Canadian Baseline
1.2.0 - CI Build

Canadian Baseline, published by HL7 Canada - FHIR Implementation Work Group. This guide is not an authorized publication; it is the continuous build for version 1.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-Canada/ca-baseline/ and changes regularly. See the Directory of published versions

## Resource Profile: Organization Profile

Official URL: http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-organization | Version: 1.2.0
Draft as of 2024-08-09 | Computable Name: OrganizationProfile

Proposed constraints and extensions on the Organization resource

# CA Baseline Organization Profile

This Organization profile sets minimum expectations for the Organization resource to record, search and fetch a formally or informally recognized grouping of people or organizations formed for the purpose of achieving some form of collective action.

This profile defines localization concepts for use in a Canadian context.

## Mandatory Data Elements

All elements or attributes defined in FHIR have cardinality as part of their definition - a minimum number of required appearances and a maximum number.

Most elements in FHIR specification have a minimum cardinality of 0, which means that they may be missing from a resource when it is exchanged between systems.

In this Canadian Baseline Organization Profile all elements are optional, i.e., there is no element with a minimum cardinality of 1. However, some optional elements (e.g., identifier) have required components that MUST be present if that optional element is provided.

## Must Support Data Elements

Some elements are labeled as MustSupport meaning that implementations that produce or consume resources SHALL provide "support" for the element in some meaningful way (see Must Support definition).

Following elements are marked as Must Support in the Canadian Organization profile to aid record matching in databases with many pediatric records.

Must Support elements:

- an identifier
- an organization name
- contact detail (e.g. a telephone number or an email address)

Usages:

- Refer to this Profile: DiagnosticReport Profile for Laboratory Results Reporting, Diagnostic Report for Report and Note Exchange Profile, DocumentReference Profile for metadata about the document, Encounter Profile... Show 10 more, Immunization Profile, ImmunizationRecommendation Profile, Medication Profile, MedicationDispense Profile, MedicationRequest Profile, MedicationStatement Profile, Observation Profile (Laboratory Results), OrganizationAffiliation Profile, Procedure Profile and ServiceRequest Profile for Results Reporting

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

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

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Organization | C | 0..* | Organization | A grouping of people or organizations with a common purpose Constraints: org-1
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  |  |  | Content/Rules for all slices
extension:communication |  | 0..* | CodeableConcept | Languages used to provide services URL: http://hl7.org/fhir/ca/baseline/StructureDefinition/ext-servicelanguage Binding: CommonLanguages (preferred): Common Languages
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
active | ?!Σ | 0..1 | boolean | Whether the organization's record is still in active use
name | S Σ C | 0..1 | string | Name used for the organization
address | C | 0..* | Address | An address for the organization Constraints: org-2
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:preferred |  | 0..1 | boolean | HL7 Preferred Address Flag extension URL: http://hl7.org/fhir/StructureDefinition/iso21090-preferred
use | ?!Σ | 0..1 | code | home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Organization.address.​use | Base | required | AddressUse | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Organization | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Organization | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Organization | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Organization | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Organization | A resource should have narrative for robust management | `text.`div`.exists()`
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()`
org-1 | error | Organization | The organization SHALL at least have a name or an identifier, and possibly more than one | `(identifier.count() + name.count()) > 0`
org-2 | error | Organization.address | An address of an organization can never be of use 'home' | `where(use = 'home').empty()`

This structure is derived from Organization

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Organization |  | 0..* | Organization | A grouping of people or organizations with a common purpose
Slices for extension |  |  |  | Content/Rules for all slices
extension:communication |  | 0..* | CodeableConcept | Languages used to provide services URL: http://hl7.org/fhir/ca/baseline/StructureDefinition/ext-servicelanguage Binding: CommonLanguages (preferred): Common Languages
name | S | 0..1 | string | Name used for the organization
address |  | 0..* | Address | An address for the organization
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:preferred |  | 0..1 | boolean | HL7 Preferred Address Flag extension URL: http://hl7.org/fhir/StructureDefinition/iso21090-preferred
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Organization | C | 0..* | Organization | A grouping of people or organizations with a common purpose Constraints: org-1
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:communication |  | 0..* | CodeableConcept | Languages used to provide services URL: http://hl7.org/fhir/ca/baseline/StructureDefinition/ext-servicelanguage Binding: CommonLanguages (preferred): Common Languages
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ C | 0..* | Identifier | Identifies this organization across multiple systems
active | ?!Σ | 0..1 | boolean | Whether the organization's record is still in active use
type | Σ | 0..* | CodeableConcept | Kind of organization Binding: OrganizationType (example): Used to categorize the organization.
name | S Σ C | 0..1 | string | Name used for the organization
alias |  | 0..* | string | A list of alternate names that the organization is known as, or was known as in the past
telecom | C | 0..* | ContactPoint | A contact detail for the organization Constraints: org-3
address | C | 0..* | Address | An address for the organization Constraints: org-2
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:preferred |  | 0..1 | boolean | HL7 Preferred Address Flag extension URL: http://hl7.org/fhir/StructureDefinition/iso21090-preferred
use | ?!Σ | 0..1 | code | home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
type | Σ | 0..1 | code | postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both
text | Σ | 0..1 | string | Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
line | Σ | 0..* | string | Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
city | Σ | 0..1 | string | Name of city, town etc. Example General: Erewhon
district | Σ | 0..1 | string | District name (aka county) Example General: Madison
state | Σ | 0..1 | string | Sub-unit of country (abbreviations ok)
postalCode | Σ | 0..1 | string | Postal code for area Example General: 9132
country | Σ | 0..1 | string | Country (e.g. can be ISO 3166 2 or 3 letter code)
period | Σ | 0..1 | Period | Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
partOf | Σ | 0..1 | Reference(Organization) | The organization of which this organization forms a part
contact |  | 0..* | BackboneElement | Contact for the organization for a certain purpose
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
purpose |  | 0..1 | CodeableConcept | The type of contact Binding: ContactEntityType (extensible): The purpose for which you would contact a contact party.
name |  | 0..1 | HumanName | A name associated with the contact
telecom |  | 0..* | ContactPoint | Contact details (telephone, email, etc.) for a contact
address |  | 0..1 | Address | Visiting or postal addresses for the contact
endpoint |  | 0..* | Reference(Endpoint) | Technical endpoints providing access to services operated for the organization
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Organization.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Organization.type | Base | example | Organization type | 📍4.0.1 | FHIR Std.
Organization.address.​use | Base | required | AddressUse | 📍4.0.1 | FHIR Std.
Organization.address.​type | Base | required | AddressType | 📍4.0.1 | FHIR Std.
Organization.contact.​purpose | Base | extensible | Contact entity type | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Organization | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Organization | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Organization | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Organization | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Organization | A resource should have narrative for robust management | `text.`div`.exists()`
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()`
org-1 | error | Organization | The organization SHALL at least have a name or an identifier, and possibly more than one | `(identifier.count() + name.count()) > 0`
org-2 | error | Organization.address | An address of an organization can never be of use 'home' | `where(use = 'home').empty()`
org-3 | error | Organization.telecom | The telecom of an organization can never be of use 'home' | `where(use = 'home').empty()`

This structure is derived from Organization

Summary

Must-Support: 1 element

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/ca/baseline/StructureDefinition/ext-servicelanguage
- http://hl7.org/fhir/StructureDefinition/iso21090-preferred

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Organization | C | 0..* | Organization | A grouping of people or organizations with a common purpose Constraints: org-1
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  |  |  | Content/Rules for all slices
extension:communication |  | 0..* | CodeableConcept | Languages used to provide services URL: http://hl7.org/fhir/ca/baseline/StructureDefinition/ext-servicelanguage Binding: CommonLanguages (preferred): Common Languages
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
active | ?!Σ | 0..1 | boolean | Whether the organization's record is still in active use
name | S Σ C | 0..1 | string | Name used for the organization
address | C | 0..* | Address | An address for the organization Constraints: org-2
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:preferred |  | 0..1 | boolean | HL7 Preferred Address Flag extension URL: http://hl7.org/fhir/StructureDefinition/iso21090-preferred
use | ?!Σ | 0..1 | code | home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Organization.address.​use | Base | required | AddressUse | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Organization | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Organization | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Organization | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Organization | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Organization | A resource should have narrative for robust management | `text.`div`.exists()`
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()`
org-1 | error | Organization | The organization SHALL at least have a name or an identifier, and possibly more than one | `(identifier.count() + name.count()) > 0`
org-2 | error | Organization.address | An address of an organization can never be of use 'home' | `where(use = 'home').empty()`

Differential View

This structure is derived from Organization

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Organization |  | 0..* | Organization | A grouping of people or organizations with a common purpose
Slices for extension |  |  |  | Content/Rules for all slices
extension:communication |  | 0..* | CodeableConcept | Languages used to provide services URL: http://hl7.org/fhir/ca/baseline/StructureDefinition/ext-servicelanguage Binding: CommonLanguages (preferred): Common Languages
name | S | 0..1 | string | Name used for the organization
address |  | 0..* | Address | An address for the organization
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:preferred |  | 0..1 | boolean | HL7 Preferred Address Flag extension URL: http://hl7.org/fhir/StructureDefinition/iso21090-preferred
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Organization | C | 0..* | Organization | A grouping of people or organizations with a common purpose Constraints: org-1
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:communication |  | 0..* | CodeableConcept | Languages used to provide services URL: http://hl7.org/fhir/ca/baseline/StructureDefinition/ext-servicelanguage Binding: CommonLanguages (preferred): Common Languages
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ C | 0..* | Identifier | Identifies this organization across multiple systems
active | ?!Σ | 0..1 | boolean | Whether the organization's record is still in active use
type | Σ | 0..* | CodeableConcept | Kind of organization Binding: OrganizationType (example): Used to categorize the organization.
name | S Σ C | 0..1 | string | Name used for the organization
alias |  | 0..* | string | A list of alternate names that the organization is known as, or was known as in the past
telecom | C | 0..* | ContactPoint | A contact detail for the organization Constraints: org-3
address | C | 0..* | Address | An address for the organization Constraints: org-2
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:preferred |  | 0..1 | boolean | HL7 Preferred Address Flag extension URL: http://hl7.org/fhir/StructureDefinition/iso21090-preferred
use | ?!Σ | 0..1 | code | home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
type | Σ | 0..1 | code | postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both
text | Σ | 0..1 | string | Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
line | Σ | 0..* | string | Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
city | Σ | 0..1 | string | Name of city, town etc. Example General: Erewhon
district | Σ | 0..1 | string | District name (aka county) Example General: Madison
state | Σ | 0..1 | string | Sub-unit of country (abbreviations ok)
postalCode | Σ | 0..1 | string | Postal code for area Example General: 9132
country | Σ | 0..1 | string | Country (e.g. can be ISO 3166 2 or 3 letter code)
period | Σ | 0..1 | Period | Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
partOf | Σ | 0..1 | Reference(Organization) | The organization of which this organization forms a part
contact |  | 0..* | BackboneElement | Contact for the organization for a certain purpose
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
purpose |  | 0..1 | CodeableConcept | The type of contact Binding: ContactEntityType (extensible): The purpose for which you would contact a contact party.
name |  | 0..1 | HumanName | A name associated with the contact
telecom |  | 0..* | ContactPoint | Contact details (telephone, email, etc.) for a contact
address |  | 0..1 | Address | Visiting or postal addresses for the contact
endpoint |  | 0..* | Reference(Endpoint) | Technical endpoints providing access to services operated for the organization
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Organization.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Organization.type | Base | example | Organization type | 📍4.0.1 | FHIR Std.
Organization.address.​use | Base | required | AddressUse | 📍4.0.1 | FHIR Std.
Organization.address.​type | Base | required | AddressType | 📍4.0.1 | FHIR Std.
Organization.contact.​purpose | Base | extensible | Contact entity type | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Organization | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Organization | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Organization | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Organization | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Organization | A resource should have narrative for robust management | `text.`div`.exists()`
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()`
org-1 | error | Organization | The organization SHALL at least have a name or an identifier, and possibly more than one | `(identifier.count() + name.count()) > 0`
org-2 | error | Organization.address | An address of an organization can never be of use 'home' | `where(use = 'home').empty()`
org-3 | error | Organization.telecom | The telecom of an organization can never be of use 'home' | `where(use = 'home').empty()`

This structure is derived from Organization

Summary

Must-Support: 1 element

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/ca/baseline/StructureDefinition/ext-servicelanguage
- http://hl7.org/fhir/StructureDefinition/iso21090-preferred

Other representations of profile: CSV, Excel, Schematron

### Notes:

## Identifiers

Currently, there is no consensus or requirement for pan-Canadian method to identify an organization using a business identifier. Organization.identifier will remain unsliced until a requirement or rationale is put forth that supports the need to have unique constraints determined by the business identifier.

## Service Language

The Organization MAY have a Service Language extension. This extension is to identify languages that that services are provided in this particular organization.

## Address

The Organization profile is provided for use in a Canadian context where some constraint on content is desirable to guarantee the quality of the Canadian address whilst still supporting other type of address (e.g., other countries or UNstructured addresses).

### Canadian postal code

If an address in the Organization resource instance represents Canadian address, it SHOULD follow Canadian postal code format.

The Canadian Postal Code SHOULD be a six-character uniformly structured uppercase alphanumeric code in the form of "ANA NAN", where "A" represents an alphabetic character and "N" represents a numeric character, with one space between the first three and the last three characters.

A hyphen SHOULD NOT be used (example of UNacceptable format: T0L-1K0).

### Preferred

The Organization.address MAY have a Preferred extension. This is the FHIR standard defined extension used as a flag denoting whether parent address item is preferred.