HL7 Italia FHIR Implementation Guide (base)
0.1.1 - CI Build
IT
HL7 Italia FHIR Implementation Guide (base)
0.1.1 - CI Build
IT
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
| Official URL: http://hl7.it/fhir/StructureDefinition/PractitionerRole-it-mmg | Version: 0.1.1 | |||
| Draft as of 2025-11-18 | Computable Name: PractitionerRoleMMG | |||
Profilo base specifico per PractitionerRole: include le informazioni minime per descrivere un Medico Medicina Generale od un Pediatra di Libera Scelta e la sua ASL di appartenenza
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  PractitionerRole |
0..* | PractitionerRoleItBase | Roles/organizations the practitioner is associated with | |
  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 |
SΣ | 0..* | Identifier | Identificativo del MMG/PLS (e.g. Codice Fiscale, ID Regionale) Slice: Unordered, Open by pattern:$this |
   identifier:codiceFiscale |
SΣ | 0..1 | Identifier | Business Identifiers that are specific to a role/location Required Pattern: At least the following |
  id |
0..1 | string | Unique id for inter-element referencing | |
 extension |
0..* | Extension | Additional content defined by implementations | |
| use |
0..1 | code | usual | official | temp | secondary | old (If known) | |
| type |
0..1 | CodeableConcept | Description of identifier | |
 system |
1..1 | uri | The namespace for the identifier value Fixed Value: http://hl7.it/sid/codiceFiscale | |
| value |
0..1 | string | The value that is unique | |
| period |
0..1 | Period | Time period when id is/was valid for use | |
 assigner |
0..1 | Reference(Organization) | Organization that issued id (may be just text) | |
| period |
SΣ | 0..1 | Period | The period during which the practitioner is authorized to perform in these role(s) |
 practitioner |
SΣ | 0..1 | Reference(Practitioner - base) | Dettagli del Medico |
| organization |
SΣ | 0..1 | Reference(Organization - Operatore sanitario/socio sanitario) | Azienda Sanitaria di Appartenenza |
 code |
SΣ | 0..* | CodeableConcept | Roles which this practitioner may perform Binding: http://terminology.hl7.it/ValueSet/mmgOrPls (required) |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| PractitionerRole.code | Base | required | http://terminology.hl7.it/ValueSet/mmgOrPls | Not State | Unknown |
| 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().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 | 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 PractitionerRoleItBase
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| PractitionerRole |
0..* | PractitionerRoleItBase | Roles/organizations the practitioner is associated with | |
 identifier |
0..* | Identifier | Identificativo del MMG/PLS (e.g. Codice Fiscale, ID Regionale) | |
| practitioner |
0..1 | Reference(Practitioner - base) | Dettagli del Medico | |
| organization |
0..1 | Reference(Organization - Operatore sanitario/socio sanitario) | Azienda Sanitaria di Appartenenza | |
| code |
0..* | CodeableConcept | Roles which this practitioner may perform Binding: http://terminology.hl7.it/ValueSet/mmgOrPls (required) | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| PractitionerRole.code | Base | required | http://terminology.hl7.it/ValueSet/mmgOrPls | Not State | Unknown |
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| PractitionerRole |
0..* | PractitionerRoleItBase | 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: CommonLanguages (preferred): A human language.
| |||||
| 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 |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| Slices for identifier |
SΣ | 0..* | Identifier | Identificativo del MMG/PLS (e.g. Codice Fiscale, ID Regionale) Slice: Unordered, Open by pattern:$this | ||||
| identifier:codiceFiscale |
SΣ | 0..1 | Identifier | Business Identifiers that are specific to a role/location Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| use |
0..1 | code | usual | official | temp | secondary | old (If known) | |||||
| type |
0..1 | CodeableConcept | Description of identifier | |||||
| system |
1..1 | uri | The namespace for the identifier value Fixed Value: http://hl7.it/sid/codiceFiscale | |||||
| value |
0..1 | string | The value that is unique | |||||
| period |
0..1 | Period | Time period when id is/was valid for use | |||||
| assigner |
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 |
SΣ | 0..1 | Period | The period during which the practitioner is authorized to perform in these role(s) | ||||
| practitioner |
SΣ | 0..1 | Reference(Practitioner - base) | Dettagli del Medico | ||||
| organization |
SΣ | 0..1 | Reference(Organization - Operatore sanitario/socio sanitario) | Azienda Sanitaria di Appartenenza | ||||
| code |
SΣ | 0..* | CodeableConcept | Roles which this practitioner may perform Binding: http://terminology.hl7.it/ValueSet/mmgOrPls (required) | ||||
| specialty |
Σ | 0..* | CodeableConcept | Specific specialty of the practitioner Binding: PracticeSettingCodeValueSet (preferred): Specific specialty associated with the agency. | ||||
| location |
Σ | 0..* | Reference(Location) | The location(s) at which this practitioner provides care | ||||
| healthcareService |
0..* | Reference(HealthcareService) | The list of healthcare services that this worker provides for this role's Organization/Location(s) | |||||
| telecom |
Σ | 0..* | ContactPoint | Contact details that are specific to the role/location/service | ||||
| availableTime |
0..* | BackboneElement | Times the Service Site is available | |||||
| 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 | ||||
| daysOfWeek |
0..* | code | mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required): The days of the week. | |||||
| allDay |
0..1 | boolean | Always available? e.g. 24 hour service | |||||
| availableStartTime |
0..1 | time | Opening time of day (ignored if allDay = true) | |||||
| availableEndTime |
0..1 | time | Closing time of day (ignored if allDay = true) | |||||
| notAvailable |
0..* | BackboneElement | Not available during this time due to provided reason | |||||
| 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 | ||||
| description |
1..1 | string | Reason presented to the user explaining why time not available | |||||
| during |
0..1 | Period | Service not available from this date | |||||
| availabilityExceptions |
0..1 | string | Description of availability exceptions | |||||
| endpoint |
0..* | Reference(Endpoint) | Technical endpoints providing access to services operated for the practitioner with this role | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| PractitionerRole.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| PractitionerRole.code | Base | required | http://terminology.hl7.it/ValueSet/mmgOrPls | Not State | Unknown |
| PractitionerRole.specialty | Base | preferred | Practice Setting Code Value Set | 📍4.0.1 | FHIR Std. |
| PractitionerRole.availableTime.daysOfWeek | Base | required | DaysOfWeek | 📍4.0.1 | FHIR Std. |
| 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().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 | 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 PractitionerRoleItBase
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| PractitionerRole |
0..* | PractitionerRoleItBase | Roles/organizations the practitioner is associated with | |
| 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 |
SΣ | 0..* | Identifier | Identificativo del MMG/PLS (e.g. Codice Fiscale, ID Regionale) Slice: Unordered, Open by pattern:$this |
| identifier:codiceFiscale |
SΣ | 0..1 | Identifier | Business Identifiers that are specific to a role/location Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| use |
0..1 | code | usual | official | temp | secondary | old (If known) | |
| type |
0..1 | CodeableConcept | Description of identifier | |
| system |
1..1 | uri | The namespace for the identifier value Fixed Value: http://hl7.it/sid/codiceFiscale | |
| value |
0..1 | string | The value that is unique | |
| period |
0..1 | Period | Time period when id is/was valid for use | |
| assigner |
0..1 | Reference(Organization) | Organization that issued id (may be just text) | |
| period |
SΣ | 0..1 | Period | The period during which the practitioner is authorized to perform in these role(s) |
| practitioner |
SΣ | 0..1 | Reference(Practitioner - base) | Dettagli del Medico |
| organization |
SΣ | 0..1 | Reference(Organization - Operatore sanitario/socio sanitario) | Azienda Sanitaria di Appartenenza |
| code |
SΣ | 0..* | CodeableConcept | Roles which this practitioner may perform Binding: http://terminology.hl7.it/ValueSet/mmgOrPls (required) |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| PractitionerRole.code | Base | required | http://terminology.hl7.it/ValueSet/mmgOrPls | Not State | Unknown |
| 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().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 | 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 PractitionerRoleItBase
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| PractitionerRole |
0..* | PractitionerRoleItBase | Roles/organizations the practitioner is associated with | |
| identifier |
0..* | Identifier | Identificativo del MMG/PLS (e.g. Codice Fiscale, ID Regionale) | |
| practitioner |
0..1 | Reference(Practitioner - base) | Dettagli del Medico | |
| organization |
0..1 | Reference(Organization - Operatore sanitario/socio sanitario) | Azienda Sanitaria di Appartenenza | |
| code |
0..* | CodeableConcept | Roles which this practitioner may perform Binding: http://terminology.hl7.it/ValueSet/mmgOrPls (required) | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| PractitionerRole.code | Base | required | http://terminology.hl7.it/ValueSet/mmgOrPls | Not State | Unknown |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| PractitionerRole |
0..* | PractitionerRoleItBase | 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: CommonLanguages (preferred): A human language.
