Répertoire national de l’Offre et des Ressources en santé et accompagnement médico-social
0.5.0-snapshot-1 - ci-build

Répertoire national de l’Offre et des Ressources en santé et accompagnement médico-social - Local Development build (v0.5.0-snapshot-1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Resource Profile: RORPractitioner - Detailed Descriptions

Draft as of 2025-01-24

Definitions for the ror-practitioner resource profile.

- Key Elements Table
- Differential Elements Table
- Snapshot Elements Table

Guidance on how to interpret the contents of this table can be found here

0. Practitioner
Definition | A person who is directly or indirectly involved in the provisioning of healthcare.
Short | A person with a formal responsibility in the provisioning of healthcare or related services
Control | 0..*
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty()) dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()) dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()) dom-6: A resource should have narrative for robust management (text.`div`.exists()) dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
2. Practitioner.id
Definition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
Short | Logical id of this artifact
Comments | The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
Control | 0..1
Type | id string
Summary | true
4. 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.
Short | Metadata about the resource
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Meta
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
6. Practitioner.meta.lastUpdated
Definition | When the resource last changed - e.g. when the version changed.
Short | When the resource version last changed
Comments | This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction.
Control | 10..1 This element is affected by the following invariants: ele-1
Type | instant
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. 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.
Short | Tags applied to this resource
Comments | The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.
Control | 0..* This element is affected by the following invariants: ele-1
Binding | For example codes, see CommonTags http://hl7.org/fhir/ValueSet/common-tags (example to `http://hl7.org/fhir/ValueSet/common-tags` ) Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
Type | Coding
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
Slicing | This element introduces a set of slices on `Practitioner.meta.tag`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
10. Practitioner.meta.tag:codeRegion
Slice Name | codeRegion
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.
Short | Tags applied to this resource
Comments | The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.
Control | 0..1* This element is affected by the following invariants: ele-1
Binding | The codes SHALL be taken from For example codes, see JDV_J237_RegionOM_ROR http://hl7.org/fhir/ValueSet/common-tags (required to `https://mos.esante.gouv.fr/NOS/JDV_J237-RegionOM-ROR/FHIR/JDV-J237-RegionOM-ROR` )
Type | Coding
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. 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.
Short | A set of rules under which this content was created
Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
Control | 0..1 This element is affected by the following invariants: ele-1
Type | uri
Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
14. Practitioner.extension
Definition | An Extension 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.
Short | ExtensionAdditional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 10..* This element is affected by the following invariants: ele-1
Type | Extension
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | This element introduces a set of slices on `Practitioner.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
16. Practitioner.extension:ror-meta-creation-date
Slice Name | ror-meta-creation-date
Definition | Extension créée dans le cadre du ROR qui correspond à la date de création (dans le ROR régional) présente dans les métadonnées.
Short | dateCreation (Metadonnee)
Control | 1..1 This element is affected by the following invariants: ele-1
Type | Extension(RORMetaCreationDate) (Extension Type: dateTime)
Must Support | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
18. 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).
Short | Extensions that cannot be ignored
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..* This element is affected by the following invariants: ele-1
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Standard Status | Normative (from Trial Use)
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | This element introduces a set of slices on `Practitioner.modifierExtension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
20. Practitioner.identifier
Definition | An identifier that applies to this person in this role.
Short | idNat_PS (Professionnel) : Identification nationale du professionnel définie par le CI-SISAn identifier for the person as this agent
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 10..1* This element is affected by the following invariants: ele-1
Type | Identifier
Must Support | true
Summary | true
Requirements | Often, specific identities are assigned for the agent.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
22. Practitioner.identifier.use
Definition | The purpose of this identifier.
Short | usual | official | temp | secondary | old (If known)
Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Control | 0..1 This element is affected by the following invariants: ele-1
Binding | The codes SHALL be taken from IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 (required to `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` ) Identifies the purpose for this identifier, if known .
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
24. Practitioner.identifier.system
Definition | Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Short | The namespace for the identifier value
Comments | Identifier.system is always case sensitive.
Control | 0..1 This element is affected by the following invariants: ele-1
Type | uri
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Pattern Value | `urn:oid:1.2.250.1.71.4.2.1`
Example | <br/><b>General</b>:http://www.acme.com/identifiers/patient
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
26. Practitioner.name
Definition | The name(s) associated with the practitioner.
Short | The name(s) associated with the practitioner
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: There is more than 1 name Use = usual Period is current to the date of the usage Use = official Other order as decided by internal business rules.
Control | 0..* This element is affected by the following invariants: ele-1
Type | HumanName
Summary | true
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.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
28. Practitioner.name.use
Definition | Identifies the purpose for this name.
Short | usual | official | temp | nickname | anonymous | old | maiden
Comments | Applications can assume that a name is current unless it explicitly says that it is temporary or old.
Control | 0..1 This element is affected by the following invariants: ele-1
Binding | The codes SHALL be taken from NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 (required to `http://hl7.org/fhir/ValueSet/name-use|4.0.1` ) The use of a human name.
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Allows the appropriate name for a particular context of use to be selected from among a set of names.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
30. 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.
Short | Civilite (PersonnePhysique) : Civilite de la personne physiqueParts that come before the name
Comments | Note that FHIR strings SHALL NOT exceed 1MB in size
Control | 0..1* This element is affected by the following invariants: ele-1
Binding | Unless not suitable, these codes SHALL be taken from For codes, see JDV_J207_Civilite_ROR (extensible to `https://mos.esante.gouv.fr/NOS/JDV_J207-Civilite-ROR/FHIR/JDV-J207-Civilite-ROR` )
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
32. Practitioner.telecom
Definition | A contact detail for the practitioner, e.g. a telephone number or an email address.
Short | boiteLettreMSS (Professionnel) : Boîte(s) aux lettres du service de messagerie sécurisée de santé (MSS) rattachée(s) au professionnelA contact detail for the practitioner (that apply to all roles)
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.
Control | 0..* This element is affected by the following invariants: ele-1
Type | ContactPoint
Must Support | true
Summary | true
Requirements | Need to know how to reach a practitioner independent to any roles the practitioner may have.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) cpt-2: A system is required if a value is provided. (value.empty() or system.exists())
34. Practitioner.telecom.extension
Definition | An Extension 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.
Short | ExtensionAdditional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 20..* This element is affected by the following invariants: ele-1
Type | Extension
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | This element introduces a set of slices on `Practitioner.telecom.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
36. Practitioner.telecom.extension:ror-telecom-communication-channel
Slice Name | ror-telecom-communication-channel
Definition | Extension créée dans le cadre du ROR spécifiant le canal ou la manière dont s'établit la communication
Short | canal (Telecommunication) : Code spécifiant le canal ou la manière dont s'établit la communication
Control | 1..1 This element is affected by the following invariants: ele-1
Type | Extension(RORTelecomCommunicationChannel) (Extension Type: CodeableConcept)
Must Support | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
38. Practitioner.telecom.extension:ror-telecom-usage
Slice Name | ror-telecom-usage
Definition | Extension créée dans le cadre du ROR qui précise l'utilisation du canal de communication
Short | utilisation (Telecommunication) : Utilisation du canal de communication
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(RORTelecomUsage) (Extension Type: string)
Must Support | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
40. Practitioner.telecom.extension:ror-telecom-confidentiality-level
Slice Name | ror-telecom-confidentiality-level
Definition | Extension créée dans le cadre du ROR qui permet de définir le niveau de restriction de l'accès aux attributs de la classe Télécommunication.
Short | niveauConfidentialite (Telecommunication) : niveau de restriction de l'accès aux attributs de la classe Télécommunication
Control | 1..1 This element is affected by the following invariants: ele-1
Type | Extension(RORTelecomConfidentialityLevel) (Extension Type: CodeableConcept)
Must Support | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
42. Practitioner.telecom.system
Definition | Telecommunications form for contact point - what communications system is required to make use of the contact.
Short | phone | fax | email | pager | url | sms | other
Comments | Note that FHIR strings SHALL NOT exceed 1MB in size
Control | 0..1 This element is affected by the following invariants: ele-1, cpt-2
Binding | The codes SHALL be taken from ContactPointSystem http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 (required to `http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1` ) Telecommunications form for contact point.
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
44. Practitioner.telecom.value
Definition | The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address).
Short | adresseTelecom (Telecommunication) : Valeur de l'adresse de télécommunication dans le format induit par le canal de communicationThe actual contact point details
Comments | Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.
Control | 10..1 This element is affected by the following invariants: ele-1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | Need to support legacy numbers that are not in a tightly controlled format.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
46. Practitioner.telecom.use
Definition | Identifies the purpose for the contact point.
Short | home | work | temp | old | mobile - purpose of this contact point
Comments | Applications can assume that a contact is current unless it explicitly says that it is temporary or old.
Control | 0..1 This element is affected by the following invariants: ele-1
Binding | The codes SHALL be taken from ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 (required to `http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1` ) Use of contact point.
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary or old contact etc.for a current/permanent one
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

Guidance on how to interpret the contents of this table can be found here

0. Practitioner
2. Practitioner.id
4. Practitioner.meta
6. Practitioner.meta.lastUpdated
Control | 1..?
Must Support | true
8. Practitioner.meta.tag
Slicing | This element introduces a set of slices on `Practitioner.meta.tag`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
10. Practitioner.meta.tag:codeRegion
Slice Name | codeRegion
Control | 0..1
Binding | The codes SHALL be taken from JDV_J237_RegionOM_ROR (required to `https://mos.esante.gouv.fr/NOS/JDV_J237-RegionOM-ROR/FHIR/JDV-J237-RegionOM-ROR` )
Must Support | true
12. Practitioner.extension
Control | 1..?
14. Practitioner.extension:ror-meta-creation-date
Slice Name | ror-meta-creation-date
Short | dateCreation (Metadonnee)
Control | 1..1
Type | Extension(RORMetaCreationDate) (Extension Type: dateTime)
Must Support | true
16. Practitioner.identifier
Short | idNat_PS (Professionnel) : Identification nationale du professionnel définie par le CI-SIS
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 1..1
Must Support | true
18. Practitioner.identifier.system
Pattern Value | `urn:oid:1.2.250.1.71.4.2.1`
20. Practitioner.name
22. Practitioner.name.prefix
Short | Civilite (PersonnePhysique) : Civilite de la personne physique
Control | 0..1
Binding | Unless not suitable, these codes SHALL be taken from JDV_J207_Civilite_ROR (extensible to `https://mos.esante.gouv.fr/NOS/JDV_J207-Civilite-ROR/FHIR/JDV-J207-Civilite-ROR` )
Must Support | true
24. Practitioner.telecom
Short | boiteLettreMSS (Professionnel) : Boîte(s) aux lettres du service de messagerie sécurisée de santé (MSS) rattachée(s) au professionnel
Must Support | true
26. Practitioner.telecom.extension
Control | 2..?
28. Practitioner.telecom.extension:ror-telecom-communication-channel
Slice Name | ror-telecom-communication-channel
Short | canal (Telecommunication) : Code spécifiant le canal ou la manière dont s'établit la communication
Control | 1..1
Type | Extension(RORTelecomCommunicationChannel) (Extension Type: CodeableConcept)
Must Support | true
30. Practitioner.telecom.extension:ror-telecom-usage
Slice Name | ror-telecom-usage
Short | utilisation (Telecommunication) : Utilisation du canal de communication
Control | 0..1
Type | Extension(RORTelecomUsage) (Extension Type: string)
Must Support | true
32. Practitioner.telecom.extension:ror-telecom-confidentiality-level
Slice Name | ror-telecom-confidentiality-level
Short | niveauConfidentialite (Telecommunication) : niveau de restriction de l'accès aux attributs de la classe Télécommunication
Control | 1..1
Type | Extension(RORTelecomConfidentialityLevel) (Extension Type: CodeableConcept)
Must Support | true
34. Practitioner.telecom.value
Short | adresseTelecom (Telecommunication) : Valeur de l'adresse de télécommunication dans le format induit par le canal de communication
Control | 1..?
Must Support | true
36. Practitioner.qualification
38. Practitioner.qualification.issuer
Type | Reference(FrOrganization, ROROrganization)

Guidance on how to interpret the contents of this table can be found here

0. Practitioner
Definition | A person who is directly or indirectly involved in the provisioning of healthcare.
Short | A person with a formal responsibility in the provisioning of healthcare or related services
Control | 0..*
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (`contained.contained.empty()`) dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (`contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`) dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (`contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`) dom-6: A resource should have narrative for robust management (`text.`div`.exists()`) dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (`contained.meta.security.empty()`)
2. Practitioner.id
Definition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
Short | Logical id of this artifact
Comments | The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
Control | 0..1
Type | id
Summary | true
4. 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.
Short | Metadata about the resource
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Meta
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
6. 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.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
XML Format | In the XML format, this property is represented as an attribute.
8. 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.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..* This element is affected by the following invariants: ele-1
Type | Extension
Standard Status | Normative (from Trial Use)
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Practitioner.meta.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
10. 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.
Short | Version specific identifier
Comments | The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.
Control | 0..1 This element is affected by the following invariants: ele-1
Type | id
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
12. Practitioner.meta.lastUpdated
Definition | When the resource last changed - e.g. when the version changed.
Short | When the resource version last changed
Comments | This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction.
Control | 1..1 This element is affected by the following invariants: ele-1
Type | instant
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
14. Practitioner.meta.source
Definition | A uri that identifies the source system of the resource. This provides a minimal amount of Provenance 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.
Short | Identifies where the resource comes from
Comments | In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.
Control | 0..1 This element is affected by the following invariants: ele-1
Type | uri
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
16. Practitioner.meta.profile
Definition | A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url.
Short | Profiles this resource claims to conform to
Comments | It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.
Control | 0..* This element is affected by the following invariants: ele-1
Type | canonical(StructureDefinition)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
18. Practitioner.meta.security
Definition | Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.
Short | Security Labels applied to this resource
Comments | The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.
Control | 0..* This element is affected by the following invariants: ele-1
Binding | Unless not suitable, these codes SHALL be taken from All Security Labels (extensible to `http://hl7.org/fhir/ValueSet/security-labels` ) Security Labels from the Healthcare Privacy and Security Classification System.
Type | Coding
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
20. 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.
Short | Tags applied to this resource
Comments | The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.
Control | 0..* This element is affected by the following invariants: ele-1
Binding | For example codes, see CommonTags (example to `http://hl7.org/fhir/ValueSet/common-tags` ) Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
Type | Coding
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
Slicing | This element introduces a set of slices on `Practitioner.meta.tag`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
22. Practitioner.meta.tag:codeRegion
Slice Name | codeRegion
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.
Short | Tags applied to this resource
Comments | The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.
Control | 0..1 This element is affected by the following invariants: ele-1
Binding | The codes SHALL be taken from JDV_J237_RegionOM_ROR (required to `https://mos.esante.gouv.fr/NOS/JDV_J237-RegionOM-ROR/FHIR/JDV-J237-RegionOM-ROR` )
Type | Coding
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
24. 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.
Short | A set of rules under which this content was created
Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
Control | 0..1 This element is affected by the following invariants: ele-1
Type | uri
Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
26. Practitioner.language
Definition | The base language in which the resource is written.
Short | Language of the resource content
Comments | Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
Control | 0..1 This element is affected by the following invariants: ele-1
Binding | The codes SHOULD be taken from CommonLanguages (preferred to `http://hl7.org/fhir/ValueSet/languages` ) A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
28. 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.
Short | Text summary of the resource, for human interpretation
Comments | Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Narrative
Alternate Names | narrative, html, xhtml, display
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
30. 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.
Short | Contained, inline Resources
Comments | This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
Control | 0..*
Type | Resource
Alternate Names | inline resources, anonymous resources, contained resources
32. Practitioner.extension
Definition | An Extension
Short | Extension
Control | 1..* This element is affected by the following invariants: ele-1
Type | Extension
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Practitioner.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
34. Practitioner.extension:ror-meta-creation-date
Slice Name | ror-meta-creation-date
Definition | Extension créée dans le cadre du ROR qui correspond à la date de création (dans le ROR régional) présente dans les métadonnées.
Short | dateCreation (Metadonnee)
Control | 1..1 This element is affected by the following invariants: ele-1
Type | Extension(RORMetaCreationDate) (Extension Type: dateTime)
Must Support | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
36. 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).
Short | Extensions that cannot be ignored
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..* This element is affected by the following invariants: ele-1
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Standard Status | Normative (from Trial Use)
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Practitioner.modifierExtension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
38. Practitioner.identifier
Definition | An identifier that applies to this person in this role.
Short | idNat_PS (Professionnel) : Identification nationale du professionnel définie par le CI-SIS
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 1..1 This element is affected by the following invariants: ele-1
Type | Identifier
Must Support | true
Summary | true
Requirements | Often, specific identities are assigned for the agent.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
40. Practitioner.identifier.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
XML Format | In the XML format, this property is represented as an attribute.
42. Practitioner.identifier.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.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..* This element is affected by the following invariants: ele-1
Type | Extension
Standard Status | Normative (from Trial Use)
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Practitioner.identifier.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
44. Practitioner.identifier.use
Definition | The purpose of this identifier.
Short | usual | official | temp | secondary | old (If known)
Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Control | 0..1 This element is affected by the following invariants: ele-1
Binding | The codes SHALL be taken from IdentifierUse (required to `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` ) Identifies the purpose for this identifier, if known .
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
46. Practitioner.identifier.type
Definition | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Short | Description of identifier
Comments | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
Control | 0..1 This element is affected by the following invariants: ele-1
Binding | Unless not suitable, these codes SHALL be taken from Identifier Type Codes (extensible to `http://hl7.org/fhir/ValueSet/identifier-type` ) A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Type | CodeableConcept
Summary | true
Requirements | Allows users to make use of identifiers when the identifier system is not known.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
48. Practitioner.identifier.system
Definition | Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Short | The namespace for the identifier value
Comments | Identifier.system is always case sensitive.
Control | 0..1 This element is affected by the following invariants: ele-1
Type | uri
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Pattern Value | `urn:oid:1.2.250.1.71.4.2.1`
Example | <br/><b>General</b>:http://www.acme.com/identifiers/patient
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
50. Practitioner.identifier.value
Definition | The portion of the identifier typically relevant to the user and which is unique within the context of the system.
Short | The value that is unique
Comments | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
Control | 0..1 This element is affected by the following invariants: ele-1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Example | <br/><b>General</b>:123456
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
52. Practitioner.identifier.period
Definition | Time period during which identifier is/was valid for use.
Short | Time period when id is/was valid for use
Comments | A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration.
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Period
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) per-1: If present, start SHALL have a lower value than end (`start.hasValue().not() or end.hasValue().not() or (start <= end)`)
54. Practitioner.identifier.assigner
Definition | Organization that issued/manages the identifier.
Short | Organization that issued id (may be just text)
Comments | The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Reference(Organization)
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ref-1: SHALL have a contained resource if a local reference is provided (`reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))`)
56. Practitioner.active
Definition | Whether this practitioner's record is in active use.
Short | Whether this practitioner's record is in active use
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.
Control | 0..1 This element is affected by the following invariants: ele-1
Type | boolean
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Need to be able to mark a practitioner record as not to be used because it was created in error.
Meaning if Missing | This resource is generally assumed to be active if no value is provided for the active element
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
58. Practitioner.name
Definition | The name(s) associated with the practitioner.
Short | The name(s) associated with the practitioner
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: There is more than 1 name Use = usual Period is current to the date of the usage Use = official Other order as decided by internal business rules.
Control | 0..* This element is affected by the following invariants: ele-1
Type | HumanName
Summary | true
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.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
60. 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.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
XML Format | In the XML format, this property is represented as an attribute.
62. 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.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..* This element is affected by the following invariants: ele-1
Type | Extension
Standard Status | Normative (from Trial Use)
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Practitioner.name.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
64. Practitioner.name.use
Definition | Identifies the purpose for this name.
Short | usual | official | temp | nickname | anonymous | old | maiden
Comments | Applications can assume that a name is current unless it explicitly says that it is temporary or old.
Control | 0..1 This element is affected by the following invariants: ele-1
Binding | The codes SHALL be taken from NameUse (required to `http://hl7.org/fhir/ValueSet/name-use|4.0.1` ) The use of a human name.
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Allows the appropriate name for a particular context of use to be selected from among a set of names.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
66. 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.
Short | Text representation of the full name
Comments | Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.
Control | 0..1 This element is affected by the following invariants: ele-1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | A renderable, unencoded form.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
68. 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.
Short | Family name (often called 'Surname')
Comments | Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).
Control | 0..1 This element is affected by the following invariants: ele-1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Alternate Names | surname
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
70. Practitioner.name.given
Definition | Given name.
Short | Given names (not always 'first'). Includes middle names
Comments | If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first.
Control | 0..* This element is affected by the following invariants: ele-1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Alternate Names | first name, middle name
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
72. 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.
Short | Civilite (PersonnePhysique) : Civilite de la personne physique
Comments | Note that FHIR strings SHALL NOT exceed 1MB in size
Control | 0..1 This element is affected by the following invariants: ele-1
Binding | Unless not suitable, these codes SHALL be taken from JDV_J207_Civilite_ROR (extensible to `https://mos.esante.gouv.fr/NOS/JDV_J207-Civilite-ROR/FHIR/JDV-J207-Civilite-ROR` )
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
74. 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.
Short | Parts that come after the name
Comments | Note that FHIR strings SHALL NOT exceed 1MB in size
Control | 0..* This element is affected by the following invariants: ele-1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
76. Practitioner.name.period
Definition | Indicates the period of time when this name was valid for the named person.
Short | Time period when name was/is in use
Comments | A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration.
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Period
Summary | true
Requirements | Allows names to be placed in historical context.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) per-1: If present, start SHALL have a lower value than end (`start.hasValue().not() or end.hasValue().not() or (start <= end)`)
78. Practitioner.telecom
Definition | A contact detail for the practitioner, e.g. a telephone number or an email address.
Short | boiteLettreMSS (Professionnel) : Boîte(s) aux lettres du service de messagerie sécurisée de santé (MSS) rattachée(s) au professionnel
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.
Control | 0..* This element is affected by the following invariants: ele-1
Type | ContactPoint
Must Support | true
Summary | true
Requirements | Need to know how to reach a practitioner independent to any roles the practitioner may have.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) cpt-2: A system is required if a value is provided. (`value.empty() or system.exists()`)
80. Practitioner.telecom.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
XML Format | In the XML format, this property is represented as an attribute.
82. Practitioner.telecom.extension
Definition | An Extension
Short | Extension
Control | 2..* This element is affected by the following invariants: ele-1
Type | Extension
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Practitioner.telecom.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
84. Practitioner.telecom.extension:ror-telecom-communication-channel
Slice Name | ror-telecom-communication-channel
Definition | Extension créée dans le cadre du ROR spécifiant le canal ou la manière dont s'établit la communication
Short | canal (Telecommunication) : Code spécifiant le canal ou la manière dont s'établit la communication
Control | 1..1 This element is affected by the following invariants: ele-1
Type | Extension(RORTelecomCommunicationChannel) (Extension Type: CodeableConcept)
Must Support | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
86. Practitioner.telecom.extension:ror-telecom-usage
Slice Name | ror-telecom-usage
Definition | Extension créée dans le cadre du ROR qui précise l'utilisation du canal de communication
Short | utilisation (Telecommunication) : Utilisation du canal de communication
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(RORTelecomUsage) (Extension Type: string)
Must Support | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
88. Practitioner.telecom.extension:ror-telecom-confidentiality-level
Slice Name | ror-telecom-confidentiality-level
Definition | Extension créée dans le cadre du ROR qui permet de définir le niveau de restriction de l'accès aux attributs de la classe Télécommunication.
Short | niveauConfidentialite (Telecommunication) : niveau de restriction de l'accès aux attributs de la classe Télécommunication
Control | 1..1 This element is affected by the following invariants: ele-1
Type | Extension(RORTelecomConfidentialityLevel) (Extension Type: CodeableConcept)
Must Support | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
90. Practitioner.telecom.system
Definition | Telecommunications form for contact point - what communications system is required to make use of the contact.
Short | phone | fax | email | pager | url | sms | other
Comments | Note that FHIR strings SHALL NOT exceed 1MB in size
Control | 0..1 This element is affected by the following invariants: ele-1, cpt-2
Binding | The codes SHALL be taken from ContactPointSystem (required to `http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1` ) Telecommunications form for contact point.
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
92. Practitioner.telecom.value
Definition | The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address).
Short | adresseTelecom (Telecommunication) : Valeur de l'adresse de télécommunication dans le format induit par le canal de communication
Comments | Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.
Control | 1..1 This element is affected by the following invariants: ele-1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | Need to support legacy numbers that are not in a tightly controlled format.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
94. Practitioner.telecom.use
Definition | Identifies the purpose for the contact point.
Short | home | work | temp | old | mobile - purpose of this contact point
Comments | Applications can assume that a contact is current unless it explicitly says that it is temporary or old.
Control | 0..1 This element is affected by the following invariants: ele-1
Binding | The codes SHALL be taken from ContactPointUse (required to `http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1` ) Use of contact point.
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary or old contact etc.for a current/permanent one
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
96. Practitioner.telecom.rank
Definition | Specifies a preferred order in which to use a set of contacts. ContactPoints with lower rank values are more preferred than those with higher rank values.
Short | Specify preferred order of use (1 = highest)
Comments | Note that rank does not necessarily follow the order in which the contacts are represented in the instance.
Control | 0..1 This element is affected by the following invariants: ele-1
Type | positiveInt
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
98. Practitioner.telecom.period
Definition | Time period when the contact point was/is in use.
Short | Time period when the contact point was/is in use
Comments | A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration.
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Period
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) per-1: If present, start SHALL have a lower value than end (`start.hasValue().not() or end.hasValue().not() or (start <= end)`)
100. 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.
Short | Address(es) of the practitioner that are not role specific (typically home address)
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).
Control | 0..* This element is affected by the following invariants: ele-1
Type | Address
Summary | true
Requirements | The home/mailing 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.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
102. Practitioner.gender
Definition | Administrative Gender - the gender that the person is considered to have for administration and record keeping purposes.
Short | male | female | other | unknown
Comments | Note that FHIR strings SHALL NOT exceed 1MB in size
Control | 0..1 This element is affected by the following invariants: ele-1
Binding | The codes SHALL be taken from AdministrativeGender (required to `http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1` ) The gender of a person used for administrative purposes.
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Needed to address the person correctly.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
104. Practitioner.birthDate
Definition | The date of birth for the practitioner.
Short | The date on which the practitioner was born
Control | 0..1 This element is affected by the following invariants: ele-1
Type | date
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Needed for identification.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
106. Practitioner.photo
Definition | Image of the person.
Short | Image of the person
Comments | When providing a summary view (for example with Observation.value[x]) Attachment should be represented with a brief display text such as "Signed Procedure Consent".
Control | 0..* This element is affected by the following invariants: ele-1
Type | Attachment
Requirements | Many EHR systems have the capability to capture an image of patients and personnel. Fits with newer social media usage too.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) att-1: If the Attachment has data, it SHALL have a contentType (`data.empty() or contentType.exists()`)
108. 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.
Short | Certification, licenses, or training pertaining to the provision of care
Control | 0..* This element is affected by the following invariants: ele-1
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
110. 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.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
XML Format | In the XML format, this property is represented as an attribute.
112. 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.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..* This element is affected by the following invariants: ele-1
Type | Extension
Standard Status | Normative (from Trial Use)
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Practitioner.qualification.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
114. 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).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..* This element is affected by the following invariants: ele-1
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
116. Practitioner.qualification.identifier
Definition | An identifier that applies to this person's qualification in this role.
Short | An identifier for this qualification for the practitioner
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..* This element is affected by the following invariants: ele-1
Type | Identifier
Requirements | Often, specific identities are assigned for the qualification.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
118. Practitioner.qualification.code
Definition | Coded representation of the qualification.
Short | Coded representation of the qualification
Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
Control | 1..1 This element is affected by the following invariants: ele-1
Binding | For example codes, see v2 table 0360, Version 2.7 (example to `http://terminology.hl7.org/ValueSet/v2-2.7-0360` ) Specific qualification the practitioner has to provide a service.
Type | CodeableConcept
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
120. Practitioner.qualification.period
Definition | Period during which the qualification is valid.
Short | Period during which the qualification is valid
Comments | A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration.
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Period
Requirements | Qualifications are often for a limited period of time, and can be revoked.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) per-1: If present, start SHALL have a lower value than end (`start.hasValue().not() or end.hasValue().not() or (start <= end)`)
122. Practitioner.qualification.issuer
Definition | Organization that regulates and issues the qualification.
Short | Organization that regulates and issues the qualification
Comments | References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Reference(FrOrganization, ROROrganization)
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ref-1: SHALL have a contained resource if a local reference is provided (`reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))`)
124. Practitioner.communication
Definition | A language the practitioner can use in patient communication.
Short | A language the practitioner can use in patient communication
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.
Control | 0..* This element is affected by the following invariants: ele-1
Binding | The codes SHOULD be taken from CommonLanguages (preferred to `http://hl7.org/fhir/ValueSet/languages` ) A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
Type | CodeableConcept
Requirements | Knowing which language a practitioner speaks can help in facilitating communication with patients.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)