Data Exchange For Quality Measures STU2 for FHIR R4
2.0.0 - STU2 Release

This page is part of the Da Vinci Data Exchange for Quality Measures (DEQM) FHIR IG (v2.0.0: STU 2) based on FHIR R4. The current version which supercedes this version is 3.1.0. For a full list of available versions, see the Directory of published versions

Resource Profile: DEQMOrganizationProfile

The DEQM Organization Profile defines the constraints for representing the organization for which the practitioner was working when he performed the measure to which he is attesting.

The official URL for this profile is: 

http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/organization-deqm

Mandatory Data Elements and Terminology

The following data-elements are mandatory (i.e data MUST be present).

Each Organization must have:

  1. Either a National Provider Identifier (NPI), Employer Identification Number (EIN), or CMS Certification Number(CCN) identifier

Additional Profile specific implementation guidance:

The “Full View” tab below displays all the identifier slices including the EIN and CCN slices defined in this guide and NPI slice which is inherited indirectly from the US Core Organization Profile.

Examples

  • DaVinciHospital01
  • DaVinciHospital02
  • DaVinciHospital03
  • DVPayer04

    • Formal Views of Profile Content

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

    This structure is derived from QICoreOrganization

    Summary

    Mandatory: 1 element
    Must-Support: 3 elements

    Slices

    This structure defines the following Slices:

    • The element Organization.identifier is sliced based on the value of pattern:$this

    This structure is derived from QICoreOrganization

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Organization I0..*QICoreOrganizationA grouping of people or organizations with a common purpose
    deqm-3: Either an NPI, EIN, or CCN identifier SHALL be present
    ... identifier SI1..*(Slice Definition)Identifies this organization across multiple systems
    Slice: Unordered, Open by pattern:$this
    .... identifier:ein S0..1IdentifierIdentifies this organization across multiple systems
    Required Pattern: At least the following
    ..... system1..1uriThe namespace for the identifier value
    Fixed Value: urn:oid:2.16.840.1.113883.4.4
    .... identifier:ccn S0..1IdentifierIdentifies this organization across multiple systems
    Required Pattern: At least the following
    ..... system1..1uriThe namespace for the identifier value
    Fixed Value: urn:oid:2.16.840.1.113883.4.336

    doco Documentation for this format
    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Organization I0..*QICoreOrganizationA grouping of people or organizations with a common purpose
    deqm-3: Either an NPI, EIN, or CCN identifier SHALL be present
    ... id Σ0..1stringLogical id of this artifact
    ... meta ΣI0..1MetaMetadata about the resource
    ... implicitRules ?!ΣI0..1uriA set of rules under which this content was created
    ... language I0..1codeLanguage of the resource content
    Binding: CommonLanguages (preferred)
    Max Binding: AllLanguages
    ... text I0..1NarrativeText summary of the resource, for human interpretation
    ... contained 0..*ResourceContained, inline Resources
    ... extension I0..*ExtensionAdditional content defined by implementations
    ... modifierExtension ?!I0..*ExtensionExtensions that cannot be ignored
    ... identifier SΣI1..*(Slice Definition)Identifies this organization across multiple systems
    Slice: Unordered, Open by pattern:$this
    .... identifier:NPI SΣI0..1IdentifierNational Provider Identifier (NPI)

    Required Pattern: At least the following
    ..... id0..1stringUnique id for inter-element referencing
    ..... extension0..*ExtensionAdditional content defined by implementations
    ..... use0..1codeusual | official | temp | secondary | old (If known)
    ..... type0..1CodeableConceptDescription of identifier
    ..... system1..1uriThe namespace for the identifier value
    Fixed Value: http://hl7.org/fhir/sid/us-npi
    ..... value0..1stringThe value that is unique
    ..... period0..1PeriodTime period when id is/was valid for use
    ..... assigner0..1Reference(Organization)Organization that issued id (may be just text)
    .... identifier:CLIA SΣI0..1IdentifierClinical Laboratory Improvement Amendments (CLIA) Number for laboratories

    Required Pattern: At least the following
    ..... id0..1stringUnique id for inter-element referencing
    ..... extension0..*ExtensionAdditional content defined by implementations
    ..... use0..1codeusual | official | temp | secondary | old (If known)
    ..... type0..1CodeableConceptDescription of identifier
    ..... system1..1uriThe namespace for the identifier value
    Fixed Value: urn:oid:2.16.840.1.113883.4.7
    ..... