CH EMS (R4), published by IVR Interverband für Rettungswesen. This guide is not an authorized publication; it is the continuous build for version 2.1.0-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-ems/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON

Resource Profile: CH EMS Practitioner

This profile constrains the Practitioner resource for representing practitioners involved in the emergency chain, e.g. paramedic (in training), transport paramedic, emergency doctor.

Usages:

• Use this Profile: CH EMS Document
• Refer to this Profile: CH EMS Composition, CH EMS Encounter, CH EMS Observation: Diagnosis and CH EMS PractitionerRole

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Practitioner	C	0..*	CHCorePractitioner	CH EMS Practitioner Constraints: ch-pract-1, ch-pract-2, ch-ems-epr-practitioner
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	0..*	Identifier	An identifier for the person as this agent Slice: Unordered, Open by value:$this
identifier:GLN	SΣ	0..1	GLNIdentifier	GLN of the individual Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		0..1	CodeableConcept	Description of identifier
system		1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:2.51.1.3
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:2.51.1.3
value	ΣC	1..1	string	The value that is unique Constraints: gln-length, gln-modulus-10, gln-startswith76 Example General: 123456
assigner	SΣ	0..1	Reference(CH EMS Organization)	Reference to the team in which this individual is member of (the team then does have the GLN of the responding organisation)
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
identifier:ZSR	Σ	0..*	ZSRIdentifier	ZSR (Zahlstellenregister), RCC (Registre des codes-créanciers), RCC (Registro dei codici creditori) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		0..1	CodeableConcept	Description of identifier
system		1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:2.16.756.5.30.1.123.100.2.1.1
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
name	SΣ	0..*	CHCoreHumanName	The name(s) associated with the practitioner
Slices for telecom	Σ	0..*	ContactPoint	A contact detail for the practitioner (that apply to all roles) Slice: Unordered, Open by value:system
telecom:All Slices				Content/Rules for all slices
system	ΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	Σ	1..1	string	The actual contact point details
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
telecom:email	Σ	0..*	CHCoreContactPointECH46Email	A contact detail for the practitioner (that apply to all roles)
system	ΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: email
value	Σ	1..1	string	The actual contact point details
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
Slices for extension				Content/Rules for all slices
extension:emailCategory		0..1	CodeableConcept	Optional Extensions Element URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-46-emailcategory Binding: eCH-0046 Email Category (extensible)
telecom:phone	Σ	0..*	CHCoreContactPointECH46Phone	A contact detail for the practitioner (that apply to all roles)
system	ΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: phone
value	Σ	1..1	string	The actual contact point details
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
Slices for extension				Content/Rules for all slices
extension:phoneCategory		0..1	CodeableConcept	Optional Extensions Element URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-46-phonecategory Binding: eCH-0046 Phone Category (extensible)
telecom:internet	Σ	0..*	CHCoreContactPointECH46Internet	A contact detail for the practitioner (that apply to all roles)
system	ΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: url
value	Σ	1..1	string	The actual contact point details
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
Slices for extension				Content/Rules for all slices
extension:internetCategory		0..1	CodeableConcept	Optional Extensions Element URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-46-internetcategory Binding: eCH-0046 Internet Category (extensible)
address	SΣ	0..*	CHCoreAddress	Address(es) of the practitioner that are not role specific (typically home address)
qualification		0..*	BackboneElement	Certification, licenses, or training pertaining to the provision of care
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CHEmsCodeableConcept	Coded representation of the qualification Binding: IVR Formation (extensible)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Practitioner.identifier:GLN.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Practitioner.telecom.system	required	ContactPointSystem http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 From the FHIR Standard
Practitioner.telecom.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 From the FHIR Standard
Practitioner.telecom:email.system	required	Fixed Value: email http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 From the FHIR Standard
Practitioner.telecom:email.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 From the FHIR Standard
Practitioner.telecom:phone.system	required	Fixed Value: phone http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 From the FHIR Standard
Practitioner.telecom:phone.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 From the FHIR Standard
Practitioner.telecom:internet.system	required	Fixed Value: url http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 From the FHIR Standard
Practitioner.telecom:internet.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 From the FHIR Standard
Practitioner.qualification.code	extensible	IVRVSformation http://fhir.ch/ig/ch-ems/ValueSet/IVR-VS-formation From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
ch-ems-epr-practitioner	warning	Practitioner	Warning that the resource is not conform to the CH Core EPR restrictions : conformsTo('http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner-epr')
ch-pract-1	error	Practitioner	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	warning	Practitioner	gender unknown is currently not used in Switzerland in eCH and the EPR : gender.empty() or gender!='unknown'
dom-2	error	Practitioner	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Practitioner	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Practitioner	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Practitioner	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Practitioner	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
gln-length	warning	Practitioner.identifier:GLN.value	GLN must be exactly 13 characters long : matches('^[0-9]{13}$')
gln-modulus-10	warning	Practitioner.identifier:GLN.value	GLN must pass the modulus 10 check - https://www.gs1.org/services/how-calculate-check-digit-manually : (((10-((substring(0,1).toInteger()*1)+(substring(1,1).toInteger()*3)+(substring(2,1).toInteger()*1)+(substring(3,1).toInteger()*3)+(substring(4,1).toInteger()*1)+(substring(5,1).toInteger()*3)+(substring(6,1).toInteger()*1)+(substring(7,1).toInteger()*3)+(substring(8,1).toInteger()*1)+(substring(9,1).toInteger()*3)+(substring(10,1).toInteger()*1)+(substring(11,1).toInteger()*3))mod(10))mod(10))=substring(12,1).toInteger())
gln-startswith76	warning	Practitioner.identifier:GLN.value	GLN must start with 76 for Swiss HCP : startsWith('76')

