QI-Core Implementation Guide
6.0.0 - STU6
QI-Core Implementation Guide
6.0.0 - STU6
This page is part of the Quality Improvement Core Framework (v6.0.0: STU6 (v6.0.0)) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions
| Official URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner | Version: 6.0.0 | |||
| Active as of 2018-08-22 | Computable Name: QICorePractitioner | |||
Profile of Practitioner for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.
| Referring Practitioner Example |
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from USCorePractitionerProfile
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Practitioner | USCorePractitionerProfile | |||
  Slices for identifier | 1..* | Identifier | (QI-Core) An identifier for the person as this agent Slice: Unordered, Open by pattern:$this | |
   identifier:All Slices | Content/Rules for all slices | |||
   system | 1..1 | uri | (QI-Core) The namespace for the identifier value | |
 value | 1..1 | string | (QI-Core) The value that is unique | |
 identifier:NPI | C | 0..* | Identifier | (QI-Core) An identifier for the person as this agent Required Pattern: At least the following |
  system | 1..1 | uri | The namespace for the identifier value Fixed Value: http://hl7.org/fhir/sid/us-npi | |
 identifier:ein | 0..1 | Identifier | (QI-Core) There is not a general Tax Identifier Numer (TIN) OID. There is an SSN, a PTIN, and an ITIN, but no TIN generally. So the only slice specified here is EIN, if consumers determine a need for an SSN, submit a comment to that effect. Required Pattern: At least the following | |
 system | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.4.4 | |
| use | 1..1 | code | (QI-Core) usual | official | temp | secondary | old (If known) | |
| value | 1..1 | string | (QI-Core) The value that is unique | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Practitioner | 0..* | USCorePractitionerProfile | A person with a formal responsibility in the provisioning of healthcare or related services | |
 implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
 Slices for identifier | SΣ | 1..* | Identifier | (QI-Core) An identifier for the person as this agent Slice: Unordered, Open by pattern:$this |
 identifier:All Slices | Content/Rules for all slices | |||
| use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
| system | SΣ | 1..1 | uri | (QI-Core) The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient |
| value | SΣ | 1..1 | string | (QI-Core) The value that is unique Example General: 123456 |
| identifier:NPI | SΣC | 0..* | Identifier | (QI-Core) An identifier for the person as this agent us-core-16: NPI must be 10 digits us-core-17: NPI check digit must be valid (Luhn algorithm check) Required Pattern: At least the following |
| system | 1..1 | uri | The namespace for the identifier value Fixed Value: http://hl7.org/fhir/sid/us-npi | |
| identifier:ein | SΣ | 0..1 | Identifier | (QI-Core) There is not a general Tax Identifier Numer (TIN) OID. There is an SSN, a PTIN, and an ITIN, but no TIN generally. So the only slice specified here is EIN, if consumers determine a need for an SSN, submit a comment to that effect. Required Pattern: At least the following |
| system | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.4.4 | |
| use | ?!Σ | 1..1 | code | (QI-Core) usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
| value | Σ | 1..1 | string | (QI-Core) The value that is unique Example General: 123456 |
 name | SΣ | 1..* | HumanName | The name(s) associated with the practitioner |
| use | ?!Σ | 0..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. |
 family | SΣ | 1..1 | string | Family name (often called 'Surname') |
| telecom | SΣ | 0..* | ContactPoint | A contact detail for the practitioner (that apply to all roles) |
| system | SΣC | 0..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. |
| value | SΣ | 0..1 | string | The actual contact point details |
| use | ?!Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point. |
| address | SΣ | 0..* | Address | Address(es) of the practitioner |
| use | ?!Σ | 0..1 | code | home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home |
| line | SΣ | 0..4 | string | Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street |
| city | SΣ | 0..1 | string | Name of city, town etc. Example General: Erewhon |
| state | SΣ | 0..1 | string | Sub-unit of country (abbreviations ok) Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes. |
| postalCode | SΣ | 0..1 | string | US Zip Codes Example General: 9132 |
| country | SΣ | 0..1 | string | Country (e.g. can be ISO 3166 2 or 3 letter code) |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Practitioner.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1from the FHIR Standard | |
| Practitioner.identifier:ein.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1from the FHIR Standard | |
| Practitioner.name.use | required | NameUsehttp://hl7.org/fhir/ValueSet/name-use|4.0.1from the FHIR Standard | |
| Practitioner.telecom.system | required | ContactPointSystemhttp://hl7.org/fhir/ValueSet/contact-point-system|4.0.1from the FHIR Standard | |
| Practitioner.telecom.use | required | ContactPointUsehttp://hl7.org/fhir/ValueSet/contact-point-use|4.0.1from the FHIR Standard | |
| Practitioner.address.use | required | AddressUsehttp://hl7.org/fhir/ValueSet/address-use|4.0.1from the FHIR Standard | |
