValueSet/rsg-document-type')))
inv-pra-4: Recorded sex or gender jurisdiction shall be a member of the Jurisdiction ValueSet - AU Extended value set if any codes within that value set can apply (extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('jurisdiction').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').all(extension('jurisdiction').value.memberOf('http://terminology.hl7.org.au/ValueSet/jurisdiction-extended')))
2. Practitioner.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
Typeidstring
Is Modifierfalse
Must Supporttrue
Obligations
    ObligationsActor
    SHALL:populateSHC Host FHIR Server
    SHALL:processSHC App
    Summarytrue
    4. Practitioner.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()))
    6. Practitioner.extension:genderIdentity
    Slice NamegenderIdentity
    Definition

    An individual's personal sense of being a man, woman, boy, girl, nonbinary, or something else.

    ShortGender identity shall be a member of the Gender Identity Response value set if any codes within that value set can apply
    Comments

    The individual's gender identity is populated in the extension:value.value[x] of the Individual Gender Identity extension and shall contain one of the codes from the Gender Identity Response value set if any of the codes within the value set can apply.

    See Australian Bureau of Statics (ABS) Standard for Sex, Gender, Variations of Sex Characteristics and Sexual Orientation Variables, 2020 for further materials.

    Control0..*
    This element is affected by the following invariants: inv-pra-1
    TypeExtension(Individual Gender Identity) (Complex Extension)
    Is Modifierfalse
    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())
    8. Practitioner.extension:individualPronouns
    Slice NameindividualPronouns
    Definition

    The pronouns to use when referring to an individual in verbal or written communication.

    ShortPronouns shall be a member of the Australian Pronouns value set if any codes within that value set can apply
    Comments

    The individual's pronouns are populated in the extension:value.value[x] of the Individual Pronouns extension and shall contain one of the codes from the Australian Pronouns value set if any of the codes within the value set can apply.

    Control0..*
    TypeExtension(Individual Pronouns) (Complex Extension)
    Is Modifierfalse
    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())
    10. Practitioner.extension:recordedSexOrGender
    Slice NamerecordedSexOrGender
    Definition

    A sex or gender property for the individual from a document or other record

    ShortRecorded sex or gender type shall be a member of the AU Recorded Sex or Gender Type value set if any codes within that value set can apply. Recorded sex or gender source document type shall be a member of the AU Recorded Sex or Gender (RSG) Source Document Type value set if any codes within that value set can apply. Recorded sex or gender jurisdiction shall be a member of the Jurisdiction ValueSet - AU Extended value set if any codes within that value set can apply
    Comments

    The type of recorded sex or gender is populated in the extension:type.value[x] of the Person Recorded Sex or Gender extension and shall contain one of the codes from the AU Recorded Sex or Gender Type value set if any of the codes within the value set can apply.

    The document from which the sex or gender property was acquired is populated in the extension:sourceDocument.value[x] of the Person Recorded Sex or Gender extension and shall contain one of the codes from the AU Recorded Sex or Gender (RSG) Source Document Type value set if any of the codes within the value set can apply.

    The jurisdiction that issued the document where the sex or gender was acquired is populated in the extension:jurisdiction.value[x] of the Person Recorded Sex or Gender extension and shall contain one of the codes from the Jurisdiction ValueSet - AU Extended value set if any of the codes within the value set can apply.

    Control0..*
    This element is affected by the following invariants: inv-pra-2, inv-pra-3, inv-pra-4
    TypeExtension(Person Recorded Sex Or Gender) (Complex Extension)
    Is Modifierfalse
    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())
    12. Practitioner.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())
    14. Practitioner.identifier
    Definition

    An identifier that applies to this person in this role.

    ShortAn identifier for the person as this agent
    NoteThis is a business identifier, not a resource identifier (see discussion)
    Control0..*
    TypeIdentifier(Identifier, AU HPI-I, AU PBS Prescriber Number, AU Care Agency Employee Identifier, AU Ahpra Registration Number)
    Is Modifierfalse
    Must Supporttrue
    Must Support TypesNo must-support rules about the choice of types/profiles
    Obligations
      ObligationsActorSource
      SHALL:populate-if-knownAU Core Responderfrom AU Core Practitioner
      SHALL:no-errorAU Core Requesterfrom AU Core Practitioner
      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()))
      SlicingThis element introduces a set of slices on Practitioner.identifier. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • pattern @ type
      • 16. Practitioner.identifier:hpii
        Slice Namehpii
        Definition

        An identifier that applies to this person in this role.

        ShortAn identifier for the person as this agent
        NoteThis is a business identifier, not a resource identifier (see discussion)
        Control0..1*
        TypeIdentifier(AU HPI-I)
        Is Modifierfalse
        Must Supporttrue
        Obligations
          ObligationsActorSource
          SHALL:populate-if-knownAU Core Responderfrom AU Core Practitioner
          SHALL:no-errorAU Core Requesterfrom AU Core Practitioner
          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()))
          18. Practitioner.name
          Definition

          The name(s) associated with the practitioner.

          ShortThe name(s) associated with the practitioner
          Comments

          The selection of the use property should ensure that there is a single usual name specified, and others use the nickname (alias), old, or other values as appropriate.

          In general, select the value to be used in the ResourceReference.display based on this:

          1. There is more than 1 name
          2. Use = usual
          3. Period is current to the date of the usage
          4. Use = official
          5. Other order as decided by internal business rules.
          Control10..*
          TypeHumanName
          Is Modifierfalse
          Must Supporttrue
          Obligations
            ObligationsActorSource
            SHALL:populate-if-knownAU Core Responderfrom AU Core Practitioner
            SHALL:no-errorAU Core Requesterfrom AU Core Practitioner
            SHALL:populate-if-knownAU Core Responder
            SHALL:no-errorAU Core Requester
            SHALL:populate-if-knownSHC Host FHIR Server
            SHALL:processSHC App
            Summarytrue
            Requirements

            The name(s) that a Practitioner is known by. Where there are multiple, the name that the practitioner is usually known as should be used in the display.

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

            Identifies the purpose for this name.

            Shortusual | official | temp | nickname | anonymous | old | maiden
            Comments

            Applications can assume that a name is current unless it explicitly says that it is temporary or old.

            Control0..1
            BindingThe codes SHALL be taken from NameUsehttp://hl7.org/fhir/ValueSet/name-use|4.0.1
            (required to http://hl7.org/fhir/ValueSet/name-use|4.0.1)

            The use of a human name.

            Typecode
            Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Requirements

            Allows the appropriate name for a particular context of use to be selected from among a set of names.

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

            The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.

            ShortFamily name (often called 'Surname')
            Comments

            Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).

            Control10..1
            Typestring
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Must Supporttrue
            Obligations
              ObligationsActorSource
              SHALL:populate-if-knownAU Core Responderfrom AU Core Practitioner
              SHALL:no-errorAU Core Requesterfrom AU Core Practitioner
              Summarytrue
              Alternate Namessurname
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              24. Practitioner.name.given
              Definition

              Given name.

              ShortGiven names (not always 'first'). Includes middle names
              Comments

              If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first.

              Control0..*
              Typestring
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Must Supporttrue
              Obligations
                ObligationsActorSource
                SHALL:populate-if-knownAU Core Responderfrom AU Core Practitioner
                SHALL:no-errorAU Core Requesterfrom AU Core Practitioner
                Summarytrue
                Alternate Namesfirst name, middle name
                Invariantsele-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. Practitioner
                2. Practitioner.id
                Must Supporttrue
                Obligations
                  ObligationsActor
                  SHALL:populateSHC Host FHIR Server
                  SHALL:processSHC App
                  4. Practitioner.name
                  Obligations
                    ObligationsActor
                    SHALL:populate-if-knownAU Core Responder
                    SHALL:no-errorAU Core Requester
                    SHALL:populate-if-knownSHC Host FHIR Server
                    SHALL:processSHC App

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

                    0. Practitioner
                    Definition

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

                    ShortA person with a formal responsibility in the provisioning of services
                    Control0..*
                    Is Modifierfalse
                    Summaryfalse
                    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())
                    inv-pra-0: Individual gender identity shall be a member of the Gender Identity Response value set if any codes within that value set can apply (extension('http://hl7.org/fhir/StructureDefinition/individual-genderIdentity').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-genderIdentity').all(extension('value').value.memberOf('https://healthterminologies.gov.au/fhir/ValueSet/gender-identity-response-1')))
                    inv-pra-1: Individual pronouns shall be a member of the Australian Pronouns value set if any codes within that value set can apply (extension('http://hl7.org/fhir/StructureDefinition/individual-pronouns').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-pronouns').all(extension('value').value.memberOf('https://healthterminologies.gov.au/fhir/ValueSet/australian-pronouns-1')))
                    inv-pra-2: Recorded sex or gender type shall be a member of the AU Recorded Sex or Gender Type value set if any codes within that value set can apply (extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('type').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').all(extension('type').value.memberOf('http://terminology.hl7.org.au/ValueSet/rsg-type')))
                    inv-pra-3: Recorded sex or gender source document type shall be a member of the AU Recorded Sex or Gender (RSG) Source Document Type value set if any codes within that value set can apply (extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('sourceDocument').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').all(extension('sourceDocument').value.memberOf('http://terminology.hl7.org.au/ValueSet/rsg-document-type')))
                    inv-pra-4: Recorded sex or gender jurisdiction shall be a member of the Jurisdiction ValueSet - AU Extended value set if any codes within that value set can apply (extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('jurisdiction').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').all(extension('jurisdiction').value.memberOf('http://terminology.hl7.org.au/ValueSet/jurisdiction-extended')))
                    2. Practitioner.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
                    Must Supporttrue
                    Obligations
                      ObligationsActor
                      SHALL:populateSHC Host FHIR Server
                      SHALL:processSHC App
                      Summarytrue
                      4. Practitioner.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. Practitioner.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. Practitioner.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)

                      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. Practitioner.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. Practitioner.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. Practitioner.extension
                      Definition

                      An Extension

                      ShortExtension
                      Control0..*
                      TypeExtension
                      Is Modifierfalse
                      Summaryfalse
                      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())
                      SlicingThis element introduces a set of slices on Practitioner.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                      • value @ url
                      • 16. Practitioner.extension:genderIdentity
                        Slice NamegenderIdentity
                        Definition

                        An individual's personal sense of being a man, woman, boy, girl, nonbinary, or something else.

                        ShortGender identity shall be a member of the Gender Identity Response value set if any codes within that value set can apply
                        Comments

                        The individual's gender identity is populated in the extension:value.value[x] of the Individual Gender Identity extension and shall contain one of the codes from the Gender Identity Response value set if any of the codes within the value set can apply.

                        See Australian Bureau of Statics (ABS) Standard for Sex, Gender, Variations of Sex Characteristics and Sexual Orientation Variables, 2020 for further materials.

                        Control0..*
                        This element is affected by the following invariants: inv-pra-1
                        TypeExtension(Individual Gender Identity) (Complex Extension)
                        Is Modifierfalse
                        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. Practitioner.extension:individualPronouns
                        Slice NameindividualPronouns
                        Definition

                        The pronouns to use when referring to an individual in verbal or written communication.

                        ShortPronouns shall be a member of the Australian Pronouns value set if any codes within that value set can apply
                        Comments

                        The individual's pronouns are populated in the extension:value.value[x] of the Individual Pronouns extension and shall contain one of the codes from the Australian Pronouns value set if any of the codes within the value set can apply.

