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
Page standards status: Trial-use | Maturity Level: 1 |
Definitions for the LabelerOrganization resource profile.
Guidance on how to interpret the contents of this table can be found here
0. Organization | |
Invariants | spl-5.1.4.1: If country is USA, then US agent is not allowed (contact.address.where(country = 'USA').count() = 0 or contained.ofType(Organization).where(type.coding.where(code = 'USAgent').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 | |
Control | 1..? |
Slicing | This element introduces a set of slices on Organization.contained . The slices areUnordered and Closed, and can be differentiated using the following discriminators: |
4. Organization.contained:BusinessOperation | |
Slice Name | BusinessOperation |
Control | 1..* |
Type | HealthcareService(LabelerBusinessOperation) |
Must Support | true |
6. Organization.contained:USAgentAffiliation | |
Slice Name | USAgentAffiliation |
Control | 0..1 |
Type | OrganizationAffiliation(USAgentAffiliation) |
Must Support | true |
8. Organization.contained:USAgent | |
Slice Name | USAgent |
Control | 0..1 |
Type | Organization(USAgentOrganization) |
Must Support | true |
10. Organization.identifier | |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 1..? |
Must Support | true |
Slicing | This element introduces a set of slices on Organization.identifier . The slices areUnordered and Open, and can be differentiated using the following discriminators: |
12. Organization.identifier.system | |
Control | 1..? |
Must Support | true |
14. Organization.identifier.value | |
Control | 1..? |
Must Support | true |
16. Organization.identifier:DUNSNumber | |
Slice Name | DUNSNumber |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 1..1 |
Must Support | true |
Invariants | 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 ) |
18. Organization.identifier:DUNSNumber.system | |
Pattern Value | urn:oid:1.3.6.1.4.1.519.1 |
20. Organization.identifier:NDCCode | |
Slice Name | NDCCode |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 0..1 |
Must Support | true |
Invariants | spl-5.1.2.8: NDC Labeler code is 4 or 5 digits (system = 'urn:oid:2.16.840.1.113883.6.69' implies (value.length() = 4 or value.length() = 5) )spl-5.1.2.9: If NDC Labeler code is 5 digits, it does not start with a '0' ( system = 'urn:oid:2.16.840.1.113883.6.69' implies (value.length() = 4 or value.startsWith('0').not()) )spl-5.1.2.10: NDC Labeler code is not one of 0000,0001,1500,1800,1900 ( system = 'urn:oid:2.16.840.1.113883.6.69' implies (value in ('0000'|'0001'|'1500'|'1800'|'1900')).not() ) |
22. Organization.identifier:NDCCode.system | |
Pattern Value | urn:oid:2.16.840.1.113883.6.69 |
24. Organization.type | |
Control | 1..1 |
Must Support | true |
Pattern Value | { |
26. Organization.name | |
Control | 1..? |
Must Support | true |
28. Organization.contact | |
Control | 1..1 |
Must Support | true |
30. Organization.contact.name | |
Control | 1..1 |
Must Support | true |
32. Organization.contact.telecom | |
Control | 2..? |
Must Support | true |
Slicing | This element introduces a set of slices on Organization.contact.telecom . The slices areUnordered and Open, and can be differentiated using the following discriminators: |
34. Organization.contact.telecom:Phone | |
Slice Name | Phone |
Control | 1..1 |
Type | ContactPoint(SPLContactPoint) |
Must Support | true |
36. Organization.contact.telecom:Phone.system | |
Pattern Value | phone |
38. Organization.contact.telecom:Email | |
Slice Name | |
Control | 1..1 |
Type | ContactPoint(SPLContactPoint) |
Must Support | true |
40. Organization.contact.telecom:Email.system | |
Pattern Value | email |
42. Organization.contact.address | |
Control | 1..? |
Type | Address(SPLAddress) |
Must Support | true |
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. |
Short | A grouping of people or organizations with a common purpose |
Control | 0..* |
Is Modifier | false |
Must Support | false |
Summary | false |
Invariants | dom-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-5.1.4.1: If country is USA, then US agent is not allowed ( contact.address.where(country = 'USA').count() = 0 or contained.ofType(Organization).where(type.coding.where(code = 'USAgent').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. |
Short | A 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. |
Control | 0..1 |
Type | uri |
Is Modifier | true 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 Value | This primitive element may be present, or absent, or replaced by an extension |
Must Support | false |
Summary | true |
Invariants | ele-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. |
Short | Contained, 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. |
Control | 10..* This element is affected by the following invariants: dom-2, dom-4, dom-3, dom-5 |
Type | Resource |
Is Modifier | false |
Must Support | false |
Summary | false |
Alternate Names | inline resources, anonymous resources, contained resources |
Slicing | This element introduces a set of slices on Organization.contained . The slices areUnordered and Closed, and can be differentiated using the following discriminators: |
6. Organization.contained:BusinessOperation | |
Slice Name | BusinessOperation |
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. |
Short | The 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. |
Control | 10..* This element is affected by the following invariants: dom-2, dom-4, dom-3, dom-5 |
Type | HealthcareServiceResource(LabelerBusinessOperation) |
Is Modifier | false |
Must Support | true |
Summary | false |
Alternate Names | inline resources, anonymous resources, contained resources |
8. Organization.contained:USAgentAffiliation | |
Slice Name | USAgentAffiliation |
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. |
Short | Defines 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. |
Control | 0..1* This element is affected by the following invariants: dom-2, dom-4, dom-3, dom-5 |
Type | OrganizationAffiliationResource(USAgentAffiliation) |
Is Modifier | false |
Must Support | true |
Summary | false |
Alternate Names | inline resources, anonymous resources, contained resources |
10. Organization.contained:USAgent | |
Slice Name | USAgent |
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. |
Short | A 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. |
Control | 0..1* This element is affected by the following invariants: dom-2, dom-4, dom-3, dom-5 |
Type | OrganizationResource(USAgentOrganization) |
Is Modifier | false |
Must Support | true |
Summary | false |
Alternate Names | inline resources, anonymous resources, contained resources |
12. 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). |
