DaVinci PDEX Plan Net
1.2.0 - STU 2 (ci-build) United States of America flag

DaVinci PDEX Plan Net, published by HL7 International / Financial Management. 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/davinci-pdex-plan-net/ and changes regularly. See the Directory of published versions

Resource Profile: Plan-Net Network

Official URL: http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-Network Version: 1.2.0
Standards status: Trial-use Computable Name: PlannetNetwork

A Network refers to a healthcare provider insurance network. A healthcare provider insurance network is an aggregation of organizations and individuals that deliver a set of services across a geography through health insurance products/plans. A network is typically owned by a payer.

In the PlanNet IG, individuals and organizations are represented as participants in a PLan-Net Network through the practitionerRole and Plan-Net-organizationAffiliation resources, respectively.

Implementation Guidance

  • The Network profile is based on USCore Organization, since there was no contradiction between the USCore profile and the Plan-Net requirements. However, the NPI and CLIA identifier types, which are Must-Support, are clearly intended for provider organizations only and are not expected to be populated for other organization types.
  • The Plan-Net Network and Organization profiles are both based on the Organization profile. To selectively query only Network profiles, search for type = 'ntwk'. To selectively query only Organization profiles, search for type = 'fac,bus,prvgrp,payer,atyprv'.
  • When the contact is a department name, rather than a human (e.g., patient help line), include a blank family and given name, and provide the department name in contact.name.text.
  • Note that the relationship between InsurancePlans and Networks is many-to-many. A plan may be associated with multiple networks, and a network may be associated with many plans. In this IG, this is modeled by having InsurancePlans reference networks (directionality of relationship supports this).
  • To use the location-reference extension to indicate a network coverage area, the preferred form of reference is to create a Location instance with the State or region specified, and possibly provide a GeoJSON.

Usage:

Formal Views of Profile Content

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

This structure is derived from USCoreOrganizationProfile

NameFlagsCard.TypeDescription & Constraintsdoco
.. Organization USCoreOrganizationProfile
... meta
.... lastUpdated 1..1 instant When the resource version last changed
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... location-reference S 0..* Reference(Plan-Net Location) Network coverage area
URL: http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/location-reference
... identifier 0..* Identifier Identifies this organization across multiple systems
.... type S 0..1 CodeableConcept Description of identifier
... type S 1..1 CodeableConcept Kind of organization
Binding: Network Type VS (required)
... telecom 0..0
... partOf S 1..1 Reference(Plan-Net Organization) The organization that manages this network
... contact S 0..* BackboneElement Contact for the organization for a certain purpose
.... name S 0..1 HumanName A name associated with the contact
.... telecom S 0..* ContactPoint Contact details (telephone, email, etc.) for a contact
..... Slices for extension Content/Rules for all slices
...... contactpoint-availabletime 0..* (Complex) Contactpoint Availabletime
URL: http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/contactpoint-availabletime
...... via-intermediary 0..* Reference(Plan-Net PractitionerRole | Plan-Net OrganizationAffiliation | Plan-Net Location | Plan-Net Organization) Via Intermediary
URL: http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/via-intermediary
..... system S 0..1 code phone | fax | email | pager | url | sms | other
..... value S 0..1 string The actual contact point details
... endpoint S 0..* Reference(Plan-Net Endpoint) Technical endpoints providing access to services operated for the organization

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Organization.typerequiredNetworkTypeVS
http://hl7.org/fhir/us/davinci-pdex-plan-net/ValueSet/NetworkTypeVS
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. Organization C 0..* USCoreOrganizationProfile 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
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... location-reference S 0..* Reference(Plan-Net Location) Network coverage area
URL: http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/location-reference
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
.... identifier:All Slices Content/Rules for all slices
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type SΣ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

..... system SΣ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 0..1 string The value that is unique
Example General: 123456
.... identifier:NPI SΣC 0..* Identifier National Provider Identifier (NPI)
us-core-16: NPI must be 10 digits
us-core-17: NPI check digit must be valid (Luhn algorithm check)

