5.4 Resource Practitioner - Content Resource Practitioner - Content

5.4.1 Scope and Usage Scope and Usage Practitioner covers all individuals who are engaged in the healthcare process and healthcare-related services as part of their formal responsibilities and this Resource is used for attribution of activities and responsibilities to these individuals. Practitioners include (but are not limited to):

Practitioner covers all individuals who are engaged in the healthcare process and healthcare-related services as part of their formal responsibilities and this Resource is used for attribution of activities and responsibilities to these individuals. Practitioners include (but are not limited to):

• physicians, dentists, pharmacists physician assistants, nurses, scribes midwives, dietitians, therapists, optometrists, paramedics medical technicians, laboratory scientists, prosthetic technicians, radiographers social workers, professional home carers, official volunteers receptionists handling patient registration IT personnel merging or unmerging patient records Service animal (e.g., ward assigned dog capable of detecting cancer in patients)
• physician assistants, nurses, scribes
• midwives, dietitians, therapists, optometrists, paramedics
• medical technicians, laboratory scientists, prosthetic technicians, radiographers
• social workers, professional home carers, official volunteers
• receptionists handling patient registration
• IT personnel merging or unmerging patient records
• Service animal (e.g., ward assigned dog capable of detecting cancer in patients)

5.4.2 Boundaries and Relationships Boundaries and Relationships The Resource SHALL NOT be used for persons involved without a formal responsibility like individuals taking care for friends, relatives or neighbors. These can be registered as a Patient's Contact. If performing some action or being referenced by another resource, use the RelatedPerson resource. The primary distinction between a Practitioner and a

The Resource SHALL NOT be used for persons involved without a formal responsibility like individuals taking care for friends, relatives or neighbors. These can be registered as a Patient's Contact. If performing some action or being referenced by another resource, use the RelatedPerson is based on whether: The person/animal operates on behalf of the care delivery organization over multiple patients (Practitioner) or, Where the person/animal is not associated with the organization, and instead is allocated tasks specifically for the RelatedPerson's Patient (RelatedPerson). A standard extension resource.

The primary distinction between a Practitioner and a RelatedPerson is based on whether:

• The person/animal operates on behalf of the care delivery organization over multiple patients (Practitioner) or,
• Where the person/animal is not associated with the organization, and instead is allocated tasks specifically for the RelatedPerson's Patient (RelatedPerson).

A standard extension animalSpecies can be used to indicate the species of a service animal. can be used to indicate the species of a service animal.

5.4.3 Background and Context Background and Context Practitioner performs different roles within the same or even different organizations. Depending on jurisdiction and custom, it may be necessary to maintain a specific Practitioner Resource for each such role or have a single Practitioner with multiple roles. The role can be limited to a specific period, after which authorization for this role ends. Note that the represented organization need not necessarily be the (direct) employer of a Practitioner. This resource is referenced by

Practitioner performs different roles within the same or even different organizations. Depending on jurisdiction and custom, it may be necessary to maintain a specific Practitioner Resource for each such role or have a single Practitioner with multiple roles. The role can be limited to a specific period, after which authorization for this role ends. Note that the represented organization need not necessarily be the (direct) employer of a Practitioner.

• Structure
• UML
• XML
• JSON
• All

Structure

Name	Flags	Card.	Type	Description & Constraints Description & Constraints
Practitioner			DomainResource	A person with a formal responsibility in the provisioning of healthcare or related services A person with a formal responsibility in the provisioning of healthcare or related services
identifier	Σ	0..*	Identifier	A identifier for the person as this agent A identifier for the person as this agent
active	Σ	0..1	boolean	Whether this practitioner's record is in active use Whether this practitioner's record is in active use
name	Σ	0..1 0..*	HumanName	A name associated with the person The name(s) associated with the practitioner
telecom	Σ	0..*	ContactPoint	A contact detail for the practitioner A contact detail for the practitioner (that apply to all roles)
address	Σ	0..*	Address	Where practitioner can be found/visited Address(es) of the practitioner that are not role specific (typically home address)
gender	Σ	0..1	code	male | female | other | unknown male | female | other | unknown AdministrativeGender ( ( Required )
birthDate	Σ	0..1	date	The date on which the practitioner was born The date on which the practitioner was born
photo		0..*	Attachment	Image of the person Image of the person
practitionerRole		0..*	BackboneElement	Roles/organizations the practitioner is associated with Roles/organizations the practitioner is associated with
managingOrganization organization		0..1	Reference ( Organization )	Organization where the roles are performed Organization where the roles are performed
role	Σ	0..1	CodeableConcept	Roles which this practitioner may perform Roles which this practitioner may perform PractitionerRole ( ( Example )
specialty	Σ	0..*	CodeableConcept	Specific specialty of the practitioner Specific specialty of the practitioner PractitionerSpecialty ( ( Example )
period 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) 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 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) 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 Qualifications obtained by training and certification
identifier		0..*	Identifier	An identifier for this qualification for the practitioner An identifier for this qualification for the practitioner
code		1..1	CodeableConcept	Coded representation of the qualification Coded representation of the qualification ANZSCO -- Australian and New Zealand Standard Classification of Occupations, 2013, Version 1.2 ( ANZSCO -- Australian and New Zealand Standard Classification of Occupations, 2013, Version 1.2 ( Example )
period		0..1	Period	Period during which the qualification is valid Period during which the qualification is valid
issuer		0..1	Reference ( Organization )	Organization that regulates and issues the qualification Organization that regulates and issues the qualification
communication		0..*	CodeableConcept	A language the practitioner is able to use in patient communication A language the practitioner is able to use in patient communication Language Language ( ( Required )
Documentation for this format Documentation for this format

<Practitioner xmlns="http://hl7.org/fhir"> 
 <!-- from Resource: id, meta, implicitRules, and language -->
 <!-- from DomainResource: text, contained, extension, and modifierExtension -->
 <identifier><!-- 0..* Identifier A identifier for the person as this agent --></identifier>
 <active value="[boolean]"/><!-- 0..1 Whether this practitioner's record is in active use -->
 <</name>
 <</telecom>
 <</address>

 <name><!-- 0..* HumanName The name(s) associated with the practitioner --></name>
 <telecom><!-- 0..* ContactPoint A contact detail for the practitioner (that apply to all roles) --></telecom>
 <address><!-- 0..* Address Address(es) of the practitioner that are not role specific (typically home address) --></address>

 <gender value="[code]"/><!-- 0..1 male | female | other | unknown -->
 <birthDate value="[date]"/><!-- 0..1 The date  on which the practitioner was born -->
 <photo><!-- 0..* Attachment Image of the person --></photo>
 <practitionerRole>  <!-- 0..* Roles/organizations the practitioner is associated with -->
  <</managingOrganization>

  <organization><!-- 0..1 Reference(Organization) Organization where the roles are performed --></organization>

  <role><!-- 0..1 CodeableConcept Roles which this practitioner may perform --></role>
  <specialty><!-- 0..* CodeableConcept Specific specialty of the practitioner --></specialty>
  <identifier><!-- 0..* Identifier Business Identifiers that are specific to a role/location --></identifier>
  <telecom><!-- 0..* ContactPoint Contact details that are specific to the role/location/service --></telecom>

  <period><!-- 0..1 Period The period during which the practitioner is authorized to perform in these role(s) --></period>
  <location><!-- 0..* Reference(Location) The location(s) at which this practitioner provides care --></location>
  <healthcareService><!-- 0..* Reference(HealthcareService) The list of healthcare services that this worker provides for this role's Organization/Location(s) --></healthcareService>
 </practitionerRole>
 <qualification>  <!-- 0..* Qualifications obtained by training and certification -->
  <identifier><!-- 0..* Identifier An identifier for this qualification for the practitioner --></identifier>
  <code><!-- 1..1 CodeableConcept Coded representation of the qualification --></code>
  <period><!-- 0..1 Period Period during which the qualification is valid --></period>
  <issuer><!-- 0..1 Reference(Organization) Organization that regulates and issues the qualification --></issuer>
 </qualification>
 <communication><!-- 0..* CodeableConcept A language the practitioner is able to use in patient communication  --></communication>
</Practitioner>

{
  "resourceType" : "Practitioner",
  // from Resource: id, meta, implicitRules, and language
  // from DomainResource: text, contained, extension, and modifierExtension
  "identifier" : [{ Identifier }], // A identifier for the person as this agent
  "active" : <boolean>, // Whether this practitioner's record is in active use
  "
  "
  "

  "name" : [{ HumanName }], // The name(s) associated with the practitioner
  "telecom" : [{ ContactPoint }], // A contact detail for the practitioner (that apply to all roles)
  "address" : [{ Address }], // Address(es) of the practitioner that are not role specific (typically home address)

  "gender" : "<code>", // male | female | other | unknown
  "birthDate" : "<date>", // The date  on which the practitioner was born
  "photo" : [{ Attachment }], // Image of the person
  "practitionerRole" : [{ // Roles/organizations the practitioner is associated with
    "

    "organization" : { Reference(Organization) }, // Organization where the roles are performed

    "role" : { CodeableConcept }, // Roles which this practitioner may perform
    "specialty" : [{ CodeableConcept }], // Specific specialty of the practitioner
    "identifier" : [{ Identifier }], // Business Identifiers that are specific to a role/location
    "telecom" : [{ ContactPoint }], // Contact details that are specific to the role/location/service

    "period" : { Period }, // The period during which the practitioner is authorized to perform in these role(s)
    "location" : [{ Reference(Location) }], // The location(s) at which this practitioner provides care
    "healthcareService" : [{ Reference(HealthcareService) }] // The list of healthcare services that this worker provides for this role's Organization/Location(s)
  }],
  "qualification" : [{ // Qualifications obtained by training and certification
    "identifier" : [{ Identifier }], // An identifier for this qualification for the practitioner
    "code" : { CodeableConcept }, // R!  Coded representation of the qualification
    "period" : { Period }, // Period during which the qualification is valid
    "issuer" : { Reference(Organization) } // Organization that regulates and issues the qualification
  }],
  "communication" : [{ CodeableConcept }] // A language the practitioner is able to use in patient communication 
}

Structure

Name	Flags	Card.	Type	Description & Constraints Description & Constraints
Practitioner			DomainResource	A person with a formal responsibility in the provisioning of healthcare or related services A person with a formal responsibility in the provisioning of healthcare or related services
identifier	Σ	0..*	Identifier	A identifier for the person as this agent A identifier for the person as this agent
active	Σ	0..1	boolean	Whether this practitioner's record is in active use Whether this practitioner's record is in active use
name	Σ	0..1 0..*	HumanName	A name associated with the person The name(s) associated with the practitioner
telecom	Σ	0..*	ContactPoint	A contact detail for the practitioner A contact detail for the practitioner (that apply to all roles)
address	Σ	0..*	Address	Where practitioner can be found/visited Address(es) of the practitioner that are not role specific (typically home address)
gender	Σ	0..1	code	male | female | other | unknown male | female | other | unknown AdministrativeGender ( ( Required )
birthDate	Σ	0..1	date	The date on which the practitioner was born The date on which the practitioner was born
photo		0..*	Attachment	Image of the person Image of the person
practitionerRole		0..*	BackboneElement	Roles/organizations the practitioner is associated with Roles/organizations the practitioner is associated with
managingOrganization organization		0..1	Reference ( Organization )	Organization where the roles are performed Organization where the roles are performed
role	Σ	0..1	CodeableConcept	Roles which this practitioner may perform Roles which this practitioner may perform PractitionerRole ( ( Example )
specialty	Σ	0..*	CodeableConcept	Specific specialty of the practitioner Specific specialty of the practitioner PractitionerSpecialty ( ( Example )
period 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) 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 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) 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 Qualifications obtained by training and certification
identifier		0..*	Identifier	An identifier for this qualification for the practitioner An identifier for this qualification for the practitioner
code		1..1	CodeableConcept	Coded representation of the qualification Coded representation of the qualification ANZSCO -- Australian and New Zealand Standard Classification of Occupations, 2013, Version 1.2 ( ANZSCO -- Australian and New Zealand Standard Classification of Occupations, 2013, Version 1.2 ( Example )
period		0..1	Period	Period during which the qualification is valid Period during which the qualification is valid
issuer		0..1	Reference ( Organization )	Organization that regulates and issues the qualification Organization that regulates and issues the qualification
communication		0..*	CodeableConcept	A language the practitioner is able to use in patient communication A language the practitioner is able to use in patient communication Language Language ( ( Required )
Documentation for this format Documentation for this format

UML Diagram UML Diagram

XML Template XML Template

<Practitioner xmlns="http://hl7.org/fhir"> 
 <!-- from Resource: id, meta, implicitRules, and language -->
 <!-- from DomainResource: text, contained, extension, and modifierExtension -->
 <identifier><!-- 0..* Identifier A identifier for the person as this agent --></identifier>
 <active value="[boolean]"/><!-- 0..1 Whether this practitioner's record is in active use -->
 <</name>
 <</telecom>
 <</address>

 <name><!-- 0..* HumanName The name(s) associated with the practitioner --></name>
 <telecom><!-- 0..* ContactPoint A contact detail for the practitioner (that apply to all roles) --></telecom>
 <address><!-- 0..* Address Address(es) of the practitioner that are not role specific (typically home address) --></address>

 <gender value="[code]"/><!-- 0..1 male | female | other | unknown -->
 <birthDate value="[date]"/><!-- 0..1 The date  on which the practitioner was born -->
 <photo><!-- 0..* Attachment Image of the person --></photo>
 <practitionerRole>  <!-- 0..* Roles/organizations the practitioner is associated with -->
  <</managingOrganization>

  <organization><!-- 0..1 Reference(Organization) Organization where the roles are performed --></organization>

  <role><!-- 0..1 CodeableConcept Roles which this practitioner may perform --></role>
  <specialty><!-- 0..* CodeableConcept Specific specialty of the practitioner --></specialty>
  <identifier><!-- 0..* Identifier Business Identifiers that are specific to a role/location --></identifier>
  <telecom><!-- 0..* ContactPoint Contact details that are specific to the role/location/service --></telecom>

  <period><!-- 0..1 Period The period during which the practitioner is authorized to perform in these role(s) --></period>
  <location><!-- 0..* Reference(Location) The location(s) at which this practitioner provides care --></location>
  <healthcareService><!-- 0..* Reference(HealthcareService) The list of healthcare services that this worker provides for this role's Organization/Location(s) --></healthcareService>
 </practitionerRole>
 <qualification>  <!-- 0..* Qualifications obtained by training and certification -->
  <identifier><!-- 0..* Identifier An identifier for this qualification for the practitioner --></identifier>
  <code><!-- 1..1 CodeableConcept Coded representation of the qualification --></code>
  <period><!-- 0..1 Period Period during which the qualification is valid --></period>
  <issuer><!-- 0..1 Reference(Organization) Organization that regulates and issues the qualification --></issuer>
 </qualification>
 <communication><!-- 0..* CodeableConcept A language the practitioner is able to use in patient communication  --></communication>
</Practitioner>

JSON Template JSON Template

{
  "resourceType" : "Practitioner",
  // from Resource: id, meta, implicitRules, and language
  // from DomainResource: text, contained, extension, and modifierExtension
  "identifier" : [{ Identifier }], // A identifier for the person as this agent
  "active" : <boolean>, // Whether this practitioner's record is in active use
  "
  "
  "

  "name" : [{ HumanName }], // The name(s) associated with the practitioner
  "telecom" : [{ ContactPoint }], // A contact detail for the practitioner (that apply to all roles)
  "address" : [{ Address }], // Address(es) of the practitioner that are not role specific (typically home address)

  "gender" : "<code>", // male | female | other | unknown
  "birthDate" : "<date>", // The date  on which the practitioner was born
  "photo" : [{ Attachment }], // Image of the person
  "practitionerRole" : [{ // Roles/organizations the practitioner is associated with
    "

    "organization" : { Reference(Organization) }, // Organization where the roles are performed

    "role" : { CodeableConcept }, // Roles which this practitioner may perform
    "specialty" : [{ CodeableConcept }], // Specific specialty of the practitioner
    "identifier" : [{ Identifier }], // Business Identifiers that are specific to a role/location
    "telecom" : [{ ContactPoint }], // Contact details that are specific to the role/location/service

    "period" : { Period }, // The period during which the practitioner is authorized to perform in these role(s)
    "location" : [{ Reference(Location) }], // The location(s) at which this practitioner provides care
    "healthcareService" : [{ Reference(HealthcareService) }] // The list of healthcare services that this worker provides for this role's Organization/Location(s)
  }],
  "qualification" : [{ // Qualifications obtained by training and certification
    "identifier" : [{ Identifier }], // An identifier for this qualification for the practitioner
    "code" : { CodeableConcept }, // R!  Coded representation of the qualification
    "period" : { Period }, // Period during which the qualification is valid
    "issuer" : { Reference(Organization) } // Organization that regulates and issues the qualification
  }],
  "communication" : [{ CodeableConcept }] // A language the practitioner is able to use in patient communication 
}