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

NameFlagsCard.TypeDescription & Constraintsdoco
.. Practitioner C0..*USCorePractitionerProfileA 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.
... meta S1..1MetaMetadata about the resource
.... lastUpdated S0..1instantWhen the resource version last changed
.... profile 1..*canonical(StructureDefinition)Profiles this resource claims to conform to
... identifier:NPI 0..1IdentifierNational Provider Identifier
Required Pattern: At least the following
.... type1..1CodeableConceptDescription of identifier
Fixed Value: (complex)
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: NPI
.... system1..1uriThe namespace for the identifier value
Fixed Value: http://hl7.org/fhir/sid/us-npi
... identifier:tax S0..*IdentifierTax ID Number

Required Pattern: At least the following
.... type1..1CodeableConceptDescription of identifier
Fixed Value: (complex)
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: TAX
.... system1..1uriThe namespace for the identifier value
Fixed Value: urn:oid:2.16.840.1.113883.4.4
... name 1..*HumanNameThe name(s) associated with the practitioner
... address 0..*AddressAddress(es) of the practitioner that are not role specific (typically home address)

doco Documentation for this format