Required Pattern: At least the following
..... system 1..1 uri The namespace for the identifier value
Fixed Value: http://hl7.org/fhir/sid/us-npi
.... identifier:CLIA ΣC 0..* Identifier Clinical Laboratory Improvement Amendments (CLIA) Number for laboratories
us-core-18: CLIA number must be 10 digits with a letter "D" in third position

Required Pattern: At least the following
..... system 1..1 uri The namespace for the identifier value
Fixed Value: urn:oid:2.16.840.1.113883.4.7
.... identifier:NAIC ΣC 0..* Identifier NAIC Code
us-core-19: NAIC must be 5 digits

Required Pattern: At least the following
..... system 1..1 uri The namespace for the identifier value
Fixed Value: urn:oid:2.16.840.1.113883.6.300
... active ?!SΣ 1..1 boolean Whether the organization's record is still in active use
Fixed Value: true
... type SΣ 1..1 CodeableConcept Kind of organization
Binding: Network Type VS (required)
... name SΣC 1..1 string Name used for the organization
... address SC 0..* Address An address for the organization
org-2: An address of an organization can never be of use 'home'
.... 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: USPS Two Letter Alphabetic Codes (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)
... partOf SΣ 1..1 Reference(Plan-Net Organization) The organization that manages this network
... contact S 0..* BackboneElement Contact for the organization for a certain purpose
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... name S 0..1 HumanName A name associated with the contact
.... telecom S 0..* ContactPoint Contact details (telephone, email, etc.) for a contact
..... Slices for extension Content/Rules for all slices
...... contactpoint-availabletime 0..* (Complex) Contactpoint Availabletime
URL: http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/contactpoint-availabletime
...... via-intermediary 0..* Reference(Plan-Net PractitionerRole | Plan-Net OrganizationAffiliation | Plan-Net Location | Plan-Net Organization) Via Intermediary
URL: http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/via-intermediary
..... 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.

... endpoint S 0..* Reference(Plan-Net Endpoint) Technical endpoints providing access to services operated for the organization

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Organization.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Organization.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Organization.typerequiredNetworkTypeVS
http://hl7.org/fhir/us/davinci-pdex-plan-net/ValueSet/NetworkTypeVS
from this IG
Organization.telecom.systemrequiredContactPointSystem
http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1
from the FHIR Standard
Organization.telecom.userequiredContactPointUse
http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1
from the FHIR Standard
Organization.address.userequiredAddressUse
http://hl7.org/fhir/ValueSet/address-use|4.0.1
from the FHIR Standard
Organization.address.stateextensibleUspsTwoLetterAlphabeticCodes (a valid code from https://www.usps.com/)
http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state
Organization.contact.telecom.systemrequiredContactPointSystem
http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1
from the FHIR Standard
Organization.contact.telecom.userequiredContactPointUse
http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
us-core-16errorOrganization.identifier:NPINPI must be 10 digits
: value.matches('^[0-9]{10}$')
us-core-17errorOrganization.identifier:NPINPI check digit must be valid (Luhn algorithm check)
: (((select(value.substring(0,1).toInteger()).select(iif($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-18errorOrganization.identifier:CLIACLIA number must be 10 digits with a letter "D" in third position
: value.matches('^[0-9]{2}D[0-9]{7}$')
us-core-19errorOrganization.identifier:NAICNAIC must be 5 digits
: value.matches('^[0-9]{5}$')
NameFlagsCard.TypeDescription & Constraintsdoco
.. Organization C 0..* USCoreOrganizationProfile 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
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 1..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".


... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... 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
.... location-reference S 0..* Reference(Plan-Net Location) Network coverage area
URL: http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/location-reference
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier SΣC 0..* Identifier Identifies this organization across multiple systems
Slice: Unordered, Open by pattern:$this
.... identifier:All Slices Content/Rules for all slices
..... 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 usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type SΣ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

..... system SΣ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 0..1 string The value that is unique
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:NPI SΣC 0..* Identifier National Provider Identifier (NPI)
us-core-16: NPI must be 10 digits
us-core-17: NPI check digit must be valid (Luhn algorithm check)

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
us-core-18: CLIA number must be 10 digits with a letter "D" in third position

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
us-core-19: NAIC must be 5 digits

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
Fixed Value: true
... type SΣ 1..1 CodeableConcept Kind of organization
Binding: Network Type VS (required)
... name SΣC 1..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
... address SC 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
.... 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: USPS Two Letter Alphabetic Codes (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 SΣ 1..1 Reference(Plan-Net Organization) The organization that manages this network
... contact S 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 S 0..1 HumanName A name associated with the contact
.... telecom S 0..* ContactPoint Contact details (telephone, email, etc.) for a contact
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... contactpoint-availabletime 0..* (Complex) Contactpoint Availabletime
URL: http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/contactpoint-availabletime
...... via-intermediary 0..* Reference(Plan-Net PractitionerRole | Plan-Net OrganizationAffiliation | Plan-Net Location | Plan-Net Organization) Via Intermediary
URL: http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/via-intermediary
..... 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 0..1 Address Visiting or postal addresses for the contact
... endpoint S 0..* Reference(Plan-Net Endpoint) Technical endpoints providing access to services operated for the organization

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Organization.meta.securityextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
Organization.meta.tagexampleCommonTags
http://hl7.org/fhir/ValueSet/common-tags
from the FHIR Standard
Organization.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Organization.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Organization.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Organization.typerequiredNetworkTypeVS
http://hl7.org/fhir/us/davinci-pdex-plan-net/ValueSet/NetworkTypeVS
from this IG
Organization.telecom.systemrequiredContactPointSystem
http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1
from the FHIR Standard
Organization.telecom.userequiredContactPointUse
http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1
from the FHIR Standard
Organization.address.userequiredAddressUse
http://hl7.org/fhir/ValueSet/address-use|4.0.1
from the FHIR Standard
Organization.address.typerequiredAddressType
http://hl7.org/fhir/ValueSet/address-type|4.0.1
from the FHIR Standard
Organization.address.stateextensibleUspsTwoLetterAlphabeticCodes (a valid code from https://www.usps.com/)
http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state
Organization.contact.purposeextensibleContactEntityType
http://hl7.org/fhir/ValueSet/contactentity-type
from the FHIR Standard
Organization.contact.telecom.systemrequiredContactPointSystem
http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1
from the FHIR Standard
Organization.contact.telecom.userequiredContactPointUse
http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
us-core-16errorOrganization.identifier:NPINPI must be 10 digits
: value.matches('^[0-9]{10}$')
us-core-17errorOrganization.identifier:NPINPI check digit must be valid (Luhn algorithm check)
: (((select(value.substring(0,1).toInteger()).select(iif($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-18errorOrganization.identifier:CLIACLIA number must be 10 digits with a letter "D" in third position
: value.matches('^[0-9]{2}D[0-9]{7}$')
us-core-19errorOrganization.identifier:NAICNAIC must be 5 digits
: value.matches('^[0-9]{5}$')

Differential View

This structure is derived from USCoreOrganizationProfile

NameFlagsCard.TypeDescription & Constraintsdoco
.. Organization USCoreOrganizationProfile
... meta
.... lastUpdated 1..1 instant When the resource version last changed
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... location-reference S 0..* Reference(Plan-Net Location) Network coverage area
URL: http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/location-reference
... identifier 0..* Identifier Identifies this organization across multiple systems
.... type S 0..1 CodeableConcept Description of identifier
... type S 1..1 CodeableConcept Kind of organization
Binding: Network Type VS (required)
... telecom 0..0
... partOf S 1..1 Reference(Plan-Net Organization) The organization that manages this network
... contact S 0..* BackboneElement Contact for the organization for a certain purpose
.... name S 0..1 HumanName A name associated with the contact
.... telecom S 0..* ContactPoint Contact details (telephone, email, etc.) for a contact
..... Slices for extension Content/Rules for all slices
...... contactpoint-availabletime 0..* (Complex) Contactpoint Availabletime
URL: http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/contactpoint-availabletime
...... via-intermediary 0..* Reference(Plan-Net PractitionerRole | Plan-Net OrganizationAffiliation | Plan-Net Location | Plan-Net Organization) Via Intermediary
URL: http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/via-intermediary
..... system S 0..1 code phone | fax | email | pager | url | sms | other
..... value S 0..1 string The actual contact point details
... endpoint S 0..* Reference(Plan-Net Endpoint) Technical endpoints providing access to services operated for the organization

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Organization.typerequiredNetworkTypeVS
http://hl7.org/fhir/us/davinci-pdex-plan-net/ValueSet/NetworkTypeVS
from this IG

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Organization C 0..* USCoreOrganizationProfile 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
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... location-reference S 0..* Reference(Plan-Net Location) Network coverage area
URL: http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/location-reference
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
.... identifier:All Slices Content/Rules for all slices
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type SΣ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

..... system SΣ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 0..1 string The value that is unique
Example General: 123456
.... identifier:NPI SΣC 0..* Identifier National Provider Identifier (NPI)
us-core-16: NPI must be 10 digits
us-core-17: NPI check digit must be valid (Luhn algorithm check)

Required Pattern: At least the following
..... system 1..1 uri The namespace for the identifier value
Fixed Value: http://hl7.org/fhir/sid/us-npi
.... identifier:CLIA ΣC 0..* Identifier Clinical Laboratory Improvement Amendments (CLIA) Number for laboratories
us-core-18: CLIA number must be 10 digits with a letter "D" in third position

Required Pattern: At least the following
..... system 1..1 uri The namespace for the identifier value
Fixed Value: urn:oid:2.16.840.1.113883.4.7
.... identifier:NAIC ΣC 0..* Identifier NAIC Code
us-core-19: NAIC must be 5 digits

Required Pattern: At least the following
..... system 1..1 uri The namespace for the identifier value
Fixed Value: urn:oid:2.16.840.1.113883.6.300
... active ?!SΣ 1..1 boolean Whether the organization's record is still in active use
Fixed Value: true
... type SΣ 1..1 CodeableConcept Kind of organization
Binding: Network Type VS (required)
... name SΣC 1..1 string Name used for the organization
... address SC 0..* Address An address for the organization
org-2: An address of an organization can never be of use 'home'
.... 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: USPS Two Letter Alphabetic Codes (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)
... partOf SΣ 1..1 Reference(Plan-Net Organization) The organization that manages this network
... contact S 0..* BackboneElement Contact for the organization for a certain purpose
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... name S 0..1 HumanName A name associated with the contact
.... telecom S 0..* ContactPoint Contact details (telephone, email, etc.) for a contact
..... Slices for extension Content/Rules for all slices
...... contactpoint-availabletime 0..* (Complex) Contactpoint Availabletime
URL: http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/contactpoint-availabletime
...... via-intermediary 0..* Reference(Plan-Net PractitionerRole | Plan-Net OrganizationAffiliation | Plan-Net Location | Plan-Net Organization) Via Intermediary
URL: http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/via-intermediary
..... 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.

... endpoint S 0..* Reference(Plan-Net Endpoint) Technical endpoints providing access to services operated for the organization

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Organization.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Organization.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Organization.typerequiredNetworkTypeVS
http://hl7.org/fhir/us/davinci-pdex-plan-net/ValueSet/NetworkTypeVS
from this IG
Organization.telecom.systemrequiredContactPointSystem
http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1
from the FHIR Standard
Organization.telecom.userequiredContactPointUse
http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1
from the FHIR Standard
Organization.address.userequiredAddressUse
http://hl7.org/fhir/ValueSet/address-use|4.0.1
from the FHIR Standard
Organization.address.stateextensibleUspsTwoLetterAlphabeticCodes (a valid code from https://www.usps.com/)
http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state
Organization.contact.telecom.systemrequiredContactPointSystem
http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1
from the FHIR Standard
Organization.contact.telecom.userequiredContactPointUse
http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
us-core-16errorOrganization.identifier:NPINPI must be 10 digits
: value.matches('^[0-9]{10}$')
us-core-17errorOrganization.identifier:NPINPI check digit must be valid (Luhn algorithm check)
: (((select(value.substring(0,1).toInteger()).select(iif($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-18errorOrganization.identifier:CLIACLIA number must be 10 digits with a letter "D" in third position
: value.matches('^[0-9]{2}D[0-9]{7}$')
us-core-19errorOrganization.identifier:NAICNAIC must be 5 digits
: value.matches('^[0-9]{5}$')

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Organization C 0..* USCoreOrganizationProfile 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
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 1..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".


... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... 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
.... location-reference S 0..* Reference(Plan-Net Location) Network coverage area
URL: http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/location-reference
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier SΣC 0..* Identifier Identifies this organization across multiple systems
Slice: Unordered, Open by pattern:$this
.... identifier:All Slices Content/Rules for all slices
..... 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 usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type SΣ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

..... system SΣ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 0..1 string The value that is unique
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:NPI SΣC 0..* Identifier National Provider Identifier (NPI)
us-core-16: NPI must be 10 digits
us-core-17: NPI check digit must be valid (Luhn algorithm check)

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
us-core-18: CLIA number must be 10 digits with a letter "D" in third position

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
us-core-19: NAIC must be 5 digits

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
Fixed Value: true
... type SΣ 1..1 CodeableConcept Kind of organization
Binding: Network Type VS (required)
... name SΣC 1..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
... address SC 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
.... 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: USPS Two Letter Alphabetic Codes (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 SΣ 1..1 Reference(Plan-Net Organization) The organization that manages this network
... contact S 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 S 0..1 HumanName A name associated with the contact
.... telecom S 0..* ContactPoint Contact details (telephone, email, etc.) for a contact
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... contactpoint-availabletime 0..* (Complex) Contactpoint Availabletime
URL: http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/contactpoint-availabletime
...... via-intermediary 0..* Reference(Plan-Net PractitionerRole | Plan-Net OrganizationAffiliation | Plan-Net Location | Plan-Net Organization) Via Intermediary
URL: http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/via-intermediary
..... 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 0..1 Address Visiting or postal addresses for the contact
... endpoint S 0..* Reference(Plan-Net Endpoint) Technical endpoints providing access to services operated for the organization

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Organization.meta.securityextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
Organization.meta.tagexampleCommonTags
http://hl7.org/fhir/ValueSet/common-tags
from the FHIR Standard
Organization.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Organization.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Organization.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Organization.typerequiredNetworkTypeVS
http://hl7.org/fhir/us/davinci-pdex-plan-net/ValueSet/NetworkTypeVS
from this IG
Organization.telecom.systemrequiredContactPointSystem
http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1
from the FHIR Standard
Organization.telecom.userequiredContactPointUse
http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1
from the FHIR Standard
Organization.address.userequiredAddressUse
http://hl7.org/fhir/ValueSet/address-use|4.0.1
from the FHIR Standard
Organization.address.typerequiredAddressType
http://hl7.org/fhir/ValueSet/address-type|4.0.1
from the FHIR Standard
Organization.address.stateextensibleUspsTwoLetterAlphabeticCodes (a valid code from https://www.usps.com/)
http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state
Organization.contact.purposeextensibleContactEntityType
http://hl7.org/fhir/ValueSet/contactentity-type
from the FHIR Standard
Organization.contact.telecom.systemrequiredContactPointSystem
http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1
from the FHIR Standard
Organization.contact.telecom.userequiredContactPointUse
http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
us-core-16errorOrganization.identifier:NPINPI must be 10 digits
: value.matches('^[0-9]{10}$')
us-core-17errorOrganization.identifier:NPINPI check digit must be valid (Luhn algorithm check)
: (((select(value.substring(0,1).toInteger()).select(iif($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-18errorOrganization.identifier:CLIACLIA number must be 10 digits with a letter "D" in third position
: value.matches('^[0-9]{2}D[0-9]{7}$')
us-core-19errorOrganization.identifier:NAICNAIC must be 5 digits
: value.matches('^[0-9]{5}$')

 

Other representations of profile: CSV, Excel, Schematron