Shared Health Practitioner - Provider Registry

3.77 StructureDefinition: Shared Health Practitioner - Provider Registry

The official URL for this profile is:

http://sharedhealth.exchange/fhir/StructureDefinition/profile-practitioner-tpr

3.77.2 Formal Views of Profile Content

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

This structure is derived from Practitioner

Name	Card.	Type	Constraints and Usage
Practitioner	0..*	Practitioner	Definition: A person who is directly or indirectly involved in the provisioning of healthcare. Comments:
id	1..1	id	Definition: The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. Comments: This value should be populated with the CPRID of the practitioner this resource describes. The CPRID of the practitioner is the business identifier used within the Provider Registry to uniquely identify a practitioner.
meta	1..1	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.
tag	1..*	Coding	Slice: Unordered, Open by value:system Binding: (unbound) (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones" Definition: Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource. Comments: The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.
tag (version)	1..1	Coding	Binding: SharedSpecificationVersion (20210501) (required) Definition: Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource. Comments: The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.
system	1..1	uri	Fixed Value: https://fhir.infoway-inforoute.ca/CodeSystem/sharedspecificationversion Definition: The identification of the code system that defines the meaning of the symbol in the code. Comments: Fixed value: https://fhir.infoway-inforoute.ca/CodeSystem/sharedspecificationversion
code	1..1	code	Definition: A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
extension	0..*	Extension	Slice: Unordered, Open by value:url Definition: An Extension
extension (service)	0..*	Entity Service	Definition: Identifies a electronic communication service offered by a service location or practitioner Comments: Entity Service is used at this level, when the service registration process requires participation at both the Organization level and the Practitioner level. Both levels must be validated to confirm the outcome. This is returned in the response when the service is determined to be active. It will be absent from the response when the service is no longer active.
identifier	0..*	Shared Health Person Identifier	Slice: Unordered, Open by pattern:type Definition: A technical identifier - identifies some entity uniquely and unambiguously. Comments: Two identifiers will be provided - the Provider Registry identifier, denoted by an Identifier.type code of 'PRN' and the provider license number, denoted by an Identifier.type.coding.code of 'LN'. Conformance Rule: The Provider Registry identifier SHALL be sent if the practioner is the initiating practitioner for the tasks in a message. The Provider Registry identifier SHOULD be sent if known if the practitioner is being sent for other purposes (e.g. the prescriber of a prescription for which a renewal is being sought). When transmitting the provider license number (always mandatory), the Identifier.type shall have a coding from the 'http://hl7.org/fhir/v2/0203' system of 'LN'. For the specific license type expressed as a urn (e.g. urn:oid:1.2.3.4). In a future version of this specification, we may be migrating from OIDs to more readable URL’s. You can plan for this in your design. Conformance Rule: The second identifier provided will be the licence ID of the Prescriber. The assigning authority OID will be determined based on the licencing body; a list of which is found within the Vendor Implementation guide.
identifier (registry)	1..1	Identifier	Definition: An identifier that applies to this person in this role. Comments: This is the same id as found on Practitioner.id, but expressed as a business identifier - it will remain the same as the Practitioner resource is stored on different systems. In the context of Pharmacist Adapt (p170) and Pharmacist Prescribe (p190), no value will exist as pharmacists are not registered.
type	1..1	Shared Health CodeableConcept Code	Binding: IdentifierType (20210501) (extensible) Required Pattern: {"coding":[{"system":"http://hl7.org/fhir/v2/0203","code":"PRN"}]} Definition: A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text. Comments:
system	1..1	uri	Fixed Value: http://sharedhealth.exchange/fhir/NamingSystem/registry-id-practitioner Definition: Establishes the namespace in which set of possible id values is unique. Comments: Fixed value: http://sharedhealth.exchange/fhir/NamingSystem/registry-id-practitioner
value	1..1	string	Example' General': 123456 Definition: The portion of the identifier typically relevant to the user and which is unique within the context of the system. Comments: Conformance Rule: This SHALL match the practitioner.id value.
identifier (license)	0..10	Identifier	Definition: An identifier that applies to this person in this role. Comments: Conformance Rule: Only a single licence number can be submitted. For Prescriber's with multiple licence numbers, the licence number must be the one that the Prescriber is acting under the authority of when Prescribing. In the context of Pharmacist Adapt (p170) and Pharmacist Prescribe (p190), populate with Pharmacist licensing body and license number. In the context of TPR Cache, PrescribeIT® searches for the most recent role based on either create date or update date, and returns that role and the associated specialty in the TPR Query Response.
type	1..1	Shared Health CodeableConcept Code Required and Text Required	Binding: IdentifierType (20210501) (extensible) Required Pattern: {"coding":[{"system":"http://hl7.org/fhir/v2/0203","code":"LN"}]} Definition: A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text. Comments:
system	1..1	uri	Binding: SharedPractitionerIdentifierType (required) Example' General': http://www.acme.com/identifiers/patient or urn:ietf:rfc:3986 if the Identifier.value itself is a full uri Definition: Establishes the namespace in which set of possible id values is unique. Comments: The jurisdictional licensing body (e.g. College of Physicians and Surgeons) that issued the practitioner’s license, chosen from terminology binding (this will be an OID expressed as a URI).
value	1..1	string	Example' General': 123456 Definition: The portion of the identifier typically relevant to the user and which is unique within the context of the system. Comments: This is the Practitioner license number
