# Provider Connect Australia (PCA)

24.2.0.1 - active

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: PcaPractitioner - Detailed Descriptions

Active as of 2024-11-25

Definitions for the pca-practitioner resource profile.

- Differential Elements Table
- Key Elements Table
- Snapshot Elements Table

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

0. Practitioner
2. Practitioner.extension:pca-active-in-system-of-record
Slice Name | pca-active-in-system-of-record
Short | Whether this practitioner's record is active in a system of record (Ahpra, HI Service)
Type | Extension(PCA Active In System Of Record) (Complex Extension)
Must Support | true
4. Practitioner.extension:pca-bank-account
Slice Name | pca-bank-account
Control | 0..*
Type | Extension(PCA Bank Account) (Complex Extension)
Must Support | true
6. Practitioner.extension:pca-credential-documents
Slice Name | pca-credential-documents
Control | 0..*
Type | Extension(PCA Credential Documents) (Complex Extension)
Must Support | true
8. Practitioner.identifier
Note | This is a business identifier, not a resource identifier (see discussion)
Slicing | This element introduces a set of slices on `Practitioner.identifier`. The slices areUnordered and Closed, and can be differentiated using the following discriminators: value @ system
10. Practitioner.identifier:hpii
Slice Name | hpii
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..1
Type | Identifier(AU HPI-I)
Must Support | true
12. Practitioner.identifier:ahpraregistrationnumber
Slice Name | ahpraregistrationnumber
Short | Australian Health Practitioner Regulation Agency (Ahpra) Registration Number
Note | This is a business identifier, not a resource identifier (see discussion)
Type | Identifier(AU Ahpra Registration Number)
Must Support | true
14. Practitioner.identifier:pca-pi
Slice Name | pca-pi
Short | PCA Practitioner Identifier (PCA-PI) issued by the PCA service
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..1
Type | Identifier(PCA Practitioner Identifier (PCA-PI))
Must Support | true
16. Practitioner.active
Control | 1..?
Must Support | true
18. Practitioner.name
Control | 1..?
Must Support | true
20. Practitioner.telecom
Short | Personal contact point (i.e. phone or email)
Type | ContactPoint(Practitioner Personal Contact Details)
Must Support | true
22. Practitioner.qualification
Must Support | true
24. Practitioner.qualification.extension:ahpraRegistration-details
Slice Name | ahpraRegistration-details
Short | Ahpra Registration Details

