Annuaire Santé
1.0.0-ballot-3 - trial-use France flag

This page is part of the Guide d'implémentation FHIR - Annuaire de santé (v1.0.0-ballot-3: Release) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 1.1.0. For a full list of available versions, see the Directory of published versions

Resource Profile: AsDrPractitionerRoleProfile - Detailed Descriptions

Active as of 2023-12-19

Definitions for the as-dr-practitionerrole resource profile.

Guidance on how to interpret the contents of this table can be found here

0. PractitionerRole
2. PractitionerRole.identifier:idSituationExercice
Slice NameidSituationExercice
NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..1
4. PractitionerRole.identifier:numeroAm
Slice NamenumeroAm
NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..1
6. PractitionerRole.practitioner
Control1..?
8. PractitionerRole.healthcareService
Control0..0
10. PractitionerRole.availableTime
Control0..0
12. PractitionerRole.notAvailable
Control0..0
14. PractitionerRole.availabilityExceptions
Control0..0
16. PractitionerRole.endpoint
Control0..0

Guidance on how to interpret the contents of this table can be found here

0. PractitionerRole
Definition

A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time.

ShortRoles/organizations the practitioner is associated with
Control0..*
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-4: 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-3: 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-6: A resource should have narrative for robust management (text.`div`.exists())
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
2. PractitionerRole.meta
Definition

The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

ShortMetadata about the resource
Control0..1
This element is affected by the following invariants: ele-1
TypeMeta
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. PractitionerRole.meta.extension:as-ext-data-trace
Slice Nameas-ext-data-trace
Definition

Extension créée dans le cadre de l'Annuaire Santé pour tracer l'origine de la donnée (Autorité d'Enregistrement (AE) et Système d'Information (SI)). Des études complémentaires vont être initiées pour envisager l'usage de la ressource Provenance ou meta.source

ShortDataTrace : Informe sur l'origine de la donnée (Autorité d'Enregistrement (AE) et Système d'Information (SI).
Control0..1
This element is affected by the following invariants: ele-1
TypeExtension(AS Data Trace Extension) (Complex Extension)
Must Supporttrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
6. PractitionerRole.implicitRules
Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

ShortA set of rules under which this content was created
Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

Control0..1
This element is affected by the following invariants: ele-1
Typeuri
Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. PractitionerRole.extension:as-ext-practitionerrole-contracted
Slice Nameas-ext-practitionerrole-contracted
Definition

Extension créée dans le cadre de l'Annuaire Santé pour décrire le secteur de conventionnement du professionnel libéral auquel il a adhéré auprès de l'Assurance Maladie.

ShortSecteur de conventionnement du professionnel libéral auquel il a adhéré auprès de l'Assurance Maladie.
Comments

Synonyme : secteurConventionnement

Control0..1
This element is affected by the following invariants: ele-1
TypeExtension(AS PractitionerRole Contracted) (Extension Type: CodeableConcept)
Must Supporttrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
10. PractitionerRole.extension:as-ext-practitionerrole-hascas
Slice Nameas-ext-practitionerrole-hascas
Definition

Extension créée dans le cadre de l'Annuaire Santé pour décrire le contrat d'accès aux soins (CAS), remplacée récemment par l'option pratique tarifaire maîtrisée (OPTAM).

ShortoptionContratAccesSoins, optionPratiqueTarifaireMaîtrisée : OPTAM est un dispositif proposé par l’Assurance Maladie aux médecins conventionnés, ayant pour objectif principal de faciliter l’accès aux soins.
Control0..1
This element is affected by the following invariants: ele-1
TypeExtension(AS PractitionerRole Has CAS) (Extension Type: boolean)
Must Supporttrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
12. PractitionerRole.extension:as-ext-practitionerrole-vitale-accepted
Slice Nameas-ext-practitionerrole-vitale-accepted
Definition

Extension créée dans le cadre de l'Annuaire Santé pour décrire l’indicateur Carte Vitale acceptée (oui/non).

ShortcarteVitaleAcceptee/optionPratiqueTarifaireMaîtrisée : L’indicateur Carte Vitale acceptée précisant si le professionnel, dans le cadre de cette situation opérationnelle, dispose des moyens techniques pour prendre en charge la carte vitale ou pas.
Control0..1
This element is affected by the following invariants: ele-1
TypeExtension(AS PractitionerRole Vitale Accepted) (Extension Type: boolean)
Must Supporttrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
14. PractitionerRole.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
This element is affected by the following invariants: ele-1
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Standards StatusNormative (from Trial Use)
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on PractitionerRole.modifierExtension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
16. PractitionerRole.identifier
Definition

Business Identifiers that are specific to a role/location.

ShortBusiness Identifiers that are specific to a role/location
NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..*
This element is affected by the following invariants: ele-1
TypeIdentifier
Must Supporttrue
Summarytrue
Requirements

Often, specific identities are assigned for the agent.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
SlicingThis element introduces a set of slices on PractitionerRole.identifier. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • pattern @ system
18. PractitionerRole.identifier:idSituationExercice
Slice NameidSituationExercice
Definition

Business Identifiers that are specific to a role/location.

ShortIdentifiant d'activité propre au RPPSBusiness Identifiers that are specific to a role/location
NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..1*
This element is affected by the following invariants: ele-1
TypeIdentifier
Summarytrue
Requirements

Often, specific identities are assigned for the agent.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. PractitionerRole.identifier:idSituationExercice.use
Definition

The purpose of this identifier.

Shortusual | official | temp | secondary | old (If known)
Comments

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Control0..1
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1

Identifies the purpose for this identifier, if known .

Typecode
Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Requirements

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
22. PractitionerRole.identifier:idSituationExercice.system
Definition

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

ShortThe namespace for the identifier value
Comments

Identifier.system is always case sensitive.

Control10..1
This element is affected by the following invariants: ele-1
Typeuri
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Requirements

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Pattern Valuehttp://rpps.fr
Example<br/><b>General</b>:http://www.acme.com/identifiers/patient
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
24. PractitionerRole.identifier:numeroAm
Slice NamenumeroAm
Definition

Business Identifiers that are specific to a role/location.

Short[Donnée restreinte] : Identifiant d’activité propre à l’Assurance Maladie. format: 9 digits. synonyme: numeroAMBusiness Identifiers that are specific to a role/location
NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..1*
This element is affected by the following invariants: ele-1
TypeIdentifier
Summarytrue
Requirements

Often, specific identities are assigned for the agent.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
26. PractitionerRole.identifier:numeroAm.use
Definition

The purpose of this identifier.

Shortusual | official | temp | secondary | old (If known)
Comments

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Control0..1
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1

Identifies the purpose for this identifier, if known .

Typecode
Is Modifiertrue because This is labeled as &quot;Is Modifier&quot; because applications should not mistake a temporary id for a permanent one.
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Requirements

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
28. PractitionerRole.identifier:numeroAm.system
Definition

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

ShortThe namespace for the identifier value
Comments

Identifier.system is always case sensitive.

Control10..1
This element is affected by the following invariants: ele-1
Typeuri
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Requirements

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Pattern Valuehttp://ameli.fr
Example<br/><b>General</b>:http://www.acme.com/identifiers/patient
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
30. PractitionerRole.active
Definition

Whether this practitioner role record is in active use.

ShortLa situation d'exercice est-elle active? (active | inactive) true par défaut; false pour les situations d’exercices suppriméesWhether this practitioner role record is in active use
Comments

If this value is false, you may refer to the period to see when the role was in active use. If there is no period specified, no inference can be made about when it was active.

Control0..1
This element is affected by the following invariants: ele-1
Typeboolean
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Requirements

Need to be able to mark a practitioner role record as not to be used because it was created in error, or otherwise no longer in active use.

Meaning if MissingThis resource is generally assumed to be active if no value is provided for the active element
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
32. PractitionerRole.period
Definition

The period during which the person is authorized to act as a practitioner in these role(s) for the organization.

ShortPériode d'activité de la situation d'exercice.The period during which the practitioner is authorized to perform in these role(s)
Comments

A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times").

Period is not used for a duration (a measure of elapsed time). See Duration.

Control0..1
This element is affected by the following invariants: ele-1
TypePeriod
Must Supporttrue
Summarytrue
Requirements

Even after the agencies is revoked, the fact that it existed must still be recorded.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
per-1: If present, start SHALL have a lower value than end (start.hasValue().not() or end.hasValue().not() or (start <= end))
34. PractitionerRole.period.start
Definition

The start of the period. The boundary is inclusive.

Short[Donnée restreinte] : Date de début de l’activité correspondant à la date d’installation en cabinet ou à la date d’embauche du salarié (dateDebutActivite).Starting time with inclusive boundary
Comments

If the low element is missing, the meaning is that the low boundary is not known.

Control0..1
This element is affected by the following invariants: ele-1, per-1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
36. PractitionerRole.period.end
Definition

The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.

Short[Donnée restreinte] : Date de fin de l’activité (dateFinActivite).End time with inclusive boundary, if not ongoing
Comments

The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.

Control0..1
This element is affected by the following invariants: ele-1, per-1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Meaning if MissingIf the end of the period is missing, it means that the period is ongoing
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
38. PractitionerRole.practitioner
Definition

Practitioner that is able to provide the defined services for the organization.

ShortRéférence permettant de lier l’exercice professionnel et la situation d'exercice à un professionnel (Practitioner).Practitioner that is able to provide the defined services for the organization
Comments

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

Control10..1
This element is affected by the following invariants: ele-1
TypeReference(Practitioner, AS Practitioner Profile)
Must Supporttrue
Must Support TypesNo must-support rules about the choice of types/profiles
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ref-1: SHALL have a contained resource if a local reference is provided (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')))
40. PractitionerRole.organization
Definition

The organization where the Practitioner performs the roles associated.

ShortRéférence vers l’EG ou EJ de rattachement de la situation d’exercice (Organization)Organization where the roles are available
Comments

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

Control0..1
This element is affected by the following invariants: ele-1
TypeReference(Organization, AS Organization Profile)
Must Supporttrue
Must Support TypesNo must-support rules about the choice of types/profiles
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ref-1: SHALL have a contained resource if a local reference is provided (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')))
42. PractitionerRole.code
Definition

Roles which this practitioner is authorized to perform for the organization.

ShortRoles which this practitioner may perform
Comments

A person may have more than one role.

Control0..*
This element is affected by the following invariants: ele-1
BindingFor example codes, see PractitionerRolehttp://hl7.org/fhir/ValueSet/practitioner-role

The role a person plays representing an organization.

TypeCodeableConcept
Summarytrue
Requirements

Need to know what authority the practitioner has - what can they do?

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
SlicingThis element introduces a set of slices on PractitionerRole.code. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ coding.system
44. PractitionerRole.code:genreActivite
Slice NamegenreActivite
Definition

Roles which this practitioner is authorized to perform for the organization.

ShortLe genre identifiant une activité qui nécessite l’application de règles de gestion spécifiques (Synonyme: genreActivite).Roles which this practitioner may perform
Comments

A person may have more than one role.

Control0..1*
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from For example codes, see JDV_J94-GenreActivite-RASShttp://hl7.org/fhir/ValueSet/practitioner-role
TypeCodeableConcept
Must Supporttrue
Summarytrue
Requirements

Need to know what authority the practitioner has - what can they do?

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
46. PractitionerRole.code:modeExercice
Slice NamemodeExercice
Definition

Roles which this practitioner is authorized to perform for the organization.

ShortLe mode d'exercice décrit selon quelle modalité une activité est exercée au regard de l'organisation de la rétribution du professionnel (Synonyme: modeExercice).Roles which this practitioner may perform
Comments

A person may have more than one role.

