Guías de Implementación FHIR Receta Digital | Ministerio de Salud
1.1.0-ballot - ci-build
Guías de Implementación FHIR Receta Digital | Ministerio de Salud - Local Development build (v1.1.0-ballot) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Page standards status: Draft | Maturity Level: 0 |
Definitions for the practitioner resource profile.
Guidance on how to interpret the contents of this table can be foundhere
| 0. Practitioner | |
| Definition | A person who is directly or indirectly involved in the provisioning of healthcare. |
| Short | A person with a formal responsibility in the provisioning of healthcare or related services |
| Control | 0..* |
| Is Modifier | false |
| Summary | false |
| 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. Practitioner.id | |
| Definition | Identificador único del Profesional de Salud dentro del sistema. The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. |
| Short | Identificador único del Profesional dentro del sistema.Logical id of this artifact |
| Comments | Este es el identificador único del Profesional dentro del sistema. Se espera que el Profesional de Salud tenga un identificador único en el sistema. 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 | idstring |
| Is Modifier | false |
| Summary | true |
| 4. Practitioner.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..01 |
| 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. Practitioner.implicitRules | |
| Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. 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..1 |
| 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. Practitioner.modifierExtension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it 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 | Extensions 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..* |
| 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()) |
| 10. Practitioner.identifier | |
| Definition | Este es el listado de identificaciones del Profesional de Salud. An identifier that applies to this person in this role. |
| Short | Lista de los identificadores del Profesional de Salud.An identifier for the person as this agent |
| Note | This is a business identifier, not a resource identifier (see discussion) |
| Control | 10..1* |
| Type | Identifier |
| Is Modifier | false |
| Must Support | true |
| 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())) |
| 12. Practitioner.identifier.use | |
| Definition | The purpose of this identifier. |
| Short | usual | official | temp | secondary | old (If known) |
| Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)Identifies the purpose for this identifier, if known . |
| Type | code |
| Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. |
| Fixed Value | official |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 14. Practitioner.identifier.type | |
| Definition | Tipo de documento de identificación aplicable a profesionales de salud según el sistema nacional. A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. |
| Short | Tipo de documento de identificación (Extensible)Description of identifier |
| Comments | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. |
| Control | 10..1 |
| Binding | The codes SHALL be taken from Unless not suitable, these codes SHALL be taken from Tipo de identificaciónhttp://hl7.org/fhir/ValueSet/identifier-type|4.0.1 (required to https://ministeriodesalud.go.cr/fhir/receta/ValueSet/idTypes)ValueSet de tipos de identificación permitidos para profesionales de salud en Costa Rica. A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. |
| Type | CodeableConcept |
| Is Modifier | false |
| Summary | true |
| Requirements | Allows users to make use of identifiers when the identifier system is not known. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 16. Practitioner.identifier.type.coding | |
| Definition | Código del tipo de identificación del Profesional de Salud. A reference to a code defined by a terminology system. |
| Short | Código del tipo de identificación del Profesional.Code defined by a terminology system |
| Comments | Código del tipo de identificación del Profesional. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. |
| Control | 10..1* |
| Type | Coding |
| Is Modifier | false |
| Summary | true |
| Requirements | Allows for alternative encodings within a code system, and translations to other code systems. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 18. Practitioner.identifier.type.coding.system | |
| Definition | Sistema de identificación del Profesional. The identification of the code system that defines the meaning of the symbol in the code. |
| Short | Sistema de identificación del Profesional.Identity of the terminology system |
| Comments | Sistema de identificación del Profesional. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. |
| Control | 0..1 |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Need to be unambiguous about the source of the definition of the symbol. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 20. Practitioner.identifier.type.coding.code | |
| Definition | Código del tipo de identificación del Profesional. A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). |
| Short | Código del tipo de identificación del Profesional.Symbol in syntax defined by the system |
| Comments | Código del tipo de identificación del Profesional. |
| Control | 10..1 |
| Type | code |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Need to refer to a particular code in the system. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 22. Practitioner.identifier.type.coding.display | |
| Definition | Descripción del código de tipo de identificación del Profesional. A representation of the meaning of the code in the system, following the rules of the system. |
| Short | Descripción del código de tipo de identificación del Profesional.Representation defined by the system |
| Comments | Descripción del código de tipo de identificación del Profesional. |
| Control | 0..1 |
| Type | string |
| 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 carry a human-readable meaning of the code for readers that do not know the system. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 24. Practitioner.identifier.type.text | |
| Definition | Nombre del valor de tipo de identificación del Profesional. A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. |
| Short | Nombre del valor de tipo de identificación del Profesional.Plain text representation of the concept |
| Comments | Nombre del valor de tipo de identificación del Profesional. Very often the text is the same as a displayName of one of the codings. |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 26. Practitioner.identifier.system | |
| Definition | Sistema de identificación del Profesional. Establishes the namespace for the value - that is, a URL that describes a set values that are unique. |
| Short | Sistema de identificación del Profesional.The namespace for the identifier value |
| Comments | Sistema de identificación del Profesional. Identifier.system is always case sensitive. |
| Control | 0..1 |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. |
| Example | General: http://www.acme.com/identifiers/patient |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 28. Practitioner.identifier.value | |
| Definition | Número de identificación del Profesional o número de documento. The portion of the identifier typically relevant to the user and which is unique within the context of the system. |
| Short | Número de identificación del Profesional o número de documento.The value that is unique |
| Comments | Número de identificación del Profesional o número de documento. If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. |
| Control | 10..1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Example | General: 123456 |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 30. Practitioner.name | |
| Definition | Nombre del Profesional de Salud. The name(s) associated with the practitioner. |
| Short | Nombre del Profesional de Salud.The name(s) associated with the practitioner |
| Comments | Es un elemento clave para la identificación inicial. En Costa Rica, los nombres tienen alta especificidad (dos apellidos), lo que aumenta la precisión del matching. The selection of the use property should ensure that there is a single usual name specified, and others use the nickname (alias), old, or other values as appropriate. In general, select the value to be used in the ResourceReference.display based on this:
|
| Control | 10..1* |
| Type | HumanName |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Requirements | The name(s) that a Practitioner is known by. Where there are multiple, the name that the practitioner is usually known as should be used in the display. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 32. Practitioner.name.use | |
| Definition | Identifies the purpose for this name. |
| Short | usual | official | temp | nickname | anonymous | old | maiden |
| Comments | Applications can assume that a name is current unless it explicitly says that it is temporary or old. |
| Control | 0..01 |
| Binding | The codes SHALL be taken from NameUsehttp://hl7.org/fhir/ValueSet/name-use|4.0.1 (required to http://hl7.org/fhir/ValueSet/name-use|4.0.1)The use of a human name. |
| Type | code |
| Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Allows the appropriate name for a particular context of use to be selected from among a set of names. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 34. Practitioner.name.text | |
| Definition | Nombre completo del Profesional. Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts. |
| Short | Nombre completo del Profesional.Text representation of the full name |
| Comments | Se espera que el Profesional tenga al menos un nombre y un apellido. Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part. |
| Control | 10..1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | A renderable, unencoded form. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 36. Practitioner.name.family | |
| Definition | Apellidos del Profesional. The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father. |
| Short | Apellidos del Profesional.Family name (often called 'Surname') |
| Comments | Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures). |
| Control | 10..1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Alternate Names | surname |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 38. Practitioner.name.given | |
| Definition | Nombres del Profesional. Given name. |
| Short | Nombres del Profesional.Given names (not always 'first'). Includes middle names |
| Comments | If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first. |
| Control | 10..1* |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Alternate Names | first name, middle name |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 40. Practitioner.telecom | |
| Definition | Detalles de contacto del Profesional, como teléfono o correo electrónico. A contact detail for the practitioner, e.g. a telephone number or an email address. |
| Short | Medios de contacto del Profesional (teléfono, email, etc.).A contact detail for the practitioner (that apply to all roles) |
| Comments | Person may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and to help with identification. These typically will have home numbers, or mobile numbers that are not role specific. |
| Control | 10..2* |
| Type | ContactPoint(Contacto para Receta Digital Costa Rica) |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Requirements | Need to know how to reach a practitioner independent to any roles the practitioner may have. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 42. Practitioner.address | |
| Definition | Dirección física donde se encuentra o reside el Profesional. Address(es) of the practitioner that are not role specific (typically home address). Work addresses are not typically entered in this property as they are usually role dependent. |
| Short | Dirección física del Profesional de Salud.Address(es) of the practitioner that are not role specific (typically home address) |
| Comments | The PractitionerRole does not have an address value on it, as it is expected that the location property be used for this purpose (which has an address). |
| Control | 10..1* |
| Type | Address(Dirección para Receta Digital Costa Rica) |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Requirements | The home/mailing address of the practitioner is often required for employee administration purposes, and also for some rostering services where the start point (practitioners home) can be used in calculations. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 44. Practitioner.gender | |
| Definition | Género del Profesional para fines administrativos, puede ser distinto al sexo biológico. Administrative Gender - the gender that the person is considered to have for administration and record keeping purposes. |
| Short | Género con el que el Profesional se identifica. (male | female)male | female | other | unknown |
| Control | 10..1 |
| Binding | The codes SHALL be taken from AdministrativeGenderhttp://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 (required to http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1)The gender of a person used for administrative purposes. |
| Type | code |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Needed to address the person correctly. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 46. Practitioner.birthDate | |
| Definition | Fecha de nacimiento del Profesional de Salud. The date of birth for the practitioner. |
| Short | Fecha de nacimiento del Profesional.The date on which the practitioner was born |
| Comments | Dato relevante para procesos de autenticación o para evitar colisiones entre registros similares. |
| Control | 10..1 |
| Type | date |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Needed for identification. |
| Invariants | 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. Practitioner | |
| 2. Practitioner.id | |
| Definition | Identificador único del Profesional de Salud dentro del sistema. |
| Short | Identificador único del Profesional dentro del sistema. |
| Comments | Este es el identificador único del Profesional dentro del sistema. Se espera que el Profesional de Salud tenga un identificador único en el sistema. |
| 4. Practitioner.meta | |
| Control | 0..0 |
| 6. Practitioner.identifier | |
| Definition | Este es el listado de identificaciones del Profesional de Salud. |
| Short | Lista de los identificadores del Profesional de Salud. |
| Note | This is a business identifier, not a resource identifier (see discussion) |
| Control | 1..1 |
| Must Support | true |
| 8. Practitioner.identifier.use | |
| Fixed Value | official |
| 10. Practitioner.identifier.type | |
| Definition | Tipo de documento de identificación aplicable a profesionales de salud según el sistema nacional. |
| Short | Tipo de documento de identificación (Extensible) |
| Control | 1..? |
| Binding | The codes SHALL be taken from Tipo de identificación (required to https://ministeriodesalud.go.cr/fhir/receta/ValueSet/idTypes)ValueSet de tipos de identificación permitidos para profesionales de salud en Costa Rica. |
| 12. Practitioner.identifier.type.coding | |
| Definition | Código del tipo de identificación del Profesional de Salud. |
| Short | Código del tipo de identificación del Profesional. |
| Comments | Código del tipo de identificación del Profesional. |
| Control | 1..1 |
| 14. Practitioner.identifier.type.coding.system | |
| Definition | Sistema de identificación del Profesional. |
| Short | Sistema de identificación del Profesional. |
| Comments | Sistema de identificación del Profesional. |
| 16. Practitioner.identifier.type.coding.code | |
| Definition | Código del tipo de identificación del Profesional. |
| Short | Código del tipo de identificación del Profesional. |
| Comments | Código del tipo de identificación del Profesional. |
| Control | 1..? |
| 18. Practitioner.identifier.type.coding.display | |
| Definition | Descripción del código de tipo de identificación del Profesional. |
| Short | Descripción del código de tipo de identificación del Profesional. |
| Comments | Descripción del código de tipo de identificación del Profesional. |
| 20. Practitioner.identifier.type.text | |
| Definition | Nombre del valor de tipo de identificación del Profesional. |
| Short | Nombre del valor de tipo de identificación del Profesional. |
| Comments | Nombre del valor de tipo de identificación del Profesional. |
| 22. Practitioner.identifier.system | |
| Definition | Sistema de identificación del Profesional. |
| Short | Sistema de identificación del Profesional. |
| Comments | Sistema de identificación del Profesional. |
| 24. Practitioner.identifier.value | |
| Definition | Número de identificación del Profesional o número de documento. |
| Short | Número de identificación del Profesional o número de documento. |
| Comments | Número de identificación del Profesional o número de documento. |
| Control | 1..? |
| 26. Practitioner.name | |
| Definition | Nombre del Profesional de Salud. |
| Short | Nombre del Profesional de Salud. |
| Comments | Es un elemento clave para la identificación inicial. En Costa Rica, los nombres tienen alta especificidad (dos apellidos), lo que aumenta la precisión del matching. |
| Control | 1..1 |
| Must Support | true |
| 28. Practitioner.name.use | |
| Control | 0..0 |
| 30. Practitioner.name.text | |
| Definition | Nombre completo del Profesional. |
| Short | Nombre completo del Profesional. |
| Comments | Se espera que el Profesional tenga al menos un nombre y un apellido. |
| Control | 1..? |
| 32. Practitioner.name.family | |
| Definition | Apellidos del Profesional. |
| Short | Apellidos del Profesional. |
| Control | 1..? |
| 34. Practitioner.name.given | |
| Definition | Nombres del Profesional. |
| Short | Nombres del Profesional. |
| Control | 1..1 |
| 36. Practitioner.telecom | |
| Definition | Detalles de contacto del Profesional, como teléfono o correo electrónico. |
| Short | Medios de contacto del Profesional (teléfono, email, etc.). |
| Control | 1..2 |
| Type | ContactPoint(Contacto para Receta Digital Costa Rica) |
| Must Support | true |
| 38. Practitioner.address | |
| Definition | Dirección física donde se encuentra o reside el Profesional. |
| Short | Dirección física del Profesional de Salud. |
| Control | 1..1 |
| Type | Address(Dirección para Receta Digital Costa Rica) |
| Must Support | true |
| 40. Practitioner.gender | |
| Definition | Género del Profesional para fines administrativos, puede ser distinto al sexo biológico. |
| Short | Género con el que el Profesional se identifica. (male | female) |
| Control | 1..? |
| 42. Practitioner.birthDate | |
| Definition | Fecha de nacimiento del Profesional de Salud. |
| Short | Fecha de nacimiento del Profesional. |
| Comments | Dato relevante para procesos de autenticación o para evitar colisiones entre registros similares. |
| Control | 1..? |
Guidance on how to interpret the contents of this table can be foundhere
| 0. Practitioner | |||||
| Definition | A person who is directly or indirectly involved in the provisioning of healthcare. | ||||
| Short | A person with a formal responsibility in the provisioning of healthcare or related services | ||||
| Control | 0..* | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| 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. Practitioner.id | |||||
| Definition | Identificador único del Profesional de Salud dentro del sistema. | ||||
| Short | Identificador único del Profesional dentro del sistema. | ||||
| Comments | Este es el identificador único del Profesional dentro del sistema. Se espera que el Profesional de Salud tenga un identificador único en el sistema. | ||||
| Control | 0..1 | ||||
| Type | id | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| 4. Practitioner.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..0 | ||||
| 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. Practitioner.implicitRules | |||||
| Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. 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..1 | ||||
| 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. Practitioner.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|4.0.1)A human language.
| ||||
| 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. Practitioner.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. Practitioner.contained | |||||
| Definition | These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. | ||||
| 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. Practitioner.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. Practitioner.modifierExtension | |||||
| Definition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it 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 | Extensions 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..* | ||||
| 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()) | ||||
| 18. Practitioner.identifier | |||||
| Definition | Este es el listado de identificaciones del Profesional de Salud. | ||||
| Short | Lista de los identificadores del Profesional de Salud. | ||||
| Note | This is a business identifier, not a resource identifier (see discussion) | ||||
| Control | 1..1 | ||||
| Type | Identifier | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| 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())) | ||||
| 20. Practitioner.identifier.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 | ||||
| 22. Practitioner.identifier.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()) | ||||
| Slicing | This element introduces a set of slices on Practitioner.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 24. Practitioner.identifier.use | |||||
| Definition | The purpose of this identifier. | ||||
| Short | usual | official | temp | secondary | old (If known) | ||||
| Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. | ||||
| Control | 0..1 | ||||
| Binding | The codes SHALL be taken from IdentifierUse (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)Identifies the purpose for this identifier, if known . | ||||
| Type | code | ||||
| Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. | ||||
| Fixed Value | official | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 26. Practitioner.identifier.type | |||||
| Definition | Tipo de documento de identificación aplicable a profesionales de salud según el sistema nacional. | ||||
| Short | Tipo de documento de identificación (Extensible) | ||||
| Comments | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. | ||||
| Control | 1..1 | ||||
| Binding | The codes SHALL be taken from Tipo de identificación (required to https://ministeriodesalud.go.cr/fhir/receta/ValueSet/idTypes)ValueSet de tipos de identificación permitidos para profesionales de salud en Costa Rica. | ||||
| Type | CodeableConcept | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Requirements | Allows users to make use of identifiers when the identifier system is not known. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 28. Practitioner.identifier.type.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 | ||||
| 30. Practitioner.identifier.type.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()) | ||||
| Slicing | This element introduces a set of slices on Practitioner.identifier.type.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 32. Practitioner.identifier.type.coding | |||||
| Definition | Código del tipo de identificación del Profesional de Salud. | ||||
| Short | Código del tipo de identificación del Profesional. | ||||
| Comments | Código del tipo de identificación del Profesional. | ||||
| Control | 1..1 | ||||
| Type | Coding | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Requirements | Allows for alternative encodings within a code system, and translations to other code systems. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 34. Practitioner.identifier.type.coding.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 | ||||
| 36. Practitioner.identifier.type.coding.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()) | ||||
| Slicing | This element introduces a set of slices on Practitioner.identifier.type.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 38. Practitioner.identifier.type.coding.system | |||||
| Definition | Sistema de identificación del Profesional. | ||||
| Short | Sistema de identificación del Profesional. | ||||
| Comments | Sistema de identificación del Profesional. | ||||
| Control | 0..1 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | Need to be unambiguous about the source of the definition of the symbol. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 40. Practitioner.identifier.type.coding.version | |||||
| Definition | The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. | ||||
| Short | Version of the system - if relevant | ||||
| Comments | Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. | ||||
| Note | This is a business version Id, not a resource version Id (see discussion) | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| 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())) | ||||
| 42. Practitioner.identifier.type.coding.code | |||||
| Definition | Código del tipo de identificación del Profesional. | ||||
| Short | Código del tipo de identificación del Profesional. | ||||
| Comments | Código del tipo de identificación del Profesional. | ||||
| Control | 1..1 | ||||
| Type | code | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | Need to refer to a particular code in the system. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 44. Practitioner.identifier.type.coding.display | |||||
| Definition | Descripción del código de tipo de identificación del Profesional. | ||||
| Short | Descripción del código de tipo de identificación del Profesional. | ||||
| Comments | Descripción del código de tipo de identificación del Profesional. | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| 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 carry a human-readable meaning of the code for readers that do not know the system. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 46. Practitioner.identifier.type.coding.userSelected | |||||
| Definition | Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). | ||||
| Short | If this coding was chosen directly by the user | ||||
| Comments | Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. | ||||
