{
"description": null,
"_filename": "StructureDefinition-qicore-practitioner.json",
"package_name": "hl7.fhir.us.qicore",
"date": "2015-02-27",
"derivation": "constraint",
"publisher": "Health Level Seven International (Clinical Quality Information - QICore)",
"name": "Profile qicore-practitioner",
"mapping": [ {
"uri": "http://www.healthit.gov/quality-data-model",
"name": "Quality Data Model",
"identity": "qdm"
}, {
"uri": "http://www.hl7.org/implement/standards/product_brief.cfm?product_id=378",
"name": "Quality Improvement Domain Analysis Model",
"identity": "qidam"
}, {
"uri": "http://hl7.org/v2",
"name": "HL7 v2 Mapping",
"identity": "v2"
}, {
"uri": "http://hl7.org/v3",
"name": "RIM Mapping",
"identity": "rim"
}, {
"uri": "http://www.omg.org/spec/ServD/1.0/",
"name": "ServD",
"identity": "servd"
}, {
"uri": "http://hl7.org/fhir/w5",
"name": "W5 Mapping",
"identity": "w5"
} ],
"abstract": false,
"type": "Practitioner",
"experimental": null,
"resourceType": "StructureDefinition",
"title": null,
"package_version": "1.6.0",
"snapshot": {
"element": [ {
"constraint": [ {
"key": "dom-2",
"human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
"xpath": "not(parent::f:contained and f:contained)",
"severity": "error",
"expression": "contained.contained.empty()"
}, {
"key": "dom-1",
"human": "If the resource is contained in another resource, it SHALL NOT contain any narrative",
"xpath": "not(parent::f:contained and f:text)",
"severity": "error",
"expression": "contained.text.empty()"
}, {
"key": "dom-4",
"human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
"xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
"severity": "error",
"expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"
}, {
"key": "dom-3",
"human": "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource",
"xpath": "not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))",
"severity": "error",
"expression": "contained.where(('#'+id in %resource.descendants().reference).not()).empty()"
} ],
"path": "Practitioner",
"min": 0,
"definition": "A person who is directly or indirectly involved in the provisioning of healthcare.",
"short": "A person with a formal responsibility in the provisioning of healthcare or related services",
"name": "QICore-Practitioner",
"comments": "Note that a cab driver no longer fits the bill. You probably would be interested in the organization rather than the individual?",
"mapping": [ {
"map": "Entity. Role, or Act",
"identity": "rim"
}, {
"map": "PRD (as one example)",
"identity": "v2"
}, {
"map": "Role",
"identity": "rim"
}, {
"map": "Provider",
"identity": "servd"
}, {
"map": "administrative.individual",
"identity": "w5"
}, {
"map": "Provider Characteristic",
"identity": "qdm"
} ],
"mustSupport": false,
"max": "*",
"id": "Practitioner:qicore-practitioner",
"base": {
"max": "*",
"min": 0,
"path": "Practitioner"
},
"isSummary": false
}, {
"path": "Practitioner.id",
"min": 0,
"definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
"short": "Logical id of this artifact",
"comments": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
"type": [ {
"code": "id"
} ],
"max": "1",
"id": "Practitioner:qicore-practitioner.id",
"base": {
"max": "*",
"min": 0,
"path": "Resource.id"
},
"isSummary": true
}, {
"path": "Practitioner.meta",
"min": 0,
"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.",
"short": "Metadata about the resource",
"type": [ {
"code": "Meta"
} ],
"max": "1",
"id": "Practitioner:qicore-practitioner.meta",
"base": {
"max": "*",
"min": 0,
"path": "Resource.meta"
},
"isSummary": true
}, {
"path": "Practitioner.implicitRules",
"min": 0,
"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.",
"isModifier": true,
"short": "A set of rules under which this content was created",
"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.",
"type": [ {
"code": "uri"
} ],
"max": "1",
"id": "Practitioner:qicore-practitioner.implicitRules",
"base": {
"max": "*",
"min": 0,
"path": "Resource.implicitRules"
},
"isSummary": true
}, {
"path": "Practitioner.language",
"min": 0,
"definition": "The base language in which the resource is written.",
"short": "Language of the resource content",
"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).",
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "extensible",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
"valueReference": {
"reference": "http://hl7.org/fhir/ValueSet/all-languages"
}
} ],
"description": "A human language.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/languages"
}
},
"max": "1",
"id": "Practitioner:qicore-practitioner.language",
"base": {
"max": "*",
"min": 0,
"path": "Resource.language"
}
}, {
"path": "Practitioner.text",
"min": 0,
"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.",
"short": "Text summary of the resource, for human interpretation",
"comments": "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded in formation is added later.",
"mapping": [ {
"map": "Act.text?",
"identity": "rim"
} ],
"type": [ {
"code": "Narrative"
} ],
"alias": [ "narrative", "html", "xhtml", "display" ],
"max": "1",
"id": "Practitioner:qicore-practitioner.text",
"condition": [ "dom-1" ],
"base": {
"max": "*",
"min": 0,
"path": "DomainResource.text"
}
}, {
"path": "Practitioner.contained",
"min": 0,
"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.",
"short": "Contained, inline 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.",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Resource"
} ],
"alias": [ "inline resources", "anonymous resources", "contained resources" ],
"max": "*",
"id": "Practitioner:qicore-practitioner.contained",
"base": {
"max": "*",
"min": 0,
"path": "DomainResource.contained"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"severity": "error",
"expression": "children().count() > id.count()"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Practitioner.extension",
"min": 0,
"definition": "An Extension",
"isModifier": false,
"short": "Extension",
"name": "Practitioner.classification",
"mapping": [ {
"map": "Not in QIDAM, but recognized as important. While there is practitionerRole, that may refer more to something like “attending” vs. “consultant” physician, whereas the classification would be useful for classifying the practitioner to things like “Physician”, “Resident”, “Pharmacist”, “Nurse”, “PA”. This could then determine whether the practitioner should receive a particular CDS.",
"identity": "qidam"
} ],
"type": [ {
"code": "Extension",
"profile": "http://hl7.org/fhir/StructureDefinition/practitioner-classification"
} ],
"mustSupport": false,
"max": "1",
"id": "Practitioner:qicore-practitioner.extension:practitionerclassification$practitioner-classification",
"condition": [ "ele-1" ],
"base": {
"max": "*",
"min": 0,
"path": "DomainResource.extension"
},
"isSummary": false
}, {
"path": "Practitioner.modifierExtension",
"min": 0,
"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.",
"isModifier": true,
"short": "Extensions that cannot be ignored",
"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.",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Practitioner:qicore-practitioner.modifierExtension",
"base": {
"max": "*",
"min": 0,
"path": "DomainResource.modifierExtension"
}
}, {
"path": "Practitioner.identifier",
"requirements": "Often, specific identities are assigned for the agent.",
"min": 0,
"definition": "An identifier that applies to this person in this role.",
"short": "A identifier for the person as this agent",
"mapping": [ {
"map": "PRD-7 (or XCN.1)",
"identity": "v2"
}, {
"map": "./id",
"identity": "rim"
}, {
"map": "./Identifiers",
"identity": "servd"
}, {
"map": "id",
"identity": "w5"
} ],
"type": [ {
"code": "Identifier"
} ],
"max": "*",
"id": "Practitioner:qicore-practitioner.identifier",
"base": {
"max": "*",
"min": 0,
"path": "Practitioner.identifier"
},
"isSummary": true
}, {
"path": "Practitioner.active",
"requirements": "Need to be able to mark a practitioner record as not to be used because it was created in error.",
"min": 0,
"definition": "Whether this practitioner's record is in active use.",
"short": "Whether this practitioner's record is in active use",
"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.",
"mapping": [ {
"map": "./statusCode",
"identity": "rim"
}, {
"map": "status",
"identity": "w5"
} ],
"type": [ {
"code": "boolean"
} ],
"defaultValueBoolean": true,
"max": "1",
"id": "Practitioner:qicore-practitioner.active",
"base": {
"max": "1",
"min": 0,
"path": "Practitioner.active"
},
"isSummary": true
}, {
"path": "Practitioner.name",
"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.",
"min": 0,
"definition": "The name(s) associated with the practitioner.",
"short": "The name(s) associated with the practitioner",
"comments": "The selection of the use property should ensure that there is a single usual name specified, and others use the nickname (alias), old, or other values as appropriate. In general select the value to be used in the ResourceReference.display based on this: 1. There is more than 1 name 2. Use = usual 3. Period is current to the date of the usage 4. Use = official 5. Other order as decided by internal business rules.",
"mapping": [ {
"map": "XCN Components",
"identity": "v2"
}, {
"map": "./name",
"identity": "rim"
}, {
"map": "./PreferredName (GivenNames, FamilyName, TitleCode)",
"identity": "servd"
} ],
"type": [ {
"code": "HumanName"
} ],
"max": "*",
"id": "Practitioner:qicore-practitioner.name",
"base": {
"max": "*",
"min": 0,
"path": "Practitioner.name"
},
"isSummary": true
}, {
"path": "Practitioner.telecom",
"requirements": "Need to know how to reach a practitioner independent to any roles the practitioner may have.",
"min": 0,
"definition": "A contact detail for the practitioner, e.g. a telephone number or an email address.",
"short": "A contact detail for the practitioner (that apply to all roles)",
"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.",
"mapping": [ {
"map": "PRT-15, STF-10, ROL-12",
"identity": "v2"
}, {
"map": "./telecom",
"identity": "rim"
}, {
"map": "./ContactPoints",
"identity": "servd"
} ],
"type": [ {
"code": "ContactPoint"
} ],
"max": "*",
"id": "Practitioner:qicore-practitioner.telecom",
"base": {
"max": "*",
"min": 0,
"path": "Practitioner.telecom"
},
"isSummary": true
}, {
"path": "Practitioner.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.",
"min": 0,
"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.",
"short": "Address(es) of the practitioner that are not role specific (typically home address)",
"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).",
"mapping": [ {
"map": "ORC-24, STF-11, ROL-11, PRT-14",
"identity": "v2"
}, {
"map": "./addr",
"identity": "rim"
}, {
"map": "./Addresses",
"identity": "servd"
} ],
"type": [ {
"code": "Address"
} ],
"max": "*",
"id": "Practitioner:qicore-practitioner.address",
"base": {
"max": "*",
"min": 0,
"path": "Practitioner.address"
},
"isSummary": true
}, {
"path": "Practitioner.gender",
"requirements": "Needed to address the person correctly.",
"min": 0,
"definition": "Administrative Gender - the gender that the person is considered to have for administration and record keeping purposes.",
"short": "male | female | other | unknown",
"mapping": [ {
"map": "STF-5",
"identity": "v2"
}, {
"map": "./administrativeGender",
"identity": "rim"
}, {
"map": "./GenderCode",
"identity": "servd"
} ],
"type": [ {
"code": "code"
} ],
"mustSupport": true,
"binding": {
"strength": "required",
"description": "The gender of a person used for administrative purposes.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/administrative-gender"
}
},
"max": "1",
"id": "Practitioner:qicore-practitioner.gender",
"base": {
"max": "1",
"min": 0,
"path": "Practitioner.gender"
},
"isSummary": false
}, {
"path": "Practitioner.birthDate",
"requirements": "Needed for identification.",
"min": 0,
"definition": "The date of birth for the practitioner.",
"short": "The date on which the practitioner was born",
"mapping": [ {
"map": "STF-6",
"identity": "v2"
}, {
"map": "./birthTime",
"identity": "rim"
}, {
"map": "(not represented in ServD)",
"identity": "servd"
} ],
"type": [ {
"code": "date"
} ],
"max": "1",
"id": "Practitioner:qicore-practitioner.birthDate",
"base": {
"max": "1",
"min": 0,
"path": "Practitioner.birthDate"
},
"isSummary": true
}, {
"path": "Practitioner.photo",
"requirements": "Many EHR systems have the capability to capture an image of patients and personnel. Fits with newer social media usage too.",
"min": 0,
"definition": "Image of the person.",
"short": "Image of the person",
"mapping": [ {
"map": "./subjectOf/ObservationEvent[code=\"photo\"]/value",
"identity": "rim"
}, {
"map": "./ImageURI (only supports the URI reference)",
"identity": "servd"
} ],
"type": [ {
"code": "Attachment"
} ],
"max": "*",
"id": "Practitioner:qicore-practitioner.photo",
"base": {
"max": "*",
"min": 0,
"path": "Practitioner.photo"
}
}, {
"path": "Practitioner.role",
"min": 0,
"definition": "The list of roles/organizations that the practitioner is associated with.",
"short": "Roles/organizations 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).",
"mapping": [ {
"map": ".playingEntity.playingRole",
"identity": "rim"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": false,
"max": "*",
"id": "Practitioner:qicore-practitioner.role",
"base": {
"max": "*",
"min": 0,
"path": "Practitioner.role"
},
"isSummary": false
}, {
"path": "Practitioner.role.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Practitioner:qicore-practitioner.role.id",
"base": {
"max": "*",
"min": 0,
"path": "Element.id"
}
}, {
"path": "Practitioner.role.extension",
"min": 0,
"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.",
"short": "Additional Content defined by implementations",
"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.",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Practitioner:qicore-practitioner.role.extension",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "Practitioner.role.modifierExtension",
"min": 0,
"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.",
"isModifier": true,
"short": "Extensions that cannot be ignored",
"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.",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Practitioner:qicore-practitioner.role.modifierExtension",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isSummary": true
}, {
"path": "Practitioner.role.organization",
"min": 0,
"definition": "A formally or informally recognized grouping of people or organizations formed for the purpose of achieving some form of collective action. Includes companies, institutions, corporations, departments, community groups, healthcare practice groups, etc.",
"short": "A grouping of people or organizations with a common purpose",
"mapping": [ {
"map": "Entity. Role, or Act",
"identity": "rim"
}, {
"map": "(also see master files messages)",
"identity": "v2"
}, {
"map": "Organization(classCode=ORG, determinerCode=INST)",
"identity": "rim"
}, {
"map": "Organization",
"identity": "servd"
}, {
"map": "administrative.group",
"identity": "w5"
}, {
"map": "\"Provider Characteristic\" or \"facility location\" (of \"Diagnostic Study, Performed\", \"Encounter, Order\", or \"Encounter, Recommended\")",
"identity": "qdm"
} ],
"type": [ {
"code": "Reference",
"profile": "http://hl7.org/fhir/qicore/StructureDefinition/qicore-organization"
} ],
"mustSupport": true,
"max": "1",
"id": "Practitioner:qicore-practitioner.role.organization",
"base": {
"max": "1",
"min": 0,
"path": "Practitioner.role.organization"
},
"isSummary": false
}, {
"path": "Practitioner.role.code",
"requirements": "Need to know what authority the practitioner has - what can they do?",
"min": 0,
"definition": "Roles which this practitioner is authorized to perform for the organization.",
"short": "Roles which this practitioner may perform",
"comments": "A person may have more than one role. At least one role is required.",
"mapping": [ {
"map": "PRD-1 / STF-18 / PRA-3 / PRT-4 / ROL-3 / ORC-12 / OBR-16 / PV1-7 / PV1-8 / PV1-9 / PV1-17",
"identity": "v2"
}, {
"map": ".playingEntity.playingRole.code",
"identity": "rim"
}, {
"map": "(ServD maps Practitioners and Organizations via another entity, so this concept is not available)",
"identity": "servd"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": true,
"binding": {
"strength": "example",
"description": "The role a person plays representing an organization",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/practitioner-role"
}
},
"max": "1",
"id": "Practitioner:qicore-practitioner.role.code",
"base": {
"max": "1",
"min": 0,
"path": "Practitioner.role.code"
},
"isSummary": false
}, {
"path": "Practitioner.role.specialty",
"min": 0,
"definition": "Specific specialty of the practitioner.",
"short": "Specific specialty of the practitioner",
"mapping": [ {
"map": "PRA-5",
"identity": "v2"
}, {
"map": ".playingEntity.playingRole[classCode=QUAL].code",
"identity": "rim"
}, {
"map": "./Specialty",
"identity": "servd"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": true,
"binding": {
"strength": "example",
"description": "Specific specialty associated with the agency",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/practitioner-specialty"
}
},
"max": "*",
"id": "Practitioner:qicore-practitioner.role.specialty",
"base": {
"max": "*",
"min": 0,
"path": "Practitioner.role.specialty"
},
"isSummary": false
}, {
"path": "Practitioner.role.specialty.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Practitioner:qicore-practitioner.role.specialty.id",
"base": {
"max": "*",
"min": 0,
"path": "Element.id"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"severity": "error",
"expression": "children().count() > id.count()"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Practitioner.role.specialty.extension",
"min": 0,
"definition": "An Extension",
"isModifier": false,
"short": "Extension",
"name": "Practitioner.role.specialty.primaryInd",
"mapping": [ {
"map": "Not in QIDAM, but recognized as important. The primary specialty could drive the order sets or order preferences that are provided as default in an order entry system. Also, a population health management system may want to manage patients with heart failure who are managed by a provider whose primary specialty is cardiology.",
"identity": "qidam"
} ],
"type": [ {
"code": "Extension",
"profile": "http://hl7.org/fhir/StructureDefinition/practitioner-primaryInd"
} ],
"mustSupport": false,
"max": "1",
"id": "Practitioner:qicore-practitioner.role.specialty.extension:practitionerrolespecialtyprimaryind$practitioner-primaryInd",
"condition": [ "ele-1" ],
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"path": "Practitioner.role.specialty.coding",
"requirements": "Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.",
"min": 0,
"definition": "A reference to a code defined by a terminology system.",
"short": "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.",
"mapping": [ {
"map": "C*E.1-8, C*E.10-22",
"identity": "v2"
}, {
"map": "union(., ./translation)",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding",
"identity": "orim"
} ],
"type": [ {
"code": "Coding"
} ],
"max": "*",
"id": "Practitioner:qicore-practitioner.role.specialty.coding",
"base": {
"max": "*",
"min": 0,
"path": "CodeableConcept.coding"
},
"isSummary": true
}, {
"path": "Practitioner.role.specialty.text",
"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.",
"min": 0,
"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.",
"short": "Plain text representation of the concept",
"comments": "Very often the text is the same as a displayName of one of the codings.",
"mapping": [ {
"map": "C*E.9. But note many systems use C*E.2 for this",
"identity": "v2"
}, {
"map": "./originalText[mediaType/code=\"text/plain\"]/data",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText",
"identity": "orim"
} ],
"type": [ {
"code": "string"
} ],
"max": "1",
"id": "Practitioner:qicore-practitioner.role.specialty.text",
"base": {
"max": "1",
"min": 0,
"path": "CodeableConcept.text"
},
"isSummary": true
}, {
"path": "Practitioner.role.identifier",
"requirements": "Some business identifiers are specific to a location and should be able to be associated.",
"min": 0,
"definition": "Business Identifiers that are specific to a role/location.",
"short": "Business Identifiers that are specific to a role/location",
"mapping": [ {
"map": ".playingEntity.playingRole.id",
"identity": "rim"
} ],
"type": [ {
"code": "Identifier"
} ],
"max": "*",
"id": "Practitioner:qicore-practitioner.role.identifier",
"base": {
"max": "*",
"min": 0,
"path": "Practitioner.role.identifier"
},
"isSummary": true
}, {
"path": "Practitioner.role.telecom",
"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.",
"min": 0,
"definition": "Contact details that are specific to the role/location/service.",
"short": "Contact details that are specific to the role/location/service",
"mapping": [ {
"map": ".playingEntity.playingRole.telecom",
"identity": "rim"
} ],
"type": [ {
"code": "ContactPoint"
} ],
"max": "*",
"id": "Practitioner:qicore-practitioner.role.telecom",
"base": {
"max": "*",
"min": 0,
"path": "Practitioner.role.telecom"
},
"isSummary": true
}, {
"path": "Practitioner.role.period",
"requirements": "Even after the agencies is revoked, the fact that it existed must still be recorded.",
"min": 0,
"definition": "The period during which the person is authorized to act as a practitioner in these role(s) for the organization.",
"short": "The period during which the practitioner is authorized to perform in these role(s)",
"mapping": [ {
"map": "PRD-8/9 / PRA-5.4",
"identity": "v2"
}, {
"map": ".playingEntity.playingRole.effectiveTime",
"identity": "rim"
}, {
"map": "(ServD maps Practitioners and Organizations via another entity, so this concept is not available)",
"identity": "servd"
}, {
"map": "when.done",
"identity": "w5"
} ],
"type": [ {
"code": "Period"
} ],
"mustSupport": true,
"max": "1",
"id": "Practitioner:qicore-practitioner.role.period",
"base": {
"max": "1",
"min": 0,
"path": "Practitioner.role.period"
},
"isSummary": false
}, {
"path": "Practitioner.role.location",
"min": 0,
"definition": "Details and position information for a physical place where services are provided and resources and participants may be stored, found, contained or accommodated.",
"short": "Details and position information for a physical place",
"mapping": [ {
"map": "Entity. Role, or Act",
"identity": "rim"
}, {
"map": ".Role[classCode=SDLC]",
"identity": "rim"
}, {
"map": "administrative.entity",
"identity": "w5"
}, {
"map": "Encounter.facility location",
"identity": "qdm"
} ],
"type": [ {
"code": "Reference",
"profile": "http://hl7.org/fhir/qicore/StructureDefinition/qicore-location"
} ],
"mustSupport": false,
"max": "*",
"id": "Practitioner:qicore-practitioner.role.location",
"base": {
"max": "*",
"min": 0,
"path": "Practitioner.role.location"
},
"isSummary": false
}, {
"path": "Practitioner.role.healthcareService",
"min": 0,
"definition": "The list of healthcare services that this worker provides for this role's Organization/Location(s).",
"short": "The list of healthcare services that this worker provides for this role's Organization/Location(s)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "Reference",
"profile": "http://hl7.org/fhir/StructureDefinition/HealthcareService"
} ],
"max": "*",
"id": "Practitioner:qicore-practitioner.role.healthcareService",
"base": {
"max": "*",
"min": 0,
"path": "Practitioner.role.healthcareService"
}
}, {
"path": "Practitioner.role.endpoint",
"min": 0,
"definition": "Technical endpoints providing access to services operated for the PractitonerRole.",
"short": "Technical endpoints providing access to services operated for the PractitonerRole",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "Reference",
"profile": "http://hl7.org/fhir/StructureDefinition/Endpoint"
} ],
"max": "*",
"id": "Practitioner:qicore-practitioner.role.endpoint",
"base": {
"max": "*",
"min": 0,
"path": "Practitioner.role.endpoint"
}
}, {
"path": "Practitioner.qualification",
"min": 0,
"definition": "Qualifications obtained by training and certification.",
"short": "Qualifications obtained by training and certification",
"mapping": [ {
"map": "CER?",
"identity": "v2"
}, {
"map": ".playingEntity.playingRole[classCode=QUAL].code",
"identity": "rim"
}, {
"map": "./Qualifications",
"identity": "servd"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": false,
"max": "*",
"id": "Practitioner:qicore-practitioner.qualification",
"base": {
"max": "*",
"min": 0,
"path": "Practitioner.qualification"
},
"isSummary": false
}, {
"path": "Practitioner.qualification.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Practitioner:qicore-practitioner.qualification.id",
"base": {
"max": "*",
"min": 0,
"path": "Element.id"
}
}, {
"path": "Practitioner.qualification.extension",
"min": 0,
"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.",
"short": "Additional Content defined by implementations",
"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.",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Practitioner:qicore-practitioner.qualification.extension",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "Practitioner.qualification.modifierExtension",
"min": 0,
"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.",
"isModifier": true,
"short": "Extensions that cannot be ignored",
"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.",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Practitioner:qicore-practitioner.qualification.modifierExtension",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isSummary": true
}, {
"path": "Practitioner.qualification.identifier",
"requirements": "Often, specific identities are assigned for the qualification.",
"min": 0,
"definition": "An identifier that applies to this person's qualification in this role.",
"short": "An identifier for this qualification for the practitioner",
"mapping": [ {
"map": ".playingEntity.playingRole[classCode=QUAL].id",
"identity": "rim"
} ],
"type": [ {
"code": "Identifier"
} ],
"max": "*",
"id": "Practitioner:qicore-practitioner.qualification.identifier",
"base": {
"max": "*",
"min": 0,
"path": "Practitioner.qualification.identifier"
}
}, {
"path": "Practitioner.qualification.code",
"min": 1,
"definition": "Coded representation of the qualification.",
"short": "Coded representation of the qualification",
"mapping": [ {
"map": ".playingEntity.playingRole[classCode=QUAL].code",
"identity": "rim"
}, {
"map": "./Qualifications.Value",
"identity": "servd"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "example",
"description": "Specific qualification the practitioner has to provide a service",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/anzsco-occupations"
}
},
"max": "1",
"id": "Practitioner:qicore-practitioner.qualification.code",
"base": {
"max": "1",
"min": 1,
"path": "Practitioner.qualification.code"
}
}, {
"path": "Practitioner.qualification.period",
"requirements": "Qualifications are often for a limited period of time, and can be revoked.",
"min": 0,
"definition": "Period during which the qualification is valid.",
"short": "Period during which the qualification is valid",
"mapping": [ {
"map": ".playingEntity.playingRole[classCode=QUAL].effectiveTime",
"identity": "rim"
}, {
"map": "./Qualifications.StartDate and ./Qualifications.EndDate",
"identity": "servd"
} ],
"type": [ {
"code": "Period"
} ],
"max": "1",
"id": "Practitioner:qicore-practitioner.qualification.period",
"base": {
"max": "1",
"min": 0,
"path": "Practitioner.qualification.period"
}
}, {
"path": "Practitioner.qualification.issuer",
"min": 0,
"definition": "A formally or informally recognized grouping of people or organizations formed for the purpose of achieving some form of collective action. Includes companies, institutions, corporations, departments, community groups, healthcare practice groups, etc.",
"short": "A grouping of people or organizations with a common purpose",
"mapping": [ {
"map": "Entity. Role, or Act",
"identity": "rim"
}, {
"map": "(also see master files messages)",
"identity": "v2"
}, {
"map": "Organization(classCode=ORG, determinerCode=INST)",
"identity": "rim"
}, {
"map": "Organization",
"identity": "servd"
}, {
"map": "administrative.group",
"identity": "w5"
}, {
"map": "\"Provider Characteristic\" or \"facility location\" (of \"Diagnostic Study, Performed\", \"Encounter, Order\", or \"Encounter, Recommended\")",
"identity": "qdm"
} ],
"type": [ {
"code": "Reference",
"profile": "http://hl7.org/fhir/qicore/StructureDefinition/qicore-organization"
} ],
"mustSupport": false,
"max": "1",
"id": "Practitioner:qicore-practitioner.qualification.issuer",
"base": {
"max": "1",
"min": 0,
"path": "Practitioner.qualification.issuer"
},
"isSummary": false
}, {
"path": "Practitioner.communication",
"requirements": "Knowing which language a practitioner speaks can help in facilitating communication with patients.",
"min": 0,
"definition": "A language the practitioner is able to use in patient communication.",
"short": "A language the practitioner is able to use in patient communication",
"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.",
"mapping": [ {
"map": "PID-15, NK1-20, LAN-2",
"identity": "v2"
}, {
"map": "./languageCommunication",
"identity": "rim"
}, {
"map": "./Languages.LanguageSpokenCode",
"identity": "servd"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "extensible",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
"valueReference": {
"reference": "http://hl7.org/fhir/ValueSet/all-languages"
}
} ],
"description": "A human language.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/languages"
}
},
"max": "*",
"id": "Practitioner:qicore-practitioner.communication",
"base": {
"max": "*",
"min": 0,
"path": "Practitioner.communication"
}
} ]
},
"status": "draft",
"id": "9e6f6d1a-ecfc-410d-b8d6-8e02f461a473",
"kind": "resource",
"url": "http://hl7.org/fhir/qicore/StructureDefinition/qicore-practitioner",
"version": null,
"differential": {
"element": [ {
"id": "Practitioner:qicore-practitioner",
"name": "QICore-Practitioner",
"path": "Practitioner",
"mapping": [ {
"map": "Provider Characteristic",
"identity": "qdm"
} ],
"isSummary": false,
"isModifier": false,
"mustSupport": false
}, {
"path": "Practitioner.extension",
"min": 0,
"isModifier": false,
"name": "Practitioner.classification",
"mapping": [ {
"map": "Not in QIDAM, but recognized as important. While there is practitionerRole, that may refer more to something like “attending” vs. “consultant” physician, whereas the classification would be useful for classifying the practitioner to things like “Physician”, “Resident”, “Pharmacist”, “Nurse”, “PA”. This could then determine whether the practitioner should receive a particular CDS.",
"identity": "qidam"
} ],
"type": [ {
"code": "Extension",
"profile": "http://hl7.org/fhir/StructureDefinition/practitioner-classification"
} ],
"mustSupport": false,
"max": "1",
"id": "Practitioner:qicore-practitioner.extension:practitionerclassification$practitioner-classification",
"isSummary": false
}, {
"id": "Practitioner:qicore-practitioner.gender",
"path": "Practitioner.gender",
"isSummary": false,
"isModifier": false,
"mustSupport": true
}, {
"id": "Practitioner:qicore-practitioner.role",
"path": "Practitioner.role",
"isSummary": false,
"isModifier": false,
"mustSupport": false
}, {
"id": "Practitioner:qicore-practitioner.role.organization",
"path": "Practitioner.role.organization",
"type": [ {
"code": "Reference",
"profile": "http://hl7.org/fhir/qicore/StructureDefinition/qicore-organization"
} ],
"isSummary": false,
"isModifier": false,
"mustSupport": true
}, {
"id": "Practitioner:qicore-practitioner.role.code",
"path": "Practitioner.role.code",
"isSummary": false,
"isModifier": false,
"mustSupport": true
}, {
"id": "Practitioner:qicore-practitioner.role.specialty",
"path": "Practitioner.role.specialty",
"isSummary": false,
"isModifier": false,
"mustSupport": true
}, {
"path": "Practitioner.role.specialty.extension",
"min": 0,
"isModifier": false,
"name": "Practitioner.role.specialty.primaryInd",
"mapping": [ {
"map": "Not in QIDAM, but recognized as important. The primary specialty could drive the order sets or order preferences that are provided as default in an order entry system. Also, a population health management system may want to manage patients with heart failure who are managed by a provider whose primary specialty is cardiology.",
"identity": "qidam"
} ],
"type": [ {
"code": "Extension",
"profile": "http://hl7.org/fhir/StructureDefinition/practitioner-primaryInd"
} ],
"mustSupport": false,
"max": "1",
"id": "Practitioner:qicore-practitioner.role.specialty.extension:practitionerrolespecialtyprimaryind$practitioner-primaryInd",
"isSummary": false
}, {
"id": "Practitioner:qicore-practitioner.role.period",
"path": "Practitioner.role.period",
"isSummary": false,
"isModifier": false,
"mustSupport": true
}, {
"id": "Practitioner:qicore-practitioner.role.location",
"path": "Practitioner.role.location",
"type": [ {
"code": "Reference",
"profile": "http://hl7.org/fhir/qicore/StructureDefinition/qicore-location"
} ],
"isSummary": false,
"isModifier": false,
"mustSupport": false
}, {
"id": "Practitioner:qicore-practitioner.qualification",
"path": "Practitioner.qualification",
"isSummary": false,
"isModifier": false,
"mustSupport": false
}, {
"id": "Practitioner:qicore-practitioner.qualification.issuer",
"path": "Practitioner.qualification.issuer",
"type": [ {
"code": "Reference",
"profile": "http://hl7.org/fhir/qicore/StructureDefinition/qicore-organization"
} ],
"isSummary": false,
"isModifier": false,
"mustSupport": false
} ]
},
"contact": [ {
"telecom": [ {
"value": "http://hl7.org/special/committees/CQI",
"system": "other"
} ]
} ],
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Practitioner"
}