MyHealtheVet PHR FHIR API, published by VA Digital Services. This guide is not an authorized publication; it is the continuous build for version 0.3.9-current built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/department-of-veterans-affairs/mhv-fhir-phr-mapping/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• XML
• JSON

Resource Profile: VA MHV PHR Practitioner

A profile on the Practitioner resource for MHV PHR exposing Practitioner using FHIR API.

• NOT based on US-Core for Practitioner, as that makes slicing on VA OID pattern impossible
• used for VIDF UserTO, and AuthorTO
• used for HDR PractitionerLite
• might be used for PersonTO or is that RelatedPerson?
• always a contained resource, so not exposed RESTfully

Mapping to VIA UserTO and VIA AuthorTO

Mapping to HDR PractitionerLite

Usage:

• Refer to this Resource Profile: VA MHV DiagnosticReport, VA MHV All DocumentReference and VA MHV PHR Immunization

Formal Views of Profile Content

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

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

This structure is derived from Practitioner

Name	Flags	Card.	Type	Description & Constraints
Practitioner		0..*	Practitioner	A person with a formal responsibility in the provisioning of healthcare or related services
Slices for identifier		1..*	Identifier	An identifier for the person as this agent Slice: Unordered, Open by pattern:use
identifier:All Slices				Content/Rules for all slices
use		0..1	code	usual | official | temp | secondary | old (If known)
system		0..1	uri	The namespace for the identifier value
value		0..1	string	The value that is unique
identifier:TOid		1..1	Identifier	An identifier for the person as this agent
use		1..1	code	usual | official | temp | secondary | old (If known) Required Pattern: usual
system	C	0..1	uri	urn:oid:2.16.840.1.113883.4.349.4.{stationNbr} TOid-startswithoid: ID system must start with urn:oid:2.16.840.1.113883.4.349.4. The next would be the {stationNbr}
value		0..1	string	`AuthorTO` | `.` | {AuthorTO.id}
identifier:HDRid		0..*	Identifier	An identifier for the person as this agent
use		1..1	code	usual | official | temp | secondary | old (If known) Required Pattern: secondary
system	C	0..1	uri	`http://va.gov/systems/` + {idSourceTable} HDRid-startswithoid: ID system must start with http://va.gov/systems/ The next would be the {idSourceTable}
value		0..1	string	{identifier.identity}
name	S	0..*	HumanName	The name(s) associated with the practitioner
text		0..1	string	Text representation of the full name
family		0..1	string	Family name (often called 'Surname')
given		0..*	string	Given names (not always 'first'). Includes middle names
prefix		0..*	string	Parts that come before the name
suffix		0..*	string	Parts that come after the name
telecom		0..*	ContactPoint	A contact detail for the practitioner (that apply to all roles)
communication		0..*	CodeableConcept	A language the practitioner can use in patient communication
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
HDRid-startswithoid	error	Practitioner.identifier:HDRid.system	ID system must start with http://va.gov/systems/ The next would be the {idSourceTable} : value.startsWith('http://va.gov/systems/')
TOid-startswithoid	error	Practitioner.identifier:TOid.system	ID system must start with urn:oid:2.16.840.1.113883.4.349.4. The next would be the {stationNbr} : value.startsWith('urn:oid:2.16.840.1.113883.4.349.4.')

Name	Flags	Card.	Type	Description & Constraints
Practitioner		0..*	Practitioner	A person with a formal responsibility in the provisioning of healthcare or related services
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..*	Identifier	An identifier for the person as this agent Slice: Unordered, Open by pattern:use
identifier:All Slices				Content/Rules for all slices
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	The value that is unique Example General: 123456
identifier:TOid	Σ	1..1	Identifier	An identifier for the person as this agent
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: usual
system	ΣC	0..1	uri	urn:oid:2.16.840.1.113883.4.349.4.{stationNbr} TOid-startswithoid: ID system must start with urn:oid:2.16.840.1.113883.4.349.4. The next would be the {stationNbr} Example General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	`AuthorTO` | `.` | {AuthorTO.id} Example General: 123456
identifier:HDRid	Σ	0..*	Identifier	An identifier for the person as this agent
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: secondary
system	ΣC	0..1	uri	`http://va.gov/systems/` + {idSourceTable} HDRid-startswithoid: ID system must start with http://va.gov/systems/ The next would be the {idSourceTable} Example General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	{identifier.identity} Example General: 123456
name	SΣ	0..*	HumanName	The name(s) associated with the practitioner
use	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text	Σ	0..1	string	Text representation of the full name
family	Σ	0..1	string	Family name (often called 'Surname')
given	Σ	0..*	string	Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
prefix	Σ	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix	Σ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
telecom	Σ	0..*	ContactPoint	A contact detail for the practitioner (that apply to all roles)
communication		0..*	CodeableConcept	A language the practitioner can use in patient communication Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Practitioner.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Practitioner.identifier:TOid.use	required	Pattern: usual http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Practitioner.identifier:HDRid.use	required	Pattern: secondary http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Practitioner.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
Practitioner.communication	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
HDRid-startswithoid	error	Practitioner.identifier:HDRid.system	ID system must start with http://va.gov/systems/ The next would be the {idSourceTable} : value.startsWith('http://va.gov/systems/')
TOid-startswithoid	error	Practitioner.identifier:TOid.system	ID system must start with urn:oid:2.16.840.1.113883.4.349.4. The next would be the {stationNbr} : value.startsWith('urn:oid:2.16.840.1.113883.4.349.4.')

Name	Flags	Card.	Type	Description & Constraints
Practitioner		0..*	Practitioner	A person with a formal responsibility in the provisioning of healthcare or related services
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..*	Identifier	An identifier for the person as this agent Slice: Unordered, Open by pattern:use
identifier:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:TOid	Σ	1..1	Identifier	An identifier for the person as this agent
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: usual
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	ΣC	0..1	uri	urn:oid:2.16.840.1.113883.4.349.4.{stationNbr} TOid-startswithoid: ID system must start with urn:oid:2.16.840.1.113883.4.349.4. The next would be the {stationNbr} Example General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	`AuthorTO` | `.` | {AuthorTO.id} Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:HDRid	Σ	0..*	Identifier	An identifier for the person as this agent
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: secondary
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	ΣC	0..1	uri	`http://va.gov/systems/` + {idSourceTable} HDRid-startswithoid: ID system must start with http://va.gov/systems/ The next would be the {idSourceTable} Example General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	{identifier.identity} Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
active	Σ	0..1	boolean	Whether this practitioner's record is in active use
name	SΣ	0..*	HumanName	The name(s) associated with the practitioner
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text	Σ	0..1	string	Text representation of the full name
family	Σ	0..1	string	Family name (often called 'Surname')
given	Σ	0..*	string	Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
prefix	Σ	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix	Σ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
period	Σ	0..1	Period	Time period when name was/is in use
telecom	Σ	0..*	ContactPoint	A contact detail for the practitioner (that apply to all roles)
address	Σ	0..*	Address	Address(es) of the practitioner that are not role specific (typically home address)
gender	Σ	0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate	Σ	0..1	date	The date on which the practitioner was born
photo		0..*	Attachment	Image of the person
qualification		0..*	BackboneElement	Certification, licenses, or training pertaining to the provision of care
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
identifier		0..*	Identifier	An identifier for this qualification for the practitioner
code		1..1	CodeableConcept	Coded representation of the qualification Binding: v2 table 0360, Version 2.7 (example): Specific qualification the practitioner has to provide a service.
period		0..1	Period	Period during which the qualification is valid
issuer		0..1	Reference(Organization)	Organization that regulates and issues the qualification
communication		0..*	CodeableConcept	A language the practitioner can use in patient communication Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Practitioner.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Practitioner.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Practitioner.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Practitioner.identifier:TOid.use	required	Pattern: usual http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Practitioner.identifier:TOid.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Practitioner.identifier:HDRid.use	required	Pattern: secondary http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Practitioner.identifier:HDRid.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Practitioner.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
Practitioner.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Practitioner.qualification.code	example	v2.0360.2.7 (a valid code from http://terminology.hl7.org/CodeSystem/v2-0360|2.7) http://terminology.hl7.org/ValueSet/v2-2.7-0360 from the FHIR Standard
Practitioner.communication	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
HDRid-startswithoid	error	Practitioner.identifier:HDRid.system	ID system must start with http://va.gov/systems/ The next would be the {idSourceTable} : value.startsWith('http://va.gov/systems/')
TOid-startswithoid	error	Practitioner.identifier:TOid.system	ID system must start with urn:oid:2.16.840.1.113883.4.349.4. The next would be the {stationNbr} : value.startsWith('urn:oid:2.16.840.1.113883.4.349.4.')