                        Control0..*
                        TypeExtension(Individual Pronouns) (Complex Extension)
                        Is Modifierfalse
                        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())
                        20. Practitioner.extension:recordedSexOrGender
                        Slice NamerecordedSexOrGender
                        Definition

                        A sex or gender property for the individual from a document or other record

                        ShortRecorded sex or gender type shall be a member of the AU Recorded Sex or Gender Type value set if any codes within that value set can apply. Recorded sex or gender source document type shall be a member of the AU Recorded Sex or Gender (RSG) Source Document Type value set if any codes within that value set can apply. Recorded sex or gender jurisdiction shall be a member of the Jurisdiction ValueSet - AU Extended value set if any codes within that value set can apply
                        Comments

                        The type of recorded sex or gender is populated in the extension:type.value[x] of the Person Recorded Sex or Gender extension and shall contain one of the codes from the AU Recorded Sex or Gender Type value set if any of the codes within the value set can apply.

                        The document from which the sex or gender property was acquired is populated in the extension:sourceDocument.value[x] of the Person Recorded Sex or Gender extension and shall contain one of the codes from the AU Recorded Sex or Gender (RSG) Source Document Type value set if any of the codes within the value set can apply.

                        The jurisdiction that issued the document where the sex or gender was acquired is populated in the extension:jurisdiction.value[x] of the Person Recorded Sex or Gender extension and shall contain one of the codes from the Jurisdiction ValueSet - AU Extended value set if any of the codes within the value set can apply.

                        Control0..*
                        This element is affected by the following invariants: inv-pra-2, inv-pra-3, inv-pra-4
                        TypeExtension(Person Recorded Sex Or Gender) (Complex Extension)
                        Is Modifierfalse
                        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())
                        22. Practitioner.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())
                        24. Practitioner.identifier
                        Definition

                        An identifier that applies to this person in this role.

                        ShortAn identifier for the person as this agent
                        NoteThis is a business identifier, not a resource identifier (see discussion)
                        Control0..*
                        TypeIdentifier(Identifier, AU HPI-I, AU PBS Prescriber Number, AU Care Agency Employee Identifier, AU Ahpra Registration Number)
                        Is Modifierfalse
                        Must Supporttrue
                        Must Support TypesNo must-support rules about the choice of types/profiles
                        Obligations
                          ObligationsActorSource
                          SHALL:populate-if-knownAU Core Responderfrom AU Core Practitioner
                          SHALL:no-errorAU Core Requesterfrom AU Core Practitioner
                          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()))
                          SlicingThis element introduces a set of slices on Practitioner.identifier. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                          • pattern @ type
                          • 26. Practitioner.identifier:hpii
                            Slice Namehpii
                            Definition

                            An identifier that applies to this person in this role.

                            ShortAn identifier for the person as this agent
                            NoteThis is a business identifier, not a resource identifier (see discussion)
                            Control0..1
                            TypeIdentifier(AU HPI-I)
                            Is Modifierfalse
                            Must Supporttrue
                            Obligations
                              ObligationsActorSource
                              SHALL:populate-if-knownAU Core Responderfrom AU Core Practitioner
                              SHALL:no-errorAU Core Requesterfrom AU Core Practitioner
                              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()))
                              28. Practitioner.active
                              Definition

                              Whether this practitioner's record is in active use.

                              ShortWhether this practitioner's record is in active use
                              Comments

                              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.

                              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 record as not to be used because it was created in error.

                              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()))
                              30. Practitioner.name
                              Definition

                              The name(s) associated with the practitioner.

                              ShortThe name(s) associated with the practitioner
                              Comments

                              The selection of the use property should ensure that there is a single usual name specified, and others use the nickname (alias), old, or other values as appropriate.

