Guide d'implémentation Fr Core
2.1.0 - trial-use France flag

This page is part of the Guide d'implémentation Fr Core (v2.1.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Resource Profile: FRCorePractitionerRole - Detailed Descriptions

Active as of 2024-09-04

Definitions for the fr-core-practitioner-role resource profile.

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

0. PractitionerRole
2. PractitionerRole.meta
4. PractitionerRole.meta.profile
SlicingThis element introduces a set of slices on PractitionerRole.meta.profile. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ $this
  • 6. PractitionerRole.meta.profile:fr-canonical
    Slice Namefr-canonical
    Control0..1
    Pattern Valuehttps://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-practitioner-role
    8. PractitionerRole.extension:serviceTypeDuration
    Slice NameserviceTypeDuration
    Control0..*
    TypeExtension(FR Core Service Type Duration Extension) (Complex Extension)
    10. PractitionerRole.practitioner
    TypeReference(FR Core Practitioner Profile)
    12. PractitionerRole.organization
    TypeReference(FR Core Organization Profile)
    14. PractitionerRole.code
    ShortThe role a person plays representing an organization | Rôle (situation d'exercice) du professionnel de santé au sein de l'organisation
    BindingThe codes SHOULD be taken from FR Core ValueSet PractitionerRole Exercice
    (preferred to https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-practitioner-role-exercice)
    16. PractitionerRole.specialty
    ShortSpecific specialty associated with the organization | spécialité ordinale du professionnel de santé au sein de l'organisation
    BindingThe codes SHALL be taken from FR Core ValueSet Practitioner specialty
    (required to https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-practitioner-specialty)
    18. PractitionerRole.location
    TypeReference(FR Core Location Profile)
    20. PractitionerRole.healthcareService
    TypeReference(FR Core Healthcare Service Profile)
    22. PractitionerRole.telecom
    ShortDetails of a Technology mediated contact point | Coordonnées électroniques détaillées
    TypeContactPoint(FR Core Contact Point Profile)

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

    0. PractitionerRole
    Definition

    A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time.

    ShortRoles/organizations the practitioner is associated with
    Control0..*
    Is Modifierfalse
    Summaryfalse
    Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.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-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-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
    dom-6: A resource should have narrative for robust management (text.`div`.exists())
    2. PractitionerRole.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.

    ShortA 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.

    Control0..1
    Typeuri
    Is Modifiertrue 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 ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    4. PractitionerRole.extension:serviceTypeDuration
    Slice NameserviceTypeDuration
    Definition

    This French extension allows to associate the type of service with the duration of this service | Cette extension française permet d'associer le type de service avec la durée de ce service.

    ShortFR Core Service Type Duration Extension
    Control0..*
    This element is affected by the following invariants: ele-1
    TypeExtension(FR Core Service Type Duration Extension) (Complex Extension)
    Is Modifierfalse
    Invariantsele-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())
    6. PractitionerRole.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).

    ShortExtensions 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.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
    Summaryfalse
    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 Namesextensions, user content
    Invariantsele-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())
    8. PractitionerRole.practitioner
    Definition

    Practitioner that is able to provide the defined services for the organization.

    ShortPractitioner that is able to provide the defined services for the organization
    Control0..1
    TypeReference(FR Core Practitioner Profile, Practitioner)
    Is Modifierfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    10. PractitionerRole.organization
    Definition

    The organization where the Practitioner performs the roles associated.

    ShortOrganization where the roles are available
    Control0..1
    TypeReference(FR Core Organization Profile, Organization)
    Is Modifierfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    12. PractitionerRole.code
    Definition

    Roles which this practitioner is authorized to perform for the organization.

    ShortThe role a person plays representing an organization | Rôle (situation d'exercice) du professionnel de santé au sein de l'organisationRoles which this practitioner may perform
    Comments

    A person may have more than one role.

    Control0..*
    BindingThe codes SHOULD be taken from For example codes, see FR Core ValueSet PractitionerRole Exercicehttp://hl7.org/fhir/ValueSet/practitioner-role
    (preferred to https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-practitioner-role-exercice)
    TypeCodeableConcept
    Is Modifierfalse
    Summarytrue
    Requirements

    Need to know what authority the practitioner has - what can they do?

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    14. PractitionerRole.specialty
    Definition

    Specific specialty of the practitioner.

    ShortSpecific specialty associated with the organization | spécialité ordinale du professionnel de santé au sein de l'organisationSpecific specialty of the practitioner
    Control0..*
    BindingThe codes SHALL be taken from The codes SHOULD be taken from FR Core ValueSet Practitioner specialtyhttp://hl7.org/fhir/ValueSet/c80-practice-codes
    (required to https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-practitioner-specialty)
    TypeCodeableConcept
    Is Modifierfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    16. PractitionerRole.location
    Definition

    The location(s) at which this practitioner provides care.

    ShortThe location(s) at which this practitioner provides care
    Control0..*
    TypeReference(FR Core Location Profile, Location)
    Is Modifierfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    18. PractitionerRole.healthcareService
    Definition

    The list of healthcare services that this worker provides for this role's Organization/Location(s).

    ShortThe list of healthcare services that this worker provides for this role's Organization/Location(s)
    Control0..*
    TypeReference(FR Core Healthcare Service Profile, HealthcareService)
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    20. PractitionerRole.telecom
    Definition

    Details for all kinds of technology mediated contact points for a person or organization, including telephone, email, etc.


    Contact details that are specific to the role/location/service.

    ShortDetails of a Technology mediated contact point | Coordonnées électroniques détailléesContact details that are specific to the role/location/service
    Control0..*
    This element is affected by the following invariants: ele-1
    TypeContactPoint(FR Core Contact Point Profile)
    Is Modifierfalse
    Requirements

    Often practitioners have a dedicated line for each location (or service) that they work at, and need to be able to define separate contact details for each of these.

    Invariantscpt-2: A system is required if a value is provided. (value.empty() or system.exists())
    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. PractitionerRole
    Definition

    A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time.

    ShortRoles/organizations the practitioner is associated with
    Control0..*
    Is Modifierfalse
    Summaryfalse
    Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.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-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-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
    dom-6: A resource should have narrative for robust management (text.`div`.exists())
    2. PractitionerRole.id
    Definition

    The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

    ShortLogical 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.

    Control0..1
    Typeid
    Is Modifierfalse
    Summarytrue
    4. PractitionerRole.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.

    ShortMetadata about the resource
    Control0..1
    TypeMeta
    Is Modifierfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    6. PractitionerRole.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.

    ShortUnique id for inter-element referencing
    Control0..1
    Typestring
    Is Modifierfalse
    XML FormatIn the XML format, this property is represented as an attribute.
    Summaryfalse
    8. PractitionerRole.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.

    ShortAdditional 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.

    Control0..*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Alternate Namesextensions, user content
    Invariantsele-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())
    SlicingThis element introduces a set of slices on PractitionerRole.meta.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 10. PractitionerRole.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.

      ShortVersion 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.

      Control0..1
      Typeid
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      12. PractitionerRole.meta.lastUpdated
      Definition

      When the resource last changed - e.g. when the version changed.

      ShortWhen 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.

      Control0..1
      Typeinstant
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      14. PractitionerRole.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.

      ShortIdentifies 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.

      Control0..1
      Typeuri
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      16. PractitionerRole.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.

      ShortProfiles 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.

      Control0..*
      Typecanonical(StructureDefinition)
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      SlicingThis element introduces a set of slices on PractitionerRole.meta.profile. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ $this
      • 18. PractitionerRole.meta.profile:fr-canonical
        Slice Namefr-canonical
        Definition

        A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url.

        ShortProfiles 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.

        Control0..1
        Typecanonical(StructureDefinition)
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summarytrue
        Pattern Valuehttps://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-practitioner-role
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        20. PractitionerRole.meta.security
        Definition

        Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.

        ShortSecurity 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.

        Control0..*
        BindingUnless 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.

        TypeCoding
        Is Modifierfalse
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        22. PractitionerRole.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.

        ShortTags 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.

        Control0..*
        BindingFor 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".

        TypeCoding
        Is Modifierfalse
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        24. PractitionerRole.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.

        ShortA 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.

        Control0..1
        Typeuri
        Is Modifiertrue 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 ValueThis primitive element may be present, or absent, or replaced by an extension
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        26. PractitionerRole.language
        Definition

        The base language in which the resource is written.

        ShortLanguage 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).

        Control0..1
        BindingThe codes SHOULD be taken from CommonLanguages
        (preferred to http://hl7.org/fhir/ValueSet/languages)

        A human language.

        Additional BindingsPurpose
        AllLanguagesMax Binding
        Typecode
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        28. PractitionerRole.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.

        ShortText 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.

        Control0..1
        TypeNarrative
        Is Modifierfalse
        Summaryfalse
        Alternate Namesnarrative, html, xhtml, display
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        30. PractitionerRole.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.

        ShortContained, 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.

        Control0..*
        TypeResource
        Is Modifierfalse
        Summaryfalse
        Alternate Namesinline resources, anonymous resources, contained resources
        32. PractitionerRole.extension
        Definition

        An Extension

        ShortExtension
        Control0..*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Invariantsele-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())
        SlicingThis element introduces a set of slices on PractitionerRole.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • 34. PractitionerRole.extension:serviceTypeDuration
          Slice NameserviceTypeDuration
          Definition

          This French extension allows to associate the type of service with the duration of this service | Cette extension française permet d'associer le type de service avec la durée de ce service.

          ShortFR Core Service Type Duration Extension
          Control0..*
          This element is affected by the following invariants: ele-1
          TypeExtension(FR Core Service Type Duration Extension) (Complex Extension)
          Is Modifierfalse
          Invariantsele-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. PractitionerRole.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).

          ShortExtensions 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.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
          Summaryfalse
          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 Namesextensions, user content
          Invariantsele-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. PractitionerRole.identifier
          Definition

          Business Identifiers that are specific to a role/location.

          ShortBusiness Identifiers that are specific to a role/location
          NoteThis is a business identifier, not a resource identifier (see discussion)
          Control0..*
          TypeIdentifier
          Is Modifierfalse
          Summarytrue
          Requirements

          Often, specific identities are assigned for the agent.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          40. PractitionerRole.active
          Definition

          Whether this practitioner role record is in active use.

          ShortWhether this practitioner role record is in active use
          Comments

          If this value is false, you may refer to the period to see when the role was in active use. If there is no period specified, no inference can be made about when it was active.

          Control0..1
          Typeboolean
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Requirements

          Need to be able to mark a practitioner role record as not to be used because it was created in error, or otherwise no longer in active use.

          Meaning if MissingThis resource is generally assumed to be active if no value is provided for the active element
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          42. PractitionerRole.period
          Definition

          The period during which the person is authorized to act as a practitioner in these role(s) for the organization.

          ShortThe period during which the practitioner is authorized to perform in these role(s)
          Control0..1
          TypePeriod
          Is Modifierfalse
          Summarytrue
          Requirements

          Even after the agencies is revoked, the fact that it existed must still be recorded.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          44. PractitionerRole.practitioner
          Definition

          Practitioner that is able to provide the defined services for the organization.

          ShortPractitioner that is able to provide the defined services for the organization
          Control0..1
          TypeReference(FR Core Practitioner Profile)
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          46. PractitionerRole.organization
          Definition

          The organization where the Practitioner performs the roles associated.

          ShortOrganization where the roles are available
          Control0..1
          TypeReference(FR Core Organization Profile)
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          48. PractitionerRole.code
          Definition

          Roles which this practitioner is authorized to perform for the organization.

          ShortThe role a person plays representing an organization | Rôle (situation d'exercice) du professionnel de santé au sein de l'organisation
          Comments

          A person may have more than one role.

          Control0..*
          BindingThe codes SHOULD be taken from FR Core ValueSet PractitionerRole Exercice
          (preferred to https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-practitioner-role-exercice)
          TypeCodeableConcept
          Is Modifierfalse
          Summarytrue
          Requirements

          Need to know what authority the practitioner has - what can they do?

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          50. PractitionerRole.specialty
          Definition

          Specific specialty of the practitioner.

          ShortSpecific specialty associated with the organization | spécialité ordinale du professionnel de santé au sein de l'organisation
          Control0..*
          BindingThe codes SHALL be taken from FR Core ValueSet Practitioner specialty
          (required to https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-practitioner-specialty)
          TypeCodeableConcept
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          52. PractitionerRole.location
          Definition

          The location(s) at which this practitioner provides care.

          ShortThe location(s) at which this practitioner provides care
          Control0..*
          TypeReference(FR Core Location Profile)
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          54. PractitionerRole.healthcareService
          Definition

          The list of healthcare services that this worker provides for this role's Organization/Location(s).

          ShortThe list of healthcare services that this worker provides for this role's Organization/Location(s)
          Control0..*
          TypeReference(FR Core Healthcare Service Profile)
          Is Modifierfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          56. PractitionerRole.telecom
          Definition

          Details for all kinds of technology mediated contact points for a person or organization, including telephone, email, etc.

          ShortDetails of a Technology mediated contact point | Coordonnées électroniques détaillées
          Control0..*
          This element is affected by the following invariants: ele-1
          TypeContactPoint(FR Core Contact Point Profile)
          Is Modifierfalse
          Requirements

          Often practitioners have a dedicated line for each location (or service) that they work at, and need to be able to define separate contact details for each of these.

          Invariantscpt-2: A system is required if a value is provided. (value.empty() or system.exists())
          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          58. PractitionerRole.availableTime
          Definition

          A collection of times the practitioner is available or performing this role at the location and/or healthcareservice.

          ShortTimes the Service Site is available
          Comments

          More detailed availability information may be provided in associated Schedule/Slot resources.

          Control0..*
          TypeBackboneElement
          Is Modifierfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          60. PractitionerRole.availableTime.id
          Definition

          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

          ShortUnique id for inter-element referencing
          Control0..1
          Typestring
          Is Modifierfalse
          XML FormatIn the XML format, this property is represented as an attribute.
          Summaryfalse
          62. PractitionerRole.availableTime.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.

          ShortAdditional 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.

          Control0..*
          TypeExtension
          Is Modifierfalse
          Summaryfalse
          Alternate Namesextensions, user content
          Invariantsele-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())
          64. PractitionerRole.availableTime.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).

          ShortExtensions 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.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          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 Namesextensions, user content, modifiers
          Invariantsele-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())
          66. PractitionerRole.availableTime.daysOfWeek
          Definition

          Indicates which days of the week are available between the start and end Times.

          Shortmon | tue | wed | thu | fri | sat | sun
          Control0..*
          BindingThe codes SHALL be taken from DaysOfWeek
          (required to http://hl7.org/fhir/ValueSet/days-of-week|4.0.1)

          The days of the week.

          Typecode
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          68. PractitionerRole.availableTime.allDay
          Definition

          Is this always available? (hence times are irrelevant) e.g. 24 hour service.

          ShortAlways available? e.g. 24 hour service
          Control0..1
          Typeboolean
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          70. PractitionerRole.availableTime.availableStartTime
          Definition

          The opening time of day. Note: If the AllDay flag is set, then this time is ignored.

          ShortOpening time of day (ignored if allDay = true)
          Comments

          The timezone is expected to be for where this HealthcareService is provided at.

          Control0..1
          Typetime
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          72. PractitionerRole.availableTime.availableEndTime
          Definition

          The closing time of day. Note: If the AllDay flag is set, then this time is ignored.

          ShortClosing time of day (ignored if allDay = true)
          Comments

          The timezone is expected to be for where this HealthcareService is provided at.

          Control0..1
          Typetime
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          74. PractitionerRole.notAvailable
          Definition

          The practitioner is not available or performing this role during this period of time due to the provided reason.

          ShortNot available during this time due to provided reason
          Control0..*
          TypeBackboneElement
          Is Modifierfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          76. PractitionerRole.notAvailable.id
          Definition

          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

          ShortUnique id for inter-element referencing
          Control0..1
          Typestring
          Is Modifierfalse
          XML FormatIn the XML format, this property is represented as an attribute.
          Summaryfalse
          78. PractitionerRole.notAvailable.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.

          ShortAdditional 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.

          Control0..*
          TypeExtension
          Is Modifierfalse
          Summaryfalse
          Alternate Namesextensions, user content
          Invariantsele-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())
          80. PractitionerRole.notAvailable.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).

          ShortExtensions 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.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          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 Namesextensions, user content, modifiers
          Invariantsele-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())
          82. PractitionerRole.notAvailable.description
          Definition

          The reason that can be presented to the user as to why this time is not available.

          ShortReason presented to the user explaining why time not available
          Control1..1
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          84. PractitionerRole.notAvailable.during
          Definition

          Service is not available (seasonally or for a public holiday) from this date.

          ShortService not available from this date
          Control0..1
          TypePeriod
          Is Modifierfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          86. PractitionerRole.availabilityExceptions
          Definition

          A description of site availability exceptions, e.g. public holiday availability. Succinctly describing all possible exceptions to normal site availability as details in the available Times and not available Times.

          ShortDescription of availability exceptions
          Control0..1
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          88. PractitionerRole.endpoint
          Definition

          Technical endpoints providing access to services operated for the practitioner with this role.

          ShortTechnical endpoints providing access to services operated for the practitioner with this role
          Control0..*
          TypeReference(Endpoint)
          Is Modifierfalse
          Summaryfalse
          Requirements

          Organizations have multiple systems that provide various services and ,ay also be different for practitioners too.

          So the endpoint satisfies the need to be able to define the technical connection details for how to connect to them, and for what purpose.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))