HL7 FHIR® US Core Implementation Guide STU 3

This page is part of the US Core (v3.0.0: STU3) based on FHIR R4. The current version which supercedes this version is 5.0.1. For a full list of available versions, see the Directory of published versions

StructureDefinition-us-core-organization

This profile sets minimum expectations for the Organization resource to searching for and fetching a Organization associated with a patient or provider. It identifies which core elements, extensions, vocabularies and value sets SHALL be present in the resource when using this profile.

Example Usage Scenarios:

The following are example usage scenarios for the US Core-Organization profile:

  • Query by organization name or NPI

Mandatory and Must Support Data Elements

The following data-elements are mandatory (i.e data MUST be present) or must be supported if the data is present in the sending system (Must Support definition). They are presented below in a simple human-readable explanation. Profile specific guidance and examples are provided as well. The Formal Profile Definition below provides the formal summary, definitions, and terminology requirements.

Each Organization must have:

  1. An identifier (e.g. NPI)
  2. A status of the organization
  3. A name
  4. A list of contact information

Each Organization must support:

  1. A communication endpoint

Profile specific implementation guidance:

  • The preferred identifier for an Organization is the National Provider Identifier (NPI), or Clinical Laboratory Improvement Amendments (CLIA) for labs.

Examples

Organization-acme-lab

Organization-with-EndPoint

Formal Views of Profile Content

Description of Profiles, Differentials, and Snapshots.

The official URL for this profile is: http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization

Published on Tue May 21 00:00:00 EDT 2019 as active by the HL7 US Realm Steering Committee.

This profile builds on Organization

Organization

Summary of the Mandatory Requirements

  1. One or more Identifiers in Organization.identifier
    • which must have an uri value in Organization.identifier.system
  2. A boolean in Organization.active
  3. A string in Organization.name
  4. One or more ContactPoints in Organization.telecom with the following constraints: The telecom of an organization can never be of use 'home'
  5. One or more Addresses in Organization.address with the following constraints: An address of an organization can never be of use 'home'
    • which should have one or more string values in Organization.address.line
    • which should have a string value in Organization.address.city
    • which should have a string value in Organization.address.state with an extensible binding to USPS Two Letter Alphabetic Codes
    • which should have a string value in Organization.address.postalCode
    • which should have a string value in Organization.address.country

Summary of the Must Support Requirements

  1. One or more Endpoint References in Organization.endpoint

Summary of Constraints

  1. The organization SHALL at least have a name or an identifier, and possibly more than one
  2. The telecom of an organization can never be of use 'home'
  3. An address of an organization can never be of use 'home'
NameFlagsCard.TypeDescription & Constraintsdoco
.. Organization I0..*A grouping of people or organizations with a common purpose
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier SΣI1..*IdentifierIdentifies this organization across multiple systems
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required)
.... type Σ0..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible)
.... system SΣ1..1uriThe namespace for the identifier value
Example General': http://www.acme.com/identifiers/patient
.... value Σ0..1stringThe value that is unique
Example General': 123456
.... period Σ0..1PeriodTime period when id is/was valid for use
.... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
... active ?!SΣ1..1booleanWhether the organization's record is still in active use
... type Σ0..*CodeableConceptKind of organization
Binding: OrganizationType (example)
... name SΣI1..1stringName used for the organization
... alias 0..*stringA list of alternate names that the organization is known as, or was known as in the past
... telecom SI1..*ContactPointA contact detail for the organization
... address SI1..*AddressAn address for the organization
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ0..1codehome | work | temp | old | billing - purpose of this address
Binding: AddressUse (required)
Example General': home
.... type Σ0..1codepostal | physical | both
Binding: AddressType (required)
Example General': both
.... text Σ0..1stringText representation of the address
Example General': 137 Nowhere Street, Erewhon 9132
.... line SΣ0..4stringStreet 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
.... city SΣ0..1stringName of city, town etc.
Example General': Erewhon
.... district Σ0..1stringDistrict name (aka county)
Example General': Madison
.... state SΣ0..1stringSub-unit of country (abbreviations ok)
Binding: USPS Two Letter Alphabetic Codes (extensible)
.... postalCode SΣ0..1stringUS Zip Codes
Example General': 9132
.... country SΣ0..1stringCountry (e.g. can be ISO 3166 2 or 3 letter code)
.... period Σ0..1PeriodTime period when address was/is in use
Example General': {"start":"2010-03-23T00:00:00-04:00","end":"2010-07-01T00:00:00-04:00"}
... partOf Σ0..1Reference(Organization)The organization of which this organization forms a part
... contact I0..*BackboneElementContact for the organization for a certain purpose
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... purpose 0..1CodeableConceptThe type of contact
Binding: ContactEntityType (extensible)
.... name 0..1HumanNameA name associated with the contact
.... telecom 0..*ContactPointContact details (telephone, email, etc.) for a contact
.... address 0..1AddressVisiting or postal addresses for the contact
... endpoint S0..*Reference(Endpoint)Technical endpoints providing access to services operated for the organization

doco Documentation for this format

Organization

Summary of the Mandatory Requirements

  1. One or more Identifiers in Organization.identifier
    • which must have an uri value in Organization.identifier.system
  2. A boolean in Organization.active
  3. A string in Organization.name
  4. One or more ContactPoints in Organization.telecom with the following constraints: The telecom of an organization can never be of use 'home'
  5. One or more Addresses in Organization.address with the following constraints: An address of an organization can never be of use 'home'
    • which should have one or more string values in Organization.address.line
    • which should have a string value in Organization.address.city
    • which should have a string value in Organization.address.state with an extensible binding to USPS Two Letter Alphabetic Codes
    • which should have a string value in Organization.address.postalCode
    • which should have a string value in Organization.address.country

Summary of the Must Support Requirements

  1. One or more Endpoint References in Organization.endpoint

Summary of Constraints

  1. The organization SHALL at least have a name or an identifier, and possibly more than one
  2. The telecom of an organization can never be of use 'home'
  3. An address of an organization can never be of use 'home'

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Organization I0..*A grouping of people or organizations with a common purpose
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier SΣI1..*IdentifierIdentifies this organization across multiple systems
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required)
.... type Σ0..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible)
.... system SΣ1..1uriThe namespace for the identifier value
Example General': http://www.acme.com/identifiers/patient
.... value Σ0..1stringThe value that is unique
Example General': 123456
.... period Σ0..1PeriodTime period when id is/was valid for use
.... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
... active ?!SΣ1..1booleanWhether the organization's record is still in active use
... type Σ0..*CodeableConceptKind of organization
Binding: OrganizationType (example)
... name SΣI1..1stringName used for the organization
... alias 0..*stringA list of alternate names that the organization is known as, or was known as in the past
... telecom SI1..*ContactPointA contact detail for the organization
... address SI1..*AddressAn address for the organization
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ0..1codehome | work | temp | old | billing - purpose of this address
Binding: AddressUse (required)
Example General': home
.... type Σ0..1codepostal | physical | both
Binding: AddressType (required)
Example General': both
.... text Σ0..1stringText representation of the address
Example General': 137 Nowhere Street, Erewhon 9132
.... line SΣ0..4stringStreet 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
.... city SΣ0..1stringName of city, town etc.
Example General': Erewhon
.... district Σ0..1stringDistrict name (aka county)
Example General': Madison
.... state SΣ0..1stringSub-unit of country (abbreviations ok)
Binding: USPS Two Letter Alphabetic Codes (extensible)
.... postalCode SΣ0..1stringUS Zip Codes
Example General': 9132
.... country SΣ0..1stringCountry (e.g. can be ISO 3166 2 or 3 letter code)
.... period Σ0..1PeriodTime period when address was/is in use
Example General': {"start":"2010-03-23T00:00:00-04:00","end":"2010-07-01T00:00:00-04:00"}
... partOf Σ0..1Reference(Organization)The organization of which this organization forms a part
... contact I0..*BackboneElementContact for the organization for a certain purpose
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... purpose 0..1CodeableConceptThe type of contact
Binding: ContactEntityType (extensible)
.... name 0..1HumanNameA name associated with the contact
.... telecom 0..*ContactPointContact details (telephone, email, etc.) for a contact
.... address 0..1AddressVisiting or postal addresses for the contact
... endpoint S0..*Reference(Endpoint)Technical endpoints providing access to services operated for the organization

doco Documentation for this format

Downloads: StructureDefinition: (XML, JSON), Schema: XML Schematron


Quick Start

Below is an overview of the required set of RESTful FHIR interactions - for example, search and read operations - for this profile. See the Conformance requirements for a complete list of supported RESTful interactions for this IG.

Mandatory Search Parameters:

The following search parameters, search parameter combinations and search parameter modifiers, comparators, chains and composites SHALL be supported. the modifiers, comparators, chains and composites that are listed as optional SHOULD be supported.:

  1. SHALL support searching by organization name using the name search parameter:

    GET [base]/Organization?name=[string]

    Example:

    1. GET [base]/Location?name=Health

    Implementation Notes: Fetches a bundle of all Organization resources that match the name (how to search by string)

  2. SHALL support searching organization based on text address using the address search parameter:

    GET [base]/Organization?address=[string]

    Example:

    1. GET [base]/Location?address=Arbor

    Implementation Notes: Fetches a bundle of all Organization resources that match the address string (how to search by string)