This page is part of the CH EMED (R4) (v3.0.0: STU 3) based on FHIR R4. . For a full list of available versions, see the Directory of published versions

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Resource Profile: CH EMED Practitioner

Definition of the practitioner for the eMedication context

Usage:

• Refer to this Resource Profile:
• Examples for this Resource Profile: Practitioner/FamilienHausarzt

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from CHCorePractitionerEPR

Name	Flags	Card.	Type	Description & Constraints
Practitioner		0..*	CHCorePractitionerEPR	CH EMED Practitioner
Slices for identifier		1..*	Identifier	An identifier for the person as this agent Slice: Unordered, Open by value:system
identifier:GLN	S	1..1	GLNIdentifier	An identifier intended for computation
name	S	1..*	CHCoreHumanName	Name of a human - parts and usage
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Practitioner	C	0..*	CHCorePractitionerEPR	CH EMED Practitioner
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..*	Identifier	An identifier for the person as this agent Slice: Unordered, Open by value:system
identifier:GLN	S	1..1	GLNIdentifier	An identifier intended for computation
identifier:ZSR	Σ	0..*	Identifier	ZSR
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	OID of the ZSR Fixed Value: urn:oid:2.16.756.5.30.1.123.100.2.1.1
value	Σ	1..1	string	ZSR of the practitioner Example General: 123456
name	SC	1..*	CHCoreHumanName	Name of a human - parts and usage
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Practitioner.identifier:ZSR.use	required	IdentifierUse

Constraints

Id	Grade	Path(s)	Details	Requirements
ch-core-hm-1	error	Practitioner.name	if officalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is official : family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and valueCode='officialName').empty() or (family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and valueCode='officialName').exists() and use='official')
ch-core-hm-2	error	Practitioner.name	if orginalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is maiden : family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and valueCode='originalName').empty() or ((family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and valueCode='originalName').exists() and use='maiden'))
ch-core-hm-3	error	Practitioner.name	ch-ext-ech-11-name can only be put on a family name : descendants().extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name').count()=family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name').count()
ch-core-hm-4	error	Practitioner.name	ch-ext-ech-11-firstname can only be put on a given name : descendants().extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-firstname').count()=given.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-firstname').count()
ch-pract-1	error	Practitioner	If a HumanName is provided, at least one HumanName must have a given and family name. : name.where(family.exists() and given.exists()).count()>0 or name.empty()
ch-pract-2	warning	Practitioner	gender unknown is currently not used in Switzerland in eCH and the EPR : gender.empty() or gender!='unknown'
dom-2	error	Practitioner	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Practitioner	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	error	Practitioner	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	error	Practitioner	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Practitioner	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints
Practitioner	C	0..*	CHCorePractitionerEPR	CH EMED Practitioner
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..*	Identifier	An identifier for the person as this agent Slice: Unordered, Open by value:system
identifier:GLN	S	1..1	GLNIdentifier	An identifier intended for computation
identifier:ZSR	Σ	0..*	Identifier	ZSR
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	OID of the ZSR Fixed Value: urn:oid:2.16.756.5.30.1.123.100.2.1.1
value	Σ	1..1	string	ZSR of the practitioner Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
active	Σ	0..1	boolean	Whether this practitioner's record is in active use
name	SC	1..*	CHCoreHumanName	Name of a human - parts and usage
telecom	Σ	0..*	ContactPoint	A contact detail for the practitioner (that apply to all roles)
address		0..*	CHCoreAddress	An address expressed using postal conventions (as opposed to GPS or other location definition formats)
gender	Σ	0..1	code	male | female | other Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate	Σ	0..1	date	The date on which the practitioner was born
photo		0..*	Attachment	Image of the person
qualification		0..*	BackboneElement	Certification, licenses, or training pertaining to the provision of care
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
identifier		0..*	Identifier	An identifier for this qualification for the practitioner
code		1..1	CodeableConcept	Coded representation of the qualification Binding: v2 table 0360, Version 2.7 (example): Specific qualification the practitioner has to provide a service.
period		0..1	Period	Period during which the qualification is valid
issuer		0..1	Reference(Organization)	Organization that regulates and issues the qualification
communication		0..*	CodeableConcept	A language the practitioner can use in patient communication Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Practitioner.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Practitioner.identifier:ZSR.use	required	IdentifierUse
Practitioner.identifier:ZSR.type	extensible	Identifier Type Codes
Practitioner.gender	required	AdministrativeGender
Practitioner.qualification.code	example	v2.0360.2.7 (a valid code from http://terminology.hl7.org/CodeSystem/v2-0360|2.7)
Practitioner.communication	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding

Constraints

Id	Grade	Path(s)	Details	Requirements
ch-core-hm-1	error	Practitioner.name	if officalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is official : family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and valueCode='officialName').empty() or (family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and valueCode='officialName').exists() and use='official')
ch-core-hm-2	error	Practitioner.name	if orginalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is maiden : family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and valueCode='originalName').empty() or ((family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and valueCode='originalName').exists() and use='maiden'))
ch-core-hm-3	error	Practitioner.name	ch-ext-ech-11-name can only be put on a family name : descendants().extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name').count()=family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name').count()
ch-core-hm-4	error	Practitioner.name	ch-ext-ech-11-firstname can only be put on a given name : descendants().extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-firstname').count()=given.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-firstname').count()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from CHCorePractitionerEPR

Summary

Must-Support: 2 elements

Slices

This structure defines the following Slices:

• The element Practitioner.identifier is sliced based on the value of value:system

Differential View

This structure is derived from CHCorePractitionerEPR

Name	Flags	Card.	Type	Description & Constraints
Practitioner		0..*	CHCorePractitionerEPR	CH EMED Practitioner
Slices for identifier		1..*	Identifier	An identifier for the person as this agent Slice: Unordered, Open by value:system
identifier:GLN	S	1..1	GLNIdentifier	An identifier intended for computation
name	S	1..*	CHCoreHumanName	Name of a human - parts and usage
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Practitioner	C	0..*	CHCorePractitionerEPR	CH EMED Practitioner
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..*	Identifier	An identifier for the person as this agent Slice: Unordered, Open by value:system
identifier:GLN	S	1..1	GLNIdentifier	An identifier intended for computation
identifier:ZSR	Σ	0..*	Identifier	ZSR
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	OID of the ZSR Fixed Value: urn:oid:2.16.756.5.30.1.123.100.2.1.1
value	Σ	1..1	string	ZSR of the practitioner Example General: 123456
name	SC	1..*	CHCoreHumanName	Name of a human - parts and usage
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Practitioner.identifier:ZSR.use	required	IdentifierUse

Constraints

Id	Grade	Path(s)	Details	Requirements
ch-core-hm-1	error	Practitioner.name	if officalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is official : family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and valueCode='officialName').empty() or (family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and valueCode='officialName').exists() and use='official')
ch-core-hm-2	error	Practitioner.name	if orginalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is maiden : family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and valueCode='originalName').empty() or ((family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and valueCode='originalName').exists() and use='maiden'))
ch-core-hm-3	error	Practitioner.name	ch-ext-ech-11-name can only be put on a family name : descendants().extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name').count()=family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name').count()
ch-core-hm-4	error	Practitioner.name	ch-ext-ech-11-firstname can only be put on a given name : descendants().extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-firstname').count()=given.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-firstname').count()
ch-pract-1	error	Practitioner	If a HumanName is provided, at least one HumanName must have a given and family name. : name.where(family.exists() and given.exists()).count()>0 or name.empty()
ch-pract-2	warning	Practitioner	gender unknown is currently not used in Switzerland in eCH and the EPR : gender.empty() or gender!='unknown'
dom-2	error	Practitioner	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Practitioner	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	error	Practitioner	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	error	Practitioner	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Practitioner	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Practitioner	C	0..*	CHCorePractitionerEPR	CH EMED Practitioner
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..*	Identifier	An identifier for the person as this agent Slice: Unordered, Open by value:system
identifier:GLN	S	1..1	GLNIdentifier	An identifier intended for computation
identifier:ZSR	Σ	0..*	Identifier	ZSR
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	OID of the ZSR Fixed Value: urn:oid:2.16.756.5.30.1.123.100.2.1.1
value	Σ	1..1	string	ZSR of the practitioner Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
active	Σ	0..1	boolean	Whether this practitioner's record is in active use
name	SC	1..*	CHCoreHumanName	Name of a human - parts and usage
telecom	Σ	0..*	ContactPoint	A contact detail for the practitioner (that apply to all roles)
address		0..*	CHCoreAddress	An address expressed using postal conventions (as opposed to GPS or other location definition formats)
gender	Σ	0..1	code	male | female | other Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate	Σ	0..1	date	The date on which the practitioner was born
photo		0..*	Attachment	Image of the person
qualification		0..*	BackboneElement	Certification, licenses, or training pertaining to the provision of care
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
identifier		0..*	Identifier	An identifier for this qualification for the practitioner
code		1..1	CodeableConcept	Coded representation of the qualification Binding: v2 table 0360, Version 2.7 (example): Specific qualification the practitioner has to provide a service.
period		0..1	Period	Period during which the qualification is valid
issuer		0..1	Reference(Organization)	Organization that regulates and issues the qualification
communication		0..*	CodeableConcept	A language the practitioner can use in patient communication Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Practitioner.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Practitioner.identifier:ZSR.use	required	IdentifierUse
Practitioner.identifier:ZSR.type	extensible	Identifier Type Codes
Practitioner.gender	required	AdministrativeGender
Practitioner.qualification.code	example	v2.0360.2.7 (a valid code from http://terminology.hl7.org/CodeSystem/v2-0360|2.7)
Practitioner.communication	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding

Constraints

Id	Grade	Path(s)	Details	Requirements
ch-core-hm-1	error	Practitioner.name	if officalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is official : family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and valueCode='officialName').empty() or (family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and valueCode='officialName').exists() and use='official')
ch-core-hm-2	error	Practitioner.name	if orginalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is maiden : family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and valueCode='originalName').empty() or ((family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and valueCode='originalName').exists() and use='maiden'))
ch-core-hm-3	error	Practitioner.name	ch-ext-ech-11-name can only be put on a family name : descendants().extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name').count()=family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name').count()
ch-core-hm-4	error	Practitioner.name	ch-ext-ech-11-firstname can only be put on a given name : descendants().extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-firstname').count()=given.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-firstname').count()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from CHCorePractitionerEPR

Summary

Must-Support: 2 elements

Slices

This structure defines the following Slices:

• The element Practitioner.identifier is sliced based on the value of value:system

Other representations of profile: CSV, Excel, Schematron