CH Core (R4)
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CH Core (R4), published by HL7 Switzerland. This guide is not an authorized publication; it is the continuous build for version 5.0.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7ch/ch-core/ and changes regularly. See the Directory of published versions

Resource Profile: CHCorePractitioner - Detailed Descriptions

Active as of 2024-04-24

Definitions for the ch-core-practitioner resource profile.

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

0. Practitioner
Definition

The CH Core Practitioner is based upon the core FHIR Practitioner Resource and designed to meet the applicable practitioner demographic data elements in Switzerland. See also https://www.bfs.admin.ch/bfs/de/home/register/personenregister/registerharmonisierung/nomenklaturen.html for further information

ShortCH Core Practitioner
Invariantsch-pract-1: If a HumanName is provided, at least one HumanName must have a given and family name. (name.where(family.exists() and given.exists()).count()>0 or name.empty())
ch-pract-2: gender unknown is currently not used in Switzerland in eCH and the EPR (gender.empty() or gender!='unknown')
2. Practitioner.identifier
NoteThis is a business identifier, not a resource identifier (see discussion)
SlicingThis element introduces a set of slices on Practitioner.identifier. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • pattern @ $this
  • 4. Practitioner.identifier:GLN
    Slice NameGLN
    Definition

    See GLN

    ShortGLN (Global Location Number)
    NoteThis is a business identifier, not a resource identifier (see discussion)
    Control0..1
    TypeIdentifier(GLN Identifier)
    Pattern Value{
      "system" : "urn:oid:2.51.1.3"
    }
    6. Practitioner.identifier:ZSR
    Slice NameZSR
    Definition

    The ZSR/RCC number is issued to self-employed, natural or legal persons (organisations) who can and want to work at the expense of health insurance.

    ShortZSR (Zahlstellenregister), RCC (Registre des codes-créanciers), RCC (Registro dei codici creditori)
    NoteThis is a business identifier, not a resource identifier (see discussion)
    Control0..*
    TypeIdentifier(ZSR Identifier)
    Pattern Value{
      "system" : "urn:oid:2.16.756.5.30.1.123.100.2.1.1"
    }
    8. Practitioner.name
    TypeHumanName(Human Name)
    10. Practitioner.telecom
    SlicingThis element introduces a set of slices on Practitioner.telecom. The slices are unordered and Open, and can be differentiated using the following discriminators:
    • value @ system
    • 12. Practitioner.telecom.system
      Control1..?
      14. Practitioner.telecom.value
      Control1..?
      16. Practitioner.telecom:email
      Slice Nameemail
      Control0..*
      TypeContactPoint(CH Core ContactPoint eCH-0046 Email)
      18. Practitioner.telecom:phone
      Slice Namephone
      Control0..*
      TypeContactPoint(CH Core ContactPoint eCH-0046 Phone)
      20. Practitioner.telecom:internet
      Slice Nameinternet
      Control0..*
      TypeContactPoint(CH Core ContactPoint eCH-0046 Internet)
      22. Practitioner.address
      TypeAddress(CH Core Address)
      24. Practitioner.gender
      Shortmale | female | other
      26. Practitioner.birthDate
      28. Practitioner.communication

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

      0. Practitioner
      Definition

      The CH Core Practitioner is based upon the core FHIR Practitioner Resource and designed to meet the applicable practitioner demographic data elements in Switzerland. See also https://www.bfs.admin.ch/bfs/de/home/register/personenregister/registerharmonisierung/nomenklaturen.html for further information


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

      ShortCH Core PractitionerA person with a formal responsibility in the provisioning of healthcare or related services
      Control0..*
      Is Modifierfalse
      Summaryfalse
      Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
      dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
      dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
      dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
      dom-6: A resource should have narrative for robust management (text.`div`.exists())
      ch-pract-1: If a HumanName is provided, at least one HumanName must have a given and family name. (name.where(family.exists() and given.exists()).count()>0 or name.empty())
      ch-pract-2: gender unknown is currently not used in Switzerland in eCH and the EPR (gender.empty() or gender!='unknown')
      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.modifierExtension
      Definition

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

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

      ShortExtensions that cannot be ignored
      Comments

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

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

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

      Alternate Namesextensions, user content
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      6. 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
      Is Modifierfalse
      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 are unordered and Open, and can be differentiated using the following discriminators:
      • pattern @ $this
      • 8. Practitioner.identifier:GLN
        Slice NameGLN
        Definition

        See GLN


        An identifier that applies to this person in this role.

        ShortGLN (Global Location Number)An identifier for the person as this agent
        NoteThis is a business identifier, not a resource identifier (see discussion)
        Control0..1*
        This element is affected by the following invariants: ele-1
        TypeIdentifier(GLN Identifier)
        Is Modifierfalse
        Requirements

        Often, specific identities are assigned for the agent.

        Pattern Value{
          "system" : "urn:oid:2.51.1.3"
        }
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        10. Practitioner.identifier:ZSR
        Slice NameZSR
        Definition

        The ZSR/RCC number is issued to self-employed, natural or legal persons (organisations) who can and want to work at the expense of health insurance.


        An identifier that applies to this person in this role.

        ShortZSR (Zahlstellenregister), RCC (Registre des codes-créanciers), RCC (Registro dei codici creditori)An identifier for the person as this agent
        NoteThis is a business identifier, not a resource identifier (see discussion)
        Control0..*
        This element is affected by the following invariants: ele-1
        TypeIdentifier(ZSR Identifier)
        Is Modifierfalse
        Requirements

        Often, specific identities are assigned for the agent.

        Pattern Value{
          "system" : "urn:oid:2.16.756.5.30.1.123.100.2.1.1"
        }
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        12. Practitioner.name
        Definition

        A human's name with the ability to identify parts and usage.


        The name(s) associated with the practitioner.

        ShortName of a human - parts and usageThe name(s) associated with the practitioner
        Comments

        Names may be changed, or repudiated, or people may have different names in different contexts. Names may be divided into parts of different type that have variable significance depending on context, though the division into parts does not always matter. With personal names, the different parts might or might not be imbued with some implicit meaning; various cultures associate different importance with the name parts and the degree to which systems must care about name parts around the world varies widely.


        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.
        Control0..*
        This element is affected by the following invariants: ele-1
        TypeHumanName(Human Name)
        Is Modifierfalse
        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()))
        ch-core-hm-1: if officalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is official (family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and value='officialName').empty() or (family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and value='officialName').exists() and use='official'))
        ch-core-hm-2: if orginalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is maiden (family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and value='originalName').empty() or ((family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and value='originalName').exists() and use='maiden')))
        ch-core-hm-3: ch-ext-ech-11-name can only be put on a family name (descendants().extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name').count()=family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name').count())
        ch-core-hm-4: ch-ext-ech-11-firstname can only be put on a given name (descendants().extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-firstname').count()=given.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-firstname').count())
        14. 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
        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()))
        SlicingThis element introduces a set of slices on Practitioner.telecom. The slices are unordered and Open, and can be differentiated using the following discriminators:
        • value @ system
        • 16. Practitioner.telecom.system
          Definition

          Telecommunications form for contact point - what communications system is required to make use of the contact.

          Shortphone | fax | email | pager | url | sms | other
          Control10..1
          This element is affected by the following invariants: cpt-2
          BindingThe codes SHALL be taken from ContactPointSystemhttp://hl7.org/fhir/ValueSet/contact-point-system|4.0.1
          (required to http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1)

          Telecommunications form for contact point.

          Typecode
          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()))
          18. Practitioner.telecom.value
          Definition

          The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address).

          ShortThe actual contact point details
          Comments

          Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.

          Control10..1
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Requirements

          Need to support legacy numbers that are not in a tightly controlled format.

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

          Identifies the purpose for the contact point.