| Practitioner.address.state | extensible | UspsTwoLetterAlphabeticCodes (a valid code from https://www.usps.com/)http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Practitioner | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Practitioner | 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 | Practitioner | 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 | Practitioner | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Practitioner | 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() | |
| us-core-16 | error | Practitioner.identifier:NPI | NPI must be 10 digits : value.matches('^[0-9]{10}$') | |
| us-core-17 | error | Practitioner.identifier:NPI | NPI check digit must be valid (Luhn algorithm check) : (((select(value.substring(0,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(1,1).toInteger())+(select(value.substring(2,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(3,1).toInteger())+(select(value.substring(4,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(5,1).toInteger())+(select(value.substring(6,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(7,1).toInteger())+(select(value.substring(8,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(9,1).toInteger()) + 24)mod 10=0) |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Practitioner | 0..* | USCorePractitionerProfile | A person with a formal responsibility in the provisioning of healthcare or related services | |||||
| id | Σ | 0..1 | id | Logical id of this artifact | ||||
| 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.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
 extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| Slices for identifier | SΣ | 1..* | Identifier | (QI-Core) An identifier for the person as this agent Slice: Unordered, Open by pattern:$this | ||||
| identifier:All Slices | Content/Rules for all slices | |||||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
| type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
| system | SΣ | 1..1 | uri | (QI-Core) The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | ||||
| value | SΣ | 1..1 | string | (QI-Core) The value that is unique Example General: 123456 | ||||
| period | Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
 assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
| identifier:NPI | SΣC | 0..* | Identifier | (QI-Core) An identifier for the person as this agent us-core-16: NPI must be 10 digits us-core-17: NPI check digit must be valid (Luhn algorithm check) Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| use | 0..1 | code | usual | official | temp | secondary | old (If known) | |||||
| type | 0..1 | CodeableConcept | Description of identifier | |||||
| system | 1..1 | uri | The namespace for the identifier value Fixed Value: http://hl7.org/fhir/sid/us-npi | |||||
| value | 0..1 | string | The value that is unique | |||||
| period | 0..1 | Period | Time period when id is/was valid for use | |||||
| assigner | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | |||||
| identifier:ein | SΣ | 0..1 | Identifier | (QI-Core) There is not a general Tax Identifier Numer (TIN) OID. There is an SSN, a PTIN, and an ITIN, but no TIN generally. So the only slice specified here is EIN, if consumers determine a need for an SSN, submit a comment to that effect. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| use | 0..1 | code | usual | official | temp | secondary | old (If known) | |||||
| type | 0..1 | CodeableConcept | Description of identifier | |||||
| system | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.4.4 | |||||
| value | 0..1 | string | The value that is unique | |||||
| period | 0..1 | Period | Time period when id is/was valid for use | |||||
| assigner | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| use | ?!Σ | 1..1 | code | (QI-Core) usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
| type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
| system | Σ | 0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | ||||
| value | Σ | 1..1 | string | (QI-Core) The value that is unique Example General: 123456 | ||||
| period | Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
| assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
| active | Σ | 0..1 | boolean | Whether this practitioner's record is in active use | ||||
| name | SΣ | 1..* | HumanName | The name(s) associated with the practitioner | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| use | ?!Σ | 0..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. | ||||
| text | Σ | 0..1 | string | Text representation of the full name | ||||
| family | SΣ | 1..1 | string | Family name (often called 'Surname') | ||||
| given | Σ | 0..* | string | Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name | ||||
| prefix | Σ | 0..* | string | Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name | ||||
| suffix | Σ | 0..* | string | Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name | ||||
| period | Σ | 0..1 | Period | Time period when name was/is in use | ||||
| telecom | SΣ | 0..* | ContactPoint | A contact detail for the practitioner (that apply to all roles) | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system | SΣC | 0..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. | ||||