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

0. Practitioner
Definition | A person who is directly or indirectly involved in the provisioning of healthcare.
Short | A practitioner in an Australian healthcare contextA person with a formal responsibility in the provisioning of healthcare or related services
Control | 0..*
Is Modifier | false
Summary | false
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty()) dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()) dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()) dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty()) dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. Practitioner.implicitRules
Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Short | A 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.
Control | 0..1
Type | uri
Is Modifier | true 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 Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. Practitioner.extension:pca-active-in-system-of-record
Slice Name | pca-active-in-system-of-record
Definition | Whether the organization or practitioner record is active in a system of record from which an identifier element was obtained.
Short | Whether this practitioner's record is active in a system of record (Ahpra, HI Service)
Control | 0..* This element is affected by the following invariants: ele-1
Type | Extension(PCA Active In System Of Record) (Complex Extension)
Is Modifier | false
Must Support | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
6. Practitioner.extension:pca-bank-account
Slice Name | pca-bank-account
Definition | Bank account details for the healthcare service, practitioner or practitioner role record.
Short | Bank account details
Control | 0..* This element is affected by the following invariants: ele-1
Type | Extension(PCA Bank Account) (Complex Extension)
Is Modifier | false
Must Support | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
8. Practitioner.extension:pca-credential-documents
Slice Name | pca-credential-documents
Definition | Credential Documents details for the practitioner record.
Short | Credential Documents
Control | 0..* This element is affected by the following invariants: ele-1
Type | Extension(PCA Credential Documents) (Complex Extension)
Is Modifier | false
Must Support | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
10. Practitioner.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions 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.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Summary | false
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 Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
12. Practitioner.identifier
Definition | An identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers. An identifier that applies to this person in this role.
Short | An identifier intended for computationAn identifier for the person as this agent
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..* This element is affected by the following invariants: ele-1
Type | Identifier(Identifier, AU HPI-I, AU PBS Prescriber Number, AU Care Agency Employee Identifier, AU Ahpra Registration Number)
Is Modifier | false
Requirements | Often, specific identities are assigned for the agent.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
Slicing | This element introduces a set of slices on `Practitioner.identifier`. The slices areUnordered and Closed, and can be differentiated using the following discriminators: value @ system
14. Practitioner.identifier:hpii
Slice Name | hpii
Definition | Healthcare Provider Identifier for Individuals (HPI-I) assigned under the HI Service to healthcare providers involved in providing patient care. An identifier that applies to this person in this role.
Short | Healthcare Provider Identifier – Individual (HPI-I)An identifier for the person as this agent
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..1* This element is affected by the following invariants: ele-1
Type | Identifier(AU HPI-I)
Is Modifier | false
Must Support | true
Requirements | Often, specific identities are assigned for the agent.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) inv-hpii-0: HPI-I shall be 16 digits (`value.matches('^([0-9]{16})$')`) inv-hpii-1: HPI-I prefix shall be 800361 (`value.startsWith('800361')`) inv-hpii-2: HPI-I shall pass the Luhn algorithm check (`(((select(value.substring(0,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(1,1).toInteger())+(select(value.substring(2,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(3,1).toInteger())+(select(value.substring(4,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(5,1).toInteger())+(select(value.substring(6,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(7,1).toInteger())+(select(value.substring(8,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(9,1).toInteger())+(select(value.substring(10,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(11,1).toInteger())+(select(value.substring(12,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(13,1).toInteger())+(select(value.substring(14,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(15,1).toInteger()))mod 10=0)`)
16. Practitioner.identifier:ahpraregistrationnumber
Slice Name | ahpraregistrationnumber
Definition | Australian Health Practitioner Regulation Authority (Ahpra) registration number assigned to a practitioner. An identifier that applies to this person in this role.
Short | Australian Health Practitioner Regulation Agency (Ahpra) Registration NumberAn identifier for the person as this agent
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..* This element is affected by the following invariants: ele-1
Type | Identifier(AU Ahpra Registration Number)
Is Modifier | false
Must Support | true
Requirements | Often, specific identities are assigned for the agent.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) inv-ahpra-0: Ahpra identifier shall be 3 uppercase letters, followed by 10 digits (`value.matches('^[A-Z]{3}[0-9]{10}$')`)
