AU Patient Summary Implementation Guide
0.5.0-cibuild - CI Build Australia flag

AU Patient Summary Implementation Guide, published by HL7 Australia. This guide is not an authorized publication; it is the continuous build for version 0.5.0-cibuild built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7au/au-fhir-ps/ and changes regularly. See the Directory of published versions

Resource Profile: AUPSPractitioner - Detailed Descriptions

Page standards status: Draft Maturity Level: 0

Definitions for the au-ps-practitioner resource profile.

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

0. Practitioner
ShortA person with a formal responsibility in the provisioning of services
Complies with ProfileThis profile complies with the profile
2. Practitioner.identifier
NoteThis is a business identifier, not a resource identifier (see discussion)
Obligations
    ObligationsActor
    SHALL:populate-if-knownAU PS Producer
    SHALL:handleAU PS Consumer
    SHOULD:displayAU PS Consumer
    4. Practitioner.identifier:hpii
    Slice Namehpii
    NoteThis is a business identifier, not a resource identifier (see discussion)
    Obligations
      ObligationsActor
      SHALL:populate-if-knownAU PS Producer
      SHALL:handleAU PS Consumer
      SHOULD:displayAU PS Consumer
      6. Practitioner.name
      Obligations
        ObligationsActor
        SHALL:populate-if-knownAU PS Producer
        SHALL:handleAU PS Consumer
        SHOULD:displayAU PS Consumer
        8. Practitioner.name.family
        Obligations
          ObligationsActor
          SHALL:populate-if-knownAU PS Producer
          SHALL:handleAU PS Consumer
          SHOULD:displayAU PS Consumer
          10. Practitioner.name.given
          Obligations
            ObligationsActor
            SHALL:populate-if-knownAU PS Producer
            SHALL:handleAU PS Consumer
            SHOULD:displayAU PS Consumer
            12. Practitioner.telecom
            Must Supporttrue
            Obligations
              ObligationsActor
              SHALL:populate-if-knownAU PS Producer
              SHALL:handleAU PS Consumer
              SHOULD:displayAU PS Consumer
              14. Practitioner.address
              Must Supporttrue
              Obligations
                ObligationsActor
                SHALL:populate-if-knownAU PS Producer
                SHALL:handleAU PS Consumer
                SHOULD:displayAU PS Consumer

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

                0. Practitioner
                Definition

                A person who is directly or indirectly involved in the provisioning of healthcare.

                ShortA person with a formal responsibility in the provisioning of servicesA person with a formal responsibility in the provisioning of healthcare or related services
                Control0..*
                Is Modifierfalse
                Complies with ProfileThis profile complies with the profile
                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())
                inv-pra-0: Individual gender identity shall be a member of the Gender Identity Response value set if any codes within that value set can apply (extension('http://hl7.org/fhir/StructureDefinition/individual-genderIdentity').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-genderIdentity').all(extension('value').value.memberOf('https://healthterminologies.gov.au/fhir/ValueSet/gender-identity-response-1')))
                inv-pra-1: Individual pronouns shall be a member of the Australian Pronouns value set if any codes within that value set can apply (extension('http://hl7.org/fhir/StructureDefinition/individual-pronouns').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-pronouns').all(extension('value').value.memberOf('https://healthterminologies.gov.au/fhir/ValueSet/australian-pronouns-1')))
                inv-pra-2: Recorded sex or gender type shall be a member of the AU Recorded Sex or Gender Type value set if any codes within that value set can apply (extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('type').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').all(extension('type').value.memberOf('http://terminology.hl7.org.au/ValueSet/rsg-type')))
                inv-pra-3: Recorded sex or gender source document type shall be a member of the AU Recorded Sex or Gender (RSG) Source Document Type value set if any codes within that value set can apply (extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('sourceDocument').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').all(extension('sourceDocument').value.memberOf('http://terminology.hl7.org.au/ValueSet/rsg-document-type')))
                inv-pra-4: Recorded sex or gender jurisdiction shall be a member of the Jurisdiction ValueSet - AU Extended value set if any codes within that value set can apply (extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('jurisdiction').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').all(extension('jurisdiction').value.memberOf('http://terminology.hl7.org.au/ValueSet/jurisdiction-extended')))
                2. Practitioner.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. Practitioner.extension:genderIdentity
                Slice NamegenderIdentity
                Definition

                An individual's personal sense of being a man, woman, boy, girl, nonbinary, or something else.

                ShortGender identity shall be a member of the Gender Identity Response value set if any codes within that value set can apply
                Comments

                The individual's gender identity is populated in the extension:value.value[x] of the Individual Gender Identity extension and shall contain one of the codes from the Gender Identity Response value set if any of the codes within the value set can apply.

                See Australian Bureau of Statics (ABS) Standard for Sex, Gender, Variations of Sex Characteristics and Sexual Orientation Variables, 2020 for further materials.

                Control0..*
                This element is affected by the following invariants: inv-pra-1
                TypeExtension(Individual Gender Identity) (Complex Extension)
                Is Modifierfalse
                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. Practitioner.extension:individualPronouns
                Slice NameindividualPronouns
                Definition

                The pronouns to use when referring to an individual in verbal or written communication.

                ShortPronouns shall be a member of the Australian Pronouns value set if any codes within that value set can apply
                Comments

                The individual's pronouns are populated in the extension:value.value[x] of the Individual Pronouns extension and shall contain one of the codes from the Australian Pronouns value set if any of the codes within the value set can apply.

                Control0..*
                TypeExtension(Individual Pronouns) (Complex Extension)
                Is Modifierfalse
                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())
                8. Practitioner.extension:recordedSexOrGender
                Slice NamerecordedSexOrGender
                Definition

                A sex or gender property for the individual from a document or other record

                ShortRecorded sex or gender type shall be a member of the AU Recorded Sex or Gender Type value set if any codes within that value set can apply. Recorded sex or gender source document type shall be a member of the AU Recorded Sex or Gender (RSG) Source Document Type value set if any codes within that value set can apply. Recorded sex or gender jurisdiction shall be a member of the Jurisdiction ValueSet - AU Extended value set if any codes within that value set can apply
                Comments

                The type of recorded sex or gender is populated in the extension:type.value[x] of the Person Recorded Sex or Gender extension and shall contain one of the codes from the AU Recorded Sex or Gender Type value set if any of the codes within the value set can apply.

                The document from which the sex or gender property was acquired is populated in the extension:sourceDocument.value[x] of the Person Recorded Sex or Gender extension and shall contain one of the codes from the AU Recorded Sex or Gender (RSG) Source Document Type value set if any of the codes within the value set can apply.

                The jurisdiction that issued the document where the sex or gender was acquired is populated in the extension:jurisdiction.value[x] of the Person Recorded Sex or Gender extension and shall contain one of the codes from the Jurisdiction ValueSet - AU Extended value set if any of the codes within the value set can apply.

                Control0..*
                This element is affected by the following invariants: inv-pra-2, inv-pra-3, inv-pra-4
                TypeExtension(Person Recorded Sex Or Gender) (Complex Extension)
                Is Modifierfalse
                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())
                10. Practitioner.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())
                12. Practitioner.identifier
                Definition

                An identifier that applies to this person in this role.

                ShortAn identifier for the person as this agent
                NoteThis is a business identifier, not a resource identifier (see discussion)
                Control0..*
                TypeIdentifier(Identifier, AU HPI-I, AU PBS Prescriber Number, AU Care Agency Employee Identifier, AU Ahpra Registration Number)
                Is Modifierfalse
                Must Supporttrue
                Must Support TypesNo must-support rules about the choice of types/profiles
                Obligations
                  ObligationsActor
                  SHALL:populate-if-knownAU PS Producer
                  SHALL:handleAU PS Consumer
                  SHOULD:displayAU PS Consumer
                  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 Practitioner.identifier. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                  • pattern @ type
                  • 14. Practitioner.identifier:hpii
                    Slice Namehpii
                    Definition

                    An identifier that applies to this person in this role.

                    ShortAn identifier for the person as this agent
                    NoteThis is a business identifier, not a resource identifier (see discussion)
                    Control0..1*
                    TypeIdentifier(AU HPI-I)
                    Is Modifierfalse
                    Must Supporttrue
                    Obligations
                      ObligationsActor
                      SHALL:populate-if-knownAU PS Producer
                      SHALL:handleAU PS Consumer
                      SHOULD:displayAU PS Consumer
                      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()))
                      16. Practitioner.name
                      Definition

                      The name(s) associated with the practitioner.

                      ShortThe name(s) associated with the practitioner
                      Comments

                      The selection of the use property should ensure that there is a single usual name specified, and others use the nickname (alias), old, or other values as appropriate.

                      In general, select the value to be used in the ResourceReference.display based on this:

                      1. There is more than 1 name
                      2. Use = usual
                      3. Period is current to the date of the usage
                      4. Use = official
                      5. Other order as decided by internal business rules.
                      Control10..*
                      TypeHumanName
                      Is Modifierfalse
                      Must Supporttrue
                      Obligations
                        ObligationsActor
                        SHALL:populate-if-knownAU PS Producer
                        SHALL:handleAU PS Consumer
                        SHOULD:displayAU PS Consumer
                        Summarytrue
                        Requirements

                        The name(s) that a Practitioner is known by. Where there are multiple, the name that the practitioner is usually known as should be used in the display.

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

                        Identifies the purpose for this name.

                        Shortusual | official | temp | nickname | anonymous | old | maiden
                        Comments

                        Applications can assume that a name is current unless it explicitly says that it is temporary or old.

                        Control0..1
                        BindingThe codes SHALL be taken from NameUsehttp://hl7.org/fhir/ValueSet/name-use|4.0.1
                        (required to http://hl7.org/fhir/ValueSet/name-use|4.0.1)

                        The use of a human name.

                        Typecode
                        Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Requirements

                        Allows the appropriate name for a particular context of use to be selected from among a set of names.

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

                        The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.

                        ShortFamily name (often called 'Surname')
                        Comments

                        Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).

                        Control10..1
                        Typestring
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Must Supporttrue
                        Obligations
                          ObligationsActor
                          SHALL:populate-if-knownAU PS Producer
                          SHALL:handleAU PS Consumer
                          SHOULD:displayAU PS Consumer
                          Summarytrue
                          Alternate Namessurname
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          22. Practitioner.name.given
                          Definition

                          Given name.

                          ShortGiven names (not always 'first'). Includes middle names
                          Comments

                          If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first.

                          Control0..*
                          Typestring
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Must Supporttrue
                          Obligations
                            ObligationsActor
                            SHALL:populate-if-knownAU PS Producer
                            SHALL:handleAU PS Consumer
                            SHOULD:displayAU PS Consumer
                            Summarytrue
                            Alternate Namesfirst name, middle name
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            24. Practitioner.telecom
                            Definition

                            A contact detail for the practitioner, e.g. a telephone number or an email address.

                            ShortA contact detail for the practitioner (that apply to all roles)
                            Comments

                            Person may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and to help with identification. These typically will have home numbers, or mobile numbers that are not role specific.

                            Control0..*
                            TypeContactPoint
                            Is Modifierfalse
                            Must Supporttrue
                            Obligations
                              ObligationsActor
                              SHALL:populate-if-knownAU PS Producer
                              SHALL:handleAU PS Consumer
                              SHOULD:displayAU PS Consumer
                              Summarytrue
                              Requirements

                              Need to know how to reach a practitioner independent to any roles the practitioner may have.

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

                              Address(es) of the practitioner that are not role specific (typically home address). Work addresses are not typically entered in this property as they are usually role dependent.

                              ShortAddress(es) of the practitioner that are not role specific (typically home address)
                              Comments

                              The address is intended to describe postal addresses for administrative purposes, not to describe absolute geographical coordinates. Postal addresses are often used as proxies for physical locations (also see the Location resource).


                              The PractitionerRole does not have an address value on it, as it is expected that the location property be used for this purpose (which has an address).

                              Control0..*
                              TypeAddress(Address, Australian Address)
                              Is Modifierfalse
                              Must Supporttrue
                              Must Support TypesNo must-support rules about the choice of types/profiles
                              Obligations
                                ObligationsActor
                                SHALL:populate-if-knownAU PS Producer
                                SHALL:handleAU PS Consumer
                                SHOULD:displayAU PS Consumer
                                Summarytrue
                                Requirements

                                The home/mailing address of the practitioner is often required for employee administration purposes, and also for some rostering services where the start point (practitioners home) can be used in calculations.

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

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

                                0. Practitioner
                                Definition

                                A person who is directly or indirectly involved in the provisioning of healthcare.

                                ShortA person with a formal responsibility in the provisioning of services
                                Control0..*
                                Is Modifierfalse
                                Complies with ProfileThis profile complies with the profile
                                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())
                                inv-pra-0: Individual gender identity shall be a member of the Gender Identity Response value set if any codes within that value set can apply (extension('http://hl7.org/fhir/StructureDefinition/individual-genderIdentity').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-genderIdentity').all(extension('value').value.memberOf('https://healthterminologies.gov.au/fhir/ValueSet/gender-identity-response-1')))
                                inv-pra-1: Individual pronouns shall be a member of the Australian Pronouns value set if any codes within that value set can apply (extension('http://hl7.org/fhir/StructureDefinition/individual-pronouns').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-pronouns').all(extension('value').value.memberOf('https://healthterminologies.gov.au/fhir/ValueSet/australian-pronouns-1')))
                                inv-pra-2: Recorded sex or gender type shall be a member of the AU Recorded Sex or Gender Type value set if any codes within that value set can apply (extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('type').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').all(extension('type').value.memberOf('http://terminology.hl7.org.au/ValueSet/rsg-type')))
                                inv-pra-3: Recorded sex or gender source document type shall be a member of the AU Recorded Sex or Gender (RSG) Source Document Type value set if any codes within that value set can apply (extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('sourceDocument').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').all(extension('sourceDocument').value.memberOf('http://terminology.hl7.org.au/ValueSet/rsg-document-type')))
                                inv-pra-4: Recorded sex or gender jurisdiction shall be a member of the Jurisdiction ValueSet - AU Extended value set if any codes within that value set can apply (extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('jurisdiction').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').all(extension('jurisdiction').value.memberOf('http://terminology.hl7.org.au/ValueSet/jurisdiction-extended')))
                                2. Practitioner.id
                                Definition

                                The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

                                ShortLogical id of this artifact
                                Comments

                                The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

                                Control0..1
                                Typeid
                                Is Modifierfalse
                                Summarytrue
                                4. Practitioner.meta
                                Definition

                                The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

                                ShortMetadata about the resource
                                Control0..1
                                TypeMeta
                                Is Modifierfalse
                                Summarytrue
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                6. Practitioner.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()))
                                8. Practitioner.language
                                Definition

                                The base language in which the resource is written.

                                ShortLanguage of the resource content
                                Comments

                                Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

                                Control0..1
                                BindingThe codes SHOULD be taken from CommonLanguages
                                (preferred to http://hl7.org/fhir/ValueSet/languages)

                                A human language.

                                Additional BindingsPurpose
                                AllLanguagesMax Binding
                                Typecode
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summaryfalse
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                10. Practitioner.text
                                Definition

                                A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

                                ShortText summary of the resource, for human interpretation
                                Comments

                                Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

                                Control0..1
                                TypeNarrative
                                Is Modifierfalse
                                Summaryfalse
                                Alternate Namesnarrative, html, xhtml, display
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                12. Practitioner.contained
                                Definition

                                These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

                                ShortContained, inline Resources
                                Comments

                                This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

                                Control0..*
                                TypeResource
                                Is Modifierfalse
                                Summaryfalse
                                Alternate Namesinline resources, anonymous resources, contained resources
                                14. Practitioner.extension
                                Definition

                                An Extension

                                ShortExtension
                                Control0..*
                                TypeExtension
                                Is Modifierfalse
                                Summaryfalse
                                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())
                                SlicingThis element introduces a set of slices on Practitioner.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                • value @ url
                                • 16. Practitioner.extension:genderIdentity
                                  Slice NamegenderIdentity
                                  Definition

                                  An individual's personal sense of being a man, woman, boy, girl, nonbinary, or something else.

                                  ShortGender identity shall be a member of the Gender Identity Response value set if any codes within that value set can apply
                                  Comments

                                  The individual's gender identity is populated in the extension:value.value[x] of the Individual Gender Identity extension and shall contain one of the codes from the Gender Identity Response value set if any of the codes within the value set can apply.

                                  See Australian Bureau of Statics (ABS) Standard for Sex, Gender, Variations of Sex Characteristics and Sexual Orientation Variables, 2020 for further materials.

                                  Control0..*
                                  This element is affected by the following invariants: inv-pra-1
                                  TypeExtension(Individual Gender Identity) (Complex Extension)
                                  Is Modifierfalse
                                  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())
                                  18. Practitioner.extension:individualPronouns
                                  Slice NameindividualPronouns
                                  Definition

                                  The pronouns to use when referring to an individual in verbal or written communication.

                                  ShortPronouns shall be a member of the Australian Pronouns value set if any codes within that value set can apply
                                  Comments

                                  The individual's pronouns are populated in the extension:value.value[x] of the Individual Pronouns extension and shall contain one of the codes from the Australian Pronouns value set if any of the codes within the value set can apply.

                                  Control0..*
                                  TypeExtension(Individual Pronouns) (Complex Extension)
                                  Is Modifierfalse
                                  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())
                                  20. Practitioner.extension:recordedSexOrGender
                                  Slice NamerecordedSexOrGender
                                  Definition

                                  A sex or gender property for the individual from a document or other record

                                  ShortRecorded sex or gender type shall be a member of the AU Recorded Sex or Gender Type value set if any codes within that value set can apply. Recorded sex or gender source document type shall be a member of the AU Recorded Sex or Gender (RSG) Source Document Type value set if any codes within that value set can apply. Recorded sex or gender jurisdiction shall be a member of the Jurisdiction ValueSet - AU Extended value set if any codes within that value set can apply
                                  Comments

                                  The type of recorded sex or gender is populated in the extension:type.value[x] of the Person Recorded Sex or Gender extension and shall contain one of the codes from the AU Recorded Sex or Gender Type value set if any of the codes within the value set can apply.

                                  The document from which the sex or gender property was acquired is populated in the extension:sourceDocument.value[x] of the Person Recorded Sex or Gender extension and shall contain one of the codes from the AU Recorded Sex or Gender (RSG) Source Document Type value set if any of the codes within the value set can apply.

                                  The jurisdiction that issued the document where the sex or gender was acquired is populated in the extension:jurisdiction.value[x] of the Person Recorded Sex or Gender extension and shall contain one of the codes from the Jurisdiction ValueSet - AU Extended value set if any of the codes within the value set can apply.

                                  Control0..*
                                  This element is affected by the following invariants: inv-pra-2, inv-pra-3, inv-pra-4
                                  TypeExtension(Person Recorded Sex Or Gender) (Complex Extension)
                                  Is Modifierfalse
                                  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())
                                  22. Practitioner.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())
                                  24. Practitioner.identifier
                                  Definition

                                  An identifier that applies to this person in this role.

                                  ShortAn identifier for the person as this agent
                                  NoteThis is a business identifier, not a resource identifier (see discussion)
                                  Control0..*
                                  TypeIdentifier(Identifier, AU HPI-I, AU PBS Prescriber Number, AU Care Agency Employee Identifier, AU Ahpra Registration Number)
                                  Is Modifierfalse
                                  Must Supporttrue
                                  Must Support TypesNo must-support rules about the choice of types/profiles
                                  Obligations
                                    ObligationsActor
                                    SHALL:populate-if-knownAU PS Producer
                                    SHALL:handleAU PS Consumer
                                    SHOULD:displayAU PS Consumer
                                    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 Practitioner.identifier. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                    • pattern @ type
                                    • 26. Practitioner.identifier:hpii
                                      Slice Namehpii
                                      Definition

                                      An identifier that applies to this person in this role.

                                      ShortAn identifier for the person as this agent
                                      NoteThis is a business identifier, not a resource identifier (see discussion)
                                      Control0..1
                                      TypeIdentifier(AU HPI-I)
                                      Is Modifierfalse
                                      Must Supporttrue
                                      Obligations
                                        ObligationsActor
                                        SHALL:populate-if-knownAU PS Producer
                                        SHALL:handleAU PS Consumer
                                        SHOULD:displayAU PS Consumer
                                        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()))
                                        28. Practitioner.active
                                        Definition

                                        Whether this practitioner's record is in active use.

                                        ShortWhether this practitioner's record is in active use
                                        Comments

                                        If the practitioner is not in use by one organization, then it should mark the period on the PractitonerRole with an end date (even if they are active) as they may be active in another role.

                                        Control0..1
                                        Typeboolean
                                        Is Modifierfalse
                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                        Summarytrue
                                        Requirements

                                        Need to be able to mark a practitioner record as not to be used because it was created in error.

                                        Meaning if MissingThis resource is generally assumed to be active if no value is provided for the active element
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        30. Practitioner.name
                                        Definition

                                        The name(s) associated with the practitioner.

                                        ShortThe name(s) associated with the practitioner
                                        Comments

                                        The selection of the use property should ensure that there is a single usual name specified, and others use the nickname (alias), old, or other values as appropriate.

                                        In general, select the value to be used in the ResourceReference.display based on this:

                                        1. There is more than 1 name
                                        2. Use = usual
                                        3. Period is current to the date of the usage
                                        4. Use = official
                                        5. Other order as decided by internal business rules.
                                        Control1..*
                                        TypeHumanName
                                        Is Modifierfalse
                                        Must Supporttrue
                                        Obligations
                                          ObligationsActor
                                          SHALL:populate-if-knownAU PS Producer
                                          SHALL:handleAU PS Consumer
                                          SHOULD:displayAU PS Consumer
                                          Summarytrue
                                          Requirements

                                          The name(s) that a Practitioner is known by. Where there are multiple, the name that the practitioner is usually known as should be used in the display.

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

                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                          ShortUnique id for inter-element referencing
                                          Control0..1
                                          Typestring
                                          Is Modifierfalse
                                          XML FormatIn the XML format, this property is represented as an attribute.
                                          Summaryfalse
                                          34. Practitioner.name.extension
                                          Definition

                                          May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                          ShortAdditional content defined by implementations
                                          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 Modifierfalse
                                          Summaryfalse
                                          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())
                                          SlicingThis element introduces a set of slices on Practitioner.name.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                          • value @ url
                                          • 36. Practitioner.name.use
                                            Definition

                                            Identifies the purpose for this name.

                                            Shortusual | official | temp | nickname | anonymous | old | maiden
                                            Comments

                                            Applications can assume that a name is current unless it explicitly says that it is temporary or old.

                                            Control0..1
                                            BindingThe codes SHALL be taken from NameUse
                                            (required to http://hl7.org/fhir/ValueSet/name-use|4.0.1)

                                            The use of a human name.

                                            Typecode
                                            Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Summarytrue
                                            Requirements

                                            Allows the appropriate name for a particular context of use to be selected from among a set of names.

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

                                            Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts.

                                            ShortText representation of the full name
                                            Comments

                                            Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.

                                            Control0..1
                                            Typestring
                                            Is Modifierfalse
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Summarytrue
                                            Requirements

                                            A renderable, unencoded form.

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

                                            The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.

                                            ShortFamily name (often called 'Surname')
                                            Comments

                                            Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).

                                            Control1..1
                                            Typestring
                                            Is Modifierfalse
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Must Supporttrue
                                            Obligations
                                              ObligationsActor
                                              SHALL:populate-if-knownAU PS Producer
                                              SHALL:handleAU PS Consumer
                                              SHOULD:displayAU PS Consumer
                                              Summarytrue
                                              Alternate Namessurname
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              42. Practitioner.name.given
                                              Definition

                                              Given name.

                                              ShortGiven names (not always 'first'). Includes middle names
                                              Comments

                                              If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first.

                                              Control0..*
                                              Typestring
                                              Is Modifierfalse
                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                              Must Supporttrue
                                              Obligations
                                                ObligationsActor
                                                SHALL:populate-if-knownAU PS Producer
                                                SHALL:handleAU PS Consumer
                                                SHOULD:displayAU PS Consumer
                                                Summarytrue
                                                Alternate Namesfirst name, middle name
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                44. Practitioner.name.prefix
                                                Definition

                                                Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name.

                                                ShortParts that come before the name
                                                Control0..*
                                                Typestring
                                                Is Modifierfalse
                                                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()))
                                                46. Practitioner.name.suffix
                                                Definition

                                                Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name.

                                                ShortParts that come after the name
                                                Control0..*
                                                Typestring
                                                Is Modifierfalse
                                                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()))
                                                48. Practitioner.name.period
                                                Definition

                                                Indicates the period of time when this name was valid for the named person.

                                                ShortTime period when name was/is in use
                                                Control0..1
                                                TypePeriod
                                                Is Modifierfalse
                                                Summarytrue
                                                Requirements

                                                Allows names to be placed in historical context.

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

                                                A contact detail for the practitioner, e.g. a telephone number or an email address.

                                                ShortA contact detail for the practitioner (that apply to all roles)
                                                Comments

                                                Person may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and to help with identification. These typically will have home numbers, or mobile numbers that are not role specific.

                                                Control0..*
                                                TypeContactPoint
                                                Is Modifierfalse
                                                Must Supporttrue
                                                Obligations
                                                  ObligationsActor
                                                  SHALL:populate-if-knownAU PS Producer
                                                  SHALL:handleAU PS Consumer
                                                  SHOULD:displayAU PS Consumer
                                                  Summarytrue
                                                  Requirements

                                                  Need to know how to reach a practitioner independent to any roles the practitioner may have.

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

                                                  Address(es) of the practitioner that are not role specific (typically home address). Work addresses are not typically entered in this property as they are usually role dependent.

                                                  ShortAddress(es) of the practitioner that are not role specific (typically home address)
                                                  Comments

                                                  The address is intended to describe postal addresses for administrative purposes, not to describe absolute geographical coordinates. Postal addresses are often used as proxies for physical locations (also see the Location resource).

                                                  Control0..*
                                                  TypeAddress(Address, Australian Address)
                                                  Is Modifierfalse
                                                  Must Supporttrue
                                                  Must Support TypesNo must-support rules about the choice of types/profiles
                                                  Obligations
                                                    ObligationsActor
                                                    SHALL:populate-if-knownAU PS Producer
                                                    SHALL:handleAU PS Consumer
                                                    SHOULD:displayAU PS Consumer
                                                    Summarytrue
                                                    Requirements

                                                    The home/mailing address of the practitioner is often required for employee administration purposes, and also for some rostering services where the start point (practitioners home) can be used in calculations.

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

                                                    Administrative Gender - the gender that the person is considered to have for administration and record keeping purposes.

                                                    Shortmale | female | other | unknown
                                                    Control0..1
                                                    BindingThe codes SHALL be taken from AdministrativeGender
                                                    (required to http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1)

                                                    The gender of a person used for administrative purposes.

                                                    Typecode
                                                    Is Modifierfalse
                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    Summarytrue
                                                    Requirements

                                                    Needed to address the person correctly.

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

                                                    The date of birth for the practitioner.

                                                    ShortThe date on which the practitioner was born
                                                    Control0..1
                                                    Typedate
                                                    Is Modifierfalse
                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    Summarytrue
                                                    Requirements

                                                    Needed for identification.

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

                                                    Image of the person.

                                                    ShortImage of the person
                                                    Control0..*
                                                    TypeAttachment
                                                    Is Modifierfalse
                                                    Summaryfalse
                                                    Requirements

                                                    Many EHR systems have the capability to capture an image of patients and personnel. Fits with newer social media usage too.

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

                                                    The official certifications, training, and licenses that authorize or otherwise pertain to the provision of care by the practitioner. For example, a medical license issued by a medical board authorizing the practitioner to practice medicine within a certian locality.

                                                    ShortCertification, licenses, or training pertaining to the provision of care
                                                    Control0..*
                                                    TypeBackboneElement
                                                    Is Modifierfalse
                                                    Summaryfalse
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    62. Practitioner.qualification.id
                                                    Definition

                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                    ShortUnique id for inter-element referencing
                                                    Control0..1
                                                    Typestring
                                                    Is Modifierfalse
                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                    Summaryfalse
                                                    64. Practitioner.qualification.extension
                                                    Definition

                                                    May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                    ShortAdditional content defined by implementations
                                                    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 Modifierfalse
                                                    Summaryfalse
                                                    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())
                                                    66. Practitioner.qualification.modifierExtension
                                                    Definition

                                                    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained 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 can 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 even if unrecognized
                                                    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 element that contains them
                                                    Summarytrue
                                                    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, modifiers
                                                    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())
                                                    68. Practitioner.qualification.identifier
                                                    Definition

                                                    An identifier that applies to this person's qualification in this role.

                                                    ShortAn identifier for this qualification for the practitioner
                                                    NoteThis is a business identifier, not a resource identifier (see discussion)
                                                    Control0..*
                                                    TypeIdentifier
                                                    Is Modifierfalse
                                                    Summaryfalse
                                                    Requirements

                                                    Often, specific identities are assigned for the qualification.

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

                                                    Coded representation of the qualification.

                                                    ShortCoded representation of the qualification
                                                    Control1..1
                                                    BindingThe codes SHOULD be taken from hl7VS-degreeLicenseCertificate - AU Extended
                                                    (preferred to http://terminology.hl7.org.au/ValueSet/v2-0360-extended)
                                                    TypeCodeableConcept
                                                    Is Modifierfalse
                                                    Summaryfalse
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    72. Practitioner.qualification.period
                                                    Definition

                                                    Period during which the qualification is valid.

                                                    ShortPeriod during which the qualification is valid
                                                    Control0..1
                                                    TypePeriod
                                                    Is Modifierfalse
                                                    Summaryfalse
                                                    Requirements

                                                    Qualifications are often for a limited period of time, and can be revoked.

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

                                                    Organization that regulates and issues the qualification.

                                                    ShortOrganization that regulates and issues the qualification
                                                    Control0..1
                                                    TypeReference(Organization)
                                                    Is Modifierfalse
                                                    Summaryfalse
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    76. Practitioner.communication
                                                    Definition

                                                    A language the practitioner can use in patient communication.

                                                    ShortA language the practitioner can use in patient communication
                                                    Comments

                                                    The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems code this but instead have it as free text. Hence CodeableConcept instead of code as the data type.

                                                    Control0..*
                                                    BindingUnless not suitable, these codes SHALL be taken from Common Languages in Australia .
                                                    (extensible to https://healthterminologies.gov.au/fhir/ValueSet/common-languages-australia-2)
                                                    TypeCodeableConcept
                                                    Is Modifierfalse
                                                    Summaryfalse
                                                    Requirements

                                                    Knowing which language a practitioner speaks can help in facilitating communication with patients.

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