Short | Extensions 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. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them |
Must Support | false |
Summary | true |
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 Names | extensions, user content |
Invariants | ele-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()) |
14. Organization.identifier | |
Definition | Identifier for the organization that is used to identify the organization across multiple disparate systems. |
Short | Identifies this organization across multiple systems |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 10..* This element is affected by the following invariants: org-1 |
Type | Identifier |
Is Modifier | false |
Must Support | true |
Summary | true |
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. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
Slicing | This element introduces a set of slices on Organization.identifier . The slices areUnordered and Open, and can be differentiated using the following discriminators: |
16. Organization.identifier.use | |
Definition | The purpose of this identifier. |
Short | usual | official | temp | secondary | old (If known) |
Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. |
Control | 0..1 |
Binding | The 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 . |
Type | code |
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
18. Organization.identifier.system | |
Definition | Establishes the namespace for the value - that is, an absolute URL that describes a set values that are unique. |
Short | The namespace for the identifier value |
Comments | Identifier.system is always case sensitive. |
Control | 10..1 |
Type | uri |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Must Support | true |
Summary | true |
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 |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
20. Organization.identifier.value | |
Definition | The portion of the identifier typically relevant to the user and which is unique within the context of the system. |
Short | The 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. |
Control | 10..1 This element is affected by the following invariants: ident-1 |
Type | string |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Must Support | true |
Summary | true |
Example | <br/><b>General</b>:123456 |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
22. Organization.identifier:DUNSNumber | |
Slice Name | DUNSNumber |
Definition | Identifier for the organization that is used to identify the organization across multiple disparate systems. |
Short | Identifies this organization across multiple systems |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 10..1* This element is affected by the following invariants: org-1 |
Type | Identifier |
Is Modifier | false |
Must Support | true |
Summary | true |
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. |
Invariants | ele-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 ) |
24. Organization.identifier:DUNSNumber.use | |
Definition | The purpose of this identifier. |
Short | usual | official | temp | secondary | old (If known) |
Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. |
Control | 0..1 |
Binding | The 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 . |
Type | code |
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
26. Organization.identifier:DUNSNumber.system | |
Definition | Establishes the namespace for the value - that is, an absolute URL that describes a set values that are unique. |
Short | The namespace for the identifier value |
Comments | Identifier.system is always case sensitive. |
Control | 0..1 |
Type | uri |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
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 Value | urn:oid:1.3.6.1.4.1.519.1 |
Example | <br/><b>General</b>:http://www.acme.com/identifiers/patient |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
28. Organization.identifier:NDCCode | |
Slice Name | NDCCode |
Definition | Identifier for the organization that is used to identify the organization across multiple disparate systems. |
Short | Identifies this organization across multiple systems |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 0..1* This element is affected by the following invariants: org-1 |
Type | Identifier |
Is Modifier | false |
Must Support | true |
Summary | true |
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. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) spl-5.1.2.8: NDC Labeler code is 4 or 5 digits ( system = 'urn:oid:2.16.840.1.113883.6.69' implies (value.length() = 4 or value.length() = 5) )spl-5.1.2.9: If NDC Labeler code is 5 digits, it does not start with a '0' ( system = 'urn:oid:2.16.840.1.113883.6.69' implies (value.length() = 4 or value.startsWith('0').not()) )spl-5.1.2.10: NDC Labeler code is not one of 0000,0001,1500,1800,1900 ( system = 'urn:oid:2.16.840.1.113883.6.69' implies (value in ('0000'|'0001'|'1500'|'1800'|'1900')).not() ) |
30. Organization.identifier:NDCCode.use | |
Definition | The purpose of this identifier. |
Short | usual | official | temp | secondary | old (If known) |
Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. |
Control | 0..1 |
Binding | The 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 . |
Type | code |
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
32. Organization.identifier:NDCCode.system | |
Definition | Establishes the namespace for the value - that is, an absolute URL that describes a set values that are unique. |
Short | The namespace for the identifier value |
Comments | Identifier.system is always case sensitive. |
Control | 0..1 |
Type | uri |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
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 Value | urn:oid:2.16.840.1.113883.6.69 |
Example | <br/><b>General</b>:http://www.acme.com/identifiers/patient |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
34. Organization.active | |
Definition | Whether the organization's record is still in active use. |
Short | Whether 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. |
Control | 0..1 |
Type | boolean |
Is Modifier | true 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 Value | This primitive element may be present, or absent, or replaced by an extension |
Must Support | false |
Summary | true |
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 Missing | This resource is generally assumed to be active if no value is provided for the active element |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
36. Organization.type | |
Definition | The kind(s) of organization that this is. |
Short | Kind 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. |
Control | 10..1* |
Binding | For example codes, see OrganizationTypehttp://hl7.org/fhir/ValueSet/organization-type (example to http://hl7.org/fhir/ValueSet/organization-type )Used to categorize the organization. |
Type | CodeableConcept |
Is Modifier | false |
Must Support | true |
Summary | true |
Requirements | Need to be able to track the kind of organization that this is - different organization types have different uses. |
Pattern Value | { |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
38. Organization.name | |
Definition | A name associated with the organization. |
Short | Name 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. |
Control | 10..1 This element is affected by the following invariants: org-1 |
Type | string |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Must Support | true |
Summary | true |
Requirements | Need to use the name as the label of the organization. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
40. 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. |
Short | Official 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. |
Control | 10..1* |
Type | ExtendedContactDetail |
Is Modifier | false |
Must Support | true |
Summary | false |
Requirements | Need to keep track of assigned contact points within bigger organization. |
Invariants | ele-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()) |
42. Organization.contact.name | |
Definition | The name of an individual to contact, some types of contact detail are usually blank. |
Short | Name of an individual to contact |
Comments | If there is no named individual, the telecom/address information is not generally monitored by a specific individual. |
Control | 10..1* |
Type | HumanName |
Is Modifier | false |
Must Support | true |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
44. Organization.contact.telecom | |
Definition | The contact details application for the purpose defined. |
Short | Contact details (e.g.phone/fax/url) |
Control | 20..* |
Type | ContactPoint |
Is Modifier | false |
Must Support | true |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
Slicing | This element introduces a set of slices on Organization.contact.telecom . The slices areUnordered and Open, and can be differentiated using the following discriminators: |
46. Organization.contact.telecom:Phone | |
Slice Name | Phone |
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. |
Short | Details of a Technology mediated contact point (phone, fax, email, etc.)Contact details (e.g.phone/fax/url) |
Control | 10..1* |
Type | ContactPoint(SPLContactPoint) |
Is Modifier | false |
Must Support | true |
Invariants | cpt-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-]+)*$') ) |
48. Organization.contact.telecom:Phone.system | |
Definition | Telecommunications form for contact point - what communications system is required to make use of the contact. |
Short | phone | fax | email | pager | url | sms | other |
Control | 10..1 This element is affected by the following invariants: cpt-2 |
Binding | The 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. |
Type | code |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Must Support | true |
Summary | true |
Pattern Value | phone |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
50. Organization.contact.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). |
Short | The 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. |
Control | 10..1 This element is affected by the following invariants: cpt-2 |
Type | string |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Must Support | true |
Summary | true |
Requirements | Need to support legacy numbers that are not in a tightly controlled format. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
52. Organization.contact.telecom:Phone.use | |
Definition | Identifies the purpose for the contact point. |
Short | home | 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. |
Control | 0..1 |
Binding | The 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. |
Type | code |
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary or old contact etc.for a current/permanent one |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Requirements | Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
54. Organization.contact.telecom:Email | |
Slice Name | |
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. |
Short | Details of a Technology mediated contact point (phone, fax, email, etc.)Contact details (e.g.phone/fax/url) |
Control | 10..1* |
Type | ContactPoint(SPLContactPoint) |
Is Modifier | false |
Must Support | true |
Invariants | cpt-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.!#$%&’*+/=?^_`{|}~-]+@[a-zA-Z0-9-]+(\\.[a-zA-Z0-9-]+)*$') ) |
56. Organization.contact.telecom:Email.system | |
Definition | Telecommunications form for contact point - what communications system is required to make use of the contact. |
Short | phone | fax | email | pager | url | sms | other |
Control | 10..1 This element is affected by the following invariants: cpt-2 |
Binding | The 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. |
Type | code |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Must Support | true |
Summary | true |
Pattern Value | email |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
58. Organization.contact.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). |
Short | The 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. |
Control | 10..1 This element is affected by the following invariants: cpt-2 |
Type | string |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Must Support | true |
Summary | true |
Requirements | Need to support legacy numbers that are not in a tightly controlled format. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
60. Organization.contact.telecom:Email.use | |
Definition | Identifies the purpose for the contact point. |
Short | home | 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. |
Control | 0..1 |
Binding | The 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. |
Type | code |
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary or old contact etc.for a current/permanent one |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Requirements | Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
62. Organization.contact.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. |
Short | An 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,. |
Control | 10..1 |
Type | Address(SPLAddress) |
Is Modifier | false |
Must Support | true |
Invariants | ele-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. |
Short | A grouping of people or organizations with a common purpose |
Control | 0..* |
Is Modifier | false |
Must Support | false |
