{ "description": "This profile represents the constraints applied to the Practitioner resource by the CA Core+ project to represent the minimum expectations for the Practitioner resource when used to promote capacity building for functionality found across Canadian FHIR implementations. It is informed by the constraints of shared across CIHI pCHDCF data sets and has also undergone analysis to assert alignment with the [Canadian Baseline Practitioner General Profile](http://build.fhir.org/ig/HL7-Canada/ca-baseline/branches/master/StructureDefinition-profile-practitioner.html)", "_filename": "structuredefinition-practitioner-ca-core.json", "package_name": "ca.infoway.io.core", "date": null, "derivation": "constraint", "publisher": null, "fhirVersion": "4.0.1", "name": "PractitionerCACore", "mapping": [ { "name": "Pan-Canadian Health Data Content Framework", "identity": "pCHDCF" } ], "abstract": false, "copyright": "Copyright © 2024+ Canada Health Infoway. All rights reserved. [Terms of Use and License Agreements](https://ic.infoway-inforoute.ca/en/about/tou). [Privacy Policy](https://www.infoway-inforoute.ca/en/legal/privacy-policy).", "type": "Practitioner", "experimental": "false", "resourceType": "StructureDefinition", "title": "Practitioner (CA-Core)", "package_version": "0.2.0-dft", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-imposeProfile", "valueCanonical": "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-practitioner" } ], "status": "draft", "id": "7d424de1-ab4e-41cc-be14-f5de97b424b4", "kind": "resource", "url": "http://fhir.infoway-inforoute.ca/ca-core/StructureDefinition/practitioner-ca-core", "version": null, "differential": { "element": [ { "id": "Practitioner.identifier", "path": "Practitioner.identifier", "comment": "pCHDCF modelling for care team concepts (including provider identifiers) is still underway. The requirements to support certain types of identifiers (e.g., province/territory registration identifiers) across all use cases and decisions on whether the identifier requirements should apply to both Practitioner and PractitionerRole are still undefined. Furthermore, the ways that these identifiers will be differentiated for conformance testing purposes is still undefined (see comment on identifier.type). For this reason, slice modelling and application of obligations towards certain identifiers is not currently expressed in this profile. The profile will continue to evolve as care team details undergo data modelling in the pCHDCF." }, { "id": "Practitioner.identifier.type", "path": "Practitioner.identifier.type", "comment": "The value in identifier.type is typically used to differentiate between identifiers that serve distinct purposes (e.g., Medical License Number, Regional Registry ID, Health Plan Identifier). Profiles typically use the identifier.type to differentiate between expectations that are expressed for some identifier types but not others. However, current implementations of practitioner identifiers in Canada use the identifier.type of 'Provider Number' (coded as 'PRN') to convey a number of different types of identifiers (e.g., registration number, license numbers, and billing numbers). Should there be expectations in the future for this profile to differentiate between these identifiers, current typing practices may need to change and/or further details may need to be used (e.g., identifier.system) to differentiate between concepts like registration number, license number, and billing number.", "mapping": [ { "map": "Provider Provincial/Territorial Registration Number*", "comment": "*This concept, as currently defined, is expected to require a combination of identifier.type, identifier.system, and identifier.value to be understood.", "identity": "pCHDCF" }, { "map": "Provider Province/Territory Billing Number*", "comment": "*This concept, as currently defined, is expected to require a combination of identifier.type, identifier.system, and identifier.value to be understood.", "identity": "pCHDCF" }, { "map": "Provider National Unique Identifier*", "comment": "*This is a placeholder concept that has yet to be developed. This concept, as currently defined, is expected to require a combination of identifier.type, identifier.system, and identifier.value to be understood.", "identity": "pCHDCF" } ] }, { "id": "Practitioner.identifier.system", "path": "Practitioner.identifier.system", "mapping": [ { "map": "Provider Provincial/Territorial Registration Number*", "comment": "*This concept, as currently defined, is expected to require a combination of identifier.type, identifier.system, and identifier.value to be understood.", "identity": "pCHDCF" }, { "map": "Provider Province/Territory Billing Number*", "comment": "*This concept, as currently defined, is expected to require a combination of identifier.type, identifier.system, and identifier.value to be understood.", "identity": "pCHDCF" }, { "map": "Provider National Unique Identifier*", "comment": "*This is a placeholder concept that has yet to be developed. This concept, as currently defined, is expected to require a combination of identifier.type, identifier.system, and identifier.value to be understood.", "identity": "pCHDCF" } ] }, { "id": "Practitioner.identifier.value", "path": "Practitioner.identifier.value", "mapping": [ { "map": "Provider Provincial/Territorial Registration Number", "identity": "pCHDCF" }, { "map": "Provider Province/Territory Billing Number", "identity": "pCHDCF" }, { "map": "Provider National Unique Identifier*", "comment": "*This is a placeholder concept that has yet to be developed", "identity": "pCHDCF" } ] }, { "id": "Practitioner.name", "path": "Practitioner.name" }, { "id": "Practitioner.name.text", "path": "Practitioner.name.text", "mapping": [ { "map": "Provider Name*", "comment": "*May be used to convey multiple pCHDCF name attributes (e.g., first name, last name) in a single string", "identity": "pCHDCF" } ], "definition": "Text representation of the full name. Due to the cultural variance around the world a consuming system may not know how to present the name correctly; moreover not all the parts of the name go in given or family. Creators are therefore strongly encouraged to provide through this element a presented version of the name. Future versions of this guide may require this element" }, { "id": "Practitioner.name.family", "path": "Practitioner.name.family", "mapping": [ { "map": "Provider Last Name", "identity": "pCHDCF" } ] }, { "id": "Practitioner.name.given", "path": "Practitioner.name.given", "mapping": [ { "map": "Provider First Name", "identity": "pCHDCF" } ] }, { "id": "Practitioner.telecom", "path": "Practitioner.telecom", "comment": "Although the provider phone number and provider email concepts are expressed in the pCHDCF materials, their current definition does not distinctly identify the resource target(s) where it has to be applied (e.g., Practitioner vs PractitionerRole). The mappings and obligations for these details have been removed from the profile to avoid unintentional placement of these requirements until further pCHDCF data modelling for care team details is complete. Reviewers are encouraged to provide feedback on the potential impact of applying a 'no-error' obligation on this element for clients." } ] }, "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Practitioner" }