name	1..1	Shared Health HumanName	Definition: A human's name with the ability to identify parts and usage. Comments: Usage Note: The last name provided within this segment is validated against the name in the SAML token. It is also used to populate faxes during the “fail to fax” scenario.
telecom	0..*	Shared Health ContactPoint	cpt-2: A system is required if a value is provided. Definition: This segment provide methods of contacting the practitioner. Only numbers that have authorized to be disclosed by the practitioner should be included. For example, most practitioners do not authorize the disclosure of their cell phone number to pharmacies. Comments:
practitionerRole	0..*	BackboneElement	practitionerRole-1: Must have at least one of organization and role Definition: The list of roles/organizations that the practitioner is associated with. Comments: The address to be used for this PractitionerRole is in the referenced location (removing duplication across all the services provided at the location).
organization	0..1	Reference(Shared Health Organization - Provider Registry) {r }	Definition: A reference from one resource to another.
reference	1..1	string	Definition: This is a reference to the resource within the current bundle that represents the organization the practitioner is working for. Comments:
role	0..1	Shared Health CodeableConcept Code	Binding: SharedPractitionerRole (20190415) (required) Definition: In the context of EMR messages: The prescribers role that is associated to the prescribers license number in the context the clinical event this message is related to. In the context of PMS messages: The prescribers role that is associated to the prescribers license number in the context the event this message is related to. In the context of PR Query Responses: The prescribers role that is associated to the prescribers license number. The prescriber can only have 1 role per license number. Comments: In the context of EMR messages: Conformance Rule: EMR vendors must populate this segment with the associated prescribers role that is related to the license number that is being submitted in the message. The role that is stored and submitted must match the prescribers registered role within the PrescribeIT Provider Registry. In the context of PMS messages: Conformance Rule: PMS vendors should populate this segment with the associated prescribers role that is related to the license number that is being submitted in the message. In the context of Query Response, the prescriber role as associated to the license number will be returned.
coding	1..*	Coding	Definition: A reference to a code defined by a terminology system. Comments:
system	1..1	uri	Definition: The identification of the code system that defines the meaning of the symbol in the code. Comments: This is the URI that represents the coding system as defined within the binding.
code	1..1	code	Definition: A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Comments: This is the code as defined within the binding.
display	1..1	string	Definition: A representation of the meaning of the code in the system, following the rules of the system.
extension (roleTranslation)	0..1	translation	Definition: An expression of the original string in an alternate language. Comments: string-translation elements should not have string-translation extensions (i.e. all translations should be expressed as siblings, not as a translation hierarchy) to simplify processing.
url	1..1	uri	"http://hl7.org/fhir/StructureDefinition/iso21090-ST-translation"
value[x]	1..1	string	Definition: Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).
extension (roleTranslationLanguage)	1..1	language	Definition: The language in which the string is expressed.
specialty	0..*	Shared Health CodeableConcept Required Text with optional code	Binding: PractitionerSpecialty (example): Specific specialty associated with the agency Definition: The area(s) of medicine that a prescriber specializes in (i.e. Cardiology, Pediatrics, Oncology etc.) Comments: At the present time, the Provider Registry Query Response will return the prescriber specialty as text only, in both English and French. Coding will not be returned. Although multiple specialties are supported, the Provider Registry Query Response will return only the most recent specialty associated with that practitioner/organization, multiple specialties will not be returned at the present time. Note: multiple specialties can be provided when the EMR/PMS are providing the practitioner information as part of the messages they are creating and sending.
coding	0..1	Coding	Definition: A reference to a code defined by a terminology system. 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.
system	1..1	uri	Definition: The identification of the code system that defines the meaning of the symbol in the code. Comments: This is the URI that represents the coding system as defined within the binding.
code	1..1	code	Definition: A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Comments: This is the code as defined within the binding.
display	0..1	string	Definition: A representation of the meaning of the code in the system, following the rules of the system.
text	1..1	string	Max Length: 2500 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. Comments: If a free text description of the practitioner’s specialty is available, it must be provided here. If no free text description is available, the value from practitionerRole(practitionerSpecialty).role.coding.display must be provided here. In the context of Pharmacist Adapt (p170) and Pharmacist Prescribe (p190), populate with 'Pharmacist'
extension (specialtyTranslation)	0..1	translation	Definition: An expression of the original string in an alternate language. Comments: string-translation elements should not have string-translation extensions (i.e. all translations should be expressed as siblings, not as a translation hierarchy) to simplify processing.
url	1..1	uri	"http://hl7.org/fhir/StructureDefinition/iso21090-ST-translation"
value[x]	1..1	string	Definition: Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).
extension (specialtyTranslationLanguage)	1..1	language	Definition: The language in which the string is expressed.
communication	1..*	Shared Health CodeableConcept Code Required with Text Optional	Binding: SharedCommunicationLanguage (20170626) (required) Definition: This will convey the language of the User who is sending the request. Comments: Conformance Rule: Text is optionally supported and if communication is French, can be set to French. In the context of PR Practitioner or Organization Search, this represents the Practitioner's spoken languages (e.g. en-CA for English and fr-CA for French. If both languages are present it means that Practitioner is bilingual.

This structure is derived from Practitioner

Summary

Mandatory: 12 elements (12 nested mandatory elements)
Must-Support: 36 elements
Fixed Value: 2 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

The element Practitioner.meta.tag is sliced based on the value of value:system
The element Practitioner.identifier is sliced based on the value of pattern:type

This structure is derived from Practitioner

Name	Flags	Card.	Type	Description & Constraints
Practitioner	S	0..*	Practitioner	A person with a formal responsibility in the provisioning of healthcare or related services
id	S	1..1	id	Logical id of this artifact
meta	S	1..1	Meta	Metadata about the resource
tag	S	1..*	(Slice Definition)	Tags applied to this resource Slice: Unordered, Open by value:system
tag:version	S	1..1	Coding	Tags applied to this resource Binding: SharedSpecificationVersion (20210501) (required)
system	S	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.infoway-inforoute.ca/CodeSystem/sharedspecificationversion
code	S	1..1	code	Symbol in syntax defined by the system
extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
ext-entity-service	S	0..*	(Complex)	Entity Service URL: http://sharedhealth.exchange/fhir/StructureDefinition/ext-entity-service
identifier	S	0..*	(Slice Definition)	An identifier intended for computation Slice: Unordered, Open by pattern:type
identifier:registry	S	1..1	Identifier	A identifier for the person as this agent
type	S	1..1	Shared Health CodeableConcept Code	Concept - reference to a terminology or just text Binding: IdentifierType (20210501) (extensible) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/v2/0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PRN
system	S	1..1	uri	The namespace for the identifier Fixed Value: http://sharedhealth.exchange/fhir/NamingSystem/registry-id-practitioner
value	S	1..1	string	The value that is unique
identifier:license	S	0..10	Identifier	A identifier for the person as this agent
type	S	1..1	Shared Health CodeableConcept Code Required and Text Required	Concept - reference to a terminology or just text Binding: IdentifierType (20210501) (extensible) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/v2/0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: LN
system	S	1..1	uri	The namespace for the identifier Binding: SharedPractitionerIdentifierType (required)
value	S	1..1	string	The value that is unique
name	S	1..1	Shared Health HumanName	Name of a human - parts and usage
telecom	S	0..*	Shared Health ContactPoint	Details of a Technology mediated contact point (phone, fax, email, etc.)
practitionerRole	SI	0..*	BackboneElement	Roles/organizations the practitioner is associated with practitionerRole-1: Must have at least one of organization and role
organization	SI	0..1	Reference(Shared Health Organization - Provider Registry) {r }	A reference from one resource to another
reference	S	1..1	string	Relative, internal or absolute URL reference
role	SI	0..1	Shared Health CodeableConcept Code	Concept - reference to a terminology or just text Binding: SharedPractitionerRole (20190415) (required)
coding	S	1..*	Coding	Code defined by a terminology system
display	S	1..1	string	Representation defined by the system
iso21090-ST-translation	S	0..1	string	translation URL: http://hl7.org/fhir/StructureDefinition/iso21090-ST-translation
url	S	1..1	uri	identifies the meaning of the extension
value[x]	S	1..1	string	Value of extension
iso21090-ST-language	S	1..1	code	language URL: http://hl7.org/fhir/StructureDefinition/iso21090-ST-language Binding: http://tools.ietf.org/html/bcp47 (required): A human language.
specialty	S	0..*	Shared Health CodeableConcept Required Text with optional code	Concept - reference to a terminology or just text
text	S	1..1	string	Plain text representation of the concept
iso21090-ST-translation	S	0..1	string	translation URL: http://hl7.org/fhir/StructureDefinition/iso21090-ST-translation
url	S	1..1	uri	identifies the meaning of the extension
value[x]	S	1..1	string	Value of extension
iso21090-ST-language	S	1..1	code	language URL: http://hl7.org/fhir/StructureDefinition/iso21090-ST-language Binding: http://tools.ietf.org/html/bcp47 (required): A human language.
communication	S	1..*	Shared Health CodeableConcept Code Required with Text Optional	Concept - reference to a terminology or just text Binding: SharedCommunicationLanguage (20170626) (required)
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Practitioner	S	0..*	Practitioner	A person with a formal responsibility in the provisioning of healthcare or related services
id	SΣ	1..1	id	Logical id of this artifact
meta	SΣ	1..1	Meta	Metadata about the resource
id		0..1	id	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
profile	Σ	0..*	uri	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	SΣ	1..*	(Slice Definition)	Tags applied to this resource Slice: Unordered, Open by value:system Binding: (unbound) (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones"
tag:version	SΣ	1..1	Coding	Tags applied to this resource Binding: SharedSpecificationVersion (20210501) (required)
id		0..1	id	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.infoway-inforoute.ca/CodeSystem/sharedspecificationversion
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
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: http://tools.ietf.org/html/bcp47 (required): A human language.
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
ext-entity-service	S	0..*	(Complex)	Entity Service URL: http://sharedhealth.exchange/fhir/StructureDefinition/ext-entity-service
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	(Slice Definition)	An identifier intended for computation Slice: Unordered, Open by pattern:type
identifier:registry	SΣ	1..1	Identifier	A identifier for the person as this agent
id		0..1	id	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
use	?!Σ	0..1	code	usual \| official \| temp \| secondary (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	S	1..1	Shared Health CodeableConcept Code	Concept - reference to a terminology or just text Binding: IdentifierType (20210501) (extensible) Required Pattern: At least the following
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/v2/0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PRN
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	SΣ	1..1	uri	The namespace for the identifier Fixed Value: http://sharedhealth.exchange/fhir/NamingSystem/registry-id-practitioner
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:license	SΣ	0..10	Identifier	A identifier for the person as this agent
id		0..1	id	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
use	?!Σ	0..1	code	usual \| official \| temp \| secondary (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	S	1..1	Shared Health CodeableConcept Code Required and Text Required	Concept - reference to a terminology or just text Binding: IdentifierType (20210501) (extensible) Required Pattern: At least the following
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/v2/0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: LN
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	SΣ	1..1	uri	The namespace for the identifier Binding: SharedPractitionerIdentifierType (required) Example General: http://www.acme.com/identifiers/patient or urn:ietf:rfc:3986 if the Identifier.value itself is a full uri
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	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	S	1..1	Shared Health HumanName	Name of a human - parts and usage
telecom	SI	0..*	Shared Health ContactPoint	Details of a Technology mediated contact point (phone, fax, email, etc.)
address	Σ	0..*	Address	Address(es) of the practitioner that are not role specific (typically home address)
gender	Σ	0..1	code	male \| female \| other \| unknown 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
practitionerRole	SI	0..*	BackboneElement	Roles/organizations the practitioner is associated with practitionerRole-1: Must have at least one of organization and role
id		0..1	id	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
organization	SI	0..1	Reference(Shared Health Organization - Provider Registry) {r }	A reference from one resource to another
id		0..1	id	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
reference	SΣI	1..1	string	Relative, internal or absolute URL reference
display	Σ	0..1	string	Text alternative for the resource
role	SI	0..1	Shared Health CodeableConcept Code	Concept - reference to a terminology or just text Binding: SharedPractitionerRole (20190415) (required)
id		0..1	id	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
coding	SΣ	1..*	Coding	Code defined by a terminology system
id		0..1	id	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system
id		0..1	id	xml:id (or equivalent in JSON)
extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
iso21090-ST-translation	S	0..1	string	translation URL: http://hl7.org/fhir/StructureDefinition/iso21090-ST-translation
id		0..1	id	xml:id (or equivalent in JSON)
url	S	1..1	uri	"http://hl7.org/fhir/StructureDefinition/iso21090-ST-translation"
value[x]	S	1..1	string	Value of extension
id		0..1	id	xml:id (or equivalent in JSON)
extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
iso21090-ST-language	S	1..1	code	language URL: http://hl7.org/fhir/StructureDefinition/iso21090-ST-language Binding: http://tools.ietf.org/html/bcp47 (required): A human language.
value		0..1	string	Primitive value for string Max Length: 1048576
value		0..1	string	Primitive value for string Max Length: 1048576
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
specialty	S	0..*	Shared Health CodeableConcept Required Text with optional code	Concept - reference to a terminology or just text Binding: PractitionerSpecialty (example): Specific specialty associated with the agency
id		0..1	id	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
coding	SΣ	0..1	Coding	Code defined by a terminology system
id		0..1	id	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	1..1	string	Plain text representation of the concept Max Length: 2500
id		0..1	id	xml:id (or equivalent in JSON)
extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
iso21090-ST-translation	S	0..1	string	translation URL: http://hl7.org/fhir/StructureDefinition/iso21090-ST-translation
id		0..1	id	xml:id (or equivalent in JSON)
url	S	1..1	uri	"http://hl7.org/fhir/StructureDefinition/iso21090-ST-translation"
value[x]	S	1..1	string	Value of extension
id		0..1	id	xml:id (or equivalent in JSON)
extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
iso21090-ST-language	S	1..1	code	language URL: http://hl7.org/fhir/StructureDefinition/iso21090-ST-language Binding: http://tools.ietf.org/html/bcp47 (required): A human language.
value		0..1	string	Primitive value for string Max Length: 1048576
value		0..1	string	Primitive value for string Max Length: 1048576
identifier	Σ	0..*	Identifier	Business Identifiers that are specific to a role/location
telecom	Σ	0..*	ContactPoint	Contact details that are specific to the role/location/service
period	Σ	0..1	Period	The period during which the practitioner is authorized to perform in these role(s)
location		0..*	Reference(Location)	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)
qualification		0..*	BackboneElement	Qualifications obtained by training and certification
id		0..1	id	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	An identifier for this qualification for the practitioner
code		1..1	CodeableConcept	Coded representation of the qualification Binding: ANZSCO -- Australian and New Zealand Standard Classification of Occupations, 2013, Version 1.2 (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	S	1..*	Shared Health CodeableConcept Code Required with Text Optional	Concept - reference to a terminology or just text Binding: SharedCommunicationLanguage (20170626) (required)
Documentation for this format

