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  1. FHIR Specification Feedback
  2. FHIR-29680

PractitionerRole overconstrained for Provider Directory: Organization

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    Details

    • Type: Change Request
    • Status: Applied (View Workflow)
    • Priority: Medium
    • Resolution: Persuasive with Modification
    • Specification:
      US Core (FHIR)
    • Raised in Version:
      3.1.1
    • Work Group:
      Cross-Group Projects
    • Related Artifact(s):
      USCorePractitionerRoleProfile
    • Resolution Description:
      Hide

      update to 0..1.

      Add Requirement that one of the four must be present:

      • practitioner
      • organization
      • healthcareservice
      • location

      pre-applied here: http://build.fhir.org/ig/HL7/US-Core/StructureDefinition-us-core-practitionerrole.html

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      update to 0..1. Add Requirement that one of the four must be present: practitioner organization healthcareservice location pre-applied here:  http://build.fhir.org/ig/HL7/US-Core/StructureDefinition-us-core-practitionerrole.html
    • Resolution Vote:
      Eric Haas / Brett Marquard: 9-0-1
    • Change Category:
      Enhancement
    • Change Impact:
      Compatible, substantive

      Description

      This issue arose in the development of the Plan-Net (Provider Directory) IG – http://hl7.org/fhir/us/davinci-pdex-plan-net/ whose purpose is to define a FHIR interface to a health insurer’s insurance plans, their associated networks, and the organizations and providers that participate in these networks.

      USCorePractitionerRole.organization is constrained to 1..1 (in R4, it is 0..1).

      An individual practitioner with an LLC  does not have an organization with an NPI.  In payer provider directories, they will not have an associated organization.  As such, the PractitionerRole will associate the practitioner to a healthcareservice, location, specialty, etc, but not to an organization.

      In Plan-Net, PractitionerRole.organization is constrained to 0..1 (as per R4), and an invariant is added requiring that at least one of organization, practitioner, healthcareservice, or location be provided.

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            Assignee:
            Unassigned Unassigned
            Reporter:
            saul_kravitz Saul Kravitz
            Watchers:
            3 Start watching this issue

              Dates

              Created:
              Updated:
              Resolved:
              Vote Date: