Netherlands - Generic Functions for data exchange Implementation Guide
0.1.0 - ci-build

Netherlands - Generic Functions for data exchange Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Resource Profile: NlGfPractitionerRole - Detailed Descriptions

Draft as of 2026-02-17

Definitions for the nl-gf-practitionerrole resource profile.

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

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

0. PractitionerRole
Definition | A health professional is a person who is authorized to perform actions in the field of individual healthcare. A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time.
Short | HealthProfessionalRoles/organizations the practitioner is associated with
Comments | The zib HealthProfessional is mapped for all but one concept (HealthProfessionalRole) to a profile on Practitioner (http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-Practitioner) and this PractitionerRole profile. The PractitionerRole resource covers the recording of the location and types of services that HealthProfessionals are able to provide for a HealthcareProvider. The zib concepts Specialty and HealthcareProvider are therefore mapped onto PractitionerRole. Although the zib concept name HealthProfessionalRole superficially seems to match the PractitionerRole resource, this is not the case based on the definition and values of that concept. In FHIR, the role that a HealthProfessional fulfills is captured as part of the clinical resource for that specific case, for example in the `Procedure.performer.role` element. This prevents the creation of duplicate HealthProfessional instances for each clinical situation where the HealthProfessional performs a different role in the process.
Control | 0..*
Is Modifier | false
Complies with Profile | This profile complies with the profile mCSD PractitionerRole
Summary | false
Alternate Names | Zorgverlener, nl-core-HealthProfessional-PractitionerRole
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty()) dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()) dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()) dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty()) dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. PractitionerRole.implicitRules
Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Short | A set of rules under which this content was created
Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
Control | 0..01
Type | uri
Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. PractitionerRole.modifierExtension
Definition | An Extension May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | ExtensionExtensions that cannot be ignored
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..0*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Summary | false
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
6. PractitionerRole.identifier
Definition | Business Identifiers that are specific to a role/location.
Short | Business Identifiers that are specific to a role/location
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 10..*
Type | Identifier
Is Modifier | false
Summary | true
Requirements | Often, specific identities are assigned for the agent.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
Slicing | This element introduces a set of slices on `PractitionerRole.identifier`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ $this
8. PractitionerRole.identifier:AssignedId
Slice Name | AssignedId
Definition | Business Identifiers that are specific to a role/location.
Short | Business Identifiers that are specific to a role/location
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 10..1*
Type | Identifier( Author Assigned Identifier)
Is Modifier | false
Summary | true
Requirements | Often, specific identities are assigned for the agent.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
10. PractitionerRole.practitioner
Definition | Practitioner that is able to provide the defined services for the organization.
Short | Practitioner that is able to provide the defined services for the organization
Control | 10..1
Type | Reference(Practitioner, nl core HealthProfessional Practitioner, Practitioner)
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. PractitionerRole.organization
Definition | The organization the health professional works for. The organization where the Practitioner performs the roles associated.
Short | HealthcareProviderOrganization where the roles are available
Comments | A HealthcareProvider in zib terms is primarily a location where care is provided, and so the zib concept HealthcareProvider (NL-CM:17.1.6) would normally be fulfilled using a reference to a Location resource (profile nl-core-HealthcareProvider). However, this particular context refers to the organizational aspects of a HealthcareProvider rather than its physical location: the zib concept name is not preceded by a role indicator of the zib (like Location::HealthcareProvider, concept id NL-CM:14.1.5, in the zib Procedure). the `PractitionerRole.location` cardinality (`0..*`) does not match the zib concept (`0..1`) and restricting it is not correct as a health professional could be working on multiple locations. Therefore, this concept is fulfilled using a reference to the Organization resource (profile nl-core-HealthcareProvider-Organization) and mapped onto `PractitionerRole.organization` instead of `PractitionerRole.location`.