| value | SΣ | 0..1 | string | The actual contact point details | ||||
| use | ?!Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point. | ||||
| rank | Σ | 0..1 | positiveInt | Specify preferred order of use (1 = highest) | ||||
| period | Σ | 0..1 | Period | Time period when the contact point was/is in use | ||||
| address | SΣ | 0..* | Address | Address(es) of the practitioner | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| use | ?!Σ | 0..1 | code | home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home | ||||
| type | Σ | 0..1 | code | postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both | ||||
| text | Σ | 0..1 | string | Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132 | ||||
| line | SΣ | 0..4 | string | Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street | ||||
| city | SΣ | 0..1 | string | Name of city, town etc. Example General: Erewhon | ||||
| district | Σ | 0..1 | string | District name (aka county) Example General: Madison | ||||
| state | SΣ | 0..1 | string | Sub-unit of country (abbreviations ok) Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes. | ||||
| postalCode | SΣ | 0..1 | string | US Zip Codes Example General: 9132 | ||||
| country | SΣ | 0..1 | string | Country (e.g. can be ISO 3166 2 or 3 letter code) | ||||
| period | Σ | 0..1 | Period | Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"} | ||||
| gender | Σ | 0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes. | ||||
| birthDate | Σ | 0..1 | date | The date on which the practitioner was born | ||||
| photo | 0..* | Attachment | Image of the person | |||||
| qualification | 0..* | BackboneElement | Certification, licenses, or training pertaining to the provision of care | |||||
| 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 | ||||
| identifier | 0..* | Identifier | An identifier for this qualification for the practitioner | |||||
| code | 1..1 | CodeableConcept | Coded representation of the qualification Binding: v2 table 0360, Version 2.7 (example): Specific qualification the practitioner has to provide a service. | |||||
| period | 0..1 | Period | Period during which the qualification is valid | |||||
| issuer | 0..1 | Reference(Organization) | Organization that regulates and issues the qualification | |||||
| communication | 0..* | CodeableConcept | A language the practitioner can use in patient communication Binding: CommonLanguages (preferred): A human language.
| |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| Practitioner.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| Practitioner.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1from the FHIR Standard | ||||
| Practitioner.identifier.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-typefrom the FHIR Standard | ||||
| Practitioner.identifier:ein.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1from the FHIR Standard | ||||
| Practitioner.identifier:ein.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-typefrom the FHIR Standard | ||||
| Practitioner.name.use | required | NameUsehttp://hl7.org/fhir/ValueSet/name-use|4.0.1from the FHIR Standard | ||||
| Practitioner.telecom.system | required | ContactPointSystemhttp://hl7.org/fhir/ValueSet/contact-point-system|4.0.1from the FHIR Standard | ||||
| Practitioner.telecom.use | required | ContactPointUsehttp://hl7.org/fhir/ValueSet/contact-point-use|4.0.1from the FHIR Standard | ||||
| Practitioner.address.use | required | AddressUsehttp://hl7.org/fhir/ValueSet/address-use|4.0.1from the FHIR Standard | ||||
| Practitioner.address.type | required | AddressTypehttp://hl7.org/fhir/ValueSet/address-type|4.0.1from the FHIR Standard | ||||
| Practitioner.address.state | extensible | UspsTwoLetterAlphabeticCodes (a valid code from https://www.usps.com/)http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state | ||||
| Practitioner.gender | required | AdministrativeGenderhttp://hl7.org/fhir/ValueSet/administrative-gender|4.0.1from the FHIR Standard | ||||
| Practitioner.qualification.code | example | v2.0360.2.7 (a valid code from http://terminology.hl7.org/CodeSystem/v2-0360|2.7)http://terminology.hl7.org/ValueSet/v2-2.7-0360from the FHIR Standard | ||||
| Practitioner.communication | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Practitioner | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Practitioner | 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 | Practitioner | 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 | Practitioner | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Practitioner | 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() | |
| us-core-16 | error | Practitioner.identifier:NPI | NPI must be 10 digits : value.matches('^[0-9]{10}$') | |
| us-core-17 | error | Practitioner.identifier:NPI | NPI check digit must be valid (Luhn algorithm check) : (((select(value.substring(0,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(1,1).toInteger())+(select(value.substring(2,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(3,1).toInteger())+(select(value.substring(4,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(5,1).toInteger())+(select(value.substring(6,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(7,1).toInteger())+(select(value.substring(8,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(9,1).toInteger()) + 24)mod 10=0) |
This structure is derived from USCorePractitionerProfile
Summary
Mandatory: 3 elements (2 nested mandatory elements)
Slices
This structure defines the following Slices:
Differential View
This structure is derived from USCorePractitionerProfile
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Practitioner | USCorePractitionerProfile | |||
| Slices for identifier | 1..* | Identifier | (QI-Core) An identifier for the person as this agent Slice: Unordered, Open by pattern:$this | |
| identifier:All Slices | Content/Rules for all slices | |||
| system | 1..1 | uri | (QI-Core) The namespace for the identifier value | |
| value | 1..1 | string | (QI-Core) The value that is unique | |
| identifier:NPI | C | 0..* | Identifier | (QI-Core) An identifier for the person as this agent Required Pattern: At least the following |
| system | 1..1 | uri | The namespace for the identifier value Fixed Value: http://hl7.org/fhir/sid/us-npi | |
| identifier:ein | 0..1 | Identifier | (QI-Core) There is not a general Tax Identifier Numer (TIN) OID. There is an SSN, a PTIN, and an ITIN, but no TIN generally. So the only slice specified here is EIN, if consumers determine a need for an SSN, submit a comment to that effect. Required Pattern: At least the following | |
| system | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.4.4 | |
| use | 1..1 | code | (QI-Core) usual | official | temp | secondary | old (If known) | |
| value | 1..1 | string | (QI-Core) The value that is unique | |
| Documentation for this format | ||||
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Practitioner | 0..* | USCorePractitionerProfile | A person with a formal responsibility in the provisioning of healthcare or related services | |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| Slices for identifier | SΣ | 1..* | Identifier | (QI-Core) An identifier for the person as this agent Slice: Unordered, Open by pattern:$this |
| identifier:All Slices | Content/Rules for all slices | |||
| use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
| system | SΣ | 1..1 | uri | (QI-Core) The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient |
| value | SΣ | 1..1 | string | (QI-Core) The value that is unique Example General: 123456 |
| identifier:NPI | SΣC | 0..* | Identifier | (QI-Core) An identifier for the person as this agent us-core-16: NPI must be 10 digits us-core-17: NPI check digit must be valid (Luhn algorithm check) Required Pattern: At least the following |
| system | 1..1 | uri | The namespace for the identifier value Fixed Value: http://hl7.org/fhir/sid/us-npi | |
| identifier:ein | SΣ | 0..1 | Identifier | (QI-Core) There is not a general Tax Identifier Numer (TIN) OID. There is an SSN, a PTIN, and an ITIN, but no TIN generally. So the only slice specified here is EIN, if consumers determine a need for an SSN, submit a comment to that effect. Required Pattern: At least the following |
| system | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.4.4 | |
| use | ?!Σ | 1..1 | code | (QI-Core) usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
| value | Σ | 1..1 | string | (QI-Core) The value that is unique Example General: 123456 |
| name | SΣ | 1..* | HumanName | The name(s) associated with the practitioner |
| use | ?!Σ | 0..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. |
| family | SΣ | 1..1 | string | Family name (often called 'Surname') |
| telecom | SΣ | 0..* | ContactPoint | A contact detail for the practitioner (that apply to all roles) |
| system | SΣC | 0..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. |
| value | SΣ | 0..1 | string | The actual contact point details |
| use | ?!Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point. |
| address | SΣ | 0..* | Address | Address(es) of the practitioner |
| use | ?!Σ | 0..1 | code | home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home |
| line | SΣ | 0..4 | string | Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street |
| city | SΣ | 0..1 | string | Name of city, town etc. Example General: Erewhon |
| state | SΣ | 0..1 | string | Sub-unit of country (abbreviations ok) Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes. |
| postalCode | SΣ | 0..1 | string | US Zip Codes Example General: 9132 |
| country | SΣ | 0..1 | string | Country (e.g. can be ISO 3166 2 or 3 letter code) |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Practitioner.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1from the FHIR Standard | |
| Practitioner.identifier:ein.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1from the FHIR Standard | |
| Practitioner.name.use | required | NameUsehttp://hl7.org/fhir/ValueSet/name-use|4.0.1from the FHIR Standard | |
| Practitioner.telecom.system | required | ContactPointSystemhttp://hl7.org/fhir/ValueSet/contact-point-system|4.0.1from the FHIR Standard | |
| Practitioner.telecom.use | required | ContactPointUsehttp://hl7.org/fhir/ValueSet/contact-point-use|4.0.1from the FHIR Standard | |
| Practitioner.address.use | required | AddressUsehttp://hl7.org/fhir/ValueSet/address-use|4.0.1from the FHIR Standard | |
