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)

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

This structure is derived from Organization

Name	Flags	Card.	Type	Description & Constraints
Organization		0..*	Organization	A grouping of people or organizations with a common purpose
Slices for extension				Content/Rules for all slices
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
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
Organization	C	0..*	Organization	A grouping of people or organizations with a common purpose dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management org-1: The organization SHALL at least have a name or an identifier, and possibly more than one
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
communication		0..*	CodeableConcept	Languages used to provide services URL: http://hl7.org/fhir/ca/baseline/StructureDefinition/ext-servicelanguage Binding: CommonLanguages (preferred): Common Languages ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
active	?!Σ	0..1	boolean	Whether the organization's record is still in active use ele-1: All FHIR elements must have a @value or children
name	SΣC	0..1	string	Name used for the organization ele-1: All FHIR elements must have a @value or children
address	C	0..*	Address	An address for the organization ele-1: All FHIR elements must have a @value or children org-2: An address of an organization can never be of use 'home'
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
preferred		0..1	boolean	HL7 Preferred Address Flag extension URL: http://hl7.org/fhir/StructureDefinition/iso21090-preferred ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
use	?!Σ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. ele-1: All FHIR elements must have a @value or children Example General: home
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Organization.address.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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()

Name	Flags	Card.	Type	Description & Constraints
Organization	C	0..*	Organization	A grouping of people or organizations with a common purpose org-1: The organization SHALL at least have a name or an identifier, and possibly more than one
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
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
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	ΣC	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	SΣC	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 org-3: The telecom of an organization can never be of use 'home'
address	C	0..*	Address	An address for the organization org-2: An address of an organization can never be of use 'home'
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
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	Conformance	ValueSet	URI
Organization.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Organization.type	example	OrganizationType http://hl7.org/fhir/ValueSet/organization-type from the FHIR Standard
Organization.address.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use|4.0.1 from the FHIR Standard
Organization.address.type	required	AddressType http://hl7.org/fhir/ValueSet/address-type|4.0.1 from the FHIR Standard
Organization.contact.purpose	extensible	ContactEntityType http://hl7.org/fhir/ValueSet/contactentity-type from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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()

Differential View

This structure is derived from Organization

Name	Flags	Card.	Type	Description & Constraints
Organization		0..*	Organization	A grouping of people or organizations with a common purpose
Slices for extension				Content/Rules for all slices
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
preferred		0..1	boolean	HL7 Preferred Address Flag extension URL: http://hl7.org/fhir/StructureDefinition/iso21090-preferred
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Organization	C	0..*	Organization	A grouping of people or organizations with a common purpose dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management org-1: The organization SHALL at least have a name or an identifier, and possibly more than one
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
communication		0..*	CodeableConcept	Languages used to provide services URL: http://hl7.org/fhir/ca/baseline/StructureDefinition/ext-servicelanguage Binding: CommonLanguages (preferred): Common Languages ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
active	?!Σ	0..1	boolean	Whether the organization's record is still in active use ele-1: All FHIR elements must have a @value or children
name	SΣC	0..1	string	Name used for the organization ele-1: All FHIR elements must have a @value or children
address	C	0..*	Address	An address for the organization ele-1: All FHIR elements must have a @value or children org-2: An address of an organization can never be of use 'home'
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
preferred		0..1	boolean	HL7 Preferred Address Flag extension URL: http://hl7.org/fhir/StructureDefinition/iso21090-preferred ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
use	?!Σ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. ele-1: All FHIR elements must have a @value or children Example General: home
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Organization.address.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Organization	C	0..*	Organization	A grouping of people or organizations with a common purpose org-1: The organization SHALL at least have a name or an identifier, and possibly more than one
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
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
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	ΣC	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	SΣC	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 org-3: The telecom of an organization can never be of use 'home'
address	C	0..*	Address	An address for the organization org-2: An address of an organization can never be of use 'home'
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
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	Conformance	ValueSet	URI
Organization.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Organization.type	example	OrganizationType http://hl7.org/fhir/ValueSet/organization-type from the FHIR Standard
Organization.address.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use|4.0.1 from the FHIR Standard
Organization.address.type	required	AddressType http://hl7.org/fhir/ValueSet/address-type|4.0.1 from the FHIR Standard
Organization.contact.purpose	extensible	ContactEntityType http://hl7.org/fhir/ValueSet/contactentity-type from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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

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.