Practitioner Profile¶
| Canonical | ../StructureDefinition/nexus-emr-core-practitioner |
|---|---|
| Status | draft · 1.26.0 |
| Base | Practitioner (constraint) |
| Source | FSH · JSON |
Represents a human that practices medicine -- the stable clinical identity that an EMR user login resolves to. Practitioner holds identity, demographics, and qualifications, and carries the EMR user-account identifier. The person's role(s) at organizations/locations are represented by PractitionerRole (0..*), which is the tenant-scoped role binding -- NOT the EMR user. A person may work at multiple organizations, each represented by a PractitionerRole.
Elements / Differential
What this profile constrains beyond Practitioner. Anything not listed is unchanged from the base; muted type/cardinality values are the base's, shown for context.
| Element | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Practitioner | Nexus EMR Practitioner Core Invariants: practitioner-name-family-or-given |
|||
| meta | 0..1 | Meta | ||
| source | S | 0..1 | uri | Identifies EMR instance & pipeline version the resource came from i |
| text | S | 0..1 | Narrative | Narrative i |
| identifier | S | 0..* | Identifier | Practitioner identifiers Slicing: pattern:system (open) |
| system | 1..1 | uri | i | |
| value | 1..1 | string | i | |
| identifier:userId | S | 0..1 | Identifier | EMR user-account identifier (the id a login resolves to) |
| use | 0..1 | code | i Pattern: official |
|
| system | 1..1 | uri | Fixed: http://services.well.com/fhir/NamingSystem/user-id (private authority) i Fixed: http://services.well.com/fhir/NamingSystem/user-id |
|
| value | 1..1 | string | Opaque EMR user-account id -- do not parse i | |
| identifier:ohipBillingNumber | S | 0..1 | Identifier | OHIP Billing Number |
| use | 0..1 | code | i Pattern: usual |
|
| system | 1..1 | uri | Must be ../NamingSystem/on-ohip-billing-number i Fixed: ../NamingSystem/on-ohip-billing-number |
|
| value | 1..1 | string | The OHIP billing number value (typically 6 digits) i | |
| identifier:rmaNumber | S | 0..1 | Identifier | RMA / Group Billing Number |
| use | 0..1 | code | i Pattern: usual |
|
| system | 1..1 | uri | Must be ../NamingSystem/on-rma-number i Fixed: ../NamingSystem/on-rma-number |
|
| value | 1..1 | string | The RMA number value i | |
| identifier:physicianLicence | S | 0..1 | Identifier | Ontario physician licence number (CPSO) |
| type | 0..1 | CodeableConcept | Where typed, a v2-0203 identifier-type code -- producers disagree on which; optional, and usually absent i | |
| system | 1..1 | uri | Must be https://fhir.infoway-inforoute.ca/NamingSystem/ca-on-license-physician i Fixed: https://fhir.infoway-inforoute.ca/NamingSystem/ca-on-license-physician |
|
| value | 1..1 | string | The CPSO registration number, as the College issued it i | |
| identifier:nurseLicence | S | 0..1 | Identifier | Ontario nurse licence number (CNO) |
| type | 0..1 | CodeableConcept | Where typed, a v2-0203 identifier-type code -- producers disagree on which; optional, and usually absent i | |
| system | 1..1 | uri | Must be https://fhir.infoway-inforoute.ca/NamingSystem/ca-on-license-nurse i Fixed: https://fhir.infoway-inforoute.ca/NamingSystem/ca-on-license-nurse |
|
| value | 1..1 | string | The CNO registration number, as the College issued it i | |
| active | 0..1 | boolean | Whether this practitioner's record is in active use: defaults to true i | |
| name | S | 1..1 | HumanName | Practitioner name(s) i |
| family | S | 0..1 | string | Family name (surname) i |
| given | S | 0..* | string | Given name(s) i |
| prefix | S | 0..* | string | Honorific prefix(es) (e.g. Dr., Prof.) |
| suffix | S | 0..* | string | Name suffix(es) / post-nominal credentials (e.g. MD, RN, NP) i |
| qualification | S | 0..* | BackboneElement | Regulatory-college registrations held by this practitioner |
| identifier | S | 0..* | Identifier | The registration number, under the issuing college's namespace Slicing: pattern:system (open) |
| identifier:physicianLicence | S | 0..1 | Identifier | CPSO registration number for this qualification |
| system | 1..1 | uri | Must be https://fhir.infoway-inforoute.ca/NamingSystem/ca-on-license-physician i Fixed: https://fhir.infoway-inforoute.ca/NamingSystem/ca-on-license-physician |
|
| value | 1..1 | string | The CPSO registration number, as the College issued it i | |
| identifier:nurseLicence | S | 0..1 | Identifier | CNO registration number for this qualification |
| system | 1..1 | uri | Must be https://fhir.infoway-inforoute.ca/NamingSystem/ca-on-license-nurse i Fixed: https://fhir.infoway-inforoute.ca/NamingSystem/ca-on-license-nurse |
|
| value | 1..1 | string | The CNO registration number, as the College issued it i | |
| code | S | 1..1 | CodeableConcept | What the registration is -- the college, or the credential, depending on the producer |
| text | S | 0..1 | string | The college as the source system names it, e.g. CPSO or CNO i |
| period | S | 0..1 | Period | When the registration lapses |
| end | S | 0..1 | dateTime | Registration expiry date i |
| issuer | S | 0..1 | Reference(Organization) | The awarding college, when it is carried as an Organization |