National Directory of Healthcare Providers & Services (NDH) Implementation Guide
1.0.0 - STU1 United States of America flag

National Directory of Healthcare Providers & Services (NDH) Implementation Guide, published by HL7 International / Patient Administration. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-us-ndh/ and changes regularly. See the Directory of published versions

Resource Profile: NDH Base Organization Profile

Official URL: http://hl7.org/fhir/us/ndh/StructureDefinition/ndh-Organization Version: 1.0.0
Standards status: Trial-use Computable Name: NdhOrganization

Copyright/Legal: HL7 International

An organization is a formal or informal grouping of people or organizations with a common purpose, such as a company, institution, corporation, community group, or healthcare practice. Guidance: When the contact is a department name, rather than a human (e.g., patient help line), include a blank family and given name, and provide the department name in contact.name.text

Boundraries and Relationships

The Organization resource is commonly structured as a hierarchy of organization resources, where the part-of property is used to indicate the relationship between child and parent organizations. This hierarchy serves to convey the conceptual structure of the organization. Organization has following key attributes:

  1. A unique logical identifier that identifies the organization as an entity.
  2. The name of the organization as known to humans.
  3. Telecommunication identifiers that can be used to reach the organization.
  4. Information about any large organizations that the organization might be part of.
  5. One or more endpoints for electronic communication and data exchange.

Note: The NDH Organization and Network profiles are both based on the Organization profile. To selectively query only Network profiles, search for type = 'ntwk'. To selectively query only Organization profiles, the type parameter is optional. However, you can provide any value defined in the Organization Type Value Set.

Usage:

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraintsdoco
.. Organization C 0..* USCoreOrganizationProfile(6.1.0) A grouping of people or organizations with a common purpose
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
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... extension:rating 0..* (Complex) NDH Rating
URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-rating
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... extension:paymentaccepted 0..* CodeableConcept NDH Payment Accepted
URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-paymentAccepted
Binding: Hl7VSPaymentMethodCode (2.0.0) (required)
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... extension:fundingSource 0..* (Complex) NDH Funding Source
URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-fundingSource
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... extension:org-description 0..1 string Organization Description
URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-org-description
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... extension:digitalcertificate 0..* (Complex) Digital Certificate
URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-digitalcertificate
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... extension:qualification 0..* (Complex) Qualification
URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-qualification
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... extension:usage-restriction 0..* Reference(NDH Base Restriction) {c} Usage Restriction
URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-usage-restriction
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... extension:insuranceplan 0..* Reference(NDH Base InsurancePlan Profile) Insurance plan(s) offered to the organization's employees
URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-insuranceplan-reference
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... extension:verification-status 0..1 CodeableConcept NDH Verification Status
URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-verification-status
Binding: NDH Verification Status Value Set (extensible)
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... extension:logo 0..1 Attachment NDH Logo
URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-logo
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... 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
.... 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/ndh/StructureDefinition/base-ext-identifier-status
Binding: Identifier Status Value Set (required)
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .


ele-1: All FHIR elements must have a @value or children
..... system SΣ 0..1 uri The namespace for the identifier value
ele-1: All FHIR elements must have a @value or children
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 0..1 string The value that is unique
ele-1: All FHIR elements must have a @value or children
Example General: 123456
..... assigner Σ 0..1 Reference(NDH Base Organization Profile) Organization that issued id (may be just text)
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:TID SΣC 0..1 Identifier Tax Identifier
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: http://hl7.org.fhir/sid/us-ssn
... active ?!SΣ 1..1 boolean Whether the organization's record is still in active use
ele-1: All FHIR elements must have a @value or children
Required Pattern: true
... type SΣ 1..* CodeableConcept Kind of organization
Binding: Organization Type Value Set (extensible)
ele-1: All FHIR elements must have a @value or children
... name SΣC 1..1 string Name used for the organization
ele-1: All FHIR elements must have a @value or children
... alias S 0..* string A list of alternate names that the organization is known as, or was known as in the past
ele-1: All FHIR elements must have a @value or children
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... extension:org-alias-type 0..1 CodeableConcept Organization Alias Type
URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-org-alias-type
Binding: Organization Alias Type Value Sete (example)
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... extension:org-alias-period 0..1 Period Organization Alias Period
URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-org-alias-period
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... 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'
.... Slices for extension Content/Rules for all slices
..... extension:contactpoint-availabletime 0..* (Complex) NDH Contactpoint Availabletime
URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-contactpoint-availabletime
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... extension:via-intermediary 0..1 Reference(NDH Base PractitionerRole | NDH Base OrganizationAffiliation Profile | NDH Base Location Profile | NDH Base Organization Profile) Via Intermediary
URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-via-intermediary
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... extension:language-speak 0..* code Language Speak
URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-language-speak
Binding: CommonLanguages (extensible)
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... 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'
.... Slices for extension Content/Rules for all slices
..... extension:geolocation 0..1 (Complex) The absolute geographic location
URL: http://hl7.org/fhir/StructureDefinition/geolocation
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... 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
.... city SΣ 0..1 string Name of city, town etc.
ele-1: All FHIR elements must have a @value or children
Example General: Erewhon
.... state SΣ 0..1 string Sub-unit of country (abbreviations ok)
Binding: UspsTwoLetterAlphabeticCodes (6.1.0) (extensible)
ele-1: All FHIR elements must have a @value or children
.... postalCode SΣ 0..1 string US Zip Codes
ele-1: All FHIR elements must have a @value or children
Example General: 9132
.... 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 Σ 0..1 Reference(NDH Base Organization Profile) The organization of which this organization forms a part
ele-1: All FHIR elements must have a @value or children
... endpoint S 0..* Reference(NDH Base Endpoint Profile) Technical endpoints providing access to services operated for the organization
ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Organization.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Organization.typeextensibleOrgTypeVS
http://hl7.org/fhir/us/ndh/ValueSet/OrgTypeVS
from this IG
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|6.1.0

Constraints

IdGradePath(s)DetailsRequirements
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

Notes:

Search Parameters

Search Parameter defined by the NDH IG

SearchParameter Name Type Example
verification-status token GET [base]/Organization?verification-status=complete

Search Parameter defined by FHIR Search Parameter Registry and used by the NDH IG

Since there is no direct individual url for each Search Parameter defined by FHIR Serach Parameter Registry, we have provided the following links for you to access more information about them.

SearchParameter Name Type Example
active token GET [base]/Organization?active=true
address string GET [base]/Organization?address=123 Ravissant Dr
address-city string GET [base]/Organization?address-city=Coconut Creek
address-country string GET [base]/Organization?address-country=USA
address-postalcode string GET [base]/Organization?address-postcode=12345
address-state string GET [base]/Organization?address-state=FL
address-use token GET [base]/Organization?address-use=work
endpoint reference GET [base]/Organization?endpoint.connection-type=hl7-fhir-rest
identifier token GET [base]/Organization?identifier=12345
name string GET [base]/Organization?name=Florida Blue
partof reference GET [base]/Organization?partof.name=Florida Blue

_include Search Parameter

include Example
Organization:endpoint GET [base]/Organization?_include=Organization:endpoint
Organization:partof GET [base]/Organization?_include=Organization:partof

_revinclude Search Parameter

_revinclude Notes
CareTeam:organization  
Endpoint:organization  
HealthcareService:organization HealthcareService.providedBy
InsurancePlan:administered-by  
InsurancePlan:owned-by  
Location:organization  
OrganizationAffiliation:participating-organization  
OrganizationAffiliation:primary-organization  
Practitioner:qualification-issuer  
PractitionerRole:organization  

Special Search Parameters

The search parameters outlined above are straightforward for basic scenarios but have limitations in handling complex combination queries. To enhance these capabilities, employing the special search parameters _filter is recommended.