This structure is derived from CHCorePractitioner

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Practitioner	C	0..*	CHCorePractitioner	CH EMS Practitioner Constraints: ch-ems-epr-practitioner
Slices for identifier				Content/Rules for all slices
identifier:GLN	S	0..1	GLNIdentifier	GLN of the individual
assigner	S	0..1	Reference(CH EMS Organization)	Reference to the team in which this individual is member of (the team then does have the GLN of the responding organisation)
reference		1..1	string	Literal reference, Relative, internal or absolute URL
name	S	0..*	CHCoreHumanName	The name(s) associated with the practitioner
address	S	0..*	CHCoreAddress	Address(es) of the practitioner that are not role specific (typically home address)
qualification
code	S	1..1	CHEmsCodeableConcept	Coded representation of the qualification Binding: IVR Formation (extensible)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Practitioner.qualification.code	extensible	IVRVSformation http://fhir.ch/ig/ch-ems/ValueSet/IVR-VS-formation From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
ch-ems-epr-practitioner	warning	Practitioner	Warning that the resource is not conform to the CH Core EPR restrictions : conformsTo('http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner-epr')

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Practitioner	C	0..*	CHCorePractitioner	CH EMS Practitioner Constraints: ch-pract-1, ch-pract-2, ch-ems-epr-practitioner
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	0..*	Identifier	An identifier for the person as this agent Slice: Unordered, Open by value:$this
identifier:GLN	SΣ	0..1	GLNIdentifier	GLN of the individual Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		0..1	CodeableConcept	Description of identifier
system		1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:2.51.1.3
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:2.51.1.3
value	ΣC	1..1	string	The value that is unique Constraints: gln-length, gln-modulus-10, gln-startswith76 Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	SΣ	0..1	Reference(CH EMS Organization)	Reference to the team in which this individual is member of (the team then does have the GLN of the responding organisation)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
identifier:ZSR	Σ	0..*	ZSRIdentifier	ZSR (Zahlstellenregister), RCC (Registre des codes-créanciers), RCC (Registro dei codici creditori) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		0..1	CodeableConcept	Description of identifier
system		1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:2.16.756.5.30.1.123.100.2.1.1
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
active	Σ	0..1	boolean	Whether this practitioner's record is in active use
name	SΣ	0..*	CHCoreHumanName	The name(s) associated with the practitioner
Slices for telecom	Σ	0..*	ContactPoint	A contact detail for the practitioner (that apply to all roles) Slice: Unordered, Open by value:system
telecom:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	ΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	Σ	1..1	string	The actual contact point details
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
rank	Σ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	Σ	0..1	Period	Time period when the contact point was/is in use
telecom:email	Σ	0..*	CHCoreContactPointECH46Email	A contact detail for the practitioner (that apply to all roles)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	ΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: email
value	Σ	1..1	string	The actual contact point details
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:emailCategory		0..1	CodeableConcept	Optional Extensions Element URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-46-emailcategory Binding: eCH-0046 Email Category (extensible)
value		0..1	string	Primitive value for code
rank	Σ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	Σ	0..1	Period	Time period when the contact point was/is in use
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	ΣC	0..1	dateTime	Starting time with inclusive boundary
end	ΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
telecom:phone	Σ	0..*	CHCoreContactPointECH46Phone	A contact detail for the practitioner (that apply to all roles)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	ΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: phone
value	Σ	1..1	string	The actual contact point details
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:phoneCategory		0..1	CodeableConcept	Optional Extensions Element URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-46-phonecategory Binding: eCH-0046 Phone Category (extensible)
value		0..1	string	Primitive value for code
rank	Σ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	Σ	0..1	Period	Time period when the contact point was/is in use
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	ΣC	0..1	dateTime	Starting time with inclusive boundary
end	ΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
