HL7 Italia FHIR Implementation Guide (base)
0.1.1 - CI Build Italy flag

HL7 Italia FHIR Implementation Guide (base), published by HL7 Italia. This guide is not an authorized publication; it is the continuous build for version 0.1.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-it/base/ and changes regularly. See the Directory of published versions

Resource Profile: PractitionerRoleItBase - Detailed Descriptions

Draft as of 2025-03-14

Definitions for the PractitionerRole-it-base resource profile.

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

0. PractitionerRole
Definition

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

ShortRoles/organizations the practitioner is associated with
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())
2. PractitionerRole.implicitRules
Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

ShortA set of rules under which this content was created
Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

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

May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

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

ShortExtensions that cannot be ignored
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

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

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

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

Business Identifiers that are specific to a role/location.

ShortIdentificativo dell'operatore (e.g. Codice Fiscale, ID Regionale)Business Identifiers that are specific to a role/location
NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..*
TypeIdentifier
Is Modifierfalse
Must Supporttrue
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 PractitionerRole.identifier. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • pattern @ $this
  • 8. PractitionerRole.identifier:codiceFiscale
    Slice NamecodiceFiscale
    Definition

    Business Identifiers that are specific to a role/location.

    ShortBusiness Identifiers that are specific to a role/location
    NoteThis is a business identifier, not a resource identifier (see discussion)
    Control0..1*
    TypeIdentifier
    Is Modifierfalse
    Must Supporttrue
    Summarytrue
    Requirements

    Often, specific identities are assigned for the agent.

    Pattern Value{
      "system" : "http://hl7.it/sid/codiceFiscale"
    }
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    10. PractitionerRole.period
    Definition

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

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

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

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

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

    ShortDettagli dell'operatorePractitioner that is able to provide the defined services for the organization
    Control0..1
    TypeReference(Practitioner - base, Practitioner)
    Is Modifierfalse
    Must Supporttrue
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    14. PractitionerRole.organization
    Definition

    The organization where the Practitioner performs the roles associated.

    ShortOrganizzazione di AppartenenzaOrganization where the roles are available
    Control0..1
    TypeReference(Organization - base, Organization)
    Is Modifierfalse
    Must Supporttrue
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    16. PractitionerRole.code
    Definition

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

    ShortRoles which this practitioner may perform
    Comments

    A person may have more than one role.

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

    The role a person plays representing an organization.

    TypeCodeableConcept
    Is Modifierfalse
    Must Supporttrue
    Summarytrue
    Requirements

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

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