PractitionerRole Profile

Canonical	../StructureDefinition/nexus-emr-core-practitionerrole
Status	draft · 1.26.0
Base	PractitionerRole (constraint)
Source	FSH · JSON

Represents a practitioner's role at an organization/location -- the tenant-scoped access/role binding (the "actor"). Links a Practitioner to an Organization and Location(s) and carries the clinical role code(s). A practitioner may have one or more PractitionerRoles, including more than one active at the same organization. This is NOT the EMR user: the user's stable identity is the Practitioner (which carries the user-account identifier). Use PractitionerRole to differentiate providers by role (e.g. list only doctors, route a task to a nurse), not to represent the login.

Examples

Dr. Ben - Local MRP Role · Dr. Dave - Enrolled Provider Role (remote) · Dr. Navarro Family Medicine Role · Linda Patel - Diabetes Education Role · Triage Nurse - Day Shift Role

Dr. Ben - Local MRP Role

The family medicine role binding named as the LOCAL most-responsible physician on Avery Linwood's chart. Half of the pair the attachment example turns on -- the clinic holding the record, as distinct from the practice she is enrolled with

PractitionerRole/dr-ben-mrp-role — claims conformance to PractitionerRole Profile

{
  "resourceType": "PractitionerRole",
  "id": "dr-ben-mrp-role",
  "meta": {
    "profile": [
      "../StructureDefinition/nexus-emr-core-practitionerrole"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<div xmlns='http://www.w3.org/1999/xhtml'><p>Dr. Ben's family medicine role at Cedarbrook Family Health. This is the role binding named as the LOCAL most-responsible physician on Avery Linwood's chart -- the clinic where the record is held, distinct from the practice she is enrolled with.</p></div>"
  },
  "active": true,
  "practitioner": {
    "reference": "Practitioner/dr-ben",
    "display": "Dr. Ben"
  },
  "organization": {
    "reference": "Organization/cedarbrook-clinic",
    "display": "Cedarbrook Clinic"
  },
  "code": [
    {
      "coding": [
        {
          "system": "../CodeSystem/nexus-clinical-roles",
          "code": "doctor",
          "display": "Doctor / Physician"
        }
      ]
    }
  ],
  "specialty": [
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "419772000",
          "display": "Family practice"
        }
      ],
      "text": "Family medicine"
    }
  ]
}

Referenced by: Clinical Task Example · Internal Staff Chat About a Patient · Patient with Primary Care Attachment · Signed Encounter Note (extraction source) · Suggested-Resource Task - Add a Chart Entry · Suggested-Resource Task - Card Alternative A (empagliflozin) · Suggested-Resource Task - Card Alternative B (dulaglutide) · Suggested-Resource Task - Retire a Chart Entry