Control | 10..1
Type | Reference(NL Generic Functions Organization Profile, Organization)
Is Modifier | false
Summary | true
Alternate Names | Zorgaanbieder
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
14. PractitionerRole.code
Definition | Roles which this practitioner is authorized to perform for the organization.
Short | Roles which this practitioner may perform
Comments | A person may have more than one role.
Control | 10..*
Binding | For example codes, see PractitionerRole http://hl7.org/fhir/ValueSet/practitioner-role|4.0.1 (example to `http://hl7.org/fhir/ValueSet/practitioner-role` ) The role a person plays representing an organization.
Type | CodeableConcept
Is Modifier | false
Summary | true
Requirements | Need to know what authority the practitioner has - what can they do?
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
16. PractitionerRole.specialty
Definition | Specific specialty of the practitioner.
Short | Specific specialty of the practitioner
Control | 0..*
Binding | The codes SHOULD be taken from PracticeSettingCodeValueSet http://hl7.org/fhir/ValueSet/c80-practice-codes|4.0.1 (preferred to `http://hl7.org/fhir/ValueSet/c80-practice-codes` ) Specific specialty associated with the agency.
Type | CodeableConcept
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
Slicing | This element introduces a set of slices on `PractitionerRole.specialty`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ $this
18. PractitionerRole.specialty:specialty
Slice Name | specialty
Definition | Health professional’s medical specialty. This refers to the recognized medical specialties as stated in the BIG Act. For example general practitioner or cardiologist. Specific specialty of the practitioner.
Short | SpecialtySpecific specialty of the practitioner
Comments | The zib concept Specialty is mapped to a slice on the `.specialty` element instead of the element itself so that other terminology can be used next to the terminology required by the zib.
Control | 0..1*
Binding | The codes SHALL be taken from The codes SHOULD be taken from SpecialismeCodelijsten http://hl7.org/fhir/ValueSet/c80-practice-codes|4.0.1 (required to `http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.22--20200901000000` ) Specific specialty associated with the agency.
Type | CodeableConcept
Is Modifier | false
Summary | true
Alternate Names | Specialisme
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. PractitionerRole.telecom
Definition | Health professional’s telephone number(s) or e-mail address(es) that are specific to the role/location/service. Contact details that are specific to the role/location/service.
Short | ContactInformationContact details that are specific to the role/location/service
Comments | The cardinality mismatch between the zib (`0..1`) and FHIR (`0..*`) is explained by the containers TelephoneNumbers (`0..*`) and EmailAddresses (`0..*`) inside the ContactInformation model. The FHIR datatype ContactPoint does not have these containers.
Control | 0..*
Type | ContactPoint
Is Modifier | false
Summary | true
Requirements | Often practitioners have a dedicated line for each location (or service) that they work at, and need to be able to define separate contact details for each of these.
Alternate Names | Contactgegevens
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
Slicing | This element introduces a set of slices on `PractitionerRole.telecom`. The slices areUnordered and Open, and can be differentiated using the following discriminators: profile @ $this
22. PractitionerRole.telecom:telephoneNumbers
Slice Name | telephoneNumbers
Definition | Details for all kinds of technology mediated contact points for a person or organization, including telephone, email, etc. Contact details that are specific to the role/location/service.
Short | TelephoneNumbersContact details that are specific to the role/location/service
Comments | Implementation of the "TelephoneNumbers" concept of zib ContactInformation. Please note that, although the zib concepts TelecomType and NumberType are functionally equivalent to the FHIR concepts `ContactPoint.system` and `ContactPoint.use` respectively, a mismatch occurs on the concept of mobile phone numbers; the zib uses the first concept and FHIR the second. For this reason, the ValueSet on `ContactPoint.system` is too narrow and the zib code will need to be communicated using the ext-CodeSpecification extension.
