Annuaire Santé
1.0.0-ballot-4 - trial-use France flag

This page is part of the Guide d'implémentation FHIR - Annuaire de santé (v1.0.0-ballot-4: 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 2024-04-02

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.specialty
Control0..0
10. PractitionerRole.healthcareService
Control0..0
12. PractitionerRole.availableTime
Control0..0
14. PractitionerRole.notAvailable
Control0..0
16. PractitionerRole.availabilityExceptions
Control0..0
18. 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 (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
      (required to http://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
      (required to http://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()))
      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
      (example to http://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
        (required to https://mos.esante.gouv.fr/NOS/JDV_J94-GenreActivite-RASS/FHIR/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()))
        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
        (required to https://mos.esante.gouv.fr/NOS/JDV_J95-ModeExercice-RASS/FHIR/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()))
        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
        (required to https://mos.esante.gouv.fr/NOS/JDV_J96-TypeActiviteLiberale-RASS/FHIR/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()))
        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
        (required to https://mos.esante.gouv.fr/NOS/JDV_J97-StatutProfessionnelSSA-RASS/FHIR/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()))
        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
        (required to https://mos.esante.gouv.fr/NOS/JDV_J98-StatutHospitalier-RASS/FHIR/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()))
        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
        (required to https://mos.esante.gouv.fr/NOS/JDV_J108-EnsembleFonction-RASS/FHIR/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()))
        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
        (required to https://mos.esante.gouv.fr/NOS/JDV_J73-MetierPharmacien-RASS/FHIR/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()))
        58. 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..0*
        This element is affected by the following invariants: ele-1
        BindingThe codes SHOULD be taken from PracticeSettingCodeValueSethttp://hl7.org/fhir/ValueSet/c80-practice-codes
        (preferred to http://hl7.org/fhir/ValueSet/c80-practice-codes)

        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()))
        60. 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')))
        62. 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')))
        64. 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()
        • 66. 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())
          68. 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()))
          71. 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()))
          75. 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()))
          77. 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
            (extensible to http://hl7.org/fhir/ValueSet/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
            (example to http://hl7.org/fhir/ValueSet/common-tags)

            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
            (preferred to http://hl7.org/fhir/ValueSet/languages)

            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 (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
                    (required to http://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()))
                    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
                    (extensible to http://hl7.org/fhir/ValueSet/identifier-type)

                    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
                      (required to http://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()))
                      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
                      (extensible to http://hl7.org/fhir/ValueSet/identifier-type)

                      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
                        (example to http://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
                        • 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
                          (required to https://mos.esante.gouv.fr/NOS/JDV_J94-GenreActivite-RASS/FHIR/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
                          (required to https://mos.esante.gouv.fr/NOS/JDV_J95-ModeExercice-RASS/FHIR/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
                          (required to https://mos.esante.gouv.fr/NOS/JDV_J96-TypeActiviteLiberale-RASS/FHIR/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
                          (required to https://mos.esante.gouv.fr/NOS/JDV_J97-StatutProfessionnelSSA-RASS/FHIR/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
                          (required to https://mos.esante.gouv.fr/NOS/JDV_J98-StatutHospitalier-RASS/FHIR/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
                          (required to https://mos.esante.gouv.fr/NOS/JDV_J108-EnsembleFonction-RASS/FHIR/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
                          (required to https://mos.esante.gouv.fr/NOS/JDV_J73-MetierPharmacien-RASS/FHIR/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..0
                          This element is affected by the following invariants: ele-1
                          BindingThe codes SHOULD be taken from PracticeSettingCodeValueSet
                          (preferred to http://hl7.org/fhir/ValueSet/c80-practice-codes)

                          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.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()))
                            131. 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()))
                            138. 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()))
                            140. 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')))