Canadian provincial provider license number URIs

I agree with Randy that each jurisdiction should register their own URIs as we are dealing with OIDs there were registered on behalf of a jurisdiction being used in different ways to due to different interpretations of the description.

We also need to be careful with the format proposed. First, we should use codes to help support the bilingual provinces and not force any jurisdiction to have to use English only. Secondly it is the College, role or both, that needs to be captured?

Some Colleges oversee more than one practitioner type. The College of Pharmacy provides license numbers to both Pharmacists and Pharmacy Technicians, or the College of Nurses provides license numbers to both Nurses and Nurse Practitioners. If a Nurse, who has a license number, pursues a higher role and becomes a Nurse Practitioner they may not be given a new license number for the new role.

Take a scenario where one person works as a Nurse in a hospital, but has shifts in an Urgent Care Centre where they work as a Nurse Practitioner.

Does the URI need to contain the college, license # and role or just the College and license #, with the role being captured in a different element?

Right now Ontario has a need to support some of the out-of-province provider license numbers in FHIR. If the community can start discussing some of the common types (physician, nurse, dentist, midwife, naturopath), that would be a good start.

Two comments:
- Don't register any URIs for any other jurisdiction than yours - these should be done by the owning jurisdiction.
- In general, the potential provider types might work, but in a lot of cases, there will be problems. And who is maintaining this list?

Some example problems I can see:
- College of Alberta Dental Assistants license number
- College of Registered Dental Hygienists of Alberta license number
- College of Dental Technologists of Alberta license number
- Alberta Dental Association License Number
- College of Alberta Denturists license number

The "provider type" would need to be able to uniquely distinguish all of these, and there are other similar sets of provider types...

Just to follow up on this topic, this is our proposal for practitioner license URIs currently not in the registry.

fhir.infoway-inforoute.ca/NamingSystem/ca-[province-two-letter-code]-license-[provider type]?

where provider type can be "physician", "dentist", "pharmacist", "nurse", "midwife", "naturopath", etc.

Looking forward to the community for feedback.

Hello. We need to support non-Ontario provincial provider license numbers in Ontario Lab information system FHIR interface. Currently Canadian URI registry has four provincial license number URIs for MB, AB, QC, and BC. Will the other ones be created in the near future?

Thanks,

Fang Cao