Electronic Case Reporting (eCR)
3.0.0-ballot - STU 3 - Ballot
Electronic Case Reporting (eCR)
3.0.0-ballot - STU 3 - Ballot
Electronic Case Reporting (eCR), published by HL7 International / Public Health. This guide is not an authorized publication; it is the continuous build for version 3.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/case-reporting/ and changes regularly. See the Directory of published versions
| Official URL: http://hl7.org/fhir/us/ecr/StructureDefinition/rr-responsible-agency-organization | Version: 3.0.0-ballot | |||
| Standards status: Trial-use | Maturity Level: 3 | Computable Name: RR_Responsible_Agency_Organization | ||
| Other Identifiers: OID:2.16.840.1.113883.4.642.40.46.42.25 | ||||
This Organization profile represents the Responsible Agency which is a PHA to which reporting is legally required.
This can be the PHA relevant to the location in which care was provided and/or where the patient lives. It is based on the US Public Health Organization(https://build.fhir.org/ig/HL7/fhir-us-ph-library//StructureDefinition-us-ph-organization.html) profile with a further restriction setting the type data element to 'Responsible Agency'.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  Organization |
SC | 1..* | USPublicHealthOrganization | Responsible Agency Constraints: org-1 |
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
 text |
S | 0..1 | Narrative | Repsponsible Agency Description This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
  Slices for identifier |
SΣC | 0..* | Identifier | Responsible Agency Id Slice: Unordered, Open by pattern:$this |
   identifier:NPI |
SΣC | 0..* | Identifier | National Provider Identifier (NPI) Constraints: us-core-16, us-core-17 Required Pattern: At least the following |
  id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| use |
0..1 | code | usual | official | temp | secondary | old (If known) | |
| type |
0..1 | CodeableConcept | Description of identifier | |
 system |
1..1 | uri | The namespace for the identifier value Fixed Value: http://hl7.org/fhir/sid/us-npi | |
| value |
0..1 | string | The value that is unique | |
| period |
0..1 | Period | Time period when id is/was valid for use | |
 assigner |
0..1 | Reference(Organization) | Organization that issued id (may be just text) | |
| identifier:CLIA |
ΣC | 0..* | Identifier | Clinical Laboratory Improvement Amendments (CLIA) Number for laboratories Constraints: us-core-18 Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| use |
0..1 | code | usual | official | temp | secondary | old (If known) | |
| type |
0..1 | CodeableConcept | Description of identifier | |
| system |
1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.4.7 | |
| value |
0..1 | string | The value that is unique | |
| period |
0..1 | Period | Time period when id is/was valid for use | |
| assigner |
0..1 | Reference(Organization) | Organization that issued id (may be just text) | |
 identifier:NAIC |
ΣC | 0..* | Identifier | NAIC Code Constraints: us-core-19 Required Pattern: At least the following |
 id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| use |
0..1 | code | usual | official | temp | secondary | old (If known) | |
| type |
0..1 | CodeableConcept | Description of identifier | |
| system |
1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.6.300 | |
| value |
0..1 | string | The value that is unique | |
| period |
0..1 | Period | Time period when id is/was valid for use | |
| assigner |
0..1 | Reference(Organization) | Organization that issued id (may be just text) | |
| active |
?!SΣ | 1..1 | boolean | Whether the organization's record is still in active use |
| type |
SΣ | 1..1 | CodeableConcept | Kind of organization Binding: OrganizationType (example): Used to categorize the organization. Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: urn:oid:2.16.840.1.114222.4.5.232 | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: RR8 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Responsible Agency | |
 userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| name |
SΣC | 1..1 | string | Responsible Agency Name |
| telecom |
SC | 1..* | ContactPoint | Responsible Agency Contact Information Constraints: org-3 |
| system |
SΣC | 0..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. |
| value |
SΣ | 0..1 | string | The actual contact point details |
| use |
?!Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point. |
 address |
SC | 1..* | Address | Responsible Agency Address Constraints: org-2 |
| 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 |
| line |
SΣ | 0..4 | 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 |
SΣ | 0..1 | string | Name of city, town etc. Example General: Erewhon |
| state |
SΣ | 0..1 | string | Sub-unit of country (abbreviations ok) Binding: UspsTwoLetterAlphabeticCodes (6.1.0) (extensible): Two letter USPS alphabetic codes. |
| postalCode |
SΣ | 0..1 | string | US Zip Codes Example General: 9132 |
| country |
SΣ | 0..1 | string | Country (e.g. can be ISO 3166 2 or 3 letter code) |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Organization.type | Base | example | Organization type | 📦4.0.1 | FHIR Std. |
| Organization.telecom.system | Base | required | ContactPointSystem | 📍4.0.1 | FHIR Std. |
| Organization.telecom.use | Base | required | ContactPointUse | 📍4.0.1 | FHIR Std. |
| Organization.address.use | Base | required | AddressUse | 📍4.0.1 | FHIR Std. |
| Organization.address.state | Base | extensible | USPS Two Letter Alphabetic Codes | 📍6.1.0 | US Core v6.1 |
| 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()
|
| us-core-16 | error | Organization.identifier:NPI | NPI must be 10 digits |
value.matches('^[0-9]{10}$')
|
| us-core-17 | error | Organization.identifier:NPI | NPI check digit must be valid (Luhn algorithm check) |
(((select(value.substring(0,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(1,1).toInteger())+(select(value.substring(2,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(3,1).toInteger())+(select(value.substring(4,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(5,1).toInteger())+(select(value.substring(6,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(7,1).toInteger())+(select(value.substring(8,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(9,1).toInteger()) + 24)mod 10=0)
|
| us-core-18 | error | Organization.identifier:CLIA | CLIA number must be 10 digits with a letter "D" in third position |
value.matches('^[0-9]{2}D[0-9]{7}$')
|
| us-core-19 | error | Organization.identifier:NAIC | NAIC must be 5 digits |
value.matches('^[0-9]{5}$')
|
This structure is derived from USPublicHealthOrganization
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Organization |
S | 1..* | USPublicHealthOrganization | Responsible Agency |
 text |
S | 0..1 | Narrative | Repsponsible Agency Description |
| identifier |
0..* | Identifier | Responsible Agency Id | |
| type |
S | 1..1 | CodeableConcept | Kind of organization Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: urn:oid:2.16.840.1.114222.4.5.232 | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: RR8 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Responsible Agency | |
| name |
1..1 | string | Responsible Agency Name | |
| telecom |
1..* | ContactPoint | Responsible Agency Contact Information | |
| address |
1..* | Address | Responsible Agency Address | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Organization |
SC | 1..* | USPublicHealthOrganization | Responsible Agency 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.
| |||||
| text |
S | 0..1 | Narrative | Repsponsible Agency Description This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
 extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| Slices for identifier |
SΣC | 0..* | Identifier | Responsible Agency Id Slice: Unordered, Open by pattern:$this | ||||
| identifier:NPI |
SΣC | 0..* | Identifier | National Provider Identifier (NPI) Constraints: us-core-16, us-core-17 Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| use |
0..1 | code | usual | official | temp | secondary | old (If known) | |||||
| type |
0..1 | CodeableConcept | Description of identifier | |||||
| system |
1..1 | uri | The namespace for the identifier value Fixed Value: http://hl7.org/fhir/sid/us-npi | |||||
| value |
0..1 | string | The value that is unique | |||||
| period |
0..1 | Period | Time period when id is/was valid for use | |||||
| assigner |
0..1 | Reference(Organization) | Organization that issued id (may be just text) | |||||
| identifier:CLIA |
ΣC | 0..* | Identifier | Clinical Laboratory Improvement Amendments (CLIA) Number for laboratories Constraints: us-core-18 Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| use |
0..1 | code | usual | official | temp | secondary | old (If known) | |||||
| type |
0..1 | CodeableConcept | Description of identifier | |||||
| system |
1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.4.7 | |||||
| value |
0..1 | string | The value that is unique | |||||
| period |
0..1 | Period | Time period when id is/was valid for use | |||||
| assigner |
0..1 | Reference(Organization) | Organization that issued id (may be just text) | |||||
| identifier:NAIC |
ΣC | 0..* | Identifier | NAIC Code Constraints: us-core-19 Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| use |
0..1 | code | usual | official | temp | secondary | old (If known) | |||||
| type |
0..1 | CodeableConcept | Description of identifier | |||||
| system |
1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.6.300 | |||||
| value |
0..1 | string | The value that is unique | |||||
| period |
0..1 | Period | Time period when id is/was valid for use | |||||
| assigner |
0..1 | Reference(Organization) | Organization that issued id (may be just text) | |||||
| active |
?!SΣ | 1..1 | boolean | Whether the organization's record is still in active use | ||||
| type |
SΣ | 1..1 | CodeableConcept | Kind of organization Binding: OrganizationType (example): Used to categorize the organization. Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: urn:oid:2.16.840.1.114222.4.5.232 | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: RR8 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Responsible Agency | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| name |
SΣC | 1..1 | string | Responsible Agency Name | ||||
| alias |
0..* | string | A list of alternate names that the organization is known as, or was known as in the past | |||||
| telecom |
SC | 1..* | ContactPoint | Responsible Agency Contact Information Constraints: org-3 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
SΣC | 0..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. | ||||
| value |
SΣ | 0..1 | string | The actual contact point details | ||||
| use |
?!Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point. | ||||
| rank |
Σ | 0..1 | positiveInt | Specify preferred order of use (1 = highest) | ||||
| period |
Σ | 0..1 | Period | Time period when the contact point was/is in use | ||||
| address |
SC | 1..* | Address | Responsible Agency Address Constraints: org-2 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| 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 |
SΣ | 0..4 | 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 |
SΣ | 0..1 | string | Name of city, town etc. Example General: Erewhon | ||||
| district |
Σ | 0..1 | string | District name (aka county) Example General: Madison | ||||
| state |
SΣ | 0..1 | string | Sub-unit of country (abbreviations ok) Binding: UspsTwoLetterAlphabeticCodes (6.1.0) (extensible): Two letter USPS alphabetic codes. | ||||
| postalCode |
SΣ | 0..1 | string | US Zip Codes Example General: 9132 | ||||
| country |
SΣ | 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 | ||||||||
| 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.telecom.system | Base | required | ContactPointSystem | 📍4.0.1 | FHIR Std. |
| Organization.telecom.use | Base | required | ContactPointUse | 📍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.address.state | Base | extensible | USPS Two Letter Alphabetic Codes | 📍6.1.0 | US Core v6.1 |
| Organization.contact.purpose | Base | extensible | Contact entity type | 📦4.0.1 | FHIR Std. |
| 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()
|
| us-core-16 | error | Organization.identifier:NPI | NPI must be 10 digits |
value.matches('^[0-9]{10}$')
|
| us-core-17 | error | Organization.identifier:NPI | NPI check digit must be valid (Luhn algorithm check) |
(((select(value.substring(0,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(1,1).toInteger())+(select(value.substring(2,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(3,1).toInteger())+(select(value.substring(4,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(5,1).toInteger())+(select(value.substring(6,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(7,1).toInteger())+(select(value.substring(8,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(9,1).toInteger()) + 24)mod 10=0)
|
| us-core-18 | error | Organization.identifier:CLIA | CLIA number must be 10 digits with a letter "D" in third position |
value.matches('^[0-9]{2}D[0-9]{7}$')
|
| us-core-19 | error | Organization.identifier:NAIC | NAIC must be 5 digits |
value.matches('^[0-9]{5}$')
|
This structure is derived from USPublicHealthOrganization
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Organization |
SC | 1..* | USPublicHealthOrganization | Responsible Agency Constraints: org-1 |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| text |
S | 0..1 | Narrative | Repsponsible Agency Description This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| Slices for identifier |
SΣC | 0..* | Identifier | Responsible Agency Id Slice: Unordered, Open by pattern:$this |
| identifier:NPI |
SΣC | 0..* | Identifier | National Provider Identifier (NPI) Constraints: us-core-16, us-core-17 Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| use |
0..1 | code | usual | official | temp | secondary | old (If known) | |
| type |
0..1 | CodeableConcept | Description of identifier | |
| system |
1..1 | uri | The namespace for the identifier value Fixed Value: http://hl7.org/fhir/sid/us-npi | |
| value |
0..1 | string | The value that is unique | |
| period |
0..1 | Period | Time period when id is/was valid for use | |
| assigner |
0..1 | Reference(Organization) | Organization that issued id (may be just text) | |
| identifier:CLIA |
ΣC | 0..* | Identifier | Clinical Laboratory Improvement Amendments (CLIA) Number for laboratories Constraints: us-core-18 Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| use |
0..1 | code | usual | official | temp | secondary | old (If known) | |
| type |
0..1 | CodeableConcept | Description of identifier | |