Control | 0..* This element is affected by the following invariants: ele-1
Type | ContactPoint(nl core ContactInformation TelephoneNumbers)
Is Modifier | false
Standard Status | Normative (from Trial Use)
Summary | true
Requirements | Often practitioners have a dedicated line for each location (or service) that they work at, and need to be able to define separate contact details for each of these.
Alternate Names | Telefoonnummers, nl-core-ContactInformation-TelephoneNumbers
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) cpt-2: A system is required if a value is provided. (`value.empty() or system.exists()`)
24. PractitionerRole.telecom:emailAddresses
Slice Name | emailAddresses
Definition | Details for all kinds of technology mediated contact points for a person or organization, including telephone, email, etc. Contact details that are specific to the role/location/service.
Short | EmailAddressesContact details that are specific to the role/location/service
Comments | Implementation of the "EmailAddresses" concept of zib ContactInformation.
Control | 0..* This element is affected by the following invariants: ele-1
Type | ContactPoint(nl core ContactInformation EmailAddresses)
Is Modifier | false
Standard Status | Normative (from Trial Use)
Summary | true
Requirements | Often practitioners have a dedicated line for each location (or service) that they work at, and need to be able to define separate contact details for each of these.
Alternate Names | EmailAdressen, nl-core-ContactInformation-EmailAddresses
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) cpt-2: A system is required if a value is provided. (`value.empty() or system.exists()`)

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

0. PractitionerRole
Complies with Profile | This profile complies with the profile mCSD PractitionerRole
2. PractitionerRole.implicitRules
Control | 0..0
4. PractitionerRole.modifierExtension
Control | 0..0
6. PractitionerRole.identifier
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 1..?
Slicing | This element introduces a set of slices on `PractitionerRole.identifier`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ $this
8. PractitionerRole.identifier:AssignedId
Slice Name | AssignedId
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 1..1
Type | Identifier( Author Assigned Identifier)
10. PractitionerRole.practitioner
Control | 1..?
12. PractitionerRole.organization
Control | 1..?
Type | Reference(NL Generic Functions Organization Profile)
14. PractitionerRole.code
Control | 1..?

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

0. PractitionerRole
Definition | A health professional is a person who is authorized to perform actions in the field of individual healthcare.
Short | HealthProfessional
Comments | The zib HealthProfessional is mapped for all but one concept (HealthProfessionalRole) to a profile on Practitioner (http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-Practitioner) and this PractitionerRole profile. The PractitionerRole resource covers the recording of the location and types of services that HealthProfessionals are able to provide for a HealthcareProvider. The zib concepts Specialty and HealthcareProvider are therefore mapped onto PractitionerRole. Although the zib concept name HealthProfessionalRole superficially seems to match the PractitionerRole resource, this is not the case based on the definition and values of that concept. In FHIR, the role that a HealthProfessional fulfills is captured as part of the clinical resource for that specific case, for example in the `Procedure.performer.role` element. This prevents the creation of duplicate HealthProfessional instances for each clinical situation where the HealthProfessional performs a different role in the process.
Control | 0..*
Is Modifier | false
Complies with Profile | This profile complies with the profile mCSD PractitionerRole
Summary | false
Alternate Names | Zorgverlener, nl-core-HealthProfessional-PractitionerRole
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (`contained.contained.empty()`) dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (`contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`) dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (`contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`) dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (`contained.meta.security.empty()`) dom-6: A resource should have narrative for robust management (`text.`div`.exists()`)
2. PractitionerRole.id
Definition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
Short | Logical id of this artifact
Comments | The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
Control | 0..1
Type | id
Is Modifier | false
Summary | true
4. PractitionerRole.meta
Definition | The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
Short | Metadata about the resource
Control | 0..1
Type | Meta
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
6. PractitionerRole.implicitRules
Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Short | A set of rules under which this content was created
Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
Control | 0..0
Type | uri
Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
8. PractitionerRole.language
Definition | The base language in which the resource is written.
Short | Language of the resource content
Comments | Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
Control | 0..1
Binding | The codes SHOULD be taken from CommonLanguages (preferred to `http://hl7.org/fhir/ValueSet/languages` ) A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
10. PractitionerRole.text
Definition | A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
Short | Text summary of the resource, for human interpretation
Comments | Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
Control | 0..1
Type | Narrative
Is Modifier | false
Summary | false
Alternate Names | narrative, html, xhtml, display
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
12. PractitionerRole.contained
Definition | These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
Short | Contained, inline Resources
Comments | This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
Control | 0..*
Type | Resource
Is Modifier | false
Summary | false
Alternate Names | inline resources, anonymous resources, contained resources
14. PractitionerRole.extension
Definition | May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional 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.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
16. PractitionerRole.modifierExtension
Definition | An Extension
Short | Extension
Control | 0..0
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
18. PractitionerRole.identifier
Definition | Business Identifiers that are specific to a role/location.
Short | Business Identifiers that are specific to a role/location
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 1..*
Type | Identifier
Is Modifier | false
Summary | true
Requirements | Often, specific identities are assigned for the agent.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
Slicing | This element introduces a set of slices on `PractitionerRole.identifier`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ $this
20. PractitionerRole.identifier:AssignedId
Slice Name | AssignedId
Definition | Business Identifiers that are specific to a role/location.
Short | Business Identifiers that are specific to a role/location
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 1..1
Type | Identifier( Author Assigned Identifier)
Is Modifier | false
Summary | true
Requirements | Often, specific identities are assigned for the agent.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
22. PractitionerRole.active
Definition | Whether this practitioner role record is in active use.
Short | Whether this practitioner role record is in active use
Comments | If this value is false, you may refer to the period to see when the role was in active use. If there is no period specified, no inference can be made about when it was active.
Control | 0..1
Type | boolean
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Need to be able to mark a practitioner role record as not to be used because it was created in error, or otherwise no longer in active use.
Meaning if Missing | This resource is generally assumed to be active if no value is provided for the active element
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
24. PractitionerRole.period
Definition | The period during which the person is authorized to act as a practitioner in these role(s) for the organization.
Short | The period during which the practitioner is authorized to perform in these role(s)
Control | 0..1
Type | Period
Is Modifier | false
Summary | true
Requirements | Even after the agencies is revoked, the fact that it existed must still be recorded.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
26. PractitionerRole.practitioner
Definition | Practitioner that is able to provide the defined services for the organization.
Short | Practitioner that is able to provide the defined services for the organization
Control | 1..1
Type | Reference(Practitioner, nl core HealthProfessional Practitioner)
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
28. PractitionerRole.organization
Definition | The organization the health professional works for.
Short | HealthcareProvider
Comments | A HealthcareProvider in zib terms is primarily a location where care is provided, and so the zib concept HealthcareProvider (NL-CM:17.1.6) would normally be fulfilled using a reference to a Location resource (profile nl-core-HealthcareProvider). However, this particular context refers to the organizational aspects of a HealthcareProvider rather than its physical location: the zib concept name is not preceded by a role indicator of the zib (like Location::HealthcareProvider, concept id NL-CM:14.1.5, in the zib Procedure). the `PractitionerRole.location` cardinality (`0..*`) does not match the zib concept (`0..1`) and restricting it is not correct as a health professional could be working on multiple locations. Therefore, this concept is fulfilled using a reference to the Organization resource (profile nl-core-HealthcareProvider-Organization) and mapped onto `PractitionerRole.organization` instead of `PractitionerRole.location`.
Control | 1..1
Type | Reference(NL Generic Functions Organization Profile)
Is Modifier | false
Summary | true
Alternate Names | Zorgaanbieder
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
30. PractitionerRole.code
Definition | Roles which this practitioner is authorized to perform for the organization.
Short | Roles which this practitioner may perform
Comments | A person may have more than one role.
