CH EMS (R4)
1.9.0 - Standard for Trial Use
CH EMS (R4)
1.9.0 - Standard for Trial Use
This page is part of the CH EMS (R4) (v1.9.0: STU) based on FHIR R4. . For a full list of available versions, see the Directory of published versions 
Definition of the practitioner
The official URL for this profile is:
http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-practitioner
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from CHCorePractitioner
Summary
Mandatory: 0 element (1 nested mandatory element)
Fixed Value: 1 element
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
This structure is derived from CHCorePractitioner
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Practitioner | I | 0..* | CHCorePractitioner | CH EMS Practitioner ch-ems-epr: Warning that the resource is not conform to the CH Core EPR restrictions |
  identifier | 0..* | (Slice Definition) | An identifier for the person as this agent Slice: Unordered, Open by value:system | |
   identifier:GLN | 0..* | Identifier | GLN (Global Location Number) | |
   system | 1..1 | uri | OID of the GLN Fixed Value: urn:oid:2.51.1.3 | |
| value | 1..1 | string | GLN of the practitioner (13 digits starting with 7601 for Swiss accredited practitioners) | |
  assigner | 0..1 | Reference(CH EMS Organization Profile) | Organization that issued id | |
 reference | 1..1 | string | Literal reference, Relative, internal or absolute URL | |
 name | 0..* | CHCoreHumanName | The name(s) associated with the practitioner | |
| telecom | 0..* | ContactPoint | A contact detail for the practitioner | |
| address | 0..* | CHCoreAddress | Address(es) of the practitioner | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Practitioner | I | 0..* | CHCorePractitioner | CH EMS Practitioner ch-ems-epr: Warning that the resource is not conform to the CH Core EPR restrictions |
 id | Σ | 0..1 | string | Logical id of this artifact |
 meta | ΣI | 0..1 | Meta | Metadata about the resource |
| implicitRules | ?!ΣI | 0..1 | uri | A set of rules under which this content was created |
| language | I | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages |
| text | I | 0..1 | Narrative | Text summary of the resource, for human interpretation |
| contained | 0..* | Resource | Contained, inline Resources | |
 extension | I | 0..* | Extension | Additional content defined by implementations |
 modifierExtension | ?!I | 0..* | Extension | Extensions that cannot be ignored |
| identifier | ΣI | 0..* | (Slice Definition) | An identifier for the person as this agent Slice: Unordered, Open by value:system |
 identifier:GLN | ΣI | 0..* | Identifier | GLN (Global Location Number) |
 id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| use | ?!ΣI | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required) |
| type | ΣI | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible) |
| system | ΣI | 1..1 | uri | OID of the GLN Fixed Value: urn:oid:2.51.1.3 |
| value | ΣI | 1..1 | string | GLN of the practitioner (13 digits starting with 7601 for Swiss accredited practitioners) Example General: 123456 |
| period | ΣI | 0..1 | Period | Time period when id is/was valid for use |
| assigner | ΣI | 0..1 | Reference(CH EMS Organization Profile) | Organization that issued id |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| reference | ΣI | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| type | ΣI | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible) |
| identifier | ΣI | 0..1 | Identifier | Logical reference, when literal reference is not known |
| display | ΣI | 0..1 | string | Text alternative for the resource |
| identifier:ZSR | ΣI | 0..* | Identifier | ZSR |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| use | ?!ΣI | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required) |
| type | ΣI | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible) |
| system | ΣI | 1..1 | uri | oid of the ZSR Fixed Value: urn:oid:2.16.756.5.30.1.123.100.2.1.1 |
| value | ΣI | 1..1 | string | ZSR of the practitioner Example General: 123456 |
| period | ΣI | 0..1 | Period | Time period when id is/was valid for use |
 assigner | ΣI | 0..1 | Reference(Organization) | Organization that issued id (may be just text) |
| active | ΣI | 0..1 | boolean | Whether this practitioner's record is in active use |
| name | I | 0..* | CHCoreHumanName | The name(s) associated with the practitioner |
| telecom | ΣI | 0..* | ContactPoint | A contact detail for the practitioner |
| address | I | 0..* | CHCoreAddress | Address(es) of the practitioner |
| gender | ΣI | 0..1 | code | male | female | other Binding: AdministrativeGender (required) |
| birthDate | ΣI | 0..1 | date | The date on which the practitioner was born |
| photo | I | 0..* | Attachment | Image of the person |
| qualification | I | 0..* | BackboneElement | Certification, licenses, or training pertaining to the provision of care |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| identifier | I | 0..* | Identifier | An identifier for this qualification for the practitioner |
| code | I | 1..1 | CodeableConcept | Coded representation of the qualification Binding: v2 table 0360, Version 2.7 (example) |
| period | I | 0..1 | Period | Period during which the qualification is valid |
| issuer | I | 0..1 | Reference(Organization) | Organization that regulates and issues the qualification |
| communication | I | 0..* | CodeableConcept | A language the practitioner can use in patient communication Binding: CommonLanguages (preferred) Max Binding: AllLanguages |
| Documentation for this format | ||||
This structure is derived from CHCorePractitioner
Summary
Mandatory: 0 element (1 nested mandatory element)
Fixed Value: 1 element
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from CHCorePractitioner
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Practitioner | I | 0..* | CHCorePractitioner | CH EMS Practitioner ch-ems-epr: Warning that the resource is not conform to the CH Core EPR restrictions |
| identifier | 0..* | (Slice Definition) | An identifier for the person as this agent Slice: Unordered, Open by value:system | |
| identifier:GLN | 0..* | Identifier | GLN (Global Location Number) | |
| system | 1..1 | uri | OID of the GLN Fixed Value: urn:oid:2.51.1.3 | |
| value | 1..1 | string | GLN of the practitioner (13 digits starting with 7601 for Swiss accredited practitioners) | |
| assigner | 0..1 | Reference(CH EMS Organization Profile) | Organization that issued id | |
| reference | 1..1 | string | Literal reference, Relative, internal or absolute URL | |
| name | 0..* | CHCoreHumanName | The name(s) associated with the practitioner | |
| telecom | 0..* | ContactPoint | A contact detail for the practitioner | |
| address | 0..* | CHCoreAddress | Address(es) of the practitioner | |
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Practitioner | I | 0..* | CHCorePractitioner | CH EMS Practitioner ch-ems-epr: Warning that the resource is not conform to the CH Core EPR restrictions |
| id | Σ | 0..1 | string | Logical id of this artifact |
| meta | ΣI | 0..1 | Meta | Metadata about the resource |
| implicitRules | ?!ΣI | 0..1 | uri | A set of rules under which this content was created |
| language | I | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages |
| text | I | 0..1 | Narrative | Text summary of the resource, for human interpretation |
| contained | 0..* | Resource | Contained, inline Resources | |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!I | 0..* | Extension | Extensions that cannot be ignored |
| identifier | ΣI | 0..* | (Slice Definition) | An identifier for the person as this agent Slice: Unordered, Open by value:system |
| identifier:GLN | ΣI | 0..* | Identifier | GLN (Global Location Number) |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| use | ?!ΣI | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required) |
| type | ΣI | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible) |
| system | ΣI | 1..1 | uri | OID of the GLN Fixed Value: urn:oid:2.51.1.3 |
| value | ΣI | 1..1 | string | GLN of the practitioner (13 digits starting with 7601 for Swiss accredited practitioners) Example General: 123456 |
| period | ΣI | 0..1 | Period | Time period when id is/was valid for use |
| assigner | ΣI | 0..1 | Reference(CH EMS Organization Profile) | Organization that issued id |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| reference | ΣI | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| type | ΣI | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible) |
| identifier | ΣI | 0..1 | Identifier | Logical reference, when literal reference is not known |
| display | ΣI | 0..1 | string | Text alternative for the resource |
| identifier:ZSR | ΣI | 0..* | Identifier | ZSR |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| use | ?!ΣI | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required) |
| type | ΣI | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible) |
| system | ΣI | 1..1 | uri | oid of the ZSR Fixed Value: urn:oid:2.16.756.5.30.1.123.100.2.1.1 |
| value | ΣI | 1..1 | string | ZSR of the practitioner Example General: 123456 |
| period | ΣI | 0..1 | Period | Time period when id is/was valid for use |
| assigner | ΣI | 0..1 | Reference(Organization) | Organization that issued id (may be just text) |
| active | ΣI | 0..1 | boolean | Whether this practitioner's record is in active use |
| name | I | 0..* | CHCoreHumanName | The name(s) associated with the practitioner |
| telecom | ΣI | 0..* | ContactPoint | A contact detail for the practitioner |
| address | I | 0..* | CHCoreAddress | Address(es) of the practitioner |
| gender | ΣI | 0..1 | code | male | female | other Binding: AdministrativeGender (required) |
| birthDate | ΣI | 0..1 | date | The date on which the practitioner was born |
| photo | I | 0..* | Attachment | Image of the person |
| qualification | I | 0..* | BackboneElement | Certification, licenses, or training pertaining to the provision of care |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| identifier | I | 0..* | Identifier | An identifier for this qualification for the practitioner |
| code | I | 1..1 | CodeableConcept | Coded representation of the qualification Binding: v2 table 0360, Version 2.7 (example) |
| period | I | 0..1 | Period | Period during which the qualification is valid |
| issuer | I | 0..1 | Reference(Organization) | Organization that regulates and issues the qualification |
| communication | I | 0..* | CodeableConcept | A language the practitioner can use in patient communication Binding: CommonLanguages (preferred) Max Binding: AllLanguages |
| Documentation for this format | ||||
Other representations of profile: Schematron
| Path | Conformance | ValueSet |
| Practitioner.language | preferred | CommonLanguages Max Binding: AllLanguages |
| Practitioner.identifier:GLN.use | required | IdentifierUse |
| Practitioner.identifier:GLN.type | extensible | Identifier Type Codes |
| Practitioner.identifier:GLN.assigner.type | extensible | ResourceType |
| 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 |
| Practitioner.communication | preferred | CommonLanguages Max Binding: AllLanguages |
| Id | Path | Details | Requirements |
| dom-2 | Practitioner | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | 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 | 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 | Practitioner | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | Practitioner | A resource should have narrative for robust management : text.`div`.exists() | |
| ch-pract-1 | Practitioner | At least one HumanName with given and family name must be provided. : name.where(family.exists() and given.exists()).count()>0 or name.empty() | |
| ch-pract-2 | Practitioner | gender unknown is currently not used in Switzerland in eCH and the EPR : gender.empty() or gender!='unknown' | |
| ch-ems-epr | Practitioner | Warning that the resource is not conform to the CH Core EPR restrictions : conformsTo('http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner-epr') | |
| ele-1 | Practitioner.meta | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Practitioner.implicitRules | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Practitioner.language | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Practitioner.text | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Practitioner.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Practitioner.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Practitioner.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Practitioner.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Practitioner.identifier | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Practitioner.identifier:GLN | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Practitioner.identifier:GLN.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Practitioner.identifier:GLN.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Practitioner.identifier:GLN.use | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Practitioner.identifier:GLN.type | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Practitioner.identifier:GLN.system | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Practitioner.identifier:GLN.value | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Practitioner.identifier:GLN.period | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Practitioner.identifier:GLN.assigner | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Practitioner.identifier:GLN.assigner.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Practitioner.identifier:GLN.assigner.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Practitioner.identifier:GLN.assigner.reference | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Practitioner.identifier:GLN.assigner.type | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Practitioner.identifier:GLN.assigner.identifier | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Practitioner.identifier:GLN.assigner.display | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Practitioner.identifier:ZSR | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Practitioner.identifier:ZSR.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Practitioner.identifier:ZSR.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Practitioner.identifier:ZSR.use | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Practitioner.identifier:ZSR.type | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Practitioner.identifier:ZSR.system | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Practitioner.identifier:ZSR.value | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Practitioner.identifier:ZSR.period | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Practitioner.identifier:ZSR.assigner | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Practitioner.active | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Practitioner.name | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ch-core-hm-1 | 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 | 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 | 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 | 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 | Practitioner.telecom | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Practitioner.address | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Practitioner.gender | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Practitioner.birthDate | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Practitioner.photo | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Practitioner.qualification | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Practitioner.qualification.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Practitioner.qualification.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Practitioner.qualification.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Practitioner.qualification.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Practitioner.qualification.identifier | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Practitioner.qualification.code | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Practitioner.qualification.period | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Practitioner.qualification.issuer | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Practitioner.communication | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |