This
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Specification
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R4B
-
STU
(v5.0.0-snapshot3:
R5
Snapshot
#3,
to
support
Connectathon
32
).
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R4B
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Patient
Administration
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
|
| 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:
|
| 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. |
|
|
|
| Element Id |
|
| Definition |
|
| Short Display | male | female | other | unknown |
| Cardinality |
|
| Terminology Binding | AdministrativeGender ( Required ) |
| Type |
|
| Requirements |
|
| Summary | true |
| Practitioner.birthDate | |
|
| Practitioner.birthDate |
| Definition |
The
|
| Short Display |
The
date
on
|
| Cardinality | 0..1 |
| Type | date |
| Requirements |
Needed
for
|
| Summary | true |
|
|
|
| Element Id |
|
| Definition |
|
|
|
|
|
|
|
| Type |
|
|
|
|
| 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. |
|
|
|
| Element Id |
|
| Definition |
|
| Short Display | Address(es) of the practitioner that are not role specific (typically home address) |
| Cardinality |
|
| Type |
|
| Requirements |
|
| 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,
For
example,
a
medical
license
issued
by
a
medical
board
of
licensure
authorizing
the
practitioner
to
practice
medicine
within
a
|
| 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
|
| 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 |
|
| 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. |