Da Vinci - Coverage Requirements Discovery
2.1.0 - STU 2.1 United States of America flag

Da Vinci - Coverage Requirements Discovery, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-crd/ and changes regularly. See the Directory of published versions

Resource Profile: CRD Organization

Official URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-organization Version: 2.1.0
Standards status: Trial-use Maturity Level: 3 Computable Name: CRDOrganization
Other Identifiers: OID:2.16.840.1.113883.4.642.40.18.42.14

This profile specifies additional constraints on the US Core Organization profile to support coverage requirements discovery.

Usage


Information provided in Must Support elements will commonly be required for CRD Servers to perform coverage requirements discovery.

Usage:

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraintsdoco
.. Organization C 0..* HRexOrganization A grouping of people or organizations with a common purpose
This profile also complies with the profiles US Core Organization Profile (6.1.0) and US Core Organization Profile (3.1.1)
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
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
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
org-1: The organization SHALL at least have a name or an identifier, and possibly more than one
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... Slices for identifier SΣC 1..* Identifier Identifies this organization across multiple systems
Slice: Unordered, Open by pattern:$this
ele-1: All FHIR elements must have a @value or children
.... identifier:NPI SΣC 0..* Identifier National Provider Identifier (NPI)
ele-1: All FHIR elements must have a @value or children
us-core-16: NPI must be 10 digits
us-core-17: NPI check digit must be valid (Luhn algorithm check)

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

Required Pattern: At least the following
..... system 1..1 uri The namespace for the identifier value
Fixed Value: urn:oid:2.16.840.1.113883.4.7
.... identifier:NAIC ΣC 0..* Identifier NAIC Code
ele-1: All FHIR elements must have a @value or children
us-core-19: NAIC must be 5 digits

Required Pattern: At least the following
..... system 1..1 uri The namespace for the identifier value
Fixed Value: urn:oid:2.16.840.1.113883.6.300
.... identifier:tin SΣC 0..1 Identifier Identifies this organization across multiple systems
ele-1: All FHIR elements must have a @value or children

Required Pattern: At least the following
..... system 1..1 uri The namespace for the identifier value
Fixed Value: urn:oid:2.16.840.1.113883.4.4
... name SΣC 1..1 string Name used for the organization
ele-1: All FHIR elements must have a @value or children
... telecom SC 0..* ContactPoint A contact detail for the organization
ele-1: All FHIR elements must have a @value or children
org-3: The telecom of an organization can never be of use 'home'
.... system SΣC 0..1 code phone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.


ele-1: All FHIR elements must have a @value or children
.... value SΣ 0..1 string The actual contact point details
ele-1: All FHIR elements must have a @value or children
.... use ?!Σ 0..1 code home | work | temp | old | mobile - purpose of this contact point
Binding: ContactPointUse (required): Use of contact point.


ele-1: All FHIR elements must have a @value or children
... address SC 0..* Address An address for the organization
ele-1: All FHIR elements must have a @value or children
org-2: An address of an organization can never be of use 'home'
.... use ?!Σ 0..1 code home | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.


ele-1: All FHIR elements must have a @value or children
Example General: home
.... line SΣ 0..4 string Street name, number, direction & P.O. Box etc.
ele-1: All FHIR elements must have a @value or children
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.
ele-1: All FHIR elements must have a @value or children
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.


ele-1: All FHIR elements must have a @value or children
Example General: OK
.... postalCode SΣ 0..1 string US Zip Codes
ele-1: All FHIR elements must have a @value or children
Example General: 9132
Example General: 74047
.... country SΣ 0..1 string Country (e.g. can be ISO 3166 2 or 3 letter code)
ele-1: All FHIR elements must have a @value or children
... partOf SΣ 0..1 Reference(CRD Organization) The organization of which this organization forms a part
ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Organization.telecom.systemrequiredContactPointSystem
http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1
from the FHIR Standard
Organization.telecom.userequiredContactPointUse
http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1
from the FHIR Standard
Organization.address.userequiredAddressUse
http://hl7.org/fhir/ValueSet/address-use|4.0.1
from the FHIR Standard
Organization.address.stateextensibleUspsTwoLetterAlphabeticCodes (a valid code from https://www.usps.com/)
http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorOrganizationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorOrganizationIf 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-4errorOrganizationIf 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-5errorOrganizationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceOrganizationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
org-1errorOrganizationThe organization SHALL at least have a name or an identifier, and possibly more than one
: (identifier.count() + name.count()) > 0
org-2errorOrganization.addressAn address of an organization can never be of use 'home'
: where(use = 'home').empty()
org-3errorOrganization.telecomThe telecom of an organization can never be of use 'home'
: where(use = 'home').empty()
us-core-16errorOrganization.identifier:NPINPI must be 10 digits
: value.matches('^[0-9]{10}$')
us-core-17errorOrganization.identifier:NPINPI check digit must be valid (Luhn algorithm check)
: (((select(value.substring(0,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(1,1).toInteger())+(select(value.substring(2,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(3,1).toInteger())+(select(value.substring(4,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(5,1).toInteger())+(select(value.substring(6,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(7,1).toInteger())+(select(value.substring(8,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(9,1).toInteger()) + 24)mod 10=0)
us-core-18errorOrganization.identifier:CLIACLIA number must be 10 digits with a letter "D" in third position
: value.matches('^[0-9]{2}D[0-9]{7}$')
us-core-19errorOrganization.identifier:NAICNAIC must be 5 digits
: value.matches('^[0-9]{5}$')

 

Other representations of profile: CSV, Excel, Schematron