This structure is derived from Practitioner

Summary

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

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Practitioner.identifier

Maturity: 3

Differential View

This structure is derived from Practitioner

Name	Flags	Card.	Type	Description & Constraints
Practitioner		0..*	Practitioner	A person with a formal responsibility in the provisioning of healthcare or related services
Slices for identifier		1..*	Identifier	An identifier for the person as this agent Slice: Unordered, Open by pattern:use
identifier:All Slices				Content/Rules for all slices
use		0..1	code	usual | official | temp | secondary | old (If known)
system		0..1	uri	The namespace for the identifier value
value		0..1	string	The value that is unique
identifier:TOid		1..1	Identifier	An identifier for the person as this agent
use		1..1	code	usual | official | temp | secondary | old (If known) Required Pattern: usual
system	C	0..1	uri	urn:oid:2.16.840.1.113883.4.349.4.{stationNbr} TOid-startswithoid: ID system must start with urn:oid:2.16.840.1.113883.4.349.4. The next would be the {stationNbr}
value		0..1	string	`AuthorTO` | `.` | {AuthorTO.id}
identifier:HDRid		0..*	Identifier	An identifier for the person as this agent
use		1..1	code	usual | official | temp | secondary | old (If known) Required Pattern: secondary
system	C	0..1	uri	`http://va.gov/systems/` + {idSourceTable} HDRid-startswithoid: ID system must start with http://va.gov/systems/ The next would be the {idSourceTable}
value		0..1	string	{identifier.identity}
name	S	0..*	HumanName	The name(s) associated with the practitioner
text		0..1	string	Text representation of the full name
family		0..1	string	Family name (often called 'Surname')
given		0..*	string	Given names (not always 'first'). Includes middle names
prefix		0..*	string	Parts that come before the name
suffix		0..*	string	Parts that come after the name
telecom		0..*	ContactPoint	A contact detail for the practitioner (that apply to all roles)
communication		0..*	CodeableConcept	A language the practitioner can use in patient communication
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
HDRid-startswithoid	error	Practitioner.identifier:HDRid.system	ID system must start with http://va.gov/systems/ The next would be the {idSourceTable} : value.startsWith('http://va.gov/systems/')
TOid-startswithoid	error	Practitioner.identifier:TOid.system	ID system must start with urn:oid:2.16.840.1.113883.4.349.4. The next would be the {stationNbr} : value.startsWith('urn:oid:2.16.840.1.113883.4.349.4.')

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Practitioner		0..*	Practitioner	A person with a formal responsibility in the provisioning of healthcare or related services
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..*	Identifier	An identifier for the person as this agent Slice: Unordered, Open by pattern:use
identifier:All Slices				Content/Rules for all slices
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	The value that is unique Example General: 123456
identifier:TOid	Σ	1..1	Identifier	An identifier for the person as this agent
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: usual
system	ΣC	0..1	uri	urn:oid:2.16.840.1.113883.4.349.4.{stationNbr} TOid-startswithoid: ID system must start with urn:oid:2.16.840.1.113883.4.349.4. The next would be the {stationNbr} Example General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	`AuthorTO` | `.` | {AuthorTO.id} Example General: 123456
identifier:HDRid	Σ	0..*	Identifier	An identifier for the person as this agent
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: secondary
system	ΣC	0..1	uri	`http://va.gov/systems/` + {idSourceTable} HDRid-startswithoid: ID system must start with http://va.gov/systems/ The next would be the {idSourceTable} Example General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	{identifier.identity} Example General: 123456
name	SΣ	0..*	HumanName	The name(s) associated with the practitioner
use	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text	Σ	0..1	string	Text representation of the full name
family	Σ	0..1	string	Family name (often called 'Surname')
given	Σ	0..*	string	Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
prefix	Σ	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix	Σ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
telecom	Σ	0..*	ContactPoint	A contact detail for the practitioner (that apply to all roles)
communication		0..*	CodeableConcept	A language the practitioner can use in patient communication Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Practitioner.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Practitioner.identifier:TOid.use	required	Pattern: usual http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Practitioner.identifier:HDRid.use	required	Pattern: secondary http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Practitioner.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
Practitioner.communication	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
HDRid-startswithoid	error	Practitioner.identifier:HDRid.system	ID system must start with http://va.gov/systems/ The next would be the {idSourceTable} : value.startsWith('http://va.gov/systems/')
TOid-startswithoid	error	Practitioner.identifier:TOid.system	ID system must start with urn:oid:2.16.840.1.113883.4.349.4. The next would be the {stationNbr} : value.startsWith('urn:oid:2.16.840.1.113883.4.349.4.')

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Practitioner		0..*	Practitioner	A person with a formal responsibility in the provisioning of healthcare or related services
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..*	Identifier	An identifier for the person as this agent Slice: Unordered, Open by pattern:use
identifier:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:TOid	Σ	1..1	Identifier	An identifier for the person as this agent
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: usual
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	ΣC	0..1	uri	urn:oid:2.16.840.1.113883.4.349.4.{stationNbr} TOid-startswithoid: ID system must start with urn:oid:2.16.840.1.113883.4.349.4. The next would be the {stationNbr} Example General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	`AuthorTO` | `.` | {AuthorTO.id} Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:HDRid	Σ	0..*	Identifier	An identifier for the person as this agent
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: secondary
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	ΣC	0..1	uri	`http://va.gov/systems/` + {idSourceTable} HDRid-startswithoid: ID system must start with http://va.gov/systems/ The next would be the {idSourceTable} Example General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	{identifier.identity} Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
active	Σ	0..1	boolean	Whether this practitioner's record is in active use
name	SΣ	0..*	HumanName	The name(s) associated with the practitioner
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text	Σ	0..1	string	Text representation of the full name
family	Σ	0..1	string	Family name (often called 'Surname')
given	Σ	0..*	string	Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
prefix	Σ	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix	Σ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
period	Σ	0..1	Period	Time period when name was/is in use
telecom	Σ	0..*	ContactPoint	A contact detail for the practitioner (that apply to all roles)
address	Σ	0..*	Address	Address(es) of the practitioner that are not role specific (typically home address)
gender	Σ	0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate	Σ	0..1	date	The date on which the practitioner was born
photo		0..*	Attachment	Image of the person
qualification		0..*	BackboneElement	Certification, licenses, or training pertaining to the provision of care
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
identifier		0..*	Identifier	An identifier for this qualification for the practitioner
code		1..1	CodeableConcept	Coded representation of the qualification Binding: v2 table 0360, Version 2.7 (example): Specific qualification the practitioner has to provide a service.
period		0..1	Period	Period during which the qualification is valid
issuer		0..1	Reference(Organization)	Organization that regulates and issues the qualification
communication		0..*	CodeableConcept	A language the practitioner can use in patient communication Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Practitioner.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Practitioner.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Practitioner.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Practitioner.identifier:TOid.use	required	Pattern: usual http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Practitioner.identifier:TOid.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Practitioner.identifier:HDRid.use	required	Pattern: secondary http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Practitioner.identifier:HDRid.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Practitioner.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
Practitioner.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Practitioner.qualification.code	example	v2.0360.2.7 (a valid code from http://terminology.hl7.org/CodeSystem/v2-0360|2.7) http://terminology.hl7.org/ValueSet/v2-2.7-0360 from the FHIR Standard
Practitioner.communication	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
HDRid-startswithoid	error	Practitioner.identifier:HDRid.system	ID system must start with http://va.gov/systems/ The next would be the {idSourceTable} : value.startsWith('http://va.gov/systems/')
TOid-startswithoid	error	Practitioner.identifier:TOid.system	ID system must start with urn:oid:2.16.840.1.113883.4.349.4. The next would be the {stationNbr} : value.startsWith('urn:oid:2.16.840.1.113883.4.349.4.')

This structure is derived from Practitioner

Summary

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

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Practitioner.identifier

Maturity: 3

Other representations of profile: CSV, Excel, Schematron