Répertoire national de l’Offre et des Ressources en santé et accompagnement médico-social
0.2.0 - trial-use France flag

This page is part of the Répertoire national de l’Offre et des Ressources en santé et accompagnement médico-social (v0.2.0: Release) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 0.5.0. For a full list of available versions, see the Directory of published versions

Resource Profile: RORPractitionerRole - Detailed Descriptions

Active as of 2024-01-12

Definitions for the ror-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.lastUpdated
Control1..?
6. PractitionerRole.meta.tag
SlicingThis element introduces a set of slices on PractitionerRole.meta.tag. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
8. PractitionerRole.meta.tag:codeRegion
Slice NamecodeRegion
Control0..1
BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J237-RegionOM-ROR/FHIR/JDV-J237-RegionOM-ROR
10. PractitionerRole.extension
Control2..?
12. PractitionerRole.extension:ror-practitionerrole-unit-exercise-mode
Slice Nameror-practitionerrole-unit-exercise-mode
ShortmodeExerciceOffre (SituationOperationnelle) : statut du professionnel lorsqu'il exerce dans le cadre de l'offre décrite
Control1..1
TypeExtension(RORPractitionerRoleUnitExerciseMode) (Extension Type: CodeableConcept)
14. PractitionerRole.extension:ror-practitionerrole-name
Slice Nameror-practitionerrole-name
ShortciviliteExercie + nomExercice + prenomExercice (ExerciceProfessionnel)
Control0..1
TypeExtension(RORPractitionerRoleName) (Complex Extension)
16. PractitionerRole.extension:contracted
Slice Namecontracted
ShortsecteurConventionnement (SituationOperationnelle) : Secteur de conventionnement du professionnel libéral auquel il a adhéré auprès de l'Assurance Maladie
Control0..1
TypeExtension(PractitionerRoleContracted) (Extension Type: CodeableConcept)
18. PractitionerRole.extension:contracted.extension
Control0..0
20. PractitionerRole.extension:contracted.value[x]
BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J218-CNAMAmeliSecteurConventionnement-ROR/FHIR/JDV-J218-CNAMAmeliSecteurConventionnement-ROR

JDV_J218-CNAMAmeliSecteurConventionnement-RASS dérivé de la TRE_ R282-CNAMAmeliSecteurConventionnement

[x] NoteSee Choice of Data Types for further information about how to use [x]
22. PractitionerRole.extension:optionCAS
Slice NameoptionCAS
ShortoptionContratAccèsAuxSoins (SituationOperationnelle) : L'Option pratique tarifaire maîtrisée (OPTAM) a remplacé le Contrat d'accès aux soins (CAS) en 2017
Control0..1
TypeExtension(PractitionerRoleHasCAS) (Extension Type: boolean)
24. PractitionerRole.extension:vitalAccepted
Slice NamevitalAccepted
ShortcarteVitaleAcceptee (SituationOperationnelle) : Précise 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(PractitionerRoleVitaleAccepted) (Extension Type: boolean)
26. PractitionerRole.extension:ror-meta-creation-date
Slice Nameror-meta-creation-date
ShortdateCreation (Metadonnee)
Control1..1
TypeExtension(RORMetaCreationDate) (Extension Type: dateTime)
28. PractitionerRole.extension:ror-meta-comment
Slice Nameror-meta-comment
Shortcommentaire (Metadonnee)
Control0..1
TypeExtension(RORMetaComment) (Extension Type: string)
30. PractitionerRole.identifier
ShortidentifiantSituationOperationnelle (SituationOperationnelle) : Identifiant de la situation opérationnelle, unique et persistant au niveau national
NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..1
32. PractitionerRole.practitioner
Control1..?
34. PractitionerRole.code
Shortprofession (ExerciceProfessionnel) : Profession exercée ou future profession de l'étudiant
Control1..1
BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J229-ProfessionSante-ROR/FHIR/JDV-J229-ProfessionSante-ROR
36. PractitionerRole.specialty
Control1..?
SlicingThis element introduces a set of slices on PractitionerRole.specialty. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
38. PractitionerRole.specialty:expertiseType
Slice NameexpertiseType
ShorttypeSavoirFaire (SavoirFaire) : Type de savoir-faire (qualifications/autres attributions)
Control1..1
BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J209-TypeSavoirFaire-ROR/FHIR/JDV-J209-TypeSavoirFaire-ROR
40. PractitionerRole.specialty:specialty
Slice Namespecialty
Shortspecialite (SavoirFaire) : Spécialité ordinale
Control0..1
BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J210-SpecialiteOrdinale-ROR/FHIR/JDV-J210-SpecialiteOrdinale-ROR
42. PractitionerRole.specialty:competence
Slice Namecompetence
Shortcompetence (SavoirFaire) : Compétence acquise par le professionnel
Control0..1
BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J232-Competence-ROR/FHIR/JDV-J232-Competence-ROR
44. PractitionerRole.specialty:exclusiveCompetence
Slice NameexclusiveCompetence
ShortcompetenceExclusive (SavoirFaire) : Compétence exclusive
Control0..1
BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J211-CompetenceExclusive-ROR/FHIR/JDV-J211-CompetenceExclusive-ROR
46. PractitionerRole.specialty:specificOrientation
Slice NamespecificOrientation
ShortorientationParticuliere (SavoirFaire) : Orientation particulière
Control0..1
BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J212-OrientationParticuliere-ROR/FHIR/JDV-J212-OrientationParticuliere-ROR
48. PractitionerRole.specialty:expertiseCapacity
Slice NameexpertiseCapacity
Shortcapacite (SavoirFaire) : Capacité de médecine
Control0..1
BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J213-CapaciteSavoirFaire-ROR/FHIR/JDV-J213-CapaciteSavoirFaire-ROR
50. PractitionerRole.specialty:qualificationPAC
Slice NamequalificationPAC
ShortqualificationPAC (SavoirFaire) : Qualification de praticien adjoint contractuel
Control0..1
BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J214-QualificationPAC-ROR/FHIR/JDV-J214-QualificationPAC-ROR
52. PractitionerRole.specialty:nonQualifyingDESC
Slice NamenonQualifyingDESC
ShortDESCNonQualifiant (SavoirFaire) : Diplôme d'études spécialisées complémentaires (DESC)
Control0..1
BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J215-DESCnonQualifiant-ROR/FHIR/JDV-J215-DESCnonQualifiant-ROR
54. PractitionerRole.specialty:supplementaryExerciseRight
Slice NamesupplementaryExerciseRight
ShortdroitExerciceComplémentaire (SavoirFaire) : Droit d'exercice complémentaire du professionnel
Control0..1
BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J216-DroitExerciceCompl-ROR/FHIR/JDV-J216-DroitExerciceCompl-ROR
56. PractitionerRole.specialty:specificCompetence
Slice NamespecificCompetence
ShortcompetenceSpecifique (SituationOperationnelle) : Capacité ou connaissance reconnue qui permet ou facilite l’accueil d’une personne
Control0..*
BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J33-CompetenceSpecifique-ROR/FHIR/JDV-J33-CompetenceSpecifique-ROR
58. PractitionerRole.healthcareService
Control1..1
60. PractitionerRole.telecom
Shorttelecommunication (SituationOperationnelle) : Adresse(s) de télécommunication du professionnel dans le cadre de l'offre décrite
Control0..1
62. PractitionerRole.telecom.extension
Control2..?
64. PractitionerRole.telecom.extension:ror-telecom-communication-channel
Slice Nameror-telecom-communication-channel
Shortcanal (Telecommunication) : Code spécifiant le canal ou la manière dont s'établit la communication
Control1..1
TypeExtension(RORTelecomCommunicationChannel) (Extension Type: CodeableConcept)
66. PractitionerRole.telecom.extension:ror-telecom-usage
Slice Nameror-telecom-usage
Shortutilisation (Telecommunication) : Utilisation du canal de communication
Control0..1
TypeExtension(RORTelecomUsage) (Extension Type: string)
68. PractitionerRole.telecom.extension:ror-telecom-confidentiality-level
Slice Nameror-telecom-confidentiality-level
ShortniveauConfidentialite (Telecommunication) : niveau de restriction de l'accès aux attributs de la classe Télécommunication
Control1..1
TypeExtension(RORTelecomConfidentialityLevel) (Extension Type: CodeableConcept)
70. PractitionerRole.telecom.value
ShortadresseTelecom (Telecommunication) : Valeur de l'adresse de télécommunication dans le format induit par le canal de communication
Control1..?
72. PractitionerRole.availableTime
ShortprecisionHoraire (SituationOperationnelle) : planning d'activité du professionnel
Control0..1
74. PractitionerRole.availableTime.extension:ror-available-time-type-of-time
Slice Nameror-available-time-type-of-time
ShorttypePlageHoraire (Horaire) : Apporte un contexte à la plage horaire définie par la suite
Control0..1
TypeExtension(RORAvailableTimeTypeOfTime) (Extension Type: CodeableConcept)
76. PractitionerRole.availableTime.extension:ror-available-time-effective-opening-closing-date
Slice Nameror-available-time-effective-opening-closing-date
ShortdebutDateEffective + finDateEffective (Horaire)
Control0..1
TypeExtension(RORAvailableTimeEffectiveOpeningClosingDate) (Extension Type: Period)
78. PractitionerRole.availableTime.extension:ror-available-time-number-days-of-week
Slice Nameror-available-time-number-days-of-week
ShortjourSemaine (Horaire) : Numéro du jour dans la semaine
Control0..1
TypeExtension(RORAvailableTimeNumberDaysofWeek) (Extension Type: integer)
80. PractitionerRole.availableTime.availableStartTime
ShortheureDebut (Horaire) : Heure de début de la plage horaire
82. PractitionerRole.availableTime.availableEndTime
ShortheureFin (Horaire) : Heure de fin de la plage horaire

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

0. PractitionerRole
Definition

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

ShortRoles/organizations the practitioner is associated with
Control0..*
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
2. PractitionerRole.implicitRules
Definition

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

ShortA set of rules under which this content was created
Comments

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

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

An Extension


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

ShortExtensionAdditional content defined by implementations
Comments

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

Control20..*
This element is affected by the following invariants: ele-1
TypeExtension
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on PractitionerRole.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
6. PractitionerRole.extension:ror-practitionerrole-unit-exercise-mode
Slice Nameror-practitionerrole-unit-exercise-mode
Definition

Extension créée dans le cadre du ROR qui correspond au statut du professionnel lorsqu'il exerce dans le cadre de l'offre décrite.

ShortmodeExerciceOffre (SituationOperationnelle) : statut du professionnel lorsqu'il exerce dans le cadre de l'offre décrite
Control1..1
This element is affected by the following invariants: ele-1
TypeExtension(RORPractitionerRoleUnitExerciseMode) (Extension Type: CodeableConcept)
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())
8. PractitionerRole.extension:ror-practitionerrole-name
Slice Nameror-practitionerrole-name
Definition

Extension créée dans le cadre du ROR pour définir l'identité d’exercice d’un professionnel

ShortciviliteExercie + nomExercice + prenomExercice (ExerciceProfessionnel)
Control0..1
This element is affected by the following invariants: ele-1
TypeExtension(RORPractitionerRoleName) (Complex Extension)
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
10. PractitionerRole.extension:contracted
Slice Namecontracted
Definition

Optional Extension Element - found in all resources.

ShortsecteurConventionnement (SituationOperationnelle) : Secteur de conventionnement du professionnel libéral auquel il a adhéré auprès de l'Assurance Maladie
Control0..1
This element is affected by the following invariants: ele-1
TypeExtension(PractitionerRoleContracted) (Extension Type: CodeableConcept)
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
12. PractitionerRole.extension:contracted.extension
Definition

An Extension


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.

ShortExtensionAdditional content defined by implementations
Comments

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

Control0..0*
This element is affected by the following invariants: ele-1
TypeExtension
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on PractitionerRole.extension.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
14. PractitionerRole.extension:contracted.url
Definition

Source of the definition for the extension code - a logical name or a URL.

Shortidentifies the meaning of the extension
Comments

The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

Control1..1
Typeuri
XML FormatIn the XML format, this property is represented as an attribute.
Fixed Valuehttps://apifhir.annuaire.sante.fr/ws-sync/exposed/structuredefinition/practitionerRole-contracted
16. PractitionerRole.extension:contracted.value[x]
Definition

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

ShortValue of extension
Control0..1
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from For codes, see https://mos.esante.gouv.fr/NOS/JDV_J218-CNAMAmeliSecteurConventionnement-ROR/FHIR/JDV-J218-CNAMAmeliSecteurConventionnement-ROR

JDV_J218-CNAMAmeliSecteurConventionnement-RASS dérivé de la TRE_ R282-CNAMAmeliSecteurConventionnement

TypeCodeableConcept, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
[x] NoteSee Choice of Data Types for further information about how to use [x]
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
18. PractitionerRole.extension:optionCAS
Slice NameoptionCAS
Definition

Optional Extension Element - found in all resources.

ShortoptionContratAccèsAuxSoins (SituationOperationnelle) : L'Option pratique tarifaire maîtrisée (OPTAM) a remplacé le Contrat d'accès aux soins (CAS) en 2017
Control0..1
This element is affected by the following invariants: ele-1
TypeExtension(PractitionerRoleHasCAS) (Extension Type: boolean)
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.extension:vitalAccepted
Slice NamevitalAccepted
Definition

Optional Extension Element - found in all resources.

ShortcarteVitaleAcceptee (SituationOperationnelle) : Précise si le professionnel, dans le cadre de cette situation opérationnelle, dispose des moyens techniques pour prendre en charge la carte vitale ou pas
Control0..1
This element is affected by the following invariants: ele-1
TypeExtension(PractitionerRoleVitaleAccepted) (Extension Type: boolean)
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.extension:ror-meta-creation-date
Slice Nameror-meta-creation-date
Definition

Extension créée dans le cadre du ROR qui correspond à la date de création (dans le ROR régional) présente dans les métadonnées.

ShortdateCreation (Metadonnee)
Control1..1
This element is affected by the following invariants: ele-1
TypeExtension(RORMetaCreationDate) (Extension Type: dateTime)
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())
24. PractitionerRole.extension:ror-meta-comment
Slice Nameror-meta-comment
Definition

Extension créée dans le cadre du ROR qui correspond au commentaire présent dans les métadonnées.

Shortcommentaire (Metadonnee)
Control0..1
This element is affected by the following invariants: ele-1
TypeExtension(RORMetaComment) (Extension Type: string)
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())
26. PractitionerRole.modifierExtension
Definition

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

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

ShortExtensions that cannot be ignored
Comments

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

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

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

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

Business Identifiers that are specific to a role/location.

ShortidentifiantSituationOperationnelle (SituationOperationnelle) : Identifiant de la situation opérationnelle, unique et persistant au niveau nationalBusiness Identifiers that are specific to a role/location
NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..1*
This element is affected by the following invariants: ele-1
TypeIdentifier
Summarytrue
Requirements

Often, specific identities are assigned for the agent.

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

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

ShortPractitioner that is able to provide the defined services for the organization
Comments

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

Control10..1
This element is affected by the following invariants: ele-1
TypeReference(Practitioner)
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ref-1: SHALL have a contained resource if a local reference is provided (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')))
32. PractitionerRole.code
Definition

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

Shortprofession (ExerciceProfessionnel) : Profession exercée ou future profession de l'étudiantRoles which this practitioner may perform
Comments

A person may have more than one role.

Control10..1*
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from For example codes, see https://mos.esante.gouv.fr/NOS/JDV_J229-ProfessionSante-ROR/FHIR/JDV-J229-ProfessionSante-RORhttp://hl7.org/fhir/ValueSet/practitioner-role
TypeCodeableConcept
Summarytrue
Requirements

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

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

Specific specialty of the practitioner.

ShortSpecific specialty of the practitioner
Comments

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

Control10..*
This element is affected by the following invariants: ele-1
BindingThe codes SHOULD be taken from PracticeSettingCodeValueSethttp://hl7.org/fhir/ValueSet/c80-practice-codes

Specific specialty associated with the agency.

TypeCodeableConcept
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
SlicingThis element introduces a set of slices on PractitionerRole.specialty. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
36. PractitionerRole.specialty:expertiseType
Slice NameexpertiseType
Definition

Specific specialty of the practitioner.

ShorttypeSavoirFaire (SavoirFaire) : Type de savoir-faire (qualifications/autres attributions)Specific specialty of the practitioner
Comments

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

Control10..1*
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from The codes SHOULD be taken from https://mos.esante.gouv.fr/NOS/JDV_J209-TypeSavoirFaire-ROR/FHIR/JDV-J209-TypeSavoirFaire-RORhttp://hl7.org/fhir/ValueSet/c80-practice-codes
TypeCodeableConcept
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
38. PractitionerRole.specialty:specialty
Slice Namespecialty
Definition

Specific specialty of the practitioner.

Shortspecialite (SavoirFaire) : Spécialité ordinaleSpecific specialty of the practitioner
Comments

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

Control0..1*
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from The codes SHOULD be taken from https://mos.esante.gouv.fr/NOS/JDV_J210-SpecialiteOrdinale-ROR/FHIR/JDV-J210-SpecialiteOrdinale-RORhttp://hl7.org/fhir/ValueSet/c80-practice-codes
TypeCodeableConcept
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
40. PractitionerRole.specialty:competence
Slice Namecompetence
Definition

Specific specialty of the practitioner.

Shortcompetence (SavoirFaire) : Compétence acquise par le professionnelSpecific specialty of the practitioner
Comments

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

Control0..1*
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from The codes SHOULD be taken from https://mos.esante.gouv.fr/NOS/JDV_J232-Competence-ROR/FHIR/JDV-J232-Competence-RORhttp://hl7.org/fhir/ValueSet/c80-practice-codes
TypeCodeableConcept
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
42. PractitionerRole.specialty:exclusiveCompetence
Slice NameexclusiveCompetence
Definition

Specific specialty of the practitioner.

ShortcompetenceExclusive (SavoirFaire) : Compétence exclusiveSpecific specialty of the practitioner
Comments

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

Control0..1*
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from The codes SHOULD be taken from https://mos.esante.gouv.fr/NOS/JDV_J211-CompetenceExclusive-ROR/FHIR/JDV-J211-CompetenceExclusive-RORhttp://hl7.org/fhir/ValueSet/c80-practice-codes
TypeCodeableConcept
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
44. PractitionerRole.specialty:specificOrientation
Slice NamespecificOrientation
Definition

Specific specialty of the practitioner.

ShortorientationParticuliere (SavoirFaire) : Orientation particulièreSpecific specialty of the practitioner
Comments

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

Control0..1*
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from The codes SHOULD be taken from https://mos.esante.gouv.fr/NOS/JDV_J212-OrientationParticuliere-ROR/FHIR/JDV-J212-OrientationParticuliere-RORhttp://hl7.org/fhir/ValueSet/c80-practice-codes
TypeCodeableConcept
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
46. PractitionerRole.specialty:expertiseCapacity
Slice NameexpertiseCapacity
Definition

Specific specialty of the practitioner.

Shortcapacite (SavoirFaire) : Capacité de médecineSpecific specialty of the practitioner
Comments

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

Control0..1*
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from The codes SHOULD be taken from https://mos.esante.gouv.fr/NOS/JDV_J213-CapaciteSavoirFaire-ROR/FHIR/JDV-J213-CapaciteSavoirFaire-RORhttp://hl7.org/fhir/ValueSet/c80-practice-codes
TypeCodeableConcept
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
48. PractitionerRole.specialty:qualificationPAC
Slice NamequalificationPAC
Definition

Specific specialty of the practitioner.

ShortqualificationPAC (SavoirFaire) : Qualification de praticien adjoint contractuelSpecific specialty of the practitioner
Comments

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

Control0..1*
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from The codes SHOULD be taken from https://mos.esante.gouv.fr/NOS/JDV_J214-QualificationPAC-ROR/FHIR/JDV-J214-QualificationPAC-RORhttp://hl7.org/fhir/ValueSet/c80-practice-codes
TypeCodeableConcept
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
50. PractitionerRole.specialty:nonQualifyingDESC
Slice NamenonQualifyingDESC
Definition

Specific specialty of the practitioner.

ShortDESCNonQualifiant (SavoirFaire) : Diplôme d'études spécialisées complémentaires (DESC)Specific specialty of the practitioner
Comments

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

Control0..1*
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from The codes SHOULD be taken from https://mos.esante.gouv.fr/NOS/JDV_J215-DESCnonQualifiant-ROR/FHIR/JDV-J215-DESCnonQualifiant-RORhttp://hl7.org/fhir/ValueSet/c80-practice-codes
TypeCodeableConcept
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
52. PractitionerRole.specialty:supplementaryExerciseRight
Slice NamesupplementaryExerciseRight
Definition

Specific specialty of the practitioner.

ShortdroitExerciceComplémentaire (SavoirFaire) : Droit d'exercice complémentaire du professionnelSpecific specialty of the practitioner
Comments

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

Control0..1*
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from The codes SHOULD be taken from https://mos.esante.gouv.fr/NOS/JDV_J216-DroitExerciceCompl-ROR/FHIR/JDV-J216-DroitExerciceCompl-RORhttp://hl7.org/fhir/ValueSet/c80-practice-codes
TypeCodeableConcept
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
54. PractitionerRole.specialty:specificCompetence
Slice NamespecificCompetence
Definition

Specific specialty of the practitioner.

