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SD.7 StructureDefinition-dpc-profile-practitioner

The profile defines the required format for a Practitioner resource submitted by an Organization as a part of their patient rostering workflow. It identifies which core elements, extensions, vocabularies and value sets SHALL be present in the resource when using this profile.

Mandatory Data Elements and Terminology

The following data-elements are mandatory (i.e data MUST be present). These are presented below in a simple human-readable explanation. Profile specific guidance and examples are provided as well. The Formal Profile Definition below provides the formal summary, definitions, and terminology requirements.

Each Practitioner must have:

  1. an id
  2. a National Provider Identifier (NPI)
  3. a given name
  4. a family name

Examples

SD.7.1 Formal Views of Profile Content

Description of Profiles, Differentials, and Snapshots.

The official URL for this profile is: https://dpc.cms.gov/api/v1/StructureDefinition/dpc-profile-practitioner

Published on Wed Apr 21 11:33:40 EDT 2021 as a draft by The DPC Team.

This profile builds on Practitioner

Summary

Mandatory: 5 elements
Fixed Value: 1 element

Slices

This structure defines the following Slices:

  • The element Practitioner.identifier is sliced based on the value of value:system

Differential View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Practitioner 0..*PractitionerA person with a formal responsibility in the provisioning of healthcare or related services
... identifier 0..*(Slice Definition)A identifier for the person as this agent
Slice: Unordered, Open by value:system
.... identifier:practitioner-npi 1..1IdentifierA identifier for the person as this agent
..... system 1..1uriThe namespace for the identifier value
Fixed Value: http://hl7.org/fhir/sid/us-npi
... name 1..*HumanNameThe name(s) associated with the practitioner
.... family 1..1stringFamily name (often called 'Surname')
.... given 1..*stringGiven names (not always 'first'). Includes middle names

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Practitioner I0..*PractitionerA person with a formal responsibility in the provisioning of healthcare or related services
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Common Languages (extensible)
Max Binding: All Languages
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional Content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*(Slice Definition)A identifier for the person as this agent
Slice: Unordered, Open by value:system
.... identifier:practitioner-npi Σ1..1IdentifierA identifier for the person as this agent
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ0..1codeusual | official | temp | secondary (If known)
Binding: IdentifierUse (required)
..... type Σ0..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible)
..... system Σ1..1uriThe namespace for the identifier value
Fixed Value: http://hl7.org/fhir/sid/us-npi
..... value Σ0..1stringThe value that is unique
Example General: 123456
..... period Σ0..1PeriodTime period when id is/was valid for use
..... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
... active Σ0..1booleanWhether this practitioner's record is in active use
... name Σ1..*HumanNameThe name(s) associated with the practitioner
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ0..1codeusual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required)
.... text Σ0..1stringText representation of the full name
.... family Σ1..1stringFamily name (often called 'Surname')
.... given Σ1..*stringGiven names (not always 'first'). Includes middle names
This repeating element order: Given Names appear in the correct order for presenting the name
.... prefix Σ0..*stringParts that come before the name
This repeating element order: Prefixes appear in the correct order for presenting the name
.... suffix Σ0..*stringParts that come after the name
This repeating element order: Suffixes appear in the correct order for presenting the name
.... period Σ0..1PeriodTime period when name was/is in use
... telecom Σ0..*ContactPointA contact detail for the practitioner (that apply to all roles)
... address Σ0..*AddressAddress(es) of the practitioner that are not role specific (typically home address)
... gender Σ0..1codemale | female | other | unknown
Binding: AdministrativeGender (required)
... birthDate Σ0..1dateThe date on which the practitioner was born
... photo 0..*AttachmentImage of the person
... qualification I0..*BackboneElementQualifications obtained by training and certification
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... identifier 0..*IdentifierAn identifier for this qualification for the practitioner
.... code 1..1CodeableConceptCoded representation of the qualification
Binding: v2 table 0360, Version 2.7 (example)
.... period 0..1PeriodPeriod during which the qualification is valid
.... issuer 0..1Reference(Organization)Organization that regulates and issues the qualification
... communication 0..*CodeableConceptA language the practitioner is able to use in patient communication
Binding: Common Languages (extensible)
Max Binding: All Languages

doco Documentation for this format

Downloads: StructureDefinition: (XML, JSON), Schema: XML Schematron