{ "resourceType" : "StructureDefinition", "id" : "notificador-facedra", "language" : "en", "text" : { "status" : "extensions", "div" : "

Generated Narrative: StructureDefinition notificador-facedra

\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\" Practitioner C0..*PractitionerA person with a formal responsibility in the provisioning of healthcare or related services
Constraints: facedra-prac-email-work-exacto, facedra-prac-phone-max-uno
\".\"\".\"\".\" name 1..1HumanNameNombre del notificador
\".\"\".\"\".\"\".\" family 1..1stringApellidos del notificador (maximo 60 caracteres)
Max Length:60
\".\"\".\"\".\"\".\" given 1..1stringNombre del notificador (maximo 60 caracteres)
Max Length:60
\".\"\".\"\".\" telecom 1..*ContactPointMedios de contacto del notificador
\".\"\".\"\".\"\".\" system 0..1codeTipo de contacto
\".\"\".\"\".\"\".\" value 0..1stringValor del contacto
\".\"\".\"\".\"\".\" use 0..1codeUso del contacto
\".\"\".\"\".\" address 1..1AddressDireccion del notificador
\".\"\".\"\".\"\".\" line 1..1stringLinea de direccion del notificador
\".\"\".\"\".\"\".\" city 1..1stringMunicipio/ciudad del notificador (código SICA)
Binding: Listado de Ciudades Administrativas (required)
\".\"\".\"\".\"\".\" state 1..1stringDepartamento/provincia del notificador (código SICA)
Binding: Listado de Provincias y Departamentos (required)
\".\"\".\"\".\"\".\" country 1..1stringPais del notificador (ISO 3166-1 alfa-3)

\"doco\" Documentation for this format
" }, "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg", "valueCode" : "cgp" }, { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode" : "informative", "_valueCode" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom", "valueCanonical" : "https://hl7.comisca.org/fhir/ImplementationGuide/hl7.fhir.uv.facedra" }] } }], "url" : "https://hl7.comisca.org/fhir/StructureDefinition/notificador-facedra", "version" : "0.1.1", "name" : "NotificadorFACEDRA", "title" : "Notificador FACEDRA", "status" : "draft", "experimental" : true, "date" : "2026-05-18T14:13:47-06:00", "publisher" : "SICA COMISCA", "contact" : [{ "name" : "SICA COMISCA", "telecom" : [{ "system" : "url", "value" : "https://comisca.org/facedra/fhir" }, { "system" : "email", "value" : "notifacedra@comisca.org" }] }, { "name" : "Notificación FACEDRA basada en FHIR® R5", "telecom" : [{ "system" : "url", "value" : "https://hl7.comisca.org/fhir" }, { "system" : "email", "value" : "notifacedra@comisca.org" }] }], "description" : "Perfil del recurso Practitioner para representar los datos del notificador FACEDRA.", "jurisdiction" : [{ "coding" : [{ "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm", "code" : "001" }] }], "purpose" : "Estandarizar la representación de identidad y medios de contacto de la persona que notifica el evento en FACEDRA.", "copyright" : "Derechos de autor (c) 2026, Consejo de Ministros de Salud de Centroamérica y República Dominicana (COMISCA). Este trabajo se distribuye bajo la licencia CC0-1.0, lo que permite su uso sin restricciones, incluso para fines comerciales. HL7®, FHIR® y el logotipo FHIR (diseño de llama) son marcas registradas de Health Level Seven International. Su uso no implica respaldo por parte de HL7. El contenido normativo de FHIR es © HL7.org 2011+. Todos los derechos reservados.", "fhirVersion" : "5.0.0", "mapping" : [{ "identity" : "w5", "uri" : "http://hl7.org/fhir/fivews", "name" : "FiveWs Pattern Mapping" }, { "identity" : "v2", "uri" : "http://hl7.org/v2", "name" : "HL7 V2 Mapping" }, { "identity" : "rim", "uri" : "http://hl7.org/v3", "name" : "RIM Mapping" }, { "identity" : "interface", "uri" : "http://hl7.org/fhir/interface", "name" : "Interface Pattern" }, { "identity" : "servd", "uri" : "http://www.omg.org/spec/ServD/1.0/", "name" : "ServD" }], "kind" : "resource", "abstract" : false, "type" : "Practitioner", "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Practitioner", "derivation" : "constraint", "snapshot" : { "extension" : [{ "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version", "valueString" : "5.0.0" }], "element" : [{ "id" : "Practitioner", "path" : "Practitioner", "short" : "A person with a formal responsibility in the provisioning of healthcare or related services", "definition" : "A person who is directly or indirectly involved in the provisioning of healthcare or related services.", "min" : 0, "max" : "*", "base" : { "path" : "Practitioner", "min" : 0, "max" : "*" }, "constraint" : [{ "key" : "dom-2", "severity" : "error", "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources", "expression" : "contained.contained.empty()", "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key" : "dom-3", "severity" : "error", "human" : "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", "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()", "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key" : "dom-4", "severity" : "error", "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated", "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()", "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key" : "dom-5", "severity" : "error", "human" : "If a resource is contained in another resource, it SHALL NOT have a security label", "expression" : "contained.meta.security.empty()", "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice", "valueBoolean" : true }, { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation", "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time." }], "key" : "dom-6", "severity" : "warning", "human" : "A resource should have narrative for robust management", "expression" : "text.`div`.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key" : "facedra-prac-email-work-exacto", "severity" : "error", "human" : "Debe existir exactamente un correo de trabajo en telecom (system=email y use=work).", "expression" : "telecom.where(system = 'email' and use = 'work').count() = 1", "source" : "https://hl7.comisca.org/fhir/StructureDefinition/notificador-facedra" }, { "key" : "facedra-prac-phone-max-uno", "severity" : "error", "human" : "Si se registra telefono, debe existir como maximo un telecom con system=phone.", "expression" : "telecom.where(system = 'phone').count() <= 1", "source" : "https://hl7.comisca.org/fhir/StructureDefinition/notificador-facedra" }], "mustSupport" : false, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "Entity, Role, or Act,Role" }, { "identity" : "w5", "map" : "administrative.individual" }, { "identity" : "v2", "map" : "PRD (as one example)" }, { "identity" : "interface", "map" : "ParticipantLiving" }, { "identity" : "servd", "map" : "Provider" }] }, { "id" : "Practitioner.id", "path" : "Practitioner.id", "short" : "Logical id of this artifact", "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.", "comment" : "Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case.", "min" : 0, "max" : "1", "base" : { "path" : "Resource.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "id" }], "code" : "http://hl7.org/fhirpath/System.String" }], "mustSupport" : false, "isModifier" : false, "isSummary" : true }, { "id" : "Practitioner.meta", "path" : "Practitioner.meta", "short" : "Metadata about the resource", "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.", "min" : 0, "max" : "1", "base" : { "path" : "Resource.meta", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Meta" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : true }, { "id" : "Practitioner.implicitRules", "path" : "Practitioner.implicitRules", "short" : "A set of rules under which this content was created", "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.", "comment" : "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 its narrative along with other profiles, value sets, etc.", "min" : 0, "max" : "1", "base" : { "path" : "Resource.implicitRules", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : true, "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation", "isSummary" : true }, { "id" : "Practitioner.language", "path" : "Practitioner.language", "short" : "Language of the resource content", "definition" : "The base language in which the resource is written.", "comment" : "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).", "min" : 0, "max" : "1", "base" : { "path" : "Resource.language", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "Language" }], "strength" : "required", "description" : "IETF language tag for a human language", "valueSet" : "http://hl7.org/fhir/ValueSet/all-languages|5.0.0", "additional" : [{ "purpose" : "starter", "valueSet" : "http://hl7.org/fhir/ValueSet/languages|5.0.0" }] } }, { "id" : "Practitioner.text", "path" : "Practitioner.text", "short" : "Text summary of the resource, for human interpretation", "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.", "comment" : "Contained resources do not have a 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.", "alias" : ["narrative", "html", "xhtml", "display"], "min" : 0, "max" : "1", "base" : { "path" : "DomainResource.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Narrative" }], "condition" : ["dom-6"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "Act.text?" }] }, { "id" : "Practitioner.contained", "path" : "Practitioner.contained", "short" : "Contained, inline Resources", "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.", "comment" : "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.", "alias" : ["inline resources", "anonymous resources", "contained resources"], "min" : 0, "max" : "*", "base" : { "path" : "DomainResource.contained", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Resource" }], "condition" : ["dom-2", "dom-4", "dom-3", "dom-5"], "mustSupport" : false, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Practitioner.extension", "path" : "Practitioner.extension", "short" : "Additional content defined by implementations", "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 managable, 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.", "comment" : "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.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "DomainResource.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "mustSupport" : false, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Practitioner.modifierExtension", "path" : "Practitioner.modifierExtension", "short" : "Extensions that cannot be ignored", "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 managable, 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "comment" : "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.", "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](http://hl7.org/fhir/R5/extensibility.html#modifierExtension).", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "DomainResource.modifierExtension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "mustSupport" : false, "isModifier" : true, "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them", "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Practitioner.identifier", "path" : "Practitioner.identifier", "short" : "An identifier for the person as this agent", "definition" : "An identifier that applies to this person in this role.", "requirements" : "Often, specific identities are assigned for the agent.", "min" : 0, "max" : "*", "base" : { "path" : "Practitioner.identifier", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Identifier" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.identifier" }, { "identity" : "v2", "map" : "PRD-7 (or XCN.1)" }, { "identity" : "rim", "map" : "./id" }, { "identity" : "interface", "map" : "Participant.identifier" }, { "identity" : "servd", "map" : "./Identifiers" }] }, { "id" : "Practitioner.active", "path" : "Practitioner.active", "short" : "Whether this practitioner's record is in active use", "definition" : "Whether this practitioner's record is in active use.", "comment" : "If the practitioner is not in use by one organization, then it should mark the period on the PractitonerRole with an end date (even if they are active) as they may be active in another role.", "requirements" : "Need to be able to mark a practitioner record as not to be used because it was created in error.", "min" : 0, "max" : "1", "base" : { "path" : "Practitioner.active", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }], "meaningWhenMissing" : "This resource is generally assumed to be active if no value is provided for the active element", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : true, "isModifierReason" : "This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid", "isSummary" : true, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.status" }, { "identity" : "rim", "map" : "./statusCode" }, { "identity" : "interface", "map" : "Participant.active" }] }, { "id" : "Practitioner.name", "path" : "Practitioner.name", "short" : "Nombre del notificador", "definition" : "Nombre del notificador responsable del reporte. Debe incluir al menos nombre y apellidos en los componentes definidos.", "comment" : "The selection of the use property should ensure that there is a single usual name specified, and others use the nickname (alias), old, or other values as appropriate. \r\rIn general, select the value to be used in the ResourceReference.display based on this:\r\r1. There is more than 1 name\r2. Use = usual\r3. Period is current to the date of the usage\r4. Use = official\r5. Other order as decided by internal business rules.", "requirements" : "The name(s) that a Practitioner is known by. Where there are multiple, the name that the practitioner is usually known as should be used in the display.", "min" : 1, "max" : "1", "base" : { "path" : "Practitioner.name", "min" : 0, "max" : "*" }, "type" : [{ "code" : "HumanName" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "XCN Components" }, { "identity" : "rim", "map" : "./name" }, { "identity" : "interface", "map" : "Participant.name" }, { "identity" : "servd", "map" : "./PreferredName (GivenNames, FamilyName, TitleCode)" }] }, { "id" : "Practitioner.name.id", "path" : "Practitioner.name.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "id" }], "code" : "http://hl7.org/fhirpath/System.String" }], "condition" : ["ele-1"], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Practitioner.name.extension", "path" : "Practitioner.name.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "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 managable, 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.", "comment" : "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.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Practitioner.name.use", "path" : "Practitioner.name.use", "short" : "usual | official | temp | nickname | anonymous | old | maiden", "definition" : "Identifies the purpose for this name.", "comment" : "Applications can assume that a name is current unless it explicitly says that it is temporary or old.", "requirements" : "Allows the appropriate name for a particular context of use to be selected from among a set of names.", "min" : 0, "max" : "1", "base" : { "path" : "HumanName.use", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : true, "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not mistake a temporary or old name etc.for a current/permanent one", "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "NameUse" }], "strength" : "required", "description" : "The use of a human name.", "valueSet" : "http://hl7.org/fhir/ValueSet/name-use|5.0.0" }, "mapping" : [{ "identity" : "v2", "map" : "XPN.7, but often indicated by which field contains the name" }, { "identity" : "rim", "map" : "unique(./use)" }, { "identity" : "servd", "map" : "./NamePurpose" }] }, { "id" : "Practitioner.name.text", "path" : "Practitioner.name.text", "short" : "Text representation of the full name", "definition" : "Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts.", "comment" : "Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.", "requirements" : "A renderable, unencoded form.", "min" : 0, "max" : "1", "base" : { "path" : "HumanName.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "implied by XPN.11" }, { "identity" : "rim", "map" : "./formatted" }] }, { "id" : "Practitioner.name.family", "path" : "Practitioner.name.family", "short" : "Apellidos del notificador (maximo 60 caracteres)", "definition" : "Apellido(s) del notificador según el formulario FACEDRA.", "comment" : "Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).", "alias" : ["surname"], "min" : 1, "max" : "1", "base" : { "path" : "HumanName.family", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "maxLength" : 60, "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "XPN.1/FN.1" }, { "identity" : "rim", "map" : "./part[partType = FAM]" }, { "identity" : "servd", "map" : "./FamilyName" }] }, { "id" : "Practitioner.name.given", "path" : "Practitioner.name.given", "short" : "Nombre del notificador (maximo 60 caracteres)", "definition" : "Nombre(s) del notificador según el formulario FACEDRA.", "comment" : "If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called \"first name\" since given names do not always come first.", "alias" : ["first name", "middle name"], "min" : 1, "max" : "1", "base" : { "path" : "HumanName.given", "min" : 0, "max" : "*" }, "type" : [{ "code" : "string" }], "orderMeaning" : "Given Names appear in the correct order for presenting the name", "maxLength" : 60, "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "XPN.2 + XPN.3" }, { "identity" : "rim", "map" : "./part[partType = GIV]" }, { "identity" : "servd", "map" : "./GivenNames" }] }, { "id" : "Practitioner.name.prefix", "path" : "Practitioner.name.prefix", "short" : "Parts that come before the name", "definition" : "Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name.", "min" : 0, "max" : "*", "base" : { "path" : "HumanName.prefix", "min" : 0, "max" : "*" }, "type" : [{ "code" : "string" }], "orderMeaning" : "Prefixes appear in the correct order for presenting the name", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "XPN.5" }, { "identity" : "rim", "map" : "./part[partType = PFX]" }, { "identity" : "servd", "map" : "./TitleCode" }] }, { "id" : "Practitioner.name.suffix", "path" : "Practitioner.name.suffix", "short" : "Parts that come after the name", "definition" : "Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name.", "min" : 0, "max" : "*", "base" : { "path" : "HumanName.suffix", "min" : 0, "max" : "*" }, "type" : [{ "code" : "string" }], "orderMeaning" : "Suffixes appear in the correct order for presenting the name", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "XPN/4" }, { "identity" : "rim", "map" : "./part[partType = SFX]" }] }, { "id" : "Practitioner.name.period", "path" : "Practitioner.name.period", "short" : "Time period when name was/is in use", "definition" : "Indicates the period of time when this name was valid for the named person.", "requirements" : "Allows names to be placed in historical context.", "min" : 0, "max" : "1", "base" : { "path" : "HumanName.period", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Period" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "XPN.13 + XPN.14" }, { "identity" : "rim", "map" : "./usablePeriod[type=\"IVL\"]" }, { "identity" : "servd", "map" : "./StartDate and ./EndDate" }] }, { "id" : "Practitioner.telecom", "path" : "Practitioner.telecom", "short" : "Medios de contacto del notificador", "definition" : "Lista de medios de contacto del notificador. Se recomienda incluir correo electrónico y, cuando esté disponible, teléfono.", "comment" : "Person may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and to help with identification. These typically will have home numbers, or mobile numbers that are not role specific.", "requirements" : "Need to know how to reach a practitioner independent to any roles the practitioner may have.", "min" : 1, "max" : "*", "base" : { "path" : "Practitioner.telecom", "min" : 0, "max" : "*" }, "type" : [{ "code" : "ContactPoint" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "PRT-15, STF-10, ROL-12" }, { "identity" : "rim", "map" : "./telecom" }, { "identity" : "interface", "map" : "ParticipantContactable.telecom" }, { "identity" : "servd", "map" : "./ContactPoints" }] }, { "id" : "Practitioner.telecom.id", "path" : "Practitioner.telecom.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "id" }], "code" : "http://hl7.org/fhirpath/System.String" }], "condition" : ["ele-1"], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Practitioner.telecom.extension", "path" : "Practitioner.telecom.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "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 managable, 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.", "comment" : "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.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Practitioner.telecom.system", "path" : "Practitioner.telecom.system", "short" : "Tipo de contacto", "definition" : "Indica el tipo de dato en telecom, por ejemplo email o phone.", "min" : 0, "max" : "1", "base" : { "path" : "ContactPoint.system", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "condition" : ["cpt-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "ContactPointSystem" }], "strength" : "required", "description" : "Telecommunications form for contact point.", "valueSet" : "http://hl7.org/fhir/ValueSet/contact-point-system|5.0.0" }, "mapping" : [{ "identity" : "v2", "map" : "XTN.3" }, { "identity" : "rim", "map" : "./scheme" }, { "identity" : "servd", "map" : "./ContactPointType" }] }, { "id" : "Practitioner.telecom.value", "path" : "Practitioner.telecom.value", "short" : "Valor del contacto", "definition" : "Dato de contacto correspondiente al system indicado (por ejemplo dirección de correo o número telefónico).", "comment" : "Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.", "requirements" : "Need to support legacy numbers that are not in a tightly controlled format.", "min" : 0, "max" : "1", "base" : { "path" : "ContactPoint.value", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "condition" : ["cpt-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "XTN.1 (or XTN.12)" }, { "identity" : "rim", "map" : "./url" }, { "identity" : "servd", "map" : "./Value" }] }, { "id" : "Practitioner.telecom.use", "path" : "Practitioner.telecom.use", "short" : "Uso del contacto", "definition" : "Contexto de uso del contacto, por ejemplo work para contacto laboral.", "comment" : "Applications can assume that a contact is current unless it explicitly says that it is temporary or old.", "requirements" : "Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.", "min" : 0, "max" : "1", "base" : { "path" : "ContactPoint.use", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : true, "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not mistake a temporary or old contact etc.for a current/permanent one", "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "ContactPointUse" }], "strength" : "required", "description" : "Use of contact point.", "valueSet" : "http://hl7.org/fhir/ValueSet/contact-point-use|5.0.0" }, "mapping" : [{ "identity" : "v2", "map" : "XTN.2 - but often indicated by field" }, { "identity" : "rim", "map" : "unique(./use)" }, { "identity" : "servd", "map" : "./ContactPointPurpose" }] }, { "id" : "Practitioner.telecom.rank", "path" : "Practitioner.telecom.rank", "short" : "Specify preferred order of use (1 = highest)", "definition" : "Specifies a preferred order in which to use a set of contacts. ContactPoints with lower rank values are more preferred than those with higher rank values.", "comment" : "Note that rank does not necessarily follow the order in which the contacts are represented in the instance.\n\nRanks need not be unique. E.g. it's possible to have multiple contacts with rank=1. If the ranks have different systems or uses, this would be interpreted to mean \"X is my most preferred phone number, Y is my most preferred email address\" or \"X is my preferred home email and Y is my preferred work email\". If the system and use for equally-ranked contacts are the same, then the level of preference is equivalent for both repetitions. \n\nRanks need not be sequential and not all repetitions must have a rank. For example, it's possible to have 4 contacts with ranks of 2, 5 and two with no rank specified. That would be interpreted to mean the first is preferred over the second and no preference stated for the remaining contacts.", "min" : 0, "max" : "1", "base" : { "path" : "ContactPoint.rank", "min" : 0, "max" : "1" }, "type" : [{ "code" : "positiveInt" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "n/a" }, { "identity" : "rim", "map" : "n/a" }] }, { "id" : "Practitioner.telecom.period", "path" : "Practitioner.telecom.period", "short" : "Time period when the contact point was/is in use", "definition" : "Time period when the contact point was/is in use.", "min" : 0, "max" : "1", "base" : { "path" : "ContactPoint.period", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Period" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "N/A" }, { "identity" : "rim", "map" : "./usablePeriod[type=\"IVL\"]" }, { "identity" : "servd", "map" : "./StartDate and ./EndDate" }] }, { "id" : "Practitioner.gender", "path" : "Practitioner.gender", "short" : "male | female | other | unknown", "definition" : "Administrative Gender - the gender that the person is considered to have for administration and record keeping purposes.", "requirements" : "Needed to address the person correctly.", "min" : 0, "max" : "1", "base" : { "path" : "Practitioner.gender", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "AdministrativeGender" }], "strength" : "required", "description" : "The gender of a person used for administrative purposes.", "valueSet" : "http://hl7.org/fhir/ValueSet/administrative-gender|5.0.0" }, "mapping" : [{ "identity" : "v2", "map" : "STF-5" }, { "identity" : "rim", "map" : "./administrativeGender" }, { "identity" : "interface", "map" : "ParticipantLiving.gender" }, { "identity" : "servd", "map" : "./GenderCode" }] }, { "id" : "Practitioner.birthDate", "path" : "Practitioner.birthDate", "short" : "The date on which the practitioner was born", "definition" : "The date of birth for the practitioner.", "requirements" : "Needed for identification.", "min" : 0, "max" : "1", "base" : { "path" : "Practitioner.birthDate", "min" : 0, "max" : "1" }, "type" : [{ "code" : "date" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "STF-6" }, { "identity" : "rim", "map" : "./birthTime" }, { "identity" : "interface", "map" : "ParticipantLiving.birthDate" }, { "identity" : "servd", "map" : "(not represented in ServD)" }] }, { "id" : "Practitioner.deceased[x]", "path" : "Practitioner.deceased[x]", "short" : "Indicates if the practitioner is deceased or not", "definition" : "Indicates if the practitioner is deceased or not.", "comment" : "If there's no value in the instance, it means there is no statement on whether or not the practitioner is deceased. Most systems will interpret the absence of a value as a sign of the person being alive.", "min" : 0, "max" : "1", "base" : { "path" : "Practitioner.deceased[x]", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }, { "code" : "dateTime" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedInd, player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedTime" }] }, { "id" : "Practitioner.address", "path" : "Practitioner.address", "short" : "Direccion del notificador", "definition" : "Direccion principal del notificador para contexto territorial de la notificacion.", "comment" : "The PractitionerRole does not have an address value on it, as it is expected that the location property be used for this purpose (which has an address).", "requirements" : "The home/mailing address of the practitioner is often required for employee administration purposes, and also for some rostering services where the start point (practitioners home) can be used in calculations.", "min" : 1, "max" : "1", "base" : { "path" : "Practitioner.address", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Address" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "ORC-24, STF-11, ROL-11, PRT-14" }, { "identity" : "rim", "map" : "./addr" }, { "identity" : "interface", "map" : "ParticipantContactable.address" }, { "identity" : "servd", "map" : "./Addresses" }] }, { "id" : "Practitioner.address.id", "path" : "Practitioner.address.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "id" }], "code" : "http://hl7.org/fhirpath/System.String" }], "condition" : ["ele-1"], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Practitioner.address.extension", "path" : "Practitioner.address.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "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 managable, 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.", "comment" : "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.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Practitioner.address.use", "path" : "Practitioner.address.use", "short" : "home | work | temp | old | billing - purpose of this address", "definition" : "The purpose of this address.", "comment" : "Applications can assume that an address is current unless it explicitly says that it is temporary or old.", "requirements" : "Allows an appropriate address to be chosen from a list of many.", "min" : 0, "max" : "1", "base" : { "path" : "Address.use", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "example" : [{ "label" : "General", "valueCode" : "home" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : true, "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not mistake a temporary or old address etc.for a current/permanent one", "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "AddressUse" }], "strength" : "required", "description" : "The use of an address (home / work / etc.).", "valueSet" : "http://hl7.org/fhir/ValueSet/address-use|5.0.0" }, "mapping" : [{ "identity" : "v2", "map" : "XAD.7" }, { "identity" : "rim", "map" : "unique(./use)" }, { "identity" : "servd", "map" : "./AddressPurpose" }] }, { "id" : "Practitioner.address.type", "path" : "Practitioner.address.type", "short" : "postal | physical | both", "definition" : "Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both.", "comment" : "The definition of Address states that \"address is intended to describe postal addresses, not physical locations\". However, many applications track whether an address has a dual purpose of being a location that can be visited as well as being a valid delivery destination, and Postal addresses are often used as proxies for physical locations (also see the [Location](http://hl7.org/fhir/R5/location.html#) resource).", "min" : 0, "max" : "1", "base" : { "path" : "Address.type", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "example" : [{ "label" : "General", "valueCode" : "both" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "AddressType" }], "strength" : "required", "description" : "The type of an address (physical / postal).", "valueSet" : "http://hl7.org/fhir/ValueSet/address-type|5.0.0" }, "mapping" : [{ "identity" : "v2", "map" : "XAD.18" }, { "identity" : "rim", "map" : "unique(./use)" }, { "identity" : "vcard", "map" : "address type parameter" }] }, { "id" : "Practitioner.address.text", "path" : "Practitioner.address.text", "short" : "Text representation of the address", "definition" : "Specifies the entire address as it should be displayed e.g. on a postal label. This may be provided instead of or as well as the specific parts.", "comment" : "Can provide both a text representation and parts. Applications updating an address SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.", "requirements" : "A renderable, unencoded form.", "min" : 0, "max" : "1", "base" : { "path" : "Address.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "example" : [{ "label" : "General", "valueString" : "137 Nowhere Street, Erewhon 9132" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "XAD.1 + XAD.2 + XAD.3 + XAD.4 + XAD.5 + XAD.6" }, { "identity" : "rim", "map" : "./formatted" }, { "identity" : "vcard", "map" : "address label parameter" }] }, { "id" : "Practitioner.address.line", "path" : "Practitioner.address.line", "short" : "Linea de direccion del notificador", "definition" : "Direccion en texto libre (calle, avenida, numero o referencia principal).", "min" : 1, "max" : "1", "base" : { "path" : "Address.line", "min" : 0, "max" : "*" }, "type" : [{ "code" : "string" }], "orderMeaning" : "The order in which lines should appear in an address label", "example" : [{ "label" : "General", "valueString" : "137 Nowhere Street" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "XAD.1 + XAD.2 (note: XAD.1 and XAD.2 have different meanings for a company address than for a person address)" }, { "identity" : "rim", "map" : "AD.part[parttype = AL]" }, { "identity" : "vcard", "map" : "street" }, { "identity" : "servd", "map" : "./StreetAddress (newline delimitted)" }] }, { "id" : "Practitioner.address.city", "path" : "Practitioner.address.city", "short" : "Municipio/ciudad del notificador (código SICA)", "definition" : "Municipio o ciudad del notificador según catálogo SICA de ciudades.", "alias" : ["Municpality"], "min" : 1, "max" : "1", "base" : { "path" : "Address.city", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "example" : [{ "label" : "General", "valueString" : "Erewhon" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "binding" : { "strength" : "required", "valueSet" : "https://hl7.comisca.org/fhir/ValueSet/sica-city-codes" }, "mapping" : [{ "identity" : "v2", "map" : "XAD.3" }, { "identity" : "rim", "map" : "AD.part[parttype = CTY]" }, { "identity" : "vcard", "map" : "locality" }, { "identity" : "servd", "map" : "./Jurisdiction" }] }, { "id" : "Practitioner.address.district", "path" : "Practitioner.address.district", "short" : "District name (aka county)", "definition" : "The name of the administrative area (county).", "comment" : "District is sometimes known as county, but in some regions 'county' is used in place of city (municipality), so county name should be conveyed in city instead.", "alias" : ["County"], "min" : 0, "max" : "1", "base" : { "path" : "Address.district", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "example" : [{ "label" : "General", "valueString" : "Madison" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "XAD.9" }, { "identity" : "rim", "map" : "AD.part[parttype = CNT | CPA]" }] }, { "id" : "Practitioner.address.state", "path" : "Practitioner.address.state", "short" : "Departamento/provincia del notificador (código SICA)", "definition" : "Departamento o provincia del notificador según catálogo SICA de divisiones administrativas de primer nivel.", "alias" : ["Province", "Territory"], "min" : 1, "max" : "1", "base" : { "path" : "Address.state", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "binding" : { "strength" : "required", "valueSet" : "https://hl7.comisca.org/fhir/ValueSet/sica-state-province-codes" }, "mapping" : [{ "identity" : "v2", "map" : "XAD.4" }, { "identity" : "rim", "map" : "AD.part[parttype = STA]" }, { "identity" : "vcard", "map" : "region" }, { "identity" : "servd", "map" : "./Region" }] }, { "id" : "Practitioner.address.postalCode", "path" : "Practitioner.address.postalCode", "short" : "Postal code for area", "definition" : "A postal code designating a region defined by the postal service.", "alias" : ["Zip"], "min" : 0, "max" : "1", "base" : { "path" : "Address.postalCode", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "example" : [{ "label" : "General", "valueString" : "9132" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "XAD.5" }, { "identity" : "rim", "map" : "AD.part[parttype = ZIP]" }, { "identity" : "vcard", "map" : "code" }, { "identity" : "servd", "map" : "./PostalIdentificationCode" }] }, { "id" : "Practitioner.address.country", "path" : "Practitioner.address.country", "short" : "Pais del notificador (ISO 3166-1 alfa-3)", "definition" : "Codigo de pais en formato ISO 3166-1 alfa-3.", "comment" : "ISO 3166 2- or 3- letter codes MAY be used in place of a human readable country name.", "min" : 1, "max" : "1", "base" : { "path" : "Address.country", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "XAD.6" }, { "identity" : "rim", "map" : "AD.part[parttype = CNT]" }, { "identity" : "vcard", "map" : "country" }, { "identity" : "servd", "map" : "./Country" }] }, { "id" : "Practitioner.address.period", "path" : "Practitioner.address.period", "short" : "Time period when address was/is in use", "definition" : "Time period when address was/is in use.", "requirements" : "Allows addresses to be placed in historical context.", "min" : 0, "max" : "1", "base" : { "path" : "Address.period", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Period" }], "example" : [{ "label" : "General", "valuePeriod" : { "start" : "2010-03-23", "end" : "2010-07-01" } }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "XAD.12 / XAD.13 + XAD.14" }, { "identity" : "rim", "map" : "./usablePeriod[type=\"IVL\"]" }, { "identity" : "servd", "map" : "./StartDate and ./EndDate" }] }, { "id" : "Practitioner.photo", "path" : "Practitioner.photo", "short" : "Image of the person", "definition" : "Image of the person.", "requirements" : "Many EHR systems have the capability to capture an image of patients and personnel. Fits with newer social media usage too.", "min" : 0, "max" : "*", "base" : { "path" : "Practitioner.photo", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Attachment" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./subjectOf/ObservationEvent[code=\"photo\"]/value" }, { "identity" : "interface", "map" : "ParticipantLiving.photo" }, { "identity" : "servd", "map" : "./ImageURI (only supports the URI reference)" }] }, { "id" : "Practitioner.qualification", "path" : "Practitioner.qualification", "short" : "Qualifications, certifications, accreditations, licenses, training, etc. pertaining to the provision of care", "definition" : "The official qualifications, certifications, accreditations, training, licenses (and other types of educations/skills/capabilities) that authorize or otherwise pertain to the provision of care by the practitioner.\r\rFor example, a medical license issued by a medical board of licensure authorizing the practitioner to practice medicine within a certain locality.", "comment" : "The PractitionerRole.specialty defines the functional role that they are practicing at a given organization or location. Those specialties may or might not require a qualification, and are not defined on the practitioner.", "min" : 0, "max" : "*", "base" : { "path" : "Practitioner.qualification", "min" : 0, "max" : "*" }, "type" : [{ "code" : "BackboneElement" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "v2", "map" : "CER?" }, { "identity" : "rim", "map" : ".playingEntity.playingRole[classCode=QUAL].code" }, { "identity" : "servd", "map" : "./Qualifications" }] }, { "id" : "Practitioner.qualification.id", "path" : "Practitioner.qualification.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "condition" : ["ele-1"], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Practitioner.qualification.extension", "path" : "Practitioner.qualification.extension", "short" : "Additional content defined by implementations", "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 managable, 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.", "comment" : "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.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Practitioner.qualification.modifierExtension", "path" : "Practitioner.qualification.modifierExtension", "short" : "Extensions that cannot be ignored even if unrecognized", "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 managable, 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "comment" : "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.", "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](http://hl7.org/fhir/R5/extensibility.html#modifierExtension).", "alias" : ["extensions", "user content", "modifiers"], "min" : 0, "max" : "*", "base" : { "path" : "BackboneElement.modifierExtension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : true, "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them", "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Practitioner.qualification.identifier", "path" : "Practitioner.qualification.identifier", "short" : "An identifier for this qualification for the practitioner", "definition" : "An identifier that applies to this person's qualification.", "requirements" : "Often, specific identities are assigned for the qualification.", "min" : 0, "max" : "*", "base" : { "path" : "Practitioner.qualification.identifier", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Identifier" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".playingEntity.playingRole[classCode=QUAL].id" }] }, { "id" : "Practitioner.qualification.code", "path" : "Practitioner.qualification.code", "short" : "Coded representation of the qualification", "definition" : "Coded representation of the qualification.", "min" : 1, "max" : "1", "base" : { "path" : "Practitioner.qualification.code", "min" : 1, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "Qualification" }], "strength" : "example", "description" : "Specific qualification the practitioner has to provide a service.", "valueSet" : "http://terminology.hl7.org/ValueSet/v2-0360" }, "mapping" : [{ "identity" : "rim", "map" : ".playingEntity.playingRole[classCode=QUAL].code" }, { "identity" : "servd", "map" : "./Qualifications.Value" }] }, { "id" : "Practitioner.qualification.period", "path" : "Practitioner.qualification.period", "short" : "Period during which the qualification is valid", "definition" : "Period during which the qualification is valid.", "requirements" : "Qualifications are often for a limited period of time, and can be revoked.", "min" : 0, "max" : "1", "base" : { "path" : "Practitioner.qualification.period", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Period" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".playingEntity.playingRole[classCode=QUAL].effectiveTime" }, { "identity" : "servd", "map" : "./Qualifications.StartDate and ./Qualifications.EndDate" }] }, { "id" : "Practitioner.qualification.issuer", "path" : "Practitioner.qualification.issuer", "short" : "Organization that regulates and issues the qualification", "definition" : "Organization that regulates and issues the qualification.", "min" : 0, "max" : "1", "base" : { "path" : "Practitioner.qualification.issuer", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization|5.0.0"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".playingEntity.playingRole[classCode=QUAL].scoper" }] }, { "id" : "Practitioner.communication", "path" : "Practitioner.communication", "short" : "A language which may be used to communicate with the practitioner", "definition" : "A language which may be used to communicate with the practitioner, often for correspondence/administrative purposes.\r\rThe `PractitionerRole.communication` property should be used for publishing the languages that a practitioner is able to communicate with patients (on a per Organization/Role basis).", "comment" : "If no language is specified, this *implies* that the default local language is spoken. If you need to convey proficiency for multiple modes, then you need multiple Practitioner.Communication associations.\r\rFor animals, language is not a relevant field, and should be absent from the instance.", "min" : 0, "max" : "*", "base" : { "path" : "Practitioner.communication", "min" : 0, "max" : "*" }, "type" : [{ "code" : "BackboneElement" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "LanguageCommunication" }] }, { "id" : "Practitioner.communication.id", "path" : "Practitioner.communication.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "condition" : ["ele-1"], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Practitioner.communication.extension", "path" : "Practitioner.communication.extension", "short" : "Additional content defined by implementations", "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 managable, 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.", "comment" : "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.