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

Definition of the practitioner

Usage:

• Refer to this Resource Profile: CH EMS Composition, CH EMS Encounter, CH EMS Observation Diagnosis and CH EMS Practitioner Role
• Examples for this Resource Profile: Practitioner/1-NotarztHansNotarzt, Practitioner/1-SaniPetraMuster, Practitioner/1-TeamMemberHansBeispiel, Practitioner/1-TeamMemberHansNotarzt... Show 2 more, Practitioner/1-TeamMemberPetraMuster and Practitioner/SaniInAusbildung

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
Practitioner	C	0..*	CHCorePractitioner	CH EMS Practitioner dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management ch-pract-1: If a HumanName is provided, at least one HumanName must have a given and family name. ch-pract-2: gender unknown is currently not used in Switzerland in eCH and the EPR ch-ems-epr-practitioner: Warning that the resource is not conform to the CH Core EPR restrictions
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for identifier	Σ	0..*	Identifier	An identifier for the person as this agent Slice: Unordered, Open by value:$this ele-1: All FHIR elements must have a @value or children
identifier:GLN		0..1	GLNIdentifier	GLN (Global Location Number) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
system		1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:2.51.1.3
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	OID of the GLN ele-1: All FHIR elements must have a @value or children Fixed Value: urn:oid:2.51.1.3
value	ΣC	1..1	string	GLN of the practitioner (13 digits starting with 7601 for Swiss accredited practitioners) ele-1: All FHIR elements must have a @value or children gln-length: GLN must be exactly 13 characters long gln-modulus-10: GLN must pass the modulus 10 check - https://www.gs1.org/services/how-calculate-check-digit-manually gln-startswith76: GLN must start with 76 for Swiss HCP Example General: 123456
assigner	Σ	0..1	Reference(CH EMS Organization)	Organization that issued id ele-1: All FHIR elements must have a @value or children
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
identifier:ZSR		0..*	ZSRIdentifier	ZSR (Zahlstellenregister), RCC (Registre des codes-créanciers), RCC (Registro dei codici creditori) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
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
name	C	0..*	CHCoreHumanName	The name(s) associated with the practitioner ele-1: All FHIR elements must have a @value or children 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 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 ch-core-hm-3: ch-ext-ech-11-name can only be put on a family name ch-core-hm-4: ch-ext-ech-11-firstname can only be put on a given name
Slices for telecom	Σ	0..*	ContactPoint	A contact detail for the practitioner Slice: Unordered, Open by value:system ele-1: All FHIR elements must have a @value or children
telecom:email	C	0..*	CHCoreContactPointECH46Email	CH Core ContactPoint eCH-0046 Email cpt-2: A system is required if a value is provided. ele-1: All FHIR elements must have a @value or children
telecom:phone	C	0..*	CHCoreContactPointECH46Phone	CH Core ContactPoint eCH-0046 Phone cpt-2: A system is required if a value is provided. ele-1: All FHIR elements must have a @value or children
telecom:internet	C	0..*	CHCoreContactPointECH46Internet	CH Core ContactPoint eCH-0046 Internet cpt-2: A system is required if a value is provided. ele-1: All FHIR elements must have a @value or children
address	C	0..*	CHCoreAddress	Address(es) of the practitioner ele-1: All FHIR elements must have a @value or children ch-addr-2: For a Swiss address, a canton abbreviation from the value set 'eCH-0007 Canton Abbreviation' must be used.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Practitioner.identifier:GLN.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
ch-addr-2	error	Practitioner.address	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')))
ch-core-hm-1	error	Practitioner.name	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	error	Practitioner.name	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	error	Practitioner.name	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	error	Practitioner.name	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()
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'
cpt-2	error	Practitioner.telecom:email, Practitioner.telecom:phone, Practitioner.telecom:internet	A system is required if a value is provided. : value.empty() or system.exists()
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
Practitioner	C	0..*	CHCorePractitioner	CH EMS Practitioner ch-ems-epr-practitioner: Warning that the resource is not conform to the CH Core EPR restrictions
Slices for identifier				Content/Rules for all slices
identifier:GLN		0..1	GLNIdentifier	GLN (Global Location Number)
system		1..1	uri	OID of the GLN
value		1..1	string	GLN of the practitioner (13 digits starting with 7601 for Swiss accredited practitioners)
assigner		0..1	Reference(CH EMS Organization)	Organization that issued id
reference		1..1	string	Literal reference, Relative, internal or absolute URL
name		0..*	CHCoreHumanName	The name(s) associated with the practitioner
telecom		0..*	ContactPoint	A contact detail for the practitioner
address		0..*	CHCoreAddress	Address(es) of the practitioner
Documentation for this format

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
Practitioner	C	0..*	CHCorePractitioner	CH EMS Practitioner ch-pract-1: If a HumanName is provided, at least one HumanName must have a given and family name. ch-pract-2: gender unknown is currently not used in Switzerland in eCH and the EPR ch-ems-epr-practitioner: Warning that the resource is not conform to the CH Core EPR restrictions
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
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		0..1	GLNIdentifier	GLN (Global Location Number) 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	OID of the GLN Fixed Value: urn:oid:2.51.1.3
value	ΣC	1..1	string	GLN of the practitioner (13 digits starting with 7601 for Swiss accredited practitioners) gln-length: GLN must be exactly 13 characters long gln-modulus-10: GLN must pass the modulus 10 check - https://www.gs1.org/services/how-calculate-check-digit-manually gln-startswith76: GLN must start with 76 for Swiss HCP Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(CH EMS Organization)	Organization that issued id
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		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	C	0..*	CHCoreHumanName	The name(s) associated with the practitioner 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 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 ch-core-hm-3: ch-ext-ech-11-name can only be put on a family name ch-core-hm-4: ch-ext-ech-11-firstname can only be put on a given name
Slices for telecom	Σ	0..*	ContactPoint	A contact detail for the practitioner Slice: Unordered, Open by value:system
telecom:email	C	0..*	CHCoreContactPointECH46Email	CH Core ContactPoint eCH-0046 Email cpt-2: A system is required if a value is provided.
telecom:phone	C	0..*	CHCoreContactPointECH46Phone	CH Core ContactPoint eCH-0046 Phone cpt-2: A system is required if a value is provided.
telecom:internet	C	0..*	CHCoreContactPointECH46Internet	CH Core ContactPoint eCH-0046 Internet cpt-2: A system is required if a value is provided.
address	C	0..*	CHCoreAddress	Address(es) of the practitioner ch-addr-2: For a Swiss address, a canton abbreviation from the value set 'eCH-0007 Canton Abbreviation' must be used.
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		1..1	CodeableConcept	Coded representation of the qualification Binding: v2 table 0360, Version 2.7 (example): Specific qualification the practitioner has to provide a service.
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	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.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Practitioner.qualification.code	example	v2.0360.2.7 (a valid code from http://terminology.hl7.org/CodeSystem/v2-0360|2.7) http://terminology.hl7.org/ValueSet/v2-2.7-0360 from the FHIR Standard
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-addr-2	error	Practitioner.address	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')))
ch-core-hm-1	error	Practitioner.name	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	error	Practitioner.name	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	error	Practitioner.name	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	error	Practitioner.name	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()
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'
cpt-2	error	Practitioner.telecom:email, Practitioner.telecom:phone, Practitioner.telecom:internet	A system is required if a value is provided. : value.empty() or system.exists()
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)

Structures

This structure refers to these other structures:

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

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Practitioner	C	0..*	CHCorePractitioner	CH EMS Practitioner dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management ch-pract-1: If a HumanName is provided, at least one HumanName must have a given and family name. ch-pract-2: gender unknown is currently not used in Switzerland in eCH and the EPR ch-ems-epr-practitioner: Warning that the resource is not conform to the CH Core EPR restrictions
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for identifier	Σ	0..*	Identifier	An identifier for the person as this agent Slice: Unordered, Open by value:$this ele-1: All FHIR elements must have a @value or children
identifier:GLN		0..1	GLNIdentifier	GLN (Global Location Number) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
system		1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:2.51.1.3
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	OID of the GLN ele-1: All FHIR elements must have a @value or children Fixed Value: urn:oid:2.51.1.3
value	ΣC	1..1	string	GLN of the practitioner (13 digits starting with 7601 for Swiss accredited practitioners) ele-1: All FHIR elements must have a @value or children gln-length: GLN must be exactly 13 characters long gln-modulus-10: GLN must pass the modulus 10 check - https://www.gs1.org/services/how-calculate-check-digit-manually gln-startswith76: GLN must start with 76 for Swiss HCP Example General: 123456
assigner	Σ	0..1	Reference(CH EMS Organization)	Organization that issued id ele-1: All FHIR elements must have a @value or children
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
identifier:ZSR		0..*	ZSRIdentifier	ZSR (Zahlstellenregister), RCC (Registre des codes-créanciers), RCC (Registro dei codici creditori) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
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
name	C	0..*	CHCoreHumanName	The name(s) associated with the practitioner ele-1: All FHIR elements must have a @value or children 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 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 ch-core-hm-3: ch-ext-ech-11-name can only be put on a family name ch-core-hm-4: ch-ext-ech-11-firstname can only be put on a given name
Slices for telecom	Σ	0..*	ContactPoint	A contact detail for the practitioner Slice: Unordered, Open by value:system ele-1: All FHIR elements must have a @value or children
telecom:email	C	0..*	CHCoreContactPointECH46Email	CH Core ContactPoint eCH-0046 Email cpt-2: A system is required if a value is provided. ele-1: All FHIR elements must have a @value or children
telecom:phone	C	0..*	CHCoreContactPointECH46Phone	CH Core ContactPoint eCH-0046 Phone cpt-2: A system is required if a value is provided. ele-1: All FHIR elements must have a @value or children
telecom:internet	C	0..*	CHCoreContactPointECH46Internet	CH Core ContactPoint eCH-0046 Internet cpt-2: A system is required if a value is provided. ele-1: All FHIR elements must have a @value or children
address	C	0..*	CHCoreAddress	Address(es) of the practitioner ele-1: All FHIR elements must have a @value or children ch-addr-2: For a Swiss address, a canton abbreviation from the value set 'eCH-0007 Canton Abbreviation' must be used.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Practitioner.identifier:GLN.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
ch-addr-2	error	Practitioner.address	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')))
ch-core-hm-1	error	Practitioner.name	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	error	Practitioner.name	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	error	Practitioner.name	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	error	Practitioner.name	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()
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'
cpt-2	error	Practitioner.telecom:email, Practitioner.telecom:phone, Practitioner.telecom:internet	A system is required if a value is provided. : value.empty() or system.exists()
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
Practitioner	C	0..*	CHCorePractitioner	CH EMS Practitioner ch-ems-epr-practitioner: Warning that the resource is not conform to the CH Core EPR restrictions
Slices for identifier				Content/Rules for all slices
identifier:GLN		0..1	GLNIdentifier	GLN (Global Location Number)
system		1..1	uri	OID of the GLN
value		1..1	string	GLN of the practitioner (13 digits starting with 7601 for Swiss accredited practitioners)
assigner		0..1	Reference(CH EMS Organization)	Organization that issued id
reference		1..1	string	Literal reference, Relative, internal or absolute URL
name		0..*	CHCoreHumanName	The name(s) associated with the practitioner
telecom		0..*	ContactPoint	A contact detail for the practitioner
address		0..*	CHCoreAddress	Address(es) of the practitioner
Documentation for this format

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
Practitioner	C	0..*	CHCorePractitioner	CH EMS Practitioner ch-pract-1: If a HumanName is provided, at least one HumanName must have a given and family name. ch-pract-2: gender unknown is currently not used in Switzerland in eCH and the EPR ch-ems-epr-practitioner: Warning that the resource is not conform to the CH Core EPR restrictions
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
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		0..1	GLNIdentifier	GLN (Global Location Number) 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	OID of the GLN Fixed Value: urn:oid:2.51.1.3
value	ΣC	1..1	string	GLN of the practitioner (13 digits starting with 7601 for Swiss accredited practitioners) gln-length: GLN must be exactly 13 characters long gln-modulus-10: GLN must pass the modulus 10 check - https://www.gs1.org/services/how-calculate-check-digit-manually gln-startswith76: GLN must start with 76 for Swiss HCP Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(CH EMS Organization)	Organization that issued id
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		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	C	0..*	CHCoreHumanName	The name(s) associated with the practitioner 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 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 ch-core-hm-3: ch-ext-ech-11-name can only be put on a family name ch-core-hm-4: ch-ext-ech-11-firstname can only be put on a given name
Slices for telecom	Σ	0..*	ContactPoint	A contact detail for the practitioner Slice: Unordered, Open by value:system
telecom:email	C	0..*	CHCoreContactPointECH46Email	CH Core ContactPoint eCH-0046 Email cpt-2: A system is required if a value is provided.
telecom:phone	C	0..*	CHCoreContactPointECH46Phone	CH Core ContactPoint eCH-0046 Phone cpt-2: A system is required if a value is provided.
telecom:internet	C	0..*	CHCoreContactPointECH46Internet	CH Core ContactPoint eCH-0046 Internet cpt-2: A system is required if a value is provided.
address	C	0..*	CHCoreAddress	Address(es) of the practitioner ch-addr-2: For a Swiss address, a canton abbreviation from the value set 'eCH-0007 Canton Abbreviation' must be used.
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		1..1	CodeableConcept	Coded representation of the qualification Binding: v2 table 0360, Version 2.7 (example): Specific qualification the practitioner has to provide a service.
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	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.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Practitioner.qualification.code	example	v2.0360.2.7 (a valid code from http://terminology.hl7.org/CodeSystem/v2-0360|2.7) http://terminology.hl7.org/ValueSet/v2-2.7-0360 from the FHIR Standard
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-addr-2	error	Practitioner.address	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')))
ch-core-hm-1	error	Practitioner.name	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	error	Practitioner.name	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	error	Practitioner.name	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	error	Practitioner.name	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()
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'
cpt-2	error	Practitioner.telecom:email, Practitioner.telecom:phone, Practitioner.telecom:internet	A system is required if a value is provided. : value.empty() or system.exists()
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)

Structures

This structure refers to these other structures:

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

Other representations of profile: CSV, Excel, Schematron