Generated Narrative: StructureDefinition pca-practitioner Name Flags Card. Type Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> Practitioner 0..* AUCorePractitioner A person with a formal responsibility in the provisioning of services #xD; Slices for extension Content/Rules for all slices #xD; extension:pca-active-in-system-of-record S 0..* (Complex) Whether this practitioner's record is active in a system of record (Ahpra, HI Service) URL: http://pca.digitalhealth.gov.au/fhir/4.0/StructureDefinition/pca-active-in-system-of-record #xD; extension:pca-bank-account S 0..* (Complex) Bank account details URL: http://pca.digitalhealth.gov.au/fhir/4.0/StructureDefinition/pca-bank-account #xD; extension:pca-credential-documents S 0..* (Complex) Credential Documents URL: http://pca.digitalhealth.gov.au/fhir/4.0/StructureDefinition/pca-credential-documents #xD; Slices for identifier 0..* Identifier, AUHPII, AUPBSPrescriberNumber, AUCareAgencyEmployeeIdentifier, AUAhpraRegistrationNumber An identifier for the person as this agent Slice: Unordered, Closed by pattern:type, value:system #xD; identifier:hpii S 0..1 AUHPII An identifier for the person as this agent #xD; identifier:ahpraregistrationnumber S 0..* AUAhpraRegistrationNumber Australian Health Practitioner Regulation Agency (Ahpra) Registration Number #xD; identifier:pca-pi S 0..1 PcaPractitionerIdentifier PCA Practitioner Identifier (PCA-PI) issued by the PCA service #xD; active S 1..1 boolean Whether this practitioner's record is in active use #xD; name S 1..* HumanName The name(s) associated with the practitioner #xD; telecom S 0..* PractitionerPersonalContactDetails Personal contact point (i.e. phone or email) #xD; qualification S 0..* BackboneElement Certification, licenses, or training pertaining to the provision of care #xD; Slices for extension Content/Rules for all slices #xD; extension:ahpraRegistration-details 0..* Extension Ahpra Registration Details #xD; <img src="[binary]" alt="doco" style="background-color: inherit"/> Documentation for this format
This profile of Practitioner defines a practitioner, in an Australian healthcare context, as supported by the Provider Connect Australia (PCA) service.
Copyright © 2024 Australian Digital Health Agency - All rights reserved. This content is licensed under a Creative Commons Attribution 4.0 International License. See https://creativecommons.org/licenses/by/4.0/.
A person with a formal responsibility in the provisioning of services
A person who is directly or indirectly involved in the provisioning of healthcare.
If the resource is contained in another resource, it SHALL NOT contain nested Resources
not(parent::f:contained and f:contained)
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()
not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))
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()
not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))
If a resource is contained in another resource, it SHALL NOT have a security label
When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time.
A resource should have narrative for robust management
Individual gender identity shall be a member of the Gender Identity Response value set if any codes within that value set can apply
extension('http://hl7.org/fhir/StructureDefinition/individual-genderIdentity').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-genderIdentity').all(extension('value').value.memberOf('https://healthterminologies.gov.au/fhir/ValueSet/gender-identity-response-1'))
Individual pronouns shall be a member of the Australian Pronouns value set if any codes within that value set can apply
extension('http://hl7.org/fhir/StructureDefinition/individual-pronouns').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-pronouns').all(extension('value').value.memberOf('https://healthterminologies.gov.au/fhir/ValueSet/australian-pronouns-1'))
Recorded sex or gender type shall be a member of the AU Recorded Sex or Gender Type value set if any codes within that value set can apply
extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('type').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').all(extension('type').value.memberOf('http://terminology.hl7.org.au/ValueSet/rsg-type'))
Recorded sex or gender source document type shall be a member of the AU Recorded Sex or Gender (RSG) Source Document Type value set if any codes within that value set can apply
extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('sourceDocument').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').all(extension('sourceDocument').value.memberOf('http://terminology.hl7.org.au/ValueSet/rsg-document-type'))
Recorded sex or gender jurisdiction shall be a member of the Jurisdiction ValueSet - AU Extended value set if any codes within that value set can apply
extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('jurisdiction').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').all(extension('jurisdiction').value.memberOf('http://terminology.hl7.org.au/ValueSet/jurisdiction-extended'))
The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
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.
All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
A set of rules under which this content was created
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.
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.
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
The base language in which the resource is written.
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).
Text summary of the resource, for human interpretation
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.
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.
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.
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.
Must have either extensions or value[x], not both
exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
Gender identity shall be a member of the Gender Identity Response value set if any codes within that value set can apply
An individual's personal sense of being a man, woman, boy, girl, nonbinary, or something else.
The individual's gender identity is populated in the `extension:value.value[x]` of the [Individual Gender Identity](http://hl7.org/fhir/StructureDefinition/individual-genderIdentity) extension and shall contain one of the codes from the [Gender Identity Response](https://healthterminologies.gov.au/fhir/ValueSet/gender-identity-response-1) value set if any of the codes within the value set can apply. See [Australian Bureau of Statics (ABS) Standard for Sex, Gender, Variations of Sex Characteristics and Sexual Orientation Variables, 2020](https://www.abs.gov.au/statistics/standards/standard-sex-gender-variations-sex-characteristics-and-sexual-orientation-variables/latest-release#gender) for further materials.
Pronouns shall be a member of the Australian Pronouns value set if any codes within that value set can apply
The pronouns to use when referring to an individual in verbal or written communication.
The individual's pronouns are populated in the `extension:value.value[x]` of the [Individual Pronouns](http://hl7.org/fhir/StructureDefinition/individual-pronouns) extension and shall contain one of the codes from the [Australian Pronouns](https://healthterminologies.gov.au/fhir/ValueSet/australian-pronouns-1) value set if any of the codes within the value set can apply.
Recorded sex or gender type shall be a member of the AU Recorded Sex or Gender Type value set if any codes within that value set can apply. Recorded sex or gender source document type shall be a member of the AU Recorded Sex or Gender (RSG) Source Document Type value set if any codes within that value set can apply. Recorded sex or gender jurisdiction shall be a member of the Jurisdiction ValueSet - AU Extended value set if any codes within that value set can apply
A sex or gender property for the individual from a document or other record
The type of recorded sex or gender is populated in the `extension:type.value[x]` of the [Person Recorded Sex or Gender](http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender) extension and shall contain one of the codes from the [AU Recorded Sex or Gender Type](https://build.fhir.org/ig/hl7au/au-fhir-base/ValueSet-rsg-type.html) value set if any of the codes within the value set can apply. The document from which the sex or gender property was acquired is populated in the `extension:sourceDocument.value[x]` of the [Person Recorded Sex or Gender](http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender) extension and shall contain one of the codes from the [AU Recorded Sex or Gender (RSG) Source Document Type](https://build.fhir.org/ig/hl7au/au-fhir-base/ValueSet-rsg-source-document-type.html) value set if any of the codes within the value set can apply. The jurisdiction that issued the document where the sex or gender was acquired is populated in the `extension:jurisdiction.value[x]` of the [Person Recorded Sex or Gender](http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender) extension and shall contain one of the codes from the [Jurisdiction ValueSet - AU Extended](https://build.fhir.org/ig/hl7au/au-fhir-base/ValueSet-au-jurisdiction-extended.html) value set if any of the codes within the value set can apply.
Whether this practitioner's record is active in a system of record (Ahpra, HI Service)
Whether the organization or practitioner record is active in a system of record from which an identifier element was obtained.
Bank account details for the healthcare service, practitioner or practitioner role record.
Credential Documents details for the practitioner record.
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).
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.
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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
An identifier for the person as this agent
An identifier that applies to this person in this role.
Often, specific identities are assigned for the agent.
Australian Health Practitioner Regulation Agency (Ahpra) Registration Number
PCA Practitioner Identifier (PCA-PI) issued by the PCA service
Whether this practitioner's record is in active use
Whether this practitioner's record is in active use.
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.
Need to be able to mark a practitioner record as not to be used because it was created in error.
This resource is generally assumed to be active if no value is provided for the active element
The name(s) associated with the practitioner
The name(s) associated with the practitioner.
The selection of the use property should ensure that there is a single usual name specified, and others use the nickname (alias), old, or other values as appropriate. In general, select the value to be used in the ResourceReference.display based on this: 1. There is more than 1 name 2. Use = usual 3. Period is current to the date of the usage 4. Use = official 5. Other order as decided by internal business rules.
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.
./PreferredName (GivenNames, FamilyName, TitleCode)
Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Extensions are always sliced by (at least) url
Additional content defined by implementations
May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
usual | official | temp | nickname | anonymous | old | maiden
Applications can assume that a name is current unless it explicitly says that it is temporary or old.
Allows the appropriate name for a particular context of use to be selected from among a set of names.
This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one
XPN.7, but often indicated by which field contains the name
Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts.
Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.
The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.
Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).
Given names (not always 'first'). Includes middle names
If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first.
Given Names appear in the correct order for presenting the name
Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name.
Prefixes appear in the correct order for presenting the name
Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name.
Suffixes appear in the correct order for presenting the name
Indicates the period of time when this name was valid for the named person.
Allows names to be placed in historical context.
Personal contact point (i.e. phone or email)
A contact detail for the practitioner, e.g. a telephone number or an email address.
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.
Need to know how to reach a practitioner independent to any roles the practitioner may have.
Address(es) of the practitioner that are not role specific (typically home address)
Address(es) of the practitioner that are not role specific (typically home address). Work addresses are not typically entered in this property as they are usually role dependent.
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).
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.
Administrative Gender - the gender that the person is considered to have for administration and record keeping purposes.
The gender of a person used for administrative purposes.
The date on which the practitioner was born
Many EHR systems have the capability to capture an image of patients and personnel. Fits with newer social media usage too.
./ImageURI (only supports the URI reference)
Certification, licenses, or training pertaining to the provision of care
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.
Extensions that cannot be ignored even if unrecognized
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).
Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
An identifier for this qualification for the practitioner
An identifier that applies to this person's qualification in this role.
Often, specific identities are assigned for the qualification.
Coded representation of the qualification
Coded representation of the qualification.
Period during which the qualification is valid
Period during which the qualification is valid.
Qualifications are often for a limited period of time, and can be revoked.
./Qualifications.StartDate and ./Qualifications.EndDate
Organization that regulates and issues the qualification
Organization that regulates and issues the qualification.
A language the practitioner can use in patient communication
A language the practitioner can use in patient communication.
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.
Knowing which language a practitioner speaks can help in facilitating communication with patients.