FHIR R4
Patient Administration Work GroupMaturity Level: 3 Trial UseSecurity Category: Individual Compartments: Practitioner

Detailed Descriptions for the elements in the Practitioner resource.

Practitioner
Element IdPractitioner
Definition直接或间接参与提供医疗健康服务的人员
Cardinality0..*
TypeDomainResource
Requirements

Need to track doctors, staff, locums etc. for both healthcare practitioners, funders, etc.

Practitioner.identifier
Element IdPractitioner.identifier
Definition

An identifier that applies to this person in this role.

NoteThis is a business identifier, not a resource identifier (see discussion)
Cardinality0..*
TypeIdentifier
Requirements

Often, specific identities are assigned for the agent.

Summarytrue
Practitioner.active
Element IdPractitioner.active
Definition

Whether this practitioner's record is in active use.

Cardinality0..1
Typeboolean
Meaning if MissingThis resource is generally assumed to be active if no value is provided for the active element
Requirements

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

Summarytrue
Comments

If the practitioner is not in use by one organization, then it should mark the period on the PractitonerRole with an end date (even if they are active) as they may be active in another role.

Practitioner.name
Element IdPractitioner.name
Definition

The name(s) associated with the practitioner.

Cardinality0..*
TypeHumanName
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.

Summarytrue
Comments

The selection of the use property should ensure that there is a single usual name specified, and others use the nickname (alias), old, or other values as appropriate.

In general, select the value to be used in the ResourceReference.display based on this:

  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.
Practitioner.telecom
Element IdPractitioner.telecom
Definition

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

Cardinality0..*
TypeContactPoint
Requirements

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

Summarytrue
Comments

Person may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and to help with identification. These typically will have home numbers, or mobile numbers that are not role specific.

Practitioner.address
Element IdPractitioner.address
Definition

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.

Cardinality0..*
TypeAddress
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.

Summarytrue
Comments

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).

Practitioner.gender
Element IdPractitioner.gender
Definition

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

Cardinality0..1
Terminology BindingAdministrativeGender (Required)
Typecode
Requirements

Needed to address the person correctly.

Summarytrue
Practitioner.birthDate
Element IdPractitioner.birthDate
Definition

The date of birth for the practitioner.

Cardinality0..1
Typedate
Requirements

Needed for identification.

Summarytrue
Practitioner.photo
Element IdPractitioner.photo
Definition

Image of the person.

Cardinality0..*
TypeAttachment
Requirements

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

Practitioner.qualification
Element IdPractitioner.qualification
Definition 官方证书、培训证和执照,用于授权或证明医疗健康服务人员的资格或能力。授权或以其他方式与医生提供护理有关。例如,医师执业证,授权医生在某区域内行医。
Cardinality0..*
Practitioner.qualification.identifier
Element IdPractitioner.qualification.identifier
Definition 某人担任某角色的资格的标识符。
NoteThis is a business identifier, not a resource identifier (see discussion)
Cardinality0..*
TypeIdentifier
Requirements

Often, specific identities are assigned for the qualification.

Practitioner.qualification.code
Element IdPractitioner.qualification.code
Definition

编码形式的资格/证书

Cardinality1..1
Terminology Bindingv2 table 0360, Version 2.7 (Example)
TypeCodeableConcept
Practitioner.qualification.period
Element IdPractitioner.qualification.period
Definition

资格/证书的有效期

Cardinality0..1
TypePeriod
Requirements 资格证书通常是规定了有效期限的,并且可以撤销。
Practitioner.qualification.issuer
Element IdPractitioner.qualification.issuer
Definition

Organization that regulates and issues the qualification.

Cardinality0..1
TypeReference(Organization)
Practitioner.communication
Element IdPractitioner.communication
Definition

A language the practitioner can use in patient communication.

Cardinality0..*
Terminology BindingCommon Languages (Preferred but limited to All Languages)
TypeCodeableConcept
Requirements

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

Comments

The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems code this but instead have it as free text. Hence CodeableConcept instead of code as the data type.