HL7® FHIR® New Zealand Base Implementation Guide
3.1.0 - Draft

HL7® FHIR® New Zealand Base Implementation Guide, published by HL7 New Zealand. This guide is not an authorized publication; it is the continuous build for version 3.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7nz/nzbase/ and changes regularly. See the Directory of published versions

## Extension: ScopeOfPractice

Official URL: http://hl7.org.nz/fhir/StructureDefinition/scope-of-practice | Version: 1.0.0
Active as of 2025-12-18 | Computable Name: ScopeOfPractice

The type or range of health services a practitioner is authorised to perform, as determined by the Responsible Authority or professional body.

Context of Use

This extension may be used on the following element(s)

- Element ID: `Practitioner.qualification`

Example of extension

        <extension
                   url="http://hl7.org.nz/fhir/StructureDefinition/scope-of-practice">
          <extension url="code">
            <valueCodeableConcept>
              <coding>
                <system
                        value="https://standards.digital.health.nz/ns/practitioner-scope-of-practice-code"/>
                <code value="CHIR"/>
                <display value="Chiropractor"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <extension url="period">
            <valuePeriod>
              <start value="2020-01-01"/>
              <end value="2020-12-31"/>
            </valuePeriod>
          </extension>
        </extension>

Note that this is applied to the qualification element, not the resource root. See the full example below.

Example instances

Practitioner with scope of practice

Usage info

Usages:

- Use this Extension: Practitioner resource for use in NZ
- Examples for this Extension: Practitioner/practitioner-scope-of-practice

You can also check for usages in the FHIR IG Statistics

### Formal Views of Extension Content

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

- Differential Table
- Snapshot Table
- Statistics/References
- All

This structure is derived from Extension

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension |  | 0..* | Extension | Extension
Slices for extension |  |  |  | Content/Rules for all slices
extension:code |  | 0..1 | Extension | Extension
extension |  | 0..0 |  | Extension
url |  | 1..1 | uri | "code"
value[x] |  | 0..1 | CodeableConcept | Value of extension Binding: Scope of practice (preferred)
extension:period |  | 0..1 | Extension | Extension
extension |  | 0..0 |  | Extension
url |  | 1..1 | uri | "period"
value[x] |  | 0..1 | Period | Value of extension
url |  | 1..1 | uri | "http://hl7.org.nz/fhir/StructureDefinition/scope-of-practice"
value[x] |  | 0..0 |  | Value of extension
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension |  | 0..* | Extension | Extension
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
extension:code |  | 0..1 | Extension | Extension
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "code"
value[x] |  | 0..1 | CodeableConcept | Value of extension Binding: Scope of practice (preferred)
extension:period |  | 0..1 | Extension | Extension
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "period"
value[x] |  | 0..1 | Period | Value of extension
url |  | 1..1 | uri | "http://hl7.org.nz/fhir/StructureDefinition/scope-of-practice"
Documentation for this format

This structure is derived from Extension

Summary

Complex Extension: The type or range of health services a practitioner is authorised to perform, as determined by the Responsible Authority or professional body.

- code: CodeableConcept: A code identifying the services that the practitioner is permitted to perform
- period: Period: The period the scope of practice is effective

Differential View

This structure is derived from Extension

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension |  | 0..* | Extension | Extension
Slices for extension |  |  |  | Content/Rules for all slices
extension:code |  | 0..1 | Extension | Extension
extension |  | 0..0 |  | Extension
url |  | 1..1 | uri | "code"
value[x] |  | 0..1 | CodeableConcept | Value of extension Binding: Scope of practice (preferred)
extension:period |  | 0..1 | Extension | Extension
extension |  | 0..0 |  | Extension
url |  | 1..1 | uri | "period"
value[x] |  | 0..1 | Period | Value of extension
url |  | 1..1 | uri | "http://hl7.org.nz/fhir/StructureDefinition/scope-of-practice"
value[x] |  | 0..0 |  | Value of extension
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension |  | 0..* | Extension | Extension
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
extension:code |  | 0..1 | Extension | Extension
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "code"
value[x] |  | 0..1 | CodeableConcept | Value of extension Binding: Scope of practice (preferred)
extension:period |  | 0..1 | Extension | Extension
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "period"
value[x] |  | 0..1 | Period | Value of extension
url |  | 1..1 | uri | "http://hl7.org.nz/fhir/StructureDefinition/scope-of-practice"
Documentation for this format

This structure is derived from Extension

Summary

Complex Extension: The type or range of health services a practitioner is authorised to perform, as determined by the Responsible Authority or professional body.

- code: CodeableConcept: A code identifying the services that the practitioner is permitted to perform
- period: Period: The period the scope of practice is effective

Other representations of profile: CSV, Excel, Schematron

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Extension.extension:code.​value[x] | Base | preferred | Scope of practice | 📦2.0.0 | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression
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()`