HL7® FHIR® New Zealand Base Implementation Guide
3.1.0 - Release

This page is part of the HL7® FHIR® New Zealand Base Implementation Guide (v3.1.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Extension: ScopeOfPractice

Official URL: http://hl7.org.nz/fhir/StructureDefinition/scope-of-practice Version: 1.0.0
Active as of 2026-07-24 Computable Name: ScopeOfPractice

The type or range of health services a practitioner is authorised to perform, as determined by the Responsible Authority or professional body.

Context of Use

Example of extension

    <extension
               url="http://hl7.org.nz/fhir/StructureDefinition/scope-of-practice">
      <extension url="code">
        <valueCodeableConcept>
          <coding>
            <system
                    value="https://standards.digital.health.nz/ns/practitioner-scope-of-practice-code"/>
            <code value="CHIR"/>
            <display value="Chiropractor"/>
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension url="period">
        <valuePeriod>
          <start value="2020-01-01"/>
          <end value="2020-12-31"/>
        </valuePeriod>
      </extension>
    </extension>

Note that this is applied to the qualification element, not the resource root. See the full example below.

Example instances

Practitioner with scope of practice

Usage info

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Extension Content

Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension Extension
... Slices for extension Content/Rules for all slices
.... extension:code 0..1 Extension Extension
..... extension 0..0 Extension
..... url 1..1 uri "code"
..... value[x] 0..1 CodeableConcept Value of extension
Binding: Scope of practice (preferred)
.... extension:period 0..1 Extension Extension
..... extension 0..0 Extension
..... url 1..1 uri "period"
..... value[x] 0..1 Period Value of extension
... url 1..1 uri "http://hl7.org.nz/fhir/StructureDefinition/scope-of-practice"
... value[x] 0..0 Value of extension

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension Extension
... id 0..1 string Unique id for inter-element referencing
... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... extension:code 0..1 Extension Extension
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "code"
..... value[x] 0..1 CodeableConcept Value of extension
Binding: Scope of practice (preferred)
.... extension:period 0..1 Extension Extension
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "period"
..... value[x] 0..1 Period Value of extension
... url 1..1 uri "http://hl7.org.nz/fhir/StructureDefinition/scope-of-practice"

doco Documentation for this format

This structure is derived from Extension

Summary

Complex Extension: The type or range of health services a practitioner is authorised to perform, as determined by the Responsible Authority or professional body.

  • code: CodeableConcept: A code identifying the services that the practitioner is permitted to perform
  • period: Period: The period the scope of practice is effective

Differential View

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension Extension
... Slices for extension Content/Rules for all slices
.... extension:code 0..1 Extension Extension
..... extension 0..0 Extension
..... url 1..1 uri "code"
..... value[x] 0..1 CodeableConcept Value of extension
Binding: Scope of practice (preferred)
.... extension:period 0..1 Extension Extension
..... extension 0..0 Extension
..... url 1..1 uri "period"
..... value[x] 0..1 Period Value of extension
... url 1..1 uri "http://hl7.org.nz/fhir/StructureDefinition/scope-of-practice"
... value[x] 0..0 Value of extension

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension Extension
... id 0..1 string Unique id for inter-element referencing
... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... extension:code 0..1 Extension Extension
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "code"
..... value[x] 0..1 CodeableConcept Value of extension
Binding: Scope of practice (preferred)
.... extension:period 0..1 Extension Extension
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "period"
..... value[x] 0..1 Period Value of extension
... url 1..1 uri "http://hl7.org.nz/fhir/StructureDefinition/scope-of-practice"

doco Documentation for this format

This structure is derived from Extension

Summary

Complex Extension: The type or range of health services a practitioner is authorised to perform, as determined by the Responsible Authority or professional body.

  • code: CodeableConcept: A code identifying the services that the practitioner is permitted to perform
  • period: Period: The period the scope of practice is effective

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

Path Status Usage ValueSet Version Source
Extension.extension:code.​value[x] Base preferred Scope of practice 📦2.1.0 This IG

Constraints

Id Grade Path(s) Description Expression
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()