AU Core Implementation Guide
0.4.1-preview - Preview Australia flag

This page is part of the AU Core (v0.4.1-preview: QA Preview) based on FHIR (HL7® FHIR® Standard) R4. . For a full list of available versions, see the Directory of published versions

Resource Profile: AUCorePractitioner - Detailed Descriptions

Page standards status: Draft Maturity Level: 1

Definitions for the au-core-practitioner resource profile.

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

0. Practitioner
ShortA person with a formal responsibility in the provisioning of services
2. Practitioner.identifier
Definition

An identifier that applies to this person in this role.

NoteThis is a business identifier, not a resource identifier (see discussion)
Must Supporttrue
Obligations
    ObligationsActor
    SHALL:populate-if-knownAU Core Responder
    SHALL:no-errorAU Core Requester
    SlicingThis element introduces a set of slices on Practitioner.identifier. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • pattern @ type
    • 4. Practitioner.identifier:hpii
      Slice Namehpii
      NoteThis is a business identifier, not a resource identifier (see discussion)
      Control0..1
      TypeIdentifier(AU HPI-I)
      Must Supporttrue
      Obligations
        ObligationsActor
        SHALL:populate-if-knownAU Core Responder
        SHALL:no-errorAU Core Requester
        6. Practitioner.name
        Control1..?
        Must Supporttrue
        Obligations
          ObligationsActor
          SHALL:populate-if-knownAU Core Responder
          SHALL:no-errorAU Core Requester
          8. Practitioner.name.family
          Control1..?
          Must Supporttrue
          Obligations
            ObligationsActor
            SHALL:populate-if-knownAU Core Responder
            SHALL:no-errorAU Core Requester
            10. Practitioner.name.given
            Must Supporttrue
            Obligations
              ObligationsActor
              SHALL:populate-if-knownAU Core Responder
              SHALL:no-errorAU Core Requester

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

              0. Practitioner
              Definition

              A person who is directly or indirectly involved in the provisioning of healthcare.

              ShortA person with a formal responsibility in the provisioning of servicesA person with a formal responsibility in the provisioning of healthcare or related services
              Control0..*
              Is Modifierfalse
              Summaryfalse
              Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
              dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
              dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
              dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
              dom-6: A resource should have narrative for robust management (text.`div`.exists())
              inv-pra-2: Individual gender identity shall be a member of the Gender Identity Response value set if any codes within that value set can apply (extension('http://hl7.org/fhir/StructureDefinition/individual-genderIdentity').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-genderIdentity').all(extension('value').value.memberOf('https://healthterminologies.gov.au/fhir/ValueSet/gender-identity-response-1')))
              inv-pra-3: Individual pronouns shall be a member of the Australian Pronouns value set if any codes within that value set can apply (extension('http://hl7.org/fhir/StructureDefinition/individual-pronouns').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-pronouns').all(extension('value').value.memberOf('https://healthterminologies.gov.au/fhir/ValueSet/australian-pronouns-1')))
              inv-pra-4: Recorded sex or gender type shall be a member of the Common AU Recorded Sex or Gender Type value set if any codes within that value set can apply (extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('type').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').all(extension('type').value.memberOf('http://terminology.hl7.org.au/ValueSet/rsg-type')))
              inv-pra-5: Recorded sex or gender source document type shall be a member of the Common AU Recorded Sex or Gender (RSG) Source Document Type value set if any codes within that value set can apply (extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('sourceDocument').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').all(extension('sourceDocument').value.memberOf('http://terminology.hl7.org.au/ValueSet/rsg-document-type')))
              inv-pra-6: Recorded sex or gender jurisdiction shall be a member of the Common AU Recorded Sex or Gender (RSG) Source Document Jurisdiction value set if any codes within that value set can apply (extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('jurisdiction').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').all(extension('jurisdiction').value.memberOf('http://terminology.hl7.org.au/ValueSet/rsg-source-document-jurisdiction')))
              2. 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.

              ShortA 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.

              Control0..1
              Typeuri
              Is Modifiertrue 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 ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              4. Practitioner.extension:genderIdentity
              Slice NamegenderIdentity
              Definition

              An individual's personal sense of being a man, woman, boy, girl, nonbinary, or something else.

              ShortGender identity shall be a member of the Gender Identity Response value set if any codes within that value set can apply
              Comments

              Individual Gender identity Gender Identity Response (Extensible). See Australian Bureau of Statics (ABS) Standard for Sex, Gender, Variations of Sex Characteristics and Sexual Orientation Variables, 2020 for further materials.

              Control0..*
              This element is affected by the following invariants: inv-pra-3
              TypeExtension(Individual Gender Identity) (Complex Extension)
              Is Modifierfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              6. Practitioner.extension:individualPronouns
              Slice NameindividualPronouns
              Definition

              The pronouns to use when referring to an individual in verbal or written communication.

              ShortPronouns shall be a member of the Australian Pronouns value set if any codes within that value set can apply
              Comments

              Individual Pronouns Australian Pronouns (Extensible).

              Control0..*
              This element is affected by the following invariants: inv-pra-1
              TypeExtension(Individual Pronouns) (Complex Extension)
              Is Modifierfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              8. Practitioner.extension:recordedSexOrGender
              Slice NamerecordedSexOrGender
              Definition

              A sex or gender property for the individual from a document or other record

              ShortRecorded sex or gender type shall be a member of the Common AU Recorded Sex or Gender Type value set if any codes within that value set can apply. Recorded sex or gender source document type shall be a member of the Common AU Recorded Sex or Gender (RSG) Source Document Type value set if any codes within that value set can apply. Recorded sex or gender jurisdiction shall be a member of the Common AU Recorded Sex or Gender (RSG) Source Document Jurisdiction value set if any codes within that value set can apply
              Comments

              Person Recorded Sex Or Gender type Common AU Recorded Sex or Gender Type (extensible). Person Recorded Sex Or Gender source document Common AU Recorded Sex or Gender (RSG) Source Document Type (extensible). Person Recorded Sex Or Gender jurisdiction Common AU Recorded Sex or Gender (RSG) Source Document Jurisdiction (extensible).

              Control0..*
              This element is affected by the following invariants: inv-pra-4, inv-pra-5, inv-pra-6
              TypeExtension(Person Recorded Sex Or Gender) (Complex Extension)
              Is Modifierfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              10. 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).

              ShortExtensions 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.

              Control0..*
              TypeExtension
              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
              Summaryfalse
              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 Namesextensions, user content
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              12. Practitioner.identifier
              Definition

              An identifier that applies to this person in this role.

              ShortAn identifier intended for computationAn identifier for the person as this agent
              NoteThis is a business identifier, not a resource identifier (see discussion)
              Control0..*
              This element is affected by the following invariants: ele-1
              TypeIdentifier(Identifier, AU HPI-I, AU PBS Prescriber Number, AU Care Agency Employee Identifier, AU Ahpra Registration Number)
              Is Modifierfalse
              Must Supporttrue
              Must Support TypesNo must-support rules about the choice of types/profiles
              Obligations
                ObligationsActor
                SHALL:populate-if-knownAU Core Responder
                SHALL:no-errorAU Core Requester
                Requirements

                Often, specific identities are assigned for the agent.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                SlicingThis element introduces a set of slices on Practitioner.identifier. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • pattern @ type
                • 14. Practitioner.identifier:hpii
                  Slice Namehpii
                  Definition

                  Healthcare Provider Identifier for Individuals (HPI-I) assigned under the HI Service to healthcare providers involved in providing patient care.


                  An identifier that applies to this person in this role.

                  ShortHealthcare Provider Identifier – Individual (HPI-I)An identifier for the person as this agent
                  NoteThis is a business identifier, not a resource identifier (see discussion)
                  Control0..1*
                  This element is affected by the following invariants: ele-1
                  TypeIdentifier(AU HPI-I)
                  Is Modifierfalse
                  Must Supporttrue
                  Obligations
                    ObligationsActor
                    SHALL:populate-if-knownAU Core Responder
                    SHALL:no-errorAU Core Requester
                    Requirements

                    Often, specific identities are assigned for the agent.

