Nictiz FHIR NL STU3 Zib2017
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Resource Profile: nl-core-practitioner - Detailed Descriptions

Active as of 2024-04-09

Definitions for the nl-core-practitioner resource profile.

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

0. Practitioner
ShortHealthcareProvider
Alternate NamesZorgverlener
2. Practitioner.identifier
Definition

The healthcare provider identification number is a number that uniquely identifies the healthcare provider.

The following numbers are used in the Netherlands:
1. UZI Health Professionals. Identification of health professionals (people) in the Dutch healthcare industry. 2. VEKTIS AGB-Z. Identifies health professionals and healthcare organizations 3. BIG-ID. The ID of the health professional listed in the BIG Register.

This information is not readily available for foreign health professionals.

ShortHealthProfessionalIdentificationNumber
NoteThis is a business identifier, not a resource identifier (see discussion)
Alternate NamesZorgverlenerIdentificatieNummer
SlicingThis element introduces a set of slices on Practitioner.identifier. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ system
  • 4. Practitioner.identifier:UZI
    Slice NameUZI
    Definition

    Unieke Zorgverlener Identificatie (Dutch physician identification number)

    ShortUZI
    NoteThis is a business identifier, not a resource identifier (see discussion)
    Control0..1
    Alternate NamesUZI
    6. Practitioner.identifier:UZI.system
    Control1..?
    Fixed Valuehttp://fhir.nl/fhir/NamingSystem/uzi-nr-pers
    8. Practitioner.identifier:UZI.value
    Control1..?
    Example<br/><b>Example</b>:01011234
    10. Practitioner.identifier:AGB
    Slice NameAGB
    ShortAGB
    NoteThis is a business identifier, not a resource identifier (see discussion)
    Control0..1
    Alternate NamesAGB
    12. Practitioner.identifier:AGB.system
    Control1..?
    Fixed Valuehttp://fhir.nl/fhir/NamingSystem/agb-z
    14. Practitioner.identifier:AGB.value
    Control1..?
    Example<br/><b>Example</b>:123456
    16. Practitioner.identifier:BIG
    Slice NameBIG
    ShortBIG
    NoteThis is a business identifier, not a resource identifier (see discussion)
    Control0..1
    Alternate NamesBIG
    18. Practitioner.identifier:BIG.system
    Control1..?
    Fixed Valuehttp://fhir.nl/fhir/NamingSystem/big
    20. Practitioner.identifier:BIG.value
    Control1..?
    Example<br/><b>Example</b>:12345678
    22. Practitioner.name
    Definition

    Health professional’s full name. If a health professional identification number is entered, it will be the name as listed in UZI, AGB or by the healthcare center.

    ShortNameInformation
    TypeHumanName(nl-core-humanname)
    Alternate NamesZorgverlenerNaam
    24. Practitioner.telecom
    ShortContactInformation
    TypeContactPoint(nl-core-contactpoint)
    Alternate NamesContactgegevens
    26. Practitioner.address
    ShortAddressInformation
    TypeAddress(nl-core-address)
    Alternate NamesAdresgegevens

    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.

    ShortHealthcareProviderA person with a formal responsibility in the provisioning of healthcare or related services
    Comments

    Note that a cab driver no longer fits the bill. You probably would be interested in the organization rather than the individual?

    Control0..*
    Alternate NamesZorgverlener
    Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
    dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative (contained.text.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-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource (contained.where(('#'+id in %resource.descendants().reference).not()).empty())
    dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
    dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative (contained.text.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-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource (contained.where(('#'+id in %resource.descendants().reference).not()).empty())
    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.

    ShortA set of rules under which this content was created
    Comments

    Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element.

    This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.

    Control0..1
    Typeuri
    Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    4. 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. Usually modifier elements provide negation or qualification. In order 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.

    ShortExtensions that cannot be ignored
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
    Alternate Namesextensions, user content
    6. Practitioner.identifier
    Definition

    The healthcare provider identification number is a number that uniquely identifies the healthcare provider.

    The following numbers are used in the Netherlands:
    1. UZI Health Professionals. Identification of health professionals (people) in the Dutch healthcare industry. 2. VEKTIS AGB-Z. Identifies health professionals and healthcare organizations 3. BIG-ID. The ID of the health professional listed in the BIG Register.

    This information is not readily available for foreign health professionals.


    An identifier that applies to this person in this role.

    ShortHealthProfessionalIdentificationNumberA identifier for the person as this agent
    NoteThis is a business identifier, not a resource identifier (see discussion)
    Control0..*
    TypeIdentifier
    Summarytrue
    Requirements

    Often, specific identities are assigned for the agent.

    Alternate NamesZorgverlenerIdentificatieNummer
    SlicingThis element introduces a set of slices on Practitioner.identifier. The slices are unordered and Open, and can be differentiated using the following discriminators:
    • value @ system
    • 8. Practitioner.identifier:UZI
      Slice NameUZI
      Definition

      Unieke Zorgverlener Identificatie (Dutch physician identification number)


      An identifier that applies to this person in this role.

      ShortUZIA identifier for the person as this agent
      NoteThis is a business identifier, not a resource identifier (see discussion)
      Control0..1*
      TypeIdentifier
      Summarytrue
      Requirements

      Often, specific identities are assigned for the agent.

      Alternate NamesUZI
      10. Practitioner.identifier:UZI.use
      Definition

      The purpose of this identifier.

      Shortusual | official | temp | secondary (If known)
      Comments

      This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

      Control0..1
      BindingThe codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use
      (required to http://hl7.org/fhir/ValueSet/identifier-use)

      Identifies the purpose for this identifier, if known .

      Typecode
      Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Requirements

      Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

      12. Practitioner.identifier:UZI.system
      Definition

      Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

      ShortThe namespace for the identifier value
      Control10..1
      Typeuri
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Requirements

      There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

      Fixed Valuehttp://fhir.nl/fhir/NamingSystem/uzi-nr-pers
      Example<br/><b>General</b>:http://www.acme.com/identifiers/patient
      14. Practitioner.identifier:UZI.value
      Definition

      The portion of the identifier typically relevant to the user and which is unique within the context of the system.

      ShortThe value that is unique
      Comments

      If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension.

      Control10..1
      Typestring
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Example<br/><b>General</b>:123456 <br/><b>Example</b>:01011234
      16. Practitioner.identifier:AGB
      Slice NameAGB
      Definition

      An identifier that applies to this person in this role.

      ShortAGBA identifier for the person as this agent
      NoteThis is a business identifier, not a resource identifier (see discussion)
      Control0..1*
      TypeIdentifier
      Summarytrue
      Requirements

      Often, specific identities are assigned for the agent.

      Alternate NamesAGB
      18. Practitioner.identifier:AGB.use
      Definition

      The purpose of this identifier.

      Shortusual | official | temp | secondary (If known)
      Comments

      This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

      Control0..1
      BindingThe codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use
      (required to http://hl7.org/fhir/ValueSet/identifier-use)

      Identifies the purpose for this identifier, if known .

      Typecode
      Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Requirements

      Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

      20. Practitioner.identifier:AGB.system
      Definition

      Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

      ShortThe namespace for the identifier value
      Control10..1
      Typeuri
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Requirements

      There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

      Fixed Valuehttp://fhir.nl/fhir/NamingSystem/agb-z
      Example<br/><b>General</b>:http://www.acme.com/identifiers/patient
      22. Practitioner.identifier:AGB.value
      Definition

      The portion of the identifier typically relevant to the user and which is unique within the context of the system.

      ShortThe value that is unique
      Comments

      If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension.

      Control10..1
      Typestring
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Example<br/><b>General</b>:123456 <br/><b>Example</b>:123456
      24. Practitioner.identifier:BIG
      Slice NameBIG
      Definition

      An identifier that applies to this person in this role.

      ShortBIGA identifier for the person as this agent
      NoteThis is a business identifier, not a resource identifier (see discussion)
      Control0..1*
      TypeIdentifier
      Summarytrue
      Requirements

      Often, specific identities are assigned for the agent.

      Alternate NamesBIG
      26. Practitioner.identifier:BIG.use
      Definition

      The purpose of this identifier.

      Shortusual | official | temp | secondary (If known)
      Comments

      This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

      Control0..1
      BindingThe codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use
      (required to http://hl7.org/fhir/ValueSet/identifier-use)

      Identifies the purpose for this identifier, if known .

      Typecode
      Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Requirements

      Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

      28. Practitioner.identifier:BIG.system
      Definition

      Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

      ShortThe namespace for the identifier value
      Control10..1
      Typeuri
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Requirements

      There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

      Fixed Valuehttp://fhir.nl/fhir/NamingSystem/big
      Example<br/><b>General</b>:http://www.acme.com/identifiers/patient
      30. Practitioner.identifier:BIG.value
      Definition

      The portion of the identifier typically relevant to the user and which is unique within the context of the system.

      ShortThe value that is unique
      Comments

      If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension.

      Control10..1
      Typestring
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Example<br/><b>General</b>:123456 <br/><b>Example</b>:12345678
      32. Practitioner.name
      Definition

      Health professional’s full name. If a health professional identification number is entered, it will be the name as listed in UZI, AGB or by the healthcare center.


      The name(s) associated with the practitioner.

      ShortNameInformationThe name(s) associated with the practitioner
      Comments

      Dutch names require that certain name parts are separately communicable. For this reason, extensions are added onto the base HumanName element to mark the meaning of each part. A Dutch HumanName is still a proper FHIR HumanName; however, there might be an incompatibilty with the default FHIR mechanism for communicating given names. See the compatibility note below for more information.

      The extension elements cover birth name (NL: eigennaam / geslachtsnaam) and partner/spouse name. Both may have a prefix (NL: voorvoegsel). When a person marries, he or she may keep their own name, assume the partner name, append the partner name to their own name, or the other way around.

      Incompatibility note: It has come to light that this specification deviates from the way that the HumanName datatype is normally used. This will be fixed in a future release. However, current implementations should be aware of the special considerations regarding the use of this specification.

      The issue at hand is the way alternative representations of a name, like initials or a nickname, are communicated. Normally this is done using multiple HumanName instances, which are differentiated using the .use element. However, this specification allows for including all alternative representations in the same HumanName instance, with the expectation that the extensions provide enough information for recieving systems to differentiate them. However, this means that contrary to the normal usage of this datatype, repetitions of .given names cannot be concatenated to get the full list of given names; the list might be a mix of full names, nicknames and initials.

      Since multiple implementations are based on this specification, sending systems are advised (but not required) to keep the approach with one HumanName instance, while recieving systems should be able to handle this one-instance approach. More specifically:

      • Sending and recieving systems SHOULD always use the specified extensions when using this datatype.
      • Sending systems are encouraged to populate the .text element to unambigiously communicate the patient name.
      • Sending systems are encouraged to send either the full given names or the initials, but not both. This alleviates the duplication of names in .given.
      • When a sending system uses the current one-instance approach for communicating multiple representations, .use MAY NOT be populated. After all, it is not possible to select a single .use when the instance contains different representations.
      • When a recieving system interprets the instance as the single-instance-multiple-representations approach, the .given names marked as initials SHOULD be interpreted as alternatives to the full given names. Note the underlying HCIM expects both the list of full names and list of initials to be a single string; there's no match for an initial to a full name. The instance SHOULD be regarded as using this approach when:
      • They encounter a single instance
      • And the .use element is absent
      • And all the name parts are differentiated using the specified extensions
      • In any other circumstance, recieving systems SHOULD interpret the usage as the normal use.

      Example: miss Irma Jongeneel marries mister de Haas and assumes the name Irma Jongeneel-de Haas:

      • .family = "Jongeneel-de Haas"
      • .given = "Irma" (with .given:iso21090EnQualifier = BR)
      • .family:humannameOwnName = "Jongeneel"
      • .family:humannamePartnerPrefix = "de "
      • .family:humannamePartnerName = "Haas"

      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.
      Control0..*
      This element is affected by the following invariants: ele-1
      TypeHumanName(nl-core-humanname)
      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.

      Alternate NamesZorgverlenerNaam
      Example<br/><b>Structured HumanName (preferred above unstructured)</b>:{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/humanname-assembly-order", "valueCode" : "NL4" }], "text" : "Irma Jongeneel-de Haas", "family" : "Jongeneel-de Haas", "_family" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/humanname-own-name", "valueString" : "Jongeneel" }, { "url" : "http://hl7.org/fhir/StructureDefinition/humanname-partner-prefix", "valueString" : "de" }, { "url" : "http://hl7.org/fhir/StructureDefinition/humanname-partner-name", "valueString" : "Haas" }] }, "given" : ["Irma"], "_given" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier", "valueCode" : "CL" }] }] } <br/><b>Unstructured HumanName</b>:{ "text" : "Irma Jongeneel-de Haas" }
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()))
      nl-core-humanname-1: if you specify a prefix for an own name then an own name is also expected (name.family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-prefix').empty().not() implies name.family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-name').empty().not())
      nl-core-humanname-2: if you specify a voorvoegsel for a partner name then a partner name is also expected (name.family.extension('http://hl7.org/fhir/StructureDefinition/humanname-partner-prefix').empty().not() implies name.family.extension('http://hl7.org/fhir/StructureDefinition/humanname-partner-name').empty().not())
      34. Practitioner.telecom
      Definition

      Contact information includes a person's telephone numbers en e-mail addresses.


      A contact detail for the practitioner, e.g. a telephone number or an email address.

      ShortContactInformationA 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 also to help with identification

      These typically will have home numbers, or mobile numbers that are not role specific.

      Control0..*
      This element is affected by the following invariants: ele-1
      TypeContactPoint(nl-core-contactpoint)
      Requirements

      Need to know how to reach a practitioner independent to any roles the practitioner may have.

      Alternate NamesContactgegevens
      Example<br/><b>Mobile business phone number. Note: the mobile nature stems from the number being an 06-* number.</b>:{ "system" : "phone", "value" : "+31611234567", "use" : "work" } <br/><b>Mobile phone number undetermined private/business. Note: the mobile nature stems from the number being an 06-* number.</b>:{ "system" : "phone", "value" : "+31611234567", "use" : "mobile" } <br/><b>Primary Home Land Line</b>:{ "system" : "phone", "_system" : { "extension" : [{ "url" : "http://nictiz.nl/fhir/StructureDefinition/code-specification", "valueCodeableConcept" : { "coding" : [{ "system" : "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.22.1", "code" : "LL", "display" : "Land Line" }] } }] }, "value" : "...", "use" : "home", "_use" : { "extension" : [{ "url" : "http://nictiz.nl/fhir/StructureDefinition/code-specification", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/v3/AddressUse", "code" : "HP", "display" : "Primary Home" }] } }] } } <br/><b>Temporary Land Line</b>:{ "system" : "phone", "_system" : { "extension" : [{ "url" : "http://nictiz.nl/fhir/StructureDefinition/code-specification", "valueCodeableConcept" : { "coding" : [{ "system" : "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.22.1", "code" : "LL", "display" : "Land Line" }] } }] }, "value" : "...", "use" : "temp", "_use" : { "extension" : [{ "url" : "http://nictiz.nl/fhir/StructureDefinition/code-specification", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/v3/AddressUse", "code" : "TMP", "display" : "Temporary" }] } }] } } <br/><b>Primary Work Land Line</b>:{ "system" : "phone", "_system" : { "extension" : [{ "url" : "http://nictiz.nl/fhir/StructureDefinition/code-specification", "valueCodeableConcept" : { "coding" : [{ "system" : "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.22.1", "code" : "LL", "display" : "Land Line" }] } }] }, "value" : "...", "use" : "work", "_use" : { "extension" : [{ "url" : "http://nictiz.nl/fhir/StructureDefinition/code-specification", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/v3/AddressUse", "code" : "WP", "display" : "Primary Work" }] } }] } } <br/><b>Primary Home Fax</b>:{ "system" : "fax", "_system" : { "extension" : [{ "url" : "http://nictiz.nl/fhir/StructureDefinition/code-specification", "valueCodeableConcept" : { "coding" : [{ "system" : "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.22.1", "code" : "FAX", "display" : "Fax" }] } }] }, "value" : "...", "use" : "home", "_use" : { "extension" : [{ "url" : "http://nictiz.nl/fhir/StructureDefinition/code-specification", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/v3/AddressUse", "code" : "HP", "display" : "Primary Home" }] } }] } } <br/><b>Temporary Fax</b>:{ "system" : "fax", "_system" : { "extension" : [{ "url" : "http://nictiz.nl/fhir/StructureDefinition/code-specification", "valueCodeableConcept" : { "coding" : [{ "system" : "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.22.1", "code" : "FAX", "display" : "Fax" }] } }] }, "value" : "...", "use" : "temp", "_use" : { "extension" : [{ "url" : "http://nictiz.nl/fhir/StructureDefinition/code-specification", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/v3/AddressUse", "code" : "TMP", "display" : "Temporary" }] } }] } } <br/><b>Primary Work Fax</b>:{ "system" : "fax", "_system" : { "extension" : [{ "url" : "http://nictiz.nl/fhir/StructureDefinition/code-specification", "valueCodeableConcept" : { "coding" : [{ "system" : "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.22.1", "code" : "FAX", "display" : "Fax" }] } }] }, "value" : "...", "use" : "work", "_use" : { "extension" : [{ "url" : "http://nictiz.nl/fhir/StructureDefinition/code-specification", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/v3/AddressUse", "code" : "WP", "display" : "Primary Work" }] } }] } } <br/><b>Primary Home Mobile Phone</b>:{ "system" : "phone", "_system" : { "extension" : [{ "url" : "http://nictiz.nl/fhir/StructureDefinition/code-specification", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/v3/AddressUse", "code" : "MC", "display" : "Mobile Phone" }] } }] }, "value" : "...", "use" : "mobile", "_use" : { "extension" : [{ "url" : "http://nictiz.nl/fhir/StructureDefinition/code-specification", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/v3/AddressUse", "code" : "HP", "display" : "Primary Home" }] } }] } } <br/><b>Temporary Mobile Phone</b>:{ "system" : "phone", "_system" : { "extension" : [{ "url" : "http://nictiz.nl/fhir/StructureDefinition/code-specification", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/v3/AddressUse", "code" : "MC", "display" : "Mobile Phone" }] } }] }, "value" : "...", "use" : "temp", "_use" : { "extension" : [{ "url" : "http://nictiz.nl/fhir/StructureDefinition/code-specification", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/v3/AddressUse", "code" : "TMP", "display" : "Temporary" }] } }] } } <br/><b>Primary Work Mobile Phone</b>:{ "system" : "phone", "_system" : { "extension" : [{ "url" : "http://nictiz.nl/fhir/StructureDefinition/code-specification", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/v3/AddressUse", "code" : "MC", "display" : "Mobile Phone" }] } }] }, "value" : "...", "use" : "mobile", "_use" : { "extension" : [{ "url" : "http://nictiz.nl/fhir/StructureDefinition/code-specification", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/v3/AddressUse", "code" : "WP", "display" : "Primary Work" }] } }] } } <br/><b>Primary Home Pager</b>:{ "system" : "pager", "_system" : { "extension" : [{ "url" : "http://nictiz.nl/fhir/StructureDefinition/code-specification", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/v3/AddressUse", "code" : "PG", "display" : "Pager" }] } }] }, "value" : "...", "use" : "home", "_use" : { "extension" : [{ "url" : "http://nictiz.nl/fhir/StructureDefinition/code-specification", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/v3/AddressUse", "code" : "HP", "display" : "Primary Home" }] } }] } } <br/><b>Temporary Pager</b>:{ "system" : "pager", "_system" : { "extension" : [{ "url" : "http://nictiz.nl/fhir/StructureDefinition/code-specification", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/v3/AddressUse", "code" : "PG", "display" : "Pager" }] } }] }, "value" : "...", "use" : "temp", "_use" : { "extension" : [{ "url" : "http://nictiz.nl/fhir/StructureDefinition/code-specification", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/v3/AddressUse", "code" : "TMP", "display" : "Temporary" }] } }] } } <br/><b>Primary Work Pager</b>:{ "system" : "pager", "_system" : { "extension" : [{ "url" : "http://nictiz.nl/fhir/StructureDefinition/code-specification", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/v3/AddressUse", "code" : "PG", "display" : "Pager" }] } }] }, "value" : "...", "use" : "work", "_use" : { "extension" : [{ "url" : "http://nictiz.nl/fhir/StructureDefinition/code-specification", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/v3/AddressUse", "code" : "WP", "display" : "Primary Work" }] } }] } } <br/><b>Private email address</b>:{ "system" : "email", "value" : "giesput@myweb.nl", "use" : "home", "_use" : { "extension" : [{ "url" : "http://nictiz.nl/fhir/StructureDefinition/code-specification", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/v3/AddressUse", "code" : "HP", "display" : "Primary Home" }] } }] } }
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()))
      cpt-2: A system is required if a value is provided. (value.empty() or system.exists())
      36. Practitioner.address
      Definition

      There is a variety of postal address formats defined around the world. This format defines a superset that is the basis for all addresses around the world and adds all relevant components to express Dutch addresses.

