SPL Mapping FHIR R5 Implementation Guide
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SPL Mapping FHIR R5 Implementation Guide, published by HL7 International / Biomedical Research and Regulation. This guide is not an authorized publication; it is the continuous build for version 0.2.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-spl/ and changes regularly. See the Directory of published versions

Resource Profile: EstablishmentOrganization - Detailed Descriptions

Page standards status: Trial-use Maturity Level: 1

Definitions for the EstablishmentOrganization resource profile.

Guidance on how to interpret the contents of this table can be found here

0. Organization
Invariantsspl-6.1.4.1: If country is not USA, then US agent is mandatory. (contact.address.where(country = 'USA').count() = 0 implies contained.ofType(Organization).where(type.coding.where(code = 'USAgent').count() = 0).count() = 1)
spl-6.1.4.3: If country is USA, then US agent is not allowed. (contact.address.where(country = 'USA').count() > 0 implies contained.ofType(Organization).where(type.coding.where(code = 'USAgent').count() = 0).count() = 0)
spl-6.1.5.3: If country is USA, then import business is not allowed. (contact.address.where(country = 'USA').count() > 0 implies contained.ofType(Organization).where(type.coding.where(code = 'Importer').count() = 0).count() = 0)
spl-5.1.5.6: Each business operation code is mentioned only once. (contained.ofType(HealthcareService).type().isDistinct())
2. Organization.contained
Control1..?
SlicingThis element introduces a set of slices on Organization.contained. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
  • profile @ $this
  • 4. Organization.contained:BusinessOperation
    Slice NameBusinessOperation
    Control1..*
    TypeHealthcareService(EstablishmentBusinessOperation)
    Must Supporttrue
    6. Organization.contained:USAgentAffiliation
    Slice NameUSAgentAffiliation
    Control0..1
    TypeOrganizationAffiliation(USAgentAffiliation)
    Must Supporttrue
    8. Organization.contained:USAgent
    Slice NameUSAgent
    Control0..1
    TypeOrganization(USAgentOrganization)
    Must Supporttrue
    10. Organization.contained:ImporterAffiliation
    Slice NameImporterAffiliation
    Control0..*
    TypeOrganizationAffiliation(ImporterAffiliation)
    Must Supporttrue
    12. Organization.contained:Importer
    Slice NameImporter
    Control0..*
    TypeOrganization(ImporterOrganization)
    Must Supporttrue
    14. Organization.identifier
    NoteThis is a business identifier, not a resource identifier (see discussion)
    Control1..?
    Must Supporttrue
    SlicingThis element introduces a set of slices on Organization.identifier. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ system
    • 16. Organization.identifier.system
      Control1..?
      Must Supporttrue
      18. Organization.identifier.value
      Control1..?
      Must Supporttrue
      20. Organization.identifier:DUNSNumber
      Slice NameDUNSNumber
      NoteThis is a business identifier, not a resource identifier (see discussion)
      Control1..1
      Must Supporttrue
      Invariantsspl-2.1.5.2: DUNS number is 9 digits (system = 'urn:oid:1.3.6.1.4.1.519.1' implies value.length() = 9)
      22. Organization.identifier:DUNSNumber.system
      Pattern Valueurn:oid:1.3.6.1.4.1.519.1
      24. Organization.identifier:FEINumber
      Slice NameFEINumber
      NoteThis is a business identifier, not a resource identifier (see discussion)
      Control0..1
      Must Supporttrue
      Invariantsspl-6.1.3.7: FEI number is 7 or 10 digits (system = 'urn:oid:2.16.840.1.113883.4.82' implies (value.length() = 7 or value.length() = 10))
      26. Organization.identifier:FEINumber.system
      Pattern Valueurn:oid:2.16.840.1.113883.4.82
      28. Organization.type
      Control1..1
      Must Supporttrue
      Pattern Value{
        "coding" : [{
          "system" : "http://hl7.org/fhir/us/spl/CodeSystem/codesystem-organizationTypes",
          "code" : "Establishment"
        }]
      }
      30. Organization.name
      Control1..?
      Must Supporttrue
      32. Organization.contact
      Control2..2
      Must Supporttrue
      SlicingThis element introduces a set of slices on Organization.contact. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
      • exists @ purpose
      • 34. Organization.contact:OrgAddress
        Slice NameOrgAddress
        Control1..1
        Must Supporttrue
        36. Organization.contact:OrgAddress.purpose
        Control0..0
        38. Organization.contact:OrgAddress.address
        Control1..?
        Must Supporttrue
        40. Organization.contact:OrgContact
        Slice NameOrgContact
        Control1..1
        Must Supporttrue
        42. Organization.contact:OrgContact.purpose
        Control1..?
        Must Supporttrue
        Pattern Value{
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/contactentity-type",
            "code" : "ADMIN"
          }]
        }
        44. Organization.contact:OrgContact.name
        Control1..1
        Must Supporttrue
        46. Organization.contact:OrgContact.telecom
        Control2..?
        Must Supporttrue
        SlicingThis element introduces a set of slices on Organization.contact.telecom. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ system
        • 48. Organization.contact:OrgContact.telecom:Phone
          Slice NamePhone
          Control1..1
          TypeContactPoint(SPLContactPoint)
          Must Supporttrue
          50. Organization.contact:OrgContact.telecom:Phone.system
          Pattern Valuephone
          52. Organization.contact:OrgContact.telecom:Email
          Slice NameEmail
          Control1..1
          TypeContactPoint(SPLContactPoint)
          Must Supporttrue
          54. Organization.contact:OrgContact.telecom:Email.system
          Pattern Valueemail
          56. Organization.contact:OrgContact.address
          Control1..?
          TypeAddress(SPLAddress)
          Must Supporttrue

          Guidance on how to interpret the contents of this table can be found here

          0. Organization
          Definition

          A formally or informally recognized grouping of people or organizations formed for the purpose of achieving some form of collective action. Includes companies, institutions, corporations, departments, community groups, healthcare practice groups, payer/insurer, etc.

          ShortA grouping of people or organizations with a common purpose
          Control0..*
          Is Modifierfalse
          Must Supportfalse
          Summaryfalse
          Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
          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 (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
          dom-4: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
          dom-6: A resource should have narrative for robust management (text.`div`.exists())
          org-1: The organization SHALL at least have a name or an identifier, and possibly more than one ((identifier.count() + name.count()) > 0)
          spl-6.1.4.1: If country is not USA, then US agent is mandatory. (contact.address.where(country = 'USA').count() = 0 implies contained.ofType(Organization).where(type.coding.where(code = 'USAgent').count() = 0).count() = 1)
          spl-6.1.4.3: If country is USA, then US agent is not allowed. (contact.address.where(country = 'USA').count() > 0 implies contained.ofType(Organization).where(type.coding.where(code = 'USAgent').count() = 0).count() = 0)
          spl-6.1.5.3: If country is USA, then import business is not allowed. (contact.address.where(country = 'USA').count() > 0 implies contained.ofType(Organization).where(type.coding.where(code = 'Importer').count() = 0).count() = 0)
          spl-5.1.5.6: Each business operation code is mentioned only once. (contained.ofType(HealthcareService).type().isDistinct())
          2. Organization.implicitRules
          Definition

          A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

          ShortA set of rules under which this content was created
          Comments

          Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc.

          Control0..1
          Typeuri
          Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supportfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          4. Organization.contained
          Definition

          These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.

          ShortContained, inline Resources
          Comments

          This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels.

          Control10..*
          This element is affected by the following invariants: dom-2, dom-4, dom-3, dom-5
          TypeResource
          Is Modifierfalse
          Must Supportfalse
          Summaryfalse
          Alternate Namesinline resources, anonymous resources, contained resources
          SlicingThis element introduces a set of slices on Organization.contained. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
          • profile @ $this
          • 6. Organization.contained:BusinessOperation
            Slice NameBusinessOperation
            Definition

            The details of a healthcare service available at a location.


            These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.

            ShortThe details of a healthcare service available at a locationContained, inline Resources
            Comments

            This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels.

            Control10..*
            This element is affected by the following invariants: dom-2, dom-4, dom-3, dom-5
            TypeHealthcareServiceResource(EstablishmentBusinessOperation)
            Is Modifierfalse
            Must Supporttrue
            Summaryfalse
            Alternate Namesinline resources, anonymous resources, contained resources
            8. Organization.contained:USAgentAffiliation
            Slice NameUSAgentAffiliation
            Definition

            Defines an affiliation/association/relationship between 2 distinct organizations, that is not a part-of relationship/sub-division relationship.


            These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.

            ShortDefines an affiliation/association/relationship between 2 distinct organizations, that is not a part-of relationship/sub-division relationshipContained, inline Resources
            Comments

            This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels.

            Control0..1*
            This element is affected by the following invariants: dom-2, dom-4, dom-3, dom-5
            TypeOrganizationAffiliationResource(USAgentAffiliation)
            Is Modifierfalse
            Must Supporttrue
            Summaryfalse
            Alternate Namesinline resources, anonymous resources, contained resources
            10. Organization.contained:USAgent
            Slice NameUSAgent
            Definition

            A formally or informally recognized grouping of people or organizations formed for the purpose of achieving some form of collective action. Includes companies, institutions, corporations, departments, community groups, healthcare practice groups, payer/insurer, etc.


            These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.

            ShortA grouping of people or organizations with a common purposeContained, inline Resources
            Comments

            This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels.

            Control0..1*
            This element is affected by the following invariants: dom-2, dom-4, dom-3, dom-5
            TypeOrganizationResource(USAgentOrganization)
            Is Modifierfalse
            Must Supporttrue
            Summaryfalse
            Alternate Namesinline resources, anonymous resources, contained resources
            12. Organization.contained:ImporterAffiliation
            Slice NameImporterAffiliation
            Definition

            Defines an affiliation/association/relationship between 2 distinct organizations, that is not a part-of relationship/sub-division relationship.


            These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.

            ShortDefines an affiliation/association/relationship between 2 distinct organizations, that is not a part-of relationship/sub-division relationshipContained, inline Resources
            Comments

            This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels.

            Control0..*
            This element is affected by the following invariants: dom-2, dom-4, dom-3, dom-5
            TypeOrganizationAffiliationResource(ImporterAffiliation)
            Is Modifierfalse
            Must Supporttrue
            Summaryfalse
            Alternate Namesinline resources, anonymous resources, contained resources
            14. Organization.contained:Importer
            Slice NameImporter
            Definition

            A formally or informally recognized grouping of people or organizations formed for the purpose of achieving some form of collective action. Includes companies, institutions, corporations, departments, community groups, healthcare practice groups, payer/insurer, etc.


            These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.

            ShortA grouping of people or organizations with a common purposeContained, inline Resources
            Comments

            This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels.

            Control0..*
            This element is affected by the following invariants: dom-2, dom-4, dom-3, dom-5
            TypeOrganizationResource(ImporterOrganization)
            Is Modifierfalse
            Must Supporttrue
            Summaryfalse
            Alternate Namesinline resources, anonymous resources, contained resources
            16. Organization.modifierExtension
            Definition

            May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

            ShortExtensions that cannot be ignored
            Comments

            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

            Control0..*
            TypeExtension
            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
            Must Supportfalse
            Summarytrue
            Requirements

            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

            Alternate Namesextensions, user content
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            18. Organization.identifier
            Definition

            Identifier for the organization that is used to identify the organization across multiple disparate systems.

            ShortIdentifies this organization across multiple systems
            NoteThis is a business identifier, not a resource identifier (see discussion)
            Control10..*
            This element is affected by the following invariants: org-1
            TypeIdentifier
            Is Modifierfalse
            Must Supporttrue
            Summarytrue
            Requirements

            Organizations are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the organization.

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            SlicingThis element introduces a set of slices on Organization.identifier. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ system
            • 20. Organization.identifier.use
              Definition

              The purpose of this identifier.

              Shortusual | official | temp | secondary | old (If known)
              Comments

              Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

              Control0..1
              BindingThe codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|5.0.0
              (required to http://hl7.org/fhir/ValueSet/identifier-use|5.0.0)

              Identifies the purpose for this identifier, if known .

              Typecode
              Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Requirements

              Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              22. Organization.identifier.system
              Definition

              Establishes the namespace for the value - that is, an absolute URL that describes a set values that are unique.

              ShortThe namespace for the identifier value
              Comments

              Identifier.system is always case sensitive.

              Control10..1
              Typeuri
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Must Supporttrue
              Summarytrue
              Requirements

              There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

              Example<br/><b>General</b>:http://www.acme.com/identifiers/patient
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              24. Organization.identifier.value
              Definition

              The portion of the identifier typically relevant to the user and which is unique within the context of the system.

              ShortThe value that is unique
              Comments

              If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the http://hl7.org/fhir/StructureDefinition/rendered-value). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

              Control10..1
              This element is affected by the following invariants: ident-1
              Typestring
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Must Supporttrue
              Summarytrue
              Example<br/><b>General</b>:123456
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              26. Organization.identifier:DUNSNumber
              Slice NameDUNSNumber
              Definition

              Identifier for the organization that is used to identify the organization across multiple disparate systems.

              ShortIdentifies this organization across multiple systems
              NoteThis is a business identifier, not a resource identifier (see discussion)
              Control10..1*
              This element is affected by the following invariants: org-1
              TypeIdentifier
              Is Modifierfalse
              Must Supporttrue
              Summarytrue
              Requirements

              Organizations are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the organization.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              spl-2.1.5.2: DUNS number is 9 digits (system = 'urn:oid:1.3.6.1.4.1.519.1' implies value.length() = 9)
              28. Organization.identifier:DUNSNumber.use
              Definition

              The purpose of this identifier.

              Shortusual | official | temp | secondary | old (If known)
              Comments

              Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

              Control0..1
              BindingThe codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|5.0.0
              (required to http://hl7.org/fhir/ValueSet/identifier-use|5.0.0)

              Identifies the purpose for this identifier, if known .

              Typecode
              Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Requirements

              Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              30. Organization.identifier:DUNSNumber.system
              Definition

              Establishes the namespace for the value - that is, an absolute URL that describes a set values that are unique.

              ShortThe namespace for the identifier value
              Comments

              Identifier.system is always case sensitive.

              Control0..1
              Typeuri
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Requirements

              There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

              Pattern Valueurn:oid:1.3.6.1.4.1.519.1
              Example<br/><b>General</b>:http://www.acme.com/identifiers/patient
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              32. Organization.identifier:FEINumber
              Slice NameFEINumber
              Definition

              Identifier for the organization that is used to identify the organization across multiple disparate systems.

              ShortIdentifies this organization across multiple systems
              NoteThis is a business identifier, not a resource identifier (see discussion)
              Control0..1*
              This element is affected by the following invariants: org-1
              TypeIdentifier
              Is Modifierfalse
              Must Supporttrue
              Summarytrue
              Requirements

              Organizations are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the organization.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              spl-6.1.3.7: FEI number is 7 or 10 digits (system = 'urn:oid:2.16.840.1.113883.4.82' implies (value.length() = 7 or value.length() = 10))
              34. Organization.identifier:FEINumber.use
              Definition

              The purpose of this identifier.

              Shortusual | official | temp | secondary | old (If known)
              Comments

              Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

              Control0..1
              BindingThe codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|5.0.0
              (required to http://hl7.org/fhir/ValueSet/identifier-use|5.0.0)

              Identifies the purpose for this identifier, if known .

              Typecode
              Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Requirements

              Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              36. Organization.identifier:FEINumber.system
              Definition

              Establishes the namespace for the value - that is, an absolute URL that describes a set values that are unique.

              ShortThe namespace for the identifier value
              Comments

              Identifier.system is always case sensitive.

              Control0..1
              Typeuri
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Requirements

              There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

              Pattern Valueurn:oid:2.16.840.1.113883.4.82
              Example<br/><b>General</b>:http://www.acme.com/identifiers/patient
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              38. Organization.active
              Definition

              Whether the organization's record is still in active use.

              ShortWhether the organization's record is still in active use
              Comments

              This active flag is not intended to be used to mark an organization as temporarily closed or under construction. Instead the Location(s) within the Organization should have the suspended status. If further details of the reason for the suspension are required, then an extension on this element should be used.

              This element is labeled as a modifier because it may be used to mark that the resource was created in error.

              Control0..1
              Typeboolean
              Is Modifiertrue because This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Must Supportfalse
              Summarytrue
              Requirements

              Need a flag to indicate a record is no longer to be used and should generally be hidden for the user in the UI.

              Meaning if MissingThis resource is generally assumed to be active if no value is provided for the active element
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              40. Organization.type
              Definition

              The kind(s) of organization that this is.

              ShortKind of organization
              Comments

              Organizations can be corporations, wards, sections, clinical teams, government departments, etc. Note that code is generally a classifier of the type of organization; in many applications, codes are used to identity a particular organization (say, ward) as opposed to another of the same type - these are identifiers, not codes

              When considering if multiple types are appropriate, you should evaluate if child organizations would be a more appropriate use of the concept, as different types likely are in different sub-areas of the organization. This is most likely to be used where type values have orthogonal values, such as a religious, academic and medical center.

              We expect that some jurisdictions will profile this optionality to be a single cardinality.

              Control10..1*
              BindingFor example codes, see OrganizationTypehttp://hl7.org/fhir/ValueSet/organization-type
              (example to http://hl7.org/fhir/ValueSet/organization-type)

              Used to categorize the organization.

              TypeCodeableConcept
              Is Modifierfalse
              Must Supporttrue
              Summarytrue
              Requirements

              Need to be able to track the kind of organization that this is - different organization types have different uses.

              Pattern Value{
                "coding" : [{
                  "system" : "http://hl7.org/fhir/us/spl/CodeSystem/codesystem-organizationTypes",
                  "code" : "Establishment"
                }]
              }
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              42. Organization.name
              Definition

              A name associated with the organization.

              ShortName used for the organization
              Comments

              If the name of an organization changes, consider putting the old name in the alias column so that it can still be located through searches.

              Control10..1
              This element is affected by the following invariants: org-1
              Typestring
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Must Supporttrue
              Summarytrue
              Requirements

              Need to use the name as the label of the organization.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              44. Organization.contact
              Definition

              The contact details of communication devices available relevant to the specific Organization. This can include addresses, phone numbers, fax numbers, mobile numbers, email addresses and web sites.

              ShortOfficial contact details for the Organization
              Comments

              The address/telecom use code 'home' are not to be used. Note that these contacts are not the contact details of people who provide the service (that would be through PractitionerRole), these are official contacts for the Organization itself for specific purposes. E.g. Mailing Addresses, Billing Addresses, Contact numbers for Booking or Billing Enquiries, general web address, web address for online bookings etc.

              Control20..2*
              TypeExtendedContactDetail
              Is Modifierfalse
              Must Supporttrue
              Summaryfalse
              Requirements

              Need to keep track of assigned contact points within bigger organization.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              org-3: The telecom of an organization can never be of use 'home' (telecom.where(use = 'home').empty())
              org-4: The address of an organization can never be of use 'home' (address.where(use = 'home').empty())
              SlicingThis element introduces a set of slices on Organization.contact. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
              • exists @ purpose
              • 46. Organization.contact:OrgAddress
                Slice NameOrgAddress
                Definition

                The contact details of communication devices available relevant to the specific Organization. This can include addresses, phone numbers, fax numbers, mobile numbers, email addresses and web sites.

                ShortOfficial contact details for the Organization
                Comments

                The address/telecom use code 'home' are not to be used. Note that these contacts are not the contact details of people who provide the service (that would be through PractitionerRole), these are official contacts for the Organization itself for specific purposes. E.g. Mailing Addresses, Billing Addresses, Contact numbers for Booking or Billing Enquiries, general web address, web address for online bookings etc.

                Control10..1*
                TypeExtendedContactDetail
                Is Modifierfalse
                Must Supporttrue
                Summaryfalse
                Requirements

                Need to keep track of assigned contact points within bigger organization.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                org-3: The telecom of an organization can never be of use 'home' (telecom.where(use = 'home').empty())
                org-4: The address of an organization can never be of use 'home' (address.where(use = 'home').empty())
                48. Organization.contact:OrgAddress.purpose
                Definition

                The purpose/type of contact.

                ShortThe type of contact
                Comments

                If no purpose is defined, then these contact details may be used for any purpose.

                Control0..01
                BindingThe codes SHOULD be taken from Contact entity typehttp://terminology.hl7.org/ValueSet/contactentity-type
                (preferred to http://terminology.hl7.org/ValueSet/contactentity-type)

                The purpose for which an extended contact detail should be used.

                TypeCodeableConcept
                Is Modifierfalse
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                50. Organization.contact:OrgAddress.address
                Definition

                Address for the contact.

                ShortAddress for the contact
                Comments

                More than 1 address would be for different purposes, and thus should be entered as a different entry,.

                Control10..1
                TypeAddress
                Is Modifierfalse
                Must Supporttrue
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                52. Organization.contact:OrgContact
                Slice NameOrgContact
                Definition

                The contact details of communication devices available relevant to the specific Organization. This can include addresses, phone numbers, fax numbers, mobile numbers, email addresses and web sites.

                ShortOfficial contact details for the Organization
                Comments

                The address/telecom use code 'home' are not to be used. Note that these contacts are not the contact details of people who provide the service (that would be through PractitionerRole), these are official contacts for the Organization itself for specific purposes. E.g. Mailing Addresses, Billing Addresses, Contact numbers for Booking or Billing Enquiries, general web address, web address for online bookings etc.

                Control10..1*
                TypeExtendedContactDetail
                Is Modifierfalse
                Must Supporttrue
                Summaryfalse
                Requirements

                Need to keep track of assigned contact points within bigger organization.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                org-3: The telecom of an organization can never be of use 'home' (telecom.where(use = 'home').empty())
                org-4: The address of an organization can never be of use 'home' (address.where(use = 'home').empty())
                54. Organization.contact:OrgContact.purpose
                Definition

                The purpose/type of contact.

                ShortThe type of contact
                Comments

                If no purpose is defined, then these contact details may be used for any purpose.

                Control10..1
                BindingThe codes SHOULD be taken from Contact entity typehttp://terminology.hl7.org/ValueSet/contactentity-type
                (preferred to http://terminology.hl7.org/ValueSet/contactentity-type)

                The purpose for which an extended contact detail should be used.

                TypeCodeableConcept
                Is Modifierfalse
                Must Supporttrue
                Summarytrue
                Pattern Value{
                  "coding" : [{
                    "system" : "http://terminology.hl7.org/CodeSystem/contactentity-type",
                    "code" : "ADMIN"
                  }]
                }
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                56. Organization.contact:OrgContact.name
                Definition

                The name of an individual to contact, some types of contact detail are usually blank.

                ShortName of an individual to contact
                Comments

                If there is no named individual, the telecom/address information is not generally monitored by a specific individual.

                Control10..1*
                TypeHumanName
                Is Modifierfalse
                Must Supporttrue
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                58. Organization.contact:OrgContact.telecom
                Definition

                The contact details application for the purpose defined.

                ShortContact details (e.g.phone/fax/url)
                Control20..*
                TypeContactPoint
                Is Modifierfalse
                Must Supporttrue
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                SlicingThis element introduces a set of slices on Organization.contact.telecom. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • value @ system
                • 60. Organization.contact:OrgContact.telecom:Phone
                  Slice NamePhone
                  Definition

                  Details for all kinds of technology mediated contact points for a person or organization, including telephone, email, etc.


                  The contact details application for the purpose defined.

                  ShortDetails of a Technology mediated contact point (phone, fax, email, etc.)Contact details (e.g.phone/fax/url)
                  Control10..1*
                  TypeContactPoint(SPLContactPoint)
                  Is Modifierfalse
                  Must Supporttrue
                  Invariantscpt-2: A system is required if a value is provided. (value.empty() or system.exists())
                  ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  spl-2.1.7.x: Telephone and fax numbers are formatted properly ((system = 'phone' or system = 'fax') implies value.matches('^\\+[0-9]{1,3}-[0-9]{1,3}-[0-9]{3,4}-[0-9]{4}(;ext=[0-9]+)?$'))
                  spl-2.1.7.11: Emails are formatted properly (system = 'email' implies value.matches('^[a-zA-Z0-9.!#$%&’*+/=?^_`{|}~-]+@[a-zA-Z0-9-]+(\\.[a-zA-Z0-9-]+)*$'))
                  62. Organization.contact:OrgContact.telecom:Phone.system
                  Definition

                  Telecommunications form for contact point - what communications system is required to make use of the contact.

                  Shortphone | fax | email | pager | url | sms | other
                  Control10..1
                  This element is affected by the following invariants: cpt-2
                  BindingThe codes SHALL be taken from ContactPointSystemhttp://hl7.org/fhir/ValueSet/contact-point-system|5.0.0
                  (required to http://hl7.org/fhir/ValueSet/contact-point-system|5.0.0)

                  Telecommunications form for contact point.

                  Typecode
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Must Supporttrue
                  Summarytrue
                  Pattern Valuephone
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  64. Organization.contact:OrgContact.telecom:Phone.value
                  Definition

                  The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address).

                  ShortThe actual contact point details
                  Comments

                  Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.

                  Control10..1
                  This element is affected by the following invariants: cpt-2
                  Typestring
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Must Supporttrue
                  Summarytrue
                  Requirements

                  Need to support legacy numbers that are not in a tightly controlled format.

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  66. Organization.contact:OrgContact.telecom:Phone.use
                  Definition

                  Identifies the purpose for the contact point.

                  Shorthome | work | temp | old | mobile - purpose of this contact point
                  Comments

                  Applications can assume that a contact is current unless it explicitly says that it is temporary or old.

                  Control0..1
                  BindingThe codes SHALL be taken from ContactPointUsehttp://hl7.org/fhir/ValueSet/contact-point-use|5.0.0
                  (required to http://hl7.org/fhir/ValueSet/contact-point-use|5.0.0)

                  Use of contact point.

                  Typecode
                  Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old contact etc.for a current/permanent one
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Requirements

                  Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  68. Organization.contact:OrgContact.telecom:Email
                  Slice NameEmail
                  Definition

                  Details for all kinds of technology mediated contact points for a person or organization, including telephone, email, etc.


                  The contact details application for the purpose defined.

                  ShortDetails of a Technology mediated contact point (phone, fax, email, etc.)Contact details (e.g.phone/fax/url)
                  Control10..1*
                  TypeContactPoint(SPLContactPoint)
                  Is Modifierfalse
                  Must Supporttrue
                  Invariantscpt-2: A system is required if a value is provided. (value.empty() or system.exists())
                  ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  spl-2.1.7.x: Telephone and fax numbers are formatted properly ((system = 'phone' or system = 'fax') implies value.matches('^\\+[0-9]{1,3}-[0-9]{1,3}-[0-9]{3,4}-[0-9]{4}(;ext=[0-9]+)?$'))
                  spl-2.1.7.11: Emails are formatted properly (system = 'email' implies value.matches('^[a-zA-Z0-9.!#$%&’*+/=?^_`{|}~-]+@[a-zA-Z0-9-]+(\\.[a-zA-Z0-9-]+)*$'))
                  70. Organization.contact:OrgContact.telecom:Email.system
                  Definition

                  Telecommunications form for contact point - what communications system is required to make use of the contact.

                  Shortphone | fax | email | pager | url | sms | other
                  Control10..1
                  This element is affected by the following invariants: cpt-2
                  BindingThe codes SHALL be taken from ContactPointSystemhttp://hl7.org/fhir/ValueSet/contact-point-system|5.0.0
                  (required to http://hl7.org/fhir/ValueSet/contact-point-system|5.0.0)

                  Telecommunications form for contact point.

                  Typecode
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Must Supporttrue
                  Summarytrue
                  Pattern Valueemail
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  72. Organization.contact:OrgContact.telecom:Email.value
                  Definition

                  The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address).

                  ShortThe actual contact point details
                  Comments

                  Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.

                  Control10..1
                  This element is affected by the following invariants: cpt-2
                  Typestring
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Must Supporttrue
                  Summarytrue
                  Requirements

                  Need to support legacy numbers that are not in a tightly controlled format.

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  74. Organization.contact:OrgContact.telecom:Email.use
                  Definition

                  Identifies the purpose for the contact point.

                  Shorthome | work | temp | old | mobile - purpose of this contact point
                  Comments

                  Applications can assume that a contact is current unless it explicitly says that it is temporary or old.

                  Control0..1
                  BindingThe codes SHALL be taken from ContactPointUsehttp://hl7.org/fhir/ValueSet/contact-point-use|5.0.0
                  (required to http://hl7.org/fhir/ValueSet/contact-point-use|5.0.0)

                  Use of contact point.

                  Typecode
                  Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old contact etc.for a current/permanent one
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Requirements

                  Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  76. Organization.contact:OrgContact.address
                  Definition

                  An address expressed using postal conventions (as opposed to GPS or other location definition formats). This data type may be used to convey addresses for use in delivering mail as well as for visiting locations which might not be valid for mail delivery. There are a variety of postal address formats defined around the world. The ISO21090-codedString may be used to provide a coded representation of the contents of strings in an Address.


                  Address for the contact.

                  ShortAn address expressed using postal conventions (as opposed to GPS or other location definition formats)Address for the contact
                  Comments

                  Note: address is intended to describe postal addresses for administrative purposes, not to describe absolute geographical coordinates. Postal addresses are often used as proxies for physical locations (also see the Location resource).


                  More than 1 address would be for different purposes, and thus should be entered as a different entry,.

                  Control10..1
                  TypeAddress(SPLAddress)
                  Is Modifierfalse
                  Must Supporttrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  spl-2.1.6.4: If the country is USA, then the state and postal code exist (country = 'USA' implies (state.exists() and state.length() = 2 and postalCode.exists()))
                  spl-2.1.6.5: If the country is USA, then the postal code is 5 digits with an optional dash and 4 numbers (country = 'USA' implies postalCode.matches('^[0-9]{5}(-[0-9]{4})?$'))

                  Guidance on how to interpret the contents of this table can be found here

                  0. Organization
                  Definition

                  A formally or informally recognized grouping of people or organizations formed for the purpose of achieving some form of collective action. Includes companies, institutions, corporations, departments, community groups, healthcare practice groups, payer/insurer, etc.

                  ShortA grouping of people or organizations with a common purpose
                  Control0..*
                  Is Modifierfalse
                  Must Supportfalse
                  Summaryfalse
                  Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
                  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 (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
                  dom-4: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
                  dom-6: A resource should have narrative for robust management (text.`div`.exists())
                  org-1: The organization SHALL at least have a name or an identifier, and possibly more than one ((identifier.count() + name.count()) > 0)
                  spl-6.1.4.1: If country is not USA, then US agent is mandatory. (contact.address.where(country = 'USA').count() = 0 implies contained.ofType(Organization).where(type.coding.where(code = 'USAgent').count() = 0).count() = 1)
                  spl-6.1.4.3: If country is USA, then US agent is not allowed. (contact.address.where(country = 'USA').count() > 0 implies contained.ofType(Organization).where(type.coding.where(code = 'USAgent').count() = 0).count() = 0)
                  spl-6.1.5.3: If country is USA, then import business is not allowed. (contact.address.where(country = 'USA').count() > 0 implies contained.ofType(Organization).where(type.coding.where(code = 'Importer').count() = 0).count() = 0)
                  spl-5.1.5.6: Each business operation code is mentioned only once. (contained.ofType(HealthcareService).type().isDistinct())
                  2. Organization.id
                  Definition

                  The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

                  ShortLogical id of this artifact
                  Comments

                  Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case.

                  Control0..1
                  Typeid
                  Is Modifierfalse
                  Must Supportfalse
                  Summarytrue
                  4. Organization.meta
                  Definition

                  The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

                  ShortMetadata about the resource
                  Control0..1
                  TypeMeta
                  Is Modifierfalse
                  Must Supportfalse
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  6. Organization.implicitRules
                  Definition

                  A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

                  ShortA set of rules under which this content was created
                  Comments

                  Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc.

                  Control0..1
                  Typeuri
                  Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Must Supportfalse
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  8. Organization.language
                  Definition

                  The base language in which the resource is written.

                  ShortLanguage of the resource content
                  Comments

                  Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

                  Control0..1
                  BindingThe codes SHALL be taken from AllLanguages
                  (required to http://hl7.org/fhir/ValueSet/all-languages|5.0.0)

                  IETF language tag for a human language

                  Typecode
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Must Supportfalse
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  10. Organization.text
                  Definition

                  A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

                  ShortText summary of the resource, for human interpretation
                  Comments

                  Contained resources do not have a narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

                  Control0..1
                  This element is affected by the following invariants: dom-6
                  TypeNarrative
                  Is Modifierfalse
                  Must Supportfalse
                  Summaryfalse
                  Alternate Namesnarrative, html, xhtml, display
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  12. Organization.contained
                  Definition

                  These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.

                  ShortContained, inline Resources
                  Comments

                  This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels.

                  Control1..*
                  This element is affected by the following invariants: dom-2, dom-4, dom-3, dom-5
                  TypeResource
                  Is Modifierfalse
                  Must Supportfalse
                  Summaryfalse
                  Alternate Namesinline resources, anonymous resources, contained resources
                  SlicingThis element introduces a set of slices on Organization.contained. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                  • profile @ $this
                  • 14. Organization.contained:BusinessOperation
                    Slice NameBusinessOperation
                    Definition

                    The details of a healthcare service available at a location.

                    ShortThe details of a healthcare service available at a location
                    Comments

                    This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels.

                    Control1..*
                    TypeHealthcareService(EstablishmentBusinessOperation)
                    Is Modifierfalse
                    Must Supporttrue
                    Summaryfalse
                    16. Organization.contained:USAgentAffiliation
                    Slice NameUSAgentAffiliation
                    Definition

                    Defines an affiliation/association/relationship between 2 distinct organizations, that is not a part-of relationship/sub-division relationship.

                    ShortDefines an affiliation/association/relationship between 2 distinct organizations, that is not a part-of relationship/sub-division relationship
                    Comments

                    This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels.

                    Control0..1
                    TypeOrganizationAffiliation(USAgentAffiliation)
                    Is Modifierfalse
                    Must Supporttrue
                    Summaryfalse
                    18. Organization.contained:USAgent
                    Slice NameUSAgent
                    Definition

                    A formally or informally recognized grouping of people or organizations formed for the purpose of achieving some form of collective action. Includes companies, institutions, corporations, departments, community groups, healthcare practice groups, payer/insurer, etc.

                    ShortA grouping of people or organizations with a common purpose
                    Comments

                    This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels.

                    Control0..1
                    TypeOrganization(USAgentOrganization)
                    Is Modifierfalse
                    Must Supporttrue
                    Summaryfalse
                    20. Organization.contained:ImporterAffiliation
                    Slice NameImporterAffiliation
                    Definition

                    Defines an affiliation/association/relationship between 2 distinct organizations, that is not a part-of relationship/sub-division relationship.

                    ShortDefines an affiliation/association/relationship between 2 distinct organizations, that is not a part-of relationship/sub-division relationship
                    Comments

                    This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels.

                    Control0..*
                    TypeOrganizationAffiliation(ImporterAffiliation)
                    Is Modifierfalse
                    Must Supporttrue
                    Summaryfalse
                    22. Organization.contained:Importer
                    Slice NameImporter
                    Definition

                    A formally or informally recognized grouping of people or organizations formed for the purpose of achieving some form of collective action. Includes companies, institutions, corporations, departments, community groups, healthcare practice groups, payer/insurer, etc.

                    ShortA grouping of people or organizations with a common purpose
                    Comments

                    This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels.

                    Control0..*
                    TypeOrganization(ImporterOrganization)
                    Is Modifierfalse
                    Must Supporttrue
                    Summaryfalse
                    24. Organization.extension
                    Definition

                    May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                    ShortAdditional content defined by implementations
                    Comments

                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                    Control0..*
                    TypeExtension
                    Is Modifierfalse
                    Must Supportfalse
                    Summaryfalse
                    Alternate Namesextensions, user content
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    26. Organization.modifierExtension
                    Definition

                    May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                    ShortExtensions that cannot be ignored
                    Comments

                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                    Control0..*
                    TypeExtension
                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
                    Must Supportfalse
                    Summarytrue
                    Requirements

                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                    Alternate Namesextensions, user content
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    28. Organization.identifier
                    Definition

                    Identifier for the organization that is used to identify the organization across multiple disparate systems.

                    ShortIdentifies this organization across multiple systems
                    NoteThis is a business identifier, not a resource identifier (see discussion)
                    Control1..*
                    This element is affected by the following invariants: org-1
                    TypeIdentifier
                    Is Modifierfalse
                    Must Supporttrue
                    Summarytrue
                    Requirements

                    Organizations are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the organization.

                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    SlicingThis element introduces a set of slices on Organization.identifier. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                    • value @ system
                    • 30. Organization.identifier.id
                      Definition

                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                      ShortUnique id for inter-element referencing
                      Control0..1
                      This element is affected by the following invariants: ele-1
                      Typeid
                      Is Modifierfalse
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Summaryfalse
                      32. Organization.identifier.extension
                      Definition

                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                      ShortAdditional content defined by implementations
                      Comments

                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                      Control0..*
                      TypeExtension
                      Is Modifierfalse
                      Summaryfalse
                      Alternate Namesextensions, user content
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      SlicingThis element introduces a set of slices on Organization.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                      • value @ url
                      • 34. Organization.identifier.use
                        Definition

                        The purpose of this identifier.

                        Shortusual | official | temp | secondary | old (If known)
                        Comments

                        Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

                        Control0..1
                        BindingThe codes SHALL be taken from IdentifierUse
                        (required to http://hl7.org/fhir/ValueSet/identifier-use|5.0.0)

                        Identifies the purpose for this identifier, if known .

                        Typecode
                        Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Requirements

                        Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        36. Organization.identifier.type
                        Definition

                        A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

                        ShortDescription of identifier
                        Comments

                        This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

                        Control0..1
                        BindingUnless not suitable, these codes SHALL be taken from IdentifierTypeCodes
                        (extensible to http://hl7.org/fhir/ValueSet/identifier-type)

                        A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

                        TypeCodeableConcept
                        Is Modifierfalse
                        Summarytrue
                        Requirements

                        Allows users to make use of identifiers when the identifier system is not known.

                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        38. Organization.identifier.system
                        Definition

                        Establishes the namespace for the value - that is, an absolute URL that describes a set values that are unique.

                        ShortThe namespace for the identifier value
                        Comments

                        Identifier.system is always case sensitive.

                        Control1..1
                        Typeuri
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Must Supporttrue
                        Summarytrue
                        Requirements

                        There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

                        Example<br/><b>General</b>:http://www.acme.com/identifiers/patient
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        40. Organization.identifier.value
                        Definition

                        The portion of the identifier typically relevant to the user and which is unique within the context of the system.

                        ShortThe value that is unique
                        Comments

                        If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the http://hl7.org/fhir/StructureDefinition/rendered-value). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

                        Control1..1
                        This element is affected by the following invariants: ident-1
                        Typestring
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Must Supporttrue
                        Summarytrue
                        Example<br/><b>General</b>:123456
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        42. Organization.identifier.period
                        Definition

                        Time period during which identifier is/was valid for use.

                        ShortTime period when id is/was valid for use
                        Control0..1
                        TypePeriod
                        Is Modifierfalse
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        44. Organization.identifier.assigner
                        Definition

                        Organization that issued/manages the identifier.

                        ShortOrganization that issued id (may be just text)
                        Comments

                        The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

                        Control0..1
                        TypeReference(Organization)
                        Is Modifierfalse
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        46. Organization.identifier:DUNSNumber
                        Slice NameDUNSNumber
                        Definition

                        Identifier for the organization that is used to identify the organization across multiple disparate systems.

                        ShortIdentifies this organization across multiple systems
                        NoteThis is a business identifier, not a resource identifier (see discussion)
                        Control1..1
                        This element is affected by the following invariants: org-1
                        TypeIdentifier
                        Is Modifierfalse
                        Must Supporttrue
                        Summarytrue
                        Requirements

                        Organizations are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the organization.

                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        spl-2.1.5.2: DUNS number is 9 digits (system = 'urn:oid:1.3.6.1.4.1.519.1' implies value.length() = 9)
                        48. Organization.identifier:DUNSNumber.id
                        Definition

                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                        ShortUnique id for inter-element referencing
                        Control0..1
                        This element is affected by the following invariants: ele-1
                        Typeid
                        Is Modifierfalse
                        XML FormatIn the XML format, this property is represented as an attribute.
                        Summaryfalse
                        50. Organization.identifier:DUNSNumber.extension
                        Definition

                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                        ShortAdditional content defined by implementations
                        Comments

                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                        Control0..*
                        TypeExtension
                        Is Modifierfalse
                        Summaryfalse
                        Alternate Namesextensions, user content
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        SlicingThis element introduces a set of slices on Organization.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                        • value @ url
                        • 52. Organization.identifier:DUNSNumber.use
                          Definition

                          The purpose of this identifier.

                          Shortusual | official | temp | secondary | old (If known)
                          Comments

                          Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

                          Control0..1
                          BindingThe codes SHALL be taken from IdentifierUse
                          (required to http://hl7.org/fhir/ValueSet/identifier-use|5.0.0)

                          Identifies the purpose for this identifier, if known .

                          Typecode
                          Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Requirements

                          Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          54. Organization.identifier:DUNSNumber.type
                          Definition

                          A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

                          ShortDescription of identifier
                          Comments

                          This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

                          Control0..1
                          BindingUnless not suitable, these codes SHALL be taken from IdentifierTypeCodes
                          (extensible to http://hl7.org/fhir/ValueSet/identifier-type)

                          A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

                          TypeCodeableConcept
                          Is Modifierfalse
                          Summarytrue
                          Requirements

                          Allows users to make use of identifiers when the identifier system is not known.

                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          56. Organization.identifier:DUNSNumber.system
                          Definition

                          Establishes the namespace for the value - that is, an absolute URL that describes a set values that are unique.

                          ShortThe namespace for the identifier value
                          Comments

                          Identifier.system is always case sensitive.

                          Control0..1
                          Typeuri
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Requirements

                          There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

                          Pattern Valueurn:oid:1.3.6.1.4.1.519.1
                          Example<br/><b>General</b>:http://www.acme.com/identifiers/patient
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          58. Organization.identifier:DUNSNumber.value
                          Definition

                          The portion of the identifier typically relevant to the user and which is unique within the context of the system.

                          ShortThe value that is unique
                          Comments

                          If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the http://hl7.org/fhir/StructureDefinition/rendered-value). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

                          Control0..1
                          This element is affected by the following invariants: ident-1
                          Typestring
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Example<br/><b>General</b>:123456
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          60. Organization.identifier:DUNSNumber.period
                          Definition

                          Time period during which identifier is/was valid for use.

                          ShortTime period when id is/was valid for use
                          Control0..1
                          TypePeriod
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          62. Organization.identifier:DUNSNumber.assigner
                          Definition

                          Organization that issued/manages the identifier.

                          ShortOrganization that issued id (may be just text)
                          Comments

                          The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

                          Control0..1
                          TypeReference(Organization)
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          64. Organization.identifier:FEINumber
                          Slice NameFEINumber
                          Definition

                          Identifier for the organization that is used to identify the organization across multiple disparate systems.

                          ShortIdentifies this organization across multiple systems
                          NoteThis is a business identifier, not a resource identifier (see discussion)
                          Control0..1
                          This element is affected by the following invariants: org-1
                          TypeIdentifier
                          Is Modifierfalse
                          Must Supporttrue
                          Summarytrue
                          Requirements

                          Organizations are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the organization.

                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          spl-6.1.3.7: FEI number is 7 or 10 digits (system = 'urn:oid:2.16.840.1.113883.4.82' implies (value.length() = 7 or value.length() = 10))
                          66. Organization.identifier:FEINumber.id
                          Definition

                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                          ShortUnique id for inter-element referencing
                          Control0..1
                          This element is affected by the following invariants: ele-1
                          Typeid
                          Is Modifierfalse
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Summaryfalse
                          68. Organization.identifier:FEINumber.extension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                          ShortAdditional content defined by implementations
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifierfalse
                          Summaryfalse
                          Alternate Namesextensions, user content
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          SlicingThis element introduces a set of slices on Organization.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                          • value @ url
                          • 70. Organization.identifier:FEINumber.use
                            Definition

                            The purpose of this identifier.

                            Shortusual | official | temp | secondary | old (If known)
                            Comments

                            Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

                            Control0..1
                            BindingThe codes SHALL be taken from IdentifierUse
                            (required to http://hl7.org/fhir/ValueSet/identifier-use|5.0.0)

                            Identifies the purpose for this identifier, if known .

                            Typecode
                            Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Summarytrue
                            Requirements

                            Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            72. Organization.identifier:FEINumber.type
                            Definition

                            A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

                            ShortDescription of identifier
                            Comments

                            This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

                            Control0..1
                            BindingUnless not suitable, these codes SHALL be taken from IdentifierTypeCodes
                            (extensible to http://hl7.org/fhir/ValueSet/identifier-type)

                            A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

                            TypeCodeableConcept
                            Is Modifierfalse
                            Summarytrue
                            Requirements

                            Allows users to make use of identifiers when the identifier system is not known.

                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            74. Organization.identifier:FEINumber.system
                            Definition

                            Establishes the namespace for the value - that is, an absolute URL that describes a set values that are unique.

                            ShortThe namespace for the identifier value
                            Comments

                            Identifier.system is always case sensitive.

                            Control0..1
                            Typeuri
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Summarytrue
                            Requirements

                            There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

                            Pattern Valueurn:oid:2.16.840.1.113883.4.82
                            Example<br/><b>General</b>:http://www.acme.com/identifiers/patient
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            76. Organization.identifier:FEINumber.value
                            Definition

                            The portion of the identifier typically relevant to the user and which is unique within the context of the system.

                            ShortThe value that is unique
                            Comments

                            If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the http://hl7.org/fhir/StructureDefinition/rendered-value). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

                            Control0..1
                            This element is affected by the following invariants: ident-1
                            Typestring
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Summarytrue
                            Example<br/><b>General</b>:123456
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            78. Organization.identifier:FEINumber.period
                            Definition

                            Time period during which identifier is/was valid for use.

                            ShortTime period when id is/was valid for use
                            Control0..1
                            TypePeriod
                            Is Modifierfalse
                            Summarytrue
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            80. Organization.identifier:FEINumber.assigner
                            Definition

                            Organization that issued/manages the identifier.

                            ShortOrganization that issued id (may be just text)
                            Comments

                            The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

                            Control0..1
                            TypeReference(Organization)
                            Is Modifierfalse
                            Summarytrue
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            82. Organization.active
                            Definition

                            Whether the organization's record is still in active use.

                            ShortWhether the organization's record is still in active use
                            Comments

                            This active flag is not intended to be used to mark an organization as temporarily closed or under construction. Instead the Location(s) within the Organization should have the suspended status. If further details of the reason for the suspension are required, then an extension on this element should be used.

                            This element is labeled as a modifier because it may be used to mark that the resource was created in error.

                            Control0..1
                            Typeboolean
                            Is Modifiertrue because This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Must Supportfalse
                            Summarytrue
                            Requirements

                            Need a flag to indicate a record is no longer to be used and should generally be hidden for the user in the UI.

                            Meaning if MissingThis resource is generally assumed to be active if no value is provided for the active element
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            84. Organization.type
                            Definition

                            The kind(s) of organization that this is.

                            ShortKind of organization
                            Comments

                            Organizations can be corporations, wards, sections, clinical teams, government departments, etc. Note that code is generally a classifier of the type of organization; in many applications, codes are used to identity a particular organization (say, ward) as opposed to another of the same type - these are identifiers, not codes

                            When considering if multiple types are appropriate, you should evaluate if child organizations would be a more appropriate use of the concept, as different types likely are in different sub-areas of the organization. This is most likely to be used where type values have orthogonal values, such as a religious, academic and medical center.

                            We expect that some jurisdictions will profile this optionality to be a single cardinality.

                            Control1..1
                            BindingFor example codes, see OrganizationType
                            (example to http://hl7.org/fhir/ValueSet/organization-type)

                            Used to categorize the organization.

                            TypeCodeableConcept
                            Is Modifierfalse
                            Must Supporttrue
                            Summarytrue
                            Requirements

                            Need to be able to track the kind of organization that this is - different organization types have different uses.

                            Pattern Value{
                              "coding" : [{
                                "system" : "http://hl7.org/fhir/us/spl/CodeSystem/codesystem-organizationTypes",
                                "code" : "Establishment"
                              }]
                            }
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            86. Organization.name
                            Definition

                            A name associated with the organization.

                            ShortName used for the organization
                            Comments

                            If the name of an organization changes, consider putting the old name in the alias column so that it can still be located through searches.

                            Control1..1
                            This element is affected by the following invariants: org-1
                            Typestring
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Must Supporttrue
                            Summarytrue
                            Requirements

                            Need to use the name as the label of the organization.

                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            88. Organization.alias
                            Definition

                            A list of alternate names that the organization is known as, or was known as in the past.

                            ShortA list of alternate names that the organization is known as, or was known as in the past
                            Comments

                            There are no dates associated with the alias/historic names, as this is not intended to track when names were used, but to assist in searching so that older names can still result in identifying the organization.

                            Control0..*
                            Typestring
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Must Supportfalse
                            Summaryfalse
                            Requirements

                            Over time locations and organizations go through many changes and can be known by different names.

                            For searching knowing previous names that the organization was known by can be very useful.

                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            90. Organization.description
                            Definition

                            Description of the organization, which helps provide additional general context on the organization to ensure that the correct organization is selected.

                            ShortAdditional details about the Organization that could be displayed as further information to identify the Organization beyond its name
                            Control0..1
                            Typemarkdown
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Must Supportfalse
                            Summarytrue
                            Requirements

                            Humans need additional information to verify a correct Organization has been selected.

                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            92. Organization.contact
                            Definition

                            The contact details of communication devices available relevant to the specific Organization. This can include addresses, phone numbers, fax numbers, mobile numbers, email addresses and web sites.

                            ShortOfficial contact details for the Organization
                            Comments

                            The address/telecom use code 'home' are not to be used. Note that these contacts are not the contact details of people who provide the service (that would be through PractitionerRole), these are official contacts for the Organization itself for specific purposes. E.g. Mailing Addresses, Billing Addresses, Contact numbers for Booking or Billing Enquiries, general web address, web address for online bookings etc.

                            Control2..2
                            TypeExtendedContactDetail
                            Is Modifierfalse
                            Must Supporttrue
                            Summaryfalse
                            Requirements

                            Need to keep track of assigned contact points within bigger organization.

                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            org-3: The telecom of an organization can never be of use 'home' (telecom.where(use = 'home').empty())
                            org-4: The address of an organization can never be of use 'home' (address.where(use = 'home').empty())
                            SlicingThis element introduces a set of slices on Organization.contact. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                            • exists @ purpose
                            • 94. Organization.contact:OrgAddress
                              Slice NameOrgAddress
                              Definition

                              The contact details of communication devices available relevant to the specific Organization. This can include addresses, phone numbers, fax numbers, mobile numbers, email addresses and web sites.

                              ShortOfficial contact details for the Organization
                              Comments

                              The address/telecom use code 'home' are not to be used. Note that these contacts are not the contact details of people who provide the service (that would be through PractitionerRole), these are official contacts for the Organization itself for specific purposes. E.g. Mailing Addresses, Billing Addresses, Contact numbers for Booking or Billing Enquiries, general web address, web address for online bookings etc.

                              Control1..1
                              TypeExtendedContactDetail
                              Is Modifierfalse
                              Must Supporttrue
                              Summaryfalse
                              Requirements

                              Need to keep track of assigned contact points within bigger organization.

                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              org-3: The telecom of an organization can never be of use 'home' (telecom.where(use = 'home').empty())
                              org-4: The address of an organization can never be of use 'home' (address.where(use = 'home').empty())
                              96. Organization.contact:OrgAddress.id
                              Definition

                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                              ShortUnique id for inter-element referencing
                              Control0..1
                              This element is affected by the following invariants: ele-1
                              Typeid
                              Is Modifierfalse
                              XML FormatIn the XML format, this property is represented as an attribute.
                              Summaryfalse
                              98. Organization.contact:OrgAddress.extension
                              Definition

                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                              ShortAdditional content defined by implementations
                              Comments

                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                              Control0..*
                              TypeExtension
                              Is Modifierfalse
                              Summaryfalse
                              Alternate Namesextensions, user content
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              SlicingThis element introduces a set of slices on Organization.contact.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                              • value @ url
                              • 100. Organization.contact:OrgAddress.purpose
                                Definition

                                The purpose/type of contact.

                                ShortThe type of contact
                                Comments

                                If no purpose is defined, then these contact details may be used for any purpose.

                                Control0..0
                                BindingThe codes SHOULD be taken from Contact entity type
                                (preferred to http://terminology.hl7.org/ValueSet/contactentity-type)

                                The purpose for which an extended contact detail should be used.

                                TypeCodeableConcept
                                Is Modifierfalse
                                Summarytrue
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                102. Organization.contact:OrgAddress.name
                                Definition

                                The name of an individual to contact, some types of contact detail are usually blank.

                                ShortName of an individual to contact
                                Comments

                                If there is no named individual, the telecom/address information is not generally monitored by a specific individual.

                                Control0..*
                                TypeHumanName
                                Is Modifierfalse
                                Summarytrue
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                104. Organization.contact:OrgAddress.telecom
                                Definition

                                The contact details application for the purpose defined.

                                ShortContact details (e.g.phone/fax/url)
                                Control0..*
                                TypeContactPoint
                                Is Modifierfalse
                                Summarytrue
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                106. Organization.contact:OrgAddress.address
                                Definition

                                Address for the contact.

                                ShortAddress for the contact
                                Comments

                                More than 1 address would be for different purposes, and thus should be entered as a different entry,.

                                Control1..1
                                TypeAddress
                                Is Modifierfalse
                                Must Supporttrue
                                Summarytrue
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                108. Organization.contact:OrgAddress.organization
                                Definition

                                This contact detail is handled/monitored by a specific organization. If the name is provided in the contact, then it is referring to the named individual within this organization.

                                ShortThis contact detail is handled/monitored by a specific organization
                                Control0..1
                                TypeReference(Organization)
                                Is Modifierfalse
                                Summarytrue
                                Requirements

                                Some specific types of contact information can be an handled by an organization (eg legal council is via a specific firm).

                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                110. Organization.contact:OrgAddress.period
                                Definition

                                Period that this contact was valid for usage.

                                ShortPeriod that this contact was valid for usage
                                Comments

                                If the details have multiple periods, then enter in a new ExtendedContact with the new period.

                                Control0..1
                                TypePeriod
                                Is Modifierfalse
                                Summarytrue
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                112. Organization.contact:OrgContact
                                Slice NameOrgContact
                                Definition

                                The contact details of communication devices available relevant to the specific Organization. This can include addresses, phone numbers, fax numbers, mobile numbers, email addresses and web sites.

                                ShortOfficial contact details for the Organization
                                Comments

                                The address/telecom use code 'home' are not to be used. Note that these contacts are not the contact details of people who provide the service (that would be through PractitionerRole), these are official contacts for the Organization itself for specific purposes. E.g. Mailing Addresses, Billing Addresses, Contact numbers for Booking or Billing Enquiries, general web address, web address for online bookings etc.

                                Control1..1
                                TypeExtendedContactDetail
                                Is Modifierfalse
                                Must Supporttrue
                                Summaryfalse
                                Requirements

                                Need to keep track of assigned contact points within bigger organization.

                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                org-3: The telecom of an organization can never be of use 'home' (telecom.where(use = 'home').empty())
                                org-4: The address of an organization can never be of use 'home' (address.where(use = 'home').empty())
                                114. Organization.contact:OrgContact.id
                                Definition

                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                ShortUnique id for inter-element referencing
                                Control0..1
                                This element is affected by the following invariants: ele-1
                                Typeid
                                Is Modifierfalse
                                XML FormatIn the XML format, this property is represented as an attribute.
                                Summaryfalse
                                116. Organization.contact:OrgContact.extension
                                Definition

                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                ShortAdditional content defined by implementations
                                Comments

                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                Control0..*
                                TypeExtension
                                Is Modifierfalse
                                Summaryfalse
                                Alternate Namesextensions, user content
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                SlicingThis element introduces a set of slices on Organization.contact.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                • value @ url
                                • 118. Organization.contact:OrgContact.purpose
                                  Definition

                                  The purpose/type of contact.

                                  ShortThe type of contact
                                  Comments

                                  If no purpose is defined, then these contact details may be used for any purpose.

                                  Control1..1
                                  BindingThe codes SHOULD be taken from Contact entity type
                                  (preferred to http://terminology.hl7.org/ValueSet/contactentity-type)

                                  The purpose for which an extended contact detail should be used.

                                  TypeCodeableConcept
                                  Is Modifierfalse
                                  Must Supporttrue
                                  Summarytrue
                                  Pattern Value{
                                    "coding" : [{
                                      "system" : "http://terminology.hl7.org/CodeSystem/contactentity-type",
                                      "code" : "ADMIN"
                                    }]
                                  }
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  120. Organization.contact:OrgContact.name
                                  Definition

                                  The name of an individual to contact, some types of contact detail are usually blank.

                                  ShortName of an individual to contact
                                  Comments

                                  If there is no named individual, the telecom/address information is not generally monitored by a specific individual.

                                  Control1..1
                                  TypeHumanName
                                  Is Modifierfalse
                                  Must Supporttrue
                                  Summarytrue
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  122. Organization.contact:OrgContact.telecom
                                  Definition

                                  The contact details application for the purpose defined.

                                  ShortContact details (e.g.phone/fax/url)
                                  Control2..*
                                  TypeContactPoint
                                  Is Modifierfalse
                                  Must Supporttrue
                                  Summarytrue
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  SlicingThis element introduces a set of slices on Organization.contact.telecom. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                  • value @ system
                                  • 124. Organization.contact:OrgContact.telecom:Phone
                                    Slice NamePhone
                                    Definition

                                    Details for all kinds of technology mediated contact points for a person or organization, including telephone, email, etc.

                                    ShortDetails of a Technology mediated contact point (phone, fax, email, etc.)
                                    Control1..1
                                    TypeContactPoint(SPLContactPoint)
                                    Is Modifierfalse
                                    Must Supporttrue
                                    Invariantscpt-2: A system is required if a value is provided. (value.empty() or system.exists())
                                    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    spl-2.1.7.x: Telephone and fax numbers are formatted properly ((system = 'phone' or system = 'fax') implies value.matches('^\\+[0-9]{1,3}-[0-9]{1,3}-[0-9]{3,4}-[0-9]{4}(;ext=[0-9]+)?$'))
                                    spl-2.1.7.11: Emails are formatted properly (system = 'email' implies value.matches('^[a-zA-Z0-9.!#$%&’*+/=?^_`{|}~-]+@[a-zA-Z0-9-]+(\\.[a-zA-Z0-9-]+)*$'))
                                    126. Organization.contact:OrgContact.telecom:Phone.id
                                    Definition

                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                    ShortUnique id for inter-element referencing
                                    Control0..1
                                    This element is affected by the following invariants: ele-1
                                    Typeid
                                    Is Modifierfalse
                                    XML FormatIn the XML format, this property is represented as an attribute.
                                    Summaryfalse
                                    128. Organization.contact:OrgContact.telecom:Phone.extension
                                    Definition

                                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                    ShortAdditional content defined by implementations
                                    Comments

                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                    Control0..*
                                    TypeExtension
                                    Is Modifierfalse
                                    Summaryfalse
                                    Alternate Namesextensions, user content
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                    SlicingThis element introduces a set of slices on Organization.contact.telecom.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                    • value @ url
                                    • 130. Organization.contact:OrgContact.telecom:Phone.system
                                      Definition

                                      Telecommunications form for contact point - what communications system is required to make use of the contact.

                                      Shortphone | fax | email | pager | url | sms | other
                                      Control1..1
                                      This element is affected by the following invariants: cpt-2
                                      BindingThe codes SHALL be taken from ContactPointSystem
                                      (required to http://hl7.org/fhir/ValueSet/contact-point-system|5.0.0)

                                      Telecommunications form for contact point.

                                      Typecode
                                      Is Modifierfalse
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Must Supporttrue
                                      Summarytrue
                                      Pattern Valuephone
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      132. Organization.contact:OrgContact.telecom:Phone.value
                                      Definition

                                      The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address).

                                      ShortThe actual contact point details
                                      Comments

                                      Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.

                                      Control1..1
                                      This element is affected by the following invariants: cpt-2
                                      Typestring
                                      Is Modifierfalse
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Must Supporttrue
                                      Summarytrue
                                      Requirements

                                      Need to support legacy numbers that are not in a tightly controlled format.

                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      134. Organization.contact:OrgContact.telecom:Phone.use
                                      Definition

                                      Identifies the purpose for the contact point.

                                      Shorthome | work | temp | old | mobile - purpose of this contact point
                                      Comments

                                      Applications can assume that a contact is current unless it explicitly says that it is temporary or old.

                                      Control0..1
                                      BindingThe codes SHALL be taken from ContactPointUse
                                      (required to http://hl7.org/fhir/ValueSet/contact-point-use|5.0.0)

                                      Use of contact point.

                                      Typecode
                                      Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old contact etc.for a current/permanent one
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Summarytrue
                                      Requirements

                                      Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.

                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      136. Organization.contact:OrgContact.telecom:Phone.rank
                                      Definition

                                      Specifies a preferred order in which to use a set of contacts. ContactPoints with lower rank values are more preferred than those with higher rank values.

                                      ShortSpecify preferred order of use (1 = highest)
                                      Comments

                                      Note that rank does not necessarily follow the order in which the contacts are represented in the instance.

                                      Ranks need not be unique. E.g. it's possible to have multiple contacts with rank=1. If the ranks have different systems or uses, this would be interpreted to mean "X is my most preferred phone number, Y is my most preferred email address" or "X is my preferred home email and Y is my preferred work email". If the system and use for equally-ranked contacts are the same, then the level of preference is equivalent for both repetitions.

                                      Ranks need not be sequential and not all repetitions must have a rank. For example, it's possible to have 4 contacts with ranks of 2, 5 and two with no rank specified. That would be interpreted to mean the first is preferred over the second and no preference stated for the remaining contacts.

                                      Control0..1
                                      TypepositiveInt
                                      Is Modifierfalse
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Summarytrue
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      138. Organization.contact:OrgContact.telecom:Phone.period
                                      Definition

                                      Time period when the contact point was/is in use.

                                      ShortTime period when the contact point was/is in use
                                      Control0..1
                                      TypePeriod
                                      Is Modifierfalse
                                      Summarytrue
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      140. Organization.contact:OrgContact.telecom:Email
                                      Slice NameEmail
                                      Definition

                                      Details for all kinds of technology mediated contact points for a person or organization, including telephone, email, etc.

                                      ShortDetails of a Technology mediated contact point (phone, fax, email, etc.)
                                      Control1..1
                                      TypeContactPoint(SPLContactPoint)
                                      Is Modifierfalse
                                      Must Supporttrue
                                      Invariantscpt-2: A system is required if a value is provided. (value.empty() or system.exists())
                                      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      spl-2.1.7.x: Telephone and fax numbers are formatted properly ((system = 'phone' or system = 'fax') implies value.matches('^\\+[0-9]{1,3}-[0-9]{1,3}-[0-9]{3,4}-[0-9]{4}(;ext=[0-9]+)?$'))
                                      spl-2.1.7.11: Emails are formatted properly (system = 'email' implies value.matches('^[a-zA-Z0-9.!#$%&’*+/=?^_`{|}~-]+@[a-zA-Z0-9-]+(\\.[a-zA-Z0-9-]+)*$'))
                                      142. Organization.contact:OrgContact.telecom:Email.id
                                      Definition

                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                      ShortUnique id for inter-element referencing
                                      Control0..1
                                      This element is affected by the following invariants: ele-1
                                      Typeid
                                      Is Modifierfalse
                                      XML FormatIn the XML format, this property is represented as an attribute.
                                      Summaryfalse
                                      144. Organization.contact:OrgContact.telecom:Email.extension
                                      Definition

                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                      ShortAdditional content defined by implementations
                                      Comments

                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                      Control0..*
                                      TypeExtension
                                      Is Modifierfalse
                                      Summaryfalse
                                      Alternate Namesextensions, user content
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                      SlicingThis element introduces a set of slices on Organization.contact.telecom.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                      • value @ url
                                      • 146. Organization.contact:OrgContact.telecom:Email.system
                                        Definition

                                        Telecommunications form for contact point - what communications system is required to make use of the contact.

                                        Shortphone | fax | email | pager | url | sms | other
                                        Control1..1
                                        This element is affected by the following invariants: cpt-2
                                        BindingThe codes SHALL be taken from ContactPointSystem
                                        (required to http://hl7.org/fhir/ValueSet/contact-point-system|5.0.0)

                                        Telecommunications form for contact point.

                                        Typecode
                                        Is Modifierfalse
                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                        Must Supporttrue
                                        Summarytrue
                                        Pattern Valueemail
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        148. Organization.contact:OrgContact.telecom:Email.value
                                        Definition

                                        The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address).

                                        ShortThe actual contact point details
                                        Comments

                                        Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.

                                        Control1..1
                                        This element is affected by the following invariants: cpt-2
                                        Typestring
                                        Is Modifierfalse
                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                        Must Supporttrue
                                        Summarytrue
                                        Requirements

                                        Need to support legacy numbers that are not in a tightly controlled format.

                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        150. Organization.contact:OrgContact.telecom:Email.use
                                        Definition

                                        Identifies the purpose for the contact point.

                                        Shorthome | work | temp | old | mobile - purpose of this contact point
                                        Comments

                                        Applications can assume that a contact is current unless it explicitly says that it is temporary or old.

                                        Control0..1
                                        BindingThe codes SHALL be taken from ContactPointUse
                                        (required to http://hl7.org/fhir/ValueSet/contact-point-use|5.0.0)

                                        Use of contact point.

                                        Typecode
                                        Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old contact etc.for a current/permanent one
                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                        Summarytrue
                                        Requirements

                                        Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.

                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        152. Organization.contact:OrgContact.telecom:Email.rank
                                        Definition

                                        Specifies a preferred order in which to use a set of contacts. ContactPoints with lower rank values are more preferred than those with higher rank values.

                                        ShortSpecify preferred order of use (1 = highest)
                                        Comments

                                        Note that rank does not necessarily follow the order in which the contacts are represented in the instance.

                                        Ranks need not be unique. E.g. it's possible to have multiple contacts with rank=1. If the ranks have different systems or uses, this would be interpreted to mean "X is my most preferred phone number, Y is my most preferred email address" or "X is my preferred home email and Y is my preferred work email". If the system and use for equally-ranked contacts are the same, then the level of preference is equivalent for both repetitions.

                                        Ranks need not be sequential and not all repetitions must have a rank. For example, it's possible to have 4 contacts with ranks of 2, 5 and two with no rank specified. That would be interpreted to mean the first is preferred over the second and no preference stated for the remaining contacts.

                                        Control0..1
                                        TypepositiveInt
                                        Is Modifierfalse
                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                        Summarytrue
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        154. Organization.contact:OrgContact.telecom:Email.period
                                        Definition

                                        Time period when the contact point was/is in use.

                                        ShortTime period when the contact point was/is in use
                                        Control0..1
                                        TypePeriod
                                        Is Modifierfalse
                                        Summarytrue
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        156. Organization.contact:OrgContact.address
                                        Definition

                                        An address expressed using postal conventions (as opposed to GPS or other location definition formats). This data type may be used to convey addresses for use in delivering mail as well as for visiting locations which might not be valid for mail delivery. There are a variety of postal address formats defined around the world. The ISO21090-codedString may be used to provide a coded representation of the contents of strings in an Address.

                                        ShortAn address expressed using postal conventions (as opposed to GPS or other location definition formats)
                                        Comments

                                        Note: address is intended to describe postal addresses for administrative purposes, not to describe absolute geographical coordinates. Postal addresses are often used as proxies for physical locations (also see the Location resource).

                                        Control1..1
                                        TypeAddress(SPLAddress)
                                        Is Modifierfalse
                                        Must Supporttrue
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        spl-2.1.6.4: If the country is USA, then the state and postal code exist (country = 'USA' implies (state.exists() and state.length() = 2 and postalCode.exists()))
                                        spl-2.1.6.5: If the country is USA, then the postal code is 5 digits with an optional dash and 4 numbers (country = 'USA' implies postalCode.matches('^[0-9]{5}(-[0-9]{4})?$'))
                                        158. Organization.contact:OrgContact.organization
                                        Definition

                                        This contact detail is handled/monitored by a specific organization. If the name is provided in the contact, then it is referring to the named individual within this organization.

                                        ShortThis contact detail is handled/monitored by a specific organization
                                        Control0..1
                                        TypeReference(Organization)
                                        Is Modifierfalse
                                        Summarytrue
                                        Requirements

                                        Some specific types of contact information can be an handled by an organization (eg legal council is via a specific firm).

                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        160. Organization.contact:OrgContact.period
                                        Definition

                                        Period that this contact was valid for usage.

                                        ShortPeriod that this contact was valid for usage
                                        Comments

                                        If the details have multiple periods, then enter in a new ExtendedContact with the new period.

                                        Control0..1
                                        TypePeriod
                                        Is Modifierfalse
                                        Summarytrue
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        162. Organization.partOf
                                        Definition

                                        The organization of which this organization forms a part.

                                        ShortThe organization of which this organization forms a part
                                        Control0..1
                                        TypeReference(Organization)
                                        Is Modifierfalse
                                        Must Supportfalse
                                        Summarytrue
                                        Requirements

                                        Need to be able to track the hierarchy of organizations within an organization.

                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        164. Organization.endpoint
                                        Definition

                                        Technical endpoints providing access to services operated for the organization.

                                        ShortTechnical endpoints providing access to services operated for the organization
                                        Control0..*
                                        TypeReference(Endpoint)
                                        Is Modifierfalse
                                        Must Supportfalse
                                        Summaryfalse
                                        Requirements

                                        Organizations have multiple systems that provide various services and need to be able to define the technical connection details for how to connect to them, and for what purpose.

                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        166. Organization.qualification
                                        Definition

                                        The official certifications, accreditations, training, designations and licenses that authorize and/or otherwise endorse the provision of care by the organization.

                                        For example, an approval to provide a type of services issued by a certifying body (such as the US Joint Commission) to an organization.

                                        ShortQualifications, certifications, accreditations, licenses, training, etc. pertaining to the provision of care
                                        Control0..*
                                        TypeBackboneElement
                                        Is Modifierfalse
                                        Must Supportfalse
                                        Summaryfalse
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        168. Organization.qualification.id
                                        Definition

                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                        ShortUnique id for inter-element referencing
                                        Control0..1
                                        This element is affected by the following invariants: ele-1
                                        Typestring
                                        Is Modifierfalse
                                        XML FormatIn the XML format, this property is represented as an attribute.
                                        Summaryfalse
                                        170. Organization.qualification.extension
                                        Definition

                                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                        ShortAdditional content defined by implementations
                                        Comments

                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                        Control0..*
                                        TypeExtension
                                        Is Modifierfalse
                                        Summaryfalse
                                        Alternate Namesextensions, user content
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                        172. Organization.qualification.modifierExtension
                                        Definition

                                        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                        ShortExtensions that cannot be ignored even if unrecognized
                                        Comments

                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                        Control0..*
                                        TypeExtension
                                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                        Summarytrue
                                        Requirements

                                        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                        Alternate Namesextensions, user content, modifiers
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                        174. Organization.qualification.identifier
                                        Definition

                                        An identifier allocated to this qualification for this organization.

                                        ShortAn identifier for this qualification for the organization
                                        NoteThis is a business identifier, not a resource identifier (see discussion)
                                        Control0..*
                                        TypeIdentifier
                                        Is Modifierfalse
                                        Must Supportfalse
                                        Summaryfalse
                                        Requirements

                                        Often, specific identities are assigned for the qualification by the assigning organization.

                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        176. Organization.qualification.code
                                        Definition

                                        Coded representation of the qualification.

                                        ShortCoded representation of the qualification
                                        Control1..1
                                        Binding

                                        Specific qualification the organization has to provide a service.

                                        TypeCodeableConcept
                                        Is Modifierfalse
                                        Must Supportfalse
                                        Summaryfalse
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        178. Organization.qualification.period
                                        Definition

                                        Period during which the qualification is valid.

                                        ShortPeriod during which the qualification is valid
                                        Control0..1
                                        TypePeriod
                                        Is Modifierfalse
                                        Must Supportfalse
                                        Summaryfalse
                                        Requirements

                                        Qualifications are often for a limited period of time, and can be revoked.

                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        180. Organization.qualification.issuer
                                        Definition

                                        Organization that regulates and issues the qualification.

                                        ShortOrganization that regulates and issues the qualification
                                        Control0..1
                                        TypeReference(Organization)
                                        Is Modifierfalse
                                        Must Supportfalse
                                        Summaryfalse
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))