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R4 Practitioner updates #1015

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128 changes: 43 additions & 85 deletions content/millennium/r4/base/individuals/practitioner.md
Original file line number Diff line number Diff line change
Expand Up @@ -9,45 +9,47 @@ title: Practitioner | R4 API

## Overview

The Practitioner Resource provides information about a person formally involved in the care of a patient on behalf of a healthcare facility. Practitioners include but are not limited to physicians, nurses, pharmacists, therapists, technologists, and social workers.
The Practitioner resource provides information about a person formally involved in the care of a patient on behalf of a healthcare facility. Practitioners include but are not limited to physicians, nurses, pharmacists, therapists, technologists, and social workers.

Not all practitioners have access to the EHR but can be referenced by other resources to indicate they are in some way involved in a patient's care.
Not all practitioners have access to the electronic health record (EHR) but can be referenced by other resources to indicate that they are in some way involved in a patient's care.

* The following [HL7® FHIR® US Core Implementation Guide STU 4.0.0](https://hl7.org/fhir/us/core/STU4/){:target="_blank"} Profiles are supported by this resource:
* This resource supports the following [HL7 FHIR US Core Implementation Guide STU 4.0.0](https://hl7.org/fhir/us/core/STU4/){:target="_blank"} profiles:

* [US Core Practitioner Profile](https://hl7.org/fhir/us/core/STU4/StructureDefinition-us-core-practitioner.html){:target="_blank"}

The following fields are returned if valued:

* [Practitioner id](https://hl7.org/fhir/r4/resource-definitions.html#Resource.id){:target="_blank"}
* [Identifiers/Aliases such as NPI and DEA](https://hl7.org/fhir/r4/practitioner-definitions.html#Practitioner.identifier){:target="_blank"}
* [Active (true/false)](https://hl7.org/fhir/r4/practitioner-definitions.html#Practitioner.active){:target="_blank"}
* [Practitioner ID](https://hl7.org/fhir/r4/resource-definitions.html#Resource.id){:target="_blank"}
* [Identifier](https://hl7.org/fhir/r4/practitioner-definitions.html#Practitioner.identifier){:target="_blank"}
* [Active](https://hl7.org/fhir/r4/practitioner-definitions.html#Practitioner.active){:target="_blank"}
* [Name](https://hl7.org/fhir/r4/practitioner-definitions.html#Practitioner.name){:target="_blank"}
* [Telecom Information (secure email and phone)](https://hl7.org/fhir/r4/practitioner-definitions.html#Practitioner.telecom){:target="_blank"}
* [Address (Provider and System Authorization Only)](https://hl7.org/fhir/r4/practitioner-definitions.html#Practitioner.address){:target="_blank"}
* [Telecom](https://hl7.org/fhir/r4/practitioner-definitions.html#Practitioner.telecom){:target="_blank"}
* [Address](https://hl7.org/fhir/r4/practitioner-definitions.html#Practitioner.address){:target="_blank"}
* [Gender](https://hl7.org/fhir/r4/practitioner-definitions.html#Practitioner.gender){:target="_blank"}
* [Qualification](https://hl7.org/fhir/r4/practitioner-definitions.html#Practitioner.qualification){:target="_blank"}
* [Is Physician Extension](#extensions)

## Terminology Bindings
<%= disclaimer %>

<%= terminology_table(:practitioner, :r4) %>
### Errors

The common [errors] and [OperationOutcomes] may be returned.

## Extensions
## Terminology Bindings

* [Is Physician]
<%= terminology_table(:practitioner, :r4) %>

### Custom Extensions
## Custom Extensions

All URLs for custom extensions are defined as `https://fhir-ehr.cerner.com/r4/StructureDefinition/{id}`

ID | Value\[x] Type | Description
-----------------------|----------------|------------------------------------------------------------------------------------------------
`is-physician` | [`Boolean`](https://hl7.org/fhir/r4/datatypes.html#boolean) | Indication of whether the provider is a physician or not.
| ID | Value\[x] Type | Description |
|----------------|-------------------------------------------------------------|---------------------------------------------------------------|
| `is-physician` | [`boolean`] | Indicates whether the practitioner is a physician. |

## Search

Search for Practitioners that meet supplied query parameters:
Search for practitioners that meet supplied query parameters.

