Scope and usage

This profile describes the MedComCorePractitionerRole which is used to describe a practitioner's role in a MedCom standard. If a practitioner is referenced from MedComCorePractitionerRole it shall be a MedComCorePractitioner.

Just as it is in the original FHIR ressource, the MedComCorePractitionerRole is broadly defined and describes services a practitioner is able to provide for the organization.

It is prefered to use a code from MedComCorePractitionerRoles. If these does not cover the needs, the roles can be included in a string at PractitionerRole.code.text.

Please refer to the tab "Snapshot Table(Must support)" below for the definition of the required content of a MedComCorePractitionerRole.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
PractitionerRole		0..*	PractitionerRole	Roles/organizations the practitioner is associated with
id	SOΣ	0..1	id	Logical id of this artifact Obligations Actor SHALL:in-narrative Producer of FHIR resources
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
text	S	0..1	Narrative	The narrative text SHALL always be included when exchanging a MedCom FHIR Bundle. This profile does not constrain the narrative in regard to content, language, or traceability to data elements
status	S	1..1	code	generated | extensions | additional | empty Binding: NarrativeStatus (required): The status of a resource narrative.
div	SC	1..1	xhtml	Limited xhtml content Constraints: txt-1, txt-2
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
practitioner	SOΣ	0..1	Reference(MedComCorePractitioner)	Practitioner that is able to provide the defined services for the organization Obligations Actor SHALL:in-narrative Producer of FHIR resources
organization	SOΣ	0..1	Reference(MedComCoreOrganization) {b}	Organization where the roles are available Obligations Actor SHALL:in-narrative Producer of FHIR resources
code	SΣ	0..*	CodeableConcept	Roles which this practitioner may perform Binding: MedComCorePractitionerRoles (example)
coding	SOΣ	0..*	Coding	Code defined by a terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
text	SOΣ	0..1	string	Plain text representation of the concept Obligations Actor SHALL:in-narrative Producer of FHIR resources
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
PractitionerRole.text.status	required	NarrativeStatus http://hl7.org/fhir/ValueSet/narrative-status|4.0.1 From the FHIR Standard
PractitionerRole.code	example	MedComCorePractitionerRoles http://medcomfhir.dk/ig/terminology/ValueSet/medcom-core-PractitionerRoles

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	PractitionerRole	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	PractitionerRole	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	error	PractitionerRole	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	error	PractitionerRole	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	PractitionerRole	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
txt-1	error	PractitionerRole.text.div	The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes : htmlChecks()
txt-2	error	PractitionerRole.text.div	The narrative SHALL have some non-whitespace content : htmlChecks()

This structure is derived from PractitionerRole

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
PractitionerRole		0..*	PractitionerRole	Roles/organizations the practitioner is associated with
id	SO	0..1	id	Logical id of this artifact Obligations Actor SHALL:in-narrative Producer of FHIR resources
text	S	0..1	Narrative	The narrative text SHALL always be included when exchanging a MedCom FHIR Bundle.
status	S	1..1	code	generated | extensions | additional | empty
div	S	1..1	xhtml	Limited xhtml content
practitioner	SO	0..1	Reference(MedComCorePractitioner)	Practitioner that is able to provide the defined services for the organization Obligations Actor SHALL:in-narrative Producer of FHIR resources
organization	SO	0..1	Reference(MedComCoreOrganization) {b}	Organization where the roles are available Obligations Actor SHALL:in-narrative Producer of FHIR resources
code	S	0..*	CodeableConcept	Roles which this practitioner may perform Binding: MedComCorePractitionerRoles (example)
coding	SO	0..*	Coding	Code defined by a terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
text	SO	0..1	string	Plain text representation of the concept Obligations Actor SHALL:in-narrative Producer of FHIR resources
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
PractitionerRole.code	example	MedComCorePractitionerRoles http://medcomfhir.dk/ig/terminology/ValueSet/medcom-core-PractitionerRoles

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
PractitionerRole		0..*	PractitionerRole	Roles/organizations the practitioner is associated with
id	SOΣ	0..1	id	Logical id of this artifact Obligations Actor SHALL:in-narrative Producer of FHIR resources
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text	S	0..1	Narrative	The narrative text SHALL always be included when exchanging a MedCom FHIR Bundle. This profile does not constrain the narrative in regard to content, language, or traceability to data elements
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
status	S	1..1	code	generated | extensions | additional | empty Binding: NarrativeStatus (required): The status of a resource narrative.
div	SC	1..1	xhtml	Limited xhtml content Constraints: txt-1, txt-2
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business Identifiers that are specific to a role/location
active	Σ	0..1	boolean	Whether this practitioner role record is in active use
period	Σ	0..1	Period	The period during which the practitioner is authorized to perform in these role(s)
practitioner	SOΣ	0..1	Reference(MedComCorePractitioner)	Practitioner that is able to provide the defined services for the organization Obligations Actor SHALL:in-narrative Producer of FHIR resources
organization	SOΣ	0..1	Reference(MedComCoreOrganization) {b}	Organization where the roles are available Obligations Actor SHALL:in-narrative Producer of FHIR resources
code	SΣ	0..*	CodeableConcept	Roles which this practitioner may perform Binding: MedComCorePractitionerRoles (example)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SOΣ	0..*	Coding	Code defined by a terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
text	SOΣ	0..1	string	Plain text representation of the concept Obligations Actor SHALL:in-narrative Producer of FHIR resources
specialty	Σ	0..*	CodeableConcept	Specific specialty of the practitioner Binding: PracticeSettingCodeValueSet (preferred): Specific specialty associated with the agency.
location	Σ	0..*	Reference(Location)	The location(s) at which this practitioner provides care
healthcareService		0..*	Reference(HealthcareService)	The list of healthcare services that this worker provides for this role's Organization/Location(s)
telecom	Σ	0..*	ContactPoint	Contact details that are specific to the role/location/service
availableTime		0..*	BackboneElement	Times the Service Site is available
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
daysOfWeek		0..*	code	mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required): The days of the week.
allDay		0..1	boolean	Always available? e.g. 24 hour service
availableStartTime		0..1	time	Opening time of day (ignored if allDay = true)
availableEndTime		0..1	time	Closing time of day (ignored if allDay = true)
notAvailable		0..*	BackboneElement	Not available during this time due to provided reason
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
description		1..1	string	Reason presented to the user explaining why time not available
during		0..1	Period	Service not available from this date
availabilityExceptions		0..1	string	Description of availability exceptions
endpoint		0..*	Reference(Endpoint)	Technical endpoints providing access to services operated for the practitioner with this role
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
PractitionerRole.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
PractitionerRole.text.status	required	NarrativeStatus http://hl7.org/fhir/ValueSet/narrative-status|4.0.1 From the FHIR Standard
PractitionerRole.code	example	MedComCorePractitionerRoles http://medcomfhir.dk/ig/terminology/ValueSet/medcom-core-PractitionerRoles
PractitionerRole.specialty	preferred	PracticeSettingCodeValueSet http://hl7.org/fhir/ValueSet/c80-practice-codes From the FHIR Standard
PractitionerRole.availableTime.daysOfWeek	required	DaysOfWeek http://hl7.org/fhir/ValueSet/days-of-week|4.0.1 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	PractitionerRole	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	PractitionerRole	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	error	PractitionerRole	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	error	PractitionerRole	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	PractitionerRole	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
txt-1	error	PractitionerRole.text.div	The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes : htmlChecks()
txt-2	error	PractitionerRole.text.div	The narrative SHALL have some non-whitespace content : htmlChecks()

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
PractitionerRole		0..*	PractitionerRole	Roles/organizations the practitioner is associated with
id	SOΣ	0..1	id	Logical id of this artifact Obligations Actor SHALL:in-narrative Producer of FHIR resources
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
text	S	0..1	Narrative	The narrative text SHALL always be included when exchanging a MedCom FHIR Bundle. This profile does not constrain the narrative in regard to content, language, or traceability to data elements
status	S	1..1	code	generated | extensions | additional | empty Binding: NarrativeStatus (required): The status of a resource narrative.
div	SC	1..1	xhtml	Limited xhtml content Constraints: txt-1, txt-2
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
practitioner	SOΣ	0..1	Reference(MedComCorePractitioner)	Practitioner that is able to provide the defined services for the organization Obligations Actor SHALL:in-narrative Producer of FHIR resources
organization	SOΣ	0..1	Reference(MedComCoreOrganization) {b}	Organization where the roles are available Obligations Actor SHALL:in-narrative Producer of FHIR resources
code	SΣ	0..*	CodeableConcept	Roles which this practitioner may perform Binding: MedComCorePractitionerRoles (example)
coding	SOΣ	0..*	Coding	Code defined by a terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
text	SOΣ	0..1	string	Plain text representation of the concept Obligations Actor SHALL:in-narrative Producer of FHIR resources
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
PractitionerRole.text.status	required	NarrativeStatus http://hl7.org/fhir/ValueSet/narrative-status|4.0.1 From the FHIR Standard
PractitionerRole.code	example	MedComCorePractitionerRoles http://medcomfhir.dk/ig/terminology/ValueSet/medcom-core-PractitionerRoles

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	PractitionerRole	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	PractitionerRole	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	error	PractitionerRole	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	error	PractitionerRole	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	PractitionerRole	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
txt-1	error	PractitionerRole.text.div	The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes : htmlChecks()
txt-2	error	PractitionerRole.text.div	The narrative SHALL have some non-whitespace content : htmlChecks()

