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Annuaire Santé
1.1.0 - final-text France flag

This page is part of the Guide d'implémentation FHIR - Annuaire de santé (v1.1.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Resource Profile: AsPractitionerRoleProfile - Detailed Descriptions

Active as of 2025-04-14

Definitions for the as-practitionerrole resource profile.

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

0. PractitionerRole
2. PractitionerRole.meta
4. PractitionerRole.meta.extension:as-ext-data-trace
Nom de la sliceas-ext-data-trace
Control0..1
TypeExtension(AS Data Trace Extension) (Complex Extension)
Must Supporttrue
6. PractitionerRole.extension:as-ext-practitionerrole-contracted
Nom de la sliceas-ext-practitionerrole-contracted
Control0..1
TypeExtension(AS PractitionerRole Contracted) (Extension Type: CodeableConcept)
Must Supporttrue
8. PractitionerRole.extension:as-ext-practitionerrole-hascas
Nom de la sliceas-ext-practitionerrole-hascas
Control0..1
TypeExtension(AS PractitionerRole Has CAS) (Extension Type: boolean)
Must Supporttrue
10. PractitionerRole.extension:as-ext-practitionerrole-vitale-accepted
Nom de la sliceas-ext-practitionerrole-vitale-accepted
Control0..1
TypeExtension(AS PractitionerRole Vitale Accepted) (Extension Type: boolean)
Must Supporttrue
12. PractitionerRole.identifier
NoteThis is a business identifier, not a resource identifier (see discussion)
Must Supporttrue
SlicingThis element introduces a set of slices on PractitionerRole.identifier. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ system
  • 14. PractitionerRole.identifier:idSituationExercice
    Nom de la sliceidSituationExercice
    ShortIdentifiant d'activité propre au RPPS
    NoteThis is a business identifier, not a resource identifier (see discussion)
    Control0..*
    16. PractitionerRole.identifier:idSituationExercice.system
    Control1..?
    Pattern Valuehttps://rpps.esante.gouv.fr
    18. PractitionerRole.identifier:numeroAm
    Nom de la slicenumeroAm
    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..*
    20. PractitionerRole.identifier:numeroAm.system
    Control1..?
    Pattern Valuehttps://www.ameli.fr
    22. PractitionerRole.active
    ShortLa situation d'exercice est-elle active? (active | inactive) true par défaut; false pour les situations d’exercices supprimées
    Must Supporttrue
    24. PractitionerRole.period
    ShortPériode d'activité de la situation d'exercice.
    Must Supporttrue
    26. PractitionerRole.period.start
    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).
    28. PractitionerRole.period.end
    Short[Donnée restreinte] : Date de fin de l’activité (dateFinActivite).
    30. PractitionerRole.practitioner
    ShortRéférence permettant de lier l’exercice professionnel et la situation d'exercice à un professionnel (Practitioner).
    TypeReference(AS Practitioner Profile)
    Must Supporttrue
    32. PractitionerRole.organization
    ShortRéférence vers l’EG ou EJ de rattachement de la situation d’exercice (Organization)
    TypeReference(AS Organization Profile)
    Must Supporttrue
    34. PractitionerRole.code
    SlicingThis element introduces a set of slices on PractitionerRole.code. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ $this
    • 36. PractitionerRole.code:genreActivite
      Nom de la slicegenreActivite
      ShortLe genre identifiant une activité qui nécessite l’application de règles de gestion spécifiques (Synonyme: genreActivite).
      Control0..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)
      Must Supporttrue
      38. PractitionerRole.code:modeExercice
      Nom de la slicemodeExercice
      ShortLe mode d'exercice décrit selon quelle modalité une activité est exercée au regard de l'organisation de la rétribution du professionnel (Synonyme: modeExercice).
      Control0..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)
      Must Supporttrue
      40. PractitionerRole.code:typeActiviteLiberale
      Nom de la slicetypeActiviteLiberale
      ShortType d’activité libérale, par exemple: Cabinet; Secteur privé à l'hôpital (Synonyme: typeActiviteLiberale).
      Control0..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)
      Must Supporttrue
      42. PractitionerRole.code:statutProfessionnelSSA
      Nom de la slicestatutProfessionnelSSA
      ShortStatut du professionnel du Service de santé des armées (Synonyme: statutProfessionnelSSA).
      Control0..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)
      Must Supporttrue
      44. PractitionerRole.code:statutHospitalier
      Nom de la slicestatutHospitalier
      ShortStatut hospitalier dans le cas d’une activité exercée en établissement public de santé (Synonyme: statutHospitalier).
      Control0..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)
      Must Supporttrue
      46. PractitionerRole.code:fonction
      Nom de la slicefonction
      Shortrole : Fonction du professionnel au sein de la structure d’exercice.
      Control0..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)
      Must Supporttrue
      48. PractitionerRole.code:metierPharmacien
      Nom de la slicemetierPharmacien
      ShortSection/Sous-section du tableau de l’Ordre des pharmaciens (CNOP) (sectionOrdrePharmacien/sousSectionOrdrePharmacien).
      Control0..*
      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)
      Must Supporttrue
      50. PractitionerRole.location
      ShortRéférence vers la location dans PractitionerRole.contained représentant les coordonnées de l'activité (idLocation).
      Must Supporttrue
      52. PractitionerRole.healthcareService
      Must Supporttrue
      54. PractitionerRole.telecom
      Must Supporttrue
      SlicingThis element introduces a set of slices on PractitionerRole.telecom. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ system
      • exists @ extension('https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-contact-point-email-type')
      • 56. PractitionerRole.telecom.system
        58. PractitionerRole.telecom.value
        60. PractitionerRole.telecom.use
        62. PractitionerRole.telecom:mailbox-mss
        Nom de la slicemailbox-mss
        ShortBALs MSS de type PER rattachés à l'identifiant du professionnel de santé ainsi qu'au lieu de sa situation d'exercice (BoiteLettreMSS).
        Control0..*
        TypeContactPoint(AS Mailbox MSS Datatype Profile)
        64. PractitionerRole.availableTime
        Must Supporttrue
        66. PractitionerRole.notAvailable
        Must Supporttrue
        68. PractitionerRole.availabilityExceptions
        Must Supporttrue
        70. PractitionerRole.endpoint
        Must Supporttrue

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

        0. PractitionerRole
        Définition

        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..*
        Is Modifierfalse
        Résuméfalse
        Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.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-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-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
        dom-6: A resource should have narrative for robust management (text.`div`.exists())
        2. PractitionerRole.meta
        Définition

        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
        TypeMeta
        Is Modifierfalse
        Résumétrue
        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
        Nom de la sliceas-ext-data-trace
        Définition

        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
        TypeExtension(AS Data Trace Extension) (Complex Extension)
        Is Modifierfalse
        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.meta.profile
        Définition

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


        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
        Commentaires

        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..*
        Typecanonical(StructureDefinition)
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Résumétrue
        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.meta.profile. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ $this
        • 8. PractitionerRole.meta.profile:fr-canonical
          Nom de la slicefr-canonical
          Définition

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


          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
          Commentaires

          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..1*
          Typecanonical(StructureDefinition)
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Résumétrue
          Pattern Valuehttps://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-practitioner-role
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          10. PractitionerRole.implicitRules
          Définition

          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
          Commentaires

          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
          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
          Résumétrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          12. PractitionerRole.extension:serviceTypeDuration
          Nom de la sliceserviceTypeDuration
          Définition

          This French extension allows to associate the type of service with the duration of this service | Cette extension française permet d'associer le type de service avec la durée de ce service.

          ShortFR Core Service Type Duration Extension
          Control0..*
          This element is affected by the following invariants: ele-1
          TypeExtension(FR Core Service Type Duration Extension) (Complex Extension)
          Is Modifierfalse
          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.extension:as-ext-practitionerrole-contracted
          Nom de la sliceas-ext-practitionerrole-contracted
          Définition

          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
          TypeExtension(AS PractitionerRole Contracted) (Extension Type: CodeableConcept)
          Is Modifierfalse
          Must Supporttrue
          Résuméfalse
          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())
          16. PractitionerRole.extension:as-ext-practitionerrole-hascas
          Nom de la sliceas-ext-practitionerrole-hascas
          Définition

          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
          TypeExtension(AS PractitionerRole Has CAS) (Extension Type: boolean)
          Is Modifierfalse
          Must Supporttrue
          Résuméfalse
          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())
          18. PractitionerRole.extension:as-ext-practitionerrole-vitale-accepted
          Nom de la sliceas-ext-practitionerrole-vitale-accepted
          Définition

          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
          TypeExtension(AS PractitionerRole Vitale Accepted) (Extension Type: boolean)
          Is Modifierfalse
          Must Supporttrue
          Résuméfalse
          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())
          20. PractitionerRole.modifierExtension
          Définition

          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
          Commentaires

          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..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
          Résuméfalse
          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())
          22. PractitionerRole.identifier
          Définition

          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..*
          TypeIdentifier
          Is Modifierfalse
          Must Supporttrue
          Résumétrue
          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 areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ system
          • 24. PractitionerRole.identifier:idSituationExercice
            Nom de la sliceidSituationExercice
            Définition

            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..*
            TypeIdentifier
            Is Modifierfalse
            Résumétrue
            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:idSituationExercice.use
            Définition

            The purpose of this identifier.

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

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

            Control0..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
            Résumétrue
            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:idSituationExercice.system
            Définition

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

            ShortThe namespace for the identifier value
            Commentaires

            Identifier.system is always case sensitive.

            Control10..1
            Typeuri
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Résumétrue
            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 Valuehttps://rpps.esante.gouv.fr
            Exemple<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.identifier:numeroAm
            Nom de la slicenumeroAm
            Définition

            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..*
            TypeIdentifier
            Is Modifierfalse
            Résumétrue
            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()))
            32. PractitionerRole.identifier:numeroAm.use
            Définition

            The purpose of this identifier.

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

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

            Control0..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
            Résumétrue
            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()))
            34. PractitionerRole.identifier:numeroAm.system
            Définition

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

            ShortThe namespace for the identifier value
            Commentaires

            Identifier.system is always case sensitive.

            Control10..1
            Typeuri
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Résumétrue
            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 Valuehttps://www.ameli.fr
            Exemple<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()))
            36. PractitionerRole.active
            Définition

            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
            Commentaires

            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
            Typeboolean
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Must Supporttrue
            Résumétrue
            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()))
            38. PractitionerRole.period
            Définition

            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)
            Control0..1
            TypePeriod
            Is Modifierfalse
            Must Supporttrue
            Résumétrue
            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()))
            40. PractitionerRole.period.start
            Définition

            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
            Commentaires

            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: per-1
            TypedateTime
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Résumétrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            42. PractitionerRole.period.end
            Définition

            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
            Commentaires

            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: per-1
            TypedateTime
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Résumétrue
            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()))
            44. PractitionerRole.practitioner
            Définition

            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
            Control0..1
            TypeReference(AS Practitioner Profile, Practitioner)
            Is Modifierfalse
            Must Supporttrue
            Résumétrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            46. PractitionerRole.organization
            Définition

            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
            Control0..1
            TypeReference(AS Organization Profile, Organization)
            Is Modifierfalse
            Must Supporttrue
            Résumétrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            48. PractitionerRole.code
            Définition

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

            ShortThe role a person plays representing an organization | Rôle (situation d'exercice) du professionnel de santé au sein de l'organisationRoles which this practitioner may perform
            Commentaires

            A person may have more than one role.

            Control0..*
            BindingThe codes SHOULD be taken from For example codes, see FR Core ValueSet PractitionerRole Exercicehttp://hl7.org/fhir/ValueSet/practitioner-role
            (preferred to https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-practitioner-role-exercice)
            TypeCodeableConcept
            Is Modifierfalse
            Résumétrue
            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 areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ $this
            • 50. PractitionerRole.code:genreActivite
              Nom de la slicegenreActivite
              Définition

              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
              Commentaires

              A person may have more than one role.

              Control0..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
              Is Modifierfalse
              Must Supporttrue
              Résumétrue
              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:modeExercice
              Nom de la slicemodeExercice
              Définition

              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
              Commentaires

              A person may have more than one role.

              Control0..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
              Is Modifierfalse
              Must Supporttrue
              Résumétrue
              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:typeActiviteLiberale
              Nom de la slicetypeActiviteLiberale
              Définition

              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
              Commentaires

              A person may have more than one role.

              Control0..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
              Is Modifierfalse
              Must Supporttrue
              Résumétrue
              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:statutProfessionnelSSA
              Nom de la slicestatutProfessionnelSSA
              Définition

              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
              Commentaires

              A person may have more than one role.

              Control0..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
              Is Modifierfalse
              Must Supporttrue
              Résumétrue
              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.code:statutHospitalier
              Nom de la slicestatutHospitalier
              Définition

              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
              Commentaires

              A person may have more than one role.

              Control0..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
              Is Modifierfalse
              Must Supporttrue
              Résumétrue
              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()))
              60. PractitionerRole.code:fonction
              Nom de la slicefonction
              Définition

              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
              Commentaires

              A person may have more than one role.

              Control0..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
              Is Modifierfalse
              Must Supporttrue
              Résumétrue
              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()))
              62. PractitionerRole.code:metierPharmacien
              Nom de la slicemetierPharmacien
              Définition

              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
              Commentaires

              A person may have more than one role.

              Control0..*
              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
              Is Modifierfalse
              Must Supporttrue
              Résumétrue
              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()))
              64. PractitionerRole.location
              Définition

              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
              Control0..*
              TypeReference(FR Core Location Profile, Location)
              Is Modifierfalse
              Must Supporttrue
              Résumétrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              66. PractitionerRole.healthcareService
              Définition

              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)
              Control0..*
              TypeReference(FR Core Healthcare Service Profile, HealthcareService)
              Is Modifierfalse
              Must Supporttrue
              Résuméfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              68. PractitionerRole.telecom
              Définition

              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.

              ShortDetails of a Technology mediated contact point | Coordonnées électroniques détailléesContact details that are specific to the role/location/service
              Control0..*
              This element is affected by the following invariants: ele-1
              TypeContactPoint(FR Core Contact Point Profile)
              Is Modifierfalse
              Must Supporttrue
              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.

              Invariantscpt-2: A system is required if a value is provided. (value.empty() or system.exists())
              ele-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.telecom. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • value @ system
              • exists @ extension('https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-contact-point-email-type')
              • 70. PractitionerRole.telecom.extension:emailType
                Nom de la sliceemailType
                Définition

                Extension on the ContactPoint datatype. This extension allows to specify the type of mail used to contact the person (MSSsanté|Apicrypt|OSM|Autre).

                ShortType of email | type de messagerie électronique
                Control0..1
                TypeExtension(FR Core Contact Point Email Type Extension) (Extension Type: Coding)
                Is Modifierfalse
                Résuméfalse
                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())
                72. PractitionerRole.telecom.system
                Définition

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

                Shortphone | fax | email | pager | url | sms | other
                Control10..1
                This element is affected by the following invariants: cpt-2
                BindingThe codes SHALL be taken from ContactPointSystemhttp://hl7.org/fhir/ValueSet/contact-point-system|4.0.1
                (required to http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1)

                Telecommunications form for contact point.

                Typecode
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Résumétrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                74. PractitionerRole.telecom.value
                Définition

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

                ShortThe actual contact point details
                Commentaires

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

                Control10..1
                Typestring
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Résumétrue
                Requirements

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

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

                Identifies the purpose for the contact point.

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

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

                Control0..1
                BindingThe codes SHALL be taken from ContactPointUsehttp://hl7.org/fhir/ValueSet/contact-point-use|4.0.1
                (required to http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1)

                Use of contact point.

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

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

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                78. PractitionerRole.telecom:mailbox-mss
                Nom de la slicemailbox-mss
                Définition

                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)
                Is Modifierfalse
                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.

                Invariantscpt-2: A system is required if a value is provided. (value.empty() or system.exists())
                ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                80. PractitionerRole.availableTime
                Définition

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

                ShortTimes the Service Site is available
                Commentaires

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

                Control0..*
                TypeBackboneElement
                Is Modifierfalse
                Must Supporttrue
                Résuméfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                82. PractitionerRole.availableTime.modifierExtension
                Définition

                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained 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 can 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 even if unrecognized
                Commentaires

                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..*
                TypeExtension
                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                Résumétrue
                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, modifiers
                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())
                84. PractitionerRole.notAvailable
                Définition

                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..*
                TypeBackboneElement
                Is Modifierfalse
                Must Supporttrue
                Résuméfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                86. PractitionerRole.notAvailable.modifierExtension
                Définition

                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained 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 can 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 even if unrecognized
                Commentaires

                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..*
                TypeExtension
                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                Résumétrue
                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, modifiers
                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())
                88. PractitionerRole.notAvailable.description
                Définition

                The reason that can be presented to the user as to why this time is not available.

                ShortReason presented to the user explaining why time not available
                Control1..1
                Typestring
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Résuméfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                90. PractitionerRole.availabilityExceptions
                Définition

                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
                Control0..1
                Typestring
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supporttrue
                Résuméfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                92. PractitionerRole.endpoint
                Définition

                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
                Control0..*
                TypeReference(Endpoint)
                Is Modifierfalse
                Must Supporttrue
                Résuméfalse
                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()))

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

                0. PractitionerRole
                Définition

                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..*
                Is Modifierfalse
                Résuméfalse
                Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.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-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-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
                dom-6: A resource should have narrative for robust management (text.`div`.exists())
                2. PractitionerRole.id
                Définition

                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
                Commentaires

                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
                Is Modifierfalse
                Résumétrue
                4. PractitionerRole.meta
                Définition

                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
                TypeMeta
                Is Modifierfalse
                Résumétrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                6. PractitionerRole.meta.id
                Définition

                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
                Is Modifierfalse
                XML FormatIn the XML format, this property is represented as an attribute.
                Résuméfalse
                8. PractitionerRole.meta.extension
                Définition

                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
                Commentaires

                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..*
                TypeExtension
                Is Modifierfalse
                Résuméfalse
                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 areUnordered and Open, and can be differentiated using the following discriminators:
                • value @ url
                • 10. PractitionerRole.meta.extension:as-ext-data-trace
                  Nom de la sliceas-ext-data-trace
                  Définition

                  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
                  TypeExtension(AS Data Trace Extension) (Complex Extension)
                  Is Modifierfalse
                  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
                  Définition

                  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
                  Commentaires

                  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
                  Typeid
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Résumétrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  14. PractitionerRole.meta.lastUpdated
                  Définition

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

                  ShortWhen the resource version last changed
                  Commentaires

                  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
                  Typeinstant
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Résumétrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  16. PractitionerRole.meta.source
                  Définition

                  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
                  Commentaires

                  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
                  Typeuri
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Résumétrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  18. PractitionerRole.meta.profile
                  Définition

                  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
                  Commentaires

                  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..*
                  Typecanonical(StructureDefinition)
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Résumétrue
                  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.meta.profile. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                  • value @ $this
                  • 20. PractitionerRole.meta.profile:fr-canonical
                    Nom de la slicefr-canonical
                    Définition

                    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
                    Commentaires

                    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..1
                    Typecanonical(StructureDefinition)
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Résumétrue
                    Pattern Valuehttps://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-practitioner-role
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    22. PractitionerRole.meta.security
                    Définition

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

                    ShortSecurity Labels applied to this resource
                    Commentaires

                    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..*
                    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
                    Is Modifierfalse
                    Résumétrue
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    24. PractitionerRole.meta.tag
                    Définition

                    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
                    Commentaires

                    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..*
                    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
                    Is Modifierfalse
                    Résumétrue
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    26. PractitionerRole.implicitRules
                    Définition

                    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
                    Commentaires

                    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
                    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
                    Résumétrue
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    28. PractitionerRole.language
                    Définition

                    The base language in which the resource is written.

