HL7® Serious Med FHIR® Core Implementation Guide
1.0.0 - ci-build

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

Resource Profile: SmPractitionerRole - Detailed Descriptions

Draft as of 2024-11-11

Definitions for the sm-practitioner-role resource profile.

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

0. PractitionerRole
Definition

健康医护服务提供者可能在一个机构内,一段时间内可能承担的一系列职务角色(Roles)/工作地点(Locations)/专业领域(specialties)/所提供的服务(services)。

Short健康医护服务提供者所关联的角色/机构
2. PractitionerRole.id
Short不重复的ID用以识别储存在特定FHIR Server中的PractitionerRole纪录,通常又称为逻辑性ID。
Comments

一个resource使用新增操作(create operation)提交给服务器时,此resource没有id,它的id在resource被创建后由服务器分配/指定。

4. PractitionerRole.extension
Short扩展字段
6. PractitionerRole.modifierExtension
Short此扩展字段可能会完全修正或改变其他资料项目的涵意,需特别留意。
8. PractitionerRole.identifier
Definition

与角色(role)/地点(location)相关的特定业务识别码

Short与角色(role)/地点(location)相关的特定业务识别码
NoteThis is a business identifier, not a resource identifier (see discussion)
Must Supporttrue
Requirements

通常会为代理人指派特定的身份识别

10. PractitionerRole.active
Definition

此健康医护服务提供者角色纪录是否有效

Short此健康医护服务提供者角色纪录是否有效
Comments

如果此值为 false,则可以参考period资料项目来了解角色的有效时间。如果没有指定eriod,则无法推断角色的有效时间。

Must Supporttrue
Requirements

需要能够将健康医护服务提供者角色纪录标记为无效,因为该记录是错误创建的,或已不再有效。

12. PractitionerRole.period
Definition

健康医护服务提供者被授权在这些角色中为机构执行工作的时间范围

Short健康医护服务提供者在这些角色里被授权执行工作的时间范围
Requirements

即使授权被撤销,仍需记录该授权曾经存在的事实。

14. PractitionerRole.practitioner
Definition

能够为机构提供所定义服务的健康医护服务提供者

Short能够为机构提供所定义服务的健康医护服务提供者
TypeReference(SmPractitioner)
Must Supporttrue
16. PractitionerRole.organization
Definition

此健康医护服务提供者履行相关角色职责的机构

Short提供这此健康医护服务提供者角色的机构
TypeReference(SmOrganization)
Must Supporttrue
18. PractitionerRole.specialty
Short健康医护服务提供者的特定专业
Must Supporttrue
20. PractitionerRole.location
Short此健康医护服务提供者提供医护的地点
TypeReference(SmLocation)
Must Supporttrue
22. PractitionerRole.healthcareService
Short此工作者为此角色的机构(Organizatoin)/地点(Location)提供的健康医护服务清单
24. PractitionerRole.telecom
Short与角色(role)/地点(location)/服务(service)相关的联络细节
Must Supporttrue
26. PractitionerRole.telecom.system
Definition

联络方式的通讯形式-需要什么通讯系统进行联络

Control1..?
BindingThe codes SHALL be taken from ContactPointSystem
(required to http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1)
Must Supporttrue
28. PractitionerRole.telecom.value
Short实际的联络方式之细节
Control1..?
Must Supporttrue
30. PractitionerRole.telecom.use
Shorthome | work | temp | old | mobile-此联络方式的用途
BindingThe codes SHALL be taken from ContactPointUse
(required to http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1)
Must Supporttrue
32. PractitionerRole.telecom.rank
Short具体说明偏好的使用顺序(1=最高优先顺序)
34. PractitionerRole.telecom.period
Short此联络方式的使用效期
Must Supporttrue
36. PractitionerRole.availableTime
Short服务地点可用的时间
38. PractitionerRole.availableTime.daysOfWeek
Definition

此服务地点,在规定的开始和结束时间内,一周中哪些天是开放的。

BindingThe codes SHALL be taken from DaysOfWeek
(required to http://hl7.org/fhir/ValueSet/days-of-week|4.0.1)
40. PractitionerRole.availableTime.allDay
Definition

此服务地点是否始终开放?(因此时间并不重要),例如 24 小时服务。

Short随时可用? 例如:24 小时服务。
42. PractitionerRole.availableTime.availableStartTime
Short每天的开放时间(如果 allDay = true,则忽略。)
44. PractitionerRole.availableTime.availableEndTime
Short每天的关闭时间(如果 allDay = true,则忽略。)
46. PractitionerRole.notAvailable
Short由于提供的原因,在此期间无法使用。
48. PractitionerRole.notAvailable.description
Short向使用者说明为什么此期间无法使用的原因
50. PractitionerRole.notAvailable.during
Short从这个日期起,服务将不再提供。
52. PractitionerRole.availabilityExceptions
Short描述在特定情况下服务不可用的特例
54. PractitionerRole.endpoint
Short提供用于此健康医护服务提供者角色运营服务的技术端点

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

0. PractitionerRole
Definition

健康医护服务提供者可能在一个机构内,一段时间内可能承担的一系列职务角色(Roles)/工作地点(Locations)/专业领域(specialties)/所提供的服务(services)。


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

Short健康医护服务提供者所关联的角色/机构Roles/organizations the practitioner is associated with
Control0..*
Is Modifierfalse
Summaryfalse
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. PractitionerRole.id
Definition

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

Short不重复的ID用以识别储存在特定FHIR Server中的PractitionerRole纪录,通常又称为逻辑性ID。Logical id of this artifact
Comments

一个resource使用新增操作(create operation)提交给服务器时,此resource没有id,它的id在resource被创建后由服务器分配/指定。


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

Control0..1
Typeidstring
Is Modifierfalse
Summarytrue
4. PractitionerRole.implicitRules
Definition

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

ShortA set of rules under which this content was created
Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

Control0..1
Typeuri
Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
6. PractitionerRole.extension
Definition

An Extension


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

Short扩展字段Additional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
8. PractitionerRole.modifierExtension
Definition

An Extension


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

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

Short此扩展字段可能会完全修正或改变其他资料项目的涵意,需特别留意。Extensions that cannot be ignored
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Summaryfalse
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
10. PractitionerRole.identifier
Definition

与角色(role)/地点(location)相关的特定业务识别码


Business Identifiers that are specific to a role/location.

Short与角色(role)/地点(location)相关的特定业务识别码Business Identifiers that are specific to a role/location
NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..*
TypeIdentifier
Is Modifierfalse
Must Supporttrue
Summarytrue
Requirements

通常会为代理人指派特定的身份识别


Often, specific identities are assigned for the agent.

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

此健康医护服务提供者角色纪录是否有效


Whether this practitioner role record is in active use.

Short此健康医护服务提供者角色纪录是否有效Whether this practitioner role record is in active use
Comments

如果此值为 false,则可以参考period资料项目来了解角色的有效时间。如果没有指定eriod,则无法推断角色的有效时间。


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

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

需要能够将健康医护服务提供者角色纪录标记为无效,因为该记录是错误创建的,或已不再有效。


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

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

健康医护服务提供者被授权在这些角色中为机构执行工作的时间范围


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

Short健康医护服务提供者在这些角色里被授权执行工作的时间范围The period during which the practitioner is authorized to perform in these role(s)
Control0..1
TypePeriod
Is Modifierfalse
Summarytrue
Requirements

即使授权被撤销,仍需记录该授权曾经存在的事实。


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

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

能够为机构提供所定义服务的健康医护服务提供者


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

Short能够为机构提供所定义服务的健康医护服务提供者Practitioner that is able to provide the defined services for the organization
Control0..1
TypeReference(SmPractitioner, Practitioner)
Is Modifierfalse
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
18. PractitionerRole.organization
Definition

此健康医护服务提供者履行相关角色职责的机构


The organization where the Practitioner performs the roles associated.

Short提供这此健康医护服务提供者角色的机构Organization where the roles are available
Control0..1
TypeReference(SmOrganization, Organization)
Is Modifierfalse
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. PractitionerRole.specialty
Definition

Specific specialty of the practitioner.

Short健康医护服务提供者的特定专业Specific specialty of the practitioner
Control0..*
BindingThe codes SHOULD be taken from PracticeSettingCodeValueSethttp://hl7.org/fhir/ValueSet/c80-practice-codes
(preferred to http://hl7.org/fhir/ValueSet/c80-practice-codes)

Specific specialty associated with the agency.

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

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

Short此健康医护服务提供者提供医护的地点The location(s) at which this practitioner provides care
Control0..*
TypeReference(SmLocation, Location)
Is Modifierfalse
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
24. PractitionerRole.healthcareService
Definition

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

Short此工作者为此角色的机构(Organizatoin)/地点(Location)提供的健康医护服务清单The list of healthcare services that this worker provides for this role's Organization/Location(s)
Control0..*
TypeReference(HealthcareService)
Is Modifierfalse
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
26. PractitionerRole.telecom
Definition

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

Short与角色(role)/地点(location)/服务(service)相关的联络细节Contact details that are specific to the role/location/service
Control0..*
TypeContactPoint
Is Modifierfalse
Must Supporttrue
Summarytrue
Requirements

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

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

联络方式的通讯形式-需要什么通讯系统进行联络


Telecommunications form for contact point - what communications system is required to make use of the contact.

Shortphone | fax | email | pager | url | sms | other
Control10..1
This element is affected by the following invariants: cpt-2
BindingThe codes SHALL be taken from ContactPointSystemhttp://hl7.org/fhir/ValueSet/contact-point-system|4.0.1
(required to http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1)
Typecode
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
30. PractitionerRole.telecom.value
Definition

The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address).

Short实际的联络方式之细节The actual contact point details
Comments

Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.

Control10..1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Requirements

Need to support legacy numbers that are not in a tightly controlled format.

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

Identifies the purpose for the contact point.

Shorthome | work | temp | old | mobile-此联络方式的用途home | work | temp | old | mobile - purpose of this contact point
Comments

Applications can assume that a contact is current unless it explicitly says that it is temporary or old.

Control0..1
BindingThe codes SHALL be taken from ContactPointUsehttp://hl7.org/fhir/ValueSet/contact-point-use|4.0.1
(required to http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1)
Typecode
Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old contact etc.for a current/permanent one
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Requirements

Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.

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

Short具体说明偏好的使用顺序(1=最高优先顺序)Specify preferred order of use (1 = highest)
Comments

Note that rank does not necessarily follow the order in which the contacts are represented in the instance.

Control0..1
TypepositiveInt
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
36. PractitionerRole.telecom.period
Definition

Time period when the contact point was/is in use.

Short此联络方式的使用效期Time period when the contact point was/is in use
Control0..1
TypePeriod
Is Modifierfalse
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
38. PractitionerRole.availableTime
Definition

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

Short服务地点可用的时间Times the Service Site is available
Comments

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

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

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

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

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
42. PractitionerRole.availableTime.daysOfWeek
Definition

此服务地点,在规定的开始和结束时间内,一周中哪些天是开放的。


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

Shortmon | tue | wed | thu | fri | sat | sun
Control0..*
BindingThe codes SHALL be taken from DaysOfWeekhttp://hl7.org/fhir/ValueSet/days-of-week|4.0.1
(required to http://hl7.org/fhir/ValueSet/days-of-week|4.0.1)
Typecode
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
44. PractitionerRole.availableTime.allDay
Definition

此服务地点是否始终开放?(因此时间并不重要),例如 24 小时服务。


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

Short随时可用? 例如:24 小时服务。Always available? e.g. 24 hour service
Control0..1
Typeboolean
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
46. PractitionerRole.availableTime.availableStartTime
Definition

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

Short每天的开放时间(如果 allDay = true,则忽略。)Opening time of day (ignored if allDay = true)
Comments

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

Control0..1
Typetime
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
48. PractitionerRole.availableTime.availableEndTime
Definition

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

Short每天的关闭时间(如果 allDay = true,则忽略。)Closing time of day (ignored if allDay = true)
Comments

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

Control0..1
Typetime
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
50. PractitionerRole.notAvailable
Definition

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

Short由于提供的原因,在此期间无法使用。Not available during this time due to provided reason
Control0..*
TypeBackboneElement
Is Modifierfalse
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
52. PractitionerRole.notAvailable.modifierExtension
Definition

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

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

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
54. PractitionerRole.notAvailable.description
Definition

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

Short向使用者说明为什么此期间无法使用的原因Reason presented to the user explaining why time not available
Control1..1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
56. PractitionerRole.notAvailable.during
Definition

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

Short从这个日期起,服务将不再提供。Service not available from this date
Control0..1
TypePeriod
Is Modifierfalse
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
58. PractitionerRole.availabilityExceptions
Definition

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

Short描述在特定情况下服务不可用的特例Description of availability exceptions
Control0..1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
60. PractitionerRole.endpoint
Definition