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Practitioner.communication.modifierExtension", "path" : "Practitioner.communication.modifierExtension", "short" : "Extensions that cannot be ignored even if unrecognized", "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 managable, 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "comment" : "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.", "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](http://hl7.org/fhir/R5/extensibility.html#modifierExtension).", "alias" : ["extensions", "user content", "modifiers"], "min" : 0, "max" : "*", "base" : { "path" : "BackboneElement.modifierExtension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : true, "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them", "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Practitioner.communication.language", "path" : "Practitioner.communication.language", "short" : "The language code used to communicate with the practitioner", "definition" : "The ISO-639-1 alpha 2 code in lower case for the language, optionally followed by a hyphen and the ISO-3166-1 alpha 2 code for the region in upper case; e.g. \"en\" for English, or \"en-US\" for American English versus \"en-AU\" for Australian English.", "comment" : "The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems actually code this but instead have it as free text. Hence CodeableConcept instead of code as the data type.", "requirements" : "Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect.", "min" : 1, "max" : "1", "base" : { "path" : "Practitioner.communication.language", "min" : 1, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "Language" }], "strength" : "required", "description" : "IETF language tag for a human language", "valueSet" : "http://hl7.org/fhir/ValueSet/all-languages|5.0.0", "additional" : [{ "purpose" : "starter", "valueSet" : "http://hl7.org/fhir/ValueSet/languages|5.0.0" }] }, "mapping" : [{ "identity" : "v2", "map" : "PID-15, LAN-2" }, { "identity" : "rim", "map" : "player[classCode=PSN|ANM and determinerCode=INSTANCE]/languageCommunication/code" }] }, { "id" : "Practitioner.communication.preferred", "path" : "Practitioner.communication.preferred", "short" : "Language preference indicator", "definition" : "Indicates whether or not the person prefers this language (over other languages he masters up a certain level).", "comment" : "This language is specifically identified for communicating directly with the practitioner (typically un-related to patient communications).", "requirements" : "People that master multiple languages up to certain level may prefer one or more, i.e. feel more confident in communicating in a particular language making other languages sort of a fall back method.", "min" : 0, "max" : "1", "base" : { "path" : "Practitioner.communication.preferred", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "preferenceInd" }] }] }, "differential" : { "element" : [{ "id" : "Practitioner", "path" : "Practitioner", "constraint" : [{ "key" : "facedra-prac-email-work-exacto", "severity" : "error", "human" : "Debe existir exactamente un correo de trabajo en telecom (system=email y use=work).", "expression" : "telecom.where(system = 'email' and use = 'work').count() = 1", "source" : "https://hl7.comisca.org/fhir/StructureDefinition/notificador-facedra" }, { "key" : "facedra-prac-phone-max-uno", "severity" : "error", "human" : "Si se registra telefono, debe existir como maximo un telecom con system=phone.", "expression" : "telecom.where(system = 'phone').count() <= 1", "source" : "https://hl7.comisca.org/fhir/StructureDefinition/notificador-facedra" }] }, { "id" : "Practitioner.name", "path" : "Practitioner.name", "short" : "Nombre del notificador", "definition" : "Nombre del notificador responsable del reporte. Debe incluir al menos nombre y apellidos en los componentes definidos.", "min" : 1, "max" : "1" }, { "id" : "Practitioner.name.family", "path" : "Practitioner.name.family", "short" : "Apellidos del notificador (maximo 60 caracteres)", "definition" : "Apellido(s) del notificador según el formulario FACEDRA.", "min" : 1, "maxLength" : 60 }, { "id" : "Practitioner.name.given", "path" : "Practitioner.name.given", "short" : "Nombre del notificador (maximo 60 caracteres)", "definition" : "Nombre(s) del notificador según el formulario FACEDRA.", "min" : 1, "max" : "1", "maxLength" : 60 }, { "id" : "Practitioner.telecom", "path" : "Practitioner.telecom", "short" : "Medios de contacto del notificador", "definition" : "Lista de medios de contacto del notificador. Se recomienda incluir correo electrónico y, cuando esté disponible, teléfono.", "min" : 1 }, { "id" : "Practitioner.telecom.system", "path" : "Practitioner.telecom.system", "short" : "Tipo de contacto", "definition" : "Indica el tipo de dato en telecom, por ejemplo email o phone." }, { "id" : "Practitioner.telecom.value", "path" : "Practitioner.telecom.value", "short" : "Valor del contacto", "definition" : "Dato de contacto correspondiente al system indicado (por ejemplo dirección de correo o número telefónico)." }, { "id" : "Practitioner.telecom.use", "path" : "Practitioner.telecom.use", "short" : "Uso del contacto", "definition" : "Contexto de uso del contacto, por ejemplo work para contacto laboral." }, { "id" : "Practitioner.address", "path" : "Practitioner.address", "short" : "Direccion del notificador", "definition" : "Direccion principal del notificador para contexto territorial de la notificacion.", "min" : 1, "max" : "1" }, { "id" : "Practitioner.address.line", "path" : "Practitioner.address.line", "short" : "Linea de direccion del notificador", "definition" : "Direccion en texto libre (calle, avenida, numero o referencia principal).", "min" : 1, "max" : "1" }, { "id" : "Practitioner.address.city", "path" : "Practitioner.address.city", "short" : "Municipio/ciudad del notificador (código SICA)", "definition" : "Municipio o ciudad del notificador según catálogo SICA de ciudades.", "min" : 1, "binding" : { "strength" : "required", "valueSet" : "https://hl7.comisca.org/fhir/ValueSet/sica-city-codes" } }, { "id" : "Practitioner.address.state", "path" : "Practitioner.address.state", "short" : "Departamento/provincia del notificador (código SICA)", "definition" : "Departamento o provincia del notificador según catálogo SICA de divisiones administrativas de primer nivel.", "min" : 1, "binding" : { "strength" : "required", "valueSet" : "https://hl7.comisca.org/fhir/ValueSet/sica-state-province-codes" } }, { "id" : "Practitioner.address.country", "path" : "Practitioner.address.country", "short" : "Pais del notificador (ISO 3166-1 alfa-3)", "definition" : "Codigo de pais en formato ISO 3166-1 alfa-3.", "min" : 1 }] } }