Da Vinci Payer Data Exchange
2.2.1 - STU 2.2
Da Vinci Payer Data Exchange
2.2.1 - STU 2.2
Da Vinci Payer Data Exchange, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.2.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-epdx/ and changes regularly. See the Directory of published versions
| Official URL: http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/mtls-organization | Version: 2.2.1 | |||
| Standards status: Informative | Computable Name: MtlsOrganization | |||
| Other Identifiers: OID:2.16.840.1.113883.4.642.40.8.42.27 | ||||
Copyright/Legal: Used by permission of HL7 International, all rights reserved Creative Commons License |
||||
The mTLS Organization record is used to identify the contact information for a Payer that owns a mTLS Endpoint, or is the managing organization that administers the Endpoint.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:  |
|---|---|---|---|---|
  Organization |
C | 0..* | USCoreOrganizationProfile(7.0.0) | A grouping of people or organizations with a common purpose Constraints: org-1 |
  implicitRules |
0..1 | uri | A set of rules under which this content was created | |
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
  Slices for identifier |
C | 0..* | Identifier | Unique identifiers for Payer Slice: Unordered, Open by pattern:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
   identifier:All Slices |
Content/Rules for all slices | |||
 Slices for extension |
Content/Rules for all slices | |||
  extension:identifier-status |
0..1 | code | NDH Identifier Status URL: http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-identifier-status Binding: Identifier Status Value Set (required) | |
 use |
0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | |
 type |
0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | |
| system |
0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | |
| value |
0..1 | string | The value that is unique Example General: 123456 | |
| identifier:NPI |
C | 0..* | Identifier | National Provider Identifier (NPI) Constraints: us-core-16, us-core-17 Required Pattern: |
| identifier:CLIA |
C | 0..* | Identifier | Clinical Laboratory Improvement Amendments (CLIA) Number for laboratories Constraints: us-core-18 Required Pattern: |
| identifier:NAIC |
C | 0..* | Identifier | NAIC Code Constraints: us-core-19 Required Pattern: |
| active |
1..1 | boolean | Whether the organization's record is still in active use | |
| name |
C | 1..1 | string | Name used for the organization |
| telecom |
C | 1..* | ContactPoint | Provide URL(s) for member support as required on Member ID card Constraints: org-3 |
| Slices for extension |
Content/Rules for all slices | |||
| extension:contactpoint-availabletime |
0..* | (Complex) | NDH Contactpoint Availabletime URL: http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-contactpoint-availabletime | |
| system |
C | 1..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Required Pattern: url (extensions allowed) |
| value |
0..1 | string | URL of Member Support as published on Member ID card | |
 use |
0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point. | |
| address |
C | 0..* | Address | An address for the organization Constraints: org-2 |
| use |
0..1 | code | home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home | |
| line |
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 |
0..1 | string | Name of city, town etc. Example General: Erewhon Example General: EVERYTOWN | |
| state |
0..1 | string | Sub-unit of country (abbreviations ok) Binding: UspsTwoLetterAlphabeticCodes (7.0.0) (extensible): Two letter USPS alphabetic codes. Example General: OK | |
| postalCode |
0..1 | string | US Zip Codes Example General: 9132 Example General: 74047 | |
| country |
0..1 | string | Country (e.g. can be ISO 3166 2 or 3 letter code) | |
 endpoint |
0..1 | Reference(mTLS Endpoint) | Reference to Payer-to-Payer mTLS endpoint resource | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Organization.identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| Organization.identifier.type | Base | extensible | IdentifierType | 📦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.state | Base | extensible | USPS Two Letter Alphabetic Codes | 📍7.0.0 | US Core v7.0 |
| Id | Grade | Path(s) | Description | Expression |
| 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)
|
This structure is derived from USCoreOrganizationProfile
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Organization |
0..* | USCoreOrganizationProfile(7.0.0) | A grouping of people or organizations with a common purpose | |
| identifier |
0..* | Identifier | Unique identifiers for Payer | |
| Slices for extension |
Content/Rules for all slices | |||
| extension:identifier-status |
0..1 | code | NDH Identifier Status URL: http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-identifier-status Binding: Identifier Status Value Set (required) | |
| type |
0..1 | CodeableConcept | Description of identifier | |
| Slices for identifier |
Content/Rules for all slices | |||
| identifier:CLIA |
0..* | Identifier | Clinical Laboratory Improvement Amendments (CLIA) Number for laboratories | |
| identifier:NAIC |
0..* | Identifier | NAIC Code | |
| telecom |
1..* | ContactPoint | Provide URL(s) for member support as required on Member ID card | |
| Slices for extension |
Content/Rules for all slices | |||
| extension:contactpoint-availabletime |
0..* | (Complex) | NDH Contactpoint Availabletime URL: http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-contactpoint-availabletime | |
| system |
1..1 | code | phone | fax | email | pager | url | sms | other Required Pattern: url (extensions allowed) | |
| value |
0..1 | string | URL of Member Support as published on Member ID card | |
| contact |
||||
 telecom |
||||
 Slices for extension |
Content/Rules for all slices | |||
| extension:contactpoint-availabletime |
0..* | (Complex) | NDH Contactpoint Availabletime URL: http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-contactpoint-availabletime | |
| endpoint |
0..1 | Reference(mTLS Endpoint) | Reference to Payer-to-Payer mTLS endpoint resource | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Organization |
C | 0..* | USCoreOrganizationProfile(7.0.0) | A grouping of people or organizations with a common purpose Constraints: org-1 | ||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| 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 |
C | 0..* | Identifier | Unique identifiers for Payer Slice: Unordered, Open by pattern:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||
| identifier:All Slices |
Content/Rules for all slices | |||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| extension:identifier-status |
0..1 | code | NDH Identifier Status URL: http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-identifier-status Binding: Identifier Status Value Set (required) | |||||
| use |
0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | |||||
| type |
0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | |||||
| system |
0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | |||||
| value |
0..1 | string | The value that is unique Example General: 123456 | |||||
| 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:NPI |
C | 0..* | Identifier | National Provider Identifier (NPI) Constraints: us-core-16, us-core-17 Required Pattern: | ||||
| identifier:CLIA |
C | 0..* | Identifier | Clinical Laboratory Improvement Amendments (CLIA) Number for laboratories Constraints: us-core-18 Required Pattern: | ||||
| identifier:NAIC |
C | 0..* | Identifier | NAIC Code Constraints: us-core-19 Required Pattern: | ||||
| active |
1..1 | boolean | Whether the organization's record is still in active use | |||||
| type |
0..* | CodeableConcept | Kind of organization Binding: OrganizationType (example): Used to categorize the organization. | |||||
| name |
C | 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 |
C | 1..* | ContactPoint | Provide URL(s) for member support as required on Member ID card Constraints: org-3 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| extension:contactpoint-availabletime |
0..* | (Complex) | NDH Contactpoint Availabletime URL: http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-contactpoint-availabletime | |||||
| system |
C | 1..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Required Pattern: url (extensions allowed) | ||||
| value |
0..1 | string | URL of Member Support as published on Member ID card | |||||
| use |
0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point. | |||||
| rank |
0..1 | positiveInt | Specify preferred order of use (1 = highest) | |||||
| period |
0..1 | Period | Time period when the contact point was/is in use | |||||
| address |
C | 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 |
0..1 | code | home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home | |||||
| type |
0..1 | code | postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both | |||||
| text |
0..1 | string | Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132 | |||||
| line |
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 |
0..1 | string | Name of city, town etc. Example General: Erewhon Example General: EVERYTOWN | |||||
| district |
0..1 | string | District name (aka county) Example General: Madison | |||||
| state |
0..1 | string | Sub-unit of country (abbreviations ok) Binding: UspsTwoLetterAlphabeticCodes (7.0.0) (extensible): Two letter USPS alphabetic codes. Example General: OK | |||||
| postalCode |
0..1 | string | US Zip Codes Example General: 9132 Example General: 74047 | |||||
| country |
0..1 | string | Country (e.g. can be ISO 3166 2 or 3 letter code) | |||||
| period |
0..1 | Period | Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"} | |||||
| partOf |
0..1 | Reference(Organization) | The organization of which this organization forms a part | |||||
| contact |
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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| purpose |
0..1 | CodeableConcept | The type of contact Binding: ContactEntityType (extensible): The purpose for which you would contact a contact party. | |||||
| name |
0..1 | HumanName | A name associated with the contact | |||||
| telecom |
0..* | ContactPoint | Contact details (telephone, email, etc.) for a contact | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| extension:contactpoint-availabletime |
0..* | (Complex) | NDH Contactpoint Availabletime URL: http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-contactpoint-availabletime | |||||
| system |
C | 0..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. | ||||
| value |
0..1 | string | The actual contact point details | |||||
| use |
0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point. | |||||
| rank |
0..1 | positiveInt | Specify preferred order of use (1 = highest) | |||||
| period |
0..1 | Period | Time period when the contact point was/is in use | |||||
| address |
0..1 | Address | Visiting or postal addresses for the contact | |||||
| endpoint |
0..1 | Reference(mTLS Endpoint) | Reference to Payer-to-Payer mTLS endpoint resource | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Organization.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std. |
| Organization.identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| Organization.identifier.type | Base | extensible | IdentifierType | 📦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 | Contact entity type | 📦4.0.1 | FHIR Std. |
| Organization.contact.telecom.system | Base | required | ContactPointSystem | 📍4.0.1 | FHIR Std. |
| Organization.contact.telecom.use | Base | required | ContactPointUse | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| 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)
|
This structure is derived from USCoreOrganizationProfile
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Organization |
C | 0..* | USCoreOrganizationProfile(7.0.0) | A grouping of people or organizations with a common purpose Constraints: org-1 |
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
| Slices for identifier |
C | 0..* | Identifier | Unique identifiers for Payer Slice: Unordered, Open by pattern:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
| identifier:All Slices |
Content/Rules for all slices | |||
| Slices for extension |
Content/Rules for all slices | |||
| extension:identifier-status |
0..1 | code | NDH Identifier Status URL: http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-identifier-status Binding: Identifier Status Value Set (required) | |
| use |
0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | |
| type |
0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | |
| system |
0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | |
| value |
0..1 | string | The value that is unique Example General: 123456 | |
| identifier:NPI |
C | 0..* | Identifier | National Provider Identifier (NPI) Constraints: us-core-16, us-core-17 Required Pattern: |
| identifier:CLIA |
C | 0..* | Identifier | Clinical Laboratory Improvement Amendments (CLIA) Number for laboratories Constraints: us-core-18 Required Pattern: |
| identifier:NAIC |
C | 0..* | Identifier | NAIC Code Constraints: us-core-19 Required Pattern: |
| active |
1..1 | boolean | Whether the organization's record is still in active use | |
| name |
C | 1..1 | string | Name used for the organization |
| telecom |
C | 1..* | ContactPoint | Provide URL(s) for member support as required on Member ID card Constraints: org-3 |
| Slices for extension |
Content/Rules for all slices | |||
| extension:contactpoint-availabletime |
0..* | (Complex) | NDH Contactpoint Availabletime URL: http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-contactpoint-availabletime | |
| system |
C | 1..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Required Pattern: url (extensions allowed) |
| value |
0..1 | string | URL of Member Support as published on Member ID card | |
| use |
0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point. | |
| address |
C | 0..* | Address | An address for the organization Constraints: org-2 |
| use |
0..1 | code | home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home | |
| line |
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 |
0..1 | string | Name of city, town etc. Example General: Erewhon Example General: EVERYTOWN | |
| state |
0..1 | string | Sub-unit of country (abbreviations ok) Binding: UspsTwoLetterAlphabeticCodes (7.0.0) (extensible): Two letter USPS alphabetic codes. Example General: OK | |
| postalCode |
0..1 | string | US Zip Codes Example General: 9132 Example General: 74047 | |
| country |
0..1 | string | Country (e.g. can be ISO 3166 2 or 3 letter code) | |
| endpoint |
0..1 | Reference(mTLS Endpoint) | Reference to Payer-to-Payer mTLS endpoint resource | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Organization.identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| Organization.identifier.type | Base | extensible | IdentifierType | 📦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.state | Base | extensible | USPS Two Letter Alphabetic Codes | 📍7.0.0 | US Core v7.0 |
| Id | Grade | Path(s) | Description | Expression |
| 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)
|
Differential View
This structure is derived from USCoreOrganizationProfile
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Organization |
0..* | USCoreOrganizationProfile(7.0.0) | A grouping of people or organizations with a common purpose | |
| identifier |
0..* | Identifier | Unique identifiers for Payer | |
| Slices for extension |
Content/Rules for all slices | |||
| extension:identifier-status |
0..1 | code | NDH Identifier Status URL: http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-identifier-status Binding: Identifier Status Value Set (required) | |
| type |
0..1 | CodeableConcept | Description of identifier | |
| Slices for identifier |
Content/Rules for all slices | |||
| identifier:CLIA |
0..* | Identifier | Clinical Laboratory Improvement Amendments (CLIA) Number for laboratories | |
| identifier:NAIC |
0..* | Identifier | NAIC Code | |
| telecom |
1..* | ContactPoint | Provide URL(s) for member support as required on Member ID card | |
| Slices for extension |
Content/Rules for all slices | |||
| extension:contactpoint-availabletime |
0..* | (Complex) | NDH Contactpoint Availabletime URL: http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-contactpoint-availabletime | |
| system |
1..1 | code | phone | fax | email | pager | url | sms | other Required Pattern: url (extensions allowed) | |
| value |
0..1 | string | URL of Member Support as published on Member ID card | |
| contact |
||||
| telecom |
||||
| Slices for extension |
Content/Rules for all slices | |||
| extension:contactpoint-availabletime |
0..* | (Complex) | NDH Contactpoint Availabletime URL: http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-contactpoint-availabletime | |
| endpoint |
0..1 | Reference(mTLS Endpoint) | Reference to Payer-to-Payer mTLS endpoint resource | |
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Organization |
C | 0..* | USCoreOrganizationProfile(7.0.0) | A grouping of people or organizations with a common purpose Constraints: org-1 | ||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| 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 |
C | 0..* | Identifier | Unique identifiers for Payer Slice: Unordered, Open by pattern:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||
| identifier:All Slices |
Content/Rules for all slices | |||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| extension:identifier-status |
0..1 | code | NDH Identifier Status URL: http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-identifier-status Binding: Identifier Status Value Set (required) | |||||
| use |
0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | |||||
| type |
0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | |||||
| system |
0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | |||||
| value |
0..1 | string | The value that is unique Example General: 123456 | |||||
| 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:NPI |
C | 0..* | Identifier | National Provider Identifier (NPI) Constraints: us-core-16, us-core-17 Required Pattern: | ||||
| identifier:CLIA |
C | 0..* | Identifier | Clinical Laboratory Improvement Amendments (CLIA) Number for laboratories Constraints: us-core-18 Required Pattern: | ||||
| identifier:NAIC |
C | 0..* | Identifier | NAIC Code Constraints: us-core-19 Required Pattern: | ||||
| active |
1..1 | boolean | Whether the organization's record is still in active use | |||||
| type |
0..* | CodeableConcept | Kind of organization Binding: OrganizationType (example): Used to categorize the organization. | |||||
| name |
C | 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 |
C | 1..* | ContactPoint | Provide URL(s) for member support as required on Member ID card Constraints: org-3 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| extension:contactpoint-availabletime |
0..* | (Complex) | NDH Contactpoint Availabletime URL: http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-contactpoint-availabletime | |||||
| system |
C | 1..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Required Pattern: url (extensions allowed) | ||||
| value |
0..1 | string | URL of Member Support as published on Member ID card | |||||
| use |
0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point. | |||||
| rank |
0..1 | positiveInt | Specify preferred order of use (1 = highest) | |||||
| period |
0..1 | Period | Time period when the contact point was/is in use | |||||
| address |
C | 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 |
0..1 | code | home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home | |||||
| type |
0..1 | code | postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both | |||||
| text |
0..1 | string | Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132 | |||||
| line |
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 |
0..1 | string | Name of city, town etc. Example General: Erewhon Example General: EVERYTOWN | |||||
| district |
0..1 | string | District name (aka county) Example General: Madison | |||||
| state |
0..1 | string | Sub-unit of country (abbreviations ok) Binding: UspsTwoLetterAlphabeticCodes (7.0.0) (extensible): Two letter USPS alphabetic codes. Example General: OK | |||||
| postalCode |
0..1 | string | US Zip Codes Example General: 9132 Example General: 74047 | |||||
| country |
0..1 | string | Country (e.g. can be ISO 3166 2 or 3 letter code) | |||||
| period |
0..1 | Period | Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"} | |||||
| partOf |
0..1 | Reference(Organization) | The organization of which this organization forms a part | |||||
| contact |
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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| purpose |
0..1 | CodeableConcept | The type of contact Binding: ContactEntityType (extensible): The purpose for which you would contact a contact party. | |||||
| name |
0..1 | HumanName | A name associated with the contact | |||||
| telecom |
0..* | ContactPoint | Contact details (telephone, email, etc.) for a contact | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| extension:contactpoint-availabletime |
0..* | (Complex) | NDH Contactpoint Availabletime URL: http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-contactpoint-availabletime | |||||
| system |
C | 0..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. | ||||
| value |
0..1 | string | The actual contact point details | |||||
| use |
0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point. | |||||
| rank |
0..1 | positiveInt | Specify preferred order of use (1 = highest) | |||||
| period |
0..1 | Period | Time period when the contact point was/is in use | |||||
| address |
0..1 | Address | Visiting or postal addresses for the contact | |||||
| endpoint |
0..1 | Reference(mTLS Endpoint) | Reference to Payer-to-Payer mTLS endpoint resource | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Organization.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std. |
| Organization.identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| Organization.identifier.type | Base | extensible | IdentifierType | 📦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 | Contact entity type | 📦4.0.1 | FHIR Std. |
| Organization.contact.telecom.system | Base | required | ContactPointSystem | 📍4.0.1 | FHIR Std. |
| Organization.contact.telecom.use | Base | required | ContactPointUse | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| 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)
|
This structure is derived from USCoreOrganizationProfile
Other representations of profile: CSV, Excel, Schematron
IG © 2024+ HL7 International / Financial Management. Package hl7.fhir.us.davinci-pdex#2.2.1 based on FHIR 4.0.1. Generated 2026-11-06
Links: Table of Contents |
QA Report
| Version History |
|
Propose a change