A practitioner who has been authorized to perform certain activities that fall under the jurisdiction of the issuer of the license.

Attributes
«IVL_TS» Period	effectiveDateRange	An interval of time specifying the period during which the license is in valid, if such time limit is applicable and known.
«CS» Code	licenseCategory	A classification of the provider's license.
«II» Id	licenseId	Identifies a certification of a practitioner to perform certain activities that fall under the jurisdiction of the issuer of the license. "Assigned to the pharmacist by the State Licensing Board. This data element can be used to identify the pharmacist dispensing the medication." - ASAP Standard for PDMP, DSP15: Pharmacist State License Number "Used to help identify the sending pharmacy." - ASAP Standard for PDMP, PHA13: Pharmacy’s Permit Number/License Number "Identification assigned to the Prescriber by the State Licensing Board." - ASAP Standard for PDMP, PRE04: Prescriber State License Number
Jurisdiction	licensingJurisdiction	Identifies the state or jurisdiction which authorized the Healthcare Provider to prescribe medications Note that a state or jurisdiction is an Organization.

 effectiveDateRange

Public «IVL_TS» Period effectiveDateRange

An interval of time specifying the period during which the license is in valid, if such time limit is applicable and known.

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	LicensedProvider
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	1
Lower Value	(1)
Multiplicity	1
Name	effectiveDateRange
Name Expression
Namespace	LicensedProvider
Opposite
Owner	LicensedProvider
Owning Association
Owning Template Parameter
Qualified Name	FHIM::Provider::LicensedProvider::effectiveDateRange
Stereotype
Template Parameter
Type	«IVL_TS» Period
Upper	1
Upper Value	(1)
Visibility	Public

 licenseCategory

Public «CS» Code licenseCategory

A classification of the provider's license.

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	LicensedProvider
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	0..1
Name	licenseCategory
Name Expression
Namespace	LicensedProvider
Opposite
Owner	LicensedProvider
Owning Association
Owning Template Parameter
Qualified Name	FHIM::Provider::LicensedProvider::licenseCategory
Stereotype
Template Parameter
Type	«CS» Code
Upper	1
Upper Value	(1)
Visibility	Public

 licenseId

Public «II» Id licenseId

Identifies a certification of a practitioner to perform certain activities that fall under the jurisdiction of the issuer of the license.
"Assigned to the pharmacist by the State Licensing Board. This data element can be used to identify the pharmacist dispensing the medication." - ASAP Standard for PDMP, DSP15: Pharmacist State License Number
"Used to help identify the sending pharmacy." - ASAP Standard for PDMP, PHA13: Pharmacy’s Permit Number/License Number
"Identification assigned to the Prescriber by the State Licensing Board." - ASAP Standard for PDMP, PRE04: Prescriber State License Number

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	LicensedProvider
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	1
Lower Value	(1)
Multiplicity	1
Name	licenseId
Name Expression
Namespace	LicensedProvider
Opposite
Owner	LicensedProvider
Owning Association
Owning Template Parameter
Qualified Name	FHIM::Provider::LicensedProvider::licenseId
Stereotype
Template Parameter
Type	«II» Id
Upper	1
Upper Value	(1)
Visibility	Public

 licensingJurisdiction

Public Jurisdiction licensingJurisdiction

Identifies the state or jurisdiction which authorized the Healthcare Provider to prescribe medications Note that a state or jurisdiction is an Organization.

Constraints:

Properties:

Aggregation	None
Alias
Association	licensedProvider_licensingJurisdiction
Association End
Class	LicensedProvider
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	1
Lower Value	(1)
Multiplicity	1
Name	licensingJurisdiction
Name Expression
Namespace	LicensedProvider
Opposite
Owner	LicensedProvider
Owning Association
Owning Template Parameter
Qualified Name	FHIM::Provider::LicensedProvider::licensingJurisdiction
Stereotype
Template Parameter
Type	Jurisdiction
Upper	1
Upper Value	(1)
Visibility	Public