ShortcompetenceSpecifique (SituationOperationnelle) : Capacité ou connaissance reconnue qui permet ou facilite l’accueil d’une personneSpecific specialty of the practitioner
Comments

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

Control0..*
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from The codes SHOULD be taken from https://mos.esante.gouv.fr/NOS/JDV_J33-CompetenceSpecifique-ROR/FHIR/JDV-J33-CompetenceSpecifique-RORhttp://hl7.org/fhir/ValueSet/c80-practice-codes
TypeCodeableConcept
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
56. PractitionerRole.healthcareService
Definition

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

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

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

Control10..1*
This element is affected by the following invariants: ele-1
TypeReference(HealthcareService)
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ref-1: SHALL have a contained resource if a local reference is provided (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')))
58. PractitionerRole.telecom
Definition

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

Shorttelecommunication (SituationOperationnelle) : Adresse(s) de télécommunication du professionnel dans le cadre de l'offre décriteContact details that are specific to the role/location/service
Control0..1*
This element is affected by the following invariants: ele-1
TypeContactPoint
Summarytrue
Requirements

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

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

An Extension


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.

ShortExtensionAdditional content defined by implementations
Comments

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

Control20..*
This element is affected by the following invariants: ele-1
TypeExtension
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on PractitionerRole.telecom.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
62. PractitionerRole.telecom.extension:ror-telecom-communication-channel
Slice Nameror-telecom-communication-channel
Definition

Extension créée dans le cadre du ROR spécifiant le canal ou la manière dont s'établit la communication

Shortcanal (Telecommunication) : Code spécifiant le canal ou la manière dont s'établit la communication
Control1..1
This element is affected by the following invariants: ele-1
TypeExtension(RORTelecomCommunicationChannel) (Extension Type: CodeableConcept)
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())
64. PractitionerRole.telecom.extension:ror-telecom-usage
Slice Nameror-telecom-usage
Definition

Extension créée dans le cadre du ROR qui précise l'utilisation du canal de communication

Shortutilisation (Telecommunication) : Utilisation du canal de communication
Control0..1
This element is affected by the following invariants: ele-1
TypeExtension(RORTelecomUsage) (Extension Type: string)
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())
66. PractitionerRole.telecom.extension:ror-telecom-confidentiality-level
Slice Nameror-telecom-confidentiality-level
Definition

Extension créée dans le cadre du ROR qui permet de définir le niveau de restriction de l'accès aux attributs de la classe Télécommunication.

ShortniveauConfidentialite (Telecommunication) : niveau de restriction de l'accès aux attributs de la classe Télécommunication
Control1..1
This element is affected by the following invariants: ele-1
TypeExtension(RORTelecomConfidentialityLevel) (Extension Type: CodeableConcept)
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())
68. PractitionerRole.telecom.system
Definition

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

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

Note that FHIR strings SHALL NOT exceed 1MB in size

Control0..1
This element is affected by the following invariants: ele-1, cpt-2
BindingThe codes SHALL be taken from ContactPointSystemhttp://hl7.org/fhir/ValueSet/contact-point-system|4.0.1

Telecommunications form for contact point.

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

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

ShortadresseTelecom (Telecommunication) : Valeur de l'adresse de télécommunication dans le format induit par le canal de communicationThe actual contact point details
Comments

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

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

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

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

Identifies the purpose for the contact point.

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

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

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

Use of contact point.

Typecode
Is Modifiertrue because This is labeled as "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
Summarytrue
Requirements

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

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

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

ShortprecisionHoraire (SituationOperationnelle) : planning d'activité du professionnelTimes the Service Site is available
Comments

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

Control0..1*
This element is affected by the following invariants: ele-1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
76. PractitionerRole.availableTime.extension:ror-available-time-type-of-time
Slice Nameror-available-time-type-of-time
Definition

Extension créée dans le cadre du ROR pour apporter un contexte à la plage horaire définie par la suite. Un planning peut être constitué de plusieurs plages horaires du même type ou de type différent.

ShorttypePlageHoraire (Horaire) : Apporte un contexte à la plage horaire définie par la suite
Control0..1
This element is affected by the following invariants: ele-1
TypeExtension(RORAvailableTimeTypeOfTime) (Extension Type: CodeableConcept)
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())
78. PractitionerRole.availableTime.extension:ror-available-time-effective-opening-closing-date
Slice Nameror-available-time-effective-opening-closing-date
Definition

Extension créée dans le cadre du ROR pour décrire le planning d'activité d'un professionnel ou d'une offre.

ShortdebutDateEffective + finDateEffective (Horaire)
Control0..1
This element is affected by the following invariants: ele-1
TypeExtension(RORAvailableTimeEffectiveOpeningClosingDate) (Extension Type: Period)
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())
80. PractitionerRole.availableTime.extension:ror-available-time-number-days-of-week
Slice Nameror-available-time-number-days-of-week
Definition

Extension créée dans le cadre du ROR pour indiquer le numéro du jour dans la semaine.

ShortjourSemaine (Horaire) : Numéro du jour dans la semaine
Control0..1
This element is affected by the following invariants: ele-1
TypeExtension(RORAvailableTimeNumberDaysofWeek) (Extension Type: integer)
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())
82. PractitionerRole.availableTime.modifierExtension
Definition

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
Comments

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

Control0..*
This element is affected by the following invariants: ele-1
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
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.availableTime.availableStartTime
Definition

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

ShortheureDebut (Horaire) : Heure de début de la plage horaireOpening time of day (ignored if allDay = true)
Comments

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

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

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

ShortheureFin (Horaire) : Heure de fin de la plage horaireClosing time of day (ignored if allDay = true)
Comments

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

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

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

0. PractitionerRole
Definition

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

ShortRoles/organizations the practitioner is associated with
Control0..*
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
2. PractitionerRole.id
Definition

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

ShortLogical id of this artifact
Comments

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

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

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

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

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

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

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

ShortAdditional content defined by implementations
Comments

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

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

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

ShortVersion specific identifier
Comments

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

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

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

ShortWhen the resource version last changed
Comments

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

Control1..1
This element is affected by the following invariants: ele-1
Typeinstant
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
14. PractitionerRole.meta.source
Definition

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

ShortIdentifies where the resource comes from
Comments

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

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

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

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

ShortProfiles this resource claims to conform to
Comments

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

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

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

ShortSecurity Labels applied to this resource
Comments

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

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

Security Labels from the Healthcare Privacy and Security Classification System.

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

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

ShortTags applied to this resource
Comments

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

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

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

TypeCoding
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
SlicingThis element introduces a set of slices on PractitionerRole.meta.tag. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
22. PractitionerRole.meta.tag:codeRegion
Slice NamecodeRegion
Definition

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

ShortTags applied to this resource
Comments

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

Control0..1
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J237-RegionOM-ROR/FHIR/JDV-J237-RegionOM-ROR
TypeCoding
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
24. PractitionerRole.implicitRules
Definition

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

ShortA set of rules under which this content was created
Comments

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

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

The base language in which the resource is written.

ShortLanguage of the resource content
Comments

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

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

A human language.

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

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

ShortText summary of the resource, for human interpretation
Comments

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

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

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

ShortContained, inline Resources
Comments

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

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

An Extension

ShortExtension
Control2..*
This element is affected by the following invariants: ele-1
TypeExtension
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on PractitionerRole.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
34. PractitionerRole.extension:ror-practitionerrole-unit-exercise-mode
Slice Nameror-practitionerrole-unit-exercise-mode
Definition

Extension créée dans le cadre du ROR qui correspond au statut du professionnel lorsqu'il exerce dans le cadre de l'offre décrite.

ShortmodeExerciceOffre (SituationOperationnelle) : statut du professionnel lorsqu'il exerce dans le cadre de l'offre décrite
Control1..1
This element is affected by the following invariants: ele-1
TypeExtension(RORPractitionerRoleUnitExerciseMode) (Extension Type: CodeableConcept)
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
36. PractitionerRole.extension:ror-practitionerrole-name
Slice Nameror-practitionerrole-name
Definition

Extension créée dans le cadre du ROR pour définir l'identité d’exercice d’un professionnel

ShortciviliteExercie + nomExercice + prenomExercice (ExerciceProfessionnel)
Control0..1
This element is affected by the following invariants: ele-1
TypeExtension(RORPractitionerRoleName) (Complex Extension)
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:contracted
Slice Namecontracted
Definition

Optional Extension Element - found in all resources.

ShortsecteurConventionnement (SituationOperationnelle) : Secteur de conventionnement du professionnel libéral auquel il a adhéré auprès de l'Assurance Maladie
Control0..1
This element is affected by the following invariants: ele-1
TypeExtension(PractitionerRoleContracted) (Extension Type: CodeableConcept)
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:contracted.id
Definition

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

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

An Extension

ShortExtension
Control0..0
This element is affected by the following invariants: ele-1
TypeExtension
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.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
44. PractitionerRole.extension:contracted.url
Definition

Source of the definition for the extension code - a logical name or a URL.

Shortidentifies the meaning of the extension
Comments

The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

Control1..1
Typeuri
XML FormatIn the XML format, this property is represented as an attribute.
Fixed Valuehttps://apifhir.annuaire.sante.fr/ws-sync/exposed/structuredefinition/practitionerRole-contracted
46. PractitionerRole.extension:contracted.value[x]
Definition

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

ShortValue of extension
Control0..1
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J218-CNAMAmeliSecteurConventionnement-ROR/FHIR/JDV-J218-CNAMAmeliSecteurConventionnement-ROR

JDV_J218-CNAMAmeliSecteurConventionnement-RASS dérivé de la TRE_ R282-CNAMAmeliSecteurConventionnement

TypeCodeableConcept
[x] NoteSee Choice of Data Types for further information about how to use [x]
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
48. PractitionerRole.extension:optionCAS
Slice NameoptionCAS
Definition

Optional Extension Element - found in all resources.

ShortoptionContratAccèsAuxSoins (SituationOperationnelle) : L'Option pratique tarifaire maîtrisée (OPTAM) a remplacé le Contrat d'accès aux soins (CAS) en 2017
Control0..1
This element is affected by the following invariants: ele-1
TypeExtension(PractitionerRoleHasCAS) (Extension Type: boolean)
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())
50. PractitionerRole.extension:vitalAccepted
Slice NamevitalAccepted
Definition

Optional Extension Element - found in all resources.

ShortcarteVitaleAcceptee (SituationOperationnelle) : Précise si le professionnel, dans le cadre de cette situation opérationnelle, dispose des moyens techniques pour prendre en charge la carte vitale ou pas
Control0..1
This element is affected by the following invariants: ele-1
TypeExtension(PractitionerRoleVitaleAccepted) (Extension Type: boolean)
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())
52. PractitionerRole.extension:ror-meta-creation-date
Slice Nameror-meta-creation-date
Definition

Extension créée dans le cadre du ROR qui correspond à la date de création (dans le ROR régional) présente dans les métadonnées.

ShortdateCreation (Metadonnee)
Control1..1
This element is affected by the following invariants: ele-1
TypeExtension(RORMetaCreationDate) (Extension Type: dateTime)
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())
54. PractitionerRole.extension:ror-meta-comment
Slice Nameror-meta-comment
Definition

Extension créée dans le cadre du ROR qui correspond au commentaire présent dans les métadonnées.

Shortcommentaire (Metadonnee)
Control0..1
This element is affected by the following invariants: ele-1
TypeExtension(RORMetaComment) (Extension Type: string)
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())
56. PractitionerRole.modifierExtension
Definition

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

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

ShortExtensions that cannot be ignored
Comments

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

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

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

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

Business Identifiers that are specific to a role/location.

ShortidentifiantSituationOperationnelle (SituationOperationnelle) : Identifiant de la situation opérationnelle, unique et persistant au niveau national
NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..1
This element is affected by the following invariants: ele-1
TypeIdentifier
Summarytrue
Requirements

Often, specific identities are assigned for the agent.

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

Whether this practitioner role record is in active use.

ShortWhether this practitioner role record is in active use
Comments

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

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

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

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

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

ShortThe period during which the practitioner is authorized to perform in these role(s)
Comments

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

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

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

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

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

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

ShortPractitioner that is able to provide the defined services for the organization
Comments

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

Control1..1
This element is affected by the following invariants: ele-1
TypeReference(Practitioner)
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ref-1: SHALL have a contained resource if a local reference is provided (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')))
66. PractitionerRole.organization
Definition

The organization where the Practitioner performs the roles associated.

ShortOrganization where the roles are available
Comments

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

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

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

Shortprofession (ExerciceProfessionnel) : Profession exercée ou future profession de l'étudiant
Comments

A person may have more than one role.

Control1..1
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J229-ProfessionSante-ROR/FHIR/JDV-J229-ProfessionSante-ROR
TypeCodeableConcept
Summarytrue
Requirements

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

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

Specific specialty of the practitioner.

ShortSpecific specialty of the practitioner
Comments

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

Control1..*
This element is affected by the following invariants: ele-1
BindingThe codes SHOULD be taken from PracticeSettingCodeValueSet

Specific specialty associated with the agency.

TypeCodeableConcept
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
SlicingThis element introduces a set of slices on PractitionerRole.specialty. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
72. PractitionerRole.specialty:expertiseType
Slice NameexpertiseType
Definition

Specific specialty of the practitioner.

ShorttypeSavoirFaire (SavoirFaire) : Type de savoir-faire (qualifications/autres attributions)
Comments

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

Control1..1
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J209-TypeSavoirFaire-ROR/FHIR/JDV-J209-TypeSavoirFaire-ROR
TypeCodeableConcept
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
74. PractitionerRole.specialty:specialty
Slice Namespecialty
Definition

Specific specialty of the practitioner.

Shortspecialite (SavoirFaire) : Spécialité ordinale
Comments

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

Control0..1
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J210-SpecialiteOrdinale-ROR/FHIR/JDV-J210-SpecialiteOrdinale-ROR
TypeCodeableConcept
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
76. PractitionerRole.specialty:competence
Slice Namecompetence
Definition

Specific specialty of the practitioner.

Shortcompetence (SavoirFaire) : Compétence acquise par le professionnel
Comments

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

Control0..1
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J232-Competence-ROR/FHIR/JDV-J232-Competence-ROR
TypeCodeableConcept
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
78. PractitionerRole.specialty:exclusiveCompetence
Slice NameexclusiveCompetence
Definition

Specific specialty of the practitioner.

ShortcompetenceExclusive (SavoirFaire) : Compétence exclusive
Comments

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

Control0..1
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J211-CompetenceExclusive-ROR/FHIR/JDV-J211-CompetenceExclusive-ROR
TypeCodeableConcept
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
80. PractitionerRole.specialty:specificOrientation
Slice NamespecificOrientation
Definition

Specific specialty of the practitioner.

ShortorientationParticuliere (SavoirFaire) : Orientation particulière
Comments

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

Control0..1
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J212-OrientationParticuliere-ROR/FHIR/JDV-J212-OrientationParticuliere-ROR
TypeCodeableConcept
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
82. PractitionerRole.specialty:expertiseCapacity
Slice NameexpertiseCapacity
Definition

Specific specialty of the practitioner.

Shortcapacite (SavoirFaire) : Capacité de médecine
Comments

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

Control0..1
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J213-CapaciteSavoirFaire-ROR/FHIR/JDV-J213-CapaciteSavoirFaire-ROR
TypeCodeableConcept
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
84. PractitionerRole.specialty:qualificationPAC
Slice NamequalificationPAC
Definition

Specific specialty of the practitioner.

ShortqualificationPAC (SavoirFaire) : Qualification de praticien adjoint contractuel
Comments

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

Control0..1
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J214-QualificationPAC-ROR/FHIR/JDV-J214-QualificationPAC-ROR
TypeCodeableConcept
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
86. PractitionerRole.specialty:nonQualifyingDESC
Slice NamenonQualifyingDESC
Definition

Specific specialty of the practitioner.

ShortDESCNonQualifiant (SavoirFaire) : Diplôme d'études spécialisées complémentaires (DESC)
Comments

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

Control0..1
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J215-DESCnonQualifiant-ROR/FHIR/JDV-J215-DESCnonQualifiant-ROR
TypeCodeableConcept
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
88. PractitionerRole.specialty:supplementaryExerciseRight
Slice NamesupplementaryExerciseRight
Definition

Specific specialty of the practitioner.

ShortdroitExerciceComplémentaire (SavoirFaire) : Droit d'exercice complémentaire du professionnel
Comments

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

Control0..1
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J216-DroitExerciceCompl-ROR/FHIR/JDV-J216-DroitExerciceCompl-ROR
TypeCodeableConcept
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
90. PractitionerRole.specialty:specificCompetence
Slice NamespecificCompetence
Definition

Specific specialty of the practitioner.

