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PractitionerRole Profile

Canonical../StructureDefinition/nexus-emr-core-practitionerrole
Statusdraft · 1.26.0
BasePractitionerRole (constraint)
SourceFSH · 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.

Elements / Snapshot

The full effective definition: base PractitionerRole with this profile's constraints applied.

Element Flags Card. Type Description & Constraints
PractitionerRole 0..* Roles/organizations the practitioner is associated with
Invariants: dom-2, dom-3, dom-4, dom-5, dom-6
id 0..1 http://hl7.org/fhirpath/System.String Logical id of this artifact i
meta 0..1 Meta Metadata about the resource
Invariants: ele-1
id 0..1 http://hl7.org/fhirpath/System.String Unique id for inter-element referencing
extension 0..* Extension Additional content defined by implementations i
Slicing: value:url (open)
Invariants: ele-1, ext-1
versionId 0..1 id Version specific identifier i
Invariants: ele-1
lastUpdated 0..1 instant When the resource version last changed i
Invariants: ele-1
source S 0..1 uri Identifies EMR instance & pipeline version the resource came from i
Invariants: ele-1
profile 0..* canonical Profiles this resource claims to conform to i
Invariants: ele-1
security 0..* Coding Security Labels applied to this resource i
Binding: security-labels (extensible)
Invariants: ele-1
tag 0..* Coding Tags applied to this resource i
Binding: common-tags (example)
Invariants: ele-1
implicitRules ?! 0..1 uri A set of rules under which this content was created i
Invariants: ele-1
language 0..1 code Language of the resource content i
Binding: languages (preferred)
Invariants: ele-1
text S 0..1 Narrative Narrative i
Invariants: ele-1
contained 0..* Resource Contained, inline Resources i
extension 0..* Extension Additional content defined by implementations i
Invariants: ele-1, ext-1
modifierExtension ?! 0..* Extension Extensions that cannot be ignored i
Invariants: ele-1, ext-1
identifier S 0..* Identifier identifiers including Nexus EMR ID and any source role/assignment id i
Invariants: ele-1
id 0..1 http://hl7.org/fhirpath/System.String Unique id for inter-element referencing
extension 0..* Extension Additional content defined by implementations i
Slicing: value:url (open)
Invariants: ele-1, ext-1
use ?! 0..1 code usual | official | temp | secondary | old (If known) i
Binding: identifier-use (required)
Invariants: ele-1
type 0..1 CodeableConcept Description of identifier i
Binding: identifier-type (extensible)
Invariants: ele-1
system 1..1 uri The namespace for the identifier value i
Invariants: ele-1
value 1..1 string The value that is unique i
Invariants: ele-1
period 0..1 Period Time period when id is/was valid for use
Invariants: ele-1
assigner 0..1 Reference(Organization) Organization that issued id (may be just text) i
Invariants: ele-1
active S 0..1 boolean Whether this role assignment is currently in active use i
Invariants: ele-1
period S 0..1 Period Period during which the practitioner is authorized to act in this role
Invariants: ele-1
practitioner S 1..1 Reference(Practitioner) Reference to the practitioner i
Invariants: ele-1
organization S 0..1 Reference(Organization) Organization where the role is performed i
Invariants: ele-1
code S 0..* CodeableConcept Clinical role(s) (doctor, nurse, MOA, ...) -- binds the Clinical Roles dropdown i
Binding: Clinical Roles (extensible)
e.g. doctor · specialist · resident …
Invariants: ele-1
specialty S 0..* CodeableConcept Practitioner specialty with raw code support i
Binding: c80-practice-codes (preferred)
Invariants: ele-1
location 0..* Reference(Location) Location(s) where the practitioner provides care i
Invariants: ele-1
healthcareService 0..* Reference(HealthcareService) The list of healthcare services that this worker provides for this role's Organization/Location(s)
Invariants: ele-1
telecom 0..* ContactPoint Contact details that are specific to the role/location/service
Invariants: ele-1
availableTime 0..* BackboneElement Times the Service Site is available i
Invariants: ele-1
id 0..1 http://hl7.org/fhirpath/System.String Unique id for inter-element referencing
extension 0..* Extension Additional content defined by implementations i
Invariants: ele-1, ext-1
modifierExtension ?! 0..* Extension Extensions that cannot be ignored even if unrecognized i
Invariants: ele-1, ext-1
daysOfWeek 0..* code mon | tue | wed | thu | fri | sat | sun
Binding: days-of-week (required)
Invariants: ele-1
allDay 0..1 boolean Always available? e.g. 24 hour service
Invariants: ele-1
availableStartTime 0..1 time Opening time of day (ignored if allDay = true) i
Invariants: ele-1
availableEndTime 0..1 time Closing time of day (ignored if allDay = true) i
Invariants: ele-1
notAvailable 0..* BackboneElement Not available during this time due to provided reason
Invariants: ele-1
id 0..1 http://hl7.org/fhirpath/System.String Unique id for inter-element referencing
extension 0..* Extension Additional content defined by implementations i
Invariants: ele-1, ext-1
modifierExtension ?! 0..* Extension Extensions that cannot be ignored even if unrecognized i
Invariants: ele-1, ext-1
description 1..1 string Reason presented to the user explaining why time not available
Invariants: ele-1
during 0..1 Period Service not available from this date
Invariants: ele-1
availabilityExceptions 0..1 string Description of availability exceptions
Invariants: ele-1
endpoint 0..* Reference(Endpoint) Technical endpoints providing access to services operated for the practitioner with this role
Invariants: ele-1