GET /Practitioner?:parameters

Expand All @@ -57,22 +59,23 @@ Search for Practitioners that meet supplied query parameters:

### Parameters

Name | Required? | Type | Description
-------------|------------------------------------------------------------|------------|------------------------------------------------------------------------
`_id` | This or any other required search parameter | [`token`] | The logical resource id associated with the resource.
`identifier`| This or any other required search parameter | [`token`] | A practitioner identifier/alias. Example: `http://hl7.org/fhir/sid/us-npi|4326587548`
`family` | This or any other required search parameter | [`string`] | The start of the family name of the practitioner. Example: `Smith`
`given` | This and `family`, or any other required search parameter | [`string`] | The start of the given name of the practitioner. Example: `John`
`name` | This or any other required search parameter | [`string`] | The start of the first, middle or last name of the practitioner. Example: `John` or `Smith`
`active` | This or any other required search parameter | [`token`] | true or false. Example: `active=true`
[`_count`] | No | [`number`] | Number of results per page.
| Name | Required? | Type | Description |
|--------------|---------------|------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| `_id` | Conditionally | [`token`] | The logical resource ID associated with the resource. This parameter is required if `identifier`, `family`, `name`, or `active` is not used. Example: `12345` |
| `identifier` | Conditionally | [`token`] | The practitioner identifier. This parameter is required if `_id`, `family`, `name`, or `active` is not used. |
| `family` | Conditionally | [`string`] | The start of the family name of the practitioner. This parameter is required if `_id`, `identifier`, `name`, or `active` is not used. Example: `Smith` |
| `name` | Conditionally | [`string`] | The start of the given name or the family name of the practitioner. This parameter is required if `_id`, `identifier`, `family,` or `active` is not used. Example: `Riley` |
| `active` | Conditionally | [`token`] | The indication of whether this practitioner's record is in active use. This parameter is required if `_id`, `identifier`, `family`, or `name` is not used. Example: `active=true` |
| `given` | No | [`string`] | The start of the given name of the practitioner. Example: `John` |
| [`_count`] | No | [`number`] | The number of results per page. |

Notes:
Notes:

* When provided, the `identifier` query parameter must include both a system and a code.
* The `given` parameter may only be provided if `family` parameter is provided.
* The `name` parameter must have at least 2 characters
* When provided, the `active` query parameter must not include system. It accepts only true or false code.
* The `identifier` query parameter must include both a system and a code.
* Example: `http://hl7.org/fhir/sid/us-npi|4326587548`
* If the `given` parameter is provided, the `family` parameter is required.
* The `name` parameter must have at least two characters.
* The `active` query parameter must not include a system, and the code must be `true` or `false`. Example: `active=false`

### Headers

Expand All @@ -82,43 +85,16 @@ Search for Practitioners that meet supplied query parameters:

#### Request

GET https://fhir-open.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Practitioner?_id=109413936
GET https://fhir-open.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Practitioner?identifier=http%3A%2F%2Fhl7.org%2Ffhir%2Fsid%2Fus-npi%7C1111111111

#### Response

<%= headers status: 200 %>
<%= json(:r4_practitioner_bundle) %>

<%= disclaimer %>

#### Request

GET https://fhir-open.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Practitioner?active=true

#### Response

<%= headers status: 200 %>
<%= json(:r4_practitioner_active_bundle) %>

<%= disclaimer %>

#### Patient Authorization Request

GET https://fhir-myrecord.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Practitioner?_id=109413936

#### Response

<%= headers status: 200 %>
<%= json(:r4_practitioner_patient_access_bundle) %>

<%= disclaimer %>
### Errors

The common [errors] and [OperationOutcomes] may be returned.
## Retrieve by ID

## Retrieve by id

List an individual Practitioner by its id:
List an individual practitioner by their ID.

GET /Practitioner/:id

Expand All @@ -141,24 +117,9 @@ List an individual Practitioner by its id:
<%= headers status: 200 %>
<%= json(:r4_practitioner_entry) %>

<%= disclaimer %>
#### Patient Authorization Request

GET https://fhir-myrecord.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Practitioner/109413936

#### Response

<%= headers status: 200 %>
<%= json(:r4_practitioner_patient_access_entry) %>

<%= disclaimer %>
### Errors

The common [errors] and [OperationOutcomes] may be returned.

## Create

Create an individual Practitioner that can be referenced by other resources. This API is not used for user provisioning.
Create an individual practitioner that can be referenced by other resources. This API is not used for user provisioning.

POST /Practitioner

Expand Down Expand Up @@ -197,16 +158,13 @@ Last-Modified: Mon, 09 Dec 2019 18:57:39 GMT
Location: https://fhir-ehr-code.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Practitioner/7118008
Vary: Origin
X-Request-Id: 9d3aecfa-c846-4ce2-825a-7ba2fce4813f
opc-request-id: /D14ABE620D8D0DBB4D5970966EED037B/6A781B5941C550741C19E1AE1E795C33
</pre>

### Errors

The common [errors] and [OperationOutcomes] may be returned.

[`token`]: http://hl7.org/fhir/r4/search.html#token
[`token`]: https://hl7.org/fhir/r4/search.html#token
[`string`]: https://hl7.org/fhir/R4/search.html#string
[`_count`]: http://hl7.org/fhir/r4/search.html#count
[`number`]: http://hl7.org/fhir/r4/search.html#number
[`boolean`]: https://hl7.org/fhir/r4/datatypes.html#boolean
[`_count`]: https://hl7.org/fhir/r4/search.html#count
[`number`]: https://hl7.org/fhir/r4/search.html#number
[errors]: ../../../#client-errors
[OperationOutcomes]: ../../../#operation-outcomes
[Is Physician]: #custom-extensions
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