Profile Information - C4BB Practitioner
This profile builds upon the US Core Practitioner profile. It is used to convey information about the practitioner who provided to the patient services described on the claim.
Status
active as of 2022-11-28
Publisher
HL7 Financial Management Working Group
Version
2.0.0
FHIR Version
4.0.1
Copyright
Practitioner
| Definition | This is basic constraint on provider for use in US Core resources. |
| Control | 0..* |
| Summary | False |
| Alternate Names | Provider |
Practitioner.id
| Definition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. |
| Control | 0..1 |
| Summary | True |
| Type | http://hl7.org/fhirpath/System.String |
Practitioner.meta
| Definition | The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource. |
| Control | 1..1 |
| Summary | True |
| Type | Meta |
Practitioner.meta.id
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Control | 0..1 |
| Summary | False |
| Type | http://hl7.org/fhirpath/System.String |
Practitioner.meta.extension
| Definition | May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Control | 0..* |
| Summary | False |
| Alternate Names | extensions, user content |
| Type | Extension |
Practitioner.meta.versionId
| Definition | The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted. |
| Control | 0..1 |
| Summary | True |
| Type | id |
Practitioner.meta.lastUpdated
| Definition | When the resource last changed - e.g. when the version changed. |
| Control | 0..1 |
| Summary | True |
| Type | instant |
Practitioner.meta.source
| Definition | A uri that identifies the source system of the resource. This provides a minimal amount of [Provenance](http://hl7.org/fhir/R4/provenance.html#) information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc. |
| Control | 0..1 |
| Summary | True |
| Type | uri |
Practitioner.meta.profile
| Definition | A list of profiles (references to [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) resources) that this resource claims to conform to. The URL is a reference to [StructureDefinition.url](http://hl7.org/fhir/R4/structuredefinition-definitions.html#StructureDefinition.url). |
| Control | 1..* |
| Summary | True |
| Type | canonical |
Practitioner.meta.security
| Definition | Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure. |
| Control | 0..* |
| Summary | True |
| Type | Coding |
Practitioner.meta.tag
| Definition | Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource. |
| Control | 0..* |
| Summary | True |
| Type | Coding |
Practitioner.implicitRules
| 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. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. |
| Control | 0..1 |
| Summary | True |
| Type | uri |
Practitioner.language
| Definition | The base language in which the resource is written. |
| Control | 0..1 |
| Summary | False |
| Type | code |
Practitioner.text
| Definition | A human-readable narrative that contains a summary of the resource and can 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. |
| Control | 0..1 |
| Summary | False |
| Alternate Names | narrative, html, xhtml, display |
| Type | Narrative |
Practitioner.contained
| 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. |
| Control | 0..* |
| Summary | False |
| Alternate Names | inline resources, anonymous resources, contained resources |
| Type | Resource |
Practitioner.extension
| Definition | May be used to represent additional information that is not part of the basic definition of the resource. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Control | 0..* |
| Summary | False |
| Alternate Names | extensions, user content |
| Type | Extension |
Practitioner.modifierExtension
| 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 and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
| Control | 0..* |
| Summary | False |
| Alternate Names | extensions, user content |
| Type | Extension |
Practitioner.identifier
| Definition | An identifier that applies to this person in this role. |
| Control | 1..* |
| Summary | True |
| Type | Identifier |
Practitioner.identifier:NPI
| Definition | An identifier that applies to this person in this role. |
| Control | 0..1 |
| Summary | True |
| Type | Identifier |
Practitioner.identifier:tax
| Definition | An identifier that applies to this person in this role. |
| Control | 0..* |
| Summary | True |
| Type | Identifier |
Practitioner.active
| Definition | Whether this practitioner's record is in active use. |
| Control | 0..1 |
| Summary | True |
| Type | boolean |
Practitioner.name
| Definition | The name(s) associated with the practitioner. |
| Control | 1..* |
| Summary | True |
| Type | HumanName |
Practitioner.name.id
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Control | 0..1 |
| Summary | False |
| Type | http://hl7.org/fhirpath/System.String |
Practitioner.name.extension
| Definition | May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Control | 0..* |
| Summary | False |
| Alternate Names | extensions, user content |
| Type | Extension |
Practitioner.name.use
| Definition | Identifies the purpose for this name. |
| Control | 0..1 |
| Summary | True |
| Type | code |
Practitioner.name.text
| Definition | Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts. |
| Control | 0..1 |
| Summary | True |
| Type | string |
Practitioner.name.family
| Definition | The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father. |
| Control | 1..1 |
