DSTU2 FHIR Release 3 (STU)

This page is part of the FHIR Specification (v1.0.2: DSTU (v3.0.2: STU 2). 3). 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 R3 R2

Patient Administration Work Group Maturity Level : 3   Trial Use Compartments : Practitioner

Detailed Descriptions for the elements in the Practitioner resource.

Practitioner
Definition

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

Control 1..1
Requirements

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

Comments

Note that a cab driver no longer fits the bill. You probably would be interested in the organization rather than the individual?

Practitioner.identifier
Definition

An identifier that applies to this person in this role.

Note This is a business identifer, not a resource identifier (see discussion )
Control 0..*
Type Identifier
Requirements

Often, specific identities are assigned for the agent.

Summary true
Practitioner.active
Definition

Whether this practitioner's record is in active use.

Control 0..1
Type boolean
Default Value true
Requirements

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

Summary true
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.

Practitioner.name
Definition

A name The name(s) associated with the person. practitioner.

Control 0..1 0..*
Type HumanName
Requirements

Contact persons need to be identified by name, but it The name(s) that a Practitioner is uncommon to need details about multiple other names for known by. Where there are multiple, the name that person. 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
Definition

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

Control 0..*
Type ContactPoint
Requirements

Need to know how to reach a practitioner. 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 also to help with identification. identification

These typically will have home numbers, or mobile numbers that are not role specific.

Practitioner.address
Definition

The postal address where Address(es) of the practitioner can be found or visited or to which mail can be delivered. that are not role specific (typically home address). Work addresses are not typically entered in this property as they are usually role dependent.

Control 0..*
Type Address
Requirements

Need to keep track where The home/mailing address of the practitioner can found during work or is often required for directing mail. 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.gender
Definition

Administrative Gender - the gender that the person is considered to have for administration and record keeping purposes.

Control 0..1
Terminology Binding AdministrativeGender: The gender of a person used for administrative purposes. AdministrativeGender ( Required )
Type code
Requirements

Needed to address the person correctly.

Summary true
Practitioner.birthDate
Definition

The date of birth for the practitioner.

Control 0..1
Type date
Requirements

Needed for identification.

Summary true
Practitioner.photo
Definition

Image of the person.

Control 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.

Practitioner.practitionerRole Definition The list of roles/organizations that the practitioner is associated with. Control 0..* Practitioner.practitionerRole.managingOrganization Definition The organization where the Practitioner performs the roles associated. Control 0..1 Type Reference ( Organization ) Practitioner.practitionerRole.role Definition Roles which this practitioner is authorized to perform for the organization. Control 0..1 Binding PractitionerRole: The role a person plays representing an organization ( Example ) Type CodeableConcept Requirements Need to know what authority the practitioner has - what can they do? Summary true Comments A person may have more than one role. At least one role is required. Practitioner.practitionerRole.specialty Definition Specific specialty of the practitioner. Control 0..* Binding PractitionerSpecialty: Specific specialty associated with the agency ( Example ) Type CodeableConcept Summary true Practitioner.practitionerRole.period Definition The period during which the person is authorized to act as a practitioner in these role(s) for the organization. Control 0..1 Type Period Requirements Even after the agencies is revoked, the fact that it existed must still be recorded. Summary true Practitioner.practitionerRole.location Definition The location(s) at which this practitioner provides care. Control 0..* Type Reference ( Location ) Practitioner.practitionerRole.healthcareService Definition The list of healthcare services that this worker provides for this role's Organization/Location(s). Control 0..* Type Reference ( HealthcareService ) Practitioner.qualification
Definition

Qualifications obtained by training and certification.

Control 0..*
Practitioner.qualification.identifier
Definition

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

Note This is a business identifer, not a resource identifier (see discussion )
Control 0..*
Type Identifier
Requirements

Often, specific identities are assigned for the qualification.

Practitioner.qualification.code
Definition

Coded representation of the qualification.

Control 1..1
Terminology Binding ANZSCO -- Australian and New Zealand Standard Classification of Occupations, 2013, v2 table 0360, Version 1.2: Specific qualification the practitioner has to provide a service 2.7 ( Example )
Type CodeableConcept
Practitioner.qualification.period
Definition

Period during which the qualification is valid.

Control 0..1
Type Period
Requirements

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

Practitioner.qualification.issuer
Definition

Organization that regulates and issues the qualification.

Control 0..1
Type Reference ( Organization )
Practitioner.communication
Definition

A language the practitioner is able to use in patient communication.

Control 0..*
Terminology Binding Language : Required : IETF language tag Common Languages (A human language.) ( Extensible but limited to ??)
Type CodeableConcept
Requirements

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

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.