Core_PractitionerRole — Профиль роли медицинского работника

Принятые решения по профилированию

Описание профиля

Профиль Core_PractitionerRole расширяет стандартный ресурс PractitionerRole для поддержки российских требований:

• Медицинский работник должен быть представлен профилем Core_Practitioner
• Организация должна быть представлена профилем Core_Organization
• Должность должна быть указана по справочнику НСИ МЗ РФ

Используемые справочники и системы идентификации

• НСИ МЗ РФ — Должности медицинских работников (CodeSystem)
• НСИ МЗ РФ — Должности медицинских работников (ValueSet)

FSH-код профиля

Profile: Core_PractitionerRole
Parent: PractitionerRole
Id: core-practitionerrole
Title: "Core PractitionerRole (Роль медицинского работника)"
Description: "Базовый профиль роли медицинского работника для российских FHIR-реализаций"

* practitioner only Reference(Core_Practitioner)
* organization only Reference(Core_Organization)
* code from https://fhir.ru/ig/core/ValueSet/core-vs-nsi-medical-workers-positions (required)

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
PractitionerRole		0..*	PractitionerRole	Roles/organizations the practitioner is associated with
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
practitioner	Σ	0..1	Reference(Core Practitioner (Медицинский работник))	Медицинский работник
organization	Σ	0..1	Reference(Core Organization (Организация))	Организация
code	Σ	0..*	CodeableConcept	Должность медицинского работника Binding: Core ValueSet Должности медицинских работников (required)
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
PractitionerRole.code	Base	required	Core ValueSet Должности медицинских работников	📦0.2.0	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	PractitionerRole	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	PractitionerRole	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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	PractitionerRole	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	PractitionerRole	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	PractitionerRole	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from PractitionerRole

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
PractitionerRole		0..*	PractitionerRole	Roles/organizations the practitioner is associated with
practitioner		0..1	Reference(Core Practitioner (Медицинский работник))	Медицинский работник
organization		0..1	Reference(Core Organization (Организация))	Организация
code		0..*	CodeableConcept	Должность медицинского работника Binding: Core ValueSet Должности медицинских работников (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
PractitionerRole.code	Base	required	Core ValueSet Должности медицинских работников	📦0.2.0	This IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
PractitionerRole		0..*	PractitionerRole	Roles/organizations the practitioner is associated with
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: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Identifiers for a role/location
active	Σ	0..1	boolean	Whether this practitioner role record is in active use
period	Σ	0..1	Period	The period during which the practitioner is authorized to perform in these role(s)
practitioner	Σ	0..1	Reference(Core Practitioner (Медицинский работник))	Медицинский работник
organization	Σ	0..1	Reference(Core Organization (Организация))	Организация
code	Σ	0..*	CodeableConcept	Должность медицинского работника Binding: Core ValueSet Должности медицинских работников (required)
specialty	Σ	0..*	CodeableConcept	Specific specialty of the practitioner Binding: PracticeSettingCodeValueSet (preferred): Specific specialty associated with the agency.
location	Σ	0..*	Reference(Location)	Location(s) where the practitioner provides care
healthcareService		0..*	Reference(HealthcareService)	Healthcare services provided for this role's Organization/Location(s)
contact		0..*	ExtendedContactDetail	Official contact details relating to this PractitionerRole
characteristic		0..*	CodeableConcept	Collection of characteristics (attributes) Binding: ServiceMode (example): A custom attribute that could be provided at a service (e.g. Wheelchair accessibility).
communication		0..*	CodeableConcept	A language the practitioner (in this role) can use in patient communication Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
availability		0..*	Availability	Times the Practitioner is available at this location and/or healthcare service (including exceptions)
endpoint		0..*	Reference(Endpoint)	Endpoints for interacting with the practitioner in this role
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
PractitionerRole.language	Base	required	All Languages	📍5.0.0	FHIR Std.
PractitionerRole.code	Base	required	Core ValueSet Должности медицинских работников	📦0.2.0	This IG
PractitionerRole.specialty	Base	preferred	Practice Setting Code Value Set	📍5.0.0	FHIR Std.
PractitionerRole.characteristic	Base	example	Service Mode	📍5.0.0	FHIR Std.
PractitionerRole.communication	Base	required	All Languages	📍5.0.0	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	PractitionerRole	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	PractitionerRole	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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	PractitionerRole	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	PractitionerRole	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	PractitionerRole	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
PractitionerRole		0..*	PractitionerRole	Roles/organizations the practitioner is associated with
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
practitioner	Σ	0..1	Reference(Core Practitioner (Медицинский работник))	Медицинский работник
organization	Σ	0..1	Reference(Core Organization (Организация))	Организация
code	Σ	0..*	CodeableConcept	Должность медицинского работника Binding: Core ValueSet Должности медицинских работников (required)
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
PractitionerRole.code	Base	required	Core ValueSet Должности медицинских работников	📦0.2.0	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	PractitionerRole	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	PractitionerRole	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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	PractitionerRole	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	PractitionerRole	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	PractitionerRole	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Differential View