                              In general, select the value to be used in the ResourceReference.display based on this:

                              1. There is more than 1 name
                              2. Use = usual
                              3. Period is current to the date of the usage
                              4. Use = official
                              5. Other order as decided by internal business rules.
                              Control1..*
                              TypeHumanName
                              Is Modifierfalse
                              Must Supporttrue
                              Obligations
                                ObligationsActorSource
                                SHALL:populate-if-knownAU Core Responderfrom AU Core Practitioner
                                SHALL:no-errorAU Core Requesterfrom AU Core Practitioner
                                SHALL:populate-if-knownAU Core Responder
                                SHALL:no-errorAU Core Requester
                                SHALL:populate-if-knownSHC Host FHIR Server
                                SHALL:processSHC App
                                Summarytrue
                                Requirements

                                The name(s) that a Practitioner is known by. Where there are multiple, the name that the practitioner is usually known as should be used in the display.

                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                32. Practitioner.name.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
                                34. Practitioner.name.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())
                                SlicingThis element introduces a set of slices on Practitioner.name.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                • value @ url
                                • 36. Practitioner.name.use
                                  Definition

                                  Identifies the purpose for this name.

                                  Shortusual | official | temp | nickname | anonymous | old | maiden
                                  Comments

                                  Applications can assume that a name is current unless it explicitly says that it is temporary or old.

                                  Control0..1
                                  BindingThe codes SHALL be taken from NameUse
                                  (required to http://hl7.org/fhir/ValueSet/name-use|4.0.1)

                                  The use of a human name.

                                  Typecode
                                  Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summarytrue
                                  Requirements

                                  Allows the appropriate name for a particular context of use to be selected from among a set of names.

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

                                  Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts.

                                  ShortText representation of the full name
                                  Comments

                                  Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.

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

                                  A renderable, unencoded form.

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

                                  The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.

                                  ShortFamily name (often called 'Surname')
                                  Comments

                                  Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).

                                  Control1..1
                                  Typestring
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Must Supporttrue
                                  Obligations
                                    ObligationsActorSource
                                    SHALL:populate-if-knownAU Core Responderfrom AU Core Practitioner
                                    SHALL:no-errorAU Core Requesterfrom AU Core Practitioner
                                    Summarytrue
                                    Alternate Namessurname
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    42. Practitioner.name.given
                                    Definition

                                    Given name.

                                    ShortGiven names (not always 'first'). Includes middle names
                                    Comments

                                    If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first.

                                    Control0..*
                                    Typestring
                                    Is Modifierfalse
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    Must Supporttrue
                                    Obligations
                                      ObligationsActorSource
                                      SHALL:populate-if-knownAU Core Responderfrom AU Core Practitioner
                                      SHALL:no-errorAU Core Requesterfrom AU Core Practitioner
                                      Summarytrue
                                      Alternate Namesfirst name, middle name
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      44. Practitioner.name.prefix
                                      Definition

                                      Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name.

                                      ShortParts that come before the name
                                      Control0..*
                                      Typestring
                                      Is Modifierfalse
                                      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()))
                                      46. Practitioner.name.suffix
                                      Definition

                                      Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name.

                                      ShortParts that come after the name
                                      Control0..*
                                      Typestring
                                      Is Modifierfalse
                                      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()))
                                      48. Practitioner.name.period
                                      Definition

                                      Indicates the period of time when this name was valid for the named person.

                                      ShortTime period when name was/is in use
                                      Control0..1
                                      TypePeriod
                                      Is Modifierfalse
                                      Summarytrue
                                      Requirements

                                      Allows names to be placed in historical context.

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

                                      A contact detail for the practitioner, e.g. a telephone number or an email address.

                                      ShortA contact detail for the practitioner (that apply to all roles)
                                      Comments

                                      Person may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and to help with identification. These typically will have home numbers, or mobile numbers that are not role specific.

                                      Control0..*
                                      TypeContactPoint
                                      Is Modifierfalse
                                      Summarytrue
                                      Requirements

                                      Need to know how to reach a practitioner independent to any roles the practitioner may have.

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

                                      Address(es) of the practitioner that are not role specific (typically home address). Work addresses are not typically entered in this property as they are usually role dependent.

