Status: Active: Approved (STU)

Introduction

This profile sets minimum expectations for the Practitioner resource.

Practitioner coverage and references

• A Data Provider MUST offer Practitioner FHIR resources to represent its own practitioners
• When referencing a Practitioner then “reference” (url to a FHIR Resource) and “display” (name), MUST be populated
  • For an external practitioner then the url could point to an ad-hoc Contained Resource
  • In addition the “identifier” in the reference MAY also be populated. This is not as straightforward as for Organisations (where the ODS Code is widely accepted), but most practitioners will have a professional id which could be populated to more definitively identify them.

Mandatory fields

1. Name - This is essential to indicate who the practitioner is. Only a single name is supported by Care Connect, and for this profile then at a minimum the Family Name is mandatory. (Note that in addition, Given Name, Prefix, and Suffix are considered “Must Support”)

2. Identifier: Must be populated to formally identify the practitioner. Care Connect highlights the SDS User Id and SDS Role Profile identifiers, however this does not provide complete coverage. Additional professional codes which may be used include:

   • https://fhir.hl7.org.uk/id/gmp-number (General Medical Practitioner)
   • https://fhir.hl7.org.uk/id/gmc-number (General Medical Council / Consultant Code)
   • https://fhir.hl7.org.uk/id/nmc-number (Nursing and Midwifery Council)
   • https://fhir.hl7.org.uk/id/gphc-number (General Pharmaceutical Council Code)
   • https://fhir.hl7.org.uk/id/hcpc-number (Health and Care Professional Council Code)

   Or as a last resort if no other professional identifier:

   • https://fhir.yhcr.nhs.uk/Id/local-practitioner-identifier (Local identifier)

Must Support fields

In addition the following fields are “Must Support” - ie they must be populated if relevant and known:

1. Active - Essential if not active. Good practice to always populate anyway.

Optional fields

Other fields are optional and may be populated if known - on the understanding that not all data consumers will necessarily make use of them. Points of note include:

1. Local Id - In some cases there may be a local business identifier. Optional, to include if relevant.
2. Telecom - It is very useful to provide a contact phone number and/or email if at all possible – to enable further enquiries about any information seen. However caution is needed, as these contact details may be widely seen throughout the region. Only work details suitable for receiving external enquires should be included. Specifically home phone numbers should not be shared.
3. Gender - May be provided if known, but is not essential
4. Communication preferences - A Care Connect extension containing several fields for details about preferred languages and other modes of communication. Optional, as in general it is assumed that the employing organisation will make any necessary provisions and so largely not relevant for regional sharing. (Note that CareConnect have defined an extension to be used in preference to the standard FHIR field)
5. Qualifications - These are useful if known, to provide information above-and-beyond just the identity of the practitioner - ie also about their professional status and qualifications. Please include currently active qualifications only. See further discussion below.

Discouraged or Removed fields

1. Address - Addresses should be provided instead on the relevant organisation / location records. For the purposes of regional sharing then practitioner home addresses must NOT be shared.
2. Birth Date - For the purposes of regional sharing then the birth date could be considered as unnecessary personal information and is not required
3. Photo - At the present time then photos are not required. Excluded to avoid any complexities with sharing large image files

Further notes on Practitioner vs PractitionerRole, and Qualifications

“PractitionerRole” describes the practitioner in the context of an actual role they are fulfilling, and so is in many ways a more useful concept than the basic “Practitioner” FHIR Resource. It provides extra information about the nature of the role, explicitly captures contact details relevant to that role (as opposed to personal / home details), and caters for individuals who do more than one role.

HOWEVER the PractitionerRole resource is little used in FHIR STU3. This has been addressed in FHIR R4, which allows use of a PractitionerRole throughout as an alternative to Practitioner. However for now, in STU3, use of the Practitioner resource is the main requirement - and really the only option.