| Practitioner.address.state | extensible | UspsTwoLetterAlphabeticCodes (a valid code from https://www.usps.com/)http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Practitioner | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Practitioner | 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 | Practitioner | 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 | Practitioner | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Practitioner | 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() | |
| us-core-16 | error | Practitioner.identifier:NPI | NPI must be 10 digits : value.matches('^[0-9]{10}$') | |
| us-core-17 | error | Practitioner.identifier:NPI | NPI check digit must be valid (Luhn algorithm check) : (((select(value.substring(0,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(1,1).toInteger())+(select(value.substring(2,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(3,1).toInteger())+(select(value.substring(4,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(5,1).toInteger())+(select(value.substring(6,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(7,1).toInteger())+(select(value.substring(8,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(9,1).toInteger()) + 24)mod 10=0) |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Practitioner | 0..* | USCorePractitionerProfile | A person with a formal responsibility in the provisioning of healthcare or related services | |||||
| id | Σ | 0..1 | id | Logical id of this artifact | ||||
| 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.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| Slices for identifier | SΣ | 1..* | Identifier | (QI-Core) An identifier for the person as this agent Slice: Unordered, Open by pattern:$this | ||||
| identifier:All Slices | Content/Rules for all slices | |||||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
| type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
| system | SΣ | 1..1 | uri | (QI-Core) The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | ||||
| value | SΣ | 1..1 | string | (QI-Core) The value that is unique Example General: 123456 | ||||
| period | Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
| assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
| identifier:NPI | SΣC | 0..* | Identifier | (QI-Core) An identifier for the person as this agent us-core-16: NPI must be 10 digits us-core-17: NPI check digit must be valid (Luhn algorithm check) Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| use | 0..1 | code | usual | official | temp | secondary | old (If known) | |||||
| type | 0..1 | CodeableConcept | Description of identifier | |||||
| system | 1..1 | uri | The namespace for the identifier value Fixed Value: http://hl7.org/fhir/sid/us-npi | |||||
| value | 0..1 | string | The value that is unique | |||||
| period | 0..1 | Period | Time period when id is/was valid for use | |||||
| assigner | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | |||||
| identifier:ein | SΣ | 0..1 | Identifier | (QI-Core) There is not a general Tax Identifier Numer (TIN) OID. There is an SSN, a PTIN, and an ITIN, but no TIN generally. So the only slice specified here is EIN, if consumers determine a need for an SSN, submit a comment to that effect. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| use | 0..1 | code | usual | official | temp | secondary | old (If known) | |||||
| type | 0..1 | CodeableConcept | Description of identifier | |||||
| system | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.4.4 | |||||
| value | 0..1 | string | The value that is unique | |||||
| period | 0..1 | Period | Time period when id is/was valid for use | |||||
| assigner | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| use | ?!Σ | 1..1 | code | (QI-Core) usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
| type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
| system | Σ | 0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | ||||
| value | Σ | 1..1 | string | (QI-Core) The value that is unique Example General: 123456 | ||||
| period | Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
| assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
| active | Σ | 0..1 | boolean | Whether this practitioner's record is in active use | ||||
| name | SΣ | 1..* | HumanName | The name(s) associated with the practitioner | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| use | ?!Σ | 0..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. | ||||
| text | Σ | 0..1 | string | Text representation of the full name | ||||
| family | SΣ | 1..1 | string | Family name (often called 'Surname') | ||||
| given | Σ | 0..* | string | Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name | ||||
| prefix | Σ | 0..* | string | Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name | ||||
| suffix | Σ | 0..* | string | Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name | ||||
| period | Σ | 0..1 | Period | Time period when name was/is in use | ||||
| telecom | SΣ | 0..* | ContactPoint | A contact detail for the practitioner (that apply to all roles) | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system | SΣC | 0..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. | ||||
| value | SΣ | 0..1 | string | The actual contact point details | ||||
| use | ?!Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point. | ||||
| rank | Σ | 0..1 | positiveInt | Specify preferred order of use (1 = highest) | ||||
| period | Σ | 0..1 | Period | Time period when the contact point was/is in use | ||||
