Provider Connect Australia (PCA) - Local Development build (v24.2.0.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: PcaPractitionerRole - Detailed Descriptions

Active as of 2024-11-25

Definitions for the pca-practitioner-role resource profile.

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

0. PractitionerRole
Definition

A role a practitioner performs at a service offered by a publisher.

ShortA role a practitioner performs at a service offered by a publisher
Invariantsinv-pca-1: healthcareService shall be a relative reference to a HealthcareService (healthcareService.reference.startsWith('HealthcareService/'))
inv-pca-2: practitioner shall be a relative reference to a Practitioner (practitioner.reference.startsWith('Practitioner/'))
inv-pca-3: If a code of type practitionerRole is present, then exactly one code of type practitionerRole shall be preferred ((code.coding.system.where(value='http://snomed.info/sct').exists()) implies ((code.where(coding.system.where(value='http://snomed.info/sct') and extension.where(url='http://hl7.org/fhir/StructureDefinition/iso21090-preferred' and value=true))).count()=1))
2. PractitionerRole.extension:pca-preferred-name
Slice Namepca-preferred-name
ShortPractitioner's preferred name in this role at a specific location
Control0..1
TypeExtension(PCA Preferred Name) (Extension Type: HumanName)
Must Supporttrue
4. PractitionerRole.extension:pca-practitioner-role-communication
Slice Namepca-practitioner-role-communication
TypeExtension(PCA Practitioner Role Communication) (Extension Type: CodeableConcept)
Must Supporttrue
6. PractitionerRole.extension:pca-bank-account
Slice Namepca-bank-account
Control0..*
TypeExtension(PCA Bank Account) (Complex Extension)
Must Supporttrue
8. PractitionerRole.extension:pca-service-provision-capacity
Slice Namepca-service-provision-capacity
Control0..1
TypeExtension(PCA Service Provision Capacity) (Extension Type: string)
Must Supporttrue
10. PractitionerRole.identifier
NoteThis is a business identifier, not a resource identifier (see discussion)
Control1..?
Must Supporttrue
SlicingThis element introduces a set of slices on PractitionerRole.identifier. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ system
  • 12. PractitionerRole.identifier:pca-medicareprovidernumber
    Slice Namepca-medicareprovidernumber
    ShortPCA Medicare Provider Number
    NoteThis is a business identifier, not a resource identifier (see discussion)
    Control0..1
    TypeIdentifier(PCA Medicare Provider Number)
    Must Supporttrue
    14. PractitionerRole.identifier:pca-pri
    Slice Namepca-pri
    ShortPCA Practitioner Role Identifier (PCA-PRI) issued by the PCA service
    NoteThis is a business identifier, not a resource identifier (see discussion)
    Control0..1
    TypeIdentifier(PCA Practitioner Role Identifier (PCA-PRI))
    Must Supporttrue
    16. PractitionerRole.identifier:ahpraRegistrationNumber
    Slice NameahpraRegistrationNumber
    ShortAustralian Health Practitioner Regulation Agency (Ahpra) Registration Number
    NoteThis is a business identifier, not a resource identifier (see discussion)
    Control0..1
    TypeIdentifier(AU Ahpra Registration Number)
    18. PractitionerRole.active
    Must Supporttrue
    20. PractitionerRole.period
    Must Supporttrue
    Invariantsinv-pca-5: If present, start shall be later than '1900-01-01' ((start.exists()) implies (start > @1900-01-01))
    inv-pca-6: If present, end shall be no more than 5 years from the current date ((end.exists()) implies (end < (now() + 5 years)))
    22. PractitionerRole.practitioner
    Control1..?
    TypeReference(PCA Practitioner)
    Must Supporttrue
    24. PractitionerRole.organization
    ShortOrganization where the roles are available - see Must support section
    TypeReference(PCA Organization)
    26. PractitionerRole.code
    Control1..?
    Must Supporttrue
    SlicingThis element introduces a set of slices on PractitionerRole.code. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ coding.system
    • 28. PractitionerRole.code:practitionerRole
      Slice NamepractitionerRole
      ShortPractitioner Role (SNOMED CT)
      Control1..?
      BindingThe codes SHALL be taken from Practitioner Role .
      (required to https://healthterminologies.gov.au/fhir/ValueSet/practitioner-role-1)
      Must Supporttrue
      30. PractitionerRole.code:practitionerRole.extension:preferred
      Slice Namepreferred
      Definition

      Whether this is the primary code for this PractitionerRole.

      ShortWhether this is the primary code for this PractitionerRole
      Control0..1
      TypeExtension(preferred) (Extension Type: boolean)
      Must Supporttrue
      32. PractitionerRole.code:practitionerRole.coding
      34. PractitionerRole.code:practitionerRole.coding.system
      Control1..?
      Fixed Valuehttp://snomed.info/sct
      36. PractitionerRole.code:hiServiceRole
      Slice NamehiServiceRole
      ShortPCA HI Service Role
      Control0..1
      BindingThe codes SHALL be taken from PCA HI Service Role
      (required to http://pca.digitalhealth.gov.au/fhir/4.0/ValueSet/pca-hi-service-role)
      Must Supporttrue
      38. PractitionerRole.code:hiServiceRole.coding
      40. PractitionerRole.code:hiServiceRole.coding.system
      Control1..?
      Fixed Valuehttp://pca.digitalhealth.gov.au/fhir/4.0/CodeSystem/pca-hi-service-role
      42. PractitionerRole.location
      ShortThe location at which this practitioner provides care - see Must support section
      Control0..1
      TypeReference(PCA Location)
      44. PractitionerRole.healthcareService
      ShortThe service a practitioner provides when in this role
      Control1..1
      TypeReference(PCA Healthcare Service)
      Must Supporttrue

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

      0. PractitionerRole
      Definition

      A role a practitioner performs at a service offered by a publisher.


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

      ShortA role a practitioner performs at a service offered by a publisherRoles/organizations the practitioner is associated with
      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())
      inv-pca-1: healthcareService shall be a relative reference to a HealthcareService (healthcareService.reference.startsWith('HealthcareService/'))
      inv-pca-2: practitioner shall be a relative reference to a Practitioner (practitioner.reference.startsWith('Practitioner/'))
      inv-pca-3: If a code of type practitionerRole is present, then exactly one code of type practitionerRole shall be preferred ((code.coding.system.where(value='http://snomed.info/sct').exists()) implies ((code.where(coding.system.where(value='http://snomed.info/sct') and extension.where(url='http://hl7.org/fhir/StructureDefinition/iso21090-preferred' and value=true))).count()=1))
      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
      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:pca-preferred-name
      Slice Namepca-preferred-name
      Definition

      Name by which a practitioner chooses to be known in the context of the delivery of a specific healthcare service.

      ShortPractitioner's preferred name in this role at a specific location
      Control0..1
      This element is affected by the following invariants: ele-1
      TypeExtension(PCA Preferred Name) (Extension Type: HumanName)
      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())
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      6. PractitionerRole.extension:pca-practitioner-role-communication
      Slice Namepca-practitioner-role-communication
      Definition

      A language the practitioner can use in patient communication when acting in a role at a HealthcareService.

      ShortA language the practitioner can use in patient communication when acting in a role at a HealthcareService
      Control0..*
      This element is affected by the following invariants: ele-1
      TypeExtension(PCA Practitioner Role Communication) (Extension Type: CodeableConcept)
      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())
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      8. PractitionerRole.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())
      10. PractitionerRole.extension:pca-service-provision-capacity
      Slice Namepca-service-provision-capacity
      Definition

      Number of days per week that the practitioner provides the healthcare service.

      ShortDays per week that the practitioner provides the healthcare service
      Control0..1
      This element is affected by the following invariants: ele-1
      TypeExtension(PCA Service Provision Capacity) (Extension Type: string)
      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())
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      12. 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..*
      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())
      14. PractitionerRole.identifier
      Definition

      Business Identifiers that are specific to a role/location.

      ShortBusiness Identifiers that are specific to a role/location
      NoteThis is a business identifier, not a resource identifier (see discussion)
      Control10..*
      This element is affected by the following invariants: ele-1
      TypeIdentifier(Identifier, AU Medicare Provider Number, AU National Provider Identifier At Organisation, AU Employee Number)
      Is Modifierfalse
      Must Supporttrue
      Must Support TypesNo must-support rules about the choice of types/profiles
      Requirements

      Often, specific identities are assigned for the agent.

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

        Medicare provider number assigned by Services Australia to practitioners who provide services covered by Medicare Benefits Schedule (MBS) at a specific location.


        Business Identifiers that are specific to a role/location.

        ShortPCA Medicare Provider NumberBusiness 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(PCA Medicare Provider 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()))
        18. PractitionerRole.identifier:pca-pri
        Slice Namepca-pri
        Definition

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


        Business Identifiers that are specific to a role/location.

        ShortPCA Practitioner Role Identifier (PCA-PRI) issued by the PCA serviceBusiness 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(PCA Practitioner Role Identifier (PCA-PRI))
        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. PractitionerRole.identifier:ahpraRegistrationNumber
        Slice NameahpraRegistrationNumber
        Definition

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


        Business Identifiers that are specific to a role/location.

        ShortAustralian Health Practitioner Regulation Agency (Ahpra) Registration NumberBusiness 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(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()))
        inv-ahpra-0: Ahpra identifier shall be 3 uppercase letters, followed by 10 digits (value.matches('^[A-Z]{3}[0-9]{10}$'))
        22. 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
        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 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()))
        24. 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)
        Control0..1
        TypePeriod
        Is Modifierfalse
        Must Supporttrue
        Summarytrue
        Requirements

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

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        inv-pca-5: If present, start shall be later than '1900-01-01' ((start.exists()) implies (start > @1900-01-01))
        inv-pca-6: If present, end shall be no more than 5 years from the current date ((end.exists()) implies (end < (now() + 5 years)))
        26. 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
        Control10..1
        TypeReference(PCA Practitioner, Practitioner)
        Is Modifierfalse
        Must Supporttrue
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        28. PractitionerRole.organization
        Definition

        The organization where the Practitioner performs the roles associated.

        ShortOrganization where the roles are available - see Must support section
        Control0..1
        TypeReference(PCA Organization, Organization)
        Is Modifierfalse
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        30. PractitionerRole.code
        Definition

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

        ShortRoles which this practitioner may perform
        Comments

        A person may have more than one role.

        Control10..*
        BindingThe codes SHOULD be taken from For example codes, see Practitioner Role .http://hl7.org/fhir/ValueSet/practitioner-role
        (preferred to https://healthterminologies.gov.au/fhir/ValueSet/practitioner-role-1)
        TypeCodeableConcept
        Is Modifierfalse
        Must Supporttrue
        Summarytrue
        Requirements

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

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

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

          ShortPractitioner Role (SNOMED CT)Roles which this practitioner may perform
          Comments

          A person may have more than one role.

          Control10..*
          BindingThe codes SHALL be taken from For example codes, see Practitioner Role .http://hl7.org/fhir/ValueSet/practitioner-role
          (required to https://healthterminologies.gov.au/fhir/ValueSet/practitioner-role-1)
          TypeCodeableConcept
          Is Modifierfalse
          Must Supporttrue
          Summarytrue
          Requirements

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

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          34. PractitionerRole.code:practitionerRole.extension:preferred
          Slice Namepreferred
          Definition

          Whether this is the primary code for this PractitionerRole.

          ShortWhether this is the primary code for this PractitionerRole
          Control0..1
          TypeExtension(preferred) (Extension Type: boolean)
          Is Modifierfalse
          Must Supporttrue
          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())
          36. PractitionerRole.code:hiServiceRole
          Slice NamehiServiceRole
          Definition

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

          ShortPCA HI Service RoleRoles which this practitioner may perform
          Comments

          A person may have more than one role.

          Control0..1*
          BindingThe codes SHALL be taken from For example codes, see PCA HI Service Rolehttp://hl7.org/fhir/ValueSet/practitioner-role
          (required to http://pca.digitalhealth.gov.au/fhir/4.0/ValueSet/pca-hi-service-role)
          TypeCodeableConcept
          Is Modifierfalse
          Must Supporttrue
          Summarytrue
          Requirements

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

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

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

          ShortThe location at which this practitioner provides care - see Must support sectionThe location(s) at which this practitioner provides care
          Control0..1*
          TypeReference(PCA Location, Location)
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          40. PractitionerRole.healthcareService
          Definition

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

          ShortThe service a practitioner provides when in this roleThe list of healthcare services that this worker provides for this role's Organization/Location(s)
          Control10..1*
          TypeReference(PCA Healthcare Service, HealthcareService)
          Is Modifierfalse
          Must Supporttrue
          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. PractitionerRole
          Definition

          A role a practitioner performs at a service offered by a publisher.

          ShortA role a practitioner performs at a service offered by a publisher
          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())
          inv-pca-1: healthcareService shall be a relative reference to a HealthcareService (healthcareService.reference.startsWith('HealthcareService/'))
          inv-pca-2: practitioner shall be a relative reference to a Practitioner (practitioner.reference.startsWith('Practitioner/'))
          inv-pca-3: If a code of type practitionerRole is present, then exactly one code of type practitionerRole shall be preferred ((code.coding.system.where(value='http://snomed.info/sct').exists()) implies ((code.where(coding.system.where(value='http://snomed.info/sct') and extension.where(url='http://hl7.org/fhir/StructureDefinition/iso21090-preferred' and value=true))).count()=1))
          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
          Is Modifierfalse
          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
          TypeMeta
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          6. PractitionerRole.implicitRules
          Definition

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

          ShortA set of rules under which this content was created
          Comments

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

          Control0..1
          Typeuri
          Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          8. PractitionerRole.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. 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
          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. 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
          Is Modifierfalse
          Summaryfalse
          Alternate Namesinline resources, anonymous resources, contained resources
          14. PractitionerRole.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 PractitionerRole.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 16. PractitionerRole.extension:pca-preferred-name
            Slice Namepca-preferred-name
            Definition

            Name by which a practitioner chooses to be known in the context of the delivery of a specific healthcare service.

            ShortPractitioner's preferred name in this role at a specific location
            Control0..1
            This element is affected by the following invariants: ele-1
            TypeExtension(PCA Preferred Name) (Extension Type: HumanName)
            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. PractitionerRole.extension:pca-practitioner-role-communication
            Slice Namepca-practitioner-role-communication
            Definition

            A language the practitioner can use in patient communication when acting in a role at a HealthcareService.

            ShortA language the practitioner can use in patient communication when acting in a role at a HealthcareService
            Control0..*
            This element is affected by the following invariants: ele-1
            TypeExtension(PCA Practitioner Role Communication) (Extension Type: CodeableConcept)
            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. PractitionerRole.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())
            22. PractitionerRole.extension:pca-service-provision-capacity
            Slice Namepca-service-provision-capacity
            Definition

            Number of days per week that the practitioner provides the healthcare service.

            ShortDays per week that the practitioner provides the healthcare service
            Control0..1
            This element is affected by the following invariants: ele-1
            TypeExtension(PCA Service Provision Capacity) (Extension Type: string)
            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())
            24. 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..*
            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())
            26. PractitionerRole.identifier
            Definition

            Business Identifiers that are specific to a role/location.

            ShortBusiness Identifiers that are specific to a role/location
            NoteThis is a business identifier, not a resource identifier (see discussion)
            Control1..*
            This element is affected by the following invariants: ele-1
            TypeIdentifier(Identifier, AU Medicare Provider Number, AU National Provider Identifier At Organisation, AU Employee Number)
            Is Modifierfalse
            Must Supporttrue
            Must Support TypesNo must-support rules about the choice of types/profiles
            Requirements

            Often, specific identities are assigned for the agent.

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

              Medicare provider number assigned by Services Australia to practitioners who provide services covered by Medicare Benefits Schedule (MBS) at a specific location.

              ShortPCA Medicare Provider Number
              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 Medicare Provider 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()))
              30. PractitionerRole.identifier:pca-pri
              Slice Namepca-pri
              Definition

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

              ShortPCA Practitioner Role Identifier (PCA-PRI) 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 Role Identifier (PCA-PRI))
              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. PractitionerRole.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..1
              This element is affected by the following invariants: ele-1
              TypeIdentifier(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()))
              inv-ahpra-0: Ahpra identifier shall be 3 uppercase letters, followed by 10 digits (value.matches('^[A-Z]{3}[0-9]{10}$'))
              34. 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
              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 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()))
              36. 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)
              Control0..1
              TypePeriod
              Is Modifierfalse
              Must Supporttrue
              Summarytrue
              Requirements

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

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              inv-pca-5: If present, start shall be later than '1900-01-01' ((start.exists()) implies (start > @1900-01-01))
              inv-pca-6: If present, end shall be no more than 5 years from the current date ((end.exists()) implies (end < (now() + 5 years)))
              38. 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
              Control1..1
              TypeReference(PCA Practitioner)
              Is Modifierfalse
              Must Supporttrue
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              40. PractitionerRole.organization
              Definition

              The organization where the Practitioner performs the roles associated.

              ShortOrganization where the roles are available - see Must support section
              Control0..1
              TypeReference(PCA Organization)
              Is Modifierfalse
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              42. PractitionerRole.code
              Definition

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

              ShortRoles which this practitioner may perform
              Comments

              A person may have more than one role.

              Control1..*
              BindingThe codes SHOULD be taken from Practitioner Role .
              (preferred to https://healthterminologies.gov.au/fhir/ValueSet/practitioner-role-1)
              TypeCodeableConcept
              Is Modifierfalse
              Must Supporttrue
              Summarytrue
              Requirements

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

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

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

                ShortPractitioner Role (SNOMED CT)
                Comments

                A person may have more than one role.

                Control1..*
                BindingThe codes SHALL be taken from Practitioner Role .
                (required to https://healthterminologies.gov.au/fhir/ValueSet/practitioner-role-1)
                TypeCodeableConcept
                Is Modifierfalse
                Must Supporttrue
                Summarytrue
                Requirements

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

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                46. PractitionerRole.code:practitionerRole.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
                48. PractitionerRole.code:practitionerRole.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..*
                TypeExtension
                Is Modifierfalse
                Summaryfalse
                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.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • value @ url
                • 50. PractitionerRole.code:practitionerRole.extension:preferred
                  Slice Namepreferred
                  Definition

                  Whether this is the primary code for this PractitionerRole.

                  ShortWhether this is the primary code for this PractitionerRole
                  Control0..1
                  TypeExtension(preferred) (Extension Type: boolean)
                  Is Modifierfalse
                  Must Supporttrue
                  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())
                  52. PractitionerRole.code:practitionerRole.coding
                  Definition

                  A reference to a code defined by a terminology system.

                  ShortCode defined by a terminology system
                  Comments

                  Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                  Control0..*
                  TypeCoding
                  Is Modifierfalse
                  Summarytrue
                  Requirements

                  Allows for alternative encodings within a code system, and translations to other code systems.

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  54. PractitionerRole.code:practitionerRole.coding.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
                  56. PractitionerRole.code:practitionerRole.coding.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..*
                  TypeExtension
                  Is Modifierfalse
                  Summaryfalse
                  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.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                  • value @ url
                  • 58. PractitionerRole.code:practitionerRole.coding.system
                    Definition

                    The identification of the code system that defines the meaning of the symbol in the code.

                    ShortIdentity of the terminology system
                    Comments

                    The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

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

                    Need to be unambiguous about the source of the definition of the symbol.

                    Fixed Valuehttp://snomed.info/sct
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    60. PractitionerRole.code:practitionerRole.coding.version
                    Definition

                    The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                    ShortVersion of the system - if relevant
                    Comments

                    Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                    NoteThis is a business version Id, not a resource version Id (see discussion)
                    Control0..1
                    Typestring
                    Is Modifierfalse
                    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()))
                    62. PractitionerRole.code:practitionerRole.coding.code
                    Definition

                    A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                    ShortSymbol in syntax defined by the system
                    Control0..1
                    Typecode
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Summarytrue
                    Requirements

                    Need to refer to a particular code in the system.

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

                    A representation of the meaning of the code in the system, following the rules of the system.

                    ShortRepresentation defined by the system
                    Control0..1
                    Typestring
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Summarytrue
                    Requirements

                    Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    66. PractitionerRole.code:practitionerRole.coding.userSelected
                    Definition

                    Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                    ShortIf this coding was chosen directly by the user
                    Comments

                    Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                    Control0..1
                    Typeboolean
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Summarytrue
                    Requirements

                    This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    68. PractitionerRole.code:practitionerRole.text
                    Definition

                    A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                    ShortPlain text representation of the concept
                    Comments

                    Very often the text is the same as a displayName of one of the codings.

                    Control0..1
                    Typestring
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Summarytrue
                    Requirements

                    The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

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

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

                    ShortPCA HI Service Role
                    Comments

                    A person may have more than one role.

                    Control0..1
                    BindingThe codes SHALL be taken from PCA HI Service Role
                    (required to http://pca.digitalhealth.gov.au/fhir/4.0/ValueSet/pca-hi-service-role)
                    TypeCodeableConcept
                    Is Modifierfalse
                    Must Supporttrue
                    Summarytrue
                    Requirements

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

                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    72. PractitionerRole.code:hiServiceRole.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
                    74. PractitionerRole.code:hiServiceRole.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..*
                    TypeExtension
                    Is Modifierfalse
                    Summaryfalse
                    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.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                    • value @ url
                    • 76. PractitionerRole.code:hiServiceRole.coding
                      Definition

                      A reference to a code defined by a terminology system.

                      ShortCode defined by a terminology system
                      Comments

                      Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                      Control0..*
                      TypeCoding
                      Is Modifierfalse
                      Summarytrue
                      Requirements

                      Allows for alternative encodings within a code system, and translations to other code systems.

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      78. PractitionerRole.code:hiServiceRole.coding.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
                      80. PractitionerRole.code:hiServiceRole.coding.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..*
                      TypeExtension
                      Is Modifierfalse
                      Summaryfalse
                      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.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                      • value @ url
                      • 82. PractitionerRole.code:hiServiceRole.coding.system
                        Definition

                        The identification of the code system that defines the meaning of the symbol in the code.

                        ShortIdentity of the terminology system
                        Comments

                        The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

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

                        Need to be unambiguous about the source of the definition of the symbol.

                        Fixed Valuehttp://pca.digitalhealth.gov.au/fhir/4.0/CodeSystem/pca-hi-service-role
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        84. PractitionerRole.code:hiServiceRole.coding.version
                        Definition

                        The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                        ShortVersion of the system - if relevant
                        Comments

                        Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                        NoteThis is a business version Id, not a resource version Id (see discussion)
                        Control0..1
                        Typestring
                        Is Modifierfalse
                        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()))
                        86. PractitionerRole.code:hiServiceRole.coding.code
                        Definition

                        A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                        ShortSymbol in syntax defined by the system
                        Control0..1
                        Typecode
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Requirements

                        Need to refer to a particular code in the system.

                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        88. PractitionerRole.code:hiServiceRole.coding.display
                        Definition

                        A representation of the meaning of the code in the system, following the rules of the system.

                        ShortRepresentation defined by the system
                        Control0..1
                        Typestring
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Requirements

                        Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        90. PractitionerRole.code:hiServiceRole.coding.userSelected
                        Definition

                        Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                        ShortIf this coding was chosen directly by the user
                        Comments

                        Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                        Control0..1
                        Typeboolean
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Requirements

                        This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        92. PractitionerRole.code:hiServiceRole.text
                        Definition

                        A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                        ShortPlain text representation of the concept
                        Comments

                        Very often the text is the same as a displayName of one of the codings.

                        Control0..1
                        Typestring
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Requirements

                        The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

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

                        Specific specialty of the practitioner.

                        ShortSpecific specialty of the practitioner
                        Control0..*
                        BindingThe codes SHOULD be taken from Clinical Specialty .
                        (preferred to https://healthterminologies.gov.au/fhir/ValueSet/clinical-specialty-1)
                        TypeCodeableConcept
                        Is Modifierfalse
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        96. PractitionerRole.location
                        Definition

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

                        ShortThe location at which this practitioner provides care - see Must support section
                        Control0..1
                        TypeReference(PCA Location)
                        Is Modifierfalse
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        98. PractitionerRole.healthcareService
                        Definition

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

                        ShortThe service a practitioner provides when in this role
                        Control1..1
                        TypeReference(PCA Healthcare Service)
                        Is Modifierfalse
                        Must Supporttrue
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        100. PractitionerRole.telecom
                        Definition

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

                        ShortContact details that are specific to the role/location/service
                        Control0..*
                        TypeContactPoint
                        Is Modifierfalse
                        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()))
                        102. PractitionerRole.availableTime
                        Definition

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

                        ShortTimes the Service Site is available
                        Comments

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

                        Control0..*
                        TypeBackboneElement
                        Is Modifierfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        104. 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
                        Is Modifierfalse
                        XML FormatIn the XML format, this property is represented as an attribute.
                        Summaryfalse
                        106. 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..*
                        TypeExtension
                        Is Modifierfalse
                        Summaryfalse
                        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())
                        108. 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..*
                        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())
                        110. 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
                        Control0..*
                        BindingThe codes SHALL be taken from DaysOfWeek
                        (required to http://hl7.org/fhir/ValueSet/days-of-week|4.0.1)

                        The days of the week.

                        Typecode
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        112. 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
                        Typeboolean
                        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()))
                        114. PractitionerRole.availableTime.availableStartTime
                        Definition

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

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

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

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

                        unique id for the element within a resource (for internal references)

                        Shortxml:id (or equivalent in JSON)
                        Control0..1
                        Typestring
                        Is Modifierfalse
                        XML FormatIn the XML format, this property is represented as an attribute.
                        Summaryfalse
                        118. PractitionerRole.availableTime.availableStartTime.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 PractitionerRole.availableTime.availableStartTime.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                        • value @ url
                        • 120. PractitionerRole.availableTime.availableStartTime.extension:timeZone
                          Slice NametimeZone
                          Definition

                          Australian time zone.

                          ShortAU time zone
                          Control0..1
                          This element is affected by the following invariants: ele-1
                          TypeExtension(Australian Time Zone) (Extension Type: CodeableConcept)
                          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())
                          122. PractitionerRole.availableTime.availableStartTime.value
                          Definition

                          The actual value

                          ShortPrimitive value for time
                          Control0..1
                          Typetime
                          Is Modifierfalse
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Summaryfalse
                          124. PractitionerRole.availableTime.availableEndTime
                          Definition

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

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

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

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

                          unique id for the element within a resource (for internal references)

                          Shortxml:id (or equivalent in JSON)
                          Control0..1
                          Typestring
                          Is Modifierfalse
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Summaryfalse
                          128. PractitionerRole.availableTime.availableEndTime.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 PractitionerRole.availableTime.availableEndTime.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                          • value @ url
                          • 130. PractitionerRole.availableTime.availableEndTime.extension:timeZone
                            Slice NametimeZone
                            Definition

                            Australian time zone.

                            ShortAU time zone
                            Control0..1
                            This element is affected by the following invariants: ele-1
                            TypeExtension(Australian Time Zone) (Extension Type: CodeableConcept)
                            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())
                            132. PractitionerRole.availableTime.availableEndTime.value
                            Definition

                            The actual value

                            ShortPrimitive value for time
                            Control0..1
                            Typetime
                            Is Modifierfalse
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Summaryfalse
                            134. 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..*
                            TypeBackboneElement
                            Is Modifierfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            136. 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
                            Is Modifierfalse
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Summaryfalse
                            138. 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..*
                            TypeExtension
                            Is Modifierfalse
                            Summaryfalse
                            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())
                            140. 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..*
                            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())
                            142. 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
                            Control1..1
                            Typestring
                            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()))
                            144. PractitionerRole.notAvailable.during
                            Definition

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

                            ShortService not available from this date
                            Control0..1
                            TypePeriod
                            Is Modifierfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            146. 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
                            Control0..1
                            Typestring
                            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()))
                            148. 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
                            Control0..*
                            TypeReference(Endpoint)
                            Is Modifierfalse
                            Summaryfalse
                            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()))