      A Dutch Address is a proper FHIR Address. Systems that do not understand any of the extensions, will be able to render and work with a Dutch address. Dutch addresses make certain address parts separately communicable. These parts are required for use in true Dutch systems when dealing with Dutch addresses, but may not have value for international systems when information gets sent abroad.

      To have true compatibility an implementer SHOULD use the core Address parts as intended. To have addresses work for Dutch context, the implementer SHOULD in addition use the extension elements.

      The HCIM defines certain address types in the AdresSoortCodelijst. These do not all have a one to one mapping in the FHIR Address datatype. The following explains how to deal with that. In addition, there are the ConceptMaps http://nictiz.nl/fhir/ConceptMap/AdresSoortCodelijst-to-AddressUse and http://nictiz.nl/fhir/ConceptMap/AdresSoortCodelijst-to-AddressType to define this relationship

      HCIM Postal Address maps to Address.type 'postal';

      HCIM Primary Home Address maps to Address.extension:official 'true' + Address.use 'home' + Address.use.extension 'HP';

      HCIM Visit Address (Woon-/verblijfadres) maps to Address.use 'home' + Address.type 'physical' + Address.use.extension 'PHYS';

      HCIM Temporary Address maps to Address.use 'temp';

      HCIM Work Place Address maps to Address.use 'work';

      HCIM Vacation Home Address maps to Address.use 'temp' + Address.use.extension 'HV'.

      If Address.type is "both" then this is to be understood as a dual purpose address (postal and physical). Systems that support importing it like this are encouraged to do so, otherwise they may need to import this as two separate addresses.


      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.

      ShortAddressInformationAddress(es) of the practitioner that are not role specific (typically home address)
      Comments

      Note: address is for postal addresses, not physical locations.


      The PractitionerRole does not have an address value on it, as it is expected that the location property be used for this purpose (which has an address).

      Control0..*
      This element is affected by the following invariants: ele-1, nl-streetname-if-official-and-other-line-parts
      TypeAddress(nl-core-address)
      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.

      Alternate NamesAdresInformatie, Adresgegevens
      Example<br/><b>Example of a vacation home address</b>:{ "extension" : [{ "url" : "http://fhir.nl/fhir/StructureDefinition/nl-core-address-official", "valueBoolean" : false }], "use" : "temp", "_use" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-AD-use", "valueCode" : "HV" }] }, "line" : ["Binnenkant 12A Hoog"], "_line" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName", "valueString" : "Binnenkant" }, { "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber", "valueString" : "12" }, { "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-buildingNumberSuffix", "valueString" : "A" }, { "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-unitID", "valueString" : "Hoog" }] }], "city" : "Amsterdam", "state" : "NH", "postalCode" : "1000AA", "country" : "NLD" } <br/><b>Example of a primary home address</b>:{ "extension" : [{ "url" : "http://fhir.nl/fhir/StructureDefinition/nl-core-address-official", "valueBoolean" : true }], "use" : "home", "line" : ["Binnenkant to 10"], "_line" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName", "valueString" : "Binnenkant" }, { "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator", "valueString" : "to" }, { "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber", "valueString" : "10" }] }], "city" : "Amsterdam", "state" : "NH", "postalCode" : "1001AA", "country" : "NLD" }
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()))
      nl-streetname-if-official-and-other-line-parts: Address.streetName in an official address SHALL have a value if one of houseNumber|buildingNumberSuffix|additionalLocator has a value ((extension.where(url = 'http://fhir.nl/fhir/StructureDefinition/nl-core-address-official').where(value = true)).empty() or (line.extension.where(url = 'http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').empty().not() and (line.extension.where(url='http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber').empty().not() or line.extension.where(url='http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-buildingNumberSuffix').empty().not() or line.extension.where(url='http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator').empty().not())))

      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.

      ShortHealthcareProvider
      Comments

      Note that a cab driver no longer fits the bill. You probably would be interested in the organization rather than the individual?

      Control0..*
      Alternate NamesZorgverlener
      Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
      dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative (contained.text.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-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource (contained.where(('#'+id in %resource.descendants().reference).not()).empty())
      2. Practitioner.id
      Definition

      The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

      ShortLogical id of this artifact
      Comments

      The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

      Control0..1
      Typeid
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      4. Practitioner.meta
      Definition

      The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.

      ShortMetadata about the resource
      Control0..1
      TypeMeta
      Summarytrue
      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.

      ShortA set of rules under which this content was created
      Comments

      Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element.

      This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.

      Control0..1
      Typeuri
      Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      8. Practitioner.language
      Definition

      The base language in which the resource is written.

      ShortLanguage of the resource content
      Comments

      Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

      Control0..1
      BindingUnless not suitable, these codes SHALL be taken from Common Languages
      (extensible to http://hl7.org/fhir/ValueSet/languages)

      A human language.

      Additional BindingsPurpose
      AllLanguagesMax Binding
      Typecode
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      10. Practitioner.text
      Definition

      A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

      ShortText summary of the resource, for human interpretation
      Comments

      Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later.

      Control0..1
      This element is affected by the following invariants: dom-1
      TypeNarrative
      Alternate Namesnarrative, html, xhtml, display
      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.

      ShortContained, inline Resources
      Comments

      This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.

      Control0..*
      TypeResource
      Alternate Namesinline resources, anonymous resources, contained resources
      14. Practitioner.extension
      Definition

      May be used to represent additional information that is not part of the basic definition of the resource. In order 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.

      ShortAdditional Content defined by implementations
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Alternate Namesextensions, user content
      16. 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. Usually modifier elements provide negation or qualification. In order 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.

      ShortExtensions that cannot be ignored
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
      Alternate Namesextensions, user content
      18. Practitioner.identifier
      Definition

      The healthcare provider identification number is a number that uniquely identifies the healthcare provider.

      The following numbers are used in the Netherlands:
      1. UZI Health Professionals. Identification of health professionals (people) in the Dutch healthcare industry. 2. VEKTIS AGB-Z. Identifies health professionals and healthcare organizations 3. BIG-ID. The ID of the health professional listed in the BIG Register.

      This information is not readily available for foreign health professionals.

      ShortHealthProfessionalIdentificationNumber
      NoteThis is a business identifier, not a resource identifier (see discussion)
      Control0..*
      TypeIdentifier
      Summarytrue
      Requirements

      Often, specific identities are assigned for the agent.