Differential View

This structure is derived from PractitionerRole

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
PractitionerRole		0..*	PractitionerRole	Roles/organizations the practitioner is associated with
id	SO	0..1	id	Logical id of this artifact Obligations Actor SHALL:in-narrative Producer of FHIR resources
text	S	0..1	Narrative	The narrative text SHALL always be included when exchanging a MedCom FHIR Bundle.
status	S	1..1	code	generated | extensions | additional | empty
div	S	1..1	xhtml	Limited xhtml content
practitioner	SO	0..1	Reference(MedComCorePractitioner)	Practitioner that is able to provide the defined services for the organization Obligations Actor SHALL:in-narrative Producer of FHIR resources
organization	SO	0..1	Reference(MedComCoreOrganization) {b}	Organization where the roles are available Obligations Actor SHALL:in-narrative Producer of FHIR resources
code	S	0..*	CodeableConcept	Roles which this practitioner may perform Binding: MedComCorePractitionerRoles (example)
coding	SO	0..*	Coding	Code defined by a terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
text	SO	0..1	string	Plain text representation of the concept Obligations Actor SHALL:in-narrative Producer of FHIR resources
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
PractitionerRole.code	example	MedComCorePractitionerRoles http://medcomfhir.dk/ig/terminology/ValueSet/medcom-core-PractitionerRoles

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
PractitionerRole		0..*	PractitionerRole	Roles/organizations the practitioner is associated with
id	SOΣ	0..1	id	Logical id of this artifact Obligations Actor SHALL:in-narrative Producer of FHIR resources
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text	S	0..1	Narrative	The narrative text SHALL always be included when exchanging a MedCom FHIR Bundle. This profile does not constrain the narrative in regard to content, language, or traceability to data elements
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
status	S	1..1	code	generated | extensions | additional | empty Binding: NarrativeStatus (required): The status of a resource narrative.
div	SC	1..1	xhtml	Limited xhtml content Constraints: txt-1, txt-2
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business Identifiers that are specific to a role/location
active	Σ	0..1	boolean	Whether this practitioner role record is in active use
period	Σ	0..1	Period	The period during which the practitioner is authorized to perform in these role(s)
practitioner	SOΣ	0..1	Reference(MedComCorePractitioner)	Practitioner that is able to provide the defined services for the organization Obligations Actor SHALL:in-narrative Producer of FHIR resources
organization	SOΣ	0..1	Reference(MedComCoreOrganization) {b}	Organization where the roles are available Obligations Actor SHALL:in-narrative Producer of FHIR resources
code	SΣ	0..*	CodeableConcept	Roles which this practitioner may perform Binding: MedComCorePractitionerRoles (example)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SOΣ	0..*	Coding	Code defined by a terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
text	SOΣ	0..1	string	Plain text representation of the concept Obligations Actor SHALL:in-narrative Producer of FHIR resources
specialty	Σ	0..*	CodeableConcept	Specific specialty of the practitioner Binding: PracticeSettingCodeValueSet (preferred): Specific specialty associated with the agency.
location	Σ	0..*	Reference(Location)	The location(s) at which this practitioner provides care
healthcareService		0..*	Reference(HealthcareService)	The list of healthcare services that this worker provides for this role's Organization/Location(s)
telecom	Σ	0..*	ContactPoint	Contact details that are specific to the role/location/service
availableTime		0..*	BackboneElement	Times the Service Site is available
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
daysOfWeek		0..*	code	mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required): The days of the week.
allDay		0..1	boolean	Always available? e.g. 24 hour service
availableStartTime		0..1	time	Opening time of day (ignored if allDay = true)
availableEndTime		0..1	time	Closing time of day (ignored if allDay = true)
notAvailable		0..*	BackboneElement	Not available during this time due to provided reason
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
description		1..1	string	Reason presented to the user explaining why time not available
during		0..1	Period	Service not available from this date
availabilityExceptions		0..1	string	Description of availability exceptions
endpoint		0..*	Reference(Endpoint)	Technical endpoints providing access to services operated for the practitioner with this role
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
PractitionerRole.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
PractitionerRole.text.status	required	NarrativeStatus http://hl7.org/fhir/ValueSet/narrative-status|4.0.1 From the FHIR Standard
PractitionerRole.code	example	MedComCorePractitionerRoles http://medcomfhir.dk/ig/terminology/ValueSet/medcom-core-PractitionerRoles
PractitionerRole.specialty	preferred	PracticeSettingCodeValueSet http://hl7.org/fhir/ValueSet/c80-practice-codes From the FHIR Standard
PractitionerRole.availableTime.daysOfWeek	required	DaysOfWeek http://hl7.org/fhir/ValueSet/days-of-week|4.0.1 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	PractitionerRole	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	PractitionerRole	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	error	PractitionerRole	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	error	PractitionerRole	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	PractitionerRole	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
txt-1	error	PractitionerRole.text.div	The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes : htmlChecks()
txt-2	error	PractitionerRole.text.div	The narrative SHALL have some non-whitespace content : htmlChecks()

This structure is derived from PractitionerRole

Summary

Must-Support: 9 elements

Structures

This structure refers to these other structures:

• MedComCorePractitioner (http://medcomfhir.dk/ig/core/StructureDefinition/medcom-core-practitioner)
• MedComCoreOrganization (http://medcomfhir.dk/ig/core/StructureDefinition/medcom-core-organization)