telecom:internet	Σ	0..*	CHCoreContactPointECH46Internet	A contact detail for the practitioner (that apply to all roles)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	ΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: url
value	Σ	1..1	string	The actual contact point details
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:internetCategory		0..1	CodeableConcept	Optional Extensions Element URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-46-internetcategory Binding: eCH-0046 Internet Category (extensible)
value		0..1	string	Primitive value for code
rank	Σ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	Σ	0..1	Period	Time period when the contact point was/is in use
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	ΣC	0..1	dateTime	Starting time with inclusive boundary
end	ΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
address	SΣ	0..*	CHCoreAddress	Address(es) of the practitioner that are not role specific (typically home address)
gender	Σ	0..1	code	male | female | other Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate	Σ	0..1	date	The date on which the practitioner was born
photo		0..*	Attachment	Image of the person
qualification		0..*	BackboneElement	Certification, licenses, or training pertaining to the provision of care
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
identifier		0..*	Identifier	An identifier for this qualification for the practitioner
code	S	1..1	CHEmsCodeableConcept	Coded representation of the qualification Binding: IVR Formation (extensible)
period		0..1	Period	Period during which the qualification is valid
issuer		0..1	Reference(Organization)	Organization that regulates and issues the qualification
communication		0..*	CodeableConcept	A language the practitioner can use in patient communication Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Practitioner.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Practitioner.identifier:GLN.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Practitioner.identifier:GLN.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Practitioner.identifier:GLN.assigner.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
Practitioner.telecom.system	required	ContactPointSystem http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 From the FHIR Standard
Practitioner.telecom.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 From the FHIR Standard
Practitioner.telecom:email.system	required	Fixed Value: email http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 From the FHIR Standard
Practitioner.telecom:email.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 From the FHIR Standard
Practitioner.telecom:phone.system	required	Fixed Value: phone http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 From the FHIR Standard
Practitioner.telecom:phone.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 From the FHIR Standard
Practitioner.telecom:internet.system	required	Fixed Value: url http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 From the FHIR Standard
Practitioner.telecom:internet.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 From the FHIR Standard
Practitioner.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 From the FHIR Standard
Practitioner.qualification.code	extensible	IVRVSformation http://fhir.ch/ig/ch-ems/ValueSet/IVR-VS-formation From this IG
Practitioner.communication	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding

Constraints

Id	Grade	Path(s)	Details	Requirements
ch-ems-epr-practitioner	warning	Practitioner	Warning that the resource is not conform to the CH Core EPR restrictions : conformsTo('http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner-epr')
ch-pract-1	error	Practitioner	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	warning	Practitioner	gender unknown is currently not used in Switzerland in eCH and the EPR : gender.empty() or gender!='unknown'
dom-2	error	Practitioner	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Practitioner	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Practitioner	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Practitioner	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Practitioner	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
gln-length	warning	Practitioner.identifier:GLN.value	GLN must be exactly 13 characters long : matches('^[0-9]{13}$')
gln-modulus-10	warning	Practitioner.identifier:GLN.value	GLN must pass the modulus 10 check - https://www.gs1.org/services/how-calculate-check-digit-manually : (((10-((substring(0,1).toInteger()*1)+(substring(1,1).toInteger()*3)+(substring(2,1).toInteger()*1)+(substring(3,1).toInteger()*3)+(substring(4,1).toInteger()*1)+(substring(5,1).toInteger()*3)+(substring(6,1).toInteger()*1)+(substring(7,1).toInteger()*3)+(substring(8,1).toInteger()*1)+(substring(9,1).toInteger()*3)+(substring(10,1).toInteger()*1)+(substring(11,1).toInteger()*3))mod(10))mod(10))=substring(12,1).toInteger())
gln-startswith76	warning	Practitioner.identifier:GLN.value	GLN must start with 76 for Swiss HCP : startsWith('76')

