0.15.0 - ci-build

RuCoreIG, published by HL7 FHIR Россия. This guide is not an authorized publication; it is the continuous build for version 0.15.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/fhir-ru/RuCoreIG/ and changes regularly. See the Directory of published versions

Resource Profile: Core PractitionerRole (Роль медицинского работника)

Official URL: https://fhir.ru/ig/core/StructureDefinition/core-practitionerrole Version: 0.15.0
Active as of 2026-08-25 Computable Name: Core_PractitionerRole

Профиль PractitionerRole для RuCore

Core_PractitionerRole — Профиль роли медицинского работника

Принятые решения по профилированию

Бизнес-требование Атрибут Решение по профилированию
Необходима возможность передать локальный идентификатор роли сотрудника в экземпляре МИС по правилам СЭМД identifier[misPractitionerRole] Определен необязательный срез без discriminator; правило формирования system описано комментарием и проверяется инвариантом
Описание сотрудника должен соответствовать требованиям practitioner Должен быть представлен профилем Core_Practitioner
Описание организации должен соответствовать требованиям organization Должен быть представлен профилем Core_Organization
Должность следует указывать по справочнику должностей медицинских работников НСИ code Должна быть указана по справочнику НСИ МЗ РФ (ValueSet, CodeSystem)

Описание профиля

Профиль Core_PractitionerRole расширяет стандартный ресурс PractitionerRole для поддержки российских требований:

  • Для идентификатора роли сотрудника в экземпляре МИС определен необязательный срез identifier[misPractitionerRole]
  • identifier[misPractitionerRole].system передается как urn:oid:<OID медицинской организации>.<ветка МИС>.<номер МИС>.<номер экземпляра МИС>.70; структура проверяется инвариантом
  • 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

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"

* identifier ^slicing.rules = #open
* identifier ^slicing.description = "Нарезка для идентификаторов роли медицинского работника; срезы распознаются по совокупности установленных для них ограничений"
* identifier contains misPractitionerRole 0..*
* identifier[misPractitionerRole]
  * system 1..1
  * value 1..1
  * obeys core-practitionerrole-mis-system

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

Invariant: core-practitionerrole-mis-system
Description: "Система идентификатора роли медицинского работника в МИС должна быть URI-формой OID, сформированного по правилам СЭМД и оканчивающегося узлом 70"
Severity: #error
Expression: "system.matches('^urn:oid:[0-2]([.](0|[1-9][0-9]*)){2,}[.][1-9][0-9]*[.][1-9][0-9]*[.][1-9][0-9]*[.]70$')"

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
.... identifier:misPractitionerRole ΣC 0..* Identifier Идентификатор роли медицинского работника в экземпляре МИС
Constraints: core-practitionerrole-mis-system
..... 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 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value ΣC 1..1 string The value that is unique
Example General: 123456
... 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 (extensible)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
PractitionerRole.identifier:misPractitionerRole.​use Base required IdentifierUse 📍5.0.0 FHIR Std.
PractitionerRole.code Base extensible Core ValueSet Должности медицинских работников 📦0.15.0 This IG

Constraints

Id Grade Path(s) Description Expression
core-practitionerrole-mis-system error PractitionerRole.identifier:misPractitionerRole Система идентификатора роли медицинского работника в МИС должна быть URI-формой OID, сформированного по правилам СЭМД и оканчивающегося узлом 70 system.matches('^urn:oid:[0-2]([.](0|[1-9][0-9]*)){2,}[.][1-9][0-9]*[.][1-9][0-9]*[.][1-9][0-9]*[.]70$')
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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. PractitionerRole 0..* PractitionerRole Roles/organizations the practitioner is associated with
... Slices for identifier 0..* Identifier Identifiers for a role/location
Slice: Unordered, Open by
.... identifier:misPractitionerRole C 0..* Identifier Идентификатор роли медицинского работника в экземпляре МИС
Constraints: core-practitionerrole-mis-system
..... system 1..1 uri The namespace for the identifier value
..... value 1..1 string The value that is unique
... practitioner 0..1 Reference(Core Practitioner (Медицинский работник)) Медицинский работник
... organization 0..1 Reference(Core Organization (Организация)) Организация

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
PractitionerRole.code Base extensible Core ValueSet Должности медицинских работников 📦0.15.0 This IG

