ESMD FHIR Implementation Guide - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• JSON

Resource Profile: EsMD Practitioner

The Esmd-Practitioner profile extends the USCorePractitioner profile with additional elements to ensure that practitioner data, including personal details and esMD-specific service-related information is captured and exchanged consistently. HIHs can use this profile to submit a single provider registration request transaction for each provider.

Usage:

• Use this Resource Profile: Esmd Bundle Service Registration Profile
• Examples for this Resource Profile: Practitioner/Example-TC001-Esmd-Practitioner-Response, Practitioner/Example-TC001-Esmd-Practitioner, Practitioner/TC001-Practitioner, Practitioner/TC001-PractitionerResponse... Show 4 more, Practitioner/TC002-Practitioner, Practitioner/TC002-PractitionerResponse, Practitioner/TC003-Practitioner and Practitioner/TC003-PractitionerResponse
• CapabilityStatements using this Resource Profile: esMD FHIR Server Capability Statement

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

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

Name	Flags	Card.	Type	Description & Constraints
Practitioner		0..*	Practitioner	A person with a formal responsibility in the provisioning of healthcare or related services dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
meta	SΣ	1..1	EsmdMeta	Metadata about the resource ele-1: All FHIR elements must have a @value or children
Slices for profile	Σ	1..*	canonical(StructureDefinition)	Profiles this resource claims to conform to Slice: Unordered, Open by value:$this ele-1: All FHIR elements must have a @value or children
profile:esmdpractitioner	Σ	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to ele-1: All FHIR elements must have a @value or children Fixed Value: https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Practitioner
security	SΣC	1..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. ele-1: All FHIR elements must have a @value or children inv-esmd-meta-security-01: esMD supports only V security code
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension		3..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:npi	S	1..1	(Complex)	Provider ID URL: https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-NPI ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-NPI"
value[x]	C	1..1	string	Value of extension ele-1: All FHIR elements must have a @value or children esmd-npi-1: NPI should be 10 numeric
extension:providerTaxId	S	0..1	(Complex)	Provider ID URL: https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ProviderTaxId ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ProviderTaxId"
value[x]	C	1..1	string	Value of extension ele-1: All FHIR elements must have a @value or children esmd-providerTaxId-1: Provider Tax ID should be 6 to 9 characters length but optional element
extension:providerNumber	S	0..1	(Complex)	Provider ID URL: https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ProviderNumber ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ProviderNumber"
value[x]	C	1..1	string	Value of extension ele-1: All FHIR elements must have a @value or children esmd-providerNumber-1: Provider Number should be 10 characters length but optional element
extension:actionRequested	S	1..1	(Complex)	esMD Action Requested Code URL: https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ActionRequestedCode ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ActionRequestedCode"
value[x]		0..1	code	Value of extension Binding: ESMD ActionRequested ValueSet (required): Action Requested Codes ele-1: All FHIR elements must have a @value or children
extension:serviceCode	S	1..1	(Complex)	esMD Service Code URL: https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ServiceCode ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ServiceCode"
value[x]		1..1	code	Value of extension Binding: ESMD Service Codes ValueSet (required) ele-1: All FHIR elements must have a @value or children
extension:serviceStartDate	S	0..1	(Complex)	esMD Service Start Date URL: https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ServiceStartDate ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ServiceStartDate"
value[x]	C	1..1	date	Value of extension ele-1: All FHIR elements must have a @value or children esmd-servicedate-1: Service dates should be in YYYY-MM-DD format
extension:serviceEndDate	S	0..1	(Complex)	esMD Service End Date URL: https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ServiceEndDate ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ServiceEndDate"
value[x]	C	1..1	date	Value of extension ele-1: All FHIR elements must have a @value or children esmd-servicedate-1: Service dates should be in YYYY-MM-DD format
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	SΣ	0..*	Identifier	An identifier for the person as this agent ele-1: All FHIR elements must have a @value or children
active	SΣ	0..1	boolean	Whether this practitioner's record is in active use ele-1: All FHIR elements must have a @value or children
telecom	SΣ	0..*	ContactPoint	A contact detail for the practitioner (that apply to all roles) ele-1: All FHIR elements must have a @value or children
address	SΣ	0..*	Address	Address(es) of the practitioner that are not role specific (typically home address) ele-1: All FHIR elements must have a @value or children
gender	SΣ	0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes. ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Practitioner.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
Practitioner.extension:actionRequested.value[x]	required	EsmdVSActionRequested (a valid code from Service Registration Action Requested) https://terminology.esmduat.cms.gov:8099/fhir/ValueSet/Esmd-VS-ActionRequested from this IG
Practitioner.extension:serviceCode.value[x]	required	EsmdVSServiceCodes (a valid code from ESMD supporting Service Codes) https://terminology.esmduat.cms.gov:8099/fhir/ValueSet/Esmd-VS-ServiceCodes from this IG
Practitioner.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Practitioner.qualification.code	example	v2.0360.2.7 (a valid code from http://terminology.hl7.org/CodeSystem/v2-0360|2.7) http://terminology.hl7.org/ValueSet/v2-2.7-0360 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Practitioner	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Practitioner	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource 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	error	Practitioner	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Practitioner	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Practitioner	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
esmd-npi-1	error	Practitioner.extension:npi.value[x]	NPI should be 10 numeric : value.exists() and value.matches('^[0-9]{10}$')
esmd-providerNumber-1	error	Practitioner.extension:providerNumber.value[x]	Provider Number should be 10 characters length but optional element : value.exists() implies (value.matches('^.{10}$'))
esmd-providerTaxId-1	error	Practitioner.extension:providerTaxId.value[x]	Provider Tax ID should be 6 to 9 characters length but optional element : value.exists() implies (value.matches('^.{6,9}$'))
esmd-servicedate-1	error	Practitioner.extension:serviceStartDate.value[x], Practitioner.extension:serviceEndDate.value[x]	Service dates should be in YYYY-MM-DD format : value.as(date).exists() implies (value.as(date) >= today())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
inv-esmd-meta-security-01	error	Practitioner.meta.security	esMD supports only V security code : code.exists() implies (code = 'V' or code = 'HTEST')

This structure is derived from Practitioner

Name	Flags	Card.	Type	Description & Constraints
Practitioner			Practitioner
meta	S	1..1	EsmdMeta	Metadata about the resource
Slices for profile				Content/Rules for all slices
profile:esmdpractitioner		1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Fixed Value: https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Practitioner
security	S	1..*	Coding	Security Labels applied to this resource
Slices for extension		3..*	Extension	Extension Slice: Unordered, Open by value:url
extension:npi	S	1..1	(Complex)	Provider ID URL: https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-NPI
value[x]	C	1..1	string	Value of extension esmd-npi-1: NPI should be 10 numeric
extension:providerTaxId	S	0..1	(Complex)	Provider ID URL: https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ProviderTaxId
value[x]	C	1..1	string	Value of extension esmd-providerTaxId-1: Provider Tax ID should be 6 to 9 characters length but optional element
extension:providerNumber	S	0..1	(Complex)	Provider ID URL: https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ProviderNumber
value[x]	C	1..1	string	Value of extension esmd-providerNumber-1: Provider Number should be 10 characters length but optional element
extension:actionRequested	S	1..1	(Complex)	esMD Action Requested Code URL: https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ActionRequestedCode
value[x]		0..1	code	Value of extension Binding: ESMD ActionRequested ValueSet (required): Action Requested Codes
extension:serviceCode	S	1..1	(Complex)	esMD Service Code URL: https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ServiceCode
value[x]		1..1	code	Value of extension Binding: ESMD Service Codes ValueSet (required)
extension:serviceStartDate	S	0..1	(Complex)	esMD Service Start Date URL: https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ServiceStartDate
value[x]	C	1..1	date	Value of extension esmd-servicedate-1: Service dates should be in YYYY-MM-DD format
extension:serviceEndDate	S	0..1	(Complex)	esMD Service End Date URL: https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ServiceEndDate
value[x]	C	1..1	date	Value of extension esmd-servicedate-1: Service dates should be in YYYY-MM-DD format
identifier	S	0..*	Identifier	An identifier for the person as this agent
active	S	0..1	boolean	Whether this practitioner's record is in active use
telecom	S	0..*	ContactPoint	A contact detail for the practitioner (that apply to all roles)
address	S	0..*	Address	Address(es) of the practitioner that are not role specific (typically home address)
gender	S	0..1	code	male | female | other | unknown
qualification		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Practitioner.extension:actionRequested.value[x]	required	EsmdVSActionRequested (a valid code from Service Registration Action Requested) https://terminology.esmduat.cms.gov:8099/fhir/ValueSet/Esmd-VS-ActionRequested from this IG
Practitioner.extension:serviceCode.value[x]	required	EsmdVSServiceCodes (a valid code from ESMD supporting Service Codes) https://terminology.esmduat.cms.gov:8099/fhir/ValueSet/Esmd-VS-ServiceCodes from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
esmd-npi-1	error	Practitioner.extension:npi.value[x]	NPI should be 10 numeric : value.exists() and value.matches('^[0-9]{10}$')
esmd-providerNumber-1	error	Practitioner.extension:providerNumber.value[x]	Provider Number should be 10 characters length but optional element : value.exists() implies (value.matches('^.{10}$'))
esmd-providerTaxId-1	error	Practitioner.extension:providerTaxId.value[x]	Provider Tax ID should be 6 to 9 characters length but optional element : value.exists() implies (value.matches('^.{6,9}$'))
esmd-servicedate-1	error	Practitioner.extension:serviceStartDate.value[x], Practitioner.extension:serviceEndDate.value[x]	Service dates should be in YYYY-MM-DD format : value.as(date).exists() implies (value.as(date) >= today())

Name	Flags	Card.	Type	Description & Constraints
Practitioner		0..*	Practitioner	A person with a formal responsibility in the provisioning of healthcare or related services
id	Σ	0..1	id	Logical id of this artifact
meta	SΣ	1..1	EsmdMeta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
Slices for profile	Σ	1..*	canonical(StructureDefinition)	Profiles this resource claims to conform to Slice: Unordered, Open by value:$this
profile:esmdpractitioner	Σ	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Fixed Value: https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Practitioner
security	SΣC	1..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. inv-esmd-meta-security-01: esMD supports only V security code
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		3..*	Extension	Extension Slice: Unordered, Open by value:url
extension:npi	S	1..1	(Complex)	Provider ID URL: https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-NPI
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-NPI"
value[x]	C	1..1	string	Value of extension esmd-npi-1: NPI should be 10 numeric
extension:providerTaxId	S	0..1	(Complex)	Provider ID URL: https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ProviderTaxId
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ProviderTaxId"
value[x]	C	1..1	string	Value of extension esmd-providerTaxId-1: Provider Tax ID should be 6 to 9 characters length but optional element
extension:providerNumber	S	0..1	(Complex)	Provider ID URL: https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ProviderNumber
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ProviderNumber"
value[x]	C	1..1	string	Value of extension esmd-providerNumber-1: Provider Number should be 10 characters length but optional element
extension:actionRequested	S	1..1	(Complex)	esMD Action Requested Code URL: https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ActionRequestedCode
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ActionRequestedCode"
value[x]		0..1	code	Value of extension Binding: ESMD ActionRequested ValueSet (required): Action Requested Codes
extension:serviceCode	S	1..1	(Complex)	esMD Service Code URL: https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ServiceCode
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ServiceCode"
value[x]		1..1	code	Value of extension Binding: ESMD Service Codes ValueSet (required)
extension:serviceStartDate	S	0..1	(Complex)	esMD Service Start Date URL: https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ServiceStartDate
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ServiceStartDate"
value[x]	C	1..1	date	Value of extension esmd-servicedate-1: Service dates should be in YYYY-MM-DD format
extension:serviceEndDate	S	0..1	(Complex)	esMD Service End Date URL: https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ServiceEndDate
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ServiceEndDate"
value[x]	C	1..1	date	Value of extension esmd-servicedate-1: Service dates should be in YYYY-MM-DD format
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	An identifier for the person as this agent
active	SΣ	0..1	boolean	Whether this practitioner's record is in active use
name	Σ	0..*	HumanName	The name(s) associated with the practitioner
telecom	SΣ	0..*	ContactPoint	A contact detail for the practitioner (that apply to all roles)
address	SΣ	0..*	Address	Address(es) of the practitioner that are not role specific (typically home address)
gender	SΣ	0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate	Σ	0..1	date	The date on which the practitioner was born
photo		0..*	Attachment	Image of the person
communication		0..*	CodeableConcept	A language the practitioner can use in patient communication Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Practitioner.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
Practitioner.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard
Practitioner.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Practitioner.extension:actionRequested.value[x]	required	EsmdVSActionRequested (a valid code from Service Registration Action Requested) https://terminology.esmduat.cms.gov:8099/fhir/ValueSet/Esmd-VS-ActionRequested from this IG
Practitioner.extension:serviceCode.value[x]	required	EsmdVSServiceCodes (a valid code from ESMD supporting Service Codes) https://terminology.esmduat.cms.gov:8099/fhir/ValueSet/Esmd-VS-ServiceCodes from this IG
Practitioner.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Practitioner.qualification.code	example	v2.0360.2.7 (a valid code from http://terminology.hl7.org/CodeSystem/v2-0360|2.7) http://terminology.hl7.org/ValueSet/v2-2.7-0360 from the FHIR Standard
Practitioner.communication	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Practitioner	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Practitioner	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource 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	error	Practitioner	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Practitioner	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Practitioner	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
esmd-npi-1	error	Practitioner.extension:npi.value[x]	NPI should be 10 numeric : value.exists() and value.matches('^[0-9]{10}$')
esmd-providerNumber-1	error	Practitioner.extension:providerNumber.value[x]	Provider Number should be 10 characters length but optional element : value.exists() implies (value.matches('^.{10}$'))
esmd-providerTaxId-1	error	Practitioner.extension:providerTaxId.value[x]	Provider Tax ID should be 6 to 9 characters length but optional element : value.exists() implies (value.matches('^.{6,9}$'))
esmd-servicedate-1	error	Practitioner.extension:serviceStartDate.value[x], Practitioner.extension:serviceEndDate.value[x]	Service dates should be in YYYY-MM-DD format : value.as(date).exists() implies (value.as(date) >= today())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
inv-esmd-meta-security-01	error	Practitioner.meta.security	esMD supports only V security code : code.exists() implies (code = 'V' or code = 'HTEST')

This structure is derived from Practitioner

Summary

Mandatory: 6 elements
Must-Support: 14 elements
Fixed: 1 element
Prohibited: 1 element

Structures

This structure refers to these other structures:

• esMD Meta (https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Meta)

Extensions

This structure refers to these extensions:

• https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-NPI
• https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ProviderTaxId
• https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ProviderNumber
• https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ActionRequestedCode
• https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ServiceCode
• https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ServiceStartDate
• https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ServiceEndDate

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Practitioner		0..*	Practitioner	A person with a formal responsibility in the provisioning of healthcare or related services dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
meta	SΣ	1..1	EsmdMeta	Metadata about the resource ele-1: All FHIR elements must have a @value or children
Slices for profile	Σ	1..*	canonical(StructureDefinition)	Profiles this resource claims to conform to Slice: Unordered, Open by value:$this ele-1: All FHIR elements must have a @value or children
profile:esmdpractitioner	Σ	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to ele-1: All FHIR elements must have a @value or children Fixed Value: https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Practitioner
security	SΣC	1..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. ele-1: All FHIR elements must have a @value or children inv-esmd-meta-security-01: esMD supports only V security code
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension		3..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:npi	S	1..1	(Complex)	Provider ID URL: https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-NPI ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-NPI"
value[x]	C	1..1	string	Value of extension ele-1: All FHIR elements must have a @value or children esmd-npi-1: NPI should be 10 numeric
extension:providerTaxId	S	0..1	(Complex)	Provider ID URL: https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ProviderTaxId ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ProviderTaxId"
value[x]	C	1..1	string	Value of extension ele-1: All FHIR elements must have a @value or children esmd-providerTaxId-1: Provider Tax ID should be 6 to 9 characters length but optional element
extension:providerNumber	S	0..1	(Complex)	Provider ID URL: https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ProviderNumber ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ProviderNumber"
value[x]	C	1..1	string	Value of extension ele-1: All FHIR elements must have a @value or children esmd-providerNumber-1: Provider Number should be 10 characters length but optional element
extension:actionRequested	S	1..1	(Complex)	esMD Action Requested Code URL: https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ActionRequestedCode ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ActionRequestedCode"
value[x]		0..1	code	Value of extension Binding: ESMD ActionRequested ValueSet (required): Action Requested Codes ele-1: All FHIR elements must have a @value or children
extension:serviceCode	S	1..1	(Complex)	esMD Service Code URL: https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ServiceCode ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ServiceCode"
value[x]		1..1	code	Value of extension Binding: ESMD Service Codes ValueSet (required) ele-1: All FHIR elements must have a @value or children
extension:serviceStartDate	S	0..1	(Complex)	esMD Service Start Date URL: https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ServiceStartDate ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ServiceStartDate"
value[x]	C	1..1	date	Value of extension ele-1: All FHIR elements must have a @value or children esmd-servicedate-1: Service dates should be in YYYY-MM-DD format
extension:serviceEndDate	S	0..1	(Complex)	esMD Service End Date URL: https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ServiceEndDate ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ServiceEndDate"
value[x]	C	1..1	date	Value of extension ele-1: All FHIR elements must have a @value or children esmd-servicedate-1: Service dates should be in YYYY-MM-DD format
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	SΣ	0..*	Identifier	An identifier for the person as this agent ele-1: All FHIR elements must have a @value or children
active	SΣ	0..1	boolean	Whether this practitioner's record is in active use ele-1: All FHIR elements must have a @value or children
telecom	SΣ	0..*	ContactPoint	A contact detail for the practitioner (that apply to all roles) ele-1: All FHIR elements must have a @value or children
address	SΣ	0..*	Address	Address(es) of the practitioner that are not role specific (typically home address) ele-1: All FHIR elements must have a @value or children
gender	SΣ	0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes. ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Practitioner.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
Practitioner.extension:actionRequested.value[x]	required	EsmdVSActionRequested (a valid code from Service Registration Action Requested) https://terminology.esmduat.cms.gov:8099/fhir/ValueSet/Esmd-VS-ActionRequested from this IG
Practitioner.extension:serviceCode.value[x]	required	EsmdVSServiceCodes (a valid code from ESMD supporting Service Codes) https://terminology.esmduat.cms.gov:8099/fhir/ValueSet/Esmd-VS-ServiceCodes from this IG
Practitioner.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Practitioner.qualification.code	example	v2.0360.2.7 (a valid code from http://terminology.hl7.org/CodeSystem/v2-0360|2.7) http://terminology.hl7.org/ValueSet/v2-2.7-0360 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Practitioner	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Practitioner	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource 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	error	Practitioner	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Practitioner	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Practitioner	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
esmd-npi-1	error	Practitioner.extension:npi.value[x]	NPI should be 10 numeric : value.exists() and value.matches('^[0-9]{10}$')
esmd-providerNumber-1	error	Practitioner.extension:providerNumber.value[x]	Provider Number should be 10 characters length but optional element : value.exists() implies (value.matches('^.{10}$'))
esmd-providerTaxId-1	error	Practitioner.extension:providerTaxId.value[x]	Provider Tax ID should be 6 to 9 characters length but optional element : value.exists() implies (value.matches('^.{6,9}$'))
esmd-servicedate-1	error	Practitioner.extension:serviceStartDate.value[x], Practitioner.extension:serviceEndDate.value[x]	Service dates should be in YYYY-MM-DD format : value.as(date).exists() implies (value.as(date) >= today())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
inv-esmd-meta-security-01	error	Practitioner.meta.security	esMD supports only V security code : code.exists() implies (code = 'V' or code = 'HTEST')

Differential View

This structure is derived from Practitioner

Name	Flags	Card.	Type	Description & Constraints
Practitioner			Practitioner
meta	S	1..1	EsmdMeta	Metadata about the resource
Slices for profile				Content/Rules for all slices
profile:esmdpractitioner		1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Fixed Value: https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Practitioner
security	S	1..*	Coding	Security Labels applied to this resource
Slices for extension		3..*	Extension	Extension Slice: Unordered, Open by value:url
extension:npi	S	1..1	(Complex)	Provider ID URL: https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-NPI
value[x]	C	1..1	string	Value of extension esmd-npi-1: NPI should be 10 numeric
extension:providerTaxId	S	0..1	(Complex)	Provider ID URL: https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ProviderTaxId
value[x]	C	1..1	string	Value of extension esmd-providerTaxId-1: Provider Tax ID should be 6 to 9 characters length but optional element
extension:providerNumber	S	0..1	(Complex)	Provider ID URL: https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ProviderNumber
value[x]	C	1..1	string	Value of extension esmd-providerNumber-1: Provider Number should be 10 characters length but optional element
extension:actionRequested	S	1..1	(Complex)	esMD Action Requested Code URL: https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ActionRequestedCode
value[x]		0..1	code	Value of extension Binding: ESMD ActionRequested ValueSet (required): Action Requested Codes
extension:serviceCode	S	1..1	(Complex)	esMD Service Code URL: https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ServiceCode
value[x]		1..1	code	Value of extension Binding: ESMD Service Codes ValueSet (required)
extension:serviceStartDate	S	0..1	(Complex)	esMD Service Start Date URL: https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ServiceStartDate
value[x]	C	1..1	date	Value of extension esmd-servicedate-1: Service dates should be in YYYY-MM-DD format
extension:serviceEndDate	S	0..1	(Complex)	esMD Service End Date URL: https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ServiceEndDate
value[x]	C	1..1	date	Value of extension esmd-servicedate-1: Service dates should be in YYYY-MM-DD format
identifier	S	0..*	Identifier	An identifier for the person as this agent
active	S	0..1	boolean	Whether this practitioner's record is in active use
telecom	S	0..*	ContactPoint	A contact detail for the practitioner (that apply to all roles)
address	S	0..*	Address	Address(es) of the practitioner that are not role specific (typically home address)
gender	S	0..1	code	male | female | other | unknown
qualification		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Practitioner.extension:actionRequested.value[x]	required	EsmdVSActionRequested (a valid code from Service Registration Action Requested) https://terminology.esmduat.cms.gov:8099/fhir/ValueSet/Esmd-VS-ActionRequested from this IG
Practitioner.extension:serviceCode.value[x]	required	EsmdVSServiceCodes (a valid code from ESMD supporting Service Codes) https://terminology.esmduat.cms.gov:8099/fhir/ValueSet/Esmd-VS-ServiceCodes from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
esmd-npi-1	error	Practitioner.extension:npi.value[x]	NPI should be 10 numeric : value.exists() and value.matches('^[0-9]{10}$')
esmd-providerNumber-1	error	Practitioner.extension:providerNumber.value[x]	Provider Number should be 10 characters length but optional element : value.exists() implies (value.matches('^.{10}$'))
esmd-providerTaxId-1	error	Practitioner.extension:providerTaxId.value[x]	Provider Tax ID should be 6 to 9 characters length but optional element : value.exists() implies (value.matches('^.{6,9}$'))
esmd-servicedate-1	error	Practitioner.extension:serviceStartDate.value[x], Practitioner.extension:serviceEndDate.value[x]	Service dates should be in YYYY-MM-DD format : value.as(date).exists() implies (value.as(date) >= today())

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Practitioner		0..*	Practitioner	A person with a formal responsibility in the provisioning of healthcare or related services
id	Σ	0..1	id	Logical id of this artifact
meta	SΣ	1..1	EsmdMeta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
Slices for profile	Σ	1..*	canonical(StructureDefinition)	Profiles this resource claims to conform to Slice: Unordered, Open by value:$this
profile:esmdpractitioner	Σ	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Fixed Value: https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Practitioner
security	SΣC	1..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. inv-esmd-meta-security-01: esMD supports only V security code
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		3..*	Extension	Extension Slice: Unordered, Open by value:url
extension:npi	S	1..1	(Complex)	Provider ID URL: https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-NPI
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-NPI"
value[x]	C	1..1	string	Value of extension esmd-npi-1: NPI should be 10 numeric
extension:providerTaxId	S	0..1	(Complex)	Provider ID URL: https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ProviderTaxId
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ProviderTaxId"
value[x]	C	1..1	string	Value of extension esmd-providerTaxId-1: Provider Tax ID should be 6 to 9 characters length but optional element
extension:providerNumber	S	0..1	(Complex)	Provider ID URL: https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ProviderNumber
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ProviderNumber"
value[x]	C	1..1	string	Value of extension esmd-providerNumber-1: Provider Number should be 10 characters length but optional element
extension:actionRequested	S	1..1	(Complex)	esMD Action Requested Code URL: https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ActionRequestedCode
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ActionRequestedCode"
value[x]		0..1	code	Value of extension Binding: ESMD ActionRequested ValueSet (required): Action Requested Codes
extension:serviceCode	S	1..1	(Complex)	esMD Service Code URL: https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ServiceCode
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ServiceCode"
value[x]		1..1	code	Value of extension Binding: ESMD Service Codes ValueSet (required)
extension:serviceStartDate	S	0..1	(Complex)	esMD Service Start Date URL: https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ServiceStartDate
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ServiceStartDate"
value[x]	C	1..1	date	Value of extension esmd-servicedate-1: Service dates should be in YYYY-MM-DD format
extension:serviceEndDate	S	0..1	(Complex)	esMD Service End Date URL: https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ServiceEndDate
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ServiceEndDate"
value[x]	C	1..1	date	Value of extension esmd-servicedate-1: Service dates should be in YYYY-MM-DD format
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	An identifier for the person as this agent
active	SΣ	0..1	boolean	Whether this practitioner's record is in active use
name	Σ	0..*	HumanName	The name(s) associated with the practitioner
telecom	SΣ	0..*	ContactPoint	A contact detail for the practitioner (that apply to all roles)
address	SΣ	0..*	Address	Address(es) of the practitioner that are not role specific (typically home address)
gender	SΣ	0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate	Σ	0..1	date	The date on which the practitioner was born
photo		0..*	Attachment	Image of the person
communication		0..*	CodeableConcept	A language the practitioner can use in patient communication Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Practitioner.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
Practitioner.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard
Practitioner.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Practitioner.extension:actionRequested.value[x]	required	EsmdVSActionRequested (a valid code from Service Registration Action Requested) https://terminology.esmduat.cms.gov:8099/fhir/ValueSet/Esmd-VS-ActionRequested from this IG
Practitioner.extension:serviceCode.value[x]	required	EsmdVSServiceCodes (a valid code from ESMD supporting Service Codes) https://terminology.esmduat.cms.gov:8099/fhir/ValueSet/Esmd-VS-ServiceCodes from this IG
Practitioner.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Practitioner.qualification.code	example	v2.0360.2.7 (a valid code from http://terminology.hl7.org/CodeSystem/v2-0360|2.7) http://terminology.hl7.org/ValueSet/v2-2.7-0360 from the FHIR Standard
Practitioner.communication	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Practitioner	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Practitioner	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource 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	error	Practitioner	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Practitioner	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Practitioner	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
esmd-npi-1	error	Practitioner.extension:npi.value[x]	NPI should be 10 numeric : value.exists() and value.matches('^[0-9]{10}$')
esmd-providerNumber-1	error	Practitioner.extension:providerNumber.value[x]	Provider Number should be 10 characters length but optional element : value.exists() implies (value.matches('^.{10}$'))
esmd-providerTaxId-1	error	Practitioner.extension:providerTaxId.value[x]	Provider Tax ID should be 6 to 9 characters length but optional element : value.exists() implies (value.matches('^.{6,9}$'))
esmd-servicedate-1	error	Practitioner.extension:serviceStartDate.value[x], Practitioner.extension:serviceEndDate.value[x]	Service dates should be in YYYY-MM-DD format : value.as(date).exists() implies (value.as(date) >= today())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
inv-esmd-meta-security-01	error	Practitioner.meta.security	esMD supports only V security code : code.exists() implies (code = 'V' or code = 'HTEST')

This structure is derived from Practitioner

Summary

Mandatory: 6 elements
Must-Support: 14 elements
Fixed: 1 element
Prohibited: 1 element

Structures

This structure refers to these other structures:

• esMD Meta (https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Meta)

Extensions

This structure refers to these extensions:

• https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-NPI
• https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ProviderTaxId
• https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ProviderNumber
• https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ActionRequestedCode
• https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ServiceCode
• https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ServiceStartDate
• https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ServiceEndDate

Other representations of profile: CSV, Excel, Schematron