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

Short提供用于此健康医护服务提供者角色运营服务的技术端点Technical endpoints providing access to services operated for the practitioner with this role
Control0..*
TypeReference(Endpoint)
Is Modifierfalse
Summaryfalse
Requirements

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

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

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

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

0. PractitionerRole
Definition

健康医护服务提供者可能在一个机构内,一段时间内可能承担的一系列职务角色(Roles)/工作地点(Locations)/专业领域(specialties)/所提供的服务(services)。

Short健康医护服务提供者所关联的角色/机构
Control0..*
Is Modifierfalse
Summaryfalse
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. PractitionerRole.id
Definition

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

Short不重复的ID用以识别储存在特定FHIR Server中的PractitionerRole纪录,通常又称为逻辑性ID。
Comments

一个resource使用新增操作(create operation)提交给服务器时,此resource没有id,它的id在resource被创建后由服务器分配/指定。

Control0..1
Typeid
Is Modifierfalse
Summarytrue
4. PractitionerRole.meta
Definition

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

ShortMetadata about the resource
Control0..1
TypeMeta
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
6. PractitionerRole.implicitRules
Definition

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

ShortA set of rules under which this content was created
Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

Control0..1
Typeuri
Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. PractitionerRole.language
Definition

The base language in which the resource is written.

ShortLanguage of the resource content
Comments

Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

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

A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
Typecode
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
10. PractitionerRole.text
Definition

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

ShortText summary of the resource, for human interpretation
Comments

Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

Control0..1
TypeNarrative
Is Modifierfalse
Summaryfalse
Alternate Namesnarrative, html, xhtml, display
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. PractitionerRole.contained
Definition

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

ShortContained, inline Resources
Comments

This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

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

An Extension

Short扩展字段
Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
16. PractitionerRole.modifierExtension
Definition

An Extension

Short此扩展字段可能会完全修正或改变其他资料项目的涵意,需特别留意。
Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
18. PractitionerRole.identifier
Definition

与角色(role)/地点(location)相关的特定业务识别码

Short与角色(role)/地点(location)相关的特定业务识别码
NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..*
TypeIdentifier
Is Modifierfalse
Must Supporttrue
Summarytrue
Requirements

通常会为代理人指派特定的身份识别

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

此健康医护服务提供者角色纪录是否有效

Short此健康医护服务提供者角色纪录是否有效
Comments

如果此值为 false,则可以参考period资料项目来了解角色的有效时间。如果没有指定eriod,则无法推断角色的有效时间。

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

需要能够将健康医护服务提供者角色纪录标记为无效,因为该记录是错误创建的,或已不再有效。

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

健康医护服务提供者被授权在这些角色中为机构执行工作的时间范围

Short健康医护服务提供者在这些角色里被授权执行工作的时间范围
Control0..1
TypePeriod
Is Modifierfalse
Summarytrue
Requirements

即使授权被撤销,仍需记录该授权曾经存在的事实。

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

能够为机构提供所定义服务的健康医护服务提供者

Short能够为机构提供所定义服务的健康医护服务提供者
Control0..1
TypeReference(SmPractitioner)
Is Modifierfalse
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
26. PractitionerRole.organization
Definition

此健康医护服务提供者履行相关角色职责的机构

Short提供这此健康医护服务提供者角色的机构
Control0..1
TypeReference(SmOrganization)
Is Modifierfalse
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
28. PractitionerRole.code
Definition

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

ShortRoles which this practitioner may perform
Comments

A person may have more than one role.

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

The role a person plays representing an organization.

TypeCodeableConcept
Is Modifierfalse
Summarytrue
Requirements

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

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

Specific specialty of the practitioner.

Short健康医护服务提供者的特定专业
Control0..*
BindingThe codes SHOULD be taken from PracticeSettingCodeValueSet
(preferred to http://hl7.org/fhir/ValueSet/c80-practice-codes)

Specific specialty associated with the agency.