This structure is derived from PractitionerRole

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
PractitionerRole		0..*	PractitionerRole	Roles/organizations the practitioner is associated with
practitioner		0..1	Reference(Core Practitioner (Медицинский работник))	Медицинский работник
organization		0..1	Reference(Core Organization (Организация))	Организация
code		0..*	CodeableConcept	Должность медицинского работника Binding: Core ValueSet Должности медицинских работников (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
PractitionerRole.code	Base	required	Core ValueSet Должности медицинских работников	📦0.2.0	This IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
PractitionerRole		0..*	PractitionerRole	Roles/organizations the practitioner is associated with
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: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Identifiers for a role/location
active	Σ	0..1	boolean	Whether this practitioner role record is in active use
period	Σ	0..1	Period	The period during which the practitioner is authorized to perform in these role(s)
practitioner	Σ	0..1	Reference(Core Practitioner (Медицинский работник))	Медицинский работник
organization	Σ	0..1	Reference(Core Organization (Организация))	Организация
code	Σ	0..*	CodeableConcept	Должность медицинского работника Binding: Core ValueSet Должности медицинских работников (required)
specialty	Σ	0..*	CodeableConcept	Specific specialty of the practitioner Binding: PracticeSettingCodeValueSet (preferred): Specific specialty associated with the agency.
location	Σ	0..*	Reference(Location)	Location(s) where the practitioner provides care
healthcareService		0..*	Reference(HealthcareService)	Healthcare services provided for this role's Organization/Location(s)
contact		0..*	ExtendedContactDetail	Official contact details relating to this PractitionerRole
characteristic		0..*	CodeableConcept	Collection of characteristics (attributes) Binding: ServiceMode (example): A custom attribute that could be provided at a service (e.g. Wheelchair accessibility).
communication		0..*	CodeableConcept	A language the practitioner (in this role) can use in patient communication Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
availability		0..*	Availability	Times the Practitioner is available at this location and/or healthcare service (including exceptions)
endpoint		0..*	Reference(Endpoint)	Endpoints for interacting with the practitioner in this role
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
PractitionerRole.language	Base	required	All Languages	📍5.0.0	FHIR Std.
PractitionerRole.code	Base	required	Core ValueSet Должности медицинских работников	📦0.2.0	This IG
PractitionerRole.specialty	Base	preferred	Practice Setting Code Value Set	📍5.0.0	FHIR Std.
PractitionerRole.characteristic	Base	example	Service Mode	📍5.0.0	FHIR Std.
PractitionerRole.communication	Base	required	All Languages	📍5.0.0	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	PractitionerRole	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	PractitionerRole	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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	PractitionerRole	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	PractitionerRole	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	PractitionerRole	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from PractitionerRole

Summary

Structures

This structure refers to these other structures:

• Core Practitioner (Медицинский работник) (https://fhir.ru/ig/core/StructureDefinition/core-practitioner)
• Core Organization (Организация) (https://fhir.ru/ig/core/StructureDefinition/core-organization)