Stream: implementers
Topic: Practitioner-Classification Extension in Qi Cor
Larry Shields (Jan 14 2020 at 20:59):
We are working to implement a practitioner resource within the QI Core Implementation Guide. As part of this, we would like to utilize the practitioner-classification extension defined to contain the specialty of the practitioner rather than expand our implementation to include the PractitionerRole Resource. To populate this value, we are calling out to the NPI Registry in the US to obtain the listing of Taxonomies associated with the Practitioner. Within this registry there can be multiple values with a primary defined. The cardinailty of the property is 0-1 which limits our ability to really capture all of these taxonomies returned in this extension.
We have a couple options I can see:
Create our own QI Core Profile to adjust the cardinality
Implement the PractitionerRole Resource and capture this limited information in the resource.
My question really is, has anyone else done something similar and how did you handle this? Are we possibly utilizing this Extension outside the spirit of it's intention? All of these resources will be stored in a FHIR Server so this wouldn't for a real time messaging of the information.
Lloyd McKenzie (Jan 14 2020 at 21:28):
@Brian Postlethwaite
Brian Postlethwaite (Jan 30 2020 at 08:31):
What are you linking to the practitioner, and do you care about the Organization they provide that specialty when it is used?
Larry Shields (Feb 03 2020 at 21:32):
@Brian Postlethwaite We do not currently care about the organization they provide this service to as it is currently assumed it is within our organization as we're only pulling in our internal providers. We'll be associating Encounters, Procedures, Conditions and Diagnostic Reports/Observations to the Practitioner.
Brian Postlethwaite (Feb 03 2020 at 22:23):
The other complexity you might want to consider is where you have multiple sites, and the practitioner provides different specialties at those sites (and availablility hours, and scheduling etc) PractitionerRole will make all that much easier.
Last updated: Apr 12 2022 at 19:14 UTC