The best substitute in the Practitioner resource appears to be the “qualifications” section - with the opportunity here to provide information about the practitioner’s professional status and qualifications. Thus at least indicating the kind of role they are likely to perform. This can therefore be populated if known.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from CareConnect-Practitioner-1

Name	Flags	Card.	Type	Description & Constraints
Practitioner		0..*	CareConnect-Practitioner-1	A person with a formal responsibility in the provisioning of healthcare or related services
id	S	0..1	id	Logical id of this artifact
meta
versionId	S	0..1	id	Version specific identifier
lastUpdated	S	0..1	instant	MANDATORY except in Contained Resources. When the resource version last changed.
profile	S	0..*	uri	Profiles this resource claims to conform to. Should list (i) this profile (ii) underlying CareConnect profile
security		0..*	Coding	DISCOURAGED - may not be honoured by Data Consumers
Slices for tag		0..*	Coding	Tags applied to this resource Slice: Unordered, Open by value:system
tag:Source	S	0..1	Coding	MANDATORY except in Contained Resources. The Data Provider Id (and display text) of the system supplying the data
system		1..1	uri	Identity of the terminology system Fixed Value: https://yhcr.nhs.uk/Source
code	S	1..1	code	The Data Provider Id of the system supplying the data
display	S	1..1	string	Name of the system supplying the data
tag:Provenance	S	0..1	Coding	MANDATORY except in Contained Resources. The ODS Code (and display text) of the organisation responsible for the data
system		1..1	uri	Identity of the terminology system Fixed Value: https://yhcr.nhs.uk/Provenance
code	S	1..1	code	The ODS Code of the organisation responsible for the data
display	S	1..1	string	Name of the organisation supplying the data
implicitRules		0..1	uri	DISCOURAGED - may not be honoured by Data Consumers
language		0..1	code	English is assumed (not currently a multi-lingual implementation)
text		0..1	Narrative	DISCOURAGED - the preferred approach is to offer structured data fields which a Data Consumer can then render and present in a manner most suited to its users
identifier	S	1..*	Identifier	A identifier for the person as this agent. Note that although CareConnect defines slices for SDS ids, use of other professional ids is also possible - see notes
system	S	1..1	uri	The namespace for the identifier value
value	S	1..1	string	The value that is unique
identifier:sdsUserID		0..1	Identifier	A identifier for the person as this agent
system	S	1..1	uri	The namespace for the identifier value
value	S	1..1	string	The value that is unique
identifier:sdsRoleProfileID		0..*	Identifier	A identifier for the person as this agent
system	S	1..1	uri	The namespace for the identifier value
value	S	1..1	string	The value that is unique
active	S	0..1	boolean	Whether this organization is still active - must be both populated and understood if 'false'
name	S	1..1	HumanName	The name(s) associated with the practitioner
text		0..1	string	DISCOURAGED: Please do not rely on this. Providers might not populate and Consumers might not use. Instead display the name based on the detailed elements.
family	S	1..1	string	Family name (often called 'Surname')
given	S	0..*	string	Given names (not always 'first'). Includes middle names
prefix	S	0..*	string	Parts that come before the name
suffix	S	0..*	string	Parts that come after the name
period		0..1	Period	DISCOURAGED: Not relevant as only a single name is permitted
telecom		0..*	ContactPoint	A contact detail for the practitioner (that apply to all roles). NB these contact details may be widely seen throughout the region. Only work details suitable for receiving external enquires should be included
address		0..*	Address	DISCOURAGED: Addresses should be provided instead on the relevant organisation / location records. For the purposes of regional sharing then practitioner home addresses should NOT be shared.
birthDate		0..0
photo		0..0
qualification
code	S	1..1	CodeableConcept	Coded representation of the qualification
coding
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Practitioner		0..*	CareConnect-Practitioner-1	A person with a formal responsibility in the provisioning of healthcare or related services
id	SΣ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
versionId	SΣ	0..1	id	Version specific identifier
lastUpdated	SΣ	0..1	instant	MANDATORY except in Contained Resources. When the resource version last changed.
profile	SΣ	0..*	uri	Profiles this resource claims to conform to. Should list (i) this profile (ii) underlying CareConnect profile
security	Σ	0..*	Coding	DISCOURAGED - may not be honoured by Data Consumers Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
Slices for tag	Σ	0..*	Coding	Tags applied to this resource Slice: Unordered, Open by value:system Binding: Common Tags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones"
tag:Source	SΣ	0..1	Coding	MANDATORY except in Contained Resources. The Data Provider Id (and display text) of the system supplying the data Binding: Common Tags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones"
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://yhcr.nhs.uk/Source
code	SΣ	1..1	code	The Data Provider Id of the system supplying the data
display	SΣ	1..1	string	Name of the system supplying the data
tag:Provenance	SΣ	0..1	Coding	MANDATORY except in Contained Resources. The ODS Code (and display text) of the organisation responsible for the data Binding: Common Tags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones"
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://yhcr.nhs.uk/Provenance
code	SΣ	1..1	code	The ODS Code of the organisation responsible for the data
display	SΣ	1..1	string	Name of the organisation supplying the data
implicitRules	?!Σ	0..1	uri	DISCOURAGED - may not be honoured by Data Consumers
language		0..1	code	English is assumed (not currently a multi-lingual implementation) Binding: Common Languages (extensible): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	DISCOURAGED - the preferred approach is to offer structured data fields which a Data Consumer can then render and present in a manner most suited to its users
nhsCommunication		0..*	(Complex)	NHS communication preferences for a resource URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-NHSCommunication-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	Identifier	A identifier for the person as this agent. Note that although CareConnect defines slices for SDS ids, use of other professional ids is also possible - see notes Slice: Unordered, Open At End by value:system
identifier:All Slices				Content/Rules for all slices
use	?!Σ	0..1	code	usual | official | temp | secondary (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
identifier:sdsUserID	Σ	0..1	Identifier	A identifier for the person as this agent
use	?!Σ	0..1	code	usual | official | temp | secondary (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	The namespace for the identifier value Fixed Value: https://fhir.nhs.uk/Id/sds-user-id
value	SΣ	1..1	string	The value that is unique Example General: 123456
identifier:sdsRoleProfileID	Σ	0..*	Identifier	A identifier for the person as this agent
use	?!Σ	0..1	code	usual | official | temp | secondary (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	The namespace for the identifier value Fixed Value: https://fhir.nhs.uk/Id/sds-role-profile-id
value	SΣ	1..1	string	The value that is unique Example General: 123456
active	SΣ	0..1	boolean	Whether this organization is still active - must be both populated and understood if 'false'
name	SΣ	1..1	HumanName	The name(s) associated with the practitioner
use	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name
text	Σ	0..1	string	DISCOURAGED: Please do not rely on this. Providers might not populate and Consumers might not use. Instead display the name based on the detailed elements.
family	SΣ	1..1	string	Family name (often called 'Surname')
given	SΣ	0..*	string	Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
prefix	SΣ	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix	SΣ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
period	Σ	0..1	Period	DISCOURAGED: Not relevant as only a single name is permitted
telecom	Σ	0..*	ContactPoint	A contact detail for the practitioner (that apply to all roles). NB these contact details may be widely seen throughout the region. Only work details suitable for receiving external enquires should be included
address	Σ	0..*	Address	DISCOURAGED: Addresses should be provided instead on the relevant organisation / location records. For the purposes of regional sharing then practitioner home addresses should NOT be shared.
qualification		0..*	BackboneElement	Qualifications obtained by training and certification
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
code	S	1..1	CodeableConcept	Coded representation of the qualification Binding: v2 table 0360, Version 2.7 (example): Specific qualification the practitioner has to provide a service
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Practitioner.meta.security	extensible	All Security Labels
Practitioner.meta.tag	example	Common Tags
Practitioner.meta.tag:Source	example	Common Tags
Practitioner.meta.tag:Provenance	example	Common Tags
Practitioner.language	extensible	Common Languages Additional Bindings Purpose AllLanguages Max Binding
Practitioner.identifier.use	required	IdentifierUse
Practitioner.identifier:sdsUserID.use	required	IdentifierUse
Practitioner.identifier:sdsRoleProfileID.use	required	IdentifierUse
Practitioner.name.use	required	NameUse
Practitioner.qualification.code	example	v2 table 0360, Version 2.7

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-1	error	Practitioner	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
dom-2	error	Practitioner	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Practitioner	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource : contained.where(('#'+id in %resource.descendants().reference).not()).empty()
dom-4	error	Practitioner	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()
ele-1	error	Practitioner.extension:nhsCommunication, Practitioner.qualification	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	Practitioner.extension:nhsCommunication	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints
Practitioner		0..*	CareConnect-Practitioner-1	A person with a formal responsibility in the provisioning of healthcare or related services
id	SΣ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
versionId	SΣ	0..1	id	Version specific identifier
lastUpdated	SΣ	0..1	instant	MANDATORY except in Contained Resources. When the resource version last changed.
profile	SΣ	0..*	uri	Profiles this resource claims to conform to. Should list (i) this profile (ii) underlying CareConnect profile
security	Σ	0..*	Coding	DISCOURAGED - may not be honoured by Data Consumers Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
Slices for tag	Σ	0..*	Coding	Tags applied to this resource Slice: Unordered, Open by value:system Binding: Common Tags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones"
tag:Source	SΣ	0..1	Coding	MANDATORY except in Contained Resources. The Data Provider Id (and display text) of the system supplying the data Binding: Common Tags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones"
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://yhcr.nhs.uk/Source
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	The Data Provider Id of the system supplying the data
display	SΣ	1..1	string	Name of the system supplying the data
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
tag:Provenance	SΣ	0..1	Coding	MANDATORY except in Contained Resources. The ODS Code (and display text) of the organisation responsible for the data Binding: Common Tags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones"
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://yhcr.nhs.uk/Provenance
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	The ODS Code of the organisation responsible for the data
display	SΣ	1..1	string	Name of the organisation supplying the data
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
implicitRules	?!Σ	0..1	uri	DISCOURAGED - may not be honoured by Data Consumers
language		0..1	code	English is assumed (not currently a multi-lingual implementation) Binding: Common Languages (extensible): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	DISCOURAGED - the preferred approach is to offer structured data fields which a Data Consumer can then render and present in a manner most suited to its users
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
nhsCommunication		0..*	(Complex)	NHS communication preferences for a resource URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-NHSCommunication-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	Identifier	A identifier for the person as this agent. Note that although CareConnect defines slices for SDS ids, use of other professional ids is also possible - see notes Slice: Unordered, Open At End by value:system
identifier:All Slices				Content/Rules for all slices
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:sdsUserID	Σ	0..1	Identifier	A identifier for the person as this agent
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	The namespace for the identifier value Fixed Value: https://fhir.nhs.uk/Id/sds-user-id
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(CareConnect-Organization-1)	Organization that issued id (may be just text)
identifier:sdsRoleProfileID	Σ	0..*	Identifier	A identifier for the person as this agent
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	The namespace for the identifier value Fixed Value: https://fhir.nhs.uk/Id/sds-role-profile-id
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(CareConnect-Organization-1)	Organization that issued id (may be just text)
active	SΣ	0..1	boolean	Whether this organization is still active - must be both populated and understood if 'false'
name	SΣ	1..1	HumanName	The name(s) associated with the practitioner
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name
text	Σ	0..1	string	DISCOURAGED: Please do not rely on this. Providers might not populate and Consumers might not use. Instead display the name based on the detailed elements.
family	SΣ	1..1	string	Family name (often called 'Surname')
given	SΣ	0..*	string	Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
prefix	SΣ	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix	SΣ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
period	Σ	0..1	Period	DISCOURAGED: Not relevant as only a single name is permitted
telecom	Σ	0..*	ContactPoint	A contact detail for the practitioner (that apply to all roles). NB these contact details may be widely seen throughout the region. Only work details suitable for receiving external enquires should be included
address	Σ	0..*	Address	DISCOURAGED: Addresses should be provided instead on the relevant organisation / location records. For the purposes of regional sharing then practitioner home addresses should NOT be shared.
gender	Σ	0..1	code	male | female | other | unknown Binding: Administrative Gender (required)
qualification		0..*	BackboneElement	Qualifications obtained by training and certification
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	An identifier for this qualification for the practitioner
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(CareConnect-Organization-1)	Organization that issued id (may be just text)
code	S	1..1	CodeableConcept	Coded representation of the qualification Binding: v2 table 0360, Version 2.7 (example): Specific qualification the practitioner has to provide a service
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
period		0..1	Period	Period during which the qualification is valid
issuer		0..1	Reference(CareConnect-Organization-1)	Organization that regulates and issues the qualification
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Practitioner.meta.security	extensible	All Security Labels
Practitioner.meta.tag	example	Common Tags
Practitioner.meta.tag:Source	example	Common Tags
Practitioner.meta.tag:Provenance	example	Common Tags
Practitioner.language	extensible	Common Languages Additional Bindings Purpose AllLanguages Max Binding
Practitioner.identifier.use	required	IdentifierUse
Practitioner.identifier.type	extensible	Identifier Type Codes
Practitioner.identifier:sdsUserID.use	required	IdentifierUse
Practitioner.identifier:sdsUserID.type	extensible	Identifier Type Codes
Practitioner.identifier:sdsRoleProfileID.use	required	IdentifierUse
Practitioner.identifier:sdsRoleProfileID.type	extensible	Identifier Type Codes
Practitioner.name.use	required	NameUse
Practitioner.gender	required	Administrative Gender
Practitioner.qualification.identifier.use	required	IdentifierUse
Practitioner.qualification.identifier.type	extensible	Identifier Type Codes
Practitioner.qualification.code	example	v2 table 0360, Version 2.7

Constraints

Id	Grade	Path(s)	Details	Requirements
ele-1	error	Practitioner.extension:nhsCommunication	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	Practitioner.extension:nhsCommunication	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Differential View

This structure is derived from CareConnect-Practitioner-1

Name	Flags	Card.	Type	Description & Constraints
Practitioner		0..*	CareConnect-Practitioner-1	A person with a formal responsibility in the provisioning of healthcare or related services
id	S	0..1	id	Logical id of this artifact
meta
versionId	S	0..1	id	Version specific identifier
lastUpdated	S	0..1	instant	MANDATORY except in Contained Resources. When the resource version last changed.
profile	S	0..*	uri	Profiles this resource claims to conform to. Should list (i) this profile (ii) underlying CareConnect profile
security		0..*	Coding	DISCOURAGED - may not be honoured by Data Consumers
Slices for tag		0..*	Coding	Tags applied to this resource Slice: Unordered, Open by value:system
tag:Source	S	0..1	Coding	MANDATORY except in Contained Resources. The Data Provider Id (and display text) of the system supplying the data
system		1..1	uri	Identity of the terminology system Fixed Value: https://yhcr.nhs.uk/Source
code	S	1..1	code	The Data Provider Id of the system supplying the data
display	S	1..1	string	Name of the system supplying the data
tag:Provenance	S	0..1	Coding	MANDATORY except in Contained Resources. The ODS Code (and display text) of the organisation responsible for the data
system		1..1	uri	Identity of the terminology system Fixed Value: https://yhcr.nhs.uk/Provenance
code	S	1..1	code	The ODS Code of the organisation responsible for the data
display	S	1..1	string	Name of the organisation supplying the data
implicitRules		0..1	uri	DISCOURAGED - may not be honoured by Data Consumers
language		0..1	code	English is assumed (not currently a multi-lingual implementation)
text		0..1	Narrative	DISCOURAGED - the preferred approach is to offer structured data fields which a Data Consumer can then render and present in a manner most suited to its users
identifier	S	1..*	Identifier	A identifier for the person as this agent. Note that although CareConnect defines slices for SDS ids, use of other professional ids is also possible - see notes
system	S	1..1	uri	The namespace for the identifier value
value	S	1..1	string	The value that is unique
identifier:sdsUserID		0..1	Identifier	A identifier for the person as this agent
system	S	1..1	uri	The namespace for the identifier value
value	S	1..1	string	The value that is unique
identifier:sdsRoleProfileID		0..*	Identifier	A identifier for the person as this agent
system	S	1..1	uri	The namespace for the identifier value
value	S	1..1	string	The value that is unique
active	S	0..1	boolean	Whether this organization is still active - must be both populated and understood if 'false'
name	S	1..1	HumanName	The name(s) associated with the practitioner
text		0..1	string	DISCOURAGED: Please do not rely on this. Providers might not populate and Consumers might not use. Instead display the name based on the detailed elements.
family	S	1..1	string	Family name (often called 'Surname')
given	S	0..*	string	Given names (not always 'first'). Includes middle names
prefix	S	0..*	string	Parts that come before the name
suffix	S	0..*	string	Parts that come after the name
period		0..1	Period	DISCOURAGED: Not relevant as only a single name is permitted
telecom		0..*	ContactPoint	A contact detail for the practitioner (that apply to all roles). NB these contact details may be widely seen throughout the region. Only work details suitable for receiving external enquires should be included
address		0..*	Address	DISCOURAGED: Addresses should be provided instead on the relevant organisation / location records. For the purposes of regional sharing then practitioner home addresses should NOT be shared.
birthDate		0..0
photo		0..0
qualification
code	S	1..1	CodeableConcept	Coded representation of the qualification
coding
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Practitioner		0..*	CareConnect-Practitioner-1	A person with a formal responsibility in the provisioning of healthcare or related services
id	SΣ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
versionId	SΣ	0..1	id	Version specific identifier
lastUpdated	SΣ	0..1	instant	MANDATORY except in Contained Resources. When the resource version last changed.
profile	SΣ	0..*	uri	Profiles this resource claims to conform to. Should list (i) this profile (ii) underlying CareConnect profile
security	Σ	0..*	Coding	DISCOURAGED - may not be honoured by Data Consumers Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
Slices for tag	Σ	0..*	Coding	Tags applied to this resource Slice: Unordered, Open by value:system Binding: Common Tags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones"
tag:Source	SΣ	0..1	Coding	MANDATORY except in Contained Resources. The Data Provider Id (and display text) of the system supplying the data Binding: Common Tags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones"
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://yhcr.nhs.uk/Source
code	SΣ	1..1	code	The Data Provider Id of the system supplying the data
display	SΣ	1..1	string	Name of the system supplying the data
tag:Provenance	SΣ	0..1	Coding	MANDATORY except in Contained Resources. The ODS Code (and display text) of the organisation responsible for the data Binding: Common Tags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones"
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://yhcr.nhs.uk/Provenance
code	SΣ	1..1	code	The ODS Code of the organisation responsible for the data
display	SΣ	1..1	string	Name of the organisation supplying the data
implicitRules	?!Σ	0..1	uri	DISCOURAGED - may not be honoured by Data Consumers
language		0..1	code	English is assumed (not currently a multi-lingual implementation) Binding: Common Languages (extensible): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	DISCOURAGED - the preferred approach is to offer structured data fields which a Data Consumer can then render and present in a manner most suited to its users
nhsCommunication		0..*	(Complex)	NHS communication preferences for a resource URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-NHSCommunication-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	Identifier	A identifier for the person as this agent. Note that although CareConnect defines slices for SDS ids, use of other professional ids is also possible - see notes Slice: Unordered, Open At End by value:system
identifier:All Slices				Content/Rules for all slices
use	?!Σ	0..1	code	usual | official | temp | secondary (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
identifier:sdsUserID	Σ	0..1	Identifier	A identifier for the person as this agent
use	?!Σ	0..1	code	usual | official | temp | secondary (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	The namespace for the identifier value Fixed Value: https://fhir.nhs.uk/Id/sds-user-id
value	SΣ	1..1	string	The value that is unique Example General: 123456
identifier:sdsRoleProfileID	Σ	0..*	Identifier	A identifier for the person as this agent
use	?!Σ	0..1	code	usual | official | temp | secondary (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	The namespace for the identifier value Fixed Value: https://fhir.nhs.uk/Id/sds-role-profile-id
value	SΣ	1..1	string	The value that is unique Example General: 123456
active	SΣ	0..1	boolean	Whether this organization is still active - must be both populated and understood if 'false'
name	SΣ	1..1	HumanName	The name(s) associated with the practitioner
use	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name
text	Σ	0..1	string	DISCOURAGED: Please do not rely on this. Providers might not populate and Consumers might not use. Instead display the name based on the detailed elements.
family	SΣ	1..1	string	Family name (often called 'Surname')
given	SΣ	0..*	string	Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
prefix	SΣ	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix	SΣ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
period	Σ	0..1	Period	DISCOURAGED: Not relevant as only a single name is permitted
telecom	Σ	0..*	ContactPoint	A contact detail for the practitioner (that apply to all roles). NB these contact details may be widely seen throughout the region. Only work details suitable for receiving external enquires should be included
address	Σ	0..*	Address	DISCOURAGED: Addresses should be provided instead on the relevant organisation / location records. For the purposes of regional sharing then practitioner home addresses should NOT be shared.
qualification		0..*	BackboneElement	Qualifications obtained by training and certification
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
code	S	1..1	CodeableConcept	Coded representation of the qualification Binding: v2 table 0360, Version 2.7 (example): Specific qualification the practitioner has to provide a service
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Practitioner.meta.security	extensible	All Security Labels
Practitioner.meta.tag	example	Common Tags
Practitioner.meta.tag:Source	example	Common Tags
Practitioner.meta.tag:Provenance	example	Common Tags
Practitioner.language	extensible	Common Languages Additional Bindings Purpose AllLanguages Max Binding
Practitioner.identifier.use	required	IdentifierUse
Practitioner.identifier:sdsUserID.use	required	IdentifierUse
Practitioner.identifier:sdsRoleProfileID.use	required	IdentifierUse
Practitioner.name.use	required	NameUse
Practitioner.qualification.code	example	v2 table 0360, Version 2.7

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-1	error	Practitioner	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
dom-2	error	Practitioner	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Practitioner	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource : contained.where(('#'+id in %resource.descendants().reference).not()).empty()
dom-4	error	Practitioner	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()
ele-1	error	Practitioner.extension:nhsCommunication, Practitioner.qualification	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	Practitioner.extension:nhsCommunication	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Practitioner		0..*	CareConnect-Practitioner-1	A person with a formal responsibility in the provisioning of healthcare or related services
id	SΣ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
versionId	SΣ	0..1	id	Version specific identifier
lastUpdated	SΣ	0..1	instant	MANDATORY except in Contained Resources. When the resource version last changed.
profile	SΣ	0..*	uri	Profiles this resource claims to conform to. Should list (i) this profile (ii) underlying CareConnect profile
security	Σ	0..*	Coding	DISCOURAGED - may not be honoured by Data Consumers Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
Slices for tag	Σ	0..*	Coding	Tags applied to this resource Slice: Unordered, Open by value:system Binding: Common Tags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones"
tag:Source	SΣ	0..1	Coding	MANDATORY except in Contained Resources. The Data Provider Id (and display text) of the system supplying the data Binding: Common Tags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones"
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://yhcr.nhs.uk/Source
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	The Data Provider Id of the system supplying the data
display	SΣ	1..1	string	Name of the system supplying the data
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
tag:Provenance	SΣ	0..1	Coding	MANDATORY except in Contained Resources. The ODS Code (and display text) of the organisation responsible for the data Binding: Common Tags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones"
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://yhcr.nhs.uk/Provenance
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	The ODS Code of the organisation responsible for the data
display	SΣ	1..1	string	Name of the organisation supplying the data
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
implicitRules	?!Σ	0..1	uri	DISCOURAGED - may not be honoured by Data Consumers
language		0..1	code	English is assumed (not currently a multi-lingual implementation) Binding: Common Languages (extensible): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	DISCOURAGED - the preferred approach is to offer structured data fields which a Data Consumer can then render and present in a manner most suited to its users
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
nhsCommunication		0..*	(Complex)	NHS communication preferences for a resource URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-NHSCommunication-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	Identifier	A identifier for the person as this agent. Note that although CareConnect defines slices for SDS ids, use of other professional ids is also possible - see notes Slice: Unordered, Open At End by value:system
identifier:All Slices				Content/Rules for all slices
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:sdsUserID	Σ	0..1	Identifier	A identifier for the person as this agent
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	The namespace for the identifier value Fixed Value: https://fhir.nhs.uk/Id/sds-user-id
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(CareConnect-Organization-1)	Organization that issued id (may be just text)
identifier:sdsRoleProfileID	Σ	0..*	Identifier	A identifier for the person as this agent
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	The namespace for the identifier value Fixed Value: https://fhir.nhs.uk/Id/sds-role-profile-id
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(CareConnect-Organization-1)	Organization that issued id (may be just text)
active	SΣ	0..1	boolean	Whether this organization is still active - must be both populated and understood if 'false'
name	SΣ	1..1	HumanName	The name(s) associated with the practitioner
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name
text	Σ	0..1	string	DISCOURAGED: Please do not rely on this. Providers might not populate and Consumers might not use. Instead display the name based on the detailed elements.
family	SΣ	1..1	string	Family name (often called 'Surname')
given	SΣ	0..*	string	Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
prefix	SΣ	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix	SΣ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
period	Σ	0..1	Period	DISCOURAGED: Not relevant as only a single name is permitted
telecom	Σ	0..*	ContactPoint	A contact detail for the practitioner (that apply to all roles). NB these contact details may be widely seen throughout the region. Only work details suitable for receiving external enquires should be included
address	Σ	0..*	Address	DISCOURAGED: Addresses should be provided instead on the relevant organisation / location records. For the purposes of regional sharing then practitioner home addresses should NOT be shared.
gender	Σ	0..1	code	male | female | other | unknown Binding: Administrative Gender (required)
qualification		0..*	BackboneElement	Qualifications obtained by training and certification
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	An identifier for this qualification for the practitioner
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(CareConnect-Organization-1)	Organization that issued id (may be just text)
code	S	1..1	CodeableConcept	Coded representation of the qualification Binding: v2 table 0360, Version 2.7 (example): Specific qualification the practitioner has to provide a service
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
period		0..1	Period	Period during which the qualification is valid
issuer		0..1	Reference(CareConnect-Organization-1)	Organization that regulates and issues the qualification
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Practitioner.meta.security	extensible	All Security Labels
Practitioner.meta.tag	example	Common Tags
Practitioner.meta.tag:Source	example	Common Tags
Practitioner.meta.tag:Provenance	example	Common Tags
Practitioner.language	extensible	Common Languages Additional Bindings Purpose AllLanguages Max Binding
Practitioner.identifier.use	required	IdentifierUse
Practitioner.identifier.type	extensible	Identifier Type Codes
Practitioner.identifier:sdsUserID.use	required	IdentifierUse
Practitioner.identifier:sdsUserID.type	extensible	Identifier Type Codes
Practitioner.identifier:sdsRoleProfileID.use	required	IdentifierUse
Practitioner.identifier:sdsRoleProfileID.type	extensible	Identifier Type Codes
Practitioner.name.use	required	NameUse
Practitioner.gender	required	Administrative Gender
Practitioner.qualification.identifier.use	required	IdentifierUse
Practitioner.qualification.identifier.type	extensible	Identifier Type Codes
Practitioner.qualification.code	example	v2 table 0360, Version 2.7

Constraints

Id	Grade	Path(s)	Details	Requirements
ele-1	error	Practitioner.extension:nhsCommunication	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	Practitioner.extension:nhsCommunication	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from CareConnect-Practitioner-1

Summary

Mandatory: 5 elements (9 nested mandatory elements)
Must-Support: 24 elements
Fixed Value: 2 elements
Prohibited: 2 elements

Slices

This structure defines the following Slices:

• The element Practitioner.meta.tag is sliced based on the value of value:system