Netherlands - Generic Functions for data exchange Implementation Guide
0.3.0 - ci-build

Netherlands - Generic Functions for data exchange Implementation Guide, published by Stichting Nuts. This guide is not an authorized publication; it is the continuous build for version 0.3.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/nuts-foundation/nl-generic-functions-ig/ and changes regularly. See the Directory of published versions

## Resource Profile: NL Generic Functions PractitionerRole Profile

Official URL: http://nuts-foundation.github.io/nl-generic-functions-ig/StructureDefinition/nl-gf-practitionerrole | Version: 0.3.0
Draft as of 2025-11-24 | Computable Name: NlGfPractitionerRole

The details of a healthcare practitioner's role within an organization.

Usages:

- Examples for this Profile: PractitionerRole/5fa4c91a-a12f-48ae-a4c7-92971dc7ab53, PractitionerRole/d60525bd-5caf-4437-8f4b-4156300a27de and PractitionerRole/f051d3bd-26ff-4030-a5b6-fc4ef2be83ba
- CapabilityStatements using this Profile: Administration Directory for Administration Client, Administration Directory for Update Client and Query Directory for Query Client

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
--- | --- | --- | --- | ---
PractitionerRole |  | 0..* | NlcoreHealthProfessionalPractitionerRole | HealthProfessional
practitioner | Σ | 1..1 | Reference(Practitioner | nl core HealthProfessional Practitioner) | Practitioner that is able to provide the defined services for the organization
organization | Σ | 1..1 | Reference(Organization | nl core HealthcareProvider Organization) | HealthcareProvider
code | Σ | 1..* | CodeableConcept | Roles which this practitioner may perform Binding: PractitionerRole (example): The role a person plays representing an organization.
Slices for specialty | Σ | 0..* | CodeableConcept | Specific specialty of the practitioner Slice: Unordered, Open by value:$this Binding: PracticeSettingCodeValueSet (preferred): Specific specialty associated with the agency.
specialty:specialty | Σ | 0..1 | CodeableConcept | Specialty Binding: SpecialismeCodelijsten (required): Specific specialty associated with the agency.
Slices for telecom | Σ | 0..* | ContactPoint | ContactInformation Slice: Unordered, Open by profile:$this
telecom:telephoneNumbers | Σ C N | 0..* | NlcoreContactInformationTelephoneNumbers | TelephoneNumbers Constraints: cpt-2
telecom:emailAddresses | Σ C N | 0..* | NlcoreContactInformationEmailAddresses | EmailAddresses Constraints: cpt-2
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
PractitionerRole.code | Base | example | Practitioner role | 📦4.0.1 | FHIR Std.
PractitionerRole.specialty | Base | preferred | Practice Setting Code Value Set | 📦4.0.1 | FHIR Std.
PractitionerRole.specialty:specialty | Base | required | SpecialismeCodelijsten | 📦2020-09-01T00:00:00 | FHIR implementation of zibs 2020 v0.12

#### Constraints

Id | Grade | Path(s) | Description | Expression
cpt-2 | error | PractitionerRole.telecom:telephoneNumbers, PractitionerRole.telecom:emailAddresses | A system is required if a value is provided. | `value.empty() or system.exists()`
dom-2 | error | PractitionerRole | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | PractitionerRole | 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 | PractitionerRole | 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 | PractitionerRole | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | PractitionerRole | 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())`

This structure is derived from NlcoreHealthProfessionalPractitionerRole

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
PractitionerRole |  | 0..* | NlcoreHealthProfessionalPractitionerRole | HealthProfessional
implicitRules |  | 0..0 |  | A set of rules under which this content was created
modifierExtension |  | 0..0 |  | Extension
practitioner |  | 1..1 | Reference(Practitioner | nl core HealthProfessional Practitioner) | Practitioner that is able to provide the defined services for the organization
organization |  | 1..1 | Reference(Organization | nl core HealthcareProvider Organization) | HealthcareProvider
code |  | 1..* | CodeableConcept | Roles which this practitioner may perform
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
PractitionerRole |  | 0..* | NlcoreHealthProfessionalPractitionerRole | HealthProfessional
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
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
identifier | Σ | 0..* | Identifier | Business Identifiers that are specific to a role/location
active | Σ | 0..1 | boolean | Whether this practitioner role record is in active use
period | Σ | 0..1 | Period | The period during which the practitioner is authorized to perform in these role(s)
practitioner | Σ | 1..1 | Reference(Practitioner | nl core HealthProfessional Practitioner) | Practitioner that is able to provide the defined services for the organization
organization | Σ | 1..1 | Reference(Organization | nl core HealthcareProvider Organization) | HealthcareProvider
code | Σ | 1..* | CodeableConcept | Roles which this practitioner may perform Binding: PractitionerRole (example): The role a person plays representing an organization.
Slices for specialty | Σ | 0..* | CodeableConcept | Specific specialty of the practitioner Slice: Unordered, Open by value:$this Binding: PracticeSettingCodeValueSet (preferred): Specific specialty associated with the agency.
specialty:specialty | Σ | 0..1 | CodeableConcept | Specialty Binding: SpecialismeCodelijsten (required): Specific specialty associated with the agency.
location | Σ | 0..* | Reference(Location | nl core HealthcareProvider) | The location(s) at which this practitioner provides care
healthcareService |  | 0..* | Reference(HealthcareService) | The list of healthcare services that this worker provides for this role's Organization/Location(s)
Slices for telecom | Σ | 0..* | ContactPoint | ContactInformation Slice: Unordered, Open by profile:$this
telecom:telephoneNumbers | Σ C N | 0..* | NlcoreContactInformationTelephoneNumbers | TelephoneNumbers Constraints: cpt-2
telecom:emailAddresses | Σ C N | 0..* | NlcoreContactInformationEmailAddresses | EmailAddresses Constraints: cpt-2
availableTime |  | 0..* | BackboneElement | Times the Service Site is available
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
daysOfWeek |  | 0..* | code | mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required): The days of the week.
allDay |  | 0..1 | boolean | Always available? e.g. 24 hour service
availableStartTime |  | 0..1 | time | Opening time of day (ignored if allDay = true)
availableEndTime |  | 0..1 | time | Closing time of day (ignored if allDay = true)
notAvailable |  | 0..* | BackboneElement | Not available during this time due to provided reason
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
description |  | 1..1 | string | Reason presented to the user explaining why time not available
during |  | 0..1 | Period | Service not available from this date
availabilityExceptions |  | 0..1 | string | Description of availability exceptions
endpoint |  | 0..* | Reference(Endpoint) | Technical endpoints providing access to services operated for the practitioner with this role
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
PractitionerRole.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std.
PractitionerRole.code | Base | example | Practitioner role | 📦4.0.1 | FHIR Std.
PractitionerRole.specialty | Base | preferred | Practice Setting Code Value Set | 📦4.0.1 | FHIR Std.
PractitionerRole.specialty:specialty | Base | required | SpecialismeCodelijsten | 📦2020-09-01T00:00:00 | FHIR implementation of zibs 2020 v0.12
PractitionerRole.availableTime.​daysOfWeek | Base | required | DaysOfWeek | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
cpt-2 | error | PractitionerRole.telecom:telephoneNumbers, PractitionerRole.telecom:emailAddresses | A system is required if a value is provided. | `value.empty() or system.exists()`
dom-2 | error | PractitionerRole | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | PractitionerRole | 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 | PractitionerRole | 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 | PractitionerRole | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | PractitionerRole | 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()`

This structure is derived from NlcoreHealthProfessionalPractitionerRole

Summary

Mandatory: 3 elements
Prohibited: 2 elements

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
PractitionerRole |  | 0..* | NlcoreHealthProfessionalPractitionerRole | HealthProfessional
practitioner | Σ | 1..1 | Reference(Practitioner | nl core HealthProfessional Practitioner) | Practitioner that is able to provide the defined services for the organization
organization | Σ | 1..1 | Reference(Organization | nl core HealthcareProvider Organization) | HealthcareProvider
code | Σ | 1..* | CodeableConcept | Roles which this practitioner may perform Binding: PractitionerRole (example): The role a person plays representing an organization.
Slices for specialty | Σ | 0..* | CodeableConcept | Specific specialty of the practitioner Slice: Unordered, Open by value:$this Binding: PracticeSettingCodeValueSet (preferred): Specific specialty associated with the agency.
specialty:specialty | Σ | 0..1 | CodeableConcept | Specialty Binding: SpecialismeCodelijsten (required): Specific specialty associated with the agency.
Slices for telecom | Σ | 0..* | ContactPoint | ContactInformation Slice: Unordered, Open by profile:$this
telecom:telephoneNumbers | Σ C N | 0..* | NlcoreContactInformationTelephoneNumbers | TelephoneNumbers Constraints: cpt-2
telecom:emailAddresses | Σ C N | 0..* | NlcoreContactInformationEmailAddresses | EmailAddresses Constraints: cpt-2
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
PractitionerRole.code | Base | example | Practitioner role | 📦4.0.1 | FHIR Std.
PractitionerRole.specialty | Base | preferred | Practice Setting Code Value Set | 📦4.0.1 | FHIR Std.
PractitionerRole.specialty:specialty | Base | required | SpecialismeCodelijsten | 📦2020-09-01T00:00:00 | FHIR implementation of zibs 2020 v0.12