This structure is derived from CHCorePractitioner

Summary

Mandatory: 0 element(1 nested mandatory element)
Must-Support: 5 elements

Structures

This structure refers to these other structures:

• CH EMS Organization (http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-organization)
• CH EMS CodeableConcept (http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-codeableconcept)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Practitioner	C	0..*	CHCorePractitioner	CH EMS Practitioner Constraints: ch-pract-1, ch-pract-2, ch-ems-epr-practitioner
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	0..*	Identifier	An identifier for the person as this agent Slice: Unordered, Open by value:$this
identifier:GLN	SΣ	0..1	GLNIdentifier	GLN of the individual Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		0..1	CodeableConcept	Description of identifier
system		1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:2.51.1.3
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:2.51.1.3
value	ΣC	1..1	string	The value that is unique Constraints: gln-length, gln-modulus-10, gln-startswith76 Example General: 123456
assigner	SΣ	0..1	Reference(CH EMS Organization)	Reference to the team in which this individual is member of (the team then does have the GLN of the responding organisation)
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
identifier:ZSR	Σ	0..*	ZSRIdentifier	ZSR (Zahlstellenregister), RCC (Registre des codes-créanciers), RCC (Registro dei codici creditori) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		0..1	CodeableConcept	Description of identifier
system		1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:2.16.756.5.30.1.123.100.2.1.1
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
name	SΣ	0..*	CHCoreHumanName	The name(s) associated with the practitioner
Slices for telecom	Σ	0..*	ContactPoint	A contact detail for the practitioner (that apply to all roles) Slice: Unordered, Open by value:system
telecom:All Slices				Content/Rules for all slices
system	ΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	Σ	1..1	string	The actual contact point details
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
telecom:email	Σ	0..*	CHCoreContactPointECH46Email	A contact detail for the practitioner (that apply to all roles)
system	ΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: email
value	Σ	1..1	string	The actual contact point details
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
Slices for extension				Content/Rules for all slices
extension:emailCategory		0..1	CodeableConcept	Optional Extensions Element URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-46-emailcategory Binding: eCH-0046 Email Category (extensible)
telecom:phone	Σ	0..*	CHCoreContactPointECH46Phone	A contact detail for the practitioner (that apply to all roles)
system	ΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: phone
value	Σ	1..1	string	The actual contact point details
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
Slices for extension				Content/Rules for all slices
extension:phoneCategory		0..1	CodeableConcept	Optional Extensions Element URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-46-phonecategory Binding: eCH-0046 Phone Category (extensible)
telecom:internet	Σ	0..*	CHCoreContactPointECH46Internet	A contact detail for the practitioner (that apply to all roles)
system	ΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: url
value	Σ	1..1	string	The actual contact point details
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
Slices for extension				Content/Rules for all slices
extension:internetCategory		0..1	CodeableConcept	Optional Extensions Element URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-46-internetcategory Binding: eCH-0046 Internet Category (extensible)
address	SΣ	0..*	CHCoreAddress	Address(es) of the practitioner that are not role specific (typically home address)
qualification		0..*	BackboneElement	Certification, licenses, or training pertaining to the provision of care
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CHEmsCodeableConcept	Coded representation of the qualification Binding: IVR Formation (extensible)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Practitioner.identifier:GLN.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Practitioner.telecom.system	required	ContactPointSystem http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 From the FHIR Standard
Practitioner.telecom.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 From the FHIR Standard
Practitioner.telecom:email.system	required	Fixed Value: email http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 From the FHIR Standard
Practitioner.telecom:email.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 From the FHIR Standard
Practitioner.telecom:phone.system	required	Fixed Value: phone http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 From the FHIR Standard
Practitioner.telecom:phone.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 From the FHIR Standard
Practitioner.telecom:internet.system	required	Fixed Value: url http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 From the FHIR Standard
Practitioner.telecom:internet.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 From the FHIR Standard
Practitioner.qualification.code	extensible	IVRVSformation http://fhir.ch/ig/ch-ems/ValueSet/IVR-VS-formation From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
ch-ems-epr-practitioner	warning	Practitioner	Warning that the resource is not conform to the CH Core EPR restrictions : conformsTo('http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner-epr')
ch-pract-1	error	Practitioner	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	warning	Practitioner	gender unknown is currently not used in Switzerland in eCH and the EPR : gender.empty() or gender!='unknown'
dom-2	error	Practitioner	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Practitioner	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Practitioner	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Practitioner	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Practitioner	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
gln-length	warning	Practitioner.identifier:GLN.value	GLN must be exactly 13 characters long : matches('^[0-9]{13}$')
gln-modulus-10	warning	Practitioner.identifier:GLN.value	GLN must pass the modulus 10 check - https://www.gs1.org/services/how-calculate-check-digit-manually : (((10-((substring(0,1).toInteger()*1)+(substring(1,1).toInteger()*3)+(substring(2,1).toInteger()*1)+(substring(3,1).toInteger()*3)+(substring(4,1).toInteger()*1)+(substring(5,1).toInteger()*3)+(substring(6,1).toInteger()*1)+(substring(7,1).toInteger()*3)+(substring(8,1).toInteger()*1)+(substring(9,1).toInteger()*3)+(substring(10,1).toInteger()*1)+(substring(11,1).toInteger()*3))mod(10))mod(10))=substring(12,1).toInteger())
gln-startswith76	warning	Practitioner.identifier:GLN.value	GLN must start with 76 for Swiss HCP : startsWith('76')

Differential View

This structure is derived from CHCorePractitioner

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Practitioner	C	0..*	CHCorePractitioner	CH EMS Practitioner Constraints: ch-ems-epr-practitioner
Slices for identifier				Content/Rules for all slices
identifier:GLN	S	0..1	GLNIdentifier	GLN of the individual
assigner	S	0..1	Reference(CH EMS Organization)	Reference to the team in which this individual is member of (the team then does have the GLN of the responding organisation)
reference		1..1	string	Literal reference, Relative, internal or absolute URL
name	S	0..*	CHCoreHumanName	The name(s) associated with the practitioner
address	S	0..*	CHCoreAddress	Address(es) of the practitioner that are not role specific (typically home address)
qualification
code	S	1..1	CHEmsCodeableConcept	Coded representation of the qualification Binding: IVR Formation (extensible)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Practitioner.qualification.code	extensible	IVRVSformation http://fhir.ch/ig/ch-ems/ValueSet/IVR-VS-formation From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
ch-ems-epr-practitioner	warning	Practitioner	Warning that the resource is not conform to the CH Core EPR restrictions : conformsTo('http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner-epr')

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Practitioner	C	0..*	CHCorePractitioner	CH EMS Practitioner Constraints: ch-pract-1, ch-pract-2, ch-ems-epr-practitioner
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	0..*	Identifier	An identifier for the person as this agent Slice: Unordered, Open by value:$this
identifier:GLN	SΣ	0..1	GLNIdentifier	GLN of the individual Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		0..1	CodeableConcept	Description of identifier
system		1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:2.51.1.3
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:2.51.1.3
value	ΣC	1..1	string	The value that is unique Constraints: gln-length, gln-modulus-10, gln-startswith76 Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	SΣ	0..1	Reference(CH EMS Organization)	Reference to the team in which this individual is member of (the team then does have the GLN of the responding organisation)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
identifier:ZSR	Σ	0..*	ZSRIdentifier	ZSR (Zahlstellenregister), RCC (Registre des codes-créanciers), RCC (Registro dei codici creditori) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		0..1	CodeableConcept	Description of identifier
system		1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:2.16.756.5.30.1.123.100.2.1.1
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
active	Σ	0..1	boolean	Whether this practitioner's record is in active use
name	SΣ	0..*	CHCoreHumanName	The name(s) associated with the practitioner
Slices for telecom	Σ	0..*	ContactPoint	A contact detail for the practitioner (that apply to all roles) Slice: Unordered, Open by value:system
telecom:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	ΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	Σ	1..1	string	The actual contact point details
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
rank	Σ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	Σ	0..1	Period	Time period when the contact point was/is in use
telecom:email	Σ	0..*	CHCoreContactPointECH46Email	A contact detail for the practitioner (that apply to all roles)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	ΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: email
value	Σ	1..1	string	The actual contact point details
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:emailCategory		0..1	CodeableConcept	Optional Extensions Element URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-46-emailcategory Binding: eCH-0046 Email Category (extensible)
value		0..1	string	Primitive value for code
rank	Σ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	Σ	0..1	Period	Time period when the contact point was/is in use
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	ΣC	0..1	dateTime	Starting time with inclusive boundary
end	ΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
telecom:phone	Σ	0..*	CHCoreContactPointECH46Phone	A contact detail for the practitioner (that apply to all roles)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	ΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: phone
value	Σ	1..1	string	The actual contact point details
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:phoneCategory		0..1	CodeableConcept	Optional Extensions Element URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-46-phonecategory Binding: eCH-0046 Phone Category (extensible)
value		0..1	string	Primitive value for code
rank	Σ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	Σ	0..1	Period	Time period when the contact point was/is in use
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	ΣC	0..1	dateTime	Starting time with inclusive boundary
end	ΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
telecom:internet	Σ	0..*	CHCoreContactPointECH46Internet	A contact detail for the practitioner (that apply to all roles)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	ΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: url
value	Σ	1..1	string	The actual contact point details
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:internetCategory		0..1	CodeableConcept	Optional Extensions Element URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-46-internetcategory Binding: eCH-0046 Internet Category (extensible)
value		0..1	string	Primitive value for code
rank	Σ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	Σ	0..1	Period	Time period when the contact point was/is in use
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	ΣC	0..1	dateTime	Starting time with inclusive boundary
end	ΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
address	SΣ	0..*	CHCoreAddress	Address(es) of the practitioner that are not role specific (typically home address)
gender	Σ	0..1	code	male | female | other Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate	Σ	0..1	date	The date on which the practitioner was born
photo		0..*	Attachment	Image of the person
qualification		0..*	BackboneElement	Certification, licenses, or training pertaining to the provision of care
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
identifier		0..*	Identifier	An identifier for this qualification for the practitioner
code	S	1..1	CHEmsCodeableConcept	Coded representation of the qualification Binding: IVR Formation (extensible)
period		0..1	Period	Period during which the qualification is valid
issuer		0..1	Reference(Organization)	Organization that regulates and issues the qualification
communication		0..*	CodeableConcept	A language the practitioner can use in patient communication Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Practitioner.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Practitioner.identifier:GLN.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Practitioner.identifier:GLN.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Practitioner.identifier:GLN.assigner.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
Practitioner.telecom.system	required	ContactPointSystem http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 From the FHIR Standard
Practitioner.telecom.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 From the FHIR Standard
Practitioner.telecom:email.system	required	Fixed Value: email http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 From the FHIR Standard
Practitioner.telecom:email.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 From the FHIR Standard
Practitioner.telecom:phone.system	required	Fixed Value: phone http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 From the FHIR Standard
Practitioner.telecom:phone.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 From the FHIR Standard
Practitioner.telecom:internet.system	required	Fixed Value: url http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 From the FHIR Standard
Practitioner.telecom:internet.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 From the FHIR Standard
Practitioner.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 From the FHIR Standard
Practitioner.qualification.code	extensible	IVRVSformation http://fhir.ch/ig/ch-ems/ValueSet/IVR-VS-formation From this IG
Practitioner.communication	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding

Constraints

Id	Grade	Path(s)	Details	Requirements
ch-ems-epr-practitioner	warning	Practitioner	Warning that the resource is not conform to the CH Core EPR restrictions : conformsTo('http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner-epr')
ch-pract-1	error	Practitioner	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	warning	Practitioner	gender unknown is currently not used in Switzerland in eCH and the EPR : gender.empty() or gender!='unknown'
dom-2	error	Practitioner	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Practitioner	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Practitioner	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Practitioner	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Practitioner	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
gln-length	warning	Practitioner.identifier:GLN.value	GLN must be exactly 13 characters long : matches('^[0-9]{13}$')
gln-modulus-10	warning	Practitioner.identifier:GLN.value	GLN must pass the modulus 10 check - https://www.gs1.org/services/how-calculate-check-digit-manually : (((10-((substring(0,1).toInteger()*1)+(substring(1,1).toInteger()*3)+(substring(2,1).toInteger()*1)+(substring(3,1).toInteger()*3)+(substring(4,1).toInteger()*1)+(substring(5,1).toInteger()*3)+(substring(6,1).toInteger()*1)+(substring(7,1).toInteger()*3)+(substring(8,1).toInteger()*1)+(substring(9,1).toInteger()*3)+(substring(10,1).toInteger()*1)+(substring(11,1).toInteger()*3))mod(10))mod(10))=substring(12,1).toInteger())
gln-startswith76	warning	Practitioner.identifier:GLN.value	GLN must start with 76 for Swiss HCP : startsWith('76')

This structure is derived from CHCorePractitioner

Summary

Mandatory: 0 element(1 nested mandatory element)
Must-Support: 5 elements

Structures

This structure refers to these other structures:

• CH EMS Organization (http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-organization)
• CH EMS CodeableConcept (http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-codeableconcept)

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