TypeCodeableConcept
Is Modifierfalse
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
32. PractitionerRole.location
Definition

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

Short此健康医护服务提供者提供医护的地点
Control0..*
TypeReference(SmLocation)
Is Modifierfalse
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
34. PractitionerRole.healthcareService
Definition

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

Short此工作者为此角色的机构(Organizatoin)/地点(Location)提供的健康医护服务清单
Control0..*
TypeReference(HealthcareService)
Is Modifierfalse
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
36. PractitionerRole.telecom
Definition

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

Short与角色(role)/地点(location)/服务(service)相关的联络细节
Control0..*
TypeContactPoint
Is Modifierfalse
Must Supporttrue
Summarytrue
Requirements

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

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

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

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

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

ShortAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

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

    联络方式的通讯形式-需要什么通讯系统进行联络

    Shortphone | fax | email | pager | url | sms | other
    Control1..1
    This element is affected by the following invariants: cpt-2
    BindingThe codes SHALL be taken from ContactPointSystem
    (required to http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1)
    Typecode
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    44. PractitionerRole.telecom.value
    Definition

    The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address).

    Short实际的联络方式之细节
    Comments

    Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.

    Control1..1
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summarytrue
    Requirements

    Need to support legacy numbers that are not in a tightly controlled format.

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

    Identifies the purpose for the contact point.

    Shorthome | work | temp | old | mobile-此联络方式的用途
    Comments

    Applications can assume that a contact is current unless it explicitly says that it is temporary or old.

    Control0..1
    BindingThe codes SHALL be taken from ContactPointUse
    (required to http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1)
    Typecode
    Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old contact etc.for a current/permanent one
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summarytrue
    Requirements

    Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.

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

    Short具体说明偏好的使用顺序(1=最高优先顺序)
    Comments

    Note that rank does not necessarily follow the order in which the contacts are represented in the instance.

    Control0..1
    TypepositiveInt
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    50. PractitionerRole.telecom.period
    Definition

    Time period when the contact point was/is in use.

    Short此联络方式的使用效期
    Control0..1
    TypePeriod
    Is Modifierfalse
    Must Supporttrue
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    52. PractitionerRole.availableTime
    Definition

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

    Short服务地点可用的时间
    Comments

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

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

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

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

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

    ShortAdditional content defined by implementations
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    58. PractitionerRole.availableTime.modifierExtension
    Definition

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

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

    ShortExtensions that cannot be ignored even if unrecognized
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
    Summarytrue
    Requirements

    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

    Alternate Namesextensions, user content, modifiers
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    60. PractitionerRole.availableTime.daysOfWeek
    Definition

    此服务地点,在规定的开始和结束时间内,一周中哪些天是开放的。

    Shortmon | tue | wed | thu | fri | sat | sun
    Control0..*
    BindingThe codes SHALL be taken from DaysOfWeek
    (required to http://hl7.org/fhir/ValueSet/days-of-week|4.0.1)
    Typecode
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    62. PractitionerRole.availableTime.allDay
    Definition

    此服务地点是否始终开放?(因此时间并不重要),例如 24 小时服务。

    Short随时可用? 例如:24 小时服务。
    Control0..1
    Typeboolean
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    64. PractitionerRole.availableTime.availableStartTime
    Definition

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

    Short每天的开放时间(如果 allDay = true,则忽略。)
    Comments

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

    Control0..1
    Typetime
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    66. PractitionerRole.availableTime.availableEndTime
    Definition

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

    Short每天的关闭时间(如果 allDay = true,则忽略。)
    Comments

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

    Control0..1
    Typetime
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    68. PractitionerRole.notAvailable
    Definition

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

    Short由于提供的原因,在此期间无法使用。
    Control0..*
    TypeBackboneElement
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    70. PractitionerRole.notAvailable.id
    Definition

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

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

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

    ShortAdditional content defined by implementations
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    74. PractitionerRole.notAvailable.modifierExtension
    Definition

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

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

    ShortExtensions that cannot be ignored even if unrecognized
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
    Summarytrue
    Requirements

    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

    Alternate Namesextensions, user content, modifiers
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    76. PractitionerRole.notAvailable.description
    Definition

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

    Short向使用者说明为什么此期间无法使用的原因
    Control1..1
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    78. PractitionerRole.notAvailable.during
    Definition

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

    Short从这个日期起,服务将不再提供。
    Control0..1
    TypePeriod
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    80. PractitionerRole.availabilityExceptions
    Definition

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

    Short描述在特定情况下服务不可用的特例
    Control0..1
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    82. PractitionerRole.endpoint
    Definition

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

    Short提供用于此健康医护服务提供者角色运营服务的技术端点
    Control0..*
    TypeReference(Endpoint)
    Is Modifierfalse
    Summaryfalse
    Requirements

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

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

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