      Alternate NamesZorgverlenerIdentificatieNummer
      SlicingThis element introduces a set of slices on Practitioner.identifier. The slices are unordered and Open, and can be differentiated using the following discriminators:
      • value @ system
      • 20. Practitioner.identifier:UZI
        Slice NameUZI
        Definition

        Unieke Zorgverlener Identificatie (Dutch physician identification number)

        ShortUZI
        NoteThis is a business identifier, not a resource identifier (see discussion)
        Control0..1
        TypeIdentifier
        Summarytrue
        Requirements

        Often, specific identities are assigned for the agent.

        Alternate NamesUZI
        22. Practitioner.identifier:UZI.id
        Definition

        unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

        Shortxml:id (or equivalent in JSON)
        Control0..1
        Typestring
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        24. Practitioner.identifier:UZI.extension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element. In order 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.

        ShortAdditional Content defined by implementations
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Alternate Namesextensions, user content
        SlicingThis element introduces a set of slices on Practitioner.identifier.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • 26. Practitioner.identifier:UZI.use
          Definition

          The purpose of this identifier.

          Shortusual | official | temp | secondary (If known)
          Comments

          This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

          Control0..1
          BindingThe codes SHALL be taken from IdentifierUse
          (required to http://hl7.org/fhir/ValueSet/identifier-use)

          Identifies the purpose for this identifier, if known .

          Typecode
          Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Requirements

          Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

          28. Practitioner.identifier:UZI.type
          Definition

          A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

          ShortDescription of identifier
          Comments

          This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage.

          Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

          Control0..1
          BindingUnless not suitable, these codes SHALL be taken from Identifier Type Codes
          (extensible to http://hl7.org/fhir/ValueSet/identifier-type)

          A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

          TypeCodeableConcept
          Summarytrue
          Requirements

          Allows users to make use of identifiers when the identifier system is not known.

          30. Practitioner.identifier:UZI.system
          Definition

          Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

          ShortThe namespace for the identifier value
          Control1..1
          Typeuri
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Requirements

          There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

          Fixed Valuehttp://fhir.nl/fhir/NamingSystem/uzi-nr-pers
          Example<br/><b>General</b>:http://www.acme.com/identifiers/patient
          32. Practitioner.identifier:UZI.value
          Definition

          The portion of the identifier typically relevant to the user and which is unique within the context of the system.

          ShortThe value that is unique
          Comments

          If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension.

          Control1..1
          Typestring
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Example<br/><b>General</b>:123456 <br/><b>Example</b>:01011234
          34. Practitioner.identifier:UZI.period
          Definition

          Time period during which identifier is/was valid for use.

          ShortTime period when id is/was valid for use
          Control0..1
          TypePeriod
          Summarytrue
          36. Practitioner.identifier:UZI.assigner
          Definition

          Organization that issued/manages the identifier.

          ShortOrganization that issued id (may be just text)
          Comments

          The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

          Control0..1
          TypeReference(Organization)
          Summarytrue
          38. Practitioner.identifier:AGB
          Slice NameAGB
          Definition

          An identifier that applies to this person in this role.

          ShortAGB
          NoteThis is a business identifier, not a resource identifier (see discussion)
          Control0..1
          TypeIdentifier
          Summarytrue
          Requirements

          Often, specific identities are assigned for the agent.

          Alternate NamesAGB
          40. Practitioner.identifier:AGB.id
          Definition

          unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

          Shortxml:id (or equivalent in JSON)
          Control0..1
          Typestring
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          42. Practitioner.identifier:AGB.extension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element. In order 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.

          ShortAdditional Content defined by implementations
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Alternate Namesextensions, user content
          SlicingThis element introduces a set of slices on Practitioner.identifier.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 44. Practitioner.identifier:AGB.use
            Definition

            The purpose of this identifier.

            Shortusual | official | temp | secondary (If known)
            Comments

            This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

            Control0..1
            BindingThe codes SHALL be taken from IdentifierUse
            (required to http://hl7.org/fhir/ValueSet/identifier-use)

            Identifies the purpose for this identifier, if known .

            Typecode
            Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Requirements

            Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

            46. Practitioner.identifier:AGB.type
            Definition

            A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

            ShortDescription of identifier
            Comments

            This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage.

            Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

            Control0..1
            BindingUnless not suitable, these codes SHALL be taken from Identifier Type Codes
            (extensible to http://hl7.org/fhir/ValueSet/identifier-type)

            A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

            TypeCodeableConcept
            Summarytrue
            Requirements

            Allows users to make use of identifiers when the identifier system is not known.

            48. Practitioner.identifier:AGB.system
            Definition

            Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

            ShortThe namespace for the identifier value
            Control1..1
            Typeuri
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Requirements

            There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

            Fixed Valuehttp://fhir.nl/fhir/NamingSystem/agb-z
            Example<br/><b>General</b>:http://www.acme.com/identifiers/patient
            50. Practitioner.identifier:AGB.value
            Definition

            The portion of the identifier typically relevant to the user and which is unique within the context of the system.

            ShortThe value that is unique
            Comments

            If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension.

            Control1..1
            Typestring
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Example<br/><b>General</b>:123456 <br/><b>Example</b>:123456
            52. Practitioner.identifier:AGB.period
            Definition

            Time period during which identifier is/was valid for use.

            ShortTime period when id is/was valid for use
            Control0..1
            TypePeriod
            Summarytrue
            54. Practitioner.identifier:AGB.assigner
            Definition

            Organization that issued/manages the identifier.

            ShortOrganization that issued id (may be just text)
            Comments

            The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

            Control0..1
            TypeReference(Organization)
            Summarytrue
            56. Practitioner.identifier:BIG
            Slice NameBIG
            Definition

            An identifier that applies to this person in this role.

            ShortBIG
            NoteThis is a business identifier, not a resource identifier (see discussion)
            Control0..1
            TypeIdentifier
            Summarytrue
            Requirements

            Often, specific identities are assigned for the agent.

            Alternate NamesBIG
            58. Practitioner.identifier:BIG.id
            Definition

            unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

            Shortxml:id (or equivalent in JSON)
            Control0..1
            Typestring
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.
            60. Practitioner.identifier:BIG.extension
            Definition

            May be used to represent additional information that is not part of the basic definition of the element. In order 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.

            ShortAdditional Content defined by implementations
            Comments

            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

            Control0..*
            TypeExtension
            Alternate Namesextensions, user content
            SlicingThis element introduces a set of slices on Practitioner.identifier.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
            • value @ url
            • 62. Practitioner.identifier:BIG.use
              Definition

              The purpose of this identifier.

              Shortusual | official | temp | secondary (If known)
              Comments

              This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

              Control0..1
              BindingThe codes SHALL be taken from IdentifierUse
              (required to http://hl7.org/fhir/ValueSet/identifier-use)

              Identifies the purpose for this identifier, if known .

              Typecode
              Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Requirements

              Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

              64. Practitioner.identifier:BIG.type
              Definition

              A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

              ShortDescription of identifier
              Comments

              This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage.

              Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

              Control0..1
              BindingUnless not suitable, these codes SHALL be taken from Identifier Type Codes
              (extensible to http://hl7.org/fhir/ValueSet/identifier-type)

              A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

              TypeCodeableConcept
              Summarytrue
              Requirements

              Allows users to make use of identifiers when the identifier system is not known.

              66. Practitioner.identifier:BIG.system
              Definition

              Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

              ShortThe namespace for the identifier value
              Control1..1
              Typeuri
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Requirements

              There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

              Fixed Valuehttp://fhir.nl/fhir/NamingSystem/big
              Example<br/><b>General</b>:http://www.acme.com/identifiers/patient
              68. Practitioner.identifier:BIG.value
              Definition

              The portion of the identifier typically relevant to the user and which is unique within the context of the system.

              ShortThe value that is unique
              Comments

              If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension.

              Control1..1
              Typestring
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Example<br/><b>General</b>:123456 <br/><b>Example</b>:12345678
              70. Practitioner.identifier:BIG.period
              Definition

              Time period during which identifier is/was valid for use.

              ShortTime period when id is/was valid for use
              Control0..1
              TypePeriod
              Summarytrue
              72. Practitioner.identifier:BIG.assigner
              Definition

              Organization that issued/manages the identifier.

              ShortOrganization that issued id (may be just text)
              Comments

              The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

              Control0..1
              TypeReference(Organization)
              Summarytrue
              74. Practitioner.active
              Definition

              Whether this practitioner's record is in active use.

              ShortWhether this practitioner's record is in active use
              Comments

              Default is true.

              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.

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

              Need to be able to mark a practitioner record as not to be used because it was created in error.

              Default Valuetrue
              76. Practitioner.name
              Definition

              Health professional’s full name. If a health professional identification number is entered, it will be the name as listed in UZI, AGB or by the healthcare center.

              ShortNameInformation
              Comments

              Dutch names require that certain name parts are separately communicable. For this reason, extensions are added onto the base HumanName element to mark the meaning of each part. A Dutch HumanName is still a proper FHIR HumanName; however, there might be an incompatibilty with the default FHIR mechanism for communicating given names. See the compatibility note below for more information.

              The extension elements cover birth name (NL: eigennaam / geslachtsnaam) and partner/spouse name. Both may have a prefix (NL: voorvoegsel). When a person marries, he or she may keep their own name, assume the partner name, append the partner name to their own name, or the other way around.

              Incompatibility note: It has come to light that this specification deviates from the way that the HumanName datatype is normally used. This will be fixed in a future release. However, current implementations should be aware of the special considerations regarding the use of this specification.

              The issue at hand is the way alternative representations of a name, like initials or a nickname, are communicated. Normally this is done using multiple HumanName instances, which are differentiated using the .use element. However, this specification allows for including all alternative representations in the same HumanName instance, with the expectation that the extensions provide enough information for recieving systems to differentiate them. However, this means that contrary to the normal usage of this datatype, repetitions of .given names cannot be concatenated to get the full list of given names; the list might be a mix of full names, nicknames and initials.

              Since multiple implementations are based on this specification, sending systems are advised (but not required) to keep the approach with one HumanName instance, while recieving systems should be able to handle this one-instance approach. More specifically:

              • Sending and recieving systems SHOULD always use the specified extensions when using this datatype.
              • Sending systems are encouraged to populate the .text element to unambigiously communicate the patient name.
              • Sending systems are encouraged to send either the full given names or the initials, but not both. This alleviates the duplication of names in .given.
              • When a sending system uses the current one-instance approach for communicating multiple representations, .use MAY NOT be populated. After all, it is not possible to select a single .use when the instance contains different representations.
              • When a recieving system interprets the instance as the single-instance-multiple-representations approach, the .given names marked as initials SHOULD be interpreted as alternatives to the full given names. Note the underlying HCIM expects both the list of full names and list of initials to be a single string; there's no match for an initial to a full name. The instance SHOULD be regarded as using this approach when:
              • They encounter a single instance
              • And the .use element is absent
              • And all the name parts are differentiated using the specified extensions
              • In any other circumstance, recieving systems SHOULD interpret the usage as the normal use.

              Example: miss Irma Jongeneel marries mister de Haas and assumes the name Irma Jongeneel-de Haas:

              • .family = "Jongeneel-de Haas"
              • .given = "Irma" (with .given:iso21090EnQualifier = BR)
              • .family:humannameOwnName = "Jongeneel"
              • .family:humannamePartnerPrefix = "de "
              • .family:humannamePartnerName = "Haas"
              Control0..*
              This element is affected by the following invariants: ele-1
              TypeHumanName(nl-core-humanname)
              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.

              Alternate NamesZorgverlenerNaam
              Example<br/><b>Structured HumanName (preferred above unstructured)</b>:{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/humanname-assembly-order", "valueCode" : "NL4" }], "text" : "Irma Jongeneel-de Haas", "family" : "Jongeneel-de Haas", "_family" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/humanname-own-name", "valueString" : "Jongeneel" }, { "url" : "http://hl7.org/fhir/StructureDefinition/humanname-partner-prefix", "valueString" : "de" }, { "url" : "http://hl7.org/fhir/StructureDefinition/humanname-partner-name", "valueString" : "Haas" }] }, "given" : ["Irma"], "_given" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier", "valueCode" : "CL" }] }] } <br/><b>Unstructured HumanName</b>:{ "text" : "Irma Jongeneel-de Haas" }
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()))
              nl-core-humanname-1: if you specify a prefix for an own name then an own name is also expected (name.family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-prefix').empty().not() implies name.family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-name').empty().not())
              nl-core-humanname-2: if you specify a voorvoegsel for a partner name then a partner name is also expected (name.family.extension('http://hl7.org/fhir/StructureDefinition/humanname-partner-prefix').empty().not() implies name.family.extension('http://hl7.org/fhir/StructureDefinition/humanname-partner-name').empty().not())
              78. Practitioner.telecom
              Definition

              Contact information includes a person's telephone numbers en e-mail addresses.

              ShortContactInformation
              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 also to help with identification

              These typically will have home numbers, or mobile numbers that are not role specific.

              Control0..*
              This element is affected by the following invariants: ele-1
              TypeContactPoint(nl-core-contactpoint)
              Requirements

              Need to know how to reach a practitioner independent to any roles the practitioner may have.

              Alternate NamesContactgegevens
              Example<br/><b>Mobile business phone number. Note: the mobile nature stems from the number being an 06-* number.</b>:{ "system" : "phone", "value" : "+31611234567", "use" : "work" } <br/><b>Mobile phone number undetermined private/business. Note: the mobile nature stems from the number being an 06-* number.</b>:{ "system" : "phone", "value" : "+31611234567", "use" : "mobile" } <br/><b>Primary Home Land Line</b>:{ "system" : "phone", "_system" : { "extension" : [{ "url" : "http://nictiz.nl/fhir/StructureDefinition/code-specification", "valueCodeableConcept" : { "coding" : [{ "system" : "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.22.1", "code" : "LL", "display" : "Land Line" }] } }] }, "value" : "...", "use" : "home", "_use" : { "extension" : [{ "url" : "http://nictiz.nl/fhir/StructureDefinition/code-specification", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/v3/AddressUse", "code" : "HP", "display" : "Primary Home" }] } }] } } <br/><b>Temporary Land Line</b>:{ "system" : "phone", "_system" : { "extension" : [{ "url" : "http://nictiz.nl/fhir/StructureDefinition/code-specification", "valueCodeableConcept" : { "coding" : [{ "system" : "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.22.1", "code" : "LL", "display" : "Land Line" }] } }] }, "value" : "...", "use" : "temp", "_use" : { "extension" : [{ "url" : "http://nictiz.nl/fhir/StructureDefinition/code-specification", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/v3/AddressUse", "code" : "TMP", "display" : "Temporary" }] } }] } } <br/><b>Primary Work Land Line</b>:{ "system" : "phone", "_system" : { "extension" : [{ "url" : "http://nictiz.nl/fhir/StructureDefinition/code-specification", "valueCodeableConcept" : { "coding" : [{ "system" : "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.22.1", "code" : "LL", "display" : "Land Line" }] } }] }, "value" : "...", "use" : "work", "_use" : { "extension" : [{ "url" : "http://nictiz.nl/fhir/StructureDefinition/code-specification", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/v3/AddressUse", "code" : "WP", "display" : "Primary Work" }] } }] } } <br/><b>Primary Home Fax</b>:{ "system" : "fax", "_system" : { "extension" : [{ "url" : "http://nictiz.nl/fhir/StructureDefinition/code-specification", "valueCodeableConcept" : { "coding" : [{ "system" : "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.22.1", "code" : "FAX", "display" : "Fax" }] } }] }, "value" : "...", "use" : "home", "_use" : { "extension" : [{ "url" : "http://nictiz.nl/fhir/StructureDefinition/code-specification", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/v3/AddressUse", "code" : "HP", "display" : "Primary Home" }] } }] } } <br/><b>Temporary Fax</b>:{ "system" : "fax", "_system" : { "extension" : [{ "url" : "http://nictiz.nl/fhir/StructureDefinition/code-specification", "valueCodeableConcept" : { "coding" : [{ "system" : "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.22.1", "code" : "FAX", "display" : "Fax" }] } }] }, "value" : "...", "use" : "temp", "_use" : { "extension" : [{ "url" : "http://nictiz.nl/fhir/StructureDefinition/code-specification", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/v3/AddressUse", "code" : "TMP", "display" : "Temporary" }] } }] } } <br/><b>Primary Work Fax</b>:{ "system" : "fax", "_system" : { "extension" : [{ "url" : "http://nictiz.nl/fhir/StructureDefinition/code-specification", "valueCodeableConcept" : { "coding" : [{ "system" : "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.22.1", "code" : "FAX", "display" : "Fax" }] } }] }, "value" : "...", "use" : "work", "_use" : { "extension" : [{ "url" : "http://nictiz.nl/fhir/StructureDefinition/code-specification", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/v3/AddressUse", "code" : "WP", "display" : "Primary Work" }] } }] } } <br/><b>Primary Home Mobile Phone</b>:{ "system" : "phone", "_system" : { "extension" : [{ "url" : "http://nictiz.nl/fhir/StructureDefinition/code-specification", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/v3/AddressUse", "code" : "MC", "display" : "Mobile Phone" }] } }] }, "value" : "...", "use" : "mobile", "_use" : { "extension" : [{ "url" : "http://nictiz.nl/fhir/StructureDefinition/code-specification", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/v3/AddressUse", "code" : "HP", "display" : "Primary Home" }] } }] } } <br/><b>Temporary Mobile Phone</b>:{ "system" : "phone", "_system" : { "extension" : [{ "url" : "http://nictiz.nl/fhir/StructureDefinition/code-specification", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/v3/AddressUse", "code" : "MC", "display" : "Mobile Phone" }] } }] }, "value" : "...", "use" : "temp", "_use" : { "extension" : [{ "url" : "http://nictiz.nl/fhir/StructureDefinition/code-specification", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/v3/AddressUse", "code" : "TMP", "display" : "Temporary" }] } }] } } <br/><b>Primary Work Mobile Phone</b>:{ "system" : "phone", "_system" : { "extension" : [{ "url" : "http://nictiz.nl/fhir/StructureDefinition/code-specification", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/v3/AddressUse", "code" : "MC", "display" : "Mobile Phone" }] } }] }, "value" : "...", "use" : "mobile", "_use" : { "extension" : [{ "url" : "http://nictiz.nl/fhir/StructureDefinition/code-specification", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/v3/AddressUse", "code" : "WP", "display" : "Primary Work" }] } }] } } <br/><b>Primary Home Pager</b>:{ "system" : "pager", "_system" : { "extension" : [{ "url" : "http://nictiz.nl/fhir/StructureDefinition/code-specification", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/v3/AddressUse", "code" : "PG", "display" : "Pager" }] } }] }, "value" : "...", "use" : "home", "_use" : { "extension" : [{ "url" : "http://nictiz.nl/fhir/StructureDefinition/code-specification", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/v3/AddressUse", "code" : "HP", "display" : "Primary Home" }] } }] } } <br/><b>Temporary Pager</b>:{ "system" : "pager", "_system" : { "extension" : [{ "url" : "http://nictiz.nl/fhir/StructureDefinition/code-specification", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/v3/AddressUse", "code" : "PG", "display" : "Pager" }] } }] }, "value" : "...", "use" : "temp", "_use" : { "extension" : [{ "url" : "http://nictiz.nl/fhir/StructureDefinition/code-specification", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/v3/AddressUse", "code" : "TMP", "display" : "Temporary" }] } }] } } <br/><b>Primary Work Pager</b>:{ "system" : "pager", "_system" : { "extension" : [{ "url" : "http://nictiz.nl/fhir/StructureDefinition/code-specification", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/v3/AddressUse", "code" : "PG", "display" : "Pager" }] } }] }, "value" : "...", "use" : "work", "_use" : { "extension" : [{ "url" : "http://nictiz.nl/fhir/StructureDefinition/code-specification", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/v3/AddressUse", "code" : "WP", "display" : "Primary Work" }] } }] } } <br/><b>Private email address</b>:{ "system" : "email", "value" : "giesput@myweb.nl", "use" : "home", "_use" : { "extension" : [{ "url" : "http://nictiz.nl/fhir/StructureDefinition/code-specification", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/v3/AddressUse", "code" : "HP", "display" : "Primary Home" }] } }] } }
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()))
              cpt-2: A system is required if a value is provided. (value.empty() or system.exists())
              80. Practitioner.address
              Definition

              There is a variety of postal address formats defined around the world. This format defines a superset that is the basis for all addresses around the world and adds all relevant components to express Dutch addresses.