| system |
1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.4.7 | |
| value |
0..1 | string | The value that is unique | |
| period |
0..1 | Period | Time period when id is/was valid for use | |
| assigner |
0..1 | Reference(Organization) | Organization that issued id (may be just text) | |
| identifier:NAIC |
ΣC | 0..* | Identifier | NAIC Code Constraints: us-core-19 Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| use |
0..1 | code | usual | official | temp | secondary | old (If known) | |
| type |
0..1 | CodeableConcept | Description of identifier | |
| system |
1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.6.300 | |
| value |
0..1 | string | The value that is unique | |
| period |
0..1 | Period | Time period when id is/was valid for use | |
| assigner |
0..1 | Reference(Organization) | Organization that issued id (may be just text) | |
| active |
?!SΣ | 1..1 | boolean | Whether the organization's record is still in active use |
| type |
SΣ | 1..1 | CodeableConcept | Kind of organization Binding: OrganizationType (example): Used to categorize the organization. Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: urn:oid:2.16.840.1.114222.4.5.232 | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: RR8 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Responsible Agency | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| name |
SΣC | 1..1 | string | Responsible Agency Name |
| telecom |
SC | 1..* | ContactPoint | Responsible Agency Contact Information Constraints: org-3 |
| system |
SΣC | 0..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. |
| value |
SΣ | 0..1 | string | The actual contact point details |
| use |
?!Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point. |
| address |
SC | 1..* | Address | Responsible Agency Address Constraints: org-2 |
| 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 |
| line |
SΣ | 0..4 | 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 |
SΣ | 0..1 | string | Name of city, town etc. Example General: Erewhon |
| state |
SΣ | 0..1 | string | Sub-unit of country (abbreviations ok) Binding: UspsTwoLetterAlphabeticCodes (6.1.0) (extensible): Two letter USPS alphabetic codes. |
| postalCode |
SΣ | 0..1 | string | US Zip Codes Example General: 9132 |
| country |
SΣ | 0..1 | string | Country (e.g. can be ISO 3166 2 or 3 letter code) |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Organization.type | Base | example | Organization type | 📦4.0.1 | FHIR Std. |
| Organization.telecom.system | Base | required | ContactPointSystem | 📍4.0.1 | FHIR Std. |
| Organization.telecom.use | Base | required | ContactPointUse | 📍4.0.1 | FHIR Std. |
| Organization.address.use | Base | required | AddressUse | 📍4.0.1 | FHIR Std. |
| Organization.address.state | Base | extensible | USPS Two Letter Alphabetic Codes | 📍6.1.0 | US Core v6.1 |
| 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()
|
| us-core-16 | error | Organization.identifier:NPI | NPI must be 10 digits |
value.matches('^[0-9]{10}$')
|
| us-core-17 | error | Organization.identifier:NPI | NPI check digit must be valid (Luhn algorithm check) |
(((select(value.substring(0,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(1,1).toInteger())+(select(value.substring(2,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(3,1).toInteger())+(select(value.substring(4,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(5,1).toInteger())+(select(value.substring(6,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(7,1).toInteger())+(select(value.substring(8,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(9,1).toInteger()) + 24)mod 10=0)
|
| us-core-18 | error | Organization.identifier:CLIA | CLIA number must be 10 digits with a letter "D" in third position |
value.matches('^[0-9]{2}D[0-9]{7}$')
|
| us-core-19 | error | Organization.identifier:NAIC | NAIC must be 5 digits |
value.matches('^[0-9]{5}$')
|
Differential View
This structure is derived from USPublicHealthOrganization
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Organization |
S | 1..* | USPublicHealthOrganization | Responsible Agency |
| text |
S | 0..1 | Narrative | Repsponsible Agency Description |
| identifier |
0..* | Identifier | Responsible Agency Id | |
| type |
S | 1..1 | CodeableConcept | Kind of organization Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: urn:oid:2.16.840.1.114222.4.5.232 | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: RR8 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Responsible Agency | |
| name |
1..1 | string | Responsible Agency Name | |
| telecom |
1..* | ContactPoint | Responsible Agency Contact Information | |
| address |
1..* | Address | Responsible Agency Address | |
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Organization |
SC | 1..* | USPublicHealthOrganization | Responsible Agency 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.
| |||||
| text |
S | 0..1 | Narrative | Repsponsible Agency Description This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| Slices for identifier |
SΣC | 0..* | Identifier | Responsible Agency Id Slice: Unordered, Open by pattern:$this | ||||
| identifier:NPI |
SΣC | 0..* | Identifier | National Provider Identifier (NPI) Constraints: us-core-16, us-core-17 Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| use |
0..1 | code | usual | official | temp | secondary | old (If known) | |||||
| type |
0..1 | CodeableConcept | Description of identifier | |||||
| system |
1..1 | uri | The namespace for the identifier value Fixed Value: http://hl7.org/fhir/sid/us-npi | |||||
| value |
0..1 | string | The value that is unique | |||||
| period |
0..1 | Period | Time period when id is/was valid for use | |||||
| assigner |
0..1 | Reference(Organization) | Organization that issued id (may be just text) | |||||
| identifier:CLIA |
ΣC | 0..* | Identifier | Clinical Laboratory Improvement Amendments (CLIA) Number for laboratories Constraints: us-core-18 Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| use |
0..1 | code | usual | official | temp | secondary | old (If known) | |||||
| type |
0..1 | CodeableConcept | Description of identifier | |||||
| system |
1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.4.7 | |||||
| value |
0..1 | string | The value that is unique | |||||
| period |
0..1 | Period | Time period when id is/was valid for use | |||||
| assigner |
0..1 | Reference(Organization) | Organization that issued id (may be just text) | |||||
| identifier:NAIC |
ΣC | 0..* | Identifier | NAIC Code Constraints: us-core-19 Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| use |
0..1 | code | usual | official | temp | secondary | old (If known) | |||||
| type |
0..1 | CodeableConcept | Description of identifier | |||||
| system |
1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.6.300 | |||||
| value |
0..1 | string | The value that is unique | |||||
| period |
0..1 | Period | Time period when id is/was valid for use | |||||
| assigner |
0..1 | Reference(Organization) | Organization that issued id (may be just text) | |||||
| active |
?!SΣ | 1..1 | boolean | Whether the organization's record is still in active use | ||||
| type |
SΣ | 1..1 | CodeableConcept | Kind of organization Binding: OrganizationType (example): Used to categorize the organization. Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: urn:oid:2.16.840.1.114222.4.5.232 | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: RR8 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Responsible Agency | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| name |
SΣC | 1..1 | string | Responsible Agency Name | ||||
| alias |
0..* | string | A list of alternate names that the organization is known as, or was known as in the past | |||||
| telecom |
SC | 1..* | ContactPoint | Responsible Agency Contact Information Constraints: org-3 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
SΣC | 0..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. | ||||
| value |
SΣ | 0..1 | string | The actual contact point details | ||||
| use |
?!Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point. | ||||
| rank |
Σ | 0..1 | positiveInt | Specify preferred order of use (1 = highest) | ||||
| period |
Σ | 0..1 | Period | Time period when the contact point was/is in use | ||||
| address |
SC | 1..* | Address | Responsible Agency Address Constraints: org-2 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| 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 |
SΣ | 0..4 | 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 |
SΣ | 0..1 | string | Name of city, town etc. Example General: Erewhon | ||||
| district |
Σ | 0..1 | string | District name (aka county) Example General: Madison | ||||
| state |
SΣ | 0..1 | string | Sub-unit of country (abbreviations ok) Binding: UspsTwoLetterAlphabeticCodes (6.1.0) (extensible): Two letter USPS alphabetic codes. | ||||
| postalCode |
SΣ | 0..1 | string | US Zip Codes Example General: 9132 | ||||
| country |
SΣ | 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 | ||||||||
| 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.telecom.system | Base | required | ContactPointSystem | 📍4.0.1 | FHIR Std. |
| Organization.telecom.use | Base | required | ContactPointUse | 📍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.address.state | Base | extensible | USPS Two Letter Alphabetic Codes | 📍6.1.0 | US Core v6.1 |
| Organization.contact.purpose | Base | extensible | Contact entity type | 📦4.0.1 | FHIR Std. |
| 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()
|
| us-core-16 | error | Organization.identifier:NPI | NPI must be 10 digits |
value.matches('^[0-9]{10}$')
|
| us-core-17 | error | Organization.identifier:NPI | NPI check digit must be valid (Luhn algorithm check) |
(((select(value.substring(0,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(1,1).toInteger())+(select(value.substring(2,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(3,1).toInteger())+(select(value.substring(4,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(5,1).toInteger())+(select(value.substring(6,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(7,1).toInteger())+(select(value.substring(8,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(9,1).toInteger()) + 24)mod 10=0)
|
| us-core-18 | error | Organization.identifier:CLIA | CLIA number must be 10 digits with a letter "D" in third position |
value.matches('^[0-9]{2}D[0-9]{7}$')
|
| us-core-19 | error | Organization.identifier:NAIC | NAIC must be 5 digits |
value.matches('^[0-9]{5}$')
|
This structure is derived from USPublicHealthOrganization
Other representations of profile: CSV, Excel, Schematron
IG © 2025+ HL7 International / Public Health. Package hl7.fhir.us.ecr#3.0.0-ballot based on FHIR 4.0.1. Generated 2025-10-08
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