CARIN Digital Insurance Card
2.0.0 - STU 2.0 United States of America flag

CARIN Digital Insurance Card, published by HL7 International / Payer/Provider Information Exchange Work Group. This guide is not an authorized publication; it is the continuous build for version 2.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/carin-digital-insurance-card/ and changes regularly. See the Directory of published versions

Resource Profile: C4DIC Organization

Official URL: http://hl7.org/fhir/us/insurance-card/StructureDefinition/C4DIC-Organization Version: 2.0.0
Active as of 2025-10-10 Computable Name: C4DICOrganization

This profile builds upon the US Core Organization profile. It is used to convey a payer organization.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

This structure is derived from USCoreOrganizationProfile

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Organization 0..* USCoreOrganizationProfile(7.0.0) A grouping of people or organizations with a common purpose
... meta S 1..1 Meta Metadata about the resource
.... lastUpdated S 1..1 instant When the resource version last changed
.... Slices for profile 1..* canonical(StructureDefinition) Profiles this resource claims to conform to
Slice: Unordered, Open by pattern:$this
..... profile:supportedProfile 1..1 canonical(StructureDefinition) Profiles this resource claims to conform to
Required Pattern: http://hl7.org/fhir/us/insurance-card/StructureDefinition/C4DIC-Organization
... Slices for identifier Content/Rules for all slices
.... identifier:payerid S 0..* Identifier Payer ID

Required Pattern: At least the following
..... type 1..1 CodeableConcept Description of identifier
Fixed Value: (Complex)
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/us/insurance-card/CodeSystem/C4DICIdentifierType
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: payerid
... contact S 0..* BackboneElement Contact for the organization for a certain purpose
.... purpose 0..1 CodeableConcept The type of contact
Binding: C4DIC Contact Type (extensible)
.... telecom S 0..* ContactPoint Contact details (telephone, email, etc.) for a contact
.... address S 0..1 Address Visiting or postal addresses for the contact

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Organization.contact.​purpose Base extensible C4DIC Contact Type 📦2.0.0 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Organization C 0..* USCoreOrganizationProfile(7.0.0) A grouping of people or organizations with a common purpose
Constraints: org-1
... meta SΣ 1..1 Meta Metadata about the resource
.... lastUpdated SΣ 1..1 instant When the resource version last changed
.... Slices for profile Σ 1..* canonical(StructureDefinition) Profiles this resource claims to conform to
Slice: Unordered, Open by pattern:$this
..... profile:supportedProfile Σ 1..1 canonical(StructureDefinition) Profiles this resource claims to conform to

Required Pattern: http://hl7.org/fhir/us/insurance-card/StructureDefinition/C4DIC-Organization
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
.... identifier:NPI SΣC 0..* Identifier National Provider Identifier (NPI)
Constraints: us-core-16, us-core-17

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... use 0..1 code usual | official | temp | secondary | old (If known)
..... type 0..1 CodeableConcept Description of identifier
..... system 1..1 uri The namespace for the identifier value
Fixed Value: http://hl7.org/fhir/sid/us-npi
..... value 0..1 string The value that is unique
..... period 0..1 Period Time period when id is/was valid for use
..... assigner 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:CLIA ΣC 0..* Identifier Clinical Laboratory Improvement Amendments (CLIA) Number for laboratories
Constraints: us-core-18

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... use 0..1 code usual | official | temp | secondary | old (If known)
..... type 0..1 CodeableConcept Description of identifier
..... system 1..1 uri The namespace for the identifier value
Fixed Value: urn:oid:2.16.840.1.113883.4.7
..... value 0..1 string The value that is unique
..... period 0..1 Period Time period when id is/was valid for use
..... assigner 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:NAIC ΣC 0..* Identifier NAIC Code
Constraints: us-core-19

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... use 0..1 code usual | official | temp | secondary | old (If known)
..... type 0..1 CodeableConcept Description of identifier
..... system 1..1 uri The namespace for the identifier value
Fixed Value: urn:oid:2.16.840.1.113883.6.300
..... value 0..1 string The value that is unique
..... period 0..1 Period Time period when id is/was valid for use
..... assigner 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:payerid SΣC 0..* Identifier Payer ID

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... use 0..1 code usual | official | temp | secondary | old (If known)
..... type 1..1 CodeableConcept Description of identifier
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/us/insurance-card/CodeSystem/C4DICIdentifierType
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: payerid
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system 0..1 uri The namespace for the identifier value
..... value 0..1 string The value that is unique
..... period 0..1 Period Time period when id is/was valid for use
..... assigner 0..1 Reference(Organization) Organization that issued id (may be just text)
... active ?!SΣ 1..1 boolean Whether the organization's record is still in active use
... name SΣC 1..1 string Name used for the organization
... telecom SC 0..* ContactPoint A contact detail for the organization
Constraints: org-3
.... system SΣC 0..1 code phone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.
.... value SΣ 0..1 string The actual contact point details
.... use ?!Σ 0..1 code home | work | temp | old | mobile - purpose of this contact point
Binding: ContactPointUse (required): Use of contact point.
... address SC 0..* Address An address for the organization
Constraints: org-2
.... use ?!Σ 0..1 code home | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.
Example General: home
.... line SΣ 0..4 string Street name, number, direction & P.O. Box etc.
This repeating element order: The order in which lines should appear in an address label
Example General: 137 Nowhere Street
Example General: 49 MEADOW ST
.... city SΣ 0..1 string Name of city, town etc.
Example General: Erewhon
Example General: EVERYTOWN
.... state SΣ 0..1 string Sub-unit of country (abbreviations ok)
Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes.
Example General: OK
.... postalCode SΣ 0..1 string US Zip Codes
Example General: 9132
Example General: 74047
.... country SΣ 0..1 string Country (e.g. can be ISO 3166 2 or 3 letter code)
... contact S 0..* BackboneElement Contact for the organization for a certain purpose
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... purpose 0..1 CodeableConcept The type of contact
Binding: C4DIC Contact Type (extensible)
.... telecom S 0..* ContactPoint Contact details (telephone, email, etc.) for a contact
.... address S 0..1 Address Visiting or postal addresses for the contact

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Organization.telecom.​system Base required ContactPointSystem 📍4.0.1 FHIR Std.
Organization.telecom.​use Base required ContactPointUse 📍4.0.1 FHIR Std.
Organization.address.​use Base required AddressUse 📍4.0.1 FHIR Std.
Organization.address.​state Base extensible USPS Two Letter Alphabetic Codes 📦7.0.0 US Core v7.0
Organization.contact.​purpose Base extensible C4DIC Contact Type 📦2.0.0 This IG

Constraints

Id Grade Path(s) Description Expression
dom-2 error Organization If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Organization If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Organization If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Organization If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Organization A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
org-1 error Organization The organization SHALL at least have a name or an identifier, and possibly more than one (identifier.count() + name.count()) > 0
org-2 error Organization.address An address of an organization can never be of use 'home' where(use = 'home').empty()
org-3 error Organization.telecom The telecom of an organization can never be of use 'home' where(use = 'home').empty()
us-core-16 error Organization.identifier:NPI NPI must be 10 digits value.matches('^[0-9]{10}$')
us-core-17 error Organization.identifier:NPI NPI check digit must be valid (Luhn algorithm check) (((select(value.substring(0,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(1,1).toInteger())+(select(value.substring(2,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(3,1).toInteger())+(select(value.substring(4,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(5,1).toInteger())+(select(value.substring(6,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(7,1).toInteger())+(select(value.substring(8,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(9,1).toInteger()) + 24)mod 10=0)
us-core-18 error Organization.identifier:CLIA CLIA number must be 10 digits with a letter "D" in third position value.matches('^[0-9]{2}D[0-9]{7}$')
us-core-19 error Organization.identifier:NAIC NAIC must be 5 digits value.matches('^[0-9]{5}$')
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Organization C 0..* USCoreOrganizationProfile(7.0.0) A grouping of people or organizations with a common purpose
Constraints: org-1
... id Σ 0..1 id Logical id of this artifact
... meta SΣ 1..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated SΣ 1..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... Slices for profile Σ 1..* canonical(StructureDefinition) Profiles this resource claims to conform to
Slice: Unordered, Open by pattern:$this
..... profile:supportedProfile Σ 1..1 canonical(StructureDefinition) Profiles this resource claims to conform to

