ISiK Basis Implementierungsleitfaden
Version 6.0.0-rc - ballot

Resource Profile: ISiKRolleImKrankenhaus_obl - Detailed Descriptions

Active as of 2026-04-02

Definitions for the ISiKRolleImKrankenhaus-obl resource profile.

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

0. PractitionerRole
Definition

A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time.

ShortRoles/organizations the practitioner is associated with
Control0..*
Is Modifierfalse
Obligations
  • This is an obligation profile that only contains obligations and additional bindings
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())
2. PractitionerRole.id
Definition

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

Shortserverseitige, interne ID des DatensatzesLogical id of this artifact
Comments

Alle von einem Server bereitgestellten Ressourcen MÜSSEN über eine id verfügen. Von Clients erzeugte Ressourcen, die im Kontext einer CREATE-Interaktion übermittelt werden, MÜSSEN NICHT über eine id verfügen.


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
Typeidstring
Is Modifierfalse
Obligations
    ObligationsActorDocumentation
    SHALL:populateISiK Producer (Server)

    Alle von einem Server bereitgestellten Ressourcen MÜSSEN über eine id verfügen. Die Obligation adressiert ausschließlich den Producer; von Clients im Rahmen einer CREATE-Interaktion erzeugte Ressourcen agieren nicht als Producer und MÜSSEN daher NICHT über eine id verfügen.

    Summarytrue
    4. PractitionerRole.implicitRules
    Definition

    A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

    ShortVerweis auf die Regeln, nach denen die Ressource erstellt wurdeA set of rules under which this content was created
    Comments

    Begründung Constraint: In ISiK existiert kein Use-Case für dieses Element. Da es sich um ein Modifying Element handelt, wird es daher ausgeschlossen. Darüber hinaus werden die Regeln als URI vorgehalten. Dies führt dazu, dass sich hinter der URI eine beliebige Menge an Regeln befinden kann; wodurch nicht sichergestellt werden kann, dass alle Clients die Regeln korrekt interpretieren können.


    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..01
    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()))
    6. PractitionerRole.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())
    8. PractitionerRole.active
    Definition

    Whether this practitioner role record is in active use.

    ShortAktiv/Inaktiv StatusWhether this practitioner role record is in active use
    Comments

    If this value is false, you may refer to the period to see when the role was in active use. If there is no period specified, no inference can be made about when it was active.

    Control0..1
    Typeboolean
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Obligations
      ObligationsActorDocumentation
      SHALL:populate-if-knownISiK Producer (Server)
      SHOULD:populateISiK Producer (Server)

      Ein System muss prüfen können, ob die Rolle eines Leistungserbringers aktiv oder inaktiv ist. Verfügt ein bestätigungsrelevantes System nicht über die Datenstruktur zur Hinterlegung des Aktivitätsstatus einer PractitionerRole-Ressource, so MUSS dieses System die Information NICHT abbilden. Das System SOLL jedoch den Aktivitätsstatus hart kodieren in der PractitionerRole-Instanz (PractitionerRole.active auf 'true'), sodass Clients nicht missverständlich mit einer inaktiven PractitionerRole-Ressource interagieren.

      Summarytrue
      Requirements

      Need to be able to mark a practitioner role record as not to be used because it was created in error, or otherwise no longer in active use.

      Meaning if 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()))
      10. PractitionerRole.practitioner
      Definition

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

      ShortLeistungserbringerPractitioner that is able to provide the defined services for the organization
      Control0..1
      TypeReference(Practitioner)
      Is Modifierfalse
      Obligations
        ObligationsActorDocumentation
        SHALL:populate-if-knownISiK Producer (Server)

        Ein System muss die Informationen über den Leistungserbringer, der die Rolle innehat, bereitstellen können.

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

        The organization where the Practitioner performs the roles associated.

        ShortOrganisationOrganization where the roles are available
        Control0..1
        TypeReference(Organization)
        Is Modifierfalse
        Obligations
          ObligationsActorDocumentation
          SHALL:populate-if-knownISiK Producer (Server)

          Ein System muss die Informationen über die Organisation, der der Leistungserbringer angehört, bereitstellen können.

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

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

          ShortRolle des LeistungserbringersRoles which this practitioner may perform
          Comments

          A person may have more than one role.

          Control0..*
          BindingFor example codes, see PractitionerRolehttp://hl7.org/fhir/ValueSet/practitioner-role|4.0.1
          (example to http://hl7.org/fhir/ValueSet/practitioner-role|4.0.1)

          The role a person plays representing an organization.

          TypeCodeableConcept
          Is Modifierfalse
          Obligations
            ObligationsActorDocumentation
            SHALL:populate-if-knownISiK Producer (Server)

            Die Rolle in der ein Leistungserbringer innerhalb einer Organisation ausübt, muss exponiert und verarbeitet werden können.

            Summarytrue
            Requirements

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

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

            A reference to a code defined by a terminology system.

            ShortCode defined by a terminology system
            Comments

            Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

            Control0..*
            TypeCoding
            Is Modifierfalse
            Obligations
              ObligationsActor
              SHALL:populate-if-knownISiK Producer (Server)
              Summarytrue
              Requirements

              Allows for alternative encodings within a code system, and translations to other code systems.

              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 PractitionerRole.code.coding. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • pattern @ $this
              • 18. PractitionerRole.code.coding:KBVRoleCare
                Slice NameKBVRoleCare
                Definition

                A reference to a code defined by a terminology system.

                ShortCode defined by a terminology system
                Comments

                Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                Control0..1*
                BindingThe codes SHALL be taken from For codes, see https://fhir.kbv.de/ValueSet/KBV_VS_Base_Role_Care
                (required to https://fhir.kbv.de/ValueSet/KBV_VS_Base_Role_Care)
                TypeCoding(ISiKCoding)
                Is Modifierfalse
                Obligations
                  ObligationsActor
                  SHALL:populate-if-knownISiK Producer (Server)
                  Summarytrue
                  Requirements

                  Allows for alternative encodings within a code system, and translations to other code systems.

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

                  Specific specialty of the practitioner.

                  ShortFachgebiet des LeistungserbringersSpecific specialty of the practitioner
                  Control0..*
                  BindingThe codes SHOULD be taken from PracticeSettingCodeValueSethttp://hl7.org/fhir/ValueSet/c80-practice-codes|4.0.1
                  (preferred to http://hl7.org/fhir/ValueSet/c80-practice-codes|4.0.1)

                  Specific specialty associated with the agency.

                  TypeCodeableConcept
                  Is Modifierfalse
                  Obligations
                    ObligationsActorDocumentation
                    SHALL:populate-if-knownISiK Producer (Server)

                    Ein System muss die Informationen über das Fachgebiet des Leistungserbringers bereitstellen können, um die Art der erbrachten Leistungen besser zu verstehen.

                    Summarytrue
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    22. PractitionerRole.specialty.coding
                    Definition

                    A reference to a code defined by a terminology system.

                    ShortCode defined by a terminology system
                    Comments

                    Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                    Control0..*
                    TypeCoding
                    Is Modifierfalse
                    Summarytrue
                    Requirements

                    Allows for alternative encodings within a code system, and translations to other code systems.

                    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 PractitionerRole.specialty.coding. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                    • pattern @ $this
                    • 24. PractitionerRole.specialty.coding:IHEPracticeSetting
                      Slice NameIHEPracticeSetting
                      Definition

                      A reference to a code defined by a terminology system.

                      ShortCode defined by a terminology system
                      Comments

                      Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                      Control0..*
                      BindingThe codes SHALL be taken from For codes, see IHE XDS practiceSettingCode
                      (required to http://ihe-d.de/ValueSets/IHEXDSpracticeSettingCode)
                      TypeCoding(ISiKCoding)
                      Is Modifierfalse
                      Obligations
                        ObligationsActor
                        SHALL:populate-if-knownISiK Producer (Server)
                        Summarytrue
                        Requirements

                        Allows for alternative encodings within a code system, and translations to other code systems.

                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        26. PractitionerRole.specialty.coding:Fachabteilungsschluessel
                        Slice NameFachabteilungsschluessel
                        Definition

                        A reference to a code defined by a terminology system.

                        ShortCode defined by a terminology system
                        Comments

                        Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                        Control0..*
                        BindingThe codes SHALL be taken from For codes, see FachabteilungsschluesselErweitert ValueSet
                        (required to http://fhir.de/ValueSet/dkgev/Fachabteilungsschluessel-erweitert)
                        TypeCoding(ISiKCoding)
                        Is Modifierfalse
                        Obligations
                          ObligationsActor
                          SHALL:populate-if-knownISiK Producer (Server)
                          Summarytrue
                          Requirements

                          Allows for alternative encodings within a code system, and translations to other code systems.

                          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 foundhere

                          0. PractitionerRole
                          Obligations
                          • This is an obligation profile that only contains obligations and additional bindings
                          2. PractitionerRole.id
                          Obligations
                            ObligationsActorDocumentation
                            SHALL:populateISiK Producer (Server)

                            Alle von einem Server bereitgestellten Ressourcen MÜSSEN über eine id verfügen. Die Obligation adressiert ausschließlich den Producer; von Clients im Rahmen einer CREATE-Interaktion erzeugte Ressourcen agieren nicht als Producer und MÜSSEN daher NICHT über eine id verfügen.

                            4. PractitionerRole.active
                            Obligations
                              ObligationsActorDocumentation
                              SHALL:populate-if-knownISiK Producer (Server)
                              SHOULD:populateISiK Producer (Server)

                              Ein System muss prüfen können, ob die Rolle eines Leistungserbringers aktiv oder inaktiv ist. Verfügt ein bestätigungsrelevantes System nicht über die Datenstruktur zur Hinterlegung des Aktivitätsstatus einer PractitionerRole-Ressource, so MUSS dieses System die Information NICHT abbilden. Das System SOLL jedoch den Aktivitätsstatus hart kodieren in der PractitionerRole-Instanz (PractitionerRole.active auf 'true'), sodass Clients nicht missverständlich mit einer inaktiven PractitionerRole-Ressource interagieren.

                              6. PractitionerRole.practitioner
                              Obligations
                                ObligationsActorDocumentation
                                SHALL:populate-if-knownISiK Producer (Server)

                                Ein System muss die Informationen über den Leistungserbringer, der die Rolle innehat, bereitstellen können.

                                8. PractitionerRole.organization
                                Obligations
                                  ObligationsActorDocumentation
                                  SHALL:populate-if-knownISiK Producer (Server)

                                  Ein System muss die Informationen über die Organisation, der der Leistungserbringer angehört, bereitstellen können.

                                  10. PractitionerRole.code
                                  Obligations
                                    ObligationsActorDocumentation
                                    SHALL:populate-if-knownISiK Producer (Server)

                                    Die Rolle in der ein Leistungserbringer innerhalb einer Organisation ausübt, muss exponiert und verarbeitet werden können.

                                    12. PractitionerRole.code.coding
                                    Obligations
                                      ObligationsActor
                                      SHALL:populate-if-knownISiK Producer (Server)
                                      14. PractitionerRole.code.coding:KBVRoleCare
                                      Slice NameKBVRoleCare
                                      Obligations
                                        ObligationsActor
                                        SHALL:populate-if-knownISiK Producer (Server)
                                        16. PractitionerRole.specialty
                                        Obligations
                                          ObligationsActorDocumentation
                                          SHALL:populate-if-knownISiK Producer (Server)

                                          Ein System muss die Informationen über das Fachgebiet des Leistungserbringers bereitstellen können, um die Art der erbrachten Leistungen besser zu verstehen.

                                          18. PractitionerRole.specialty.coding:IHEPracticeSetting
                                          Slice NameIHEPracticeSetting
                                          Obligations
                                            ObligationsActor
                                            SHALL:populate-if-knownISiK Producer (Server)
                                            20. PractitionerRole.specialty.coding:Fachabteilungsschluessel
                                            Slice NameFachabteilungsschluessel
                                            Obligations
                                              ObligationsActor
                                              SHALL:populate-if-knownISiK Producer (Server)

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

                                              0. PractitionerRole
                                              Definition

                                              A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time.

                                              ShortRoles/organizations the practitioner is associated with
                                              Control0..*
                                              Is Modifierfalse
                                              Obligations
                                              • This is an obligation profile that only contains obligations and additional bindings
                                              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())
                                              2. PractitionerRole.id
                                              Definition

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

                                              Shortserverseitige, interne ID des Datensatzes
                                              Comments

                                              Alle von einem Server bereitgestellten Ressourcen MÜSSEN über eine id verfügen. Von Clients erzeugte Ressourcen, die im Kontext einer CREATE-Interaktion übermittelt werden, MÜSSEN NICHT über eine id verfügen.

                                              Control0..1
                                              Typeid
                                              Is Modifierfalse
                                              Obligations
                                                ObligationsActorDocumentation
                                                SHALL:populateISiK Producer (Server)

                                                Alle von einem Server bereitgestellten Ressourcen MÜSSEN über eine id verfügen. Die Obligation adressiert ausschließlich den Producer; von Clients im Rahmen einer CREATE-Interaktion erzeugte Ressourcen agieren nicht als Producer und MÜSSEN daher NICHT über eine id verfügen.

                                                Summarytrue
                                                4. PractitionerRole.meta
                                                Definition

                                                The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

                                                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. PractitionerRole.meta.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
                                                8. PractitionerRole.meta.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 PractitionerRole.meta.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                • value @ url
                                                • 10. PractitionerRole.meta.versionId
                                                  Definition

                                                  The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted.

                                                  ShortEindeutiger Name der serverseitigen Version des Datensatzes
                                                  Comments

                                                  Alle von einem Server bereitgestellten Ressourcen SOLLEN über eine versionId verfügen. Von Clients erzeugte Ressourcen, die im Kontext einer CREATE-Interaktion übermittelt werden, MÜSSEN NICHT über eine versionId verfügen.

                                                  Control0..1
                                                  Typeid
                                                  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()))
                                                  12. PractitionerRole.meta.lastUpdated
                                                  Definition

                                                  When the resource last changed - e.g. when the version changed.

                                                  ShortZeitpunkt der letzten Änderung
                                                  Comments

                                                  Alle von einem Server bereitgestellten Ressourcen SOLLEN über ein lastUpdated verfügen. Von Clients erzeugte Ressourcen, die im Kontext einer CREATE-Interaktion übermittelt werden, MÜSSEN NICHT über ein lastUpdated verfügen.

                                                  Control0..1
                                                  Typeinstant
                                                  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()))
                                                  14. PractitionerRole.meta.source
                                                  Definition

                                                  A uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.

                                                  ShortIdentifies where the resource comes from
                                                  Comments

                                                  In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used.

                                                  This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.

                                                  Control0..1
                                                  Typeuri
                                                  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()))
                                                  16. PractitionerRole.meta.profile
                                                  Definition

                                                  A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url.

                                                  ShortProfiles this resource claims to conform to
                                                  Comments

                                                  It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.

                                                  Control0..*
                                                  Typecanonical(StructureDefinition)
                                                  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()))
                                                  18. PractitionerRole.meta.security
                                                  Definition

                                                  Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.

                                                  ShortSecurity Labels applied to this resource
                                                  Comments

                                                  The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.

                                                  Control0..*
                                                  BindingUnless not suitable, these codes SHALL be taken from All Security Labels
                                                  (extensible to http://hl7.org/fhir/ValueSet/security-labels|4.0.1)

                                                  Security Labels from the Healthcare Privacy and Security Classification System.

                                                  TypeCoding
                                                  Is Modifierfalse
                                                  Summarytrue
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  20. PractitionerRole.meta.tag
                                                  Definition

                                                  Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.

                                                  ShortTags applied to this resource
                                                  Comments

                                                  The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.

                                                  Control0..*
                                                  BindingFor example codes, see CommonTags
                                                  (example to http://hl7.org/fhir/ValueSet/common-tags|4.0.1)

                                                  Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".

                                                  TypeCoding
                                                  Is Modifierfalse
                                                  Summarytrue
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  22. PractitionerRole.implicitRules
                                                  Definition

                                                  A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

                                                  ShortVerweis auf die Regeln, nach denen die Ressource erstellt wurde
                                                  Comments

                                                  Begründung Constraint: In ISiK existiert kein Use-Case für dieses Element. Da es sich um ein Modifying Element handelt, wird es daher ausgeschlossen. Darüber hinaus werden die Regeln als URI vorgehalten. Dies führt dazu, dass sich hinter der URI eine beliebige Menge an Regeln befinden kann; wodurch nicht sichergestellt werden kann, dass alle Clients die Regeln korrekt interpretieren können.

                                                  Control0..0
                                                  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()))
                                                  24. PractitionerRole.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|4.0.1)

                                                  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()))
                                                  26. PractitionerRole.text
                                                  Definition

                                                  A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

                                                  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()))
                                                  28. PractitionerRole.contained
                                                  Definition

                                                  These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

                                                  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
                                                  30. PractitionerRole.extension
                                                  Definition

                                                  May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                  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())
                                                  32. PractitionerRole.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())
                                                  34. PractitionerRole.identifier
                                                  Definition

                                                  Business Identifiers that are specific to a role/location.

                                                  ShortBusiness Identifiers that are specific to a role/location
                                                  NoteThis is a business identifier, not a resource identifier (see discussion)
                                                  Control0..*
                                                  TypeIdentifier
                                                  Is Modifierfalse
                                                  Summarytrue
                                                  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()))
                                                  36. PractitionerRole.active
                                                  Definition

                                                  Whether this practitioner role record is in active use.

                                                  ShortAktiv/Inaktiv Status
                                                  Comments

                                                  If this value is false, you may refer to the period to see when the role was in active use. If there is no period specified, no inference can be made about when it was active.

                                                  Control0..1
                                                  Typeboolean
                                                  Is Modifierfalse
                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                  Obligations
                                                    ObligationsActorDocumentation
                                                    SHALL:populate-if-knownISiK Producer (Server)
                                                    SHOULD:populateISiK Producer (Server)

                                                    Ein System muss prüfen können, ob die Rolle eines Leistungserbringers aktiv oder inaktiv ist. Verfügt ein bestätigungsrelevantes System nicht über die Datenstruktur zur Hinterlegung des Aktivitätsstatus einer PractitionerRole-Ressource, so MUSS dieses System die Information NICHT abbilden. Das System SOLL jedoch den Aktivitätsstatus hart kodieren in der PractitionerRole-Instanz (PractitionerRole.active auf 'true'), sodass Clients nicht missverständlich mit einer inaktiven PractitionerRole-Ressource interagieren.

                                                    Summarytrue
                                                    Requirements

                                                    Need to be able to mark a practitioner role record as not to be used because it was created in error, or otherwise no longer in active use.

                                                    Meaning if 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()))
                                                    38. PractitionerRole.period
                                                    Definition

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

                                                    ShortThe period during which the practitioner is authorized to perform in these role(s)
                                                    Control0..1
                                                    TypePeriod
                                                    Is Modifierfalse
                                                    Summarytrue
                                                    Requirements

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

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

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

                                                    ShortLeistungserbringer
                                                    Control0..1
                                                    TypeReference(Practitioner)
                                                    Is Modifierfalse
                                                    Obligations
                                                      ObligationsActorDocumentation
                                                      SHALL:populate-if-knownISiK Producer (Server)

                                                      Ein System muss die Informationen über den Leistungserbringer, der die Rolle innehat, bereitstellen können.

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

                                                      The organization where the Practitioner performs the roles associated.

                                                      ShortOrganisation
                                                      Control0..1
                                                      TypeReference(Organization)
                                                      Is Modifierfalse
                                                      Obligations
                                                        ObligationsActorDocumentation
                                                        SHALL:populate-if-knownISiK Producer (Server)

                                                        Ein System muss die Informationen über die Organisation, der der Leistungserbringer angehört, bereitstellen können.

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

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

                                                        ShortRolle des Leistungserbringers
                                                        Comments

                                                        A person may have more than one role.

                                                        Control0..*
                                                        BindingFor example codes, see PractitionerRole
                                                        (example to http://hl7.org/fhir/ValueSet/practitioner-role|4.0.1)

                                                        The role a person plays representing an organization.

                                                        TypeCodeableConcept
                                                        Is Modifierfalse
                                                        Obligations
                                                          ObligationsActorDocumentation
                                                          SHALL:populate-if-knownISiK Producer (Server)

                                                          Die Rolle in der ein Leistungserbringer innerhalb einer Organisation ausübt, muss exponiert und verarbeitet werden können.

                                                          Summarytrue
                                                          Requirements

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

                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          46. PractitionerRole.code.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
                                                          48. PractitionerRole.code.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 PractitionerRole.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                          • value @ url
                                                          • 50. PractitionerRole.code.coding
                                                            Definition

                                                            A reference to a code defined by a terminology system.

                                                            ShortCode defined by a terminology system
                                                            Comments

                                                            Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                            Control0..*
                                                            TypeCoding
                                                            Is Modifierfalse
                                                            Obligations
                                                              ObligationsActor
                                                              SHALL:populate-if-knownISiK Producer (Server)
                                                              Summarytrue
                                                              Requirements

                                                              Allows for alternative encodings within a code system, and translations to other code systems.

                                                              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 PractitionerRole.code.coding. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                              • pattern @ $this
                                                              • 52. PractitionerRole.code.coding:KBVRoleCare
                                                                Slice NameKBVRoleCare
                                                                Definition

                                                                A reference to a code defined by a terminology system.

                                                                ShortCode defined by a terminology system
                                                                Comments

                                                                Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                Control0..1
                                                                BindingThe codes SHALL be taken from https://fhir.kbv.de/ValueSet/KBV_VS_Base_Role_Care
                                                                (required to https://fhir.kbv.de/ValueSet/KBV_VS_Base_Role_Care)
                                                                TypeCoding(ISiKCoding)
                                                                Is Modifierfalse
                                                                Obligations
                                                                  ObligationsActor
                                                                  SHALL:populate-if-knownISiK Producer (Server)
                                                                  Summarytrue
                                                                  Requirements

                                                                  Allows for alternative encodings within a code system, and translations to other code systems.

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

                                                                  A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                  ShortPlain text representation of the concept
                                                                  Comments

                                                                  Very often the text is the same as a displayName of one of the codings.

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

                                                                  The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

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

                                                                  Specific specialty of the practitioner.

                                                                  ShortFachgebiet des Leistungserbringers
                                                                  Control0..*
                                                                  BindingThe codes SHOULD be taken from PracticeSettingCodeValueSet
                                                                  (preferred to http://hl7.org/fhir/ValueSet/c80-practice-codes|4.0.1)

                                                                  Specific specialty associated with the agency.

                                                                  TypeCodeableConcept
                                                                  Is Modifierfalse
                                                                  Obligations
                                                                    ObligationsActorDocumentation
                                                                    SHALL:populate-if-knownISiK Producer (Server)

                                                                    Ein System muss die Informationen über das Fachgebiet des Leistungserbringers bereitstellen können, um die Art der erbrachten Leistungen besser zu verstehen.

                                                                    Summarytrue
                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    58. PractitionerRole.specialty.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
                                                                    60. PractitionerRole.specialty.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 PractitionerRole.specialty.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                    • value @ url
                                                                    • 62. PractitionerRole.specialty.coding
                                                                      Definition

                                                                      A reference to a code defined by a terminology system.

                                                                      ShortCode defined by a terminology system
                                                                      Comments

                                                                      Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                      Control0..*
                                                                      TypeCoding
                                                                      Is Modifierfalse
                                                                      Summarytrue
                                                                      Requirements

                                                                      Allows for alternative encodings within a code system, and translations to other code systems.

                                                                      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 PractitionerRole.specialty.coding. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                      • pattern @ $this
                                                                      • 64. PractitionerRole.specialty.coding:IHEPracticeSetting
                                                                        Slice NameIHEPracticeSetting
                                                                        Definition

                                                                        A reference to a code defined by a terminology system.

                                                                        ShortCode defined by a terminology system
                                                                        Comments

                                                                        Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                        Control0..*
                                                                        BindingThe codes SHALL be taken from IHE XDS practiceSettingCode
                                                                        (required to http://ihe-d.de/ValueSets/IHEXDSpracticeSettingCode)
                                                                        TypeCoding(ISiKCoding)
                                                                        Is Modifierfalse
                                                                        Obligations
                                                                          ObligationsActor
                                                                          SHALL:populate-if-knownISiK Producer (Server)
                                                                          Summarytrue
                                                                          Requirements

                                                                          Allows for alternative encodings within a code system, and translations to other code systems.

                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          66. PractitionerRole.specialty.coding:Fachabteilungsschluessel
                                                                          Slice NameFachabteilungsschluessel
                                                                          Definition

                                                                          A reference to a code defined by a terminology system.

                                                                          ShortCode defined by a terminology system
                                                                          Comments

                                                                          Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                          Control0..*
                                                                          BindingThe codes SHALL be taken from FachabteilungsschluesselErweitert ValueSet
                                                                          (required to http://fhir.de/ValueSet/dkgev/Fachabteilungsschluessel-erweitert)
                                                                          TypeCoding(ISiKCoding)
                                                                          Is Modifierfalse
                                                                          Obligations
                                                                            ObligationsActor
                                                                            SHALL:populate-if-knownISiK Producer (Server)
                                                                            Summarytrue
                                                                            Requirements

                                                                            Allows for alternative encodings within a code system, and translations to other code systems.

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

                                                                            A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                            ShortPlain text representation of the concept
                                                                            Comments

                                                                            Very often the text is the same as a displayName of one of the codings.

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

                                                                            The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

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

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

                                                                            ShortThe location(s) at which this practitioner provides care
                                                                            Control0..*
                                                                            TypeReference(Location)
                                                                            Is Modifierfalse
                                                                            Summarytrue
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            72. PractitionerRole.healthcareService
                                                                            Definition

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

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

                                                                            Contact details that are specific to the role/location/service.

                                                                            ShortContact details that are specific to the role/location/service
                                                                            Control0..*
                                                                            TypeContactPoint
                                                                            Is Modifierfalse
                                                                            Summarytrue
                                                                            Requirements

                                                                            Often practitioners have a dedicated line for each location (or service) that they work at, and need to be able to define separate contact details for each of these.

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

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

                                                                            ShortTimes the Service Site is available
                                                                            Comments

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

                                                                            Control0..*
                                                                            TypeBackboneElement
                                                                            Is Modifierfalse
                                                                            Summaryfalse
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            78. PractitionerRole.availableTime.id
                                                                            Definition

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

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

                                                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                            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())
                                                                            82. PractitionerRole.availableTime.modifierExtension
                                                                            Definition

                                                                            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                            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())
                                                                            84. PractitionerRole.availableTime.daysOfWeek
                                                                            Definition

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

                                                                            Shortmon | tue | wed | thu | fri | sat | sun
                                                                            Control0..*
                                                                            BindingThe codes SHALL be taken from DaysOfWeek
                                                                            (required to http://hl7.org/fhir/ValueSet/days-of-week|4.0.1)

                                                                            The days of the week.

                                                                            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()))
                                                                            86. PractitionerRole.availableTime.allDay
                                                                            Definition

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

                                                                            ShortAlways available? e.g. 24 hour service
                                                                            Control0..1
                                                                            Typeboolean
                                                                            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()))
                                                                            88. PractitionerRole.availableTime.availableStartTime
                                                                            Definition

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

                                                                            ShortOpening time of day (ignored if allDay = true)
                                                                            Comments

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

                                                                            Control0..1
                                                                            Typetime
                                                                            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()))
                                                                            90. PractitionerRole.availableTime.availableEndTime
                                                                            Definition

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

                                                                            ShortClosing time of day (ignored if allDay = true)
                                                                            Comments

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

                                                                            Control0..1
                                                                            Typetime
                                                                            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()))
                                                                            92. PractitionerRole.notAvailable
                                                                            Definition

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

                                                                            ShortNot available during this time due to provided reason
                                                                            Control0..*
                                                                            TypeBackboneElement
                                                                            Is Modifierfalse
                                                                            Summaryfalse
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            94. PractitionerRole.notAvailable.id
                                                                            Definition

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

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

                                                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                            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())
                                                                            98. PractitionerRole.notAvailable.modifierExtension
                                                                            Definition

                                                                            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                            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())
                                                                            100. PractitionerRole.notAvailable.description
                                                                            Definition

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

                                                                            ShortReason presented to the user explaining why time not available
                                                                            Control1..1
                                                                            Typestring
                                                                            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()))
                                                                            102. PractitionerRole.notAvailable.during
                                                                            Definition

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

                                                                            ShortService not available from this date
                                                                            Control0..1
                                                                            TypePeriod
                                                                            Is Modifierfalse
                                                                            Summaryfalse
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            104. PractitionerRole.availabilityExceptions
                                                                            Definition

                                                                            A description of site availability exceptions, e.g. public holiday availability. Succinctly describing all possible exceptions to normal site availability as details in the available Times and not available Times.

                                                                            ShortDescription of availability exceptions
                                                                            Control0..1
                                                                            Typestring
                                                                            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()))
                                                                            106. PractitionerRole.endpoint
                                                                            Definition

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

                                                                            ShortTechnical endpoints providing access to services operated for the practitioner with this role
                                                                            Control0..*
                                                                            TypeReference(Endpoint)
                                                                            Is Modifierfalse
                                                                            Summaryfalse
                                                                            Requirements

                                                                            Organizations have multiple systems that provide various services and ,ay also be different for practitioners too.

                                                                            So the endpoint satisfies the need to be able to define the technical connection details for how to connect to them, and for what purpose.

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