                                      ShortAddress(es) of the practitioner that are not role specific (typically home address)
                                      Comments

                                      The address is intended to describe postal addresses for administrative purposes, not to describe absolute geographical coordinates. Postal addresses are often used as proxies for physical locations (also see the Location resource).

                                      Control0..*
                                      TypeAddress(Address, Australian Address)
                                      Is Modifierfalse
                                      Summarytrue
                                      Requirements

                                      The home/mailing address of the practitioner is often required for employee administration purposes, and also for some rostering services where the start point (practitioners home) can be used in calculations.

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

                                      Administrative Gender - the gender that the person is considered to have for administration and record keeping purposes.

                                      Shortmale | female | other | unknown
                                      Control0..1
                                      BindingThe codes SHALL be taken from AdministrativeGender
                                      (required to http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1)

                                      The gender of a person used for administrative purposes.

                                      Typecode
                                      Is Modifierfalse
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Summarytrue
                                      Requirements

                                      Needed to address the person correctly.

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

                                      The date of birth for the practitioner.

                                      ShortThe date on which the practitioner was born
                                      Control0..1
                                      Typedate
                                      Is Modifierfalse
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Summarytrue
                                      Requirements

                                      Needed for identification.

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

                                      Image of the person.

                                      ShortImage of the person
                                      Control0..*
                                      TypeAttachment
                                      Is Modifierfalse
                                      Summaryfalse
                                      Requirements

                                      Many EHR systems have the capability to capture an image of patients and personnel. Fits with newer social media usage too.

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

                                      The official certifications, training, and licenses that authorize or otherwise pertain to the provision of care by the practitioner. For example, a medical license issued by a medical board authorizing the practitioner to practice medicine within a certian locality.

                                      ShortCertification, licenses, or training pertaining to the provision of care
                                      Control0..*
                                      TypeBackboneElement
                                      Is Modifierfalse
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      62. Practitioner.qualification.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. Practitioner.qualification.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. Practitioner.qualification.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. Practitioner.qualification.identifier
                                      Definition

                                      An identifier that applies to this person's qualification in this role.

                                      ShortAn identifier for this qualification for the practitioner
                                      NoteThis is a business identifier, not a resource identifier (see discussion)
                                      Control0..*
                                      TypeIdentifier
                                      Is Modifierfalse
                                      Summaryfalse
                                      Requirements

                                      Often, specific identities are assigned for the qualification.

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

                                      Coded representation of the qualification.

                                      ShortCoded representation of the qualification
                                      Control1..1
                                      BindingThe codes SHOULD be taken from hl7VS-degreeLicenseCertificate - AU Extended
                                      (preferred to http://terminology.hl7.org.au/ValueSet/v2-0360-extended)
                                      TypeCodeableConcept
                                      Is Modifierfalse
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      72. Practitioner.qualification.period
                                      Definition

                                      Period during which the qualification is valid.

                                      ShortPeriod during which the qualification is valid
                                      Control0..1
                                      TypePeriod
                                      Is Modifierfalse
                                      Summaryfalse
                                      Requirements

                                      Qualifications are often for a limited period of time, and can be revoked.

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

                                      Organization that regulates and issues the qualification.

                                      ShortOrganization that regulates and issues the qualification
                                      Control0..1
                                      TypeReference(Organization)
                                      Is Modifierfalse
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      76. Practitioner.communication
                                      Definition

                                      A language the practitioner can use in patient communication.

                                      ShortA language the practitioner can use in patient communication
                                      Comments

                                      The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems code this but instead have it as free text. Hence CodeableConcept instead of code as the data type.

                                      Control0..*
                                      BindingUnless not suitable, these codes SHALL be taken from Common Languages in Australia .
                                      (extensible to https://healthterminologies.gov.au/fhir/ValueSet/common-languages-australia-2)
                                      TypeCodeableConcept
                                      Is Modifierfalse
                                      Summaryfalse
                                      Requirements

                                      Knowing which language a practitioner speaks can help in facilitating communication with patients.

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