Constraints

Id Grade Path(s) Description Expression
core-practitionerrole-mis-system error PractitionerRole.identifier:misPractitionerRole Система идентификатора роли медицинского работника в МИС должна быть URI-формой OID, сформированного по правилам СЭМД и оканчивающегося узлом 70 system.matches('^urn:oid:[0-2]([.](0|[1-9][0-9]*)){2,}[.][1-9][0-9]*[.][1-9][0-9]*[.][1-9][0-9]*[.]70$')
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
... 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
... Slices for identifier Σ 0..* Identifier Identifiers for a role/location
Slice: Unordered, Open by
.... identifier:misPractitionerRole ΣC 0..* Identifier Идентификатор роли медицинского работника в экземпляре МИС
Constraints: core-practitionerrole-mis-system
..... id 0..1 id 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: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
..... system Σ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value ΣC 1..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)
... 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 (extensible)
... 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 BindingsPurpose
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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
PractitionerRole.language Base required All Languages 📍5.0.0 FHIR Std.
PractitionerRole.identifier:misPractitionerRole.​use Base required IdentifierUse 📍5.0.0 FHIR Std.
PractitionerRole.identifier:misPractitionerRole.​type Base extensible Identifier Type Codes 📍5.0.0 FHIR Std.
PractitionerRole.code Base extensible Core ValueSet Должности медицинских работников 📦0.15.0 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
core-practitionerrole-mis-system error PractitionerRole.identifier:misPractitionerRole Система идентификатора роли медицинского работника в МИС должна быть URI-формой OID, сформированного по правилам СЭМД и оканчивающегося узлом 70 system.matches('^urn:oid:[0-2]([.](0|[1-9][0-9]*)){2,}[.][1-9][0-9]*[.][1-9][0-9]*[.][1-9][0-9]*[.]70$')
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

Mandatory: 0 element(2 nested mandatory elements)

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • There is a slice with no discriminator at PractitionerRole.identifier

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
.... identifier:misPractitionerRole ΣC 0..* Identifier Идентификатор роли медицинского работника в экземпляре МИС
Constraints: core-practitionerrole-mis-system
..... 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 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value ΣC 1..1 string The value that is unique
Example General: 123456
... 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 (extensible)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
PractitionerRole.identifier:misPractitionerRole.​use Base required IdentifierUse 📍5.0.0 FHIR Std.
PractitionerRole.code Base extensible Core ValueSet Должности медицинских работников 📦0.15.0 This IG

Constraints

Id Grade Path(s) Description Expression
core-practitionerrole-mis-system error PractitionerRole.identifier:misPractitionerRole Система идентификатора роли медицинского работника в МИС должна быть URI-формой OID, сформированного по правилам СЭМД и оканчивающегося узлом 70 system.matches('^urn:oid:[0-2]([.](0|[1-9][0-9]*)){2,}[.][1-9][0-9]*[.][1-9][0-9]*[.][1-9][0-9]*[.]70$')
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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. PractitionerRole 0..* PractitionerRole Roles/organizations the practitioner is associated with
... Slices for identifier 0..* Identifier Identifiers for a role/location
Slice: Unordered, Open by
.... identifier:misPractitionerRole C 0..* Identifier Идентификатор роли медицинского работника в экземпляре МИС
Constraints: core-practitionerrole-mis-system
..... system 1..1 uri The namespace for the identifier value
..... value 1..1 string The value that is unique
... practitioner 0..1 Reference(Core Practitioner (Медицинский работник)) Медицинский работник
... organization 0..1 Reference(Core Organization (Организация)) Организация

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
PractitionerRole.code Base extensible Core ValueSet Должности медицинских работников 📦0.15.0 This IG

Constraints

Id Grade Path(s) Description Expression
core-practitionerrole-mis-system error PractitionerRole.identifier:misPractitionerRole Система идентификатора роли медицинского работника в МИС должна быть URI-формой OID, сформированного по правилам СЭМД и оканчивающегося узлом 70 system.matches('^urn:oid:[0-2]([.](0|[1-9][0-9]*)){2,}[.][1-9][0-9]*[.][1-9][0-9]*[.][1-9][0-9]*[.]70$')

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
... 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
... Slices for identifier Σ 0..* Identifier Identifiers for a role/location
Slice: Unordered, Open by
.... identifier:misPractitionerRole ΣC 0..* Identifier Идентификатор роли медицинского работника в экземпляре МИС
Constraints: core-practitionerrole-mis-system
..... id 0..1 id 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: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
..... system Σ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value ΣC 1..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)
... 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 (extensible)
... 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 BindingsPurpose
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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
PractitionerRole.language Base required All Languages 📍5.0.0 FHIR Std.
PractitionerRole.identifier:misPractitionerRole.​use Base required IdentifierUse 📍5.0.0 FHIR Std.
PractitionerRole.identifier:misPractitionerRole.​type Base extensible Identifier Type Codes 📍5.0.0 FHIR Std.
PractitionerRole.code Base extensible Core ValueSet Должности медицинских работников 📦0.15.0 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
core-practitionerrole-mis-system error PractitionerRole.identifier:misPractitionerRole Система идентификатора роли медицинского работника в МИС должна быть URI-формой OID, сформированного по правилам СЭМД и оканчивающегося узлом 70 system.matches('^urn:oid:[0-2]([.](0|[1-9][0-9]*)){2,}[.][1-9][0-9]*[.][1-9][0-9]*[.][1-9][0-9]*[.]70$')
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

Mandatory: 0 element(2 nested mandatory elements)

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • There is a slice with no discriminator at PractitionerRole.identifier

 

Other representations of profile: CSV, Excel, Schematron