Grid View

This structure is derived from Practitioner

Name	Card.	Type	Constraints and Usage
Practitioner	0..*	Practitioner	Definition: A person who is directly or indirectly involved in the provisioning of healthcare. Comments:
id	1..1	id	Definition: The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. Comments: This value should be populated with the CPRID of the practitioner this resource describes. The CPRID of the practitioner is the business identifier used within the Provider Registry to uniquely identify a practitioner.
meta	1..1	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.
tag	1..*	Coding	Slice: Unordered, Open by value:system Binding: (unbound) (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones" Definition: Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource. Comments: The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.
tag (version)	1..1	Coding	Binding: SharedSpecificationVersion (20210501) (required) Definition: Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource. Comments: The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.
system	1..1	uri	Fixed Value: https://fhir.infoway-inforoute.ca/CodeSystem/sharedspecificationversion Definition: The identification of the code system that defines the meaning of the symbol in the code. Comments: Fixed value: https://fhir.infoway-inforoute.ca/CodeSystem/sharedspecificationversion
code	1..1	code	Definition: A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
extension	0..*	Extension	Slice: Unordered, Open by value:url Definition: An Extension
extension (service)	0..*	Entity Service	Definition: Identifies a electronic communication service offered by a service location or practitioner Comments: Entity Service is used at this level, when the service registration process requires participation at both the Organization level and the Practitioner level. Both levels must be validated to confirm the outcome. This is returned in the response when the service is determined to be active. It will be absent from the response when the service is no longer active.
identifier	0..*	Shared Health Person Identifier	Slice: Unordered, Open by pattern:type Definition: A technical identifier - identifies some entity uniquely and unambiguously. Comments: Two identifiers will be provided - the Provider Registry identifier, denoted by an Identifier.type code of 'PRN' and the provider license number, denoted by an Identifier.type.coding.code of 'LN'. Conformance Rule: The Provider Registry identifier SHALL be sent if the practioner is the initiating practitioner for the tasks in a message. The Provider Registry identifier SHOULD be sent if known if the practitioner is being sent for other purposes (e.g. the prescriber of a prescription for which a renewal is being sought). When transmitting the provider license number (always mandatory), the Identifier.type shall have a coding from the 'http://hl7.org/fhir/v2/0203' system of 'LN'. For the specific license type expressed as a urn (e.g. urn:oid:1.2.3.4). In a future version of this specification, we may be migrating from OIDs to more readable URL’s. You can plan for this in your design. Conformance Rule: The second identifier provided will be the licence ID of the Prescriber. The assigning authority OID will be determined based on the licencing body; a list of which is found within the Vendor Implementation guide.
identifier (registry)	1..1	Identifier	Definition: An identifier that applies to this person in this role. Comments: This is the same id as found on Practitioner.id, but expressed as a business identifier - it will remain the same as the Practitioner resource is stored on different systems. In the context of Pharmacist Adapt (p170) and Pharmacist Prescribe (p190), no value will exist as pharmacists are not registered.
type	1..1	Shared Health CodeableConcept Code	Binding: IdentifierType (20210501) (extensible) Required Pattern: {"coding":[{"system":"http://hl7.org/fhir/v2/0203","code":"PRN"}]} Definition: A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text. Comments:
system	1..1	uri	Fixed Value: http://sharedhealth.exchange/fhir/NamingSystem/registry-id-practitioner Definition: Establishes the namespace in which set of possible id values is unique. Comments: Fixed value: http://sharedhealth.exchange/fhir/NamingSystem/registry-id-practitioner
value	1..1	string	Example' General': 123456 Definition: The portion of the identifier typically relevant to the user and which is unique within the context of the system. Comments: Conformance Rule: This SHALL match the practitioner.id value.
identifier (license)	0..10	Identifier	Definition: An identifier that applies to this person in this role. Comments: Conformance Rule: Only a single licence number can be submitted. For Prescriber's with multiple licence numbers, the licence number must be the one that the Prescriber is acting under the authority of when Prescribing. In the context of Pharmacist Adapt (p170) and Pharmacist Prescribe (p190), populate with Pharmacist licensing body and license number. In the context of TPR Cache, PrescribeIT® searches for the most recent role based on either create date or update date, and returns that role and the associated specialty in the TPR Query Response.
type	1..1	Shared Health CodeableConcept Code Required and Text Required	Binding: IdentifierType (20210501) (extensible) Required Pattern: {"coding":[{"system":"http://hl7.org/fhir/v2/0203","code":"LN"}]} Definition: A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text. Comments:
system	1..1	uri	Binding: SharedPractitionerIdentifierType (required) Example' General': http://www.acme.com/identifiers/patient or urn:ietf:rfc:3986 if the Identifier.value itself is a full uri Definition: Establishes the namespace in which set of possible id values is unique. Comments: The jurisdictional licensing body (e.g. College of Physicians and Surgeons) that issued the practitioner’s license, chosen from terminology binding (this will be an OID expressed as a URI).
value	1..1	string	Example' General': 123456 Definition: The portion of the identifier typically relevant to the user and which is unique within the context of the system. Comments: This is the Practitioner license number
name	1..1	Shared Health HumanName	Definition: A human's name with the ability to identify parts and usage. Comments: Usage Note: The last name provided within this segment is validated against the name in the SAML token. It is also used to populate faxes during the “fail to fax” scenario.
telecom	0..*	Shared Health ContactPoint	cpt-2: A system is required if a value is provided. Definition: This segment provide methods of contacting the practitioner. Only numbers that have authorized to be disclosed by the practitioner should be included. For example, most practitioners do not authorize the disclosure of their cell phone number to pharmacies. Comments:
practitionerRole	0..*	BackboneElement	practitionerRole-1: Must have at least one of organization and role Definition: The list of roles/organizations that the practitioner is associated with. Comments: The address to be used for this PractitionerRole is in the referenced location (removing duplication across all the services provided at the location).
organization	0..1	Reference(Shared Health Organization - Provider Registry) {r }	Definition: A reference from one resource to another.
reference	1..1	string	Definition: This is a reference to the resource within the current bundle that represents the organization the practitioner is working for. Comments:
role	0..1	Shared Health CodeableConcept Code	Binding: SharedPractitionerRole (20190415) (required) Definition: In the context of EMR messages: The prescribers role that is associated to the prescribers license number in the context the clinical event this message is related to. In the context of PMS messages: The prescribers role that is associated to the prescribers license number in the context the event this message is related to. In the context of PR Query Responses: The prescribers role that is associated to the prescribers license number. The prescriber can only have 1 role per license number. Comments: In the context of EMR messages: Conformance Rule: EMR vendors must populate this segment with the associated prescribers role that is related to the license number that is being submitted in the message. The role that is stored and submitted must match the prescribers registered role within the PrescribeIT Provider Registry. In the context of PMS messages: Conformance Rule: PMS vendors should populate this segment with the associated prescribers role that is related to the license number that is being submitted in the message. In the context of Query Response, the prescriber role as associated to the license number will be returned.
coding	1..*	Coding	Definition: A reference to a code defined by a terminology system. Comments:
system	1..1	uri	Definition: The identification of the code system that defines the meaning of the symbol in the code. Comments: This is the URI that represents the coding system as defined within the binding.
code	1..1	code	Definition: A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Comments: This is the code as defined within the binding.
display	1..1	string	Definition: A representation of the meaning of the code in the system, following the rules of the system.
extension (roleTranslation)	0..1	translation	Definition: An expression of the original string in an alternate language. Comments: string-translation elements should not have string-translation extensions (i.e. all translations should be expressed as siblings, not as a translation hierarchy) to simplify processing.
url	1..1	uri	"http://hl7.org/fhir/StructureDefinition/iso21090-ST-translation"
value[x]	1..1	string	Definition: Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).
extension (roleTranslationLanguage)	1..1	language	Definition: The language in which the string is expressed.
specialty	0..*	Shared Health CodeableConcept Required Text with optional code	Binding: PractitionerSpecialty (example): Specific specialty associated with the agency Definition: The area(s) of medicine that a prescriber specializes in (i.e. Cardiology, Pediatrics, Oncology etc.) Comments: At the present time, the Provider Registry Query Response will return the prescriber specialty as text only, in both English and French. Coding will not be returned. Although multiple specialties are supported, the Provider Registry Query Response will return only the most recent specialty associated with that practitioner/organization, multiple specialties will not be returned at the present time. Note: multiple specialties can be provided when the EMR/PMS are providing the practitioner information as part of the messages they are creating and sending.
coding	0..1	Coding	Definition: A reference to a code defined by a terminology system. 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.
system	1..1	uri	Definition: The identification of the code system that defines the meaning of the symbol in the code. Comments: This is the URI that represents the coding system as defined within the binding.
code	1..1	code	Definition: A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Comments: This is the code as defined within the binding.
display	0..1	string	Definition: A representation of the meaning of the code in the system, following the rules of the system.
text	1..1	string	Max Length: 2500 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. Comments: If a free text description of the practitioner’s specialty is available, it must be provided here. If no free text description is available, the value from practitionerRole(practitionerSpecialty).role.coding.display must be provided here. In the context of Pharmacist Adapt (p170) and Pharmacist Prescribe (p190), populate with 'Pharmacist'
extension (specialtyTranslation)	0..1	translation	Definition: An expression of the original string in an alternate language. Comments: string-translation elements should not have string-translation extensions (i.e. all translations should be expressed as siblings, not as a translation hierarchy) to simplify processing.
url	1..1	uri	"http://hl7.org/fhir/StructureDefinition/iso21090-ST-translation"
value[x]	1..1	string	Definition: Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).
extension (specialtyTranslationLanguage)	1..1	language	Definition: The language in which the string is expressed.
communication	1..*	Shared Health CodeableConcept Code Required with Text Optional	Binding: SharedCommunicationLanguage (20170626) (required) Definition: This will convey the language of the User who is sending the request. Comments: Conformance Rule: Text is optionally supported and if communication is French, can be set to French. In the context of PR Practitioner or Organization Search, this represents the Practitioner's spoken languages (e.g. en-CA for English and fr-CA for French. If both languages are present it means that Practitioner is bilingual.

This structure is derived from Practitioner

Summary

Mandatory: 12 elements (12 nested mandatory elements)
Must-Support: 36 elements
Fixed Value: 2 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

The element Practitioner.meta.tag is sliced based on the value of value:system
The element Practitioner.identifier is sliced based on the value of pattern:type

Differential View

This structure is derived from Practitioner

Name	Flags	Card.	Type	Description & Constraints
Practitioner	S	0..*	Practitioner	A person with a formal responsibility in the provisioning of healthcare or related services
id	S	1..1	id	Logical id of this artifact
meta	S	1..1	Meta	Metadata about the resource
tag	S	1..*	(Slice Definition)	Tags applied to this resource Slice: Unordered, Open by value:system
tag:version	S	1..1	Coding	Tags applied to this resource Binding: SharedSpecificationVersion (20210501) (required)
system	S	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.infoway-inforoute.ca/CodeSystem/sharedspecificationversion
code	S	1..1	code	Symbol in syntax defined by the system
extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
ext-entity-service	S	0..*	(Complex)	Entity Service URL: http://sharedhealth.exchange/fhir/StructureDefinition/ext-entity-service
identifier	S	0..*	(Slice Definition)	An identifier intended for computation Slice: Unordered, Open by pattern:type
identifier:registry	S	1..1	Identifier	A identifier for the person as this agent
type	S	1..1	Shared Health CodeableConcept Code	Concept - reference to a terminology or just text Binding: IdentifierType (20210501) (extensible) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/v2/0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PRN
system	S	1..1	uri	The namespace for the identifier Fixed Value: http://sharedhealth.exchange/fhir/NamingSystem/registry-id-practitioner
value	S	1..1	string	The value that is unique
identifier:license	S	0..10	Identifier	A identifier for the person as this agent
type	S	1..1	Shared Health CodeableConcept Code Required and Text Required	Concept - reference to a terminology or just text Binding: IdentifierType (20210501) (extensible) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/v2/0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: LN
system	S	1..1	uri	The namespace for the identifier Binding: SharedPractitionerIdentifierType (required)
value	S	1..1	string	The value that is unique
name	S	1..1	Shared Health HumanName	Name of a human - parts and usage
telecom	S	0..*	Shared Health ContactPoint	Details of a Technology mediated contact point (phone, fax, email, etc.)
practitionerRole	SI	0..*	BackboneElement	Roles/organizations the practitioner is associated with practitionerRole-1: Must have at least one of organization and role
organization	SI	0..1	Reference(Shared Health Organization - Provider Registry) {r }	A reference from one resource to another
reference	S	1..1	string	Relative, internal or absolute URL reference
role	SI	0..1	Shared Health CodeableConcept Code	Concept - reference to a terminology or just text Binding: SharedPractitionerRole (20190415) (required)
coding	S	1..*	Coding	Code defined by a terminology system
display	S	1..1	string	Representation defined by the system
iso21090-ST-translation	S	0..1	string	translation URL: http://hl7.org/fhir/StructureDefinition/iso21090-ST-translation
url	S	1..1	uri	identifies the meaning of the extension
value[x]	S	1..1	string	Value of extension
iso21090-ST-language	S	1..1	code	language URL: http://hl7.org/fhir/StructureDefinition/iso21090-ST-language Binding: http://tools.ietf.org/html/bcp47 (required): A human language.
specialty	S	0..*	Shared Health CodeableConcept Required Text with optional code	Concept - reference to a terminology or just text
text	S	1..1	string	Plain text representation of the concept
iso21090-ST-translation	S	0..1	string	translation URL: http://hl7.org/fhir/StructureDefinition/iso21090-ST-translation
url	S	1..1	uri	identifies the meaning of the extension
value[x]	S	1..1	string	Value of extension
iso21090-ST-language	S	1..1	code	language URL: http://hl7.org/fhir/StructureDefinition/iso21090-ST-language Binding: http://tools.ietf.org/html/bcp47 (required): A human language.
communication	S	1..*	Shared Health CodeableConcept Code Required with Text Optional	Concept - reference to a terminology or just text Binding: SharedCommunicationLanguage (20170626) (required)
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Practitioner	S	0..*	Practitioner	A person with a formal responsibility in the provisioning of healthcare or related services
id	SΣ	1..1	id	Logical id of this artifact
meta	SΣ	1..1	Meta	Metadata about the resource
id		0..1	id	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
profile	Σ	0..*	uri	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	SΣ	1..*	(Slice Definition)	Tags applied to this resource Slice: Unordered, Open by value:system Binding: (unbound) (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones"
tag:version	SΣ	1..1	Coding	Tags applied to this resource Binding: SharedSpecificationVersion (20210501) (required)
id		0..1	id	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.infoway-inforoute.ca/CodeSystem/sharedspecificationversion
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
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: http://tools.ietf.org/html/bcp47 (required): A human language.
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
ext-entity-service	S	0..*	(Complex)	Entity Service URL: http://sharedhealth.exchange/fhir/StructureDefinition/ext-entity-service
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	(Slice Definition)	An identifier intended for computation Slice: Unordered, Open by pattern:type
identifier:registry	SΣ	1..1	Identifier	A identifier for the person as this agent
id		0..1	id	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
use	?!Σ	0..1	code	usual \| official \| temp \| secondary (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	S	1..1	Shared Health CodeableConcept Code	Concept - reference to a terminology or just text Binding: IdentifierType (20210501) (extensible) Required Pattern: At least the following
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/v2/0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PRN
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	SΣ	1..1	uri	The namespace for the identifier Fixed Value: http://sharedhealth.exchange/fhir/NamingSystem/registry-id-practitioner
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:license	SΣ	0..10	Identifier	A identifier for the person as this agent
id		0..1	id	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
use	?!Σ	0..1	code	usual \| official \| temp \| secondary (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	S	1..1	Shared Health CodeableConcept Code Required and Text Required	Concept - reference to a terminology or just text Binding: IdentifierType (20210501) (extensible) Required Pattern: At least the following
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/v2/0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: LN
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	SΣ	1..1	uri	The namespace for the identifier Binding: SharedPractitionerIdentifierType (required) Example General: http://www.acme.com/identifiers/patient or urn:ietf:rfc:3986 if the Identifier.value itself is a full uri
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	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	S	1..1	Shared Health HumanName	Name of a human - parts and usage
telecom	SI	0..*	Shared Health ContactPoint	Details of a Technology mediated contact point (phone, fax, email, etc.)
address	Σ	0..*	Address	Address(es) of the practitioner that are not role specific (typically home address)
gender	Σ	0..1	code	male \| female \| other \| unknown 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
practitionerRole	SI	0..*	BackboneElement	Roles/organizations the practitioner is associated with practitionerRole-1: Must have at least one of organization and role
id		0..1	id	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
organization	SI	0..1	Reference(Shared Health Organization - Provider Registry) {r }	A reference from one resource to another
id		0..1	id	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
reference	SΣI	1..1	string	Relative, internal or absolute URL reference
display	Σ	0..1	string	Text alternative for the resource
role	SI	0..1	Shared Health CodeableConcept Code	Concept - reference to a terminology or just text Binding: SharedPractitionerRole (20190415) (required)
id		0..1	id	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
coding	SΣ	1..*	Coding	Code defined by a terminology system
id		0..1	id	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system
id		0..1	id	xml:id (or equivalent in JSON)
extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
iso21090-ST-translation	S	0..1	string	translation URL: http://hl7.org/fhir/StructureDefinition/iso21090-ST-translation
id		0..1	id	xml:id (or equivalent in JSON)
url	S	1..1	uri	"http://hl7.org/fhir/StructureDefinition/iso21090-ST-translation"
value[x]	S	1..1	string	Value of extension
id		0..1	id	xml:id (or equivalent in JSON)
extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
iso21090-ST-language	S	1..1	code	language URL: http://hl7.org/fhir/StructureDefinition/iso21090-ST-language Binding: http://tools.ietf.org/html/bcp47 (required): A human language.
value		0..1	string	Primitive value for string Max Length: 1048576
value		0..1	string	Primitive value for string Max Length: 1048576
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
specialty	S	0..*	Shared Health CodeableConcept Required Text with optional code	Concept - reference to a terminology or just text Binding: PractitionerSpecialty (example): Specific specialty associated with the agency
id		0..1	id	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
coding	SΣ	0..1	Coding	Code defined by a terminology system
id		0..1	id	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	1..1	string	Plain text representation of the concept Max Length: 2500
id		0..1	id	xml:id (or equivalent in JSON)
extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
iso21090-ST-translation	S	0..1	string	translation URL: http://hl7.org/fhir/StructureDefinition/iso21090-ST-translation
id		0..1	id	xml:id (or equivalent in JSON)
url	S	1..1	uri	"http://hl7.org/fhir/StructureDefinition/iso21090-ST-translation"
value[x]	S	1..1	string	Value of extension
id		0..1	id	xml:id (or equivalent in JSON)
extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
iso21090-ST-language	S	1..1	code	language URL: http://hl7.org/fhir/StructureDefinition/iso21090-ST-language Binding: http://tools.ietf.org/html/bcp47 (required): A human language.
value		0..1	string	Primitive value for string Max Length: 1048576
value		0..1	string	Primitive value for string Max Length: 1048576
identifier	Σ	0..*	Identifier	Business Identifiers that are specific to a role/location
telecom	Σ	0..*	ContactPoint	Contact details that are specific to the role/location/service
period	Σ	0..1	Period	The period during which the practitioner is authorized to perform in these role(s)
location		0..*	Reference(Location)	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)
qualification		0..*	BackboneElement	Qualifications obtained by training and certification
id		0..1	id	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	An identifier for this qualification for the practitioner
code		1..1	CodeableConcept	Coded representation of the qualification Binding: ANZSCO -- Australian and New Zealand Standard Classification of Occupations, 2013, Version 1.2 (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	S	1..*	Shared Health CodeableConcept Code Required with Text Optional	Concept - reference to a terminology or just text Binding: SharedCommunicationLanguage (20170626) (required)
Documentation for this format

Other representations of profile: Schematron

3.77.3 Terminology Bindings

Terminology Bindings

Path	Conformance	ValueSet / Code
Practitioner.meta.security	extensible	All Security Labels
Practitioner.meta.tag	example
Practitioner.meta.tag:version	required	SharedSpecificationVersion
Practitioner.language	required	http://tools.ietf.org/html/bcp47
Practitioner.identifier:registry.use	required	IdentifierUse
Practitioner.identifier:registry.type	extensible	Pattern: PRN
Practitioner.identifier:license.use	required	IdentifierUse
Practitioner.identifier:license.type	extensible	Pattern: LN
Practitioner.identifier:license.system	required	SharedPractitionerIdentifierType
Practitioner.gender	required	AdministrativeGender
Practitioner.practitionerRole.role	required	SharedPractitionerRole
Practitioner.practitionerRole.specialty	example	PractitionerSpecialty
Practitioner.qualification.code	example	ANZSCO -- Australian and New Zealand Standard Classification of Occupations, 2013, Version 1.2
Practitioner.communication	required	SharedCommunicationLanguage

3.77.4 Constraints

Constraints

Id	Path	Details	Requirements
cpt-2	Practitioner.telecom	A system is required if a value is provided. : value.empty() or system.exists()
practitionerRole-1	Practitioner.practitionerRole	Must have at least one of organization and role : organization.exists() or role.exists()