Provider Connect Australia (PCA)
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Provider Connect Australia (PCA) - Local Development build (v24.2.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: PcaPractitioner - Detailed Descriptions

Active as of 2024-09-23

Definitions for the pca-practitioner resource profile.

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

0. Practitioner
2. Practitioner.extension:pca-active-in-system-of-record
Slice Namepca-active-in-system-of-record
ShortWhether this practitioner's record is active in a system of record (Ahpra, HI Service)
TypeExtension(PCA Active In System Of Record) (Complex Extension)
Must Supporttrue
4. Practitioner.extension:pca-bank-account
Slice Namepca-bank-account
Control0..*
TypeExtension(PCA Bank Account) (Complex Extension)
Must Supporttrue
6. Practitioner.extension:pca-credential-documents
Slice Namepca-credential-documents
Control0..*
TypeExtension(PCA Credential Documents) (Complex Extension)
Must Supporttrue
8. Practitioner.identifier
NoteThis is a business identifier, not a resource identifier (see discussion)
SlicingThis element introduces a set of slices on Practitioner.identifier. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
  • value @ system
  • 10. Practitioner.identifier:hpii
    Slice Namehpii
    NoteThis is a business identifier, not a resource identifier (see discussion)
    Control0..1
    TypeIdentifier(AU HPI-I)
    Must Supporttrue
    12. Practitioner.identifier:ahpraregistrationnumber
    Slice Nameahpraregistrationnumber
    ShortAustralian Health Practitioner Regulation Agency (Ahpra) Registration Number
    NoteThis is a business identifier, not a resource identifier (see discussion)
    TypeIdentifier(AU Ahpra Registration Number)
    Must Supporttrue
    14. Practitioner.identifier:pca-pi
    Slice Namepca-pi
    ShortPCA Practitioner Identifier (PCA-PI) issued by the PCA service
    NoteThis is a business identifier, not a resource identifier (see discussion)
    Control0..1
    TypeIdentifier(PCA Practitioner Identifier (PCA-PI))
    Must Supporttrue
    16. Practitioner.active
    Control1..?
    Must Supporttrue
    18. Practitioner.name
    Control1..?
    Must Supporttrue
    20. Practitioner.telecom
    ShortPersonal contact point (i.e. phone or email)
    TypeContactPoint(Practitioner Personal Contact Details)
    Must Supporttrue
    22. Practitioner.qualification
    Must Supporttrue
    24. Practitioner.qualification.extension:ahpraRegistration-details
    Slice NameahpraRegistration-details
    ShortAhpra Registration Details

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

    0. Practitioner
    Definition

    A person who is directly or indirectly involved in the provisioning of healthcare.

    ShortA practitioner in an Australian healthcare contextA person with a formal responsibility in the provisioning of healthcare or related services
    Control0..*
    Is Modifierfalse
    Summaryfalse
    Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
    dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
    dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
    dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
    dom-6: A resource should have narrative for robust management (text.`div`.exists())
    2. Practitioner.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
    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. Practitioner.extension:pca-active-in-system-of-record
    Slice Namepca-active-in-system-of-record
    Definition

    Whether the organization or practitioner record is active in a system of record from which an identifier element was obtained.

    ShortWhether this practitioner's record is active in a system of record (Ahpra, HI Service)
    Control0..*
    This element is affected by the following invariants: ele-1
    TypeExtension(PCA Active In System Of Record) (Complex Extension)
    Is Modifierfalse
    Must Supporttrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    6. Practitioner.extension:pca-bank-account
    Slice Namepca-bank-account
    Definition

    Bank account details for the healthcare service, practitioner or practitioner role record.

    ShortBank account details
    Control0..*
    This element is affected by the following invariants: ele-1
    TypeExtension(PCA Bank Account) (Complex Extension)
    Is Modifierfalse
    Must Supporttrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    8. Practitioner.extension:pca-credential-documents
    Slice Namepca-credential-documents
    Definition

    Credential Documents details for the practitioner record.

    ShortCredential Documents
    Control0..*
    This element is affected by the following invariants: ele-1
    TypeExtension(PCA Credential Documents) (Complex Extension)
    Is Modifierfalse
    Must Supporttrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    10. Practitioner.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..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
    Summaryfalse
    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())
    12. Practitioner.identifier
    Definition

    An identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers.


    An identifier that applies to this person in this role.

    ShortAn identifier intended for computationAn identifier for the person as this agent
    NoteThis is a business identifier, not a resource identifier (see discussion)
    Control0..*
    This element is affected by the following invariants: ele-1
    TypeIdentifier(Identifier, AU HPI-I, AU PBS Prescriber Number, AU Care Agency Employee Identifier, AU Ahpra Registration Number)
    Is Modifierfalse
    Requirements

    Often, specific identities are assigned for the agent.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    SlicingThis element introduces a set of slices on Practitioner.identifier. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
    • value @ system
    • 14. Practitioner.identifier:hpii
      Slice Namehpii
      Definition

      Healthcare Provider Identifier for Individuals (HPI-I) assigned under the HI Service to healthcare providers involved in providing patient care.


      An identifier that applies to this person in this role.

      ShortHealthcare Provider Identifier – Individual (HPI-I)An identifier for the person as this agent
      NoteThis is a business identifier, not a resource identifier (see discussion)
      Control0..1*
      This element is affected by the following invariants: ele-1
      TypeIdentifier(AU HPI-I)
      Is Modifierfalse
      Must Supporttrue
      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()))
      inv-hpii-0: HPI-I shall be 16 digits (value.matches('^([0-9]{16})$'))
      inv-hpii-1: HPI-I prefix shall be 800361 (value.startsWith('800361'))
      inv-hpii-2: HPI-I shall pass the Luhn algorithm check ((((select(value.substring(0,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(1,1).toInteger())+(select(value.substring(2,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(3,1).toInteger())+(select(value.substring(4,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(5,1).toInteger())+(select(value.substring(6,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(7,1).toInteger())+(select(value.substring(8,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(9,1).toInteger())+(select(value.substring(10,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(11,1).toInteger())+(select(value.substring(12,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(13,1).toInteger())+(select(value.substring(14,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(15,1).toInteger()))mod 10=0))
      16. Practitioner.identifier:ahpraregistrationnumber
      Slice Nameahpraregistrationnumber
      Definition

      Australian Health Practitioner Regulation Authority (Ahpra) registration number assigned to a practitioner.


      An identifier that applies to this person in this role.

      ShortAustralian Health Practitioner Regulation Agency (Ahpra) Registration NumberAn identifier for the person as this agent
      NoteThis is a business identifier, not a resource identifier (see discussion)
      Control0..*
      This element is affected by the following invariants: ele-1
      TypeIdentifier(AU Ahpra Registration Number)
      Is Modifierfalse
      Must Supporttrue
      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()))
      inv-ahpra-0: Ahpra identifier shall be 3 uppercase letters, followed by 10 digits (value.matches('^[A-Z]{3}[0-9]{10}$'))
      18. Practitioner.identifier:pca-pi
      Slice Namepca-pi
      Definition

      The PCA Practitioner Identifier (PCA-PI) issued by the PCA service to each PCA Practitioner.


      An identifier that applies to this person in this role.

      ShortPCA Practitioner Identifier (PCA-PI) issued by the PCA serviceAn identifier for the person as this agent
      NoteThis is a business identifier, not a resource identifier (see discussion)
      Control0..1*
      This element is affected by the following invariants: ele-1
      TypeIdentifier(PCA Practitioner Identifier (PCA-PI))
      Is Modifierfalse
      Must Supporttrue
      Requirements

      Often, specific identities are assigned for the agent.

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

      Whether this practitioner's record is in active use.

      ShortWhether this practitioner's record is in active use
      Comments

      If the practitioner is not in use by one organization, then it should mark the period on the PractitonerRole with an end date (even if they are active) as they may be active in another role.

      Control10..1
      Typeboolean
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summarytrue
      Requirements

      Need to be able to mark a practitioner record as not to be used because it was created in error.

      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()))
      22. Practitioner.name
      Definition

      The name(s) associated with the practitioner.