| |||||
| 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 |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| Slices for identifier |
SΣ | 0..* | Identifier | Identificativo del MMG/PLS (e.g. Codice Fiscale, ID Regionale) Slice: Unordered, Open by pattern:$this | ||||
| identifier:codiceFiscale |
SΣ | 0..1 | Identifier | Business Identifiers that are specific to a role/location Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| use |
0..1 | code | usual | official | temp | secondary | old (If known) | |||||
| type |
0..1 | CodeableConcept | Description of identifier | |||||
| system |
1..1 | uri | The namespace for the identifier value Fixed Value: http://hl7.it/sid/codiceFiscale | |||||
| value |
0..1 | string | The value that is unique | |||||
| period |
0..1 | Period | Time period when id is/was valid for use | |||||
| assigner |
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 |
SΣ | 0..1 | Period | The period during which the practitioner is authorized to perform in these role(s) | ||||
| practitioner |
SΣ | 0..1 | Reference(Practitioner - base) | Dettagli del Medico | ||||
| organization |
SΣ | 0..1 | Reference(Organization - Operatore sanitario/socio sanitario) | Azienda Sanitaria di Appartenenza | ||||
| code |
SΣ | 0..* | CodeableConcept | Roles which this practitioner may perform Binding: http://terminology.hl7.it/ValueSet/mmgOrPls (required) | ||||
| specialty |
Σ | 0..* | CodeableConcept | Specific specialty of the practitioner Binding: PracticeSettingCodeValueSet (preferred): Specific specialty associated with the agency. | ||||
| location |
Σ | 0..* | Reference(Location) | The location(s) at which this practitioner provides care | ||||
| healthcareService |
0..* | Reference(HealthcareService) | The list of healthcare services that this worker provides for this role's Organization/Location(s) | |||||
| telecom |
Σ | 0..* | ContactPoint | Contact details that are specific to the role/location/service | ||||
| availableTime |
0..* | BackboneElement | Times the Service Site is available | |||||
| 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 | ||||
| daysOfWeek |
0..* | code | mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required): The days of the week. | |||||
| allDay |
0..1 | boolean | Always available? e.g. 24 hour service | |||||
| availableStartTime |
0..1 | time | Opening time of day (ignored if allDay = true) | |||||
| availableEndTime |
0..1 | time | Closing time of day (ignored if allDay = true) | |||||
| notAvailable |
0..* | BackboneElement | Not available during this time due to provided reason | |||||
| 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 | ||||
| description |
1..1 | string | Reason presented to the user explaining why time not available | |||||
| during |
0..1 | Period | Service not available from this date | |||||
| availabilityExceptions |
0..1 | string | Description of availability exceptions | |||||
| endpoint |
0..* | Reference(Endpoint) | Technical endpoints providing access to services operated for the practitioner with this role | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| PractitionerRole.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| PractitionerRole.code | Base | required | http://terminology.hl7.it/ValueSet/mmgOrPls | Not State | Unknown |
| PractitionerRole.specialty | Base | preferred | Practice Setting Code Value Set | 📍4.0.1 | FHIR Std. |
| PractitionerRole.availableTime.daysOfWeek | Base | required | DaysOfWeek | 📍4.0.1 | FHIR Std. |
| 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().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 | 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 PractitionerRoleItBase
Other representations of profile: CSV, Excel, Schematron