ShortcompetenceSpecifique (SituationOperationnelle) : Capacité ou connaissance reconnue qui permet ou facilite l’accueil d’une personne
Comments

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

Control0..*
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J33-CompetenceSpecifique-ROR/FHIR/JDV-J33-CompetenceSpecifique-ROR
TypeCodeableConcept
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
92. PractitionerRole.location
Definition

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

ShortThe location(s) at which this practitioner provides care
Comments

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

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

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

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

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

Control1..1
This element is affected by the following invariants: ele-1
TypeReference(HealthcareService)
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ref-1: SHALL have a contained resource if a local reference is provided (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')))
96. PractitionerRole.telecom
Definition

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

Shorttelecommunication (SituationOperationnelle) : Adresse(s) de télécommunication du professionnel dans le cadre de l'offre décrite
Control0..1
This element is affected by the following invariants: ele-1
TypeContactPoint
Summarytrue
Requirements

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

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

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

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

An Extension

ShortExtension
Control2..*
This element is affected by the following invariants: ele-1
TypeExtension
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on PractitionerRole.telecom.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
102. PractitionerRole.telecom.extension:ror-telecom-communication-channel
Slice Nameror-telecom-communication-channel
Definition

Extension créée dans le cadre du ROR spécifiant le canal ou la manière dont s'établit la communication

Shortcanal (Telecommunication) : Code spécifiant le canal ou la manière dont s'établit la communication
Control1..1
This element is affected by the following invariants: ele-1
TypeExtension(RORTelecomCommunicationChannel) (Extension Type: CodeableConcept)
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())
104. PractitionerRole.telecom.extension:ror-telecom-usage
Slice Nameror-telecom-usage
Definition

Extension créée dans le cadre du ROR qui précise l'utilisation du canal de communication

Shortutilisation (Telecommunication) : Utilisation du canal de communication
Control0..1
This element is affected by the following invariants: ele-1
TypeExtension(RORTelecomUsage) (Extension Type: string)
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())
106. PractitionerRole.telecom.extension:ror-telecom-confidentiality-level
Slice Nameror-telecom-confidentiality-level
Definition

Extension créée dans le cadre du ROR qui permet de définir le niveau de restriction de l'accès aux attributs de la classe Télécommunication.

ShortniveauConfidentialite (Telecommunication) : niveau de restriction de l'accès aux attributs de la classe Télécommunication
Control1..1
This element is affected by the following invariants: ele-1
TypeExtension(RORTelecomConfidentialityLevel) (Extension Type: CodeableConcept)
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())
108. PractitionerRole.telecom.system
Definition

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

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

Note that FHIR strings SHALL NOT exceed 1MB in size

Control0..1
This element is affected by the following invariants: ele-1, cpt-2
BindingThe codes SHALL be taken from ContactPointSystem

Telecommunications form for contact point.

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

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

ShortadresseTelecom (Telecommunication) : Valeur de l'adresse de télécommunication dans le format induit par le canal de communication
Comments

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

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

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

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

Identifies the purpose for the contact point.

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

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

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

Use of contact point.

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

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

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

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

ShortSpecify preferred order of use (1 = highest)
Comments

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

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

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

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

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

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

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

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

ShortprecisionHoraire (SituationOperationnelle) : planning d'activité du professionnel
Comments

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

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

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

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

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

ShortAdditional content defined by implementations
Comments

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

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

Extension créée dans le cadre du ROR pour apporter un contexte à la plage horaire définie par la suite. Un planning peut être constitué de plusieurs plages horaires du même type ou de type différent.

ShorttypePlageHoraire (Horaire) : Apporte un contexte à la plage horaire définie par la suite
Control0..1
This element is affected by the following invariants: ele-1
TypeExtension(RORAvailableTimeTypeOfTime) (Extension Type: CodeableConcept)
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())
126. PractitionerRole.availableTime.extension:ror-available-time-effective-opening-closing-date
Slice Nameror-available-time-effective-opening-closing-date
Definition

Extension créée dans le cadre du ROR pour décrire le planning d'activité d'un professionnel ou d'une offre.

ShortdebutDateEffective + finDateEffective (Horaire)
Control0..1
This element is affected by the following invariants: ele-1
TypeExtension(RORAvailableTimeEffectiveOpeningClosingDate) (Extension Type: Period)
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
128. PractitionerRole.availableTime.extension:ror-available-time-number-days-of-week
Slice Nameror-available-time-number-days-of-week
Definition

Extension créée dans le cadre du ROR pour indiquer le numéro du jour dans la semaine.

ShortjourSemaine (Horaire) : Numéro du jour dans la semaine
Control0..1
This element is affected by the following invariants: ele-1
TypeExtension(RORAvailableTimeNumberDaysofWeek) (Extension Type: integer)
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.availableTime.modifierExtension
Definition

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
Comments

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

Control0..*
This element is affected by the following invariants: ele-1
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
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())
132. PractitionerRole.availableTime.daysOfWeek
Definition

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

Shortmon | tue | wed | thu | fri | sat | sun
Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

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

The days of the week.

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

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

ShortAlways available? e.g. 24 hour service
Control0..1
This element is affected by the following invariants: ele-1
Typeboolean
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
136. PractitionerRole.availableTime.availableStartTime
Definition

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

ShortheureDebut (Horaire) : Heure de début de la plage horaire
Comments

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

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

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

ShortheureFin (Horaire) : Heure de fin de la plage horaire
Comments

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

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

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

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

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

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

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

ShortAdditional content defined by implementations
Comments

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

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

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
Comments

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

Control0..*
This element is affected by the following invariants: ele-1
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
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())
148. PractitionerRole.notAvailable.description
Definition

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
Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Control1..1
This element is affected by the following invariants: ele-1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
150. PractitionerRole.notAvailable.during
Definition

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

ShortService not available from this date
Comments

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

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

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

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

ShortDescription of availability exceptions
Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

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

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

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

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

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

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

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

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