                    ShortLanguage of the resource content
                    Commentaires

                    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
                    BindingThe codes SHOULD be taken from CommonLanguages
                    (preferred to http://hl7.org/fhir/ValueSet/languages)

                    A human language.

                    Bindings AdditionnelsBut
                    AllLanguagesBinding Max
                    Typecode
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Résuméfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    30. PractitionerRole.text
                    Définition

                    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
                    Commentaires

                    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
                    TypeNarrative
                    Is Modifierfalse
                    Résuméfalse
                    Alternate Namesnarrative, html, xhtml, display
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    32. PractitionerRole.contained
                    Définition

                    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
                    Commentaires

                    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
                    Is Modifierfalse
                    Résuméfalse
                    Alternate Namesinline resources, anonymous resources, contained resources
                    34. PractitionerRole.extension
                    Définition

                    An Extension

                    ShortExtension
                    Control0..*
                    TypeExtension
                    Is Modifierfalse
                    Résuméfalse
                    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 areUnordered and Open, and can be differentiated using the following discriminators:
                    • value @ url
                    • 36. PractitionerRole.extension:serviceTypeDuration
                      Nom de la sliceserviceTypeDuration
                      Définition

                      This French extension allows to associate the type of service with the duration of this service | Cette extension française permet d'associer le type de service avec la durée de ce service.

                      ShortFR Core Service Type Duration Extension
                      Control0..*
                      This element is affected by the following invariants: ele-1
                      TypeExtension(FR Core Service Type Duration Extension) (Complex Extension)
                      Is Modifierfalse
                      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-contracted
                      Nom de la sliceas-ext-practitionerrole-contracted
                      Définition

                      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
                      TypeExtension(AS PractitionerRole Contracted) (Extension Type: CodeableConcept)
                      Is Modifierfalse
                      Must Supporttrue
                      Résuméfalse
                      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.extension:as-ext-practitionerrole-hascas
                      Nom de la sliceas-ext-practitionerrole-hascas
                      Définition

                      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
                      TypeExtension(AS PractitionerRole Has CAS) (Extension Type: boolean)
                      Is Modifierfalse
                      Must Supporttrue
                      Résuméfalse
                      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())
                      42. PractitionerRole.extension:as-ext-practitionerrole-vitale-accepted
                      Nom de la sliceas-ext-practitionerrole-vitale-accepted
                      Définition

                      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
                      TypeExtension(AS PractitionerRole Vitale Accepted) (Extension Type: boolean)
                      Is Modifierfalse
                      Must Supporttrue
                      Résuméfalse
                      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())
                      44. PractitionerRole.modifierExtension
                      Définition

                      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
                      Commentaires

                      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..*
                      TypeExtension
                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
                      Résuméfalse
                      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())
                      46. PractitionerRole.identifier
                      Définition

                      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..*
                      TypeIdentifier
                      Is Modifierfalse
                      Must Supporttrue
                      Résumétrue
                      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 areUnordered and Open, and can be differentiated using the following discriminators:
                      • value @ system
                      • 48. PractitionerRole.identifier:idSituationExercice
                        Nom de la sliceidSituationExercice
                        Définition

                        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..*
                        TypeIdentifier
                        Is Modifierfalse
                        Résumétrue
                        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()))
                        50. PractitionerRole.identifier:idSituationExercice.id
                        Définition

                        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
                        Is Modifierfalse
                        XML FormatIn the XML format, this property is represented as an attribute.
                        Résuméfalse
                        52. PractitionerRole.identifier:idSituationExercice.extension
                        Définition

                        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
                        Commentaires

                        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..*
                        TypeExtension
                        Is Modifierfalse
                        Résuméfalse
                        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 areUnordered and Open, and can be differentiated using the following discriminators:
                        • value @ url
                        • 54. PractitionerRole.identifier:idSituationExercice.use
                          Définition

                          The purpose of this identifier.

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

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

                          Control0..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
                          Résumétrue
                          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()))
                          56. PractitionerRole.identifier:idSituationExercice.type
                          Définition

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

                          ShortDescription of identifier
                          Commentaires

                          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
                          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
                          Is Modifierfalse
                          Résumétrue
                          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()))
                          58. PractitionerRole.identifier:idSituationExercice.system
                          Définition

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

                          ShortThe namespace for the identifier value
                          Commentaires

                          Identifier.system is always case sensitive.

                          Control1..1
                          Typeuri
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Résumétrue
                          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 Valuehttps://rpps.esante.gouv.fr
                          Exemple<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()))
                          60. PractitionerRole.identifier:idSituationExercice.value
                          Définition

                          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
                          Commentaires

                          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
                          Typestring
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Résumétrue
                          Exemple<br/><b>General</b>:123456
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          62. PractitionerRole.identifier:idSituationExercice.period
                          Définition

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

                          ShortTime period when id is/was valid for use
                          Control0..1
                          TypePeriod
                          Is Modifierfalse
                          Résumétrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          64. PractitionerRole.identifier:idSituationExercice.assigner
                          Définition

                          Organization that issued/manages the identifier.

