Advance Care Planning (PZP)
0.1.3-beta3 - consultation

Advance Care Planning (PZP) - Local Development build (v0.1.3-beta3) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: ACPHealthProfessionalPractitionerRole - Detailed Descriptions

Draft as of 2025-08-28

Definitions for the ACP-HealthProfessional-PractitionerRole resource profile.

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

0. PractitionerRole
Definitie

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.

KortHealthProfessionalRoles/organizations the practitioner is associated with
Opmerkingen

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.

Control0..*
Is modifierfalse
Samenvattingfalse
Alternatieve namenZorgverlener, nl-core-HealthProfessional-PractitionerRole
Invariantsdom-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())
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
Definitie

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.

KortA set of rules under which this content was created
Opmerkingen

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.

Control0..1
Typeuri
Is modifiertrue omdat 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
Primitieve waardeDit primitieve element kan aanwezig zijn of niet, of worden vervangen door een extensie
Samenvattingtrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. PractitionerRole.modifierExtension
Definitie

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).

KortExtensions that cannot be ignored
Opmerkingen

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 omdat Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Samenvattingfalse
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.

Alternatieve namenextensions, user content
Invariantsele-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())
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.practitioner
Definitie

Practitioner that is able to provide the defined services for the organization.

KortPractitioner that is able to provide the defined services for the organization
Control0..1
TypeReference(HealthProfessional Practitioner, Practitioner)
Is modifierfalse
Samenvattingtrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. PractitionerRole.specialty
Definitie

Specific specialty of the practitioner.

KortSpecific specialty of the practitioner
Control0..*
BindingDe codes ZOUDEN MOETEN komen uit PracticeSettingCodeValueSethttp://hl7.org/fhir/ValueSet/c80-practice-codes
(preferred to http://hl7.org/fhir/ValueSet/c80-practice-codes|4.0.1)

Specific specialty associated with the agency.

TypeCodeableConcept
Is modifierfalse
Samenvattingtrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
SlicingDit element introduceert een set slices op PractitionerRole.specialtyDe slices zijnZonder volgorde en Open, en kunnen worden gedifferentieerd met de volgende discriminators:
  • value @ $this
  • 10. PractitionerRole.specialty:specialty
    Slicenaamspecialty
    Definitie

    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.

    KortSpecialtySpecific specialty of the practitioner
    Opmerkingen

    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.

    Control0..1*
    BindingDe codes MOETEN komen uit De codes ZOUDEN MOETEN komen uit SpecialismeCodelijsten (2020-09-01T00:00:00)http://hl7.org/fhir/ValueSet/c80-practice-codes
    (required to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.22--20200901000000|2020-09-01T00:00:00)

    Specific specialty associated with the agency.

    TypeCodeableConcept
    Is modifierfalse
    Samenvattingtrue
    Alternatieve namenSpecialisme
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    12. PractitionerRole.telecom
    Definitie

    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.

    KortContactInformationContact details that are specific to the role/location/service
    Opmerkingen

    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.

    Control0..*
    TypeContactPoint
    Is modifierfalse
    Samenvattingtrue
    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.

    Alternatieve namenContactgegevens
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    SlicingDit element introduceert een set slices op PractitionerRole.telecomDe slices zijnZonder volgorde en Open, en kunnen worden gedifferentieerd met de volgende discriminators:
    • profile @ $this
    • 14. PractitionerRole.telecom:telephoneNumbers
      SlicenaamtelephoneNumbers
      Definitie

      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.

      KortTelephoneNumbersContact details that are specific to the role/location/service
      Opmerkingen

      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.

      Control0..*
      Dit element wordt geraakt door de volgende invariants: ele-1
      TypeContactPoint(nl core ContactInformation TelephoneNumbers)
      Is modifierfalse
      Standaard statusNormative (from Trial Use)
      Samenvattingtrue
      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.

      Alternatieve namenTelefoonnummers, nl-core-ContactInformation-TelephoneNumbers
      Invariantsele-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())
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      16. PractitionerRole.telecom:emailAddresses
      SlicenaamemailAddresses
      Definitie

      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.

      KortEmailAddressesContact details that are specific to the role/location/service
      Opmerkingen

      Implementation of the "EmailAddresses" concept of zib ContactInformation.

      Control0..*
      Dit element wordt geraakt door de volgende invariants: ele-1
      TypeContactPoint(nl core ContactInformation EmailAddresses)
      Is modifierfalse
      Standaard statusNormative (from Trial Use)
      Samenvattingtrue
      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.

      Alternatieve namenEmailAdressen, nl-core-ContactInformation-EmailAddresses
      Invariantsele-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())
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

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

      0. PractitionerRole
      2. PractitionerRole.practitioner
      TypeReference(HealthProfessional Practitioner)
      4. PractitionerRole.specialty:specialty
      Slicenaamspecialty

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

      0. PractitionerRole
      Definitie

      A health professional is a person who is authorized to perform actions in the field of individual healthcare.

      KortHealthProfessional
      Opmerkingen

      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.

      Control0..*
      Is modifierfalse
      Samenvattingfalse
      Alternatieve namenZorgverlener, nl-core-HealthProfessional-PractitionerRole
      Invariantsdom-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
      Definitie

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

      KortLogical id of this artifact
      Opmerkingen

      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
      Is modifierfalse
      Samenvattingtrue
      4. PractitionerRole.meta
      Definitie

      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.

      KortMetadata about the resource
      Control0..1
      TypeMeta
      Is modifierfalse
      Samenvattingtrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      6. PractitionerRole.implicitRules
      Definitie

      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.

      KortA set of rules under which this content was created
      Opmerkingen

      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.

      Control0..1
      Typeuri
      Is modifiertrue omdat 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
      Primitieve waardeDit primitieve element kan aanwezig zijn of niet, of worden vervangen door een extensie
      Samenvattingtrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      8. PractitionerRole.language
      Definitie

      The base language in which the resource is written.

      KortLanguage of the resource content
      Opmerkingen

      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
      BindingDe codes ZOUDEN MOETEN komen uit CommonLanguages
      (preferred to http://hl7.org/fhir/ValueSet/languages|4.0.1)

      A human language.

      Additionele bindingsDoel
      AllLanguagesMax binding
      Typecode
      Is modifierfalse
      Primitieve waardeDit primitieve element kan aanwezig zijn of niet, of worden vervangen door een extensie
      Samenvattingfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      10. PractitionerRole.text
      Definitie

      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.

      KortText summary of the resource, for human interpretation
      Opmerkingen

      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.

      Control0..1
      TypeNarrative
      Is modifierfalse
      Samenvattingfalse
      Alternatieve namennarrative, html, xhtml, display
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      12. PractitionerRole.contained
      Definitie

      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.

      KortContained, inline Resources
      Opmerkingen

      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.

      Control0..*
      TypeResource
      Is modifierfalse
      Samenvattingfalse
      Alternatieve nameninline resources, anonymous resources, contained resources
      14. PractitionerRole.extension
      Definitie

      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.

      KortAdditional content defined by implementations
      Opmerkingen

      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 modifierfalse
      Samenvattingfalse
      Alternatieve namenextensions, user content
      Invariantsele-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
      Definitie

      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).

      KortExtensions that cannot be ignored
      Opmerkingen

      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 omdat Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
      Samenvattingfalse
      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.

      Alternatieve namenextensions, user content
      Invariantsele-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
      Definitie

      Business Identifiers that are specific to a role/location.

      KortBusiness Identifiers that are specific to a role/location
      NotitieDit is een business-identifier, geen resource-identifier (zie discussie)
      Control0..*
      TypeIdentifier
      Is modifierfalse
      Samenvattingtrue
      Requirements

      Often, specific identities are assigned for the agent.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      20. PractitionerRole.active
      Definitie

      Whether this practitioner role record is in active use.

      KortWhether this practitioner role record is in active use
      Opmerkingen

      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.

      Control0..1
      Typeboolean
      Is modifierfalse
      Primitieve waardeDit primitieve element kan aanwezig zijn of niet, of worden vervangen door een extensie
      Samenvattingtrue
      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.

      Betekenis als ontbreektThis resource is generally assumed to be active if no value is provided for the active element
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      22. PractitionerRole.period
      Definitie

      The period during which the person is authorized to act as a practitioner in these role(s) for the organization.

      KortThe period during which the practitioner is authorized to perform in these role(s)
      Control0..1
      TypePeriod
      Is modifierfalse
      Samenvattingtrue
      Requirements

      Even after the agencies is revoked, the fact that it existed must still be recorded.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      24. PractitionerRole.practitioner
      Definitie

      Practitioner that is able to provide the defined services for the organization.

      KortPractitioner that is able to provide the defined services for the organization
      Control0..1
      TypeReference(HealthProfessional Practitioner)
      Is modifierfalse
      Samenvattingtrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      26. PractitionerRole.organization
      Definitie

      The organization the health professional works for.

      KortHealthcareProvider
      Opmerkingen

      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.

      Control0..1
      TypeReference(Organization, nl core HealthcareProvider Organization)
      Is modifierfalse
      Samenvattingtrue
      Alternatieve namenZorgaanbieder
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      28. PractitionerRole.code
      Definitie

      Roles which this practitioner is authorized to perform for the organization.

      KortRoles which this practitioner may perform
      Opmerkingen

      A person may have more than one role.

      Control0..*
      BindingVoor voorbeeldcodes, zie PractitionerRole
      (example to http://hl7.org/fhir/ValueSet/practitioner-role|4.0.1)

      The role a person plays representing an organization.

      TypeCodeableConcept
      Is modifierfalse
      Samenvattingtrue
      Requirements

      Need to know what authority the practitioner has - what can they do?

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      30. PractitionerRole.specialty
      Definitie

      Specific specialty of the practitioner.

      KortSpecific specialty of the practitioner
      Control0..*
      BindingDe codes ZOUDEN MOETEN komen uit PracticeSettingCodeValueSet
      (preferred to http://hl7.org/fhir/ValueSet/c80-practice-codes|4.0.1)

      Specific specialty associated with the agency.

      TypeCodeableConcept
      Is modifierfalse
      Samenvattingtrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      SlicingDit element introduceert een set slices op PractitionerRole.specialtyDe slices zijnZonder volgorde en Open, en kunnen worden gedifferentieerd met de volgende discriminators:
      • value @ $this
      • 32. PractitionerRole.specialty:specialty
        Slicenaamspecialty
        Definitie

        Health professional’s medical specialty. This refers to the recognized medical specialties as stated in the BIG Act. For example general practitioner or cardiologist.

        KortSpecialty
        Opmerkingen

        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.

        Control0..1
        BindingDe codes MOETEN komen uit SpecialismeCodelijsten (2020-09-01T00:00:00)
        (required to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.22--20200901000000|2020-09-01T00:00:00)

        Specific specialty associated with the agency.

        TypeCodeableConcept
        Is modifierfalse
        Samenvattingtrue
        Alternatieve namenSpecialisme
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        34. PractitionerRole.location
        Definitie

        The location(s) at which this practitioner provides care.

        KortThe location(s) at which this practitioner provides care
        Control0..*
        TypeReference(Location, nl core HealthcareProvider)
        Is modifierfalse
        Samenvattingtrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        36. PractitionerRole.healthcareService
        Definitie

        The list of healthcare services that this worker provides for this role's Organization/Location(s).

        KortThe list of healthcare services that this worker provides for this role's Organization/Location(s)
        Control0..*
        TypeReference(HealthcareService)
        Is modifierfalse
        Samenvattingfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        38. PractitionerRole.telecom
        Definitie

        Health professional’s telephone number(s) or e-mail address(es) that are specific to the role/location/service.

        KortContactInformation
        Opmerkingen

        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.

        Control0..*
        TypeContactPoint
        Is modifierfalse
        Samenvattingtrue
        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.

        Alternatieve namenContactgegevens
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        SlicingDit element introduceert een set slices op PractitionerRole.telecomDe slices zijnZonder volgorde en Open, en kunnen worden gedifferentieerd met de volgende discriminators:
        • profile @ $this
        • 40. PractitionerRole.telecom:telephoneNumbers
          SlicenaamtelephoneNumbers
          Definitie

          Details for all kinds of technology mediated contact points for a person or organization, including telephone, email, etc.

          KortTelephoneNumbers
          Opmerkingen

          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.

          Control0..*
          Dit element wordt geraakt door de volgende invariants: ele-1
          TypeContactPoint(nl core ContactInformation TelephoneNumbers)
          Is modifierfalse
          Standaard statusNormative (from Trial Use)
          Samenvattingtrue
          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.

          Alternatieve namenTelefoonnummers, nl-core-ContactInformation-TelephoneNumbers
          Invariantsele-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())
          42. PractitionerRole.telecom:emailAddresses
          SlicenaamemailAddresses
          Definitie

          Details for all kinds of technology mediated contact points for a person or organization, including telephone, email, etc.

          KortEmailAddresses
          Opmerkingen

          Implementation of the "EmailAddresses" concept of zib ContactInformation.

          Control0..*
          Dit element wordt geraakt door de volgende invariants: ele-1
          TypeContactPoint(nl core ContactInformation EmailAddresses)
          Is modifierfalse
          Standaard statusNormative (from Trial Use)
          Samenvattingtrue
          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.

          Alternatieve namenEmailAdressen, nl-core-ContactInformation-EmailAddresses
          Invariantsele-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.availableTime
          Definitie

          A collection of times the practitioner is available or performing this role at the location and/or healthcareservice.

          KortTimes the Service Site is available
          Opmerkingen

          More detailed availability information may be provided in associated Schedule/Slot resources.

          Control0..*
          TypeBackboneElement
          Is modifierfalse
          Samenvattingfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          46. PractitionerRole.availableTime.id
          Definitie

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

          KortUnique id for inter-element referencing
          Control0..1
          Typestring
          Is modifierfalse
          Xml-formaatIn xml wordt dit attribuut gerepresenteerd als attribuut.
          Samenvattingfalse
          48. PractitionerRole.availableTime.extension
          Definitie

          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.

          KortAdditional content defined by implementations
          Opmerkingen

          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 modifierfalse
          Samenvattingfalse
          Alternatieve namenextensions, user content
          Invariantsele-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())
          50. PractitionerRole.availableTime.modifierExtension
          Definitie

          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).

          KortExtensions that cannot be ignored even if unrecognized
          Opmerkingen

          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 omdat Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Samenvattingtrue
          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.

          Alternatieve namenextensions, user content, modifiers
          Invariantsele-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.daysOfWeek
          Definitie

          Indicates which days of the week are available between the start and end Times.

          Kortmon | tue | wed | thu | fri | sat | sun
          Control0..*
          BindingDe codes MOETEN komen uit DaysOfWeek
          (required to http://hl7.org/fhir/ValueSet/days-of-week|4.0.1)

          The days of the week.

          Typecode
          Is modifierfalse
          Primitieve waardeDit primitieve element kan aanwezig zijn of niet, of worden vervangen door een extensie
          Samenvattingfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          54. PractitionerRole.availableTime.allDay
          Definitie

          Is this always available? (hence times are irrelevant) e.g. 24 hour service.

          KortAlways available? e.g. 24 hour service
          Control0..1
          Typeboolean
          Is modifierfalse
          Primitieve waardeDit primitieve element kan aanwezig zijn of niet, of worden vervangen door een extensie
          Samenvattingfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          56. PractitionerRole.availableTime.availableStartTime
          Definitie

          The opening time of day. Note: If the AllDay flag is set, then this time is ignored.

          KortOpening time of day (ignored if allDay = true)
          Opmerkingen

          The timezone is expected to be for where this HealthcareService is provided at.

          Control0..1
          Typetime
          Is modifierfalse
          Primitieve waardeDit primitieve element kan aanwezig zijn of niet, of worden vervangen door een extensie
          Samenvattingfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          58. PractitionerRole.availableTime.availableEndTime
          Definitie

          The closing time of day. Note: If the AllDay flag is set, then this time is ignored.

          KortClosing time of day (ignored if allDay = true)
          Opmerkingen

          The timezone is expected to be for where this HealthcareService is provided at.

          Control0..1
          Typetime
          Is modifierfalse
          Primitieve waardeDit primitieve element kan aanwezig zijn of niet, of worden vervangen door een extensie
          Samenvattingfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          60. PractitionerRole.notAvailable
          Definitie

          The practitioner is not available or performing this role during this period of time due to the provided reason.

          KortNot available during this time due to provided reason
          Control0..*
          TypeBackboneElement
          Is modifierfalse
          Samenvattingfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          62. PractitionerRole.notAvailable.id
          Definitie

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

          KortUnique id for inter-element referencing
          Control0..1
          Typestring
          Is modifierfalse
          Xml-formaatIn xml wordt dit attribuut gerepresenteerd als attribuut.
          Samenvattingfalse
          64. PractitionerRole.notAvailable.extension
          Definitie

          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.

          KortAdditional content defined by implementations
          Opmerkingen

          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 modifierfalse
          Samenvattingfalse
          Alternatieve namenextensions, user content
          Invariantsele-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())
          66. PractitionerRole.notAvailable.modifierExtension
          Definitie

          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).

          KortExtensions that cannot be ignored even if unrecognized
          Opmerkingen

          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 omdat Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Samenvattingtrue
          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.

          Alternatieve namenextensions, user content, modifiers
          Invariantsele-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.description
          Definitie

          The reason that can be presented to the user as to why this time is not available.

          KortReason presented to the user explaining why time not available
          Control1..1
          Typestring
          Is modifierfalse
          Primitieve waardeDit primitieve element kan aanwezig zijn of niet, of worden vervangen door een extensie
          Samenvattingfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          70. PractitionerRole.notAvailable.during
          Definitie

          Service is not available (seasonally or for a public holiday) from this date.

          KortService not available from this date
          Control0..1
          TypePeriod
          Is modifierfalse
          Samenvattingfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          72. PractitionerRole.availabilityExceptions
          Definitie

          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.

          KortDescription of availability exceptions
          Control0..1
          Typestring
          Is modifierfalse
          Primitieve waardeDit primitieve element kan aanwezig zijn of niet, of worden vervangen door een extensie
          Samenvattingfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          74. PractitionerRole.endpoint
          Definitie

          Technical endpoints providing access to services operated for the practitioner with this role.

          KortTechnical endpoints providing access to services operated for the practitioner with this role
          Control0..*
          TypeReference(Endpoint)
          Is modifierfalse
          Samenvattingfalse
          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.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))