18. Practitioner.identifier:pca-pi
Slice Name | pca-pi
Definition | The PCA Practitioner Identifier (PCA-PI) issued by the PCA service to each PCA Practitioner. An identifier that applies to this person in this role.
Short | PCA Practitioner Identifier (PCA-PI) issued by the PCA serviceAn identifier for the person as this agent
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..1* This element is affected by the following invariants: ele-1
Type | Identifier(PCA Practitioner Identifier (PCA-PI))
Is Modifier | false
Must Support | true
Requirements | Often, specific identities are assigned for the agent.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. Practitioner.active
Definition | Whether this practitioner's record is in active use.
Short | Whether this practitioner's record is in active use
Comments | If the practitioner is not in use by one organization, then it should mark the period on the PractitonerRole with an end date (even if they are active) as they may be active in another role.
Control | 10..1
Type | boolean
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | Need to be able to mark a practitioner record as not to be used because it was created in error.
Meaning if Missing | This resource is generally assumed to be active if no value is provided for the active element
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
22. Practitioner.name
Definition | The name(s) associated with the practitioner.
Short | The name(s) associated with the practitioner
Comments | The selection of the use property should ensure that there is a single usual name specified, and others use the nickname (alias), old, or other values as appropriate. In general, select the value to be used in the ResourceReference.display based on this: There is more than 1 name Use = usual Period is current to the date of the usage Use = official Other order as decided by internal business rules.
Control | 10..*
Type | HumanName
Is Modifier | false
Must Support | true
Summary | true
Requirements | The name(s) that a Practitioner is known by. Where there are multiple, the name that the practitioner is usually known as should be used in the display.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
24. Practitioner.telecom
Definition | Details for all kinds of technology mediated contact points for a person or organization, including telephone, email, etc. A contact detail for the practitioner, e.g. a telephone number or an email address.
Short | Personal contact point (i.e. phone or email)A contact detail for the practitioner (that apply to all roles)
Comments | Person may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and to help with identification. These typically will have home numbers, or mobile numbers that are not role specific.
Control | 0..* This element is affected by the following invariants: ele-1
Type | ContactPoint(Practitioner Personal Contact Details)
Is Modifier | false
Must Support | true
Requirements | Need to know how to reach a practitioner independent to any roles the practitioner may have.
Invariants | cpt-2: A system is required if a value is provided. (`value.empty() or system.exists()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
26. Practitioner.qualification
Definition | The official certifications, training, and licenses that authorize or otherwise pertain to the provision of care by the practitioner. For example, a medical license issued by a medical board authorizing the practitioner to practice medicine within a certian locality.
Short | Certification, licenses, or training pertaining to the provision of care
Control | 0..*
Type | BackboneElement
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) inv-pra-0: A qualification shall only have Ahpra Profession details if the code is Ahpra Profession (`extension('http://hl7.org.au/fhir/StructureDefinition/ahpraprofession-details').exists() implies code.coding.where(system='http://terminology.hl7.org.au/CodeSystem/v2-0360' and code='AUAHPRAProfession').exists()`) inv-pra-1: A qualification shall only have Ahpra Registration details if the code is Ahpra Registration (`extension('http://hl7.org.au/fhir/StructureDefinition/ahpraregistration-details').exists() implies code.coding.where(system='http://terminology.hl7.org.au/CodeSystem/v2-0360' and code='AUAHPRARegistration').exists()`)
28. Practitioner.qualification.extension:ahpraProfession-details
Slice Name | ahpraProfession-details
Definition | An Extension
Short | Ahpra Profession Details
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(Ahpra Profession Details) (Complex Extension)
Is Modifier | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
30. Practitioner.qualification.extension:ahpraRegistration-details
Slice Name | ahpraRegistration-details
Definition | Details on the Ahpra registration of profession.
Short | Ahpra Registration Details
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(Ahpra Registration Details) (Complex Extension)
Is Modifier | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
32. Practitioner.qualification.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions 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.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
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 Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
34. Practitioner.qualification.code
Definition | Coded representation of the qualification.
Short | Coded representation of the qualification
Control | 1..1
Binding | The codes SHOULD be taken from For example codes, see hl7VS-degreeLicenseCertificate - AU Extended http://terminology.hl7.org/ValueSet/v2-2.7-0360 (preferred to `http://terminology.hl7.org.au/ValueSet/v2-0360-extended` )
Type | CodeableConcept
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

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

0. Practitioner
Definition | A person who is directly or indirectly involved in the provisioning of healthcare.
Short | A practitioner in an Australian healthcare context
Control | 0..*
Is Modifier | false
Summary | false
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (`contained.contained.empty()`) dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (`contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`) dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (`contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`) dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (`contained.meta.security.empty()`) dom-6: A resource should have narrative for robust management (`text.`div`.exists()`)
2. Practitioner.id
Definition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
Short | Logical 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.
Control | 0..1
Type | id
Is Modifier | false
Summary | true
4. Practitioner.meta
Definition | The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
Short | Metadata about the resource
Control | 0..1
Type | Meta
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
6. Practitioner.implicitRules
Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Short | A 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.
Control | 0..1
Type | uri
Is Modifier | true 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 Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
8. Practitioner.language
Definition | The base language in which the resource is written.
Short | Language 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).
Control | 0..1
Binding | The codes SHOULD be taken from CommonLanguages (preferred to `http://hl7.org/fhir/ValueSet/languages` ) A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
10. Practitioner.text
Definition | A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
Short | Text 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.
Control | 0..1
Type | Narrative
Is Modifier | false
Summary | false
Alternate Names | narrative, html, xhtml, display
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
12. Practitioner.contained
Definition | These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
Short | Contained, 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.
Control | 0..*
Type | Resource
Is Modifier | false
Summary | false
Alternate Names | inline resources, anonymous resources, contained resources
14. Practitioner.extension
Definition | An Extension
Short | Extension
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Invariants | ele-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()`)
Slicing | This element introduces a set of slices on `Practitioner.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
16. Practitioner.extension:pca-active-in-system-of-record
Slice Name | pca-active-in-system-of-record
Definition | Whether the organization or practitioner record is active in a system of record from which an identifier element was obtained.
Short | Whether this practitioner's record is active in a system of record (Ahpra, HI Service)
Control | 0..* This element is affected by the following invariants: ele-1
Type | Extension(PCA Active In System Of Record) (Complex Extension)
Is Modifier | false
Must Support | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
18. Practitioner.extension:pca-bank-account
Slice Name | pca-bank-account
Definition | Bank account details for the healthcare service, practitioner or practitioner role record.
Short | Bank account details
Control | 0..* This element is affected by the following invariants: ele-1
Type | Extension(PCA Bank Account) (Complex Extension)
Is Modifier | false
Must Support | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
20. Practitioner.extension:pca-credential-documents
Slice Name | pca-credential-documents
Definition | Credential Documents details for the practitioner record.
Short | Credential Documents
Control | 0..* This element is affected by the following invariants: ele-1
Type | Extension(PCA Credential Documents) (Complex Extension)
Is Modifier | false
Must Support | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
22. Practitioner.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions 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.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Summary | false
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 Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
24. Practitioner.identifier
Definition | An identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers.
Short | An identifier intended for computation
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..* This element is affected by the following invariants: ele-1
Type | Identifier(Identifier, AU HPI-I, AU PBS Prescriber Number, AU Care Agency Employee Identifier, AU Ahpra Registration Number)
Is Modifier | false
Requirements | Often, specific identities are assigned for the agent.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
Slicing | This element introduces a set of slices on `Practitioner.identifier`. The slices areUnordered and Closed, and can be differentiated using the following discriminators: value @ system
26. Practitioner.identifier:hpii
Slice Name | hpii
Definition | Healthcare Provider Identifier for Individuals (HPI-I) assigned under the HI Service to healthcare providers involved in providing patient care.
Short | Healthcare Provider Identifier – Individual (HPI-I)
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Identifier(AU HPI-I)
Is Modifier | false
Must Support | true
Requirements | Often, specific identities are assigned for the agent.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) inv-hpii-0: HPI-I shall be 16 digits (`value.matches('^([0-9]{16})$')`) inv-hpii-1: HPI-I prefix shall be 800361 (`value.startsWith('800361')`) inv-hpii-2: HPI-I shall pass the Luhn algorithm check (`(((select(value.substring(0,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(1,1).toInteger())+(select(value.substring(2,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(3,1).toInteger())+(select(value.substring(4,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(5,1).toInteger())+(select(value.substring(6,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(7,1).toInteger())+(select(value.substring(8,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(9,1).toInteger())+(select(value.substring(10,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(11,1).toInteger())+(select(value.substring(12,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(13,1).toInteger())+(select(value.substring(14,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(15,1).toInteger()))mod 10=0)`)
28. Practitioner.identifier:ahpraregistrationnumber
Slice Name | ahpraregistrationnumber
Definition | Australian Health Practitioner Regulation Authority (Ahpra) registration number assigned to a practitioner.
Short | Australian Health Practitioner Regulation Agency (Ahpra) Registration Number
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..* This element is affected by the following invariants: ele-1
Type | Identifier(AU Ahpra Registration Number)
Is Modifier | false
Must Support | true
Requirements | Often, specific identities are assigned for the agent.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) inv-ahpra-0: Ahpra identifier shall be 3 uppercase letters, followed by 10 digits (`value.matches('^[A-Z]{3}[0-9]{10}$')`)
30. Practitioner.identifier:pca-pi
Slice Name | pca-pi
Definition | The PCA Practitioner Identifier (PCA-PI) issued by the PCA service to each PCA Practitioner.
Short | PCA Practitioner Identifier (PCA-PI) issued by the PCA service
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Identifier(PCA Practitioner Identifier (PCA-PI))
Is Modifier | false
Must Support | true
Requirements | Often, specific identities are assigned for the agent.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
32. Practitioner.active
Definition | Whether this practitioner's record is in active use.
Short | Whether this practitioner's record is in active use
Comments | If the practitioner is not in use by one organization, then it should mark the period on the PractitonerRole with an end date (even if they are active) as they may be active in another role.
Control | 1..1
Type | boolean
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | Need to be able to mark a practitioner record as not to be used because it was created in error.
Meaning if Missing | This resource is generally assumed to be active if no value is provided for the active element
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
34. Practitioner.name
Definition | The name(s) associated with the practitioner.
Short | The name(s) associated with the practitioner
Comments | The selection of the use property should ensure that there is a single usual name specified, and others use the nickname (alias), old, or other values as appropriate. In general, select the value to be used in the ResourceReference.display based on this: There is more than 1 name Use = usual Period is current to the date of the usage Use = official Other order as decided by internal business rules.
Control | 1..*
Type | HumanName
Is Modifier | false
Must Support | true
Summary | true
Requirements | The name(s) that a Practitioner is known by. Where there are multiple, the name that the practitioner is usually known as should be used in the display.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
36. Practitioner.telecom
Definition | Details for all kinds of technology mediated contact points for a person or organization, including telephone, email, etc.
Short | Personal contact point (i.e. phone or email)
Comments | Person may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and to help with identification. These typically will have home numbers, or mobile numbers that are not role specific.
Control | 0..* This element is affected by the following invariants: ele-1
Type | ContactPoint(Practitioner Personal Contact Details)
Is Modifier | false
Must Support | true
Requirements | Need to know how to reach a practitioner independent to any roles the practitioner may have.
Invariants | cpt-2: A system is required if a value is provided. (`value.empty() or system.exists()`) ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
38. Practitioner.address
Definition | An address expressed using postal conventions (as opposed to GPS or other location definition formats). This data type may be used to convey addresses for use in delivering mail as well as for visiting locations which might not be valid for mail delivery. There are a variety of postal address formats defined around the world.
Short | An address expressed using postal conventions (as opposed to GPS or other location definition formats)
Comments | The address is intended to describe postal addresses for administrative purposes, not to describe absolute geographical coordinates. Postal addresses are often used as proxies for physical locations (also see the Location resource).
Control | 0..* This element is affected by the following invariants: ele-1
Type | Address(Address, Australian Address)
Is Modifier | false
Requirements | The home/mailing address of the practitioner is often required for employee administration purposes, and also for some rostering services where the start point (practitioners home) can be used in calculations.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
40. Practitioner.gender
Definition | Administrative Gender - the gender that the person is considered to have for administration and record keeping purposes.
Short | male | female | other | unknown
Control | 0..1
Binding | The codes SHALL be taken from AdministrativeGender (required to `http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1` ) The gender of a person used for administrative purposes.
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Needed to address the person correctly.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
42. Practitioner.birthDate
Definition | The date of birth for the practitioner.
Short | The date on which the practitioner was born
Control | 0..1
Type | date
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Needed for identification.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
44. Practitioner.photo
Definition | Image of the person.
Short | Image of the person
Control | 0..*
Type | Attachment
Is Modifier | false
Summary | false
Requirements | Many EHR systems have the capability to capture an image of patients and personnel. Fits with newer social media usage too.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
46. Practitioner.qualification
Definition | The official certifications, training, and licenses that authorize or otherwise pertain to the provision of care by the practitioner. For example, a medical license issued by a medical board authorizing the practitioner to practice medicine within a certian locality.
Short | Certification, licenses, or training pertaining to the provision of care
Control | 0..*
Type | BackboneElement
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) inv-pra-0: A qualification shall only have Ahpra Profession details if the code is Ahpra Profession (`extension('http://hl7.org.au/fhir/StructureDefinition/ahpraprofession-details').exists() implies code.coding.where(system='http://terminology.hl7.org.au/CodeSystem/v2-0360' and code='AUAHPRAProfession').exists()`) inv-pra-1: A qualification shall only have Ahpra Registration details if the code is Ahpra Registration (`extension('http://hl7.org.au/fhir/StructureDefinition/ahpraregistration-details').exists() implies code.coding.where(system='http://terminology.hl7.org.au/CodeSystem/v2-0360' and code='AUAHPRARegistration').exists()`)
48. Practitioner.qualification.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
50. Practitioner.qualification.extension
Definition | An Extension
Short | Extension
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Invariants | ele-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()`)
Slicing | This element introduces a set of slices on `Practitioner.qualification.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
52. Practitioner.qualification.extension:ahpraProfession-details
Slice Name | ahpraProfession-details
Definition | An Extension
Short | Ahpra Profession Details
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(Ahpra Profession Details) (Complex Extension)
Is Modifier | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
54. Practitioner.qualification.extension:ahpraRegistration-details
Slice Name | ahpraRegistration-details
Definition | Details on the Ahpra registration of profession.
Short | Ahpra Registration Details
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(Ahpra Registration Details) (Complex Extension)
Is Modifier | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
56. Practitioner.qualification.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions 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.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
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 Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
58. Practitioner.qualification.identifier
Definition | An identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers.
Short | An identifier intended for computation
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..* This element is affected by the following invariants: ele-1
Type | Identifier(Identifier, AU Ahpra Registration Number)
Is Modifier | false
Requirements | Often, specific identities are assigned for the qualification.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
60. Practitioner.qualification.code
Definition | Coded representation of the qualification.
Short | Coded representation of the qualification
Control | 1..1
Binding | The codes SHOULD be taken from hl7VS-degreeLicenseCertificate - AU Extended (preferred to `http://terminology.hl7.org.au/ValueSet/v2-0360-extended` )
Type | CodeableConcept
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
62. Practitioner.qualification.period
Definition | Period during which the qualification is valid.
Short | Period during which the qualification is valid
Control | 0..1
Type | Period
Is Modifier | false
Summary | false
Requirements | Qualifications are often for a limited period of time, and can be revoked.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
64. Practitioner.qualification.issuer
Definition | Organization that regulates and issues the qualification.
Short | Organization that regulates and issues the qualification
Control | 0..1
Type | Reference(Organization)
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
66. Practitioner.communication
Definition | A language the practitioner can use in patient communication.
Short | A language the practitioner can use in patient communication
Comments | The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems code this but instead have it as free text. Hence CodeableConcept instead of code as the data type.
Control | 0..*
Binding | Unless not suitable, these codes SHALL be taken from Common Languages in Australia (extensible to `https://healthterminologies.gov.au/fhir/ValueSet/common-languages-australia-2` )
Type | CodeableConcept
Is Modifier | false
Summary | false
Requirements | Knowing which language a practitioner speaks can help in facilitating communication with patients.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)