                          ShortOrganization that issued id (may be just text)
                          Commentaires

                          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
                          TypeReference(Organization)
                          Is Modifierfalse
                          Résumétrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          66. PractitionerRole.identifier:numeroAm
                          Nom de la slicenumeroAm
                          Définition

                          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..*
                          TypeIdentifier
                          Is Modifierfalse
                          Résumétrue
                          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()))
                          68. PractitionerRole.identifier:numeroAm.id
                          Définition

                          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
                          Is Modifierfalse
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Résuméfalse
                          70. PractitionerRole.identifier:numeroAm.extension
                          Définition

                          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
                          Commentaires

                          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..*
                          TypeExtension
                          Is Modifierfalse
                          Résuméfalse
                          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 areUnordered and Open, and can be differentiated using the following discriminators:
                          • value @ url
                          • 72. PractitionerRole.identifier:numeroAm.use
                            Définition

                            The purpose of this identifier.

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

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

                            Control0..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
                            Résumétrue
                            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()))
                            74. PractitionerRole.identifier:numeroAm.type
                            Définition

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

                            ShortDescription of identifier
                            Commentaires

                            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
                            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
                            Is Modifierfalse
                            Résumétrue
                            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()))
                            76. PractitionerRole.identifier:numeroAm.system
                            Définition

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

                            ShortThe namespace for the identifier value
                            Commentaires

                            Identifier.system is always case sensitive.

                            Control1..1
                            Typeuri
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Résumétrue
                            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 Valuehttps://www.ameli.fr
                            Exemple<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()))
                            78. PractitionerRole.identifier:numeroAm.value
                            Définition

                            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
                            Commentaires

                            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
                            Typestring
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Résumétrue
                            Exemple<br/><b>General</b>:123456
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            80. PractitionerRole.identifier:numeroAm.period
                            Définition

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

                            ShortTime period when id is/was valid for use
                            Control0..1
                            TypePeriod
                            Is Modifierfalse
                            Résumétrue
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            82. PractitionerRole.identifier:numeroAm.assigner
                            Définition

                            Organization that issued/manages the identifier.

                            ShortOrganization that issued id (may be just text)
                            Commentaires

                            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
                            TypeReference(Organization)
                            Is Modifierfalse
                            Résumétrue
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            84. PractitionerRole.active
                            Définition

                            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
                            Commentaires

                            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
                            Typeboolean
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Must Supporttrue
                            Résumétrue
                            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()))
                            86. PractitionerRole.period
                            Définition

                            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.
                            Control0..1
                            TypePeriod
                            Is Modifierfalse
                            Must Supporttrue
                            Résumétrue
                            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()))
                            88. PractitionerRole.period.id
                            Définition

                            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
                            Is Modifierfalse
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Résuméfalse
                            90. PractitionerRole.period.extension
                            Définition

                            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
                            Commentaires

                            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..*
                            TypeExtension
                            Is Modifierfalse
                            Résuméfalse
                            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 areUnordered and Open, and can be differentiated using the following discriminators:
                            • value @ url
                            • 92. PractitionerRole.period.start
                              Définition

                              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).
                              Commentaires

                              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: per-1
                              TypedateTime
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Résumétrue
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              94. PractitionerRole.period.end
                              Définition

                              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).
                              Commentaires

                              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: per-1
                              TypedateTime
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Résumétrue
                              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()))
                              96. PractitionerRole.practitioner
                              Définition

                              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).
                              Control0..1
                              TypeReference(AS Practitioner Profile)
                              Is Modifierfalse
                              Must Supporttrue
                              Résumétrue
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              98. PractitionerRole.organization
                              Définition

                              The organization where the Practitioner performs the roles associated.

                              ShortRéférence vers l’EG ou EJ de rattachement de la situation d’exercice (Organization)
                              Control0..1
                              TypeReference(AS Organization Profile)
                              Is Modifierfalse
                              Must Supporttrue
                              Résumétrue
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              100. PractitionerRole.code
                              Définition

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

                              ShortThe role a person plays representing an organization | Rôle (situation d'exercice) du professionnel de santé au sein de l'organisation
                              Commentaires

                              A person may have more than one role.

                              Control0..*
                              BindingThe codes SHOULD be taken from FR Core ValueSet PractitionerRole Exercice
                              (preferred to https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-practitioner-role-exercice)
                              TypeCodeableConcept
                              Is Modifierfalse
                              Résumétrue
                              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 areUnordered and Open, and can be differentiated using the following discriminators:
                              • value @ $this
                              • 102. PractitionerRole.code:genreActivite
                                Nom de la slicegenreActivite
                                Définition

                                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).
                                Commentaires

                                A person may have more than one role.

                                Control0..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
                                Is Modifierfalse
                                Must Supporttrue
                                Résumétrue
                                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:modeExercice
                                Nom de la slicemodeExercice
                                Définition

                                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).
                                Commentaires

                                A person may have more than one role.

                                Control0..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
                                Is Modifierfalse
                                Must Supporttrue
                                Résumétrue
                                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:typeActiviteLiberale
                                Nom de la slicetypeActiviteLiberale
                                Définition

                                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).
                                Commentaires

                                A person may have more than one role.

                                Control0..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
                                Is Modifierfalse
                                Must Supporttrue
                                Résumétrue
                                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:statutProfessionnelSSA
                                Nom de la slicestatutProfessionnelSSA
                                Définition

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

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

                                A person may have more than one role.

                                Control0..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
                                Is Modifierfalse
                                Must Supporttrue
                                Résumétrue
                                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:statutHospitalier
                                Nom de la slicestatutHospitalier
                                Définition

                                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).
                                Commentaires

                                A person may have more than one role.

                                Control0..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
                                Is Modifierfalse
                                Must Supporttrue
                                Résumétrue
                                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.code:fonction
                                Nom de la slicefonction
                                Définition

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

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

                                A person may have more than one role.

                                Control0..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
                                Is Modifierfalse
                                Must Supporttrue
                                Résumétrue
                                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()))
                                114. PractitionerRole.code:metierPharmacien
                                Nom de la slicemetierPharmacien
                                Définition

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

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

                                A person may have more than one role.

                                Control0..*
                                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
                                Is Modifierfalse
                                Must Supporttrue
                                Résumétrue
                                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()))
                                116. PractitionerRole.specialty
                                Définition

                                Specific specialty of the practitioner.

                                ShortSpecific specialty associated with the organization | spécialité ordinale du professionnel de santé au sein de l'organisation
                                Control0..*
                                BindingThe codes SHALL be taken from FR Core ValueSet Practitioner specialty
                                (required to https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-practitioner-specialty)
                                TypeCodeableConcept
                                Is Modifierfalse
                                Résumétrue
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                118. PractitionerRole.location
                                Définition

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

                                ShortRéférence vers la location dans PractitionerRole.contained représentant les coordonnées de l'activité (idLocation).
                                Control0..*
                                TypeReference(FR Core Location Profile)
                                Is Modifierfalse
                                Must Supporttrue
                                Résumétrue
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                120. PractitionerRole.healthcareService
                                Définition

                                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)
                                Control0..*
                                TypeReference(FR Core Healthcare Service Profile)
                                Is Modifierfalse
                                Must Supporttrue
                                Résuméfalse
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                122. PractitionerRole.telecom
                                Définition

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

                                ShortDetails of a Technology mediated contact point | Coordonnées électroniques détaillées
                                Control0..*
                                This element is affected by the following invariants: ele-1
                                TypeContactPoint(FR Core Contact Point Profile)
                                Is Modifierfalse
                                Must Supporttrue
                                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.

                                Invariantscpt-2: A system is required if a value is provided. (value.empty() or system.exists())
                                ele-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.telecom. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                • value @ system
                                • exists @ extension('https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-contact-point-email-type')
                                • 124. PractitionerRole.telecom.id
                                  Définition

                                  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
                                  Is Modifierfalse
                                  XML FormatIn the XML format, this property is represented as an attribute.
                                  Résuméfalse
                                  126. PractitionerRole.telecom.extension
                                  Définition

                                  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
                                  Commentaires

                                  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..*
                                  TypeExtension
                                  Is Modifierfalse
                                  Résuméfalse
                                  Alternate Namesextensions, user content
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                  SlicingThis element introduces a set of slices on PractitionerRole.telecom.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                  • value @ url
                                  • 128. PractitionerRole.telecom.extension:emailType
                                    Nom de la sliceemailType
                                    Définition

                                    Extension on the ContactPoint datatype. This extension allows to specify the type of mail used to contact the person (MSSsanté|Apicrypt|OSM|Autre).

                                    ShortType of email | type de messagerie électronique
                                    Control0..1
                                    TypeExtension(FR Core Contact Point Email Type Extension) (Extension Type: Coding)
                                    Is Modifierfalse
                                    Résuméfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                    130. PractitionerRole.telecom.system
                                    Définition

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

                                    Shortphone | fax | email | pager | url | sms | other
                                    Control1..1
                                    This element is affected by the following invariants: cpt-2
                                    BindingThe codes SHALL be taken from ContactPointSystem
                                    (required to http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1)

                                    Telecommunications form for contact point.

                                    Typecode
                                    Is Modifierfalse
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    Résumétrue
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    132. PractitionerRole.telecom.value
                                    Définition

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

                                    ShortThe actual contact point details
                                    Commentaires

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

                                    Control1..1
                                    Typestring
                                    Is Modifierfalse
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    Résumétrue
                                    Requirements

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

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

                                    Identifies the purpose for the contact point.

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

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

                                    Control0..1
                                    BindingThe codes SHALL be taken from ContactPointUse
                                    (required to http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1)

                                    Use of contact point.

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

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

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

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

                                    ShortSpecify preferred order of use (1 = highest)
                                    Commentaires

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

                                    Control0..1
                                    TypepositiveInt
                                    Is Modifierfalse
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    Résumétrue
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    138. PractitionerRole.telecom.period
                                    Définition

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

                                    ShortTime period when the contact point was/is in use
                                    Control0..1
                                    TypePeriod
                                    Is Modifierfalse
                                    Résumétrue
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    140. PractitionerRole.telecom:mailbox-mss
                                    Nom de la slicemailbox-mss
                                    Définition

                                    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)
                                    Is Modifierfalse
                                    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.

                                    Invariantscpt-2: A system is required if a value is provided. (value.empty() or system.exists())
                                    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    142. PractitionerRole.availableTime
                                    Définition

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

                                    ShortTimes the Service Site is available
                                    Commentaires

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

                                    Control0..*
                                    TypeBackboneElement
                                    Is Modifierfalse
                                    Must Supporttrue
                                    Résuméfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    144. PractitionerRole.availableTime.id
                                    Définition

                                    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
                                    Is Modifierfalse
                                    XML FormatIn the XML format, this property is represented as an attribute.
                                    Résuméfalse
                                    146. PractitionerRole.availableTime.extension
                                    Définition

                                    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
                                    Commentaires

                                    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..*
                                    TypeExtension
                                    Is Modifierfalse
                                    Résuméfalse
                                    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())
                                    148. PractitionerRole.availableTime.modifierExtension
                                    Définition

                                    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained 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 can 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 even if unrecognized
                                    Commentaires

                                    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..*
                                    TypeExtension
                                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                    Résumétrue
                                    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, modifiers
                                    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())
                                    150. PractitionerRole.availableTime.daysOfWeek
                                    Définition

                                    Indicates which days of the week are available between the start and end Times.

                                    Shortmon | tue | wed | thu | fri | sat | sun
                                    Control0..*
                                    BindingThe codes SHALL be taken from DaysOfWeek
                                    (required to http://hl7.org/fhir/ValueSet/days-of-week|4.0.1)

                                    The days of the week.

                                    Typecode
                                    Is Modifierfalse
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    Résuméfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    152. PractitionerRole.availableTime.allDay
                                    Définition

                                    Is this always available? (hence times are irrelevant) e.g. 24 hour service.

                                    ShortAlways available? e.g. 24 hour service
                                    Control0..1
                                    Typeboolean
                                    Is Modifierfalse
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    Résuméfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    154. PractitionerRole.availableTime.availableStartTime
                                    Définition

                                    The opening time of day. Note: If the AllDay flag is set, then this time is ignored.

                                    ShortOpening time of day (ignored if allDay = true)
                                    Commentaires

                                    The timezone is expected to be for where this HealthcareService is provided at.

                                    Control0..1
                                    Typetime
                                    Is Modifierfalse
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    Résuméfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    156. PractitionerRole.availableTime.availableEndTime
                                    Définition

                                    The closing time of day. Note: If the AllDay flag is set, then this time is ignored.

                                    ShortClosing time of day (ignored if allDay = true)
                                    Commentaires

                                    The timezone is expected to be for where this HealthcareService is provided at.

                                    Control0..1
                                    Typetime
                                    Is Modifierfalse
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    Résuméfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    158. PractitionerRole.notAvailable
                                    Définition

                                    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..*
                                    TypeBackboneElement
                                    Is Modifierfalse
                                    Must Supporttrue
                                    Résuméfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    160. PractitionerRole.notAvailable.id
                                    Définition

                                    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
                                    Is Modifierfalse
                                    XML FormatIn the XML format, this property is represented as an attribute.
                                    Résuméfalse
                                    162. PractitionerRole.notAvailable.extension
                                    Définition

                                    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
                                    Commentaires

                                    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..*
                                    TypeExtension
                                    Is Modifierfalse
                                    Résuméfalse
                                    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())
                                    164. PractitionerRole.notAvailable.modifierExtension
                                    Définition

                                    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained 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 can 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 even if unrecognized
                                    Commentaires

                                    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..*
                                    TypeExtension
                                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                    Résumétrue
                                    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, modifiers
                                    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())
                                    166. PractitionerRole.notAvailable.description
                                    Définition

                                    The reason that can be presented to the user as to why this time is not available.

                                    ShortReason presented to the user explaining why time not available
                                    Control1..1
                                    Typestring
                                    Is Modifierfalse
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    Résuméfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    168. PractitionerRole.notAvailable.during
                                    Définition

                                    Service is not available (seasonally or for a public holiday) from this date.

                                    ShortService not available from this date
                                    Control0..1
                                    TypePeriod
                                    Is Modifierfalse
                                    Résuméfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    170. PractitionerRole.availabilityExceptions
                                    Définition

                                    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
                                    Control0..1
                                    Typestring
                                    Is Modifierfalse
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    Must Supporttrue
                                    Résuméfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    172. PractitionerRole.endpoint
                                    Définition

                                    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
                                    Control0..*
                                    TypeReference(Endpoint)
                                    Is Modifierfalse
                                    Must Supporttrue
                                    Résuméfalse
                                    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()))