Summary | false |
Invariants | dom-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-5.1.4.1: If country is USA, then US agent is not allowed ( contact.address.where(country = 'USA').count() = 0 or contained.ofType(Organization).where(type.coding.where(code = 'USAgent').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. |
Short | Logical 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. |
Control | 0..1 |
Type | id |
Is Modifier | false |
Must Support | false |
Summary | true |
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. |
Short | Metadata about the resource |
Control | 0..1 |
Type | Meta |
Is Modifier | false |
Must Support | false |
Summary | true |
Invariants | ele-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. |
Short | A 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. |
Control | 0..1 |
Type | uri |
Is Modifier | true 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 Value | This primitive element may be present, or absent, or replaced by an extension |
Must Support | false |
Summary | true |
Invariants | ele-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. |
Short | Language 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). |
Control | 0..1 |
Binding | The 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 |
Type | code |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Must Support | false |
Summary | false |
Invariants | ele-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. |
Short | Text 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. |
Control | 0..1 This element is affected by the following invariants: dom-6 |
Type | Narrative |
Is Modifier | false |
Must Support | false |
Summary | false |
Alternate Names | narrative, html, xhtml, display |
Invariants | ele-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. |
Short | Contained, 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. |
Control | 1..* This element is affected by the following invariants: dom-2, dom-4, dom-3, dom-5 |
Type | Resource |
Is Modifier | false |
Must Support | false |
Summary | false |
Alternate Names | inline resources, anonymous resources, contained resources |
Slicing | This element introduces a set of slices on Organization.contained . The slices areUnordered and Closed, and can be differentiated using the following discriminators: |
14. Organization.contained:BusinessOperation | |
Slice Name | BusinessOperation |
Definition | The details of a healthcare service available at a location. |
Short | The 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. |
Control | 1..* |
Type | HealthcareService(LabelerBusinessOperation) |
Is Modifier | false |
Must Support | true |
Summary | false |
16. Organization.contained:USAgentAffiliation | |
Slice Name | USAgentAffiliation |
Definition | Defines an affiliation/association/relationship between 2 distinct organizations, that is not a part-of relationship/sub-division relationship. |
Short | Defines 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. |
Control | 0..1 |
Type | OrganizationAffiliation(USAgentAffiliation) |
Is Modifier | false |
Must Support | true |
Summary | false |
18. Organization.contained:USAgent | |
Slice Name | USAgent |
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. |
Short | A 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. |
Control | 0..1 |
Type | Organization(USAgentOrganization) |
Is Modifier | false |
Must Support | true |
Summary | false |
20. 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. |
Short | Additional 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. |
Control | 0..* |
Type | Extension |
Is Modifier | false |
Must Support | false |
Summary | false |
Alternate Names | extensions, user content |
Invariants | ele-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() ) |
22. 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). |
Short | Extensions 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. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them |
Must Support | false |
Summary | true |
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 Names | extensions, user content |
Invariants | ele-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() ) |
24. Organization.identifier | |
Definition | Identifier for the organization that is used to identify the organization across multiple disparate systems. |
Short | Identifies this organization across multiple systems |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 1..* This element is affected by the following invariants: org-1 |
Type | Identifier |
Is Modifier | false |
Must Support | true |
Summary | true |
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. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
Slicing | This element introduces a set of slices on Organization.identifier . The slices areUnordered and Open, and can be differentiated using the following discriminators: |
26. 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. |
Short | Unique id for inter-element referencing |
Control | 0..1 This element is affected by the following invariants: ele-1 |
Type | id |
Is Modifier | false |
XML Format | In the XML format, this property is represented as an attribute. |
Summary | false |
28. 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. |
Short | Additional 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. |
Control | 0..* |
Type | Extension |
Is Modifier | false |
Summary | false |
Alternate Names | extensions, user content |
Invariants | ele-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() ) |
Slicing | This element introduces a set of slices on Organization.identifier.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: |
30. Organization.identifier.use | |
Definition | The purpose of this identifier. |
Short | usual | official | temp | secondary | old (If known) |
Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. |
Control | 0..1 |
Binding | The 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 . |
Type | code |
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
32. Organization.identifier.type | |
Definition | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. |
Short | Description 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. |
Control | 0..1 |
Binding | Unless 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. |
Type | CodeableConcept |
Is Modifier | false |
Summary | true |
Requirements | Allows users to make use of identifiers when the identifier system is not known. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
34. Organization.identifier.system | |
Definition | Establishes the namespace for the value - that is, an absolute URL that describes a set values that are unique. |
Short | The namespace for the identifier value |
Comments | Identifier.system is always case sensitive. |
Control | 1..1 |
Type | uri |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Must Support | true |
Summary | true |
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 |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
36. Organization.identifier.value | |
Definition | The portion of the identifier typically relevant to the user and which is unique within the context of the system. |
Short | The 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. |
Control | 1..1 This element is affected by the following invariants: ident-1 |
Type | string |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Must Support | true |
Summary | true |
Example | <br/><b>General</b>:123456 |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
38. Organization.identifier.period | |
Definition | Time period during which identifier is/was valid for use. |
Short | Time period when id is/was valid for use |
Control | 0..1 |
Type | Period |
Is Modifier | false |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
40. Organization.identifier.assigner | |
Definition | Organization that issued/manages the identifier. |
Short | Organization 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. |
Control | 0..1 |
Type | Reference(Organization) |
Is Modifier | false |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
42. Organization.identifier:DUNSNumber | |
Slice Name | DUNSNumber |
Definition | Identifier for the organization that is used to identify the organization across multiple disparate systems. |
Short | Identifies this organization across multiple systems |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 1..1 This element is affected by the following invariants: org-1 |
Type | Identifier |
Is Modifier | false |
Must Support | true |
Summary | true |
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. |
Invariants | ele-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 ) |
44. 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. |
Short | Unique id for inter-element referencing |
Control | 0..1 This element is affected by the following invariants: ele-1 |
Type | id |
Is Modifier | false |
XML Format | In the XML format, this property is represented as an attribute. |
Summary | false |
46. 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. |
Short | Additional 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. |
Control | 0..* |
Type | Extension |
Is Modifier | false |
Summary | false |
Alternate Names | extensions, user content |
Invariants | ele-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() ) |
Slicing | This element introduces a set of slices on Organization.identifier.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: |
48. Organization.identifier:DUNSNumber.use | |
Definition | The purpose of this identifier. |
Short | usual | official | temp | secondary | old (If known) |
Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. |
Control | 0..1 |
Binding | The 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 . |
Type | code |
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
50. 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. |
Short | Description 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. |
Control | 0..1 |
Binding | Unless 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. |
Type | CodeableConcept |
Is Modifier | false |
Summary | true |
Requirements | Allows users to make use of identifiers when the identifier system is not known. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
52. Organization.identifier:DUNSNumber.system | |
Definition | Establishes the namespace for the value - that is, an absolute URL that describes a set values that are unique. |
Short | The namespace for the identifier value |
Comments | Identifier.system is always case sensitive. |
Control | 0..1 |
Type | uri |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
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 Value | urn:oid:1.3.6.1.4.1.519.1 |
Example | <br/><b>General</b>:http://www.acme.com/identifiers/patient |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
54. 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. |
Short | The 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. |
Control | 0..1 This element is affected by the following invariants: ident-1 |
Type | string |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Example | <br/><b>General</b>:123456 |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
56. Organization.identifier:DUNSNumber.period | |
Definition | Time period during which identifier is/was valid for use. |
Short | Time period when id is/was valid for use |
Control | 0..1 |
Type | Period |
Is Modifier | false |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
58. Organization.identifier:DUNSNumber.assigner | |
Definition | Organization that issued/manages the identifier. |
Short | Organization 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. |
Control | 0..1 |
Type | Reference(Organization) |
Is Modifier | false |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
60. Organization.identifier:NDCCode | |
Slice Name | NDCCode |
Definition | Identifier for the organization that is used to identify the organization across multiple disparate systems. |
Short | Identifies this organization across multiple systems |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 0..1 This element is affected by the following invariants: org-1 |
Type | Identifier |
Is Modifier | false |
Must Support | true |
Summary | true |
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. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )spl-5.1.2.8: NDC Labeler code is 4 or 5 digits ( system = 'urn:oid:2.16.840.1.113883.6.69' implies (value.length() = 4 or value.length() = 5) )spl-5.1.2.9: If NDC Labeler code is 5 digits, it does not start with a '0' ( system = 'urn:oid:2.16.840.1.113883.6.69' implies (value.length() = 4 or value.startsWith('0').not()) )spl-5.1.2.10: NDC Labeler code is not one of 0000,0001,1500,1800,1900 ( system = 'urn:oid:2.16.840.1.113883.6.69' implies (value in ('0000'|'0001'|'1500'|'1800'|'1900')).not() ) |
62. Organization.identifier:NDCCode.id | |
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Short | Unique id for inter-element referencing |
Control | 0..1 This element is affected by the following invariants: ele-1 |
Type | id |
Is Modifier | false |
XML Format | In the XML format, this property is represented as an attribute. |
Summary | false |
64. Organization.identifier:NDCCode.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. |
Short | Additional 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. |
Control | 0..* |
Type | Extension |
Is Modifier | false |
Summary | false |
Alternate Names | extensions, user content |
Invariants | ele-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() ) |
Slicing | This element introduces a set of slices on Organization.identifier.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: |
66. Organization.identifier:NDCCode.use | |
Definition | The purpose of this identifier. |
Short | usual | official | temp | secondary | old (If known) |
Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. |
Control | 0..1 |
Binding | The 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 . |
Type | code |
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
68. Organization.identifier:NDCCode.type | |
Definition | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. |
Short | Description 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. |
Control | 0..1 |
Binding | Unless 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. |
Type | CodeableConcept |
Is Modifier | false |
Summary | true |
Requirements | Allows users to make use of identifiers when the identifier system is not known. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
70. Organization.identifier:NDCCode.system | |
Definition | Establishes the namespace for the value - that is, an absolute URL that describes a set values that are unique. |
Short | The namespace for the identifier value |
Comments | Identifier.system is always case sensitive. |
Control | 0..1 |
Type | uri |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
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 Value | urn:oid:2.16.840.1.113883.6.69 |
Example | <br/><b>General</b>:http://www.acme.com/identifiers/patient |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
72. Organization.identifier:NDCCode.value | |
Definition | The portion of the identifier typically relevant to the user and which is unique within the context of the system. |
Short | The 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. |
Control | 0..1 This element is affected by the following invariants: ident-1 |
Type | string |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Example | <br/><b>General</b>:123456 |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
74. Organization.identifier:NDCCode.period | |
Definition | Time period during which identifier is/was valid for use. |
Short | Time period when id is/was valid for use |
Control | 0..1 |
Type | Period |
Is Modifier | false |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
76. Organization.identifier:NDCCode.assigner | |
Definition | Organization that issued/manages the identifier. |
Short | Organization 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. |
Control | 0..1 |
Type | Reference(Organization) |
Is Modifier | false |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
78. Organization.active | |
Definition | Whether the organization's record is still in active use. |
Short | Whether 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. |
Control | 0..1 |
Type | boolean |
Is Modifier | true 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 Value | This primitive element may be present, or absent, or replaced by an extension |
Must Support | false |
Summary | true |
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 Missing | This resource is generally assumed to be active if no value is provided for the active element |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
80. Organization.type | |
Definition | The kind(s) of organization that this is. |
Short | Kind 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. |
Control | 1..1 |
Binding | For example codes, see OrganizationType (example to http://hl7.org/fhir/ValueSet/organization-type )Used to categorize the organization. |
Type | CodeableConcept |
Is Modifier | false |
Must Support | true |
Summary | true |
Requirements | Need to be able to track the kind of organization that this is - different organization types have different uses. |
Pattern Value | { |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
82. Organization.name | |
Definition | A name associated with the organization. |
Short | Name 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. |
Control | 1..1 This element is affected by the following invariants: org-1 |
Type | string |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Must Support | true |
Summary | true |
Requirements | Need to use the name as the label of the organization. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
84. Organization.alias | |
Definition | A list of alternate names that the organization is known as, or was known as in the past. |
Short | A 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. |
Control | 0..* |
Type | string |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Must Support | false |
Summary | false |
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. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
86. Organization.description | |
Definition | Description of the organization, which helps provide additional general context on the organization to ensure that the correct organization is selected. |
Short | Additional details about the Organization that could be displayed as further information to identify the Organization beyond its name |
Control | 0..1 |
Type | markdown |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Must Support | false |
Summary | true |
Requirements | Humans need additional information to verify a correct Organization has been selected. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
88. 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. |
Short | Official 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. |
Control | 1..1 |
Type | ExtendedContactDetail |
Is Modifier | false |
Must Support | true |
Summary | false |
Requirements | Need to keep track of assigned contact points within bigger organization. |
Invariants | ele-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() ) |
90. Organization.contact.id | |
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Short | Unique id for inter-element referencing |
Control | 0..1 This element is affected by the following invariants: ele-1 |
Type | id |
Is Modifier | false |
XML Format | In the XML format, this property is represented as an attribute. |
Summary | false |
92. Organization.contact.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. |
Short | Additional 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. |
Control | 0..* |
Type | Extension |
Is Modifier | false |
Summary | false |
Alternate Names | extensions, user content |
Invariants | ele-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() ) |