Required Pattern: http://hl7.org/fhir/us/insurance-card/StructureDefinition/C4DIC-Organization
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier SΣC 0..* Identifier Identifies this organization across multiple systems
Slice: Unordered, Open by pattern:$this
.... identifier:NPI SΣC 0..* Identifier National Provider Identifier (NPI)
Constraints: us-core-16, us-core-17

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... use 0..1 code usual | official | temp | secondary | old (If known)
..... type 0..1 CodeableConcept Description of identifier
..... system 1..1 uri The namespace for the identifier value
Fixed Value: http://hl7.org/fhir/sid/us-npi
..... value 0..1 string The value that is unique
..... period 0..1 Period Time period when id is/was valid for use
..... assigner 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:CLIA ΣC 0..* Identifier Clinical Laboratory Improvement Amendments (CLIA) Number for laboratories
Constraints: us-core-18

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... use 0..1 code usual | official | temp | secondary | old (If known)
..... type 0..1 CodeableConcept Description of identifier
..... system 1..1 uri The namespace for the identifier value
Fixed Value: urn:oid:2.16.840.1.113883.4.7
..... value 0..1 string The value that is unique
..... period 0..1 Period Time period when id is/was valid for use
..... assigner 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:NAIC ΣC 0..* Identifier NAIC Code
Constraints: us-core-19

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... use 0..1 code usual | official | temp | secondary | old (If known)
..... type 0..1 CodeableConcept Description of identifier
..... system 1..1 uri The namespace for the identifier value
Fixed Value: urn:oid:2.16.840.1.113883.6.300
..... value 0..1 string The value that is unique
..... period 0..1 Period Time period when id is/was valid for use
..... assigner 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:payerid SΣC 0..* Identifier Payer ID

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... use 0..1 code usual | official | temp | secondary | old (If known)
..... type 1..1 CodeableConcept Description of identifier
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/us/insurance-card/CodeSystem/C4DICIdentifierType
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: payerid
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system 0..1 uri The namespace for the identifier value
..... value 0..1 string The value that is unique
..... period 0..1 Period Time period when id is/was valid for use
..... assigner 0..1 Reference(Organization) Organization that issued id (may be just text)
... active ?!SΣ 1..1 boolean Whether the organization's record is still in active use
... type Σ 0..* CodeableConcept Kind of organization
Binding: OrganizationType (example): Used to categorize the organization.
... name SΣC 1..1 string Name used for the organization
... alias 0..* string A list of alternate names that the organization is known as, or was known as in the past
... telecom SC 0..* ContactPoint A contact detail for the organization
Constraints: org-3
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... system SΣC 0..1 code phone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.
.... value SΣ 0..1 string The actual contact point details
.... use ?!Σ 0..1 code home | work | temp | old | mobile - purpose of this contact point
Binding: ContactPointUse (required): Use of contact point.
.... rank Σ 0..1 positiveInt Specify preferred order of use (1 = highest)
.... period Σ 0..1 Period Time period when the contact point was/is in use
... address SC 0..* Address An address for the organization
Constraints: org-2
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ 0..1 code home | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.
Example General: home
.... type Σ 0..1 code postal | physical | both
Binding: AddressType (required): The type of an address (physical / postal).
Example General: both
.... text Σ 0..1 string Text representation of the address
Example General: 137 Nowhere Street, Erewhon 9132
.... line SΣ 0..4 string Street name, number, direction & P.O. Box etc.
This repeating element order: The order in which lines should appear in an address label
Example General: 137 Nowhere Street
Example General: 49 MEADOW ST
.... city SΣ 0..1 string Name of city, town etc.
Example General: Erewhon
Example General: EVERYTOWN
.... district Σ 0..1 string District name (aka county)
Example General: Madison
.... state SΣ 0..1 string Sub-unit of country (abbreviations ok)
Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes.
Example General: OK
.... postalCode SΣ 0..1 string US Zip Codes
Example General: 9132
Example General: 74047
.... country SΣ 0..1 string Country (e.g. can be ISO 3166 2 or 3 letter code)
.... period Σ 0..1 Period Time period when address was/is in use
Example General: {"start":"2010-03-23","end":"2010-07-01"}
... partOf Σ 0..1 Reference(Organization) The organization of which this organization forms a part
... contact S 0..* BackboneElement Contact for the organization for a certain purpose
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... purpose 0..1 CodeableConcept The type of contact
Binding: C4DIC Contact Type (extensible)
.... name 0..1 HumanName A name associated with the contact
.... telecom S 0..* ContactPoint Contact details (telephone, email, etc.) for a contact
.... address S 0..1 Address Visiting or postal addresses for the contact
... endpoint 0..* Reference(Endpoint) Technical endpoints providing access to services operated for the organization

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Organization.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
Organization.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
Organization.language Base preferred Common Languages 📦4.0.1 FHIR Std.
Organization.type Base example Organization type 📦4.0.1 FHIR Std.
Organization.telecom.​system Base required ContactPointSystem 📍4.0.1 FHIR Std.
Organization.telecom.​use Base required ContactPointUse 📍4.0.1 FHIR Std.
Organization.address.​use Base required AddressUse 📍4.0.1 FHIR Std.
Organization.address.​type Base required AddressType 📍4.0.1 FHIR Std.
Organization.address.​state Base extensible USPS Two Letter Alphabetic Codes 📦7.0.0 US Core v7.0
Organization.contact.​purpose Base extensible C4DIC Contact Type 📦2.0.0 This IG

Constraints

Id Grade Path(s) Description Expression
dom-2 error Organization If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Organization If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Organization If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Organization If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Organization A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
org-1 error Organization The organization SHALL at least have a name or an identifier, and possibly more than one (identifier.count() + name.count()) > 0
org-2 error Organization.address An address of an organization can never be of use 'home' where(use = 'home').empty()
org-3 error Organization.telecom The telecom of an organization can never be of use 'home' where(use = 'home').empty()
us-core-16 error Organization.identifier:NPI NPI must be 10 digits value.matches('^[0-9]{10}$')
us-core-17 error Organization.identifier:NPI NPI check digit must be valid (Luhn algorithm check) (((select(value.substring(0,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(1,1).toInteger())+(select(value.substring(2,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(3,1).toInteger())+(select(value.substring(4,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(5,1).toInteger())+(select(value.substring(6,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(7,1).toInteger())+(select(value.substring(8,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(9,1).toInteger()) + 24)mod 10=0)
us-core-18 error Organization.identifier:CLIA CLIA number must be 10 digits with a letter "D" in third position value.matches('^[0-9]{2}D[0-9]{7}$')
us-core-19 error Organization.identifier:NAIC NAIC must be 5 digits value.matches('^[0-9]{5}$')

This structure is derived from USCoreOrganizationProfile

Summary

Mandatory: 4 elements
Must-Support: 6 elements

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Organization.meta.profile

Differential View

This structure is derived from USCoreOrganizationProfile

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Organization 0..* USCoreOrganizationProfile(7.0.0) A grouping of people or organizations with a common purpose
... meta S 1..1 Meta Metadata about the resource
.... lastUpdated S 1..1 instant When the resource version last changed
.... Slices for profile 1..* canonical(StructureDefinition) Profiles this resource claims to conform to
Slice: Unordered, Open by pattern:$this
..... profile:supportedProfile 1..1 canonical(StructureDefinition) Profiles this resource claims to conform to
Required Pattern: http://hl7.org/fhir/us/insurance-card/StructureDefinition/C4DIC-Organization
... Slices for identifier Content/Rules for all slices
.... identifier:payerid S 0..* Identifier Payer ID

Required Pattern: At least the following
..... type 1..1 CodeableConcept Description of identifier
Fixed Value: (Complex)
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/us/insurance-card/CodeSystem/C4DICIdentifierType
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: payerid
... contact S 0..* BackboneElement Contact for the organization for a certain purpose
.... purpose 0..1 CodeableConcept The type of contact
Binding: C4DIC Contact Type (extensible)
.... telecom S 0..* ContactPoint Contact details (telephone, email, etc.) for a contact
.... address S 0..1 Address Visiting or postal addresses for the contact

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Organization.contact.​purpose Base extensible C4DIC Contact Type 📦2.0.0 This IG

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Organization C 0..* USCoreOrganizationProfile(7.0.0) A grouping of people or organizations with a common purpose
Constraints: org-1
... meta SΣ 1..1 Meta Metadata about the resource
.... lastUpdated SΣ 1..1 instant When the resource version last changed
.... Slices for profile Σ 1..* canonical(StructureDefinition) Profiles this resource claims to conform to
Slice: Unordered, Open by pattern:$this
..... profile:supportedProfile Σ 1..1 canonical(StructureDefinition) Profiles this resource claims to conform to

Required Pattern: http://hl7.org/fhir/us/insurance-card/StructureDefinition/C4DIC-Organization
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
.... identifier:NPI SΣC 0..* Identifier National Provider Identifier (NPI)
Constraints: us-core-16, us-core-17

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... use 0..1 code usual | official | temp | secondary | old (If known)
..... type 0..1 CodeableConcept Description of identifier
..... system 1..1 uri The namespace for the identifier value
Fixed Value: http://hl7.org/fhir/sid/us-npi
..... value 0..1 string The value that is unique
..... period 0..1 Period Time period when id is/was valid for use
..... assigner 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:CLIA ΣC 0..* Identifier Clinical Laboratory Improvement Amendments (CLIA) Number for laboratories
Constraints: us-core-18

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... use 0..1 code usual | official | temp | secondary | old (If known)
..... type 0..1 CodeableConcept Description of identifier
..... system 1..1 uri The namespace for the identifier value
Fixed Value: urn:oid:2.16.840.1.113883.4.7
..... value 0..1 string The value that is unique
..... period 0..1 Period Time period when id is/was valid for use
..... assigner 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:NAIC ΣC 0..* Identifier NAIC Code
Constraints: us-core-19

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... use 0..1 code usual | official | temp | secondary | old (If known)
..... type 0..1 CodeableConcept Description of identifier
..... system 1..1 uri The namespace for the identifier value
Fixed Value: urn:oid:2.16.840.1.113883.6.300
..... value 0..1 string The value that is unique
..... period 0..1 Period Time period when id is/was valid for use
..... assigner 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:payerid SΣC 0..* Identifier Payer ID

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... use 0..1 code usual | official | temp | secondary | old (If known)
..... type 1..1 CodeableConcept Description of identifier
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/us/insurance-card/CodeSystem/C4DICIdentifierType
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: payerid
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system 0..1 uri The namespace for the identifier value
..... value 0..1 string The value that is unique
..... period 0..1 Period Time period when id is/was valid for use
..... assigner 0..1 Reference(Organization) Organization that issued id (may be just text)
... active ?!SΣ 1..1 boolean Whether the organization's record is still in active use
... name SΣC 1..1 string Name used for the organization
... telecom SC 0..* ContactPoint A contact detail for the organization
Constraints: org-3
.... system SΣC 0..1 code phone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.
.... value SΣ 0..1 string The actual contact point details
.... use ?!Σ 0..1 code home | work | temp | old | mobile - purpose of this contact point
Binding: ContactPointUse (required): Use of contact point.
... address SC 0..* Address An address for the organization
Constraints: org-2
.... use ?!Σ 0..1 code home | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.
Example General: home
.... line SΣ 0..4 string Street name, number, direction & P.O. Box etc.
This repeating element order: The order in which lines should appear in an address label
Example General: 137 Nowhere Street
Example General: 49 MEADOW ST
.... city SΣ 0..1 string Name of city, town etc.
Example General: Erewhon
Example General: EVERYTOWN
.... state SΣ 0..1 string Sub-unit of country (abbreviations ok)
Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes.
Example General: OK
.... postalCode SΣ 0..1 string US Zip Codes
Example General: 9132
Example General: 74047
.... country SΣ 0..1 string Country (e.g. can be ISO 3166 2 or 3 letter code)
... contact S 0..* BackboneElement Contact for the organization for a certain purpose
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... purpose 0..1 CodeableConcept The type of contact
Binding: C4DIC Contact Type (extensible)
.... telecom S 0..* ContactPoint Contact details (telephone, email, etc.) for a contact
.... address S 0..1 Address Visiting or postal addresses for the contact

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Organization.telecom.​system Base required ContactPointSystem 📍4.0.1 FHIR Std.
Organization.telecom.​use Base required ContactPointUse 📍4.0.1 FHIR Std.
Organization.address.​use Base required AddressUse 📍4.0.1 FHIR Std.
Organization.address.​state Base extensible USPS Two Letter Alphabetic Codes 📦7.0.0 US Core v7.0
Organization.contact.​purpose Base extensible C4DIC Contact Type 📦2.0.0 This IG

Constraints

Id Grade Path(s) Description Expression
dom-2 error Organization If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Organization If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Organization If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Organization If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Organization A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
org-1 error Organization The organization SHALL at least have a name or an identifier, and possibly more than one (identifier.count() + name.count()) > 0
org-2 error Organization.address An address of an organization can never be of use 'home' where(use = 'home').empty()
org-3 error Organization.telecom The telecom of an organization can never be of use 'home' where(use = 'home').empty()
us-core-16 error Organization.identifier:NPI NPI must be 10 digits value.matches('^[0-9]{10}$')
us-core-17 error Organization.identifier:NPI NPI check digit must be valid (Luhn algorithm check) (((select(value.substring(0,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(1,1).toInteger())+(select(value.substring(2,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(3,1).toInteger())+(select(value.substring(4,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(5,1).toInteger())+(select(value.substring(6,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(7,1).toInteger())+(select(value.substring(8,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(9,1).toInteger()) + 24)mod 10=0)
us-core-18 error Organization.identifier:CLIA CLIA number must be 10 digits with a letter "D" in third position value.matches('^[0-9]{2}D[0-9]{7}$')
us-core-19 error Organization.identifier:NAIC NAIC must be 5 digits value.matches('^[0-9]{5}$')

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Organization C 0..* USCoreOrganizationProfile(7.0.0) A grouping of people or organizations with a common purpose
Constraints: org-1
... id Σ 0..1 id Logical id of this artifact
... meta SΣ 1..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated SΣ 1..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... Slices for profile Σ 1..* canonical(StructureDefinition) Profiles this resource claims to conform to
Slice: Unordered, Open by pattern:$this
..... profile:supportedProfile Σ 1..1 canonical(StructureDefinition) Profiles this resource claims to conform to

Required Pattern: http://hl7.org/fhir/us/insurance-card/StructureDefinition/C4DIC-Organization
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier SΣC 0..* Identifier Identifies this organization across multiple systems
Slice: Unordered, Open by pattern:$this
.... identifier:NPI SΣC 0..* Identifier National Provider Identifier (NPI)
Constraints: us-core-16, us-core-17

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... use 0..1 code usual | official | temp | secondary | old (If known)
..... type 0..1 CodeableConcept Description of identifier
..... system 1..1 uri The namespace for the identifier value
Fixed Value: http://hl7.org/fhir/sid/us-npi
..... value 0..1 string The value that is unique
..... period 0..1 Period Time period when id is/was valid for use
..... assigner 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:CLIA ΣC 0..* Identifier Clinical Laboratory Improvement Amendments (CLIA) Number for laboratories
Constraints: us-core-18

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... use 0..1 code usual | official | temp | secondary | old (If known)
..... type 0..1 CodeableConcept Description of identifier
..... system 1..1 uri The namespace for the identifier value
Fixed Value: urn:oid:2.16.840.1.113883.4.7
..... value 0..1 string The value that is unique
..... period 0..1 Period Time period when id is/was valid for use
..... assigner 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:NAIC ΣC 0..* Identifier NAIC Code
Constraints: us-core-19

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... use 0..1 code usual | official | temp | secondary | old (If known)
..... type 0..1 CodeableConcept Description of identifier
..... system 1..1 uri The namespace for the identifier value
Fixed Value: urn:oid:2.16.840.1.113883.6.300
..... value 0..1 string The value that is unique
..... period 0..1 Period Time period when id is/was valid for use
..... assigner 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:payerid SΣC 0..* Identifier Payer ID

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... use 0..1 code usual | official | temp | secondary | old (If known)
..... type 1..1 CodeableConcept Description of identifier
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/us/insurance-card/CodeSystem/C4DICIdentifierType
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: payerid
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system 0..1 uri The namespace for the identifier value
..... value 0..1 string The value that is unique
..... period 0..1 Period Time period when id is/was valid for use
..... assigner 0..1 Reference(Organization) Organization that issued id (may be just text)
... active ?!SΣ 1..1 boolean Whether the organization's record is still in active use
... type Σ 0..* CodeableConcept Kind of organization
Binding: OrganizationType (example): Used to categorize the organization.
... name SΣC 1..1 string Name used for the organization
... alias 0..* string A list of alternate names that the organization is known as, or was known as in the past
... telecom SC 0..* ContactPoint A contact detail for the organization
Constraints: org-3
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... system SΣC 0..1 code phone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.
.... value SΣ 0..1 string The actual contact point details
.... use ?!Σ 0..1 code home | work | temp | old | mobile - purpose of this contact point
Binding: ContactPointUse (required): Use of contact point.
.... rank Σ 0..1 positiveInt Specify preferred order of use (1 = highest)
.... period Σ 0..1 Period Time period when the contact point was/is in use
... address SC 0..* Address An address for the organization
Constraints: org-2
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ 0..1 code home | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.
Example General: home
.... type Σ 0..1 code postal | physical | both
Binding: AddressType (required): The type of an address (physical / postal).
Example General: both
.... text Σ 0..1 string Text representation of the address
Example General: 137 Nowhere Street, Erewhon 9132
.... line SΣ 0..4 string Street name, number, direction & P.O. Box etc.
This repeating element order: The order in which lines should appear in an address label
Example General: 137 Nowhere Street
Example General: 49 MEADOW ST
.... city SΣ 0..1 string Name of city, town etc.
Example General: Erewhon
Example General: EVERYTOWN
.... district Σ 0..1 string District name (aka county)
Example General: Madison
.... state SΣ 0..1 string Sub-unit of country (abbreviations ok)
Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes.
Example General: OK
.... postalCode SΣ 0..1 string US Zip Codes
Example General: 9132
Example General: 74047
.... country SΣ 0..1 string Country (e.g. can be ISO 3166 2 or 3 letter code)
.... period Σ 0..1 Period Time period when address was/is in use
Example General: {"start":"2010-03-23","end":"2010-07-01"}
... partOf Σ 0..1 Reference(Organization) The organization of which this organization forms a part
... contact S 0..* BackboneElement Contact for the organization for a certain purpose
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... purpose 0..1 CodeableConcept The type of contact
Binding: C4DIC Contact Type (extensible)
.... name 0..1 HumanName A name associated with the contact
.... telecom S 0..* ContactPoint Contact details (telephone, email, etc.) for a contact
.... address S 0..1 Address Visiting or postal addresses for the contact
... endpoint 0..* Reference(Endpoint) Technical endpoints providing access to services operated for the organization

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Organization.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
Organization.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
Organization.language Base preferred Common Languages 📦4.0.1 FHIR Std.
Organization.type Base example Organization type 📦4.0.1 FHIR Std.
Organization.telecom.​system Base required ContactPointSystem 📍4.0.1 FHIR Std.
Organization.telecom.​use Base required ContactPointUse 📍4.0.1 FHIR Std.
Organization.address.​use Base required AddressUse 📍4.0.1 FHIR Std.
Organization.address.​type Base required AddressType 📍4.0.1 FHIR Std.
Organization.address.​state Base extensible USPS Two Letter Alphabetic Codes 📦7.0.0 US Core v7.0
Organization.contact.​purpose Base extensible C4DIC Contact Type 📦2.0.0 This IG

Constraints

Id Grade Path(s) Description Expression
dom-2 error Organization If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Organization If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Organization If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Organization If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Organization A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
org-1 error Organization The organization SHALL at least have a name or an identifier, and possibly more than one (identifier.count() + name.count()) > 0
org-2 error Organization.address An address of an organization can never be of use 'home' where(use = 'home').empty()
org-3 error Organization.telecom The telecom of an organization can never be of use 'home' where(use = 'home').empty()
us-core-16 error Organization.identifier:NPI NPI must be 10 digits value.matches('^[0-9]{10}$')
us-core-17 error Organization.identifier:NPI NPI check digit must be valid (Luhn algorithm check) (((select(value.substring(0,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(1,1).toInteger())+(select(value.substring(2,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(3,1).toInteger())+(select(value.substring(4,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(5,1).toInteger())+(select(value.substring(6,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(7,1).toInteger())+(select(value.substring(8,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(9,1).toInteger()) + 24)mod 10=0)
us-core-18 error Organization.identifier:CLIA CLIA number must be 10 digits with a letter "D" in third position value.matches('^[0-9]{2}D[0-9]{7}$')
us-core-19 error Organization.identifier:NAIC NAIC must be 5 digits value.matches('^[0-9]{5}$')

This structure is derived from USCoreOrganizationProfile

Summary

Mandatory: 4 elements
Must-Support: 6 elements

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Organization.meta.profile

 

Other representations of profile: CSV, Excel, Schematron