3.51.6 StructureDefinition: Shared Health Non-Clinician Practitioner - Detailed Descriptions
Definitions for the profile-practitioner-nonclinician Profile.
Practitioner | |
Definition | A person who is directly or indirectly involved in the provisioning of healthcare. |
Control | 0..* |
Must Support | true |
Comments | Note that a cab driver no longer fits the bill. You probably would be interested in the organization rather than the individual? |
Max Length | 0 |
Practitioner.id | |
Definition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. |
Control | 1..1 |
Type | id |
Must Support | true |
Comments | Conformance Note: This will be a GUID assigned by the sending application in the form urn:uuid:[guid]. Ideally, this guid will be consistent for all messages referencing the same practitioner. |
Max Length | 0 |
Practitioner.meta | |
Definition | The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource. |
Control | 0..1 |
Type | Meta |
Max Length | 0 |
Practitioner.implicitRules | |
Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. |
Control | 0..1 |
Type | uri |
Is Modifier | true |
Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element as much as possible. |
Max Length | 0 |
Practitioner.language | |
Definition | The base language in which the resource is written. |
Control | 0..1 |
Binding | A human language. The codes SHALL be taken from http://tools.ietf.org/html/bcp47 |
Type | code |
Comments | Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). |
Max Length | 0 |
Practitioner.text | |
Definition | A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. |
Control | 0..1 This element is affected by the following invariants: dom-1 |
Type | Narrative |
Alternate Names | narrative, html, xhtml, display |
Comments | Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. |
Max Length | 0 |
Practitioner.contained | |
Definition | These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. |
Control | 0..* |
Type | Resource |
Alternate Names | inline resources, anonymous resources, contained resources |
Comments | This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. |
Max Length | 0 |
Practitioner.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Control | 0..* |
Type | Extension |
Alternate Names | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Max Length | 0 |
Practitioner.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. |
Control | 0..* |
Type | Extension |
Is Modifier | true |
Alternate Names | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Max Length | 0 |
Practitioner.identifier | |
Definition | An identifier that applies to this person in this role. |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 0..* |
Type | Identifier |
Requirements | Often, specific identities are assigned for the agent. |
Max Length | 0 |
Practitioner.active | |
Definition | Whether this practitioner's record is in active use. |
Control | 0..1 |
Type | boolean |
Requirements | Need to be able to mark a practitioner record as not to be used because it was created in error. |
Comments | Default is true. If the practitioner is not in use by one organization, then it should mark the period on the PractitonerRole with an end date (even if they are active) as they may be active in another role. |
Max Length | 0 |
Default Value | true |
Practitioner.name | |
Definition | A human's name with the ability to identify parts and usage. |
Control | 1..1 |
Type | HumanName(Shared Health HumanName) |
Must Support | true |
Requirements | The name(s) that a Practitioner is known by. Where there are multiple, the name that the practitioner is usually known as should be used in the display. |
Comments | Conformance Rule: Legal name is mandatory. Set use = Professional; Alias is optional Conformance Rule: Name structure is defined by Shared Health Human Name data type. Please refer to Shared Health Human Name data type profile. |
Max Length | 0 |
Practitioner.telecom | |
Definition | Used to convey the private number of the prescriber and may be used if the pharmacy needs to contact directly. This is typically a cell number. Conformance Rule: Telecom structure is defined by Shared Health contact point data type. Please refer to Shared Health ContactPoint data type profile. |
Control | 0..* |
Type | ContactPoint(Shared Health ContactPoint) |
Must Support | true |
Requirements | Need to know how to reach a practitioner independent to any roles the practitioner may have. |
Comments | Person may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently, and also to help with identification These typically will have home numbers, or mobile numbers that are not role specific. |
Max Length | 0 |
Invariants | Defined on this element cpt-2: A system is required if a value is provided. (: value.empty() or system.exists()) |
Practitioner.address | |
Definition | Address(es) of the practitioner that are not role specific (typically home address). Work addresses are not typically entered in this property as they are usually role dependent. |
Control | 0..* |
Type | Address |
Requirements | The home/mailing address of the practitioner is often required for employee administration purposes, and also for some rostering services where the start point (practitioners home) can be used in calculations. |
Comments | The PractitionerRole does not have an address value on it, as it is expected that the location property be used for this purpose (which has an address). |
Max Length | 0 |
Practitioner.gender | |
Definition | Administrative Gender - the gender that the person is considered to have for administration and record keeping purposes. |
Control | 0..1 |
Binding | The gender of a person used for administrative purposes. The codes SHALL be taken from AdministrativeGender |
Type | code |
Requirements | Needed to address the person correctly. |
Max Length | 0 |
Practitioner.birthDate | |
Definition | The date of birth for the practitioner. |
Control | 0..1 |
Type | date |
Requirements | Needed for identification. |
Max Length | 0 |
Practitioner.photo | |
Definition | Image of the person. |
Control | 0..* |
Type | Attachment |
Requirements | Many EHR systems have the capability to capture an image of patients and personnel. Fits with newer social media usage too. |
Max Length | 0 |
Practitioner.practitionerRole | |
Definition | The list of roles/organizations that the practitioner is associated with. |
Control | 1..1 |
Type | BackboneElement |
Must Support | true |
Comments | The address to be used for this PractitionerRole is in the referenced location (removing duplication across all the services provided at the location). |
Max Length | 0 |
Practitioner.practitionerRole.id | |
Definition | unique id for the element within a resource (for internal references). |
Control | 0..1 |
Type | id |
Max Length | 0 |
Practitioner.practitionerRole.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Control | 0..* |
Type | Extension |
Alternate Names | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Max Length | 0 |
Practitioner.practitionerRole.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. |
Control | 0..* |
Type | Extension |
Is Modifier | true |
Alternate Names | extensions, user content, modifiers |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Max Length | 0 |
Practitioner.practitionerRole.organization | |
Definition | The organization where the Practitioner performs the roles associated. |
Control | 0..1 |
Type | Reference(Organization) |
Max Length | 0 |
Practitioner.practitionerRole.role | |
Definition | Roles which this practitioner is authorized to perform for the organization. |
Control | 1..1 |
Binding | The role a person plays representing an organization For example codes, see PractitionerRole |
Type | CodeableConcept |
Must Support | true |
Requirements | Need to know what authority the practitioner has - what can they do? |
Comments | A person may have more than one role. At least one role is required. |
Max Length | 0 |
Practitioner.practitionerRole.role.id | |
Definition | unique id for the element within a resource (for internal references). |
Control | 0..1 |
Type | id |
Max Length | 0 |
Practitioner.practitionerRole.role.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Control | 0..* |
Type | Extension |
Alternate Names | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Max Length | 0 |
Practitioner.practitionerRole.role.coding | |
Definition | A reference to a code defined by a terminology system. |
Control | 0..* |
Type | Coding |
Requirements | Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings. |
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labelled as UserSelected = true. |
Max Length | 0 |
Practitioner.practitionerRole.role.text | |
Definition | A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. |
Control | 1..1 |
Type | string |
Must Support | true |
Requirements | The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. |
Comments | This indicates the 'title' of the non-clinician practitioner. E.g. 'Receptionist', 'clinic manager', etc. |
Max Length | 0 |
Practitioner.practitionerRole.specialty | |
Definition | Specific specialty of the practitioner. |
Control | 0..* |
Binding | Specific specialty associated with the agency For example codes, see PractitionerSpecialty |
Type | CodeableConcept |
Max Length | 0 |
Practitioner.practitionerRole.identifier | |
Definition | Business Identifiers that are specific to a role/location. |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 0..* |
Type | Identifier |
Requirements | Some business identifiers are specific to a location and should be able to be associated. |
Max Length | 0 |
Practitioner.practitionerRole.telecom | |
Definition | Contact details that are specific to the role/location/service. |
Control | 0..* |
Type | ContactPoint |
Requirements | Often practitioners have a dedicated line for each location (or service) that they work at, and need to be able to define separate contact details for each of these. |
Max Length | 0 |
Practitioner.practitionerRole.period | |
Definition | The period during which the person is authorized to act as a practitioner in these role(s) for the organization. |
Control | 0..1 |
Type | Period |
Requirements | Even after the agencies is revoked, the fact that it existed must still be recorded. |
Max Length | 0 |
Practitioner.practitionerRole.location | |
Definition | The location(s) at which this practitioner provides care. |
Control | 0..* |
Type | Reference(Location) |
Max Length | 0 |
Practitioner.practitionerRole.healthcareService | |
Definition | The list of healthcare services that this worker provides for this role's Organization/Location(s). |
Control | 0..* |
Type | Reference(HealthcareService) |
Max Length | 0 |
Practitioner.qualification | |
Definition | Qualifications obtained by training and certification. |
Control | 0..* |
Type | BackboneElement |
Max Length | 0 |
Practitioner.qualification.id | |
Definition | unique id for the element within a resource (for internal references). |
Control | 0..1 |
Type | id |
Max Length | 0 |
Practitioner.qualification.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Control | 0..* |
Type | Extension |
Alternate Names | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Max Length | 0 |
Practitioner.qualification.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. |
Control | 0..* |
Type | Extension |
Is Modifier | true |
Alternate Names | extensions, user content, modifiers |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Max Length | 0 |
Practitioner.qualification.identifier | |
Definition | An identifier that applies to this person's qualification in this role. |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 0..* |
Type | Identifier |
Requirements | Often, specific identities are assigned for the qualification. |
Max Length | 0 |
Practitioner.qualification.code | |
Definition | Coded representation of the qualification. |
Control | 1..1 |
Binding | Specific qualification the practitioner has to provide a service For example codes, see ANZSCO -- Australian and New Zealand Standard Classification of Occupations, 2013, Version 1.2 |
Type | CodeableConcept |
Max Length | 0 |
Practitioner.qualification.period | |
Definition | Period during which the qualification is valid. |
Control | 0..1 |
Type | Period |
Requirements | Qualifications are often for a limited period of time, and can be revoked. |
Max Length | 0 |
Practitioner.qualification.issuer | |
Definition | Organization that regulates and issues the qualification. |
Control | 0..1 |
Type | Reference(Organization) |
Max Length | 0 |
Practitioner.communication | |
Definition | A language the practitioner is able to use in patient communication. |
Control | 0..* |
Binding | A human language. The codes SHALL be taken from http://tools.ietf.org/html/bcp47 |
Type | CodeableConcept |
Requirements | Knowing which language a practitioner speaks can help in facilitating communication with patients. |
Comments | The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems actually code this but instead have it as free text. Hence CodeableConcept instead of code as the data type. |
Max Length | 0 |