Control | 1..*
Binding | For example codes, see PractitionerRole (example to `http://hl7.org/fhir/ValueSet/practitioner-role` ) The role a person plays representing an organization.
Type | CodeableConcept
Is Modifier | false
Summary | true
Requirements | Need to know what authority the practitioner has - what can they do?
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
32. PractitionerRole.specialty
Definition | Specific specialty of the practitioner.
Short | Specific specialty of the practitioner
Control | 0..*
Binding | The codes SHOULD be taken from PracticeSettingCodeValueSet (preferred to `http://hl7.org/fhir/ValueSet/c80-practice-codes` ) Specific specialty associated with the agency.
Type | CodeableConcept
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
Slicing | This element introduces a set of slices on `PractitionerRole.specialty`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ $this
34. PractitionerRole.specialty:specialty
Slice Name | specialty
Definition | Health professional’s medical specialty. This refers to the recognized medical specialties as stated in the BIG Act. For example general practitioner or cardiologist.
Short | Specialty
Comments | The zib concept Specialty is mapped to a slice on the `.specialty` element instead of the element itself so that other terminology can be used next to the terminology required by the zib.
Control | 0..1
Binding | The codes SHALL be taken from SpecialismeCodelijsten (required to `http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.22--20200901000000` ) Specific specialty associated with the agency.
Type | CodeableConcept
Is Modifier | false
Summary | true
Alternate Names | Specialisme
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
36. PractitionerRole.location
Definition | The location(s) at which this practitioner provides care.
Short | The location(s) at which this practitioner provides care
Control | 0..*
Type | Reference(Location, nl core HealthcareProvider)
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
38. PractitionerRole.healthcareService
Definition | The list of healthcare services that this worker provides for this role's Organization/Location(s).
Short | The list of healthcare services that this worker provides for this role's Organization/Location(s)
Control | 0..*
Type | Reference(HealthcareService)
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
40. PractitionerRole.telecom
Definition | Health professional’s telephone number(s) or e-mail address(es) that are specific to the role/location/service.
Short | ContactInformation
Comments | The cardinality mismatch between the zib (`0..1`) and FHIR (`0..*`) is explained by the containers TelephoneNumbers (`0..*`) and EmailAddresses (`0..*`) inside the ContactInformation model. The FHIR datatype ContactPoint does not have these containers.
Control | 0..*
Type | ContactPoint
Is Modifier | false
Summary | true
Requirements | Often practitioners have a dedicated line for each location (or service) that they work at, and need to be able to define separate contact details for each of these.
Alternate Names | Contactgegevens
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
Slicing | This element introduces a set of slices on `PractitionerRole.telecom`. The slices areUnordered and Open, and can be differentiated using the following discriminators: profile @ $this
42. PractitionerRole.telecom:telephoneNumbers
Slice Name | telephoneNumbers
Definition | Details for all kinds of technology mediated contact points for a person or organization, including telephone, email, etc.
Short | TelephoneNumbers
Comments | Implementation of the "TelephoneNumbers" concept of zib ContactInformation. Please note that, although the zib concepts TelecomType and NumberType are functionally equivalent to the FHIR concepts `ContactPoint.system` and `ContactPoint.use` respectively, a mismatch occurs on the concept of mobile phone numbers; the zib uses the first concept and FHIR the second. For this reason, the ValueSet on `ContactPoint.system` is too narrow and the zib code will need to be communicated using the ext-CodeSpecification extension.
Control | 0..* This element is affected by the following invariants: ele-1
Type | ContactPoint(nl core ContactInformation TelephoneNumbers)
Is Modifier | false
Standard Status | Normative (from Trial Use)
Summary | true
Requirements | Often practitioners have a dedicated line for each location (or service) that they work at, and need to be able to define separate contact details for each of these.
