Stream: implementers
Topic: PractitionerRole.status
Shamil Nizamov (Jan 31 2020 at 17:41):
There are Practitioner.active and PractitionerRole.active elements but a typical practitioner has more status codes other than just active or not active. For example, active, terminated, pending, suspended. What was the original thought to use the .active element over .status?
Lloyd McKenzie (Jan 31 2020 at 22:21):
@Brian Postlethwaite
Shamil Nizamov (Feb 04 2020 at 20:57):
@Brian Postlethwaite
Brian Postlethwaite (Feb 04 2020 at 21:12):
In our systems (and the others that we've processed) these non active states haven't been shared between systems. And type the first I can recall bringing it up.
Anyone else here have a need for that?
You can include a codwd extension for it, and if be interested in your value set for possible inclusion an an example set too.
Shamil Nizamov (Feb 05 2020 at 18:45):
In our systems (and the others that we've processed) these non active states haven't been shared between systems. And type the first I can recall bringing it up.
Anyone else here have a need for that?
You can include a codwd extension for it, and if be interested in your value set for possible inclusion an an example set too.
Yes, the license status in our provincial provider registry system is shared with all connected parties. The license status represents a status of the provider with the college e.g. status= ACTIVE / SUSPENDED/ TERMINATED/CANCELLED/ NULLIFIED/ INACTIVE / PENDING.
ACTIVE and PENDING are used to represent those who are practicing in full capacity or a reduced capacity (e.g. students).
There is another way to represent the validity of the license status, by using a license end date (i.e., PractitionerRole.period.end) but it's missing required granularity.
Brian Postlethwaite (Feb 05 2020 at 21:32):
I'd encourage you to take a look in the VhDir guide on this subject, as those things you've mentioned are about credentialing, and associated with the specific identifier from the specific body.
http://build.fhir.org/ig/HL7/VhDir/StructureDefinition-identifier-status.html
This extent ion on the identifier would pass through a generalized vue across it, but you could do a similar thing with your own coding.
We could consider changing this to a codeable concept in a future release of the spec.
Brian Postlethwaite (Feb 05 2020 at 21:33):
The prac could have a licence revoked associated with 1 board, but still be active in another. In which case it would be the organizations choice if they remain active, or limited to what they can do.
Brian Postlethwaite (Feb 05 2020 at 21:35):
This could also be more appropriate if it was against the prac.quals if was prac specific and not directly role defined.
Last updated: Apr 12 2022 at 19:14 UTC