                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    inv-hpii-0: HPI-I shall be 16 digits (value.matches('^([0-9]{16})$'))
                    inv-hpii-1: HPI-I prefix shall be 800361 (value.startsWith('800361'))
                    inv-hpii-2: HPI-I shall pass the Luhn algorithm check ((((select(value.substring(0,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(1,1).toInteger())+(select(value.substring(2,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(3,1).toInteger())+(select(value.substring(4,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(5,1).toInteger())+(select(value.substring(6,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(7,1).toInteger())+(select(value.substring(8,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(9,1).toInteger())+(select(value.substring(10,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(11,1).toInteger())+(select(value.substring(12,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(13,1).toInteger())+(select(value.substring(14,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(15,1).toInteger()))mod 10=0))
                    16. Practitioner.name
                    Definition

                    The name(s) associated with the practitioner.

                    ShortThe name(s) associated with the practitioner
                    Comments

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

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

                    1. There is more than 1 name
                    2. Use = usual
                    3. Period is current to the date of the usage
                    4. Use = official
                    5. Other order as decided by internal business rules.
                    Control10..*
                    TypeHumanName
                    Is Modifierfalse
                    Must Supporttrue
                    Obligations
                      ObligationsActor
                      SHALL:populate-if-knownAU Core Responder
                      SHALL:no-errorAU Core Requester
                      Summarytrue
                      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.

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

                      Identifies the purpose for this name.

                      Shortusual | 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.

                      Control0..1
                      BindingThe 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.

                      Typecode
                      Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summarytrue
                      Requirements

                      Allows the appropriate name for a particular context of use to be selected from among a set of names.

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

                      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.

                      ShortFamily name (often called 'Surname')
                      Comments

                      Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).

                      Control10..1
                      Typestring
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Must Supporttrue
                      Obligations
                        ObligationsActor
                        SHALL:populate-if-knownAU Core Responder
                        SHALL:no-errorAU Core Requester
                        Summarytrue
                        Alternate Namessurname
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        22. Practitioner.name.given
                        Definition

                        Given name.

                        ShortGiven 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.

                        Control0..*
                        Typestring
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Must Supporttrue
                        Obligations
                          ObligationsActor
                          SHALL:populate-if-knownAU Core Responder
                          SHALL:no-errorAU Core Requester
                          Summarytrue
                          Alternate Namesfirst name, middle name
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          24. Practitioner.address
                          Definition

                          An address expressed using postal conventions (as opposed to GPS or other location definition formats). This data type may be used to convey addresses for use in delivering mail as well as for visiting locations which might not be valid for mail delivery. There are a variety of postal address formats defined around the world.


                          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.

                          ShortAn address expressed using postal conventions (as opposed to GPS or other location definition formats)Address(es) of the practitioner that are not role specific (typically home address)
                          Comments

                          The address is intended to describe postal addresses for administrative purposes, not to describe absolute geographical coordinates. Postal addresses are often used as proxies for physical locations (also see the Location resource).


                          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).

                          Control0..*
                          This element is affected by the following invariants: ele-1, inv-pra-1
                          TypeAddress(Address, Australian Address)
                          Is Modifierfalse
                          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.

                          Invariantsele-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 found here

                          0. Practitioner
                          Definition

                          A person who is directly or indirectly involved in the provisioning of healthcare.

                          ShortA person with a formal responsibility in the provisioning of services
                          Control0..*
                          Is Modifierfalse
                          Summaryfalse
                          Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
                          dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
                          dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
                          dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
                          dom-6: A resource should have narrative for robust management (text.`div`.exists())
                          inv-pra-2: Individual gender identity shall be a member of the Gender Identity Response value set if any codes within that value set can apply (extension('http://hl7.org/fhir/StructureDefinition/individual-genderIdentity').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-genderIdentity').all(extension('value').value.memberOf('https://healthterminologies.gov.au/fhir/ValueSet/gender-identity-response-1')))
                          inv-pra-3: Individual pronouns shall be a member of the Australian Pronouns value set if any codes within that value set can apply (extension('http://hl7.org/fhir/StructureDefinition/individual-pronouns').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-pronouns').all(extension('value').value.memberOf('https://healthterminologies.gov.au/fhir/ValueSet/australian-pronouns-1')))
                          inv-pra-4: Recorded sex or gender type shall be a member of the Common AU Recorded Sex or Gender Type value set if any codes within that value set can apply (extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('type').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').all(extension('type').value.memberOf('http://terminology.hl7.org.au/ValueSet/rsg-type')))
                          inv-pra-5: Recorded sex or gender source document type shall be a member of the Common AU Recorded Sex or Gender (RSG) Source Document Type value set if any codes within that value set can apply (extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('sourceDocument').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').all(extension('sourceDocument').value.memberOf('http://terminology.hl7.org.au/ValueSet/rsg-document-type')))
                          inv-pra-6: Recorded sex or gender jurisdiction shall be a member of the Common AU Recorded Sex or Gender (RSG) Source Document Jurisdiction value set if any codes within that value set can apply (extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('jurisdiction').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').all(extension('jurisdiction').value.memberOf('http://terminology.hl7.org.au/ValueSet/rsg-source-document-jurisdiction')))
                          2. Practitioner.id
                          Definition

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

                          ShortLogical id of this artifact
                          Comments

                          The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

                          Control0..1
                          Typeid
                          Is Modifierfalse
                          Summarytrue
                          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.

                          ShortMetadata about the resource
                          Control0..1
                          TypeMeta
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-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.

                          ShortA 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.

                          Control0..1
                          Typeuri
                          Is Modifiertrue 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 ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Invariantsele-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.

                          ShortLanguage 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).

                          Control0..1
                          BindingThe codes SHOULD be taken from CommonLanguages
                          (preferred to http://hl7.org/fhir/ValueSet/languages)

                          A human language.

                          Additional BindingsPurpose
                          AllLanguagesMax Binding
                          Typecode
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summaryfalse
                          Invariantsele-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.

                          ShortText 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.

                          Control0..1
                          TypeNarrative
                          Is Modifierfalse
                          Summaryfalse
                          Alternate Namesnarrative, html, xhtml, display
                          Invariantsele-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.

                          ShortContained, 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.

                          Control0..*
                          TypeResource
                          Is Modifierfalse
                          Summaryfalse
                          Alternate Namesinline resources, anonymous resources, contained resources
                          14. Practitioner.extension
                          Definition

                          An Extension

                          ShortExtension
                          Control0..*
                          TypeExtension
                          Is Modifierfalse
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          SlicingThis element introduces a set of slices on Practitioner.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                          • value @ url
                          • 16. Practitioner.extension:genderIdentity
                            Slice NamegenderIdentity
                            Definition

                            An individual's personal sense of being a man, woman, boy, girl, nonbinary, or something else.

                            ShortGender identity shall be a member of the Gender Identity Response value set if any codes within that value set can apply
                            Comments

                            Individual Gender identity Gender Identity Response (Extensible). See Australian Bureau of Statics (ABS) Standard for Sex, Gender, Variations of Sex Characteristics and Sexual Orientation Variables, 2020 for further materials.

                            Control0..*
                            This element is affected by the following invariants: inv-pra-3
                            TypeExtension(Individual Gender Identity) (Complex Extension)
                            Is Modifierfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            18. Practitioner.extension:individualPronouns
                            Slice NameindividualPronouns
                            Definition

                            The pronouns to use when referring to an individual in verbal or written communication.

                            ShortPronouns shall be a member of the Australian Pronouns value set if any codes within that value set can apply
                            Comments

                            Individual Pronouns Australian Pronouns (Extensible).

                            Control0..*
                            This element is affected by the following invariants: inv-pra-1
                            TypeExtension(Individual Pronouns) (Complex Extension)
                            Is Modifierfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            20. Practitioner.extension:recordedSexOrGender
                            Slice NamerecordedSexOrGender
                            Definition

                            A sex or gender property for the individual from a document or other record

                            ShortRecorded sex or gender type shall be a member of the Common AU Recorded Sex or Gender Type value set if any codes within that value set can apply. Recorded sex or gender source document type shall be a member of the Common AU Recorded Sex or Gender (RSG) Source Document Type value set if any codes within that value set can apply. Recorded sex or gender jurisdiction shall be a member of the Common AU Recorded Sex or Gender (RSG) Source Document Jurisdiction value set if any codes within that value set can apply
                            Comments

                            Person Recorded Sex Or Gender type Common AU Recorded Sex or Gender Type (extensible). Person Recorded Sex Or Gender source document Common AU Recorded Sex or Gender (RSG) Source Document Type (extensible). Person Recorded Sex Or Gender jurisdiction Common AU Recorded Sex or Gender (RSG) Source Document Jurisdiction (extensible).

                            Control0..*
                            This element is affected by the following invariants: inv-pra-4, inv-pra-5, inv-pra-6
                            TypeExtension(Person Recorded Sex Or Gender) (Complex Extension)
                            Is Modifierfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            22. 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).

                            ShortExtensions 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.

                            Control0..*
                            TypeExtension
                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
                            Summaryfalse
                            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 Namesextensions, user content
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            24. Practitioner.identifier
                            Definition

                            An identifier that applies to this person in this role.

                            ShortAn identifier intended for computation
                            NoteThis is a business identifier, not a resource identifier (see discussion)
                            Control0..*
                            This element is affected by the following invariants: ele-1
                            TypeIdentifier(Identifier, AU HPI-I, AU PBS Prescriber Number, AU Care Agency Employee Identifier, AU Ahpra Registration Number)
                            Is Modifierfalse
                            Must Supporttrue
                            Must Support TypesNo must-support rules about the choice of types/profiles
                            Obligations
                              ObligationsActor
                              SHALL:populate-if-knownAU Core Responder
                              SHALL:no-errorAU Core Requester
                              Requirements

                              Often, specific identities are assigned for the agent.

                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              SlicingThis element introduces a set of slices on Practitioner.identifier. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                              • pattern @ type
                              • 26. Practitioner.identifier:hpii
                                Slice Namehpii
                                Definition

                                Healthcare Provider Identifier for Individuals (HPI-I) assigned under the HI Service to healthcare providers involved in providing patient care.

                                ShortHealthcare Provider Identifier – Individual (HPI-I)
                                NoteThis is a business identifier, not a resource identifier (see discussion)
                                Control0..1
                                This element is affected by the following invariants: ele-1
                                TypeIdentifier(AU HPI-I)
                                Is Modifierfalse
                                Must Supporttrue
                                Obligations
                                  ObligationsActor
                                  SHALL:populate-if-knownAU Core Responder
                                  SHALL:no-errorAU Core Requester
                                  Requirements

                                  Often, specific identities are assigned for the agent.

                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  inv-hpii-0: HPI-I shall be 16 digits (value.matches('^([0-9]{16})$'))
                                  inv-hpii-1: HPI-I prefix shall be 800361 (value.startsWith('800361'))
                                  inv-hpii-2: HPI-I shall pass the Luhn algorithm check ((((select(value.substring(0,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(1,1).toInteger())+(select(value.substring(2,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(3,1).toInteger())+(select(value.substring(4,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(5,1).toInteger())+(select(value.substring(6,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(7,1).toInteger())+(select(value.substring(8,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(9,1).toInteger())+(select(value.substring(10,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(11,1).toInteger())+(select(value.substring(12,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(13,1).toInteger())+(select(value.substring(14,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(15,1).toInteger()))mod 10=0))
                                  28. Practitioner.active
                                  Definition

                                  Whether this practitioner's record is in active use.

                                  ShortWhether 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.

                                  Control0..1
                                  Typeboolean
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summarytrue
                                  Requirements

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

                                  Meaning if MissingThis resource is generally assumed to be active if no value is provided for the active element
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  30. Practitioner.name
                                  Definition

                                  The name(s) associated with the practitioner.

                                  ShortThe name(s) associated with the practitioner
                                  Comments

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

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

                                  1. There is more than 1 name
                                  2. Use = usual
                                  3. Period is current to the date of the usage
                                  4. Use = official
                                  5. Other order as decided by internal business rules.
                                  Control1..*
                                  TypeHumanName
                                  Is Modifierfalse
                                  Must Supporttrue
                                  Obligations
                                    ObligationsActor
                                    SHALL:populate-if-knownAU Core Responder
                                    SHALL:no-errorAU Core Requester
                                    Summarytrue
                                    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.

                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    32. 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.

                                    ShortUnique id for inter-element referencing
                                    Control0..1
                                    Typestring
                                    Is Modifierfalse
                                    XML FormatIn the XML format, this property is represented as an attribute.
                                    Summaryfalse
                                    34. 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.

                                    ShortAdditional 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.

                                    Control0..*
                                    TypeExtension
                                    Is Modifierfalse
                                    Summaryfalse
                                    Alternate Namesextensions, user content
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                    SlicingThis element introduces a set of slices on Practitioner.name.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                    • value @ url
                                    • 36. Practitioner.name.use
                                      Definition

                                      Identifies the purpose for this name.

                                      Shortusual | 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.

                                      Control0..1
                                      BindingThe codes SHALL be taken from NameUse
                                      (required to http://hl7.org/fhir/ValueSet/name-use|4.0.1)

                                      The use of a human name.

                                      Typecode
                                      Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Summarytrue
                                      Requirements

                                      Allows the appropriate name for a particular context of use to be selected from among a set of names.

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

                                      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.

                                      ShortText representation of the full name
                                      Comments

                                      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.

                                      Control0..1
                                      Typestring
                                      Is Modifierfalse
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Summarytrue
                                      Requirements

                                      A renderable, unencoded form.

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

                                      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.

                                      ShortFamily name (often called 'Surname')
                                      Comments

                                      Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).

                                      Control1..1
                                      Typestring
                                      Is Modifierfalse
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Must Supporttrue
                                      Obligations
                                        ObligationsActor
                                        SHALL:populate-if-knownAU Core Responder
                                        SHALL:no-errorAU Core Requester
                                        Summarytrue
                                        Alternate Namessurname
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        42. Practitioner.name.given
                                        Definition

                                        Given name.

                                        ShortGiven 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.

                                        Control0..*
                                        Typestring
                                        Is Modifierfalse
                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                        Must Supporttrue
                                        Obligations
                                          ObligationsActor
                                          SHALL:populate-if-knownAU Core Responder
                                          SHALL:no-errorAU Core Requester
                                          Summarytrue
                                          Alternate Namesfirst name, middle name
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          44. 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.

                                          ShortParts that come before the name
                                          Control0..*
                                          Typestring
                                          Is Modifierfalse
                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                          Summarytrue
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          46. 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.

                                          ShortParts that come after the name
                                          Control0..*
                                          Typestring
                                          Is Modifierfalse
                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                          Summarytrue
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          48. Practitioner.name.period
                                          Definition

                                          Indicates the period of time when this name was valid for the named person.

                                          ShortTime period when name was/is in use
                                          Control0..1
                                          TypePeriod
                                          Is Modifierfalse
                                          Summarytrue
                                          Requirements

                                          Allows names to be placed in historical context.

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

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

                                          ShortA 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.

                                          Control0..*
                                          TypeContactPoint
                                          Is Modifierfalse
                                          Summarytrue
                                          Requirements

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

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

                                          An address expressed using postal conventions (as opposed to GPS or other location definition formats). This data type may be used to convey addresses for use in delivering mail as well as for visiting locations which might not be valid for mail delivery. There are a variety of postal address formats defined around the world.

                                          ShortAn address expressed using postal conventions (as opposed to GPS or other location definition formats)
                                          Comments

                                          The address is intended to describe postal addresses for administrative purposes, not to describe absolute geographical coordinates. Postal addresses are often used as proxies for physical locations (also see the Location resource).

                                          Control0..*
                                          This element is affected by the following invariants: ele-1, inv-pra-1
                                          TypeAddress(Address, Australian Address)
                                          Is Modifierfalse
                                          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.

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

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

                                          Shortmale | female | other | unknown
                                          Control0..1
                                          BindingThe 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.

                                          Typecode
                                          Is Modifierfalse
                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                          Summarytrue
                                          Requirements

                                          Needed to address the person correctly.

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

                                          The date of birth for the practitioner.

                                          ShortThe date on which the practitioner was born
                                          Control0..1
                                          Typedate
                                          Is Modifierfalse
                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                          Summarytrue
                                          Requirements

                                          Needed for identification.

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

                                          Image of the person.

                                          ShortImage of the person
                                          Control0..*
                                          TypeAttachment
                                          Is Modifierfalse
                                          Summaryfalse
                                          Requirements

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

                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          60. 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.

                                          ShortCertification, licenses, or training pertaining to the provision of care
                                          Control0..*
                                          TypeBackboneElement
                                          Is Modifierfalse
                                          Summaryfalse
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          inv-pra-0: A qualification shall only have Ahpra Profession details if the code is Ahpra Profession (extension('http://hl7.org.au/fhir/StructureDefinition/ahpraprofession-details').exists() implies code.coding.where(system='http://terminology.hl7.org.au/CodeSystem/v2-0360' and code='AUAHPRAProfession').exists())
                                          inv-pra-1: A qualification shall only have Ahpra Registration details if the code is Ahpra Registration (extension('http://hl7.org.au/fhir/StructureDefinition/ahpraregistration-details').exists() implies code.coding.where(system='http://terminology.hl7.org.au/CodeSystem/v2-0360' and code='AUAHPRARegistration').exists())
                                          62. 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.

                                          ShortUnique id for inter-element referencing
                                          Control0..1
                                          Typestring
                                          Is Modifierfalse
                                          XML FormatIn the XML format, this property is represented as an attribute.
                                          Summaryfalse
                                          64. Practitioner.qualification.extension
                                          Definition

                                          An Extension

                                          ShortExtension
                                          Control0..*
                                          TypeExtension
                                          Is Modifierfalse
                                          Summaryfalse
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                          SlicingThis element introduces a set of slices on Practitioner.qualification.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                          • value @ url
                                          • 66. Practitioner.qualification.extension:ahpraProfession-details
                                            Slice NameahpraProfession-details
                                            Definition

                                            An Extension

                                            ShortAhpra Profession Details
                                            Control0..1
                                            This element is affected by the following invariants: ele-1, inv-pra-0
                                            TypeExtension(Ahpra Profession Details) (Complex Extension)
                                            Is Modifierfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                            68. Practitioner.qualification.extension:ahpraRegistration-details
                                            Slice NameahpraRegistration-details
                                            Definition

                                            Details on the Ahpra registration of profession.

                                            ShortAhpra Registration Details
                                            Control0..1
                                            This element is affected by the following invariants: ele-1, inv-pat-1
                                            TypeExtension(Ahpra Registration Details) (Complex Extension)
                                            Is Modifierfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                            70. 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).

                                            ShortExtensions 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.

                                            Control0..*
                                            TypeExtension
                                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                            Summarytrue
                                            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 Namesextensions, user content, modifiers
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                            72. Practitioner.qualification.identifier
                                            Definition

                                            An identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers.

                                            ShortAn identifier intended for computation
                                            NoteThis is a business identifier, not a resource identifier (see discussion)
                                            Control0..*
                                            This element is affected by the following invariants: ele-1
                                            TypeIdentifier(Identifier, AU Ahpra Registration Number)
                                            Is Modifierfalse
                                            Requirements

                                            Often, specific identities are assigned for the qualification.

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

                                            Coded representation of the qualification.

                                            ShortCoded representation of the qualification
                                            Control1..1
                                            This element is affected by the following invariants: inv-pra-0, inv-pat-1
                                            BindingThe codes SHOULD be taken from hl7VS-degreeLicenseCertificate - AU Extended
                                            (preferred to http://terminology.hl7.org.au/ValueSet/v2-0360-extended)
                                            TypeCodeableConcept
                                            Is Modifierfalse
                                            Summaryfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            76. Practitioner.qualification.period
                                            Definition

                                            Period during which the qualification is valid.

                                            ShortPeriod during which the qualification is valid
                                            Control0..1
                                            TypePeriod
                                            Is Modifierfalse
                                            Summaryfalse
                                            Requirements

                                            Qualifications are often for a limited period of time, and can be revoked.

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

                                            Organization that regulates and issues the qualification.

                                            ShortOrganization that regulates and issues the qualification
                                            Control0..1
                                            TypeReference(Organization)
                                            Is Modifierfalse
                                            Summaryfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            80. Practitioner.communication
                                            Definition

                                            A language the practitioner can use in patient communication.

                                            ShortA 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.

                                            Control0..*
                                            BindingUnless not suitable, these codes SHALL be taken from Common Languages in Australia .
                                            (extensible to https://healthterminologies.gov.au/fhir/ValueSet/common-languages-australia-2)
                                            TypeCodeableConcept
                                            Is Modifierfalse
                                            Summaryfalse
                                            Requirements

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

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