          Shorthome | work | temp | old | mobile - purpose of this contact point
          Comments

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

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

          Use of contact point.

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

          Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.

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

          Details for all kinds of technology mediated contact points for a person or organization, including telephone, email, etc.


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

          ShortCH Core ContactPoint eCH-0046 EmailA 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..*
          This element is affected by the following invariants: ele-1
          TypeContactPoint(CH Core ContactPoint eCH-0046 Email)
          Is Modifierfalse
          Requirements

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

          Invariantscpt-2: A system is required if a value is provided. (value.empty() or system.exists())
          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          24. Practitioner.telecom:phone
          Slice Namephone
          Definition

          Details for all kinds of technology mediated contact points for a person or organization, including telephone, email, etc.


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

          ShortCH Core ContactPoint eCH-0046 PhoneA 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..*
          This element is affected by the following invariants: ele-1
          TypeContactPoint(CH Core ContactPoint eCH-0046 Phone)
          Is Modifierfalse
          Requirements

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

          Invariantscpt-2: A system is required if a value is provided. (value.empty() or system.exists())
          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          26. Practitioner.telecom:internet
          Slice Nameinternet
          Definition

          Details for all kinds of technology mediated contact points for a person or organization, including telephone, email, etc.


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

          ShortCH Core ContactPoint eCH-0046 InternetA 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..*
          This element is affected by the following invariants: ele-1
          TypeContactPoint(CH Core ContactPoint eCH-0046 Internet)
          Is Modifierfalse
          Requirements

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

          Invariantscpt-2: A system is required if a value is provided. (value.empty() or system.exists())
          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          28. Practitioner.address
          Definition

          An address expressed using postal conventions (as opposed to GPS or other location definition formats). This data type may be used to convey addresses for use in delivering mail as well as for visiting locations which might not be valid for mail delivery. There are a variety of postal address formats defined around the world.


          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.

          ShortAn address expressed using postal conventions (as opposed to GPS or other location definition formats)Address(es) of the practitioner that are not role specific (typically home address)
          Comments

          Note: 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..*
          This element is affected by the following invariants: ele-1
          TypeAddress(CH Core Address)
          Is Modifierfalse
          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()))
          ch-addr-2: For a Swiss address, a canton abbreviation from the value set 'eCH-0007 Canton Abbreviation' must be used. (country.extension.where(url = 'http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding').empty() or (country.extension.where(url = 'http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding').value.code.startsWith('CH') = false) or (country.extension.where(url = 'http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding').value.code.startsWith('CH').exists() and (state.empty() or state.memberOf('http://fhir.ch/ig/ch-core/ValueSet/ech-7-cantonabbreviation'))))
          30. Practitioner.gender
          Definition

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

          Shortmale | female | othermale | female | other | unknown
          Control0..1
          BindingThe codes SHALL be taken from AdministrativeGenderhttp://hl7.org/fhir/ValueSet/administrative-gender|4.0.1
          (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()))
          32. 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()))
          34. 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..*
          BindingThe codes SHOULD be taken from CommonLanguageshttp://hl7.org/fhir/ValueSet/languages
          (preferred to http://hl7.org/fhir/ValueSet/languages)

          A human language.

          Additional BindingsPurpose
          AllLanguagesMax Binding
          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()))

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

          0. Practitioner
          Definition

          The CH Core Practitioner is based upon the core FHIR Practitioner Resource and designed to meet the applicable practitioner demographic data elements in Switzerland. See also https://www.bfs.admin.ch/bfs/de/home/register/personenregister/registerharmonisierung/nomenklaturen.html for further information

          ShortCH Core Practitioner
          Control0..*
          Is Modifierfalse
          Summaryfalse
          Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
          dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
          dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
          dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
          dom-6: A resource should have narrative for robust management (text.`div`.exists())
          ch-pract-1: If a HumanName is provided, at least one HumanName must have a given and family name. (name.where(family.exists() and given.exists()).count()>0 or name.empty())
          ch-pract-2: gender unknown is currently not used in Switzerland in eCH and the EPR (gender.empty() or gender!='unknown')
          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

          May be used to represent additional information that is not part of the basic definition of the resource. 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())
          16. 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())
          18. 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
          Is Modifierfalse
          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 are unordered and Open, and can be differentiated using the following discriminators:
          • pattern @ $this
          • 20. Practitioner.identifier:GLN
            Slice NameGLN
            Definition

            See GLN

            ShortGLN (Global Location Number)
            NoteThis is a business identifier, not a resource identifier (see discussion)
            Control0..1
            This element is affected by the following invariants: ele-1
            TypeIdentifier(GLN Identifier)
            Is Modifierfalse
            Requirements

            Often, specific identities are assigned for the agent.

            Pattern Value{
              "system" : "urn:oid:2.51.1.3"
            }
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            22. Practitioner.identifier:ZSR
            Slice NameZSR
            Definition

            The ZSR/RCC number is issued to self-employed, natural or legal persons (organisations) who can and want to work at the expense of health insurance.

            ShortZSR (Zahlstellenregister), RCC (Registre des codes-créanciers), RCC (Registro dei codici creditori)
            NoteThis is a business identifier, not a resource identifier (see discussion)
            Control0..*
            This element is affected by the following invariants: ele-1
            TypeIdentifier(ZSR Identifier)
            Is Modifierfalse
            Requirements

            Often, specific identities are assigned for the agent.

            Pattern Value{
              "system" : "urn:oid:2.16.756.5.30.1.123.100.2.1.1"
            }
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            24. 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()))
            26. Practitioner.name
            Definition

            A human's name with the ability to identify parts and usage.

            ShortName of a human - parts and usage
            Comments

            Names may be changed, or repudiated, or people may have different names in different contexts. Names may be divided into parts of different type that have variable significance depending on context, though the division into parts does not always matter. With personal names, the different parts might or might not be imbued with some implicit meaning; various cultures associate different importance with the name parts and the degree to which systems must care about name parts around the world varies widely.

            Control0..*
            This element is affected by the following invariants: ele-1
            TypeHumanName(Human Name)
            Is Modifierfalse
            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()))
            ch-core-hm-1: if officalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is official (family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and value='officialName').empty() or (family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and value='officialName').exists() and use='official'))
            ch-core-hm-2: if orginalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is maiden (family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and value='originalName').empty() or ((family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and value='originalName').exists() and use='maiden')))
            ch-core-hm-3: ch-ext-ech-11-name can only be put on a family name (descendants().extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name').count()=family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name').count())
            ch-core-hm-4: ch-ext-ech-11-firstname can only be put on a given name (descendants().extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-firstname').count()=given.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-firstname').count())
            28. 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
            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()))
            SlicingThis element introduces a set of slices on Practitioner.telecom. The slices are unordered and Open, and can be differentiated using the following discriminators:
            • value @ system
            • 30. Practitioner.telecom.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
              32. Practitioner.telecom.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.telecom.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
              • value @ url
              • 34. Practitioner.telecom.system
                Definition

                Telecommunications form for contact point - what communications system is required to make use of the contact.

                Shortphone | fax | email | pager | url | sms | other
                Control1..1
                This element is affected by the following invariants: cpt-2
                BindingThe codes SHALL be taken from ContactPointSystem
                (required to http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1)

                Telecommunications form for contact point.

                Typecode
                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()))
                36. Practitioner.telecom.value
                Definition

                The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address).

                ShortThe actual contact point details
                Comments

                Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.

                Control1..1
                Typestring
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Requirements

                Need to support legacy numbers that are not in a tightly controlled format.

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

                Identifies the purpose for the contact point.

                Shorthome | work | temp | old | mobile - purpose of this contact point
                Comments

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

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

                Use of contact point.

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

                Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.

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

                Specifies a preferred order in which to use a set of contacts. ContactPoints with lower rank values are more preferred than those with higher rank values.

                ShortSpecify preferred order of use (1 = highest)
                Comments

                Note that rank does not necessarily follow the order in which the contacts are represented in the instance.

                Control0..1
                TypepositiveInt
                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()))
                42. Practitioner.telecom.period
                Definition

                Time period when the contact point was/is in use.

                ShortTime period when the contact point was/is in use
                Control0..1
                TypePeriod
                Is Modifierfalse
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                44. Practitioner.telecom:email
                Slice Nameemail
                Definition

                Details for all kinds of technology mediated contact points for a person or organization, including telephone, email, etc.

                ShortCH Core ContactPoint eCH-0046 Email
                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..*
                This element is affected by the following invariants: ele-1
                TypeContactPoint(CH Core ContactPoint eCH-0046 Email)
                Is Modifierfalse
                Requirements

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

                Invariantscpt-2: A system is required if a value is provided. (value.empty() or system.exists())
                ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                46. Practitioner.telecom:phone
                Slice Namephone
                Definition

                Details for all kinds of technology mediated contact points for a person or organization, including telephone, email, etc.

                ShortCH Core ContactPoint eCH-0046 Phone
                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..*
                This element is affected by the following invariants: ele-1
                TypeContactPoint(CH Core ContactPoint eCH-0046 Phone)
                Is Modifierfalse
                Requirements

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

                Invariantscpt-2: A system is required if a value is provided. (value.empty() or system.exists())
                ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                48. Practitioner.telecom:internet
                Slice Nameinternet
                Definition

                Details for all kinds of technology mediated contact points for a person or organization, including telephone, email, etc.

                ShortCH Core ContactPoint eCH-0046 Internet
                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..*
                This element is affected by the following invariants: ele-1
                TypeContactPoint(CH Core ContactPoint eCH-0046 Internet)
                Is Modifierfalse
                Requirements

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

                Invariantscpt-2: A system is required if a value is provided. (value.empty() or system.exists())
                ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                50. Practitioner.address
                Definition

                An address expressed using postal conventions (as opposed to GPS or other location definition formats). This data type may be used to convey addresses for use in delivering mail as well as for visiting locations which might not be valid for mail delivery. There are a variety of postal address formats defined around the world.

                ShortAn address expressed using postal conventions (as opposed to GPS or other location definition formats)
                Comments

                Note: 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..*
                This element is affected by the following invariants: ele-1
                TypeAddress(CH Core Address)
                Is Modifierfalse
                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()))
                ch-addr-2: For a Swiss address, a canton abbreviation from the value set 'eCH-0007 Canton Abbreviation' must be used. (country.extension.where(url = 'http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding').empty() or (country.extension.where(url = 'http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding').value.code.startsWith('CH') = false) or (country.extension.where(url = 'http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding').value.code.startsWith('CH').exists() and (state.empty() or state.memberOf('http://fhir.ch/ig/ch-core/ValueSet/ech-7-cantonabbreviation'))))
                52. Practitioner.gender
                Definition

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

                Shortmale | female | other
                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()))
                54. 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()))
                56. 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()))
                58. 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()))
                60. 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
                62. 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())
                64. 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())
                66. 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()))
                68. Practitioner.qualification.code
                Definition

                Coded representation of the qualification.

                ShortCoded representation of the qualification
                Control1..1
                BindingFor example codes, see v2 table 0360, Version 2.7
                (example to http://terminology.hl7.org/ValueSet/v2-2.7-0360)

                Specific qualification the practitioner has to provide a service.

                TypeCodeableConcept
                Is Modifierfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                70. 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()))
                72. 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()))
                74. 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..*
                BindingThe codes SHOULD be taken from CommonLanguages
                (preferred to http://hl7.org/fhir/ValueSet/languages)

                A human language.

                Additional BindingsPurpose
                AllLanguagesMax Binding
                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()))