      ShortThe name(s) associated with the practitioner
      Comments

      The selection of the use property should ensure that there is a single usual name specified, and others use the nickname (alias), old, or other values as appropriate.

      In general, select the value to be used in the ResourceReference.display based on this:

      1. There is more than 1 name
      2. Use = usual
      3. Period is current to the date of the usage
      4. Use = official
      5. Other order as decided by internal business rules.
      Control10..*
      TypeHumanName
      Is Modifierfalse
      Must Supporttrue
      Summarytrue
      Requirements

      The name(s) that a Practitioner is known by. Where there are multiple, the name that the practitioner is usually known as should be used in the display.

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

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


      A contact detail for the practitioner, e.g. a telephone number or an email address.

      ShortPersonal contact point (i.e. phone or email)A contact detail for the practitioner (that apply to all roles)
      Comments

      Person may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and to help with identification. These typically will have home numbers, or mobile numbers that are not role specific.

      Control0..*
      This element is affected by the following invariants: ele-1
      TypeContactPoint(Practitioner Personal Contact Details)
      Is Modifierfalse
      Must Supporttrue
      Requirements

      Need to know how to reach a practitioner independent to any roles the practitioner may have.

      Invariantscpt-2: A system is required if a value is provided. (value.empty() or system.exists())
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      26. Practitioner.qualification
      Definition

      The official certifications, training, and licenses that authorize or otherwise pertain to the provision of care by the practitioner. For example, a medical license issued by a medical board authorizing the practitioner to practice medicine within a certian locality.

      ShortCertification, licenses, or training pertaining to the provision of care
      Control0..*
      TypeBackboneElement
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      inv-pra-0: A qualification shall only have Ahpra Profession details if the code is Ahpra Profession (extension('http://hl7.org.au/fhir/StructureDefinition/ahpraprofession-details').exists() implies code.coding.where(system='http://terminology.hl7.org.au/CodeSystem/v2-0360' and code='AUAHPRAProfession').exists())
      inv-pra-1: A qualification shall only have Ahpra Registration details if the code is Ahpra Registration (extension('http://hl7.org.au/fhir/StructureDefinition/ahpraregistration-details').exists() implies code.coding.where(system='http://terminology.hl7.org.au/CodeSystem/v2-0360' and code='AUAHPRARegistration').exists())
      28. Practitioner.qualification.extension:ahpraProfession-details
      Slice NameahpraProfession-details
      Definition

      An Extension

      ShortAhpra Profession Details
      Control0..1
      This element is affected by the following invariants: ele-1
      TypeExtension(Ahpra Profession Details) (Complex Extension)
      Is Modifierfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      30. Practitioner.qualification.extension:ahpraRegistration-details
      Slice NameahpraRegistration-details
      Definition

      Details on the Ahpra registration of profession.

      ShortAhpra Registration Details
      Control0..1
      This element is affected by the following invariants: ele-1
      TypeExtension(Ahpra Registration Details) (Complex Extension)
      Is Modifierfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      32. Practitioner.qualification.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..*
      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())
      34. Practitioner.qualification.code
      Definition

      Coded representation of the qualification.

      ShortCoded representation of the qualification
      Control1..1
      BindingThe codes SHOULD be taken from For example codes, see hl7VS-degreeLicenseCertificate - AU Extendedhttp://terminology.hl7.org/ValueSet/v2-2.7-0360
      (preferred to http://terminology.hl7.org.au/ValueSet/v2-0360-extended)
      TypeCodeableConcept
      Is Modifierfalse
      Summaryfalse
      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. Practitioner
      Definition

      A person who is directly or indirectly involved in the provisioning of healthcare.

      ShortA practitioner in an Australian healthcare context
      Control0..*
      Is Modifierfalse
      Summaryfalse
      Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
      dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
      dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
      dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
      dom-6: A resource should have narrative for robust management (text.`div`.exists())
      2. Practitioner.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
      Is Modifierfalse
      Summarytrue
      4. Practitioner.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
      TypeMeta
      Is Modifierfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      6. Practitioner.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
      Typeuri
      Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      8. Practitioner.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
      BindingThe codes SHOULD be taken from CommonLanguages
      (preferred to http://hl7.org/fhir/ValueSet/languages)

      A human language.

      Additional BindingsPurpose
      AllLanguagesMax Binding
      Typecode
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      10. Practitioner.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
      TypeNarrative
      Is Modifierfalse
      Summaryfalse
      Alternate Namesnarrative, html, xhtml, display
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      12. Practitioner.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
      Is Modifierfalse
      Summaryfalse
      Alternate Namesinline resources, anonymous resources, contained resources
      14. Practitioner.extension
      Definition

      An Extension

      ShortExtension
      Control0..*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      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 Practitioner.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 16. Practitioner.extension:pca-active-in-system-of-record
        Slice Namepca-active-in-system-of-record
        Definition

        Whether the organization or practitioner record is active in a system of record from which an identifier element was obtained.

        ShortWhether this practitioner's record is active in a system of record (Ahpra, HI Service)
        Control0..*
        This element is affected by the following invariants: ele-1
        TypeExtension(PCA Active In System Of Record) (Complex Extension)
        Is Modifierfalse
        Must Supporttrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        18. Practitioner.extension:pca-bank-account
        Slice Namepca-bank-account
        Definition

        Bank account details for the healthcare service, practitioner or practitioner role record.

        ShortBank account details
        Control0..*
        This element is affected by the following invariants: ele-1
        TypeExtension(PCA Bank Account) (Complex Extension)
        Is Modifierfalse
        Must Supporttrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        20. Practitioner.extension:pca-credential-documents
        Slice Namepca-credential-documents
        Definition

        Credential Documents details for the practitioner record.

        ShortCredential Documents
        Control0..*
        This element is affected by the following invariants: ele-1
        TypeExtension(PCA Credential Documents) (Complex Extension)
        Is Modifierfalse
        Must Supporttrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        22. Practitioner.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..*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
        Summaryfalse
        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())
        24. Practitioner.identifier
        Definition

        An identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers.

        ShortAn identifier intended for computation
        NoteThis is a business identifier, not a resource identifier (see discussion)
        Control0..*
        This element is affected by the following invariants: ele-1
        TypeIdentifier(Identifier, AU HPI-I, AU PBS Prescriber Number, AU Care Agency Employee Identifier, AU Ahpra Registration Number)
        Is Modifierfalse
        Requirements

        Often, specific identities are assigned for the agent.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        SlicingThis element introduces a set of slices on Practitioner.identifier. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
        • value @ system
        • 26. Practitioner.identifier:hpii
          Slice Namehpii
          Definition

          Healthcare Provider Identifier for Individuals (HPI-I) assigned under the HI Service to healthcare providers involved in providing patient care.

          ShortHealthcare Provider Identifier – Individual (HPI-I)
          NoteThis is a business identifier, not a resource identifier (see discussion)
          Control0..1
          This element is affected by the following invariants: ele-1
          TypeIdentifier(AU HPI-I)
          Is Modifierfalse
          Must Supporttrue
          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()))
          inv-hpii-0: HPI-I shall be 16 digits (value.matches('^([0-9]{16})$'))
          inv-hpii-1: HPI-I prefix shall be 800361 (value.startsWith('800361'))
          inv-hpii-2: HPI-I shall pass the Luhn algorithm check ((((select(value.substring(0,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(1,1).toInteger())+(select(value.substring(2,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(3,1).toInteger())+(select(value.substring(4,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(5,1).toInteger())+(select(value.substring(6,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(7,1).toInteger())+(select(value.substring(8,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(9,1).toInteger())+(select(value.substring(10,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(11,1).toInteger())+(select(value.substring(12,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(13,1).toInteger())+(select(value.substring(14,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(15,1).toInteger()))mod 10=0))
          28. Practitioner.identifier:ahpraregistrationnumber
          Slice Nameahpraregistrationnumber
          Definition

          Australian Health Practitioner Regulation Authority (Ahpra) registration number assigned to a practitioner.

          ShortAustralian Health Practitioner Regulation Agency (Ahpra) Registration Number
          NoteThis is a business identifier, not a resource identifier (see discussion)
          Control0..*
          This element is affected by the following invariants: ele-1
          TypeIdentifier(AU Ahpra Registration Number)
          Is Modifierfalse
          Must Supporttrue
          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()))
          inv-ahpra-0: Ahpra identifier shall be 3 uppercase letters, followed by 10 digits (value.matches('^[A-Z]{3}[0-9]{10}$'))
          30. Practitioner.identifier:pca-pi
          Slice Namepca-pi
          Definition

          The PCA Practitioner Identifier (PCA-PI) issued by the PCA service to each PCA Practitioner.

          ShortPCA Practitioner Identifier (PCA-PI) issued by the PCA service
          NoteThis is a business identifier, not a resource identifier (see discussion)
          Control0..1
          This element is affected by the following invariants: ele-1
          TypeIdentifier(PCA Practitioner Identifier (PCA-PI))
          Is Modifierfalse
          Must Supporttrue
          Requirements

          Often, specific identities are assigned for the agent.

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

          Whether this practitioner's record is in active use.

          ShortWhether this practitioner's record is in active use
          Comments

          If the practitioner is not in use by one organization, then it should mark the period on the PractitonerRole with an end date (even if they are active) as they may be active in another role.

          Control1..1
          Typeboolean
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Requirements

          Need to be able to mark a practitioner record as not to be used because it was created in error.

          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()))
          34. Practitioner.name
          Definition

          The name(s) associated with the practitioner.

          ShortThe name(s) associated with the practitioner
          Comments

          The selection of the use property should ensure that there is a single usual name specified, and others use the nickname (alias), old, or other values as appropriate.

          In general, select the value to be used in the ResourceReference.display based on this:

          1. There is more than 1 name
          2. Use = usual
          3. Period is current to the date of the usage
          4. Use = official
          5. Other order as decided by internal business rules.
          Control1..*
          TypeHumanName
          Is Modifierfalse
          Must Supporttrue
          Summarytrue
          Requirements

          The name(s) that a Practitioner is known by. Where there are multiple, the name that the practitioner is usually known as should be used in the display.

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

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

          ShortPersonal contact point (i.e. phone or email)
          Comments

          Person may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and to help with identification. These typically will have home numbers, or mobile numbers that are not role specific.

          Control0..*
          This element is affected by the following invariants: ele-1
          TypeContactPoint(Practitioner Personal Contact Details)
          Is Modifierfalse
          Must Supporttrue
          Requirements

          Need to know how to reach a practitioner independent to any roles the practitioner may have.

          Invariantscpt-2: A system is required if a value is provided. (value.empty() or system.exists())
          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          38. Practitioner.address
          Definition

          An address expressed using postal conventions (as opposed to GPS or other location definition formats). This data type may be used to convey addresses for use in delivering mail as well as for visiting locations which might not be valid for mail delivery. There are a variety of postal address formats defined around the world.

          ShortAn address expressed using postal conventions (as opposed to GPS or other location definition formats)
          Comments

          The address is intended to describe postal addresses for administrative purposes, not to describe absolute geographical coordinates. Postal addresses are often used as proxies for physical locations (also see the Location resource).

          Control0..*
          This element is affected by the following invariants: ele-1
          TypeAddress(Address, Australian Address)
          Is Modifierfalse
          Requirements

          The home/mailing address of the practitioner is often required for employee administration purposes, and also for some rostering services where the start point (practitioners home) can be used in calculations.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          40. Practitioner.gender
          Definition

          Administrative Gender - the gender that the person is considered to have for administration and record keeping purposes.

          Shortmale | female | other | unknown
          Control0..1
          BindingThe codes SHALL be taken from AdministrativeGender
          (required to http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1)

          The gender of a person used for administrative purposes.

          Typecode
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Requirements

          Needed to address the person correctly.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          42. Practitioner.birthDate
          Definition

          The date of birth for the practitioner.

          ShortThe date on which the practitioner was born
          Control0..1
          Typedate
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Requirements

          Needed for identification.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          44. Practitioner.photo
          Definition

          Image of the person.

          ShortImage of the person
          Control0..*
          TypeAttachment
          Is Modifierfalse
          Summaryfalse
          Requirements

          Many EHR systems have the capability to capture an image of patients and personnel. Fits with newer social media usage too.

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

          The official certifications, training, and licenses that authorize or otherwise pertain to the provision of care by the practitioner. For example, a medical license issued by a medical board authorizing the practitioner to practice medicine within a certian locality.

          ShortCertification, licenses, or training pertaining to the provision of care
          Control0..*
          TypeBackboneElement
          Is Modifierfalse
          Must Supporttrue
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          inv-pra-0: A qualification shall only have Ahpra Profession details if the code is Ahpra Profession (extension('http://hl7.org.au/fhir/StructureDefinition/ahpraprofession-details').exists() implies code.coding.where(system='http://terminology.hl7.org.au/CodeSystem/v2-0360' and code='AUAHPRAProfession').exists())
          inv-pra-1: A qualification shall only have Ahpra Registration details if the code is Ahpra Registration (extension('http://hl7.org.au/fhir/StructureDefinition/ahpraregistration-details').exists() implies code.coding.where(system='http://terminology.hl7.org.au/CodeSystem/v2-0360' and code='AUAHPRARegistration').exists())
          48. Practitioner.qualification.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
          Is Modifierfalse
          XML FormatIn the XML format, this property is represented as an attribute.
          Summaryfalse
          50. Practitioner.qualification.extension
          Definition

          An Extension

          ShortExtension
          Control0..*
          TypeExtension
          Is Modifierfalse
          Summaryfalse
          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 Practitioner.qualification.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 52. Practitioner.qualification.extension:ahpraProfession-details
            Slice NameahpraProfession-details
            Definition

            An Extension

            ShortAhpra Profession Details
            Control0..1
            This element is affected by the following invariants: ele-1
            TypeExtension(Ahpra Profession Details) (Complex Extension)
            Is Modifierfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            54. Practitioner.qualification.extension:ahpraRegistration-details
            Slice NameahpraRegistration-details
            Definition

            Details on the Ahpra registration of profession.

            ShortAhpra Registration Details
            Control0..1
            This element is affected by the following invariants: ele-1
            TypeExtension(Ahpra Registration Details) (Complex Extension)
            Is Modifierfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            56. Practitioner.qualification.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..*
            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())
            58. Practitioner.qualification.identifier
            Definition

            An identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers.

            ShortAn identifier intended for computation
            NoteThis is a business identifier, not a resource identifier (see discussion)
            Control0..*
            This element is affected by the following invariants: ele-1
            TypeIdentifier(Identifier, AU Ahpra Registration Number)
            Is Modifierfalse
            Requirements

            Often, specific identities are assigned for the qualification.

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

            Coded representation of the qualification.

            ShortCoded representation of the qualification
            Control1..1
            BindingThe codes SHOULD be taken from hl7VS-degreeLicenseCertificate - AU Extended
            (preferred to http://terminology.hl7.org.au/ValueSet/v2-0360-extended)
            TypeCodeableConcept
            Is Modifierfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            62. Practitioner.qualification.period
            Definition

            Period during which the qualification is valid.

            ShortPeriod during which the qualification is valid
            Control0..1
            TypePeriod
            Is Modifierfalse
            Summaryfalse
            Requirements

            Qualifications are often for a limited period of time, and can be revoked.

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            64. Practitioner.qualification.issuer
            Definition

            Organization that regulates and issues the qualification.

            ShortOrganization that regulates and issues the qualification
            Control0..1
            TypeReference(Organization)
            Is Modifierfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            66. Practitioner.communication
            Definition

            A language the practitioner can use in patient communication.

            ShortA language the practitioner can use in patient communication
            Comments

            The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems code this but instead have it as free text. Hence CodeableConcept instead of code as the data type.

            Control0..*
            BindingUnless not suitable, these codes SHALL be taken from Common Languages in Australia .
            (extensible to https://healthterminologies.gov.au/fhir/ValueSet/common-languages-australia-2)
            TypeCodeableConcept
            Is Modifierfalse
            Summaryfalse
            Requirements

            Knowing which language a practitioner speaks can help in facilitating communication with patients.

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