              A Dutch Address is a proper FHIR Address. Systems that do not understand any of the extensions, will be able to render and work with a Dutch address. Dutch addresses make certain address parts separately communicable. These parts are required for use in true Dutch systems when dealing with Dutch addresses, but may not have value for international systems when information gets sent abroad.

              To have true compatibility an implementer SHOULD use the core Address parts as intended. To have addresses work for Dutch context, the implementer SHOULD in addition use the extension elements.

              The HCIM defines certain address types in the AdresSoortCodelijst. These do not all have a one to one mapping in the FHIR Address datatype. The following explains how to deal with that. In addition, there are the ConceptMaps http://nictiz.nl/fhir/ConceptMap/AdresSoortCodelijst-to-AddressUse and http://nictiz.nl/fhir/ConceptMap/AdresSoortCodelijst-to-AddressType to define this relationship

              HCIM Postal Address maps to Address.type 'postal';

              HCIM Primary Home Address maps to Address.extension:official 'true' + Address.use 'home' + Address.use.extension 'HP';

              HCIM Visit Address (Woon-/verblijfadres) maps to Address.use 'home' + Address.type 'physical' + Address.use.extension 'PHYS';

              HCIM Temporary Address maps to Address.use 'temp';

              HCIM Work Place Address maps to Address.use 'work';

              HCIM Vacation Home Address maps to Address.use 'temp' + Address.use.extension 'HV'.

              If Address.type is "both" then this is to be understood as a dual purpose address (postal and physical). Systems that support importing it like this are encouraged to do so, otherwise they may need to import this as two separate addresses.

              ShortAddressInformation
              Comments

              Note: address is for postal addresses, not physical locations.

              Control0..*
              This element is affected by the following invariants: ele-1, nl-streetname-if-official-and-other-line-parts
              TypeAddress(nl-core-address)
              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.

              Alternate NamesAdresInformatie, Adresgegevens
              Example<br/><b>Example of a vacation home address</b>:{ "extension" : [{ "url" : "http://fhir.nl/fhir/StructureDefinition/nl-core-address-official", "valueBoolean" : false }], "use" : "temp", "_use" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-AD-use", "valueCode" : "HV" }] }, "line" : ["Binnenkant 12A Hoog"], "_line" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName", "valueString" : "Binnenkant" }, { "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber", "valueString" : "12" }, { "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-buildingNumberSuffix", "valueString" : "A" }, { "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-unitID", "valueString" : "Hoog" }] }], "city" : "Amsterdam", "state" : "NH", "postalCode" : "1000AA", "country" : "NLD" } <br/><b>Example of a primary home address</b>:{ "extension" : [{ "url" : "http://fhir.nl/fhir/StructureDefinition/nl-core-address-official", "valueBoolean" : true }], "use" : "home", "line" : ["Binnenkant to 10"], "_line" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName", "valueString" : "Binnenkant" }, { "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator", "valueString" : "to" }, { "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber", "valueString" : "10" }] }], "city" : "Amsterdam", "state" : "NH", "postalCode" : "1001AA", "country" : "NLD" }
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()))
              nl-streetname-if-official-and-other-line-parts: Address.streetName in an official address SHALL have a value if one of houseNumber|buildingNumberSuffix|additionalLocator has a value ((extension.where(url = 'http://fhir.nl/fhir/StructureDefinition/nl-core-address-official').where(value = true)).empty() or (line.extension.where(url = 'http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').empty().not() and (line.extension.where(url='http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber').empty().not() or line.extension.where(url='http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-buildingNumberSuffix').empty().not() or line.extension.where(url='http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator').empty().not())))
              82. Practitioner.gender
              Definition

              Administrative Gender - the gender that the person is considered to have for administration and record keeping purposes.

              Shortmale | female | other | unknown
              Control0..1
              BindingThe codes SHALL be taken from AdministrativeGender
              (required to http://hl7.org/fhir/ValueSet/administrative-gender)

              The gender of a person used for administrative purposes.

              Typecode
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Requirements

              Needed to address the person correctly.

              84. Practitioner.birthDate
              Definition

              The date of birth for the practitioner.

              ShortThe date on which the practitioner was born
              Control0..1
              Typedate
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Requirements

              Needed for identification.

              86. Practitioner.photo
              Definition

              Image of the person.

              ShortImage of the person
              Control0..*
              TypeAttachment
              Requirements

              Many EHR systems have the capability to capture an image of patients and personnel. Fits with newer social media usage too.

              88. Practitioner.qualification
              Definition

              Qualifications obtained by training and certification.

              ShortQualifications obtained by training and certification
              Control0..*
              TypeBackboneElement
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()))
              90. 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.

              Shortxml:id (or equivalent in JSON)
              Control0..1
              Typestring
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              92. Practitioner.qualification.extension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element. In order 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.

              ShortAdditional Content defined by implementations
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Alternate Namesextensions, user content
              94. 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 that contains it. Usually modifier elements provide negation or qualification. In order 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.

              ShortExtensions that cannot be ignored
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
              Summarytrue
              Alternate Namesextensions, user content, modifiers
              96. Practitioner.qualification.identifier
              Definition

              An identifier that applies to this person's qualification in this role.

              ShortAn identifier for this qualification for the practitioner
              NoteThis is a business identifier, not a resource identifier (see discussion)
              Control0..*
              TypeIdentifier
              Requirements

              Often, specific identities are assigned for the qualification.

              98. Practitioner.qualification.code
              Definition

              Coded representation of the qualification.

              ShortCoded representation of the qualification
              Control1..1
              BindingFor example codes, see v2 table 0360, Version 2.7
              (example to http://hl7.org/fhir/ValueSet/v2-2.7-0360)

              Specific qualification the practitioner has to provide a service

              TypeCodeableConcept
              100. Practitioner.qualification.period
              Definition

              Period during which the qualification is valid.

              ShortPeriod during which the qualification is valid
              Control0..1
              TypePeriod
              Requirements

              Qualifications are often for a limited period of time, and can be revoked.

              102. Practitioner.qualification.issuer
              Definition

              Organization that regulates and issues the qualification.

              ShortOrganization that regulates and issues the qualification
              Control0..1
              TypeReference(Organization)
              104. Practitioner.communication
              Definition

              A language the practitioner is able to use in patient communication.

              ShortA language the practitioner is able to 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 actually code this but instead have it as free text. Hence CodeableConcept instead of code as the data type.

              Control0..*
              BindingUnless not suitable, these codes SHALL be taken from Common Languages
              (extensible to http://hl7.org/fhir/ValueSet/languages)

              A human language.

              Additional BindingsPurpose
              AllLanguagesMax Binding
              TypeCodeableConcept
              Requirements

              Knowing which language a practitioner speaks can help in facilitating communication with patients.