Canadian Core
0.1.0 - CI Build

Canadian Core, published by Canadian FHIR Implementor Working Group. This is not an authorized publication; it is the continuous build for version 0.1.0). This version is based on the current content of https://github.com/scratch-fhir-profiles/CA-Core/ and changes regularly. See the Directory of published versions

Resource Profile: Practitioner Profile (General)

Defining URL:http://hl7.org/fhir/ca/core/StructureDefinition/profile-practitioner
Version:0.1.0
Name:PractitionerProfile
Title:Practitioner Profile (General)
Status:Draft as of 2020-02-18
Definition:

Proposed constraints and extensions on the Practitioner Resource for general use.

Publisher:Canadian FHIR Implementor Working Group
Source Resource:XML / JSON / Turtle

The official URL for this profile is:

http://hl7.org/fhir/ca/core/StructureDefinition/profile-practitioner

CA Baseline Practitioner Profile

This Practitioner profile sets minimum expectations for the Practitioner resource to record, search and fetch demographics and other administrative information about a person who is directly or indirectly involved in the provisioning of healthcare.

This profile defines localization concepts for use in an Canadian context.

Differences from US Core

Note: This profile was generated from HL7 StructureDefinition on 2020-02-19 and constrained during a review of US Core against Canadian sources.

Mandatory Data Elements

All elements or attributes defined in FHIR have cardinality as part of their definition - a minimum number of required appearances and a maximum number.

Most elements in FHIR specification have a minimum cardinality of 0, which means that they may be missing from a resource when it is exchanged between systems.

In this Canadian Baseline Practitioner Profile all elements are optional, i.e., there is no element with a minimum cardinality of 1. However, some optional elements (e.g., identifier) have required components that MUST be present if that optional element is provided.

Data Absent Reason

In situations where the minimum cardinality of an element or attribute is 1 and information is missing and the Responder knows the precise reason for the absence of data, Responders SHALL send the reason for the missing information using values (such as NullFlavor) from the value set where they exist or using the DataAbsentReason extension.

Must Support Data Elements

Some elements are labeled as MustSupport meaning that implementations that produce or consume resources SHALL provide “support” for the element in some meaningful way (see Must Support definition).

Following elements are marked as Must Support in the Practitioner profile to aid record matching in databases with many pediatric records.

Must Support elements:

  1. an identifier
  2. a practitioner name
  3. contact detail (e.g. a telephone number or an email address)
  4. a birth date

Usage Note

This Practitioner profile is intended for general use, e.g. to be included into a Bundle along with the Patient resource (Patient.generalPractitioner).

Formal Views of Profile Content

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

This structure is derived from Practitioner

Summary

Mandatory: 0 element (2 nested mandatory elements)
Must-Support: 4 elements

Extensions

This structure refers to these extensions:

This structure is derived from Practitioner

NameFlagsCard.TypeDescription & Constraintsdoco
.. Practitioner 0..*PractitionerPractitioner Profile
... identifier S0..*IdentifierAn identifier for the person as this agent
.... system 1..1uriThe namespace for the identifier value
.... value 1..1stringThe value that is unique
... name SI0..*HumanNameThe name(s) associated with the practitioner
ca-core-name: Practitioner.name.given or Practitioner.name.family or both SHALL be present
... telecom S0..*ContactPointA contact detail for the practitioner (that apply to all roles)
.... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
.... iso21090-preferred 0..1booleanHL7 Preferred Address Flag extension
URL: http://hl7.org/fhir/StructureDefinition/iso21090-preferred
... birthDate S0..1dateThe date on which the practitioner was born
... qualification
.... code
..... coding
...... system 0..1uriQualifiedRoleType
Binding: http://fhir.infoway-inforoute.ca/CodeSystem/scpqual (preferred): A code system for the degree or educational rank that the credential specifies


doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Practitioner 0..*PractitionerPractitioner Profile
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier SΣ0..*IdentifierAn identifier for the person as this agent
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... type Σ0..1CodeableConceptDescription 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 Σ1..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value Σ1..1stringThe value that is unique
Example General: 123456
.... period Σ0..1PeriodTime period when id is/was valid for use
.... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
... active Σ0..1booleanWhether this practitioner's record is in active use
... name SΣI0..*HumanNameThe name(s) associated with the practitioner
ca-core-name: Practitioner.name.given or Practitioner.name.family or both SHALL be present
... telecom SΣ0..*ContactPointA contact detail for the practitioner (that apply to all roles)
... address Σ0..*AddressAddress(es) of the practitioner that are not role specific (typically home address)
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
.... iso21090-preferred 0..1booleanHL7 Preferred Address Flag extension
URL: http://hl7.org/fhir/StructureDefinition/iso21090-preferred
.... use ?!Σ0..1codehome | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.


Example General: home
.... type Σ0..1codepostal | physical | both
Binding: AddressType (required): The type of an address (physical / postal).


Example General: both
.... text Σ0..1stringText representation of the address
Example General: 137 Nowhere Street, Erewhon 9132
.... line Σ0..*stringStreet name, number, direction & P.O. Box etc.
This repeating element order: The order in which lines should appear in an address label
Example General: 137 Nowhere Street
.... city Σ0..1stringName of city, town etc.
Example General: Erewhon
.... district Σ0..1stringDistrict name (aka county)
Example General: Madison
.... state Σ0..1stringSub-unit of country (abbreviations ok)
.... postalCode Σ0..1stringPostal code for area
Example General: 9132
.... country Σ0..1stringCountry (e.g. can be ISO 3166 2 or 3 letter code)
.... period Σ0..1PeriodTime period when address was/is in use
Example General: {"start":"2010-03-23","end":"2010-07-01"}
... gender Σ0..1codemale | female | other | unknown
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.

... birthDate SΣ0..1dateThe date on which the practitioner was born
... photo 0..*AttachmentImage of the person
... qualification 0..*BackboneElementCertification, licenses, or training pertaining to the provision of care
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... identifier 0..*IdentifierAn identifier for this qualification for the practitioner
.... code 1..1CodeableConceptCoded representation of the qualification
Binding: v2 table 0360, Version 2.7 (example): Specific qualification the practitioner has to provide a service.

..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ0..*CodingCode defined by a terminology system
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ0..1uriQualifiedRoleType
Binding: http://fhir.infoway-inforoute.ca/CodeSystem/scpqual (preferred): A code system for the degree or educational rank that the credential specifies

...... version Σ0..1stringVersion of the system - if relevant
...... code Σ0..1codeSymbol in syntax defined by the system
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... text Σ0..1stringPlain text representation of the concept
.... period 0..1PeriodPeriod during which the qualification is valid
.... issuer 0..1Reference(Organization)Organization that regulates and issues the qualification
... communication 0..*CodeableConceptA language the practitioner can use in patient communication
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages: A human language.



doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Practitioner 0..*PractitionerPractitioner Profile
... identifier Σ0..*IdentifierAn identifier for the person as this agent
... name ΣI0..*HumanNameThe name(s) associated with the practitioner
ca-core-name: Practitioner.name.given or Practitioner.name.family or both SHALL be present
... telecom Σ0..*ContactPointA contact detail for the practitioner (that apply to all roles)

doco Documentation for this format

This structure is derived from Practitioner

Summary

Mandatory: 0 element (2 nested mandatory elements)
Must-Support: 4 elements

Extensions

This structure refers to these extensions:

Differential View

This structure is derived from Practitioner

NameFlagsCard.TypeDescription & Constraintsdoco
.. Practitioner 0..*PractitionerPractitioner Profile
... identifier S0..*IdentifierAn identifier for the person as this agent
.... system 1..1uriThe namespace for the identifier value
.... value 1..1stringThe value that is unique
... name SI0..*HumanNameThe name(s) associated with the practitioner
ca-core-name: Practitioner.name.given or Practitioner.name.family or both SHALL be present
... telecom S0..*ContactPointA contact detail for the practitioner (that apply to all roles)
.... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
.... iso21090-preferred 0..1booleanHL7 Preferred Address Flag extension
URL: http://hl7.org/fhir/StructureDefinition/iso21090-preferred
... birthDate S0..1dateThe date on which the practitioner was born
... qualification
.... code
..... coding
...... system 0..1uriQualifiedRoleType
Binding: http://fhir.infoway-inforoute.ca/CodeSystem/scpqual (preferred): A code system for the degree or educational rank that the credential specifies


doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Practitioner 0..*PractitionerPractitioner Profile
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier SΣ0..*IdentifierAn identifier for the person as this agent
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... type Σ0..1CodeableConceptDescription 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 Σ1..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value Σ1..1stringThe value that is unique
Example General: 123456
.... period Σ0..1PeriodTime period when id is/was valid for use
.... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
... active Σ0..1booleanWhether this practitioner's record is in active use
... name SΣI0..*HumanNameThe name(s) associated with the practitioner
ca-core-name: Practitioner.name.given or Practitioner.name.family or both SHALL be present
... telecom SΣ0..*ContactPointA contact detail for the practitioner (that apply to all roles)
... address Σ0..*AddressAddress(es) of the practitioner that are not role specific (typically home address)
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
.... iso21090-preferred 0..1booleanHL7 Preferred Address Flag extension
URL: http://hl7.org/fhir/StructureDefinition/iso21090-preferred
.... use ?!Σ0..1codehome | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.


Example General: home
.... type Σ0..1codepostal | physical | both
Binding: AddressType (required): The type of an address (physical / postal).


Example General: both
.... text Σ0..1stringText representation of the address
Example General: 137 Nowhere Street, Erewhon 9132
.... line Σ0..*stringStreet name, number, direction & P.O. Box etc.
This repeating element order: The order in which lines should appear in an address label
Example General: 137 Nowhere Street
.... city Σ0..1stringName of city, town etc.
Example General: Erewhon
.... district Σ0..1stringDistrict name (aka county)
Example General: Madison
.... state Σ0..1stringSub-unit of country (abbreviations ok)
.... postalCode Σ0..1stringPostal code for area
Example General: 9132
.... country Σ0..1stringCountry (e.g. can be ISO 3166 2 or 3 letter code)
.... period Σ0..1PeriodTime period when address was/is in use
Example General: {"start":"2010-03-23","end":"2010-07-01"}
... gender Σ0..1codemale | female | other | unknown
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.

... birthDate SΣ0..1dateThe date on which the practitioner was born
... photo 0..*AttachmentImage of the person
... qualification 0..*BackboneElementCertification, licenses, or training pertaining to the provision of care
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... identifier 0..*IdentifierAn identifier for this qualification for the practitioner
.... code 1..1CodeableConceptCoded representation of the qualification
Binding: v2 table 0360, Version 2.7 (example): Specific qualification the practitioner has to provide a service.

..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ0..*CodingCode defined by a terminology system
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ0..1uriQualifiedRoleType
Binding: http://fhir.infoway-inforoute.ca/CodeSystem/scpqual (preferred): A code system for the degree or educational rank that the credential specifies

...... version Σ0..1stringVersion of the system - if relevant
...... code Σ0..1codeSymbol in syntax defined by the system
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... text Σ0..1stringPlain text representation of the concept
.... period 0..1PeriodPeriod during which the qualification is valid
.... issuer 0..1Reference(Organization)Organization that regulates and issues the qualification
... communication 0..*CodeableConceptA language the practitioner can use in patient communication
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages: A human language.



doco Documentation for this format

 

Other representations of profile: Schematron

Terminology Bindings

PathConformanceValueSet
Practitioner.languagepreferredCommonLanguages
Max Binding: AllLanguages
Practitioner.identifier.userequiredIdentifierUse
Practitioner.identifier.typeextensibleIdentifier Type Codes
Practitioner.address.userequiredAddressUse
Practitioner.address.typerequiredAddressType
Practitioner.genderrequiredAdministrativeGender
Practitioner.qualification.codeexamplev2.0360.2.7
Practitioner.qualification.code.coding.systempreferredhttp://fhir.infoway-inforoute.ca/CodeSystem/scpqual
Practitioner.communicationpreferredCommonLanguages
Max Binding: AllLanguages

Constraints

IdPathDetailsRequirements
dom-2PractitionerIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3PractitionerIf 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-4PractitionerIf 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-5PractitionerIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6PractitionerA resource should have narrative for robust management
: text.`div`.exists()
ele-1Practitioner.metaAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Practitioner.implicitRulesAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Practitioner.languageAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Practitioner.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Practitioner.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Practitioner.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Practitioner.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Practitioner.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Practitioner.identifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Practitioner.identifier.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Practitioner.identifier.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Practitioner.identifier.useAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Practitioner.identifier.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Practitioner.identifier.systemAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Practitioner.identifier.valueAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Practitioner.identifier.periodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Practitioner.identifier.assignerAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Practitioner.activeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Practitioner.nameAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ca-core-namePractitioner.namePractitioner.name.given or Practitioner.name.family or both SHALL be present
: family.exists() or given.exists()
ele-1Practitioner.telecomAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Practitioner.addressAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Practitioner.address.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Practitioner.address.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Practitioner.address.extension:preferredAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Practitioner.address.extension:preferredMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Practitioner.address.useAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Practitioner.address.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Practitioner.address.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Practitioner.address.lineAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Practitioner.address.cityAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Practitioner.address.districtAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Practitioner.address.stateAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Practitioner.address.postalCodeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Practitioner.address.countryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Practitioner.address.periodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Practitioner.genderAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Practitioner.birthDateAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Practitioner.photoAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Practitioner.qualificationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Practitioner.qualification.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Practitioner.qualification.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Practitioner.qualification.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Practitioner.qualification.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Practitioner.qualification.identifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Practitioner.qualification.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Practitioner.qualification.code.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Practitioner.qualification.code.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Practitioner.qualification.code.codingAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Practitioner.qualification.code.coding.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Practitioner.qualification.code.coding.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Practitioner.qualification.code.coding.systemAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Practitioner.qualification.code.coding.versionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Practitioner.qualification.code.coding.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Practitioner.qualification.code.coding.displayAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Practitioner.qualification.code.coding.userSelectedAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Practitioner.qualification.code.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Practitioner.qualification.periodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Practitioner.qualification.issuerAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Practitioner.communicationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())

Notes:

Identifiers

Multiple types of provider identifiers may be used in Practitioner.identifier element in the Canadian context:

  • Provincial health plan provider/ Billing number
  • License Number
  • Medical Doctor Number

Implementers may use other identifiers to capture in a more specific way such as internal provider number, jurisdictions providing credentials. The full list of possible identifier types is in Canadian URI Registry

In some cases, the same license number can be used as the provider identifier and provider’s qualification identifier.

Telecom

A provider may have multiple ways to be contacted with different uses or applicable periods. This Practitioner profile allows multiple contact points (e.g. a telephone number or an email address) by which the individual may be contacted.

To indicate the preferred way to contact use Practitioner.telecom.rank attribute (i.e., the ContactPoint.rank component) that specifies a preferred order in which to use a set of contacts. ContactPoints with lower rank values are more preferred than those with higher rank values.

Address

The Practitioner profile is provided for use in a Canadian context where some constraint on content is desirable to guarantee the quality of the Canadian address whilst still supporting other type of address (e.g., other countries or unstructured addresses).

Canadian postal code

If an address in the Practitioner resource instance represents Canadian address, it SHOULD follow Canadian postal code format.

The Canadian Postal Code SHOULD be a six-character uniformly structured uppercase alphanumeric code in the form of “ANA NAN”, where “A” represents an alphabetic character and “N” represents a numeric character, with one space between the first three and the last three characters.

A hyphen SHOULD NOT be used (example of unacceptable format: T0L-1K0).

Preferred

The Practitioner.address MAY have a Preferred extension. This is the FHIR standard defined extension used as a flag denoting whether parent address item is preferred.

Qualifications

This profile recommends to use Canadian QualifiedRoleType value set as the coded representation of the provider’s qualification. This value set lists codes for the degree or educational rank that the credential specifies. It may also apply to an Expertise type.

The binding strength for the Practitioner.qualification.code element is Preferred meaning that implementers are encouraged to draw codes from the specified code system for interoperability purposes but are not required to do so to be considered conformant.

Example:

"code": {
  "coding": [
    {
      "system": "https://fhir.infoway-inforoute.ca/CodeSystem/scpqual",
      "code": "BSC",
      "display": "Bachelor of Science Degree"
    }
  ],
  "text": "Bachelor of Science Degree"
}