#### Constraints

Id | Grade | Path(s) | Description | Expression
cpt-2 | error | PractitionerRole.telecom:telephoneNumbers, PractitionerRole.telecom:emailAddresses | A system is required if a value is provided. | `value.empty() or system.exists()`
dom-2 | error | PractitionerRole | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | PractitionerRole | 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 | PractitionerRole | 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 | PractitionerRole | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | PractitionerRole | 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())`

Differential View

This structure is derived from NlcoreHealthProfessionalPractitionerRole

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
PractitionerRole |  | 0..* | NlcoreHealthProfessionalPractitionerRole | HealthProfessional
implicitRules |  | 0..0 |  | A set of rules under which this content was created
modifierExtension |  | 0..0 |  | Extension
practitioner |  | 1..1 | Reference(Practitioner | nl core HealthProfessional Practitioner) | Practitioner that is able to provide the defined services for the organization
organization |  | 1..1 | Reference(Organization | nl core HealthcareProvider Organization) | HealthcareProvider
code |  | 1..* | CodeableConcept | Roles which this practitioner may perform
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
PractitionerRole |  | 0..* | NlcoreHealthProfessionalPractitionerRole | HealthProfessional
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
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
identifier | Σ | 0..* | Identifier | Business Identifiers that are specific to a role/location
active | Σ | 0..1 | boolean | Whether this practitioner role record is in active use
period | Σ | 0..1 | Period | The period during which the practitioner is authorized to perform in these role(s)
practitioner | Σ | 1..1 | Reference(Practitioner | nl core HealthProfessional Practitioner) | Practitioner that is able to provide the defined services for the organization
organization | Σ | 1..1 | Reference(Organization | nl core HealthcareProvider Organization) | HealthcareProvider
code | Σ | 1..* | CodeableConcept | Roles which this practitioner may perform Binding: PractitionerRole (example): The role a person plays representing an organization.
Slices for specialty | Σ | 0..* | CodeableConcept | Specific specialty of the practitioner Slice: Unordered, Open by value:$this Binding: PracticeSettingCodeValueSet (preferred): Specific specialty associated with the agency.
specialty:specialty | Σ | 0..1 | CodeableConcept | Specialty Binding: SpecialismeCodelijsten (required): Specific specialty associated with the agency.
location | Σ | 0..* | Reference(Location | nl core HealthcareProvider) | The location(s) at which this practitioner provides care
healthcareService |  | 0..* | Reference(HealthcareService) | The list of healthcare services that this worker provides for this role's Organization/Location(s)
Slices for telecom | Σ | 0..* | ContactPoint | ContactInformation Slice: Unordered, Open by profile:$this
telecom:telephoneNumbers | Σ C N | 0..* | NlcoreContactInformationTelephoneNumbers | TelephoneNumbers Constraints: cpt-2
telecom:emailAddresses | Σ C N | 0..* | NlcoreContactInformationEmailAddresses | EmailAddresses Constraints: cpt-2
availableTime |  | 0..* | BackboneElement | Times the Service Site is available
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
daysOfWeek |  | 0..* | code | mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required): The days of the week.
allDay |  | 0..1 | boolean | Always available? e.g. 24 hour service
availableStartTime |  | 0..1 | time | Opening time of day (ignored if allDay = true)
availableEndTime |  | 0..1 | time | Closing time of day (ignored if allDay = true)
notAvailable |  | 0..* | BackboneElement | Not available during this time due to provided reason
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
description |  | 1..1 | string | Reason presented to the user explaining why time not available
during |  | 0..1 | Period | Service not available from this date
availabilityExceptions |  | 0..1 | string | Description of availability exceptions
endpoint |  | 0..* | Reference(Endpoint) | Technical endpoints providing access to services operated for the practitioner with this role
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
PractitionerRole.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std.
PractitionerRole.code | Base | example | Practitioner role | 📦4.0.1 | FHIR Std.
PractitionerRole.specialty | Base | preferred | Practice Setting Code Value Set | 📦4.0.1 | FHIR Std.
PractitionerRole.specialty:specialty | Base | required | SpecialismeCodelijsten | 📦2020-09-01T00:00:00 | FHIR implementation of zibs 2020 v0.12
PractitionerRole.availableTime.​daysOfWeek | Base | required | DaysOfWeek | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
cpt-2 | error | PractitionerRole.telecom:telephoneNumbers, PractitionerRole.telecom:emailAddresses | A system is required if a value is provided. | `value.empty() or system.exists()`
dom-2 | error | PractitionerRole | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | PractitionerRole | 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 | PractitionerRole | 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 | PractitionerRole | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | PractitionerRole | 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()`

This structure is derived from NlcoreHealthProfessionalPractitionerRole

Summary

Mandatory: 3 elements
Prohibited: 2 elements

Other representations of profile: CSV, Excel, Schematron