Release 4B Snapshot 3: Connectathon 32 Base

This page is part of the FHIR Specification (v4.3.0: R4B - STU (v5.0.0-snapshot3: R5 Snapshot #3, to support Connectathon 32 ). The current version which supercedes this version is 5.0.0 . For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

Patient Administration icon Work Group Maturity Level : 3   Trial Use Security Category : Individual Compartments : Practitioner

Detailed Descriptions for the elements in the Practitioner resource.

Practitioner
Element Id Practitioner
Definition

A person who is directly or indirectly involved in the provisioning of healthcare. healthcare or related services.

Short Display A person with a formal responsibility in the provisioning of healthcare or related services
Cardinality 0..*
Type DomainResource
Requirements

Need to track doctors, staff, locums etc. for both healthcare practitioners, funders, etc.

Summary false
Practitioner.identifier
Element Id Practitioner.identifier
Definition

An identifier that applies to this person in this role.

Short Display An identifier for the person as this agent
Note This is a business identifier, not a resource identifier (see discussion )
Cardinality 0..*
Type Identifier
Requirements

Often, specific identities are assigned for the agent.

Summary true
Practitioner.active
Element Id Practitioner.active
Definition

Whether this practitioner's record is in active use.

Short Display Whether this practitioner's record is in active use
Cardinality 0..1
Type boolean
Is Modifier true (Reason: This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid)
Meaning if Missing This resource is generally assumed to be active if no value is provided for the active element
Requirements

Need to be able to mark a practitioner record as not to be used because it was created in error.

Summary true
Comments

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.

Practitioner.name
Element Id Practitioner.name
Definition

The name(s) associated with the practitioner.

Short Display The name(s) associated with the practitioner
Cardinality 0..*
Type HumanName
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.

Summary true
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.
Practitioner.telecom
Element Id Practitioner.telecom
Definition

A contact detail for the practitioner, e.g. a telephone number or an email address.

Short Display A contact detail for the practitioner (that apply to all roles)
Cardinality 0..*
Type ContactPoint
Requirements

Need to know how to reach a practitioner independent to any roles the practitioner may have.

Summary true
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 to help with identification. These typically will have home numbers, or mobile numbers that are not role specific.

Practitioner.address Practitioner.gender
Element Id Practitioner.address Practitioner.gender
Definition

Address(es) of Administrative Gender - the practitioner gender that are not role specific (typically home address). Work addresses are not typically entered in this property as they are usually role dependent. the person is considered to have for administration and record keeping purposes.

Short Display male | female | other | unknown
Cardinality 0..* 0..1
Terminology Binding AdministrativeGender ( Required )
Type Address code
Requirements

The home/mailing Needed to 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. person correctly.

Summary true
Practitioner.birthDate
Comments Element Id Practitioner.birthDate
Definition

The PractitionerRole does not have an address value date of birth for the practitioner.

Short Display The date on it, as it is expected that which the location property be used practitioner was born
Cardinality 0..1
Type date
Requirements

Needed for this purpose (which has an address). identification.

Summary true
Practitioner.gender Practitioner.deceased[x]
Element Id Practitioner.gender Practitioner.deceased[x]
Definition

Administrative Gender - the gender that Indicates if the person practitioner is considered to have for administration and record keeping purposes. deceased or not.

Cardinality Short Display 0..1 Indicates if the practitioner is deceased or not
Terminology Binding Cardinality AdministrativeGender ( Required ) 0..1
Type code boolean | dateTime
Requirements [x] Note Needed See Choice of Datatypes for further information about how to address the person correctly. use [x]
Summary true
Comments

If there's no value in the instance, it means there is no statement on whether or not the practitioner is deceased. Most systems will interpret the absence of a value as a sign of the person being alive.

Practitioner.birthDate Practitioner.address
Element Id Practitioner.birthDate Practitioner.address
Definition

The date Address(es) of birth for the practitioner. 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 Display Address(es) of the practitioner that are not role specific (typically home address)
Cardinality 0..1 0..*
Type date Address
Requirements

Needed The home/mailing address of the practitioner is often required for identification. employee administration purposes, and also for some rostering services where the start point (practitioners home) can be used in calculations.

Summary true
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).

Practitioner.photo
Element Id Practitioner.photo
Definition

Image of the person.

Short Display Image of the person
Cardinality 0..*
Type Attachment
Requirements

Many EHR systems have the capability to capture an image of patients and personnel. Fits with newer social media usage too.

Summary false
Practitioner.qualification
Element Id Practitioner.qualification
Definition

The official qualifications, certifications, accreditations, training, and licenses (and other types of educations/skills/capabilities) that authorize or otherwise pertain to the provision of care by the practitioner.

For example, a medical license issued by a medical board of licensure authorizing the practitioner to practice medicine within a certian certain locality.

Short Display Qualifications, certifications, accreditations, licenses, training, etc pertaining to the provision of care
Cardinality 0..*
Summary false
Comments

The PractitionerRole.specialty defines the functional role that they are practicing at a given organization or location. Those specialties may or might not require a qualification, and are not defined on the practitioner.

Practitioner.qualification.identifier
Element Id Practitioner.qualification.identifier
Definition

An identifier that applies to this person's qualification in this role. qualification.

Short Display An identifier for this qualification for the practitioner
Note This is a business identifier, not a resource identifier (see discussion )
Cardinality 0..*
Type Identifier
Requirements

Often, specific identities are assigned for the qualification.

Summary false
Practitioner.qualification.code
Element Id Practitioner.qualification.code
Definition

Coded representation of the qualification.

Short Display Coded representation of the qualification
Cardinality 1..1
Terminology Binding Qualification hl7VS-degreeLicenseCertificate icon : ( Example )
Type CodeableConcept
Summary false
Practitioner.qualification.period
Element Id Practitioner.qualification.period
Definition

Period during which the qualification is valid.

Short Display Period during which the qualification is valid
Cardinality 0..1
Type Period
Requirements

Qualifications are often for a limited period of time, and can be revoked.

Summary false
Practitioner.qualification.issuer
Element Id Practitioner.qualification.issuer
Definition

Organization that regulates and issues the qualification.

Short Display Organization that regulates and issues the qualification
Cardinality 0..1
Type Reference ( Organization )
Summary false
Practitioner.communication
Element Id Practitioner.communication
Definition

A language the practitioner can use in patient communication.

Short Display A language the practitioner can use in patient communication
Cardinality 0..*
Terminology Binding Common Languages ( Preferred but limited to All Languages )
Type CodeableConcept
Requirements

Knowing which language a practitioner speaks can help in facilitating communication with patients.

Summary false
Comments

The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems code this but instead have it as free text. Hence CodeableConcept instead of code as the data type.