| 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 | This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 48. Practitioner.identifier.type.text | |||||
| Definition | Nombre del valor de tipo de identificación del Profesional. | ||||
| Short | Nombre del valor de tipo de identificación del Profesional. | ||||
| Comments | Nombre del valor de tipo de identificación del Profesional. | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 50. Practitioner.identifier.system | |||||
| Definition | Sistema de identificación del Profesional. | ||||
| Short | Sistema de identificación del Profesional. | ||||
| Comments | Sistema de identificación del Profesional. | ||||
| Control | 0..1 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. | ||||
| Example | General: http://www.acme.com/identifiers/patient | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 52. Practitioner.identifier.value | |||||
| Definition | Número de identificación del Profesional o número de documento. | ||||
| Short | Número de identificación del Profesional o número de documento. | ||||
| Comments | Número de identificación del Profesional o número de documento. | ||||
| Control | 1..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Example | General: 123456 | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 54. Practitioner.identifier.period | |||||
| Definition | Time period during which identifier is/was valid for use. | ||||
| Short | Time period when id is/was valid for use | ||||
| Control | 0..1 | ||||
| Type | Period | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 56. Practitioner.identifier.assigner | |||||
| Definition | Organization that issued/manages the identifier. | ||||
| Short | Organization that issued id (may be just text) | ||||
| Comments | The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization. | ||||
| Control | 0..1 | ||||
| Type | Reference(Organization) | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 58. Practitioner.active | |||||
| Definition | Whether this practitioner's record is in active use. | ||||
| Short | Whether this practitioner's record is in active use | ||||
| Comments | If the practitioner is not in use by one organization, then it should mark the period on the PractitonerRole with an end date (even if they are active) as they may be active in another role. | ||||
| 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 record as not to be used because it was created in error. | ||||
| 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())) | ||||
| 60. Practitioner.name | |||||
| Definition | Nombre del Profesional de Salud. | ||||
| Short | Nombre del Profesional de Salud. | ||||
| Comments | Es un elemento clave para la identificación inicial. En Costa Rica, los nombres tienen alta especificidad (dos apellidos), lo que aumenta la precisión del matching. | ||||
| Control | 1..1 | ||||
| Type | HumanName | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | The name(s) that a Practitioner is known by. Where there are multiple, the name that the practitioner is usually known as should be used in the display. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 62. Practitioner.name.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 | ||||
| 64. Practitioner.name.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()) | ||||
| Slicing | This element introduces a set of slices on Practitioner.name.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 66. Practitioner.name.use | |||||
| Definition | Identifies the purpose for this name. | ||||
| Short | usual | official | temp | nickname | anonymous | old | maiden | ||||
| Comments | Applications can assume that a name is current unless it explicitly says that it is temporary or old. | ||||
| Control | 0..0 | ||||
| Binding | The codes SHALL be taken from NameUse (required to http://hl7.org/fhir/ValueSet/name-use|4.0.1)The use of a human name. | ||||
| Type | code | ||||
| Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | Allows the appropriate name for a particular context of use to be selected from among a set of names. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 68. Practitioner.name.text | |||||
| Definition | Nombre completo del Profesional. | ||||
| Short | Nombre completo del Profesional. | ||||
| Comments | Se espera que el Profesional tenga al menos un nombre y un apellido. | ||||
| Control | 1..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | A renderable, unencoded form. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 70. Practitioner.name.family | |||||
| Definition | Apellidos del Profesional. | ||||
| Short | Apellidos del Profesional. | ||||
| Comments | Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures). | ||||
| Control | 1..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Alternate Names | surname | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 72. Practitioner.name.given | |||||
| Definition | Nombres del Profesional. | ||||
| Short | Nombres del Profesional. | ||||
| Comments | If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first. | ||||
| Control | 1..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Alternate Names | first name, middle name | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 74. Practitioner.name.prefix | |||||
| Definition | Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name. | ||||
| Short | Parts that come before the name | ||||
| Control | 0..* | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| 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())) | ||||
| 76. Practitioner.name.suffix | |||||
| Definition | Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name. | ||||
| Short | Parts that come after the name | ||||
| Control | 0..* | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| 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())) | ||||
| 78. Practitioner.name.period | |||||
| Definition | Indicates the period of time when this name was valid for the named person. | ||||
| Short | Time period when name was/is in use | ||||
| Control | 0..1 | ||||
| Type | Period | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Requirements | Allows names to be placed in historical context. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 80. Practitioner.telecom | |||||
| Definition | Detalles de contacto del Profesional, como teléfono o correo electrónico. | ||||
| Short | Medios de contacto del Profesional (teléfono, email, etc.). | ||||
| Comments | Person may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and to help with identification. These typically will have home numbers, or mobile numbers that are not role specific. | ||||
| Control | 1..2 | ||||
| Type | ContactPoint(Contacto para Receta Digital Costa Rica) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | Need to know how to reach a practitioner independent to any roles the practitioner may have. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 82. Practitioner.address | |||||
| Definition | Dirección física donde se encuentra o reside el Profesional. | ||||
| Short | Dirección física del Profesional de Salud. | ||||
| Comments | The PractitionerRole does not have an address value on it, as it is expected that the location property be used for this purpose (which has an address). | ||||
| Control | 1..1 | ||||
| Type | Address(Dirección para Receta Digital Costa Rica) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | The home/mailing address of the practitioner is often required for employee administration purposes, and also for some rostering services where the start point (practitioners home) can be used in calculations. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 84. Practitioner.gender | |||||
| Definition | Género del Profesional para fines administrativos, puede ser distinto al sexo biológico. | ||||
| Short | Género con el que el Profesional se identifica. (male | female) | ||||
| Control | 1..1 | ||||
| Binding | The codes SHALL be taken from AdministrativeGender (required to http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1)The gender of a person used for administrative purposes. | ||||
| Type | code | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | Needed to address the person correctly. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 86. Practitioner.birthDate | |||||
| Definition | Fecha de nacimiento del Profesional de Salud. | ||||
| Short | Fecha de nacimiento del Profesional. | ||||
| Comments | Dato relevante para procesos de autenticación o para evitar colisiones entre registros similares. | ||||
| Control | 1..1 | ||||
| Type | date | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | Needed for identification. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 88. Practitioner.photo | |||||
| Definition | Image of the person. | ||||
| Short | Image of the person | ||||
| Control | 0..* | ||||
| Type | Attachment | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Requirements | Many EHR systems have the capability to capture an image of patients and personnel. Fits with newer social media usage too. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 90. Practitioner.qualification | |||||
| Definition | The official certifications, training, and licenses that authorize or otherwise pertain to the provision of care by the practitioner. For example, a medical license issued by a medical board authorizing the practitioner to practice medicine within a certian locality. | ||||
| Short | Certification, licenses, or training pertaining to the provision of care | ||||
| 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())) | ||||
| 92. Practitioner.qualification.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| 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 | ||||
| 94. Practitioner.qualification.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()) | ||||
| 96. Practitioner.qualification.modifierExtension | |||||
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element 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()) | ||||
| 98. Practitioner.qualification.identifier | |||||
| Definition | An identifier that applies to this person's qualification in this role. | ||||
| Short | An identifier for this qualification for the practitioner | ||||
| Note | This is a business identifier, not a resource identifier (see discussion) | ||||
| Control | 0..* | ||||
| Type | Identifier | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Requirements | Often, specific identities are assigned for the qualification. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 100. Practitioner.qualification.code | |||||
| Definition | Coded representation of the qualification. | ||||
| Short | Coded representation of the qualification | ||||
| Control | 1..1 | ||||
| Binding | For example codes, see v2 table 0360, Version 2.7 (example to http://terminology.hl7.org/ValueSet/v2-2.7-0360)Specific qualification the practitioner has to provide a service. | ||||
| Type | CodeableConcept | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 102. Practitioner.qualification.period | |||||
| Definition | Period during which the qualification is valid. | ||||
| Short | Period during which the qualification is valid | ||||
| Control | 0..1 | ||||
| Type | Period | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Requirements | Qualifications are often for a limited period of time, and can be revoked. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 104. Practitioner.qualification.issuer | |||||
| Definition | Organization that regulates and issues the qualification. | ||||
| Short | Organization that regulates and issues the qualification | ||||
| Control | 0..1 | ||||
| Type | Reference(Organization) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 106. Practitioner.communication | |||||
| Definition | A language the practitioner can use in patient communication. | ||||
| Short | A language the practitioner can use in patient communication | ||||
| Comments | The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems code this but instead have it as free text. Hence CodeableConcept instead of code as the data type. | ||||
| Control | 0..* | ||||
| Binding | The codes SHOULD be taken from CommonLanguages (preferred to http://hl7.org/fhir/ValueSet/languages|4.0.1)A human language.
| ||||
| Type | CodeableConcept | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Requirements | Knowing which language a practitioner speaks can help in facilitating communication with patients. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||