Slicing | This element introduces a set of slices on Organization.contact.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: |
94. Organization.contact.purpose | |
Definition | The purpose/type of contact. |
Short | The type of contact |
Comments | If no purpose is defined, then these contact details may be used for any purpose. |
Control | 0..1 |
Binding | The 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. |
Type | CodeableConcept |
Is Modifier | false |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
96. Organization.contact.name | |
Definition | The name of an individual to contact, some types of contact detail are usually blank. |
Short | Name of an individual to contact |
Comments | If there is no named individual, the telecom/address information is not generally monitored by a specific individual. |
Control | 1..1 |
Type | HumanName |
Is Modifier | false |
Must Support | true |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
98. Organization.contact.telecom | |
Definition | The contact details application for the purpose defined. |
Short | Contact details (e.g.phone/fax/url) |
Control | 2..* |
Type | ContactPoint |
Is Modifier | false |
Must Support | true |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
Slicing | This element introduces a set of slices on Organization.contact.telecom . The slices areUnordered and Open, and can be differentiated using the following discriminators: |
100. Organization.contact.telecom:Phone | |
Slice Name | Phone |
Definition | Details for all kinds of technology mediated contact points for a person or organization, including telephone, email, etc. |
Short | Details of a Technology mediated contact point (phone, fax, email, etc.) |
Control | 1..1 |
Type | ContactPoint(SPLContactPoint) |
Is Modifier | false |
Must Support | true |
Invariants | cpt-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.!#$%&’*+/=?^_`{|}~-]+@[a-zA-Z0-9-]+(\\.[a-zA-Z0-9-]+)*$') ) |
102. Organization.contact.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. |
Short | Unique id for inter-element referencing |
Control | 0..1 This element is affected by the following invariants: ele-1 |
Type | id |
Is Modifier | false |
XML Format | In the XML format, this property is represented as an attribute. |
Summary | false |
104. Organization.contact.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. |
Short | Additional 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. |
Control | 0..* |
Type | Extension |
Is Modifier | false |
Summary | false |
Alternate Names | extensions, user content |
Invariants | ele-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() ) |
Slicing | This element introduces a set of slices on Organization.contact.telecom.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: |
106. Organization.contact.telecom:Phone.system | |
Definition | Telecommunications form for contact point - what communications system is required to make use of the contact. |
Short | phone | fax | email | pager | url | sms | other |
Control | 1..1 This element is affected by the following invariants: cpt-2 |
Binding | The codes SHALL be taken from ContactPointSystem (required to http://hl7.org/fhir/ValueSet/contact-point-system|5.0.0 )Telecommunications form for contact point. |
Type | code |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Must Support | true |
Summary | true |
Pattern Value | phone |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
108. Organization.contact.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). |
Short | The 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. |
Control | 1..1 This element is affected by the following invariants: cpt-2 |
Type | string |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Must Support | true |
Summary | true |
Requirements | Need to support legacy numbers that are not in a tightly controlled format. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
110. Organization.contact.telecom:Phone.use | |
Definition | Identifies the purpose for the contact point. |
Short | home | 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. |
Control | 0..1 |
Binding | The codes SHALL be taken from ContactPointUse (required to http://hl7.org/fhir/ValueSet/contact-point-use|5.0.0 )Use of contact point. |
Type | code |
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary or old contact etc.for a current/permanent one |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Requirements | Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
112. Organization.contact.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. |
Short | Specify 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. |
Control | 0..1 |
Type | positiveInt |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
114. Organization.contact.telecom:Phone.period | |
Definition | Time period when the contact point was/is in use. |
Short | Time period when the contact point was/is in use |
Control | 0..1 |
Type | Period |
Is Modifier | false |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
116. Organization.contact.telecom:Email | |
Slice Name | |
Definition | Details for all kinds of technology mediated contact points for a person or organization, including telephone, email, etc. |
Short | Details of a Technology mediated contact point (phone, fax, email, etc.) |
Control | 1..1 |
Type | ContactPoint(SPLContactPoint) |
Is Modifier | false |
Must Support | true |
Invariants | cpt-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-]+)*$') ) |
118. Organization.contact.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. |
Short | Unique id for inter-element referencing |
Control | 0..1 This element is affected by the following invariants: ele-1 |
Type | id |
Is Modifier | false |
XML Format | In the XML format, this property is represented as an attribute. |
Summary | false |
120. Organization.contact.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. |
Short | Additional 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. |
Control | 0..* |
Type | Extension |
Is Modifier | false |
Summary | false |
Alternate Names | extensions, user content |
Invariants | ele-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() ) |
Slicing | This element introduces a set of slices on Organization.contact.telecom.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: |
122. Organization.contact.telecom:Email.system | |
Definition | Telecommunications form for contact point - what communications system is required to make use of the contact. |
Short | phone | fax | email | pager | url | sms | other |
Control | 1..1 This element is affected by the following invariants: cpt-2 |
Binding | The codes SHALL be taken from ContactPointSystem (required to http://hl7.org/fhir/ValueSet/contact-point-system|5.0.0 )Telecommunications form for contact point. |
Type | code |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Must Support | true |
Summary | true |
Pattern Value | email |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
124. Organization.contact.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). |
Short | The 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. |
Control | 1..1 This element is affected by the following invariants: cpt-2 |
Type | string |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Must Support | true |
Summary | true |
Requirements | Need to support legacy numbers that are not in a tightly controlled format. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
126. Organization.contact.telecom:Email.use | |
Definition | Identifies the purpose for the contact point. |
Short | home | 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. |
Control | 0..1 |
Binding | The codes SHALL be taken from ContactPointUse (required to http://hl7.org/fhir/ValueSet/contact-point-use|5.0.0 )Use of contact point. |
Type | code |
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary or old contact etc.for a current/permanent one |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Requirements | Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
128. Organization.contact.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. |
Short | Specify 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. |
Control | 0..1 |
Type | positiveInt |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
130. Organization.contact.telecom:Email.period | |
Definition | Time period when the contact point was/is in use. |
Short | Time period when the contact point was/is in use |
Control | 0..1 |
Type | Period |
Is Modifier | false |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
132. Organization.contact.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. |
Short | An 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). |
Control | 1..1 |
Type | Address(SPLAddress) |
Is Modifier | false |
Must Support | true |
Invariants | ele-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})?$') ) |
134. Organization.contact.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. |
Short | This contact detail is handled/monitored by a specific organization |
Control | 0..1 |
Type | Reference(Organization) |
Is Modifier | false |
Summary | true |
Requirements | Some specific types of contact information can be an handled by an organization (eg legal council is via a specific firm). |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
136. Organization.contact.period | |
Definition | Period that this contact was valid for usage. |
Short | Period that this contact was valid for usage |
Comments | If the details have multiple periods, then enter in a new ExtendedContact with the new period. |
Control | 0..1 |
Type | Period |
Is Modifier | false |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
138. Organization.partOf | |
Definition | The organization of which this organization forms a part. |
Short | The organization of which this organization forms a part |
Control | 0..1 |
Type | Reference(Organization) |
Is Modifier | false |
Must Support | false |
Summary | true |
Requirements | Need to be able to track the hierarchy of organizations within an organization. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
140. Organization.endpoint | |
Definition | Technical endpoints providing access to services operated for the organization. |
Short | Technical endpoints providing access to services operated for the organization |
Control | 0..* |
Type | Reference(Endpoint) |
Is Modifier | false |
Must Support | false |
Summary | false |
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. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
142. 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. |
Short | Qualifications, certifications, accreditations, licenses, training, etc. pertaining to the provision of care |
Control | 0..* |
Type | BackboneElement |
Is Modifier | false |
Must Support | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
144. 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. |
Short | Unique id for inter-element referencing |
Control | 0..1 This element is affected by the following invariants: ele-1 |
Type | string |
Is Modifier | false |
XML Format | In the XML format, this property is represented as an attribute. |
Summary | false |
146. 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. |
Short | Additional 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. |
Control | 0..* |
Type | Extension |
Is Modifier | false |
Summary | false |
Alternate Names | extensions, user content |
Invariants | ele-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() ) |
148. 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). |
Short | Extensions 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. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
Summary | true |
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 Names | extensions, user content, modifiers |
Invariants | ele-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() ) |
150. Organization.qualification.identifier | |
Definition | An identifier allocated to this qualification for this organization. |
Short | An identifier for this qualification for the organization |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 0..* |
Type | Identifier |
Is Modifier | false |
Must Support | false |
Summary | false |
Requirements | Often, specific identities are assigned for the qualification by the assigning organization. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
152. Organization.qualification.code | |
Definition | Coded representation of the qualification. |
Short | Coded representation of the qualification |
Control | 1..1 |
Binding | Specific qualification the organization has to provide a service. |
Type | CodeableConcept |
Is Modifier | false |
Must Support | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
154. Organization.qualification.period | |
Definition | Period during which the qualification is valid. |
Short | Period during which the qualification is valid |
Control | 0..1 |
Type | Period |
Is Modifier | false |
Must Support | false |
Summary | false |
Requirements | Qualifications are often for a limited period of time, and can be revoked. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
156. Organization.qualification.issuer | |
Definition | Organization that regulates and issues the qualification. |
Short | Organization that regulates and issues the qualification |
Control | 0..1 |
Type | Reference(Organization) |
Is Modifier | false |
Must Support | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |