DSTU2 Ballot Source

This page is part of the FHIR Specification (v0.5.0: DSTU 2 Ballot 2). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

5.5 Resource Organization - Content

This resource maintained by the Patient Administration Work Group

A formally or informally recognized grouping of people or organizations formed for the purpose of achieving some form of collective action. Includes companies, institutions, corporations, departments, community groups, healthcare practice groups, etc.

5.5.1 Scope and Usage

This resource may be used in a shared registry of contact and other information for various organizations or it can be used merely as a support for other resources that need to reference organizations, perhaps as a document, message or as a contained resource. If using a registry approach, it's entirely possible for multiple registries to exist, each dealing with different types or levels of organization.

5.5.2 Boundaries and Relationships

The Organization resourse is used for collections of people that have come together to achieve an objective. The Group resource is used to identify a collection of people (or animals, devices, etc.) that are gathered for the purpose of analysis or acting upon, but are not expected to act themselves.

The Organization resource often exists as a hierarchy of organization resources, using the part-of property to provide the association of the child to its parent organization.
This organizational hierachy helps communicate the conceptual structure, where-as the Location resource provides the physical representation of the heirachy.
The linkage between Organization and Location is from each point in the location hierarchy to the appropriate level in the Organization hierarchy. These links don't all have to be to the top level Organization.
When populating the organization and location hierarchies there is often not a clear distinction between these 2, however to assist in making the decision, Locations are always used for recording where a service occurs, and hence where encounters and observations are associated. The Organization property on these resources may not be the location where the service took place.

This resource is referenced by AuditEvent, CarePlan, Claim, ClaimResponse, Communication, CommunicationRequest, Composition, Contract, Coverage, Device, DiagnosticReport, DocumentManifest, DocumentReference, EligibilityRequest, EligibilityResponse, Encounter, EnrollmentRequest, EnrollmentResponse, EpisodeOfCare, ExplanationOfBenefit, HealthcareService, ImagingObjectSelection, Immunization, ImmunizationRecommendation, Location, Medication, MessageHeader, Observation, Order, OrderResponse, Patient, PaymentNotice, PaymentReconciliation, Person, Practitioner, ProcedureRequest, ProcessRequest, ProcessResponse and ReferralRequest

Structure

Name	Flags	Card.	Type	Description & Constraints
Organization	I		DomainResource	A grouping of people or organizations with a common purpose The organization SHALL at least have a name or an id, and possibly more than one
identifier	Σ I	0..*	Identifier	Identifies this organization across multiple systems
name	Σ I	0..1	string	Name used for the organization
type	Σ	0..1	CodeableConcept	Kind of organization OrganizationType (Example)
telecom	I	0..*	ContactPoint	A contact detail for the organization The telecom of an organization can never be of use 'home'
address	I	0..*	Address	An address for the organization An address of an organization can never be of use 'home'
partOf	Σ	0..1	Organization	The organization of which this organization forms a part
contact		0..*	Element	Contact for the organization for a certain purpose
purpose		0..1	CodeableConcept	The type of contact ContactPartyType (Required)
name		0..1	HumanName	A name associated with the contact
telecom		0..*	ContactPoint	Contact details (telephone, email, etc) for a contact
address		0..1	Address	Visiting or postal addresses for the contact
active	?! Σ	0..1	boolean	Whether the organization's record is still in active use

UML Diagram

XML Template

<Organization xmlns="http://hl7.org/fhir"> 
 <!-- from Resource: id, meta, implicitRules, and language -->
 <!-- from DomainResource: text, contained, extension, and modifierExtension -->
 <identifier><!--  0..* Identifier Identifies this organization  across multiple systems --></identifier>
 <name value="[string]"/><!--  0..1 Name used for the organization -->
 <type><!-- 0..1 CodeableConcept Kind of organization --></type>
 <telecom><!--  0..* ContactPoint A contact detail for the organization --></telecom>
 <address><!--  0..* Address An address for the organization --></address>
 <partOf><!-- 0..1 Reference(Organization) 
     The organization of which this organization forms a part --></partOf>
 <contact>  <!-- 0..* Contact for the organization for a certain purpose -->
  <purpose><!-- 0..1 CodeableConcept The type of contact --></purpose>
  <name><!-- 0..1 HumanName A name associated with the contact --></name>
  <telecom><!-- 0..* ContactPoint Contact details (telephone, email, etc)  for a contact --></telecom>
  <address><!-- 0..1 Address Visiting or postal addresses for the contact --></address>
 </contact>
 <active value="[boolean]"/><!-- 0..1 Whether the organization's record is still in active use -->
</Organization>

JSON Template

{
  "resourceType" : "Organization",
  // from Resource: id, meta, implicitRules, and language
  // from DomainResource: text, contained, extension, and modifierExtension
  "identifier" : [{ Identifier }], // C? Identifies this organization  across multiple systems
  "name" : "<string>", // C? Name used for the organization
  "type" : { CodeableConcept }, // Kind of organization
  "telecom" : [{ ContactPoint }], // C? A contact detail for the organization
  "address" : [{ Address }], // C? An address for the organization
  "partOf" : { Reference(Organization) }, // 
     The organization of which this organization forms a part
  "contact" : [{ // Contact for the organization for a certain purpose
    "purpose" : { CodeableConcept }, // The type of contact
    "name" : { HumanName }, // A name associated with the contact
    "telecom" : [{ ContactPoint }], // Contact details (telephone, email, etc)  for a contact
    "address" : { Address } // Visiting or postal addresses for the contact
  }],
  "active" : <boolean> // Whether the organization's record is still in active use
}

Structure

Name	Flags	Card.	Type	Description & Constraints
Organization	I		DomainResource	A grouping of people or organizations with a common purpose The organization SHALL at least have a name or an id, and possibly more than one
identifier	Σ I	0..*	Identifier	Identifies this organization across multiple systems
name	Σ I	0..1	string	Name used for the organization
type	Σ	0..1	CodeableConcept	Kind of organization OrganizationType (Example)
telecom	I	0..*	ContactPoint	A contact detail for the organization The telecom of an organization can never be of use 'home'
address	I	0..*	Address	An address for the organization An address of an organization can never be of use 'home'
partOf	Σ	0..1	Organization	The organization of which this organization forms a part
contact		0..*	Element	Contact for the organization for a certain purpose
purpose		0..1	CodeableConcept	The type of contact ContactPartyType (Required)
name		0..1	HumanName	A name associated with the contact
telecom		0..*	ContactPoint	Contact details (telephone, email, etc) for a contact
address		0..1	Address	Visiting or postal addresses for the contact
active	?! Σ	0..1	boolean	Whether the organization's record is still in active use

UML Diagram

XML Template

<Organization xmlns="http://hl7.org/fhir"> 
 <!-- from Resource: id, meta, implicitRules, and language -->
 <!-- from DomainResource: text, contained, extension, and modifierExtension -->
 <identifier><!--  0..* Identifier Identifies this organization  across multiple systems --></identifier>
 <name value="[string]"/><!--  0..1 Name used for the organization -->
 <type><!-- 0..1 CodeableConcept Kind of organization --></type>
 <telecom><!--  0..* ContactPoint A contact detail for the organization --></telecom>
 <address><!--  0..* Address An address for the organization --></address>
 <partOf><!-- 0..1 Reference(Organization) 
     The organization of which this organization forms a part --></partOf>
 <contact>  <!-- 0..* Contact for the organization for a certain purpose -->
  <purpose><!-- 0..1 CodeableConcept The type of contact --></purpose>
  <name><!-- 0..1 HumanName A name associated with the contact --></name>
  <telecom><!-- 0..* ContactPoint Contact details (telephone, email, etc)  for a contact --></telecom>
  <address><!-- 0..1 Address Visiting or postal addresses for the contact --></address>
 </contact>
 <active value="[boolean]"/><!-- 0..1 Whether the organization's record is still in active use -->
</Organization>

JSON Template

{
  "resourceType" : "Organization",
  // from Resource: id, meta, implicitRules, and language
  // from DomainResource: text, contained, extension, and modifierExtension
  "identifier" : [{ Identifier }], // C? Identifies this organization  across multiple systems
  "name" : "<string>", // C? Name used for the organization
  "type" : { CodeableConcept }, // Kind of organization
  "telecom" : [{ ContactPoint }], // C? A contact detail for the organization
  "address" : [{ Address }], // C? An address for the organization
  "partOf" : { Reference(Organization) }, // 
     The organization of which this organization forms a part
  "contact" : [{ // Contact for the organization for a certain purpose
    "purpose" : { CodeableConcept }, // The type of contact
    "name" : { HumanName }, // A name associated with the contact
    "telecom" : [{ ContactPoint }], // Contact details (telephone, email, etc)  for a contact
    "address" : { Address } // Visiting or postal addresses for the contact
  }],
  "active" : <boolean> // Whether the organization's record is still in active use
}

Alternate definitions: Schema/Schematron, Resource Profile (XML, JSON)

5.5.3.1 Terminology Bindings

Path	Definition	Type	Reference
Organization.type	Used to categorize the organization	Example	http://hl7.org/fhir/vs/organization-type
Organization.contact.purpose	The purpose for which you would contact a contact party	Required	http://hl7.org/fhir/vs/contactentity-type

Path

Definition

Type

Reference

Organization.type

Used to categorize the organization

Example

http://hl7.org/fhir/vs/organization-type

Organization.contact.purpose

The purpose for which you would contact a contact party

Required

http://hl7.org/fhir/vs/contactentity-type

5.5.3.2 Constraints

org-1: The organization SHALL at least have a name or an id, and possibly more than one (xpath: count(f:identifier | f:name) > 0)
org-2: On Organization.address: An address of an organization can never be of use 'home' (xpath on f:Organization/f:address: count(f:use[@value='home']) = 0)
org-3: On Organization.telecom: The telecom of an organization can never be of use 'home' (xpath on f:Organization/f:telecom: count(f:use[@value='home']) = 0)

5.5.4 Notes:

There are two places for contact information: one on Organization itself and zero or more using the ContactEntity construct. The first one is to be used for the generic, public organization point of contact. The ContactEntity is to be used for reaching a person or party that has been designated by the organization to be contacted for a specific purpose or goal.

5.5.5 Example Organization Hierarchy:

An example organization heirachy should help give some guidance as to one example of how a location heirachy could look within a fictitious Medical Organization.
(The nesting here would be the "part-of" structure of the Organization resource)

Burgers University Medical Center
    Eastern Services (prov)
        Emergency Dept
        Oncology Dept
            Neuclear Medicine Research Trials (edu)
        Maternity Ward
        Childrens Ward
        Day Procedures Unit
    Mobile Services (Ambulance)
    Research Center (edu)
        Neuclear Medicine  (edu)
    Burgers University (edu)
        Neuclear Medicine Faculty (edu)
        Undergraduate Medicine (edu)
        ...

Note that physical structures of this heirarchy are not present, these are defined by a Location hierarchy.

5.5.6 Search Parameters

Search parameters for this resource. The common parameters also apply. See Searching for more information about searching in REST, messaging, and services.

Name	Type	Description	Paths
active	token	Whether the organization's record is active	Organization.active
address	string	A (part of the) address of the Organization	Organization.address
identifier	token	Any identifier for the organization (not the accreditation issuer's identifier)	Organization.identifier
name	string	A portion of the organization's name	Organization.name
partof	reference	Search all organizations that are part of the given organization	Organization.partOf (Organization)
phonetic	string	A portion of the organization's name using some kind of phonetic matching algorithm
type	token	A code for the type of organization	Organization.type