| address | SΣ | 0..* | Address | Address(es) of the practitioner | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| use | ?!Σ | 0..1 | code | home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home | ||||
| type | Σ | 0..1 | code | postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both | ||||
| text | Σ | 0..1 | string | Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132 | ||||
| line | SΣ | 0..4 | string | Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street | ||||
| city | SΣ | 0..1 | string | Name of city, town etc. Example General: Erewhon | ||||
| district | Σ | 0..1 | string | District name (aka county) Example General: Madison | ||||
| state | SΣ | 0..1 | string | Sub-unit of country (abbreviations ok) Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes. | ||||
| postalCode | SΣ | 0..1 | string | US Zip Codes Example General: 9132 | ||||
| country | SΣ | 0..1 | string | Country (e.g. can be ISO 3166 2 or 3 letter code) | ||||
| period | Σ | 0..1 | Period | Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"} | ||||
| gender | Σ | 0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes. | ||||
| birthDate | Σ | 0..1 | date | The date on which the practitioner was born | ||||
| photo | 0..* | Attachment | Image of the person | |||||
| qualification | 0..* | BackboneElement | Certification, licenses, or training pertaining to the provision of care | |||||
| 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 | ||||
| identifier | 0..* | Identifier | An identifier for this qualification for the practitioner | |||||
| code | 1..1 | CodeableConcept | Coded representation of the qualification Binding: v2 table 0360, Version 2.7 (example): Specific qualification the practitioner has to provide a service. | |||||
| period | 0..1 | Period | Period during which the qualification is valid | |||||
| issuer | 0..1 | Reference(Organization) | Organization that regulates and issues the qualification | |||||
| communication | 0..* | CodeableConcept | A language the practitioner can use in patient communication Binding: CommonLanguages (preferred): A human language.
| |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| Practitioner.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| Practitioner.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1from the FHIR Standard | ||||
| Practitioner.identifier.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-typefrom the FHIR Standard | ||||
| Practitioner.identifier:ein.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1from the FHIR Standard | ||||
| Practitioner.identifier:ein.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-typefrom the FHIR Standard | ||||
| Practitioner.name.use | required | NameUsehttp://hl7.org/fhir/ValueSet/name-use|4.0.1from the FHIR Standard | ||||
| Practitioner.telecom.system | required | ContactPointSystemhttp://hl7.org/fhir/ValueSet/contact-point-system|4.0.1from the FHIR Standard | ||||
| Practitioner.telecom.use | required | ContactPointUsehttp://hl7.org/fhir/ValueSet/contact-point-use|4.0.1from the FHIR Standard | ||||
| Practitioner.address.use | required | AddressUsehttp://hl7.org/fhir/ValueSet/address-use|4.0.1from the FHIR Standard | ||||
| Practitioner.address.type | required | AddressTypehttp://hl7.org/fhir/ValueSet/address-type|4.0.1from the FHIR Standard | ||||
| Practitioner.address.state | extensible | UspsTwoLetterAlphabeticCodes (a valid code from https://www.usps.com/)http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state | ||||
| Practitioner.gender | required | AdministrativeGenderhttp://hl7.org/fhir/ValueSet/administrative-gender|4.0.1from the FHIR Standard | ||||
| Practitioner.qualification.code | example | v2.0360.2.7 (a valid code from http://terminology.hl7.org/CodeSystem/v2-0360|2.7)http://terminology.hl7.org/ValueSet/v2-2.7-0360from the FHIR Standard | ||||
| Practitioner.communication | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Practitioner | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Practitioner | 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 | Practitioner | 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 | Practitioner | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Practitioner | 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() | |
| us-core-16 | error | Practitioner.identifier:NPI | NPI must be 10 digits : value.matches('^[0-9]{10}$') | |
| us-core-17 | error | Practitioner.identifier:NPI | NPI check digit must be valid (Luhn algorithm check) : (((select(value.substring(0,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(1,1).toInteger())+(select(value.substring(2,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(3,1).toInteger())+(select(value.substring(4,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(5,1).toInteger())+(select(value.substring(6,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(7,1).toInteger())+(select(value.substring(8,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(9,1).toInteger()) + 24)mod 10=0) |
This structure is derived from USCorePractitionerProfile
Summary
Mandatory: 3 elements (2 nested mandatory elements)
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron
IG © 2019+ HL7 International / Clinical Quality Information. Package hl7.fhir.us.qicore#6.0.0 based on FHIR 4.0.1. Generated 2024-03-01
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