Alternate Names | Telefoonnummers, nl-core-ContactInformation-TelephoneNumbers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) cpt-2: A system is required if a value is provided. (`value.empty() or system.exists()`)
44. PractitionerRole.telecom:emailAddresses
Slice Name | emailAddresses
Definition | Details for all kinds of technology mediated contact points for a person or organization, including telephone, email, etc.
Short | EmailAddresses
Comments | Implementation of the "EmailAddresses" concept of zib ContactInformation.
Control | 0..* This element is affected by the following invariants: ele-1
Type | ContactPoint(nl core ContactInformation EmailAddresses)
Is Modifier | false
Standard Status | Normative (from Trial Use)
Summary | true
Requirements | Often practitioners have a dedicated line for each location (or service) that they work at, and need to be able to define separate contact details for each of these.
Alternate Names | EmailAdressen, nl-core-ContactInformation-EmailAddresses
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) cpt-2: A system is required if a value is provided. (`value.empty() or system.exists()`)
46. PractitionerRole.availableTime
Definition | A collection of times the practitioner is available or performing this role at the location and/or healthcareservice.
Short | Times the Service Site is available
Comments | More detailed availability information may be provided in associated Schedule/Slot resources.
Control | 0..*
Type | BackboneElement
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
48. PractitionerRole.availableTime.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
50. PractitionerRole.availableTime.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional 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.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
52. PractitionerRole.availableTime.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
54. PractitionerRole.availableTime.daysOfWeek
Definition | Indicates which days of the week are available between the start and end Times.
Short | mon | tue | wed | thu | fri | sat | sun
Control | 0..*
Binding | The codes SHALL be taken from DaysOfWeek (required to `http://hl7.org/fhir/ValueSet/days-of-week|4.0.1` ) The days of the week.
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
56. PractitionerRole.availableTime.allDay
Definition | Is this always available? (hence times are irrelevant) e.g. 24 hour service.
Short | Always available? e.g. 24 hour service
Control | 0..1
Type | boolean
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
58. PractitionerRole.availableTime.availableStartTime
Definition | The opening time of day. Note: If the AllDay flag is set, then this time is ignored.
Short | Opening time of day (ignored if allDay = true)
Comments | The timezone is expected to be for where this HealthcareService is provided at.
Control | 0..1
Type | time
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
60. PractitionerRole.availableTime.availableEndTime
Definition | The closing time of day. Note: If the AllDay flag is set, then this time is ignored.
Short | Closing time of day (ignored if allDay = true)
Comments | The timezone is expected to be for where this HealthcareService is provided at.
Control | 0..1
Type | time
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
62. PractitionerRole.notAvailable
Definition | The practitioner is not available or performing this role during this period of time due to the provided reason.
Short | Not available during this time due to provided reason
Control | 0..*
Type | BackboneElement
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
64. PractitionerRole.notAvailable.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
66. PractitionerRole.notAvailable.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional 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.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
68. PractitionerRole.notAvailable.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
70. PractitionerRole.notAvailable.description
Definition | The reason that can be presented to the user as to why this time is not available.
Short | Reason presented to the user explaining why time not available
Control | 1..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
72. PractitionerRole.notAvailable.during
Definition | Service is not available (seasonally or for a public holiday) from this date.
Short | Service not available from this date
Control | 0..1
Type | Period
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
74. PractitionerRole.availabilityExceptions
Definition | A description of site availability exceptions, e.g. public holiday availability. Succinctly describing all possible exceptions to normal site availability as details in the available Times and not available Times.
Short | Description of availability exceptions
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
76. PractitionerRole.endpoint
Definition | Technical endpoints providing access to services operated for the practitioner with this role.
Short | Technical endpoints providing access to services operated for the practitioner with this role
Control | 0..*
Type | Reference(Endpoint)
Is Modifier | false
Summary | false
Requirements | Organizations have multiple systems that provide various services and ,ay also be different for practitioners too. So the endpoint satisfies the need to be able to define the technical connection details for how to connect to them, and for what purpose.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)