Implementation Guide
TIFlow - Grenzüberschreitender Datenaustausch
Version 2.0.0-ballot.2 - ballot

## Resource Profile: PractitionerRole Information Received from the EU

Official URL: https://gematik.de/fhir/tiflow-xborder/StructureDefinition/GEM-ERPEU-PR-PractitionerRole | Version: 2.0.0-ballot.2
Draft as of 2026-06-30 | Computable Name: GEM_ERPEU_PR_PractitionerRole

This PractitionerRole Profile is sent by the NCPeH when redeeming a Prescription in the EU

Usages:

- Use this Profile: GEM ERP PR EU CloseOperation Input
- Refer to this Profile: Dispensation of the Prescription from the EU
- Examples for this Profile: PractitionerRole/Example-EU-PractitionerRole

You can also check for usages in the FHIR IG Statistics

### 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 Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
PractitionerRole |  | 0..* | TIPractitionerRole | Roles/organizations the practitioner is associated with Constraints: dom-2, dom-3, dom-4, dom-5, dom-6
id | S Σ | 0..1 | id | Logical id of this artifact
meta | S Σ | 0..1 | Meta | Metadata about the resource
versionId | S Σ | 0..1 | id | Version specific identifier
lastUpdated | S Σ | 0..1 | instant | When the resource version last changed
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url
practitioner | S Σ C | 1..1 | Reference(Practitioner Information Received from the EU) | Practitioner that is able to provide the defined services for the organization Constraints: ref-1
reference | S Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
identifier | S Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system | S Σ | 0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value | S Σ | 0..1 | string | The value that is unique Example General: 123456
display | S Σ | 0..1 | string | Text alternative for the resource
organization | S Σ C | 1..1 | Reference(Organization Information Received from the EU) | Organization where the roles are available Constraints: ref-1
reference | S Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
identifier | S Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system | S Σ | 0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value | S Σ | 0..1 | string | The value that is unique Example General: 123456
display | S Σ | 0..1 | string | Text alternative for the resource
telecom | S Σ C | 0..* | ContactPoint | Contact details that are specific to the role/location/service Constraints: cpt-2
system | S Σ C | 0..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value | S Σ | 0..1 | string | The actual contact point details
use | ?!S Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
PractitionerRole.practitioner.​identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
PractitionerRole.organization.​identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
PractitionerRole.telecom.​system | Base | required | ContactPointSystem | 📍4.0.1 | FHIR Std.
PractitionerRole.telecom.​use | Base | required | ContactPointUse | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
cpt-2 | error | PractitionerRole.telecom | A system is required if a value is provided. | `value.empty() or system.exists()`
dom-2 | error | PractitionerRole | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | PractitionerRole | 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 | PractitionerRole | 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 | PractitionerRole | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | PractitionerRole | 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())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
ref-1 | error | PractitionerRole.practitioner, PractitionerRole.organization | SHALL have a contained resource if a local reference is provided | `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))`

This structure is derived from TIPractitionerRole

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
PractitionerRole |  |  | TIPractitionerRole |
practitioner |  | 1..1 | Reference(Practitioner Information Received from the EU) | Practitioner that is able to provide the defined services for the organization
organization |  | 1..1 | Reference(Organization Information Received from the EU) | Organization where the roles are available
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
PractitionerRole |  | 0..* | TIPractitionerRole | Roles/organizations the practitioner is associated with Constraints: dom-2, dom-3, dom-4, dom-5, dom-6
id | S Σ | 0..1 | id | Logical id of this artifact
meta | S Σ | 0..1 | Meta | 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 | S Σ | 0..1 | id | Version specific identifier
lastUpdated | S Σ | 0..1 | instant | When the resource version last changed
source | Σ | 0..1 | uri | Identifies where the resource comes from
profile | Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to
security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url
identifier | Σ | 0..* | Identifier | Business Identifiers that are specific to a role/location
active | Σ | 0..1 | boolean | Whether this practitioner role record is in active use
period | Σ C | 0..1 | Period | The period during which the practitioner is authorized to perform in these role(s) Constraints: per-1
practitioner | S Σ C | 1..1 | Reference(Practitioner Information Received from the EU) | Practitioner that is able to provide the defined services for the organization Constraints: ref-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | S Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | S Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system | S Σ | 0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value | S Σ | 0..1 | string | The value that is unique Example General: 123456
period | Σ C | 0..1 | Period | Time period when id is/was valid for use Constraints: per-1
assigner | Σ C | 0..1 | Reference(Organization) | Organization that issued id (may be just text) Constraints: ref-1
display | S Σ | 0..1 | string | Text alternative for the resource
organization | S Σ C | 1..1 | Reference(Organization Information Received from the EU) | Organization where the roles are available Constraints: ref-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | S Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | S Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system | S Σ | 0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value | S Σ | 0..1 | string | The value that is unique Example General: 123456
period | Σ C | 0..1 | Period | Time period when id is/was valid for use Constraints: per-1
assigner | Σ C | 0..1 | Reference(Organization) | Organization that issued id (may be just text) Constraints: ref-1
display | S Σ | 0..1 | string | Text alternative for the resource
code | Σ | 0..* | CodeableConcept | Roles which this practitioner may perform Binding: PractitionerRole (example): The role a person plays representing an organization.
specialty | Σ | 0..* | CodeableConcept | Specific specialty of the practitioner Binding: PracticeSettingCodeValueSet (preferred): Specific specialty associated with the agency.
location | Σ C | 0..* | Reference(Location) | The location(s) at which this practitioner provides care Constraints: ref-1
healthcareService | C | 0..* | Reference(HealthcareService) | The list of healthcare services that this worker provides for this role's Organization/Location(s) Constraints: ref-1
telecom | S Σ C | 0..* | ContactPoint | Contact details that are specific to the role/location/service Constraints: cpt-2
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | S Σ C | 0..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value | S Σ | 0..1 | string | The actual contact point details
use | ?!S Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
rank | Σ | 0..1 | positiveInt | Specify preferred order of use (1 = highest)
period | Σ C | 0..1 | Period | Time period when the contact point was/is in use Constraints: per-1
availableTime |  | 0..* | BackboneElement | Times the Service Site is available
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
daysOfWeek |  | 0..* | code | mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required): The days of the week.
allDay |  | 0..1 | boolean | Always available? e.g. 24 hour service
availableStartTime |  | 0..1 | time | Opening time of day (ignored if allDay = true)
availableEndTime |  | 0..1 | time | Closing time of day (ignored if allDay = true)
notAvailable |  | 0..* | BackboneElement | Not available during this time due to provided reason
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
description |  | 1..1 | string | Reason presented to the user explaining why time not available
during | C | 0..1 | Period | Service not available from this date Constraints: per-1
availabilityExceptions |  | 0..1 | string | Description of availability exceptions
endpoint | C | 0..* | Reference(Endpoint) | Technical endpoints providing access to services operated for the practitioner with this role Constraints: ref-1
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
PractitionerRole.meta.​security | Base | extensible | SecurityLabels | 📦4.0.1 | FHIR Std.
PractitionerRole.meta.​tag | Base | example | Common Tags | 📦4.0.1 | FHIR Std.
PractitionerRole.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std.
PractitionerRole.practitioner.​type | Base | extensible | ResourceType | 📦4.0.1 | FHIR Std.
PractitionerRole.practitioner.​identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
PractitionerRole.practitioner.​identifier.type | Base | extensible | IdentifierType | 📦4.0.1 | FHIR Std.
PractitionerRole.organization.​type | Base | extensible | ResourceType | 📦4.0.1 | FHIR Std.
PractitionerRole.organization.​identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
PractitionerRole.organization.​identifier.type | Base | extensible | IdentifierType | 📦4.0.1 | FHIR Std.
PractitionerRole.code | Base | example | Practitioner role | 📦4.0.1 | FHIR Std.
PractitionerRole.specialty | Base | preferred | Practice Setting Code Value Set | 📦4.0.1 | FHIR Std.
PractitionerRole.telecom.​system | Base | required | ContactPointSystem | 📍4.0.1 | FHIR Std.
PractitionerRole.telecom.​use | Base | required | ContactPointUse | 📍4.0.1 | FHIR Std.
PractitionerRole.availableTime.​daysOfWeek | Base | required | DaysOfWeek | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
cpt-2 | error | PractitionerRole.telecom | A system is required if a value is provided. | `value.empty() or system.exists()`
dom-2 | error | PractitionerRole | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | PractitionerRole | 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 | PractitionerRole | 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 | PractitionerRole | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | PractitionerRole | 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())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
per-1 | error | PractitionerRole.period, PractitionerRole.practitioner.identifier.period, PractitionerRole.organization.identifier.period, PractitionerRole.telecom.period, PractitionerRole.notAvailable.during | If present, start SHALL have a lower value than end | `start.hasValue().not() or end.hasValue().not() or (start <= end)`
ref-1 | error | PractitionerRole.practitioner, PractitionerRole.practitioner.identifier.assigner, PractitionerRole.organization, PractitionerRole.organization.identifier.assigner, PractitionerRole.location, PractitionerRole.healthcareService, PractitionerRole.endpoint | SHALL have a contained resource if a local reference is provided | `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))`

This structure is derived from TIPractitionerRole

Summary

Mandatory: 2 elements

Structures

This structure refers to these other structures:

- Practitioner Information Received from the EU (https://gematik.de/fhir/tiflow-xborder/StructureDefinition/GEM-ERPEU-PR-Practitioner)
- Organization Information Received from the EU (https://gematik.de/fhir/tiflow-xborder/StructureDefinition/GEM-ERPEU-PR-Organization)

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
PractitionerRole |  | 0..* | TIPractitionerRole | Roles/organizations the practitioner is associated with Constraints: dom-2, dom-3, dom-4, dom-5, dom-6
id | S Σ | 0..1 | id | Logical id of this artifact
meta | S Σ | 0..1 | Meta | Metadata about the resource
versionId | S Σ | 0..1 | id | Version specific identifier
lastUpdated | S Σ | 0..1 | instant | When the resource version last changed
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url
practitioner | S Σ C | 1..1 | Reference(Practitioner Information Received from the EU) | Practitioner that is able to provide the defined services for the organization Constraints: ref-1
reference | S Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
identifier | S Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system | S Σ | 0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value | S Σ | 0..1 | string | The value that is unique Example General: 123456
display | S Σ | 0..1 | string | Text alternative for the resource
organization | S Σ C | 1..1 | Reference(Organization Information Received from the EU) | Organization where the roles are available Constraints: ref-1
reference | S Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
identifier | S Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system | S Σ | 0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value | S Σ | 0..1 | string | The value that is unique Example General: 123456
display | S Σ | 0..1 | string | Text alternative for the resource
telecom | S Σ C | 0..* | ContactPoint | Contact details that are specific to the role/location/service Constraints: cpt-2
system | S Σ C | 0..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value | S Σ | 0..1 | string | The actual contact point details
use | ?!S Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
PractitionerRole.practitioner.​identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
PractitionerRole.organization.​identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
PractitionerRole.telecom.​system | Base | required | ContactPointSystem | 📍4.0.1 | FHIR Std.
PractitionerRole.telecom.​use | Base | required | ContactPointUse | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
cpt-2 | error | PractitionerRole.telecom | A system is required if a value is provided. | `value.empty() or system.exists()`
dom-2 | error | PractitionerRole | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | PractitionerRole | 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 | PractitionerRole | 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 | PractitionerRole | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | PractitionerRole | 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())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
ref-1 | error | PractitionerRole.practitioner, PractitionerRole.organization | SHALL have a contained resource if a local reference is provided | `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))`

Differential View

This structure is derived from TIPractitionerRole

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
PractitionerRole |  |  | TIPractitionerRole |
practitioner |  | 1..1 | Reference(Practitioner Information Received from the EU) | Practitioner that is able to provide the defined services for the organization
organization |  | 1..1 | Reference(Organization Information Received from the EU) | Organization where the roles are available
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
PractitionerRole |  | 0..* | TIPractitionerRole | Roles/organizations the practitioner is associated with Constraints: dom-2, dom-3, dom-4, dom-5, dom-6
id | S Σ | 0..1 | id | Logical id of this artifact
meta | S Σ | 0..1 | Meta | 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 | S Σ | 0..1 | id | Version specific identifier
lastUpdated | S Σ | 0..1 | instant | When the resource version last changed
source | Σ | 0..1 | uri | Identifies where the resource comes from
profile | Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to
security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url
identifier | Σ | 0..* | Identifier | Business Identifiers that are specific to a role/location
active | Σ | 0..1 | boolean | Whether this practitioner role record is in active use
period | Σ C | 0..1 | Period | The period during which the practitioner is authorized to perform in these role(s) Constraints: per-1
practitioner | S Σ C | 1..1 | Reference(Practitioner Information Received from the EU) | Practitioner that is able to provide the defined services for the organization Constraints: ref-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | S Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | S Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system | S Σ | 0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value | S Σ | 0..1 | string | The value that is unique Example General: 123456
period | Σ C | 0..1 | Period | Time period when id is/was valid for use Constraints: per-1
assigner | Σ C | 0..1 | Reference(Organization) | Organization that issued id (may be just text) Constraints: ref-1
display | S Σ | 0..1 | string | Text alternative for the resource
organization | S Σ C | 1..1 | Reference(Organization Information Received from the EU) | Organization where the roles are available Constraints: ref-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | S Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | S Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system | S Σ | 0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value | S Σ | 0..1 | string | The value that is unique Example General: 123456
period | Σ C | 0..1 | Period | Time period when id is/was valid for use Constraints: per-1
assigner | Σ C | 0..1 | Reference(Organization) | Organization that issued id (may be just text) Constraints: ref-1
display | S Σ | 0..1 | string | Text alternative for the resource
code | Σ | 0..* | CodeableConcept | Roles which this practitioner may perform Binding: PractitionerRole (example): The role a person plays representing an organization.
specialty | Σ | 0..* | CodeableConcept | Specific specialty of the practitioner Binding: PracticeSettingCodeValueSet (preferred): Specific specialty associated with the agency.
location | Σ C | 0..* | Reference(Location) | The location(s) at which this practitioner provides care Constraints: ref-1
healthcareService | C | 0..* | Reference(HealthcareService) | The list of healthcare services that this worker provides for this role's Organization/Location(s) Constraints: ref-1
telecom | S Σ C | 0..* | ContactPoint | Contact details that are specific to the role/location/service Constraints: cpt-2
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | S Σ C | 0..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value | S Σ | 0..1 | string | The actual contact point details
use | ?!S Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
rank | Σ | 0..1 | positiveInt | Specify preferred order of use (1 = highest)
period | Σ C | 0..1 | Period | Time period when the contact point was/is in use Constraints: per-1
availableTime |  | 0..* | BackboneElement | Times the Service Site is available
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
daysOfWeek |  | 0..* | code | mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required): The days of the week.
allDay |  | 0..1 | boolean | Always available? e.g. 24 hour service
availableStartTime |  | 0..1 | time | Opening time of day (ignored if allDay = true)
availableEndTime |  | 0..1 | time | Closing time of day (ignored if allDay = true)
notAvailable |  | 0..* | BackboneElement | Not available during this time due to provided reason
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
description |  | 1..1 | string | Reason presented to the user explaining why time not available
during | C | 0..1 | Period | Service not available from this date Constraints: per-1
availabilityExceptions |  | 0..1 | string | Description of availability exceptions
endpoint | C | 0..* | Reference(Endpoint) | Technical endpoints providing access to services operated for the practitioner with this role Constraints: ref-1
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
PractitionerRole.meta.​security | Base | extensible | SecurityLabels | 📦4.0.1 | FHIR Std.
PractitionerRole.meta.​tag | Base | example | Common Tags | 📦4.0.1 | FHIR Std.
PractitionerRole.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std.
PractitionerRole.practitioner.​type | Base | extensible | ResourceType | 📦4.0.1 | FHIR Std.
PractitionerRole.practitioner.​identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
PractitionerRole.practitioner.​identifier.type | Base | extensible | IdentifierType | 📦4.0.1 | FHIR Std.
PractitionerRole.organization.​type | Base | extensible | ResourceType | 📦4.0.1 | FHIR Std.
PractitionerRole.organization.​identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
PractitionerRole.organization.​identifier.type | Base | extensible | IdentifierType | 📦4.0.1 | FHIR Std.
PractitionerRole.code | Base | example | Practitioner role | 📦4.0.1 | FHIR Std.
PractitionerRole.specialty | Base | preferred | Practice Setting Code Value Set | 📦4.0.1 | FHIR Std.
PractitionerRole.telecom.​system | Base | required | ContactPointSystem | 📍4.0.1 | FHIR Std.
PractitionerRole.telecom.​use | Base | required | ContactPointUse | 📍4.0.1 | FHIR Std.
PractitionerRole.availableTime.​daysOfWeek | Base | required | DaysOfWeek | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
cpt-2 | error | PractitionerRole.telecom | A system is required if a value is provided. | `value.empty() or system.exists()`
dom-2 | error | PractitionerRole | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | PractitionerRole | 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 | PractitionerRole | 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 | PractitionerRole | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | PractitionerRole | 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())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
per-1 | error | PractitionerRole.period, PractitionerRole.practitioner.identifier.period, PractitionerRole.organization.identifier.period, PractitionerRole.telecom.period, PractitionerRole.notAvailable.during | If present, start SHALL have a lower value than end | `start.hasValue().not() or end.hasValue().not() or (start <= end)`
ref-1 | error | PractitionerRole.practitioner, PractitionerRole.practitioner.identifier.assigner, PractitionerRole.organization, PractitionerRole.organization.identifier.assigner, PractitionerRole.location, PractitionerRole.healthcareService, PractitionerRole.endpoint | SHALL have a contained resource if a local reference is provided | `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))`

This structure is derived from TIPractitionerRole

Summary

Mandatory: 2 elements

Structures

This structure refers to these other structures:

- Practitioner Information Received from the EU (https://gematik.de/fhir/tiflow-xborder/StructureDefinition/GEM-ERPEU-PR-Practitioner)
- Organization Information Received from the EU (https://gematik.de/fhir/tiflow-xborder/StructureDefinition/GEM-ERPEU-PR-Organization)

Other representations of profile: CSV, Excel, Schematron