Control0..1*
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from For example codes, see JDV_J95-ModeExercice-RASShttp://hl7.org/fhir/ValueSet/practitioner-role
TypeCodeableConcept
Must Supporttrue
Summarytrue
Requirements

Need to know what authority the practitioner has - what can they do?

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
48. PractitionerRole.code:typeActiviteLiberale
Slice NametypeActiviteLiberale
Definition

Roles which this practitioner is authorized to perform for the organization.

ShortType d’activité libérale, par exemple: Cabinet; Secteur privé à l'hôpital (Synonyme: typeActiviteLiberale).Roles which this practitioner may perform
Comments

A person may have more than one role.

Control0..1*
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from For example codes, see JDV_J96-TypeActiviteLiberale-RASShttp://hl7.org/fhir/ValueSet/practitioner-role
TypeCodeableConcept
Must Supporttrue
Summarytrue
Requirements

Need to know what authority the practitioner has - what can they do?

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
50. PractitionerRole.code:statutProfessionnelSSA
Slice NamestatutProfessionnelSSA
Definition

Roles which this practitioner is authorized to perform for the organization.

ShortStatut du professionnel du Service de santé des armées (Synonyme: statutProfessionnelSSA).Roles which this practitioner may perform
Comments

A person may have more than one role.

Control0..1*
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from For example codes, see JDV_J97-StatutProfessionnelSSA-RASShttp://hl7.org/fhir/ValueSet/practitioner-role
TypeCodeableConcept
Must Supporttrue
Summarytrue
Requirements

Need to know what authority the practitioner has - what can they do?

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
52. PractitionerRole.code:statutHospitalier
Slice NamestatutHospitalier
Definition

Roles which this practitioner is authorized to perform for the organization.

ShortStatut hospitalier dans le cas d’une activité exercée en établissement public de santé (Synonyme: statutHospitalier).Roles which this practitioner may perform
Comments

A person may have more than one role.

Control0..1*
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from For example codes, see JDV_J98-StatutHospitalier-RASShttp://hl7.org/fhir/ValueSet/practitioner-role
TypeCodeableConcept
Must Supporttrue
Summarytrue
Requirements

Need to know what authority the practitioner has - what can they do?

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
54. PractitionerRole.code:fonction
Slice Namefonction
Definition

Roles which this practitioner is authorized to perform for the organization.

Shortrole : Fonction du professionnel au sein de la structure d’exercice.Roles which this practitioner may perform
Comments

A person may have more than one role.

Control0..1*
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from For example codes, see JDV_J108-EnsembleFonction-RASShttp://hl7.org/fhir/ValueSet/practitioner-role
TypeCodeableConcept
Must Supporttrue
Summarytrue
Requirements

Need to know what authority the practitioner has - what can they do?

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
56. PractitionerRole.code:metierPharmacien
Slice NamemetierPharmacien
Definition

Roles which this practitioner is authorized to perform for the organization.

ShortSection/Sous-section du tableau de l’Ordre des pharmaciens (CNOP) (sectionOrdrePharmacien/sousSectionOrdrePharmacien).Roles which this practitioner may perform
Comments

A person may have more than one role.

Control0..*
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from For example codes, see JDV_J73-MetierPharmacien-RASShttp://hl7.org/fhir/ValueSet/practitioner-role
TypeCodeableConcept
Must Supporttrue
Summarytrue
Requirements

Need to know what authority the practitioner has - what can they do?

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
58. PractitionerRole.location
Definition

The location(s) at which this practitioner provides care.

ShortRéférence vers la location dans PractitionerRole.contained représentant les coordonnées de l'activité (idLocation).The location(s) at which this practitioner provides care
Comments

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

Control0..*
This element is affected by the following invariants: ele-1
TypeReference(Location)
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ref-1: SHALL have a contained resource if a local reference is provided (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')))
60. PractitionerRole.healthcareService
Definition

The list of healthcare services that this worker provides for this role's Organization/Location(s).

ShortThe list of healthcare services that this worker provides for this role's Organization/Location(s)
Comments

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

Control0..0*
This element is affected by the following invariants: ele-1
TypeReference(HealthcareService)
Must Supporttrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ref-1: SHALL have a contained resource if a local reference is provided (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')))
62. PractitionerRole.telecom
Definition

Contact details that are specific to the role/location/service.

ShortContact details that are specific to the role/location/service
Control0..*
This element is affected by the following invariants: ele-1
TypeContactPoint(FrContactPoint)
Must Supporttrue
Summarytrue
Requirements

Often practitioners have a dedicated line for each location (or service) that they work at, and need to be able to define separate contact details for each of these.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
cpt-2: A system is required if a value is provided. (value.empty() or system.exists())
SlicingThis element introduces a set of slices on PractitionerRole.telecom. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • profile @ $this.resolve()
64. PractitionerRole.telecom:mailbox-mss
Slice Namemailbox-mss
Definition

Details for all kinds of technology mediated contact points for a person or organization, including telephone, email, etc.


Contact details that are specific to the role/location/service.

ShortBALs MSS de type PER rattachés à l'identifiant du professionnel de santé ainsi qu'au lieu de sa situation d'exercice (BoiteLettreMSS).Contact details that are specific to the role/location/service
Control0..*
This element is affected by the following invariants: ele-1
TypeContactPoint(AS Mailbox MSS Datatype Profile)
Requirements

Often practitioners have a dedicated line for each location (or service) that they work at, and need to be able to define separate contact details for each of these.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
cpt-2: A system is required if a value is provided. (value.empty() or system.exists())
cpt-2: A system is required if a value is provided. (value.empty() or system.exists())
66. PractitionerRole.telecom:mailbox-mss.extension:emailType
Slice NameemailType
Definition

Optional Extension Element - found in all resources.

ShortType of email | type de messagerie électronique
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..1
This element is affected by the following invariants: ele-1
TypeExtension(FrContactPointEmailType) (Extension Type: Coding)
Standards StatusNormative (from Trial Use)
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
68. PractitionerRole.telecom:mailbox-mss.extension:as-mailbox-mss-metadata
Slice Nameas-mailbox-mss-metadata
Definition

Extension contenant les métadonnées de la mailbox mss.

ShortLes attributs 'responsible' et 'phone' ne sont pas disponibles en accès libre.
Control0..1
This element is affected by the following invariants: ele-1
TypeExtension(AS Mailbox Metadata) (Complex Extension)
Must Supporttrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
70. PractitionerRole.telecom:mailbox-mss.system
Definition

Telecommunications form for contact point - what communications system is required to make use of the contact.

Shortphone | fax | email | pager | url | sms | other
Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Control10..1
This element is affected by the following invariants: ele-1, cpt-2
BindingThe codes SHALL be taken from ContactPointSystemhttp://hl7.org/fhir/ValueSet/contact-point-system|4.0.1

Telecommunications form for contact point.

Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Pattern Valueemail
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
72. PractitionerRole.telecom:mailbox-mss.value
Definition

The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address).

ShortBoîte Aux Lettres (BAL) MSSThe actual contact point details
Comments

Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.

Control10..1
This element is affected by the following invariants: ele-1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Requirements

Need to support legacy numbers that are not in a tightly controlled format.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
74. PractitionerRole.telecom:mailbox-mss.use
Definition

Identifies the purpose for the contact point.

Shorthome | work | temp | old | mobile - purpose of this contact point
Comments

Applications can assume that a contact is current unless it explicitly says that it is temporary or old.

Control0..1
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from ContactPointUsehttp://hl7.org/fhir/ValueSet/contact-point-use|4.0.1

Use of contact point.

Typecode
Is Modifiertrue because This is labeled as &quot;Is Modifier&quot; because applications should not mistake a temporary or old contact etc.for a current/permanent one
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Requirements

Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
76. PractitionerRole.availableTime
Definition

A collection of times the practitioner is available or performing this role at the location and/or healthcareservice.

ShortTimes the Service Site is available
Comments

More detailed availability information may be provided in associated Schedule/Slot resources.

Control0..0*
This element is affected by the following invariants: ele-1
TypeBackboneElement
Must Supporttrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
79. PractitionerRole.notAvailable
Definition

The practitioner is not available or performing this role during this period of time due to the provided reason.

ShortNot available during this time due to provided reason
Control0..0*
This element is affected by the following invariants: ele-1
TypeBackboneElement
Must Supporttrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
83. PractitionerRole.availabilityExceptions
Definition

A description of site availability exceptions, e.g. public holiday availability. Succinctly describing all possible exceptions to normal site availability as details in the available Times and not available Times.

ShortDescription of availability exceptions
Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Control0..01
This element is affected by the following invariants: ele-1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
85. PractitionerRole.endpoint
Definition

Technical endpoints providing access to services operated for the practitioner with this role.

ShortTechnical endpoints providing access to services operated for the practitioner with this role
Comments

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

Control0..0*
This element is affected by the following invariants: ele-1
TypeReference(Endpoint)
Must Supporttrue
Requirements

Organizations have multiple systems that provide various services and ,ay also be different for practitioners too.

So the endpoint satisfies the need to be able to define the technical connection details for how to connect to them, and for what purpose.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ref-1: SHALL have a contained resource if a local reference is provided (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')))

Guidance on how to interpret the contents of this table can be found here

0. PractitionerRole
Definition

A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time.

ShortRoles/organizations the practitioner is associated with
Control0..*
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-4: 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-3: 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-6: A resource should have narrative for robust management (text.`div`.exists())
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
2. PractitionerRole.id
Definition

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

ShortLogical id of this artifact
Comments

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

Control0..1
Typeid
Summarytrue
4. PractitionerRole.meta
Definition

The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

ShortMetadata about the resource
Control0..1
This element is affected by the following invariants: ele-1
TypeMeta
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
6. PractitionerRole.meta.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
Typestring
XML FormatIn the XML format, this property is represented as an attribute.
8. PractitionerRole.meta.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
This element is affected by the following invariants: ele-1
TypeExtension
Standards StatusNormative (from Trial Use)
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on PractitionerRole.meta.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
10. PractitionerRole.meta.extension:as-ext-data-trace
Slice Nameas-ext-data-trace
Definition

Extension créée dans le cadre de l'Annuaire Santé pour tracer l'origine de la donnée (Autorité d'Enregistrement (AE) et Système d'Information (SI)). Des études complémentaires vont être initiées pour envisager l'usage de la ressource Provenance ou meta.source

ShortDataTrace : Informe sur l'origine de la donnée (Autorité d'Enregistrement (AE) et Système d'Information (SI).
Control0..1
This element is affected by the following invariants: ele-1
TypeExtension(AS Data Trace Extension) (Complex Extension)
Must Supporttrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
12. PractitionerRole.meta.versionId
Definition

The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted.

ShortVersion specific identifier
Comments

The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.

Control0..1
This element is affected by the following invariants: ele-1
Typeid
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
14. PractitionerRole.meta.lastUpdated
Definition

When the resource last changed - e.g. when the version changed.

ShortWhen the resource version last changed
Comments

This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction.

Control0..1
This element is affected by the following invariants: ele-1
Typeinstant
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
16. PractitionerRole.meta.source
Definition

A uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.

ShortIdentifies where the resource comes from
Comments

In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used.

This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.

Control0..1
This element is affected by the following invariants: ele-1
Typeuri
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
18. PractitionerRole.meta.profile
Definition

A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url.

ShortProfiles this resource claims to conform to
Comments

It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.

Control0..*
This element is affected by the following invariants: ele-1
Typecanonical(StructureDefinition)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. PractitionerRole.meta.security
Definition

Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.

ShortSecurity Labels applied to this resource
Comments

The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.

Control0..*
This element is affected by the following invariants: ele-1
BindingUnless not suitable, these codes SHALL be taken from All Security Labels

Security Labels from the Healthcare Privacy and Security Classification System.

TypeCoding
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
22. PractitionerRole.meta.tag
Definition

Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.

ShortTags applied to this resource
Comments

The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.

Control0..*
This element is affected by the following invariants: ele-1
BindingFor example codes, see CommonTags

Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".

TypeCoding
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
24. PractitionerRole.implicitRules
Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

ShortA set of rules under which this content was created
Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

Control0..1
This element is affected by the following invariants: ele-1
Typeuri
Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
26. PractitionerRole.language
Definition

The base language in which the resource is written.

ShortLanguage of the resource content
Comments

Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

Control0..1
This element is affected by the following invariants: ele-1
BindingThe codes SHOULD be taken from CommonLanguages

A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
28. PractitionerRole.text
Definition

A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

ShortText summary of the resource, for human interpretation
Comments

Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

Control0..1
This element is affected by the following invariants: ele-1
TypeNarrative
Alternate Namesnarrative, html, xhtml, display
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
30. PractitionerRole.contained
Definition

These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

ShortContained, inline Resources
Comments

This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

Control0..*
TypeResource
Alternate Namesinline resources, anonymous resources, contained resources
32. PractitionerRole.extension
Definition

May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
This element is affected by the following invariants: ele-1
TypeExtension
Standards StatusNormative (from Trial Use)
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on PractitionerRole.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
34. PractitionerRole.extension:as-ext-practitionerrole-contracted
Slice Nameas-ext-practitionerrole-contracted
Definition

Extension créée dans le cadre de l'Annuaire Santé pour décrire le secteur de conventionnement du professionnel libéral auquel il a adhéré auprès de l'Assurance Maladie.

ShortSecteur de conventionnement du professionnel libéral auquel il a adhéré auprès de l'Assurance Maladie.
Comments

Synonyme : secteurConventionnement

Control0..1
This element is affected by the following invariants: ele-1
TypeExtension(AS PractitionerRole Contracted) (Extension Type: CodeableConcept)
Must Supporttrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
36. PractitionerRole.extension:as-ext-practitionerrole-hascas
Slice Nameas-ext-practitionerrole-hascas
Definition

Extension créée dans le cadre de l'Annuaire Santé pour décrire le contrat d'accès aux soins (CAS), remplacée récemment par l'option pratique tarifaire maîtrisée (OPTAM).

ShortoptionContratAccesSoins, optionPratiqueTarifaireMaîtrisée : OPTAM est un dispositif proposé par l’Assurance Maladie aux médecins conventionnés, ayant pour objectif principal de faciliter l’accès aux soins.
Control0..1
This element is affected by the following invariants: ele-1
TypeExtension(AS PractitionerRole Has CAS) (Extension Type: boolean)
Must Supporttrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
38. PractitionerRole.extension:as-ext-practitionerrole-vitale-accepted
Slice Nameas-ext-practitionerrole-vitale-accepted
Definition

Extension créée dans le cadre de l'Annuaire Santé pour décrire l’indicateur Carte Vitale acceptée (oui/non).

ShortcarteVitaleAcceptee/optionPratiqueTarifaireMaîtrisée : L’indicateur Carte Vitale acceptée précisant si le professionnel, dans le cadre de cette situation opérationnelle, dispose des moyens techniques pour prendre en charge la carte vitale ou pas.
Control0..1
This element is affected by the following invariants: ele-1
TypeExtension(AS PractitionerRole Vitale Accepted) (Extension Type: boolean)
Must Supporttrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
40. PractitionerRole.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
This element is affected by the following invariants: ele-1
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Standards StatusNormative (from Trial Use)
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on PractitionerRole.modifierExtension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
42. PractitionerRole.identifier
Definition

Business Identifiers that are specific to a role/location.

ShortBusiness Identifiers that are specific to a role/location
NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..*
This element is affected by the following invariants: ele-1
TypeIdentifier
Must Supporttrue
Summarytrue
Requirements

Often, specific identities are assigned for the agent.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
SlicingThis element introduces a set of slices on PractitionerRole.identifier. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • pattern @ system
44. PractitionerRole.identifier:idSituationExercice
Slice NameidSituationExercice
Definition

Business Identifiers that are specific to a role/location.

ShortIdentifiant d'activité propre au RPPS
NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..1
This element is affected by the following invariants: ele-1
TypeIdentifier
Summarytrue
Requirements

Often, specific identities are assigned for the agent.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
46. PractitionerRole.identifier:idSituationExercice.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
Typestring
XML FormatIn the XML format, this property is represented as an attribute.
48. PractitionerRole.identifier:idSituationExercice.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
This element is affected by the following invariants: ele-1
TypeExtension
Standards StatusNormative (from Trial Use)
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on PractitionerRole.identifier.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
50. PractitionerRole.identifier:idSituationExercice.use
Definition

The purpose of this identifier.

Shortusual | official | temp | secondary | old (If known)
Comments

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Control0..1
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from IdentifierUse

Identifies the purpose for this identifier, if known .

Typecode
Is Modifiertrue because This is labeled as &quot;Is Modifier&quot; because applications should not mistake a temporary id for a permanent one.
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Requirements

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
52. PractitionerRole.identifier:idSituationExercice.type
Definition

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

ShortDescription of identifier
Comments

This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

Control0..1
This element is affected by the following invariants: ele-1
BindingUnless not suitable, these codes SHALL be taken from Identifier Type Codes

A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

TypeCodeableConcept
Summarytrue
Requirements

Allows users to make use of identifiers when the identifier system is not known.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
54. PractitionerRole.identifier:idSituationExercice.system
Definition

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

ShortThe namespace for the identifier value
Comments

Identifier.system is always case sensitive.

Control1..1
This element is affected by the following invariants: ele-1
Typeuri
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Requirements

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Pattern Valuehttp://rpps.fr
Example<br/><b>General</b>:http://www.acme.com/identifiers/patient
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
56. PractitionerRole.identifier:idSituationExercice.value
Definition

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

ShortThe value that is unique
Comments

If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

Control0..1
This element is affected by the following invariants: ele-1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Example<br/><b>General</b>:123456
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
58. PractitionerRole.identifier:idSituationExercice.period
Definition

Time period during which identifier is/was valid for use.

ShortTime period when id is/was valid for use
Comments

A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times").

Period is not used for a duration (a measure of elapsed time). See Duration.

Control0..1
This element is affected by the following invariants: ele-1
TypePeriod
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
per-1: If present, start SHALL have a lower value than end (start.hasValue().not() or end.hasValue().not() or (start <= end))
60. PractitionerRole.identifier:idSituationExercice.assigner
Definition

Organization that issued/manages the identifier.

ShortOrganization that issued id (may be just text)
Comments

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

Control0..1
This element is affected by the following invariants: ele-1
TypeReference(Organization)
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ref-1: SHALL have a contained resource if a local reference is provided (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')))
62. PractitionerRole.identifier:numeroAm
Slice NamenumeroAm
Definition

Business Identifiers that are specific to a role/location.

Short[Donnée restreinte] : Identifiant d’activité propre à l’Assurance Maladie. format: 9 digits. synonyme: numeroAM
NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..1
This element is affected by the following invariants: ele-1
TypeIdentifier
Summarytrue
Requirements

Often, specific identities are assigned for the agent.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
64. PractitionerRole.identifier:numeroAm.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
Typestring
XML FormatIn the XML format, this property is represented as an attribute.
66. PractitionerRole.identifier:numeroAm.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
This element is affected by the following invariants: ele-1
TypeExtension
Standards StatusNormative (from Trial Use)
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on PractitionerRole.identifier.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
68. PractitionerRole.identifier:numeroAm.use
Definition

The purpose of this identifier.

Shortusual | official | temp | secondary | old (If known)
Comments

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Control0..1
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from IdentifierUse

Identifies the purpose for this identifier, if known .

Typecode
Is Modifiertrue because This is labeled as &quot;Is Modifier&quot; because applications should not mistake a temporary id for a permanent one.
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Requirements

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
70. PractitionerRole.identifier:numeroAm.type
Definition

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

ShortDescription of identifier
Comments

This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

Control0..1
This element is affected by the following invariants: ele-1
BindingUnless not suitable, these codes SHALL be taken from Identifier Type Codes

A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

TypeCodeableConcept
Summarytrue
Requirements

Allows users to make use of identifiers when the identifier system is not known.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
72. PractitionerRole.identifier:numeroAm.system
Definition

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

ShortThe namespace for the identifier value
Comments

Identifier.system is always case sensitive.

Control1..1
This element is affected by the following invariants: ele-1
Typeuri
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Requirements

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Pattern Valuehttp://ameli.fr
Example<br/><b>General</b>:http://www.acme.com/identifiers/patient
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
74. PractitionerRole.identifier:numeroAm.value
Definition

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

ShortThe value that is unique
Comments

If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

Control0..1
This element is affected by the following invariants: ele-1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Example<br/><b>General</b>:123456
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
76. PractitionerRole.identifier:numeroAm.period
Definition

Time period during which identifier is/was valid for use.

ShortTime period when id is/was valid for use
Comments

A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times").

Period is not used for a duration (a measure of elapsed time). See Duration.

Control0..1
This element is affected by the following invariants: ele-1
TypePeriod
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
per-1: If present, start SHALL have a lower value than end (start.hasValue().not() or end.hasValue().not() or (start <= end))
78. PractitionerRole.identifier:numeroAm.assigner
Definition

Organization that issued/manages the identifier.

ShortOrganization that issued id (may be just text)
Comments

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

Control0..1
This element is affected by the following invariants: ele-1
TypeReference(Organization)
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ref-1: SHALL have a contained resource if a local reference is provided (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')))
80. PractitionerRole.active
Definition

Whether this practitioner role record is in active use.

ShortLa situation d'exercice est-elle active? (active | inactive) true par défaut; false pour les situations d’exercices supprimées
Comments

If this value is false, you may refer to the period to see when the role was in active use. If there is no period specified, no inference can be made about when it was active.

Control0..1
This element is affected by the following invariants: ele-1
Typeboolean
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Requirements

Need to be able to mark a practitioner role record as not to be used because it was created in error, or otherwise no longer in active use.

Meaning if MissingThis resource is generally assumed to be active if no value is provided for the active element
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
82. PractitionerRole.period
Definition

The period during which the person is authorized to act as a practitioner in these role(s) for the organization.

ShortPériode d'activité de la situation d'exercice.
Comments

A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times").

Period is not used for a duration (a measure of elapsed time). See Duration.

Control0..1
This element is affected by the following invariants: ele-1
TypePeriod
Must Supporttrue
Summarytrue
Requirements

Even after the agencies is revoked, the fact that it existed must still be recorded.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
per-1: If present, start SHALL have a lower value than end (start.hasValue().not() or end.hasValue().not() or (start <= end))
84. PractitionerRole.period.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
Typestring
XML FormatIn the XML format, this property is represented as an attribute.
86. PractitionerRole.period.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
This element is affected by the following invariants: ele-1
TypeExtension
Standards StatusNormative (from Trial Use)
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on PractitionerRole.period.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
88. PractitionerRole.period.start
Definition

The start of the period. The boundary is inclusive.

Short[Donnée restreinte] : Date de début de l’activité correspondant à la date d’installation en cabinet ou à la date d’embauche du salarié (dateDebutActivite).
Comments

If the low element is missing, the meaning is that the low boundary is not known.

Control0..1
This element is affected by the following invariants: ele-1, per-1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
90. PractitionerRole.period.end
Definition

The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.

Short[Donnée restreinte] : Date de fin de l’activité (dateFinActivite).
Comments

The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.

Control0..1
This element is affected by the following invariants: ele-1, per-1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Meaning if MissingIf the end of the period is missing, it means that the period is ongoing
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
92. PractitionerRole.practitioner
Definition

Practitioner that is able to provide the defined services for the organization.

ShortRéférence permettant de lier l’exercice professionnel et la situation d'exercice à un professionnel (Practitioner).
Comments

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

Control1..1
This element is affected by the following invariants: ele-1
TypeReference(Practitioner, AS Practitioner Profile)
Must Supporttrue
Must Support TypesNo must-support rules about the choice of types/profiles
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ref-1: SHALL have a contained resource if a local reference is provided (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')))
94. PractitionerRole.organization
Definition

The organization where the Practitioner performs the roles associated.

ShortRéférence vers l’EG ou EJ de rattachement de la situation d’exercice (Organization)
Comments

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

Control0..1
This element is affected by the following invariants: ele-1
TypeReference(Organization, AS Organization Profile)
Must Supporttrue
Must Support TypesNo must-support rules about the choice of types/profiles
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ref-1: SHALL have a contained resource if a local reference is provided (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')))
96. PractitionerRole.code
Definition

Roles which this practitioner is authorized to perform for the organization.

ShortRoles which this practitioner may perform
Comments

A person may have more than one role.

Control0..*
This element is affected by the following invariants: ele-1
BindingFor example codes, see PractitionerRole

The role a person plays representing an organization.

TypeCodeableConcept
Summarytrue
Requirements

Need to know what authority the practitioner has - what can they do?

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
SlicingThis element introduces a set of slices on PractitionerRole.code. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ coding.system
98. PractitionerRole.code:genreActivite
Slice NamegenreActivite
Definition

Roles which this practitioner is authorized to perform for the organization.

ShortLe genre identifiant une activité qui nécessite l’application de règles de gestion spécifiques (Synonyme: genreActivite).
Comments

A person may have more than one role.

Control0..1
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from JDV_J94-GenreActivite-RASS
TypeCodeableConcept
Must Supporttrue
Summarytrue
Requirements

Need to know what authority the practitioner has - what can they do?

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
100. PractitionerRole.code:modeExercice
Slice NamemodeExercice
Definition

Roles which this practitioner is authorized to perform for the organization.

ShortLe mode d'exercice décrit selon quelle modalité une activité est exercée au regard de l'organisation de la rétribution du professionnel (Synonyme: modeExercice).
Comments

A person may have more than one role.

Control0..1
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from JDV_J95-ModeExercice-RASS
TypeCodeableConcept
Must Supporttrue
Summarytrue
Requirements

Need to know what authority the practitioner has - what can they do?

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
102. PractitionerRole.code:typeActiviteLiberale
Slice NametypeActiviteLiberale
Definition

Roles which this practitioner is authorized to perform for the organization.

ShortType d’activité libérale, par exemple: Cabinet; Secteur privé à l'hôpital (Synonyme: typeActiviteLiberale).
Comments

A person may have more than one role.

Control0..1
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from JDV_J96-TypeActiviteLiberale-RASS
TypeCodeableConcept
Must Supporttrue
Summarytrue
Requirements

Need to know what authority the practitioner has - what can they do?

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
104. PractitionerRole.code:statutProfessionnelSSA
Slice NamestatutProfessionnelSSA
Definition

Roles which this practitioner is authorized to perform for the organization.

ShortStatut du professionnel du Service de santé des armées (Synonyme: statutProfessionnelSSA).
Comments

A person may have more than one role.

Control0..1
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from JDV_J97-StatutProfessionnelSSA-RASS
TypeCodeableConcept
Must Supporttrue
Summarytrue
Requirements

Need to know what authority the practitioner has - what can they do?

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
106. PractitionerRole.code:statutHospitalier
Slice NamestatutHospitalier
Definition

Roles which this practitioner is authorized to perform for the organization.

ShortStatut hospitalier dans le cas d’une activité exercée en établissement public de santé (Synonyme: statutHospitalier).
Comments

A person may have more than one role.

Control0..1
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from JDV_J98-StatutHospitalier-RASS
TypeCodeableConcept
Must Supporttrue
Summarytrue
Requirements

Need to know what authority the practitioner has - what can they do?

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
108. PractitionerRole.code:fonction
Slice Namefonction
Definition

Roles which this practitioner is authorized to perform for the organization.

Shortrole : Fonction du professionnel au sein de la structure d’exercice.
Comments

A person may have more than one role.

Control0..1
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from JDV_J108-EnsembleFonction-RASS
TypeCodeableConcept
Must Supporttrue
Summarytrue
Requirements

Need to know what authority the practitioner has - what can they do?

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
110. PractitionerRole.code:metierPharmacien
Slice NamemetierPharmacien
Definition

Roles which this practitioner is authorized to perform for the organization.

ShortSection/Sous-section du tableau de l’Ordre des pharmaciens (CNOP) (sectionOrdrePharmacien/sousSectionOrdrePharmacien).
Comments

A person may have more than one role.

Control0..*
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from JDV_J73-MetierPharmacien-RASS
TypeCodeableConcept
Must Supporttrue
Summarytrue
Requirements

Need to know what authority the practitioner has - what can they do?

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
112. PractitionerRole.specialty
Definition

Specific specialty of the practitioner.

ShortSpecific specialty of the practitioner
Comments

Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

Control0..*
This element is affected by the following invariants: ele-1
BindingThe codes SHOULD be taken from PracticeSettingCodeValueSet

Specific specialty associated with the agency.

TypeCodeableConcept
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
114. PractitionerRole.location
Definition

The location(s) at which this practitioner provides care.

ShortRéférence vers la location dans PractitionerRole.contained représentant les coordonnées de l'activité (idLocation).
Comments

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

Control0..*
This element is affected by the following invariants: ele-1
TypeReference(Location)
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ref-1: SHALL have a contained resource if a local reference is provided (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')))
116. PractitionerRole.healthcareService
Definition

The list of healthcare services that this worker provides for this role's Organization/Location(s).

ShortThe list of healthcare services that this worker provides for this role's Organization/Location(s)
Comments

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

Control0..0
This element is affected by the following invariants: ele-1
TypeReference(HealthcareService)
Must Supporttrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ref-1: SHALL have a contained resource if a local reference is provided (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')))
118. PractitionerRole.telecom
Definition

Contact details that are specific to the role/location/service.

ShortContact details that are specific to the role/location/service
Control0..*
This element is affected by the following invariants: ele-1
TypeContactPoint(FrContactPoint)
Must Supporttrue
Summarytrue
Requirements

Often practitioners have a dedicated line for each location (or service) that they work at, and need to be able to define separate contact details for each of these.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
cpt-2: A system is required if a value is provided. (value.empty() or system.exists())
SlicingThis element introduces a set of slices on PractitionerRole.telecom. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • profile @ $this.resolve()
120. PractitionerRole.telecom:mailbox-mss
Slice Namemailbox-mss
Definition

Details for all kinds of technology mediated contact points for a person or organization, including telephone, email, etc.

ShortBALs MSS de type PER rattachés à l'identifiant du professionnel de santé ainsi qu'au lieu de sa situation d'exercice (BoiteLettreMSS).
Control0..*
This element is affected by the following invariants: ele-1
TypeContactPoint(AS Mailbox MSS Datatype Profile)
Requirements

Often practitioners have a dedicated line for each location (or service) that they work at, and need to be able to define separate contact details for each of these.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
cpt-2: A system is required if a value is provided. (value.empty() or system.exists())
122. PractitionerRole.telecom:mailbox-mss.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
Typestring
XML FormatIn the XML format, this property is represented as an attribute.
124. PractitionerRole.telecom:mailbox-mss.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
This element is affected by the following invariants: ele-1
TypeExtension
Standards StatusNormative (from Trial Use)
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on PractitionerRole.telecom.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
126. PractitionerRole.telecom:mailbox-mss.extension:emailType
Slice NameemailType
Definition

Optional Extension Element - found in all resources.

ShortType of email | type de messagerie électronique
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..1
This element is affected by the following invariants: ele-1
TypeExtension(FrContactPointEmailType) (Extension Type: Coding)
Standards StatusNormative (from Trial Use)
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
128. PractitionerRole.telecom:mailbox-mss.extension:as-mailbox-mss-metadata
Slice Nameas-mailbox-mss-metadata
Definition

Extension contenant les métadonnées de la mailbox mss.

ShortLes attributs 'responsible' et 'phone' ne sont pas disponibles en accès libre.
Control0..1
This element is affected by the following invariants: ele-1
TypeExtension(AS Mailbox Metadata) (Complex Extension)
Must Supporttrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
130. PractitionerRole.telecom:mailbox-mss.system
Definition

Telecommunications form for contact point - what communications system is required to make use of the contact.

Shortphone | fax | email | pager | url | sms | other
Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Control1..1
This element is affected by the following invariants: ele-1, cpt-2
BindingThe codes SHALL be taken from ContactPointSystem

Telecommunications form for contact point.

Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Pattern Valueemail
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
132. PractitionerRole.telecom:mailbox-mss.value
Definition

The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address).

ShortBoîte Aux Lettres (BAL) MSS
Comments

Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.

Control1..1
This element is affected by the following invariants: ele-1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Requirements

Need to support legacy numbers that are not in a tightly controlled format.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
134. PractitionerRole.telecom:mailbox-mss.use
Definition

Identifies the purpose for the contact point.

Shorthome | work | temp | old | mobile - purpose of this contact point
Comments

Applications can assume that a contact is current unless it explicitly says that it is temporary or old.

Control0..1
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from ContactPointUse

Use of contact point.

Typecode
Is Modifiertrue because This is labeled as &quot;Is Modifier&quot; because applications should not mistake a temporary or old contact etc.for a current/permanent one
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Requirements

Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
136. PractitionerRole.telecom:mailbox-mss.rank
Definition

Specifies a preferred order in which to use a set of contacts. ContactPoints with lower rank values are more preferred than those with higher rank values.

ShortSpecify preferred order of use (1 = highest)
Comments

Note that rank does not necessarily follow the order in which the contacts are represented in the instance.

Control0..1
This element is affected by the following invariants: ele-1
TypepositiveInt
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
138. PractitionerRole.telecom:mailbox-mss.period
Definition

Time period when the contact point was/is in use.

ShortTime period when the contact point was/is in use
Comments

A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times").

Period is not used for a duration (a measure of elapsed time). See Duration.

Control0..1
This element is affected by the following invariants: ele-1
TypePeriod
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
per-1: If present, start SHALL have a lower value than end (start.hasValue().not() or end.hasValue().not() or (start <= end))
140. PractitionerRole.availableTime
Definition

A collection of times the practitioner is available or performing this role at the location and/or healthcareservice.

ShortTimes the Service Site is available
Comments

More detailed availability information may be provided in associated Schedule/Slot resources.

Control0..0
This element is affected by the following invariants: ele-1
TypeBackboneElement
Must Supporttrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
149. PractitionerRole.notAvailable
Definition

The practitioner is not available or performing this role during this period of time due to the provided reason.

ShortNot available during this time due to provided reason
Control0..0
This element is affected by the following invariants: ele-1
TypeBackboneElement
Must Supporttrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
156. PractitionerRole.availabilityExceptions
Definition

A description of site availability exceptions, e.g. public holiday availability. Succinctly describing all possible exceptions to normal site availability as details in the available Times and not available Times.

ShortDescription of availability exceptions
Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Control0..0
This element is affected by the following invariants: ele-1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
158. PractitionerRole.endpoint
Definition

Technical endpoints providing access to services operated for the practitioner with this role.

ShortTechnical endpoints providing access to services operated for the practitioner with this role
Comments

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

Control0..0
This element is affected by the following invariants: ele-1
TypeReference(Endpoint)
Must Supporttrue
Requirements

Organizations have multiple systems that provide various services and ,ay also be different for practitioners too.

So the endpoint satisfies the need to be able to define the technical connection details for how to connect to them, and for what purpose.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ref-1: SHALL have a contained resource if a local reference is provided (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')))