| Summary | True |
| Alternate Names | surname |
| Type | string |
Practitioner.name.given
| Definition | Given name. |
| Control | 0..* |
| Summary | True |
| Alternate Names | first name, middle name |
| Type | string |
Practitioner.name.prefix
| Definition | Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name. |
| Control | 0..* |
| Summary | True |
| Type | string |
Practitioner.name.suffix
| Definition | Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name. |
| Control | 0..* |
| Summary | True |
| Type | string |
Practitioner.name.period
| Definition | Indicates the period of time when this name was valid for the named person. |
| Control | 0..1 |
| Summary | True |
| Type | Period |
Practitioner.telecom
| Definition | A contact detail for the practitioner, e.g. a telephone number or an email address. |
| Control | 0..* |
| Summary | True |
| Type | ContactPoint |
Practitioner.address
| 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. |
| Control | 0..* |
| Summary | True |
| Type | Address |
Practitioner.gender
| Definition | Administrative Gender - the gender that the person is considered to have for administration and record keeping purposes. |
| Control | 0..1 |
| Summary | True |
| Type | code |
Practitioner.birthDate
| Definition | The date of birth for the practitioner. |
| Control | 0..1 |
| Summary | True |
| Type | date |
Practitioner.photo
| Definition | Image of the person. |
| Control | 0..* |
| Summary | False |
| Type | Attachment |
Practitioner.qualification
| Definition | The official certifications, training, and licenses that authorize or otherwise pertain to the provision of care by the practitioner. For example, a medical license issued by a medical board authorizing the practitioner to practice medicine within a certian locality. |
| Control | 0..* |
| Summary | False |
| Type | BackboneElement |
Practitioner.qualification.id
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Control | 0..1 |
| Summary | False |
| Type | http://hl7.org/fhirpath/System.String |
Practitioner.qualification.extension
| Definition | May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Control | 0..* |
| Summary | False |
| Alternate Names | extensions, user content |
| Type | Extension |
Practitioner.qualification.modifierExtension
| 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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
| Control | 0..* |
| Summary | True |
| Alternate Names | extensions, user content, modifiers |
| Type | Extension |
Practitioner.qualification.identifier
| Definition | An identifier that applies to this person's qualification in this role. |
| Control | 0..* |
| Summary | False |
| Type | Identifier |
Practitioner.qualification.code
| Definition | Coded representation of the qualification. |
| Control | 1..1 |
| Summary | False |
| Type | CodeableConcept |
Practitioner.qualification.period
| Definition | Period during which the qualification is valid. |
| Control | 0..1 |
| Summary | False |
| Type | Period |
Practitioner.qualification.issuer
| Definition | Organization that regulates and issues the qualification. |
| Control | 0..1 |
| Summary | False |
| Type | Reference |
Practitioner.communication
| Definition | A language the practitioner can use in patient communication. |
| Control | 0..* |
| Summary | False |
| Type | CodeableConcept |
| Name | Flags | Card. | Type | Description & Constraints![]() |
|---|---|---|---|---|
![]() | C | 0..* | USCorePractitionerProfile | A person with a formal responsibility in the provisioning of healthcare or related services Practitioner-identifier: Practitioner.identifier must include an NPI or a Tax ID practitioner-meta-profile-version: Practitioner: meta.profile with canonical and major.minor. version required. |
![]() ![]() | S | 1..1 | Meta | Metadata about the resource |
![]() ![]() ![]() | S | 0..1 | instant | When the resource version last changed |
![]() ![]() ![]() | 1..* | canonical(StructureDefinition) | Profiles this resource claims to conform to | |
![]() ![]() | 0..1 | Identifier | National Provider Identifier Required Pattern: At least the following | |
![]() ![]() ![]() | 1..1 | CodeableConcept | Description of identifier Fixed Value: (complex) | |
![]() ![]() ![]() ![]() | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
![]() ![]() ![]() ![]() ![]() | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203 | |
![]() ![]() ![]() ![]() ![]() | 1..1 | code | Symbol in syntax defined by the system Fixed Value: NPI | |
![]() ![]() ![]() | 1..1 | uri | The namespace for the identifier value Fixed Value: http://hl7.org/fhir/sid/us-npi | |
![]() ![]() | S | 0..* | Identifier | Tax ID Number Required Pattern: At least the following |
![]() ![]() ![]() | 1..1 | CodeableConcept | Description of identifier Fixed Value: (complex) | |
![]() ![]() ![]() ![]() | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
![]() ![]() ![]() ![]() ![]() | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203 | |
![]() ![]() ![]() ![]() ![]() | 1..1 | code | Symbol in syntax defined by the system Fixed Value: TAX | |
![]() ![]() ![]() | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.4.4 | |
![]() ![]() | 1..* | HumanName | The name(s) associated with the practitioner | |
![]() ![]() | 0..* | Address | Address(es) of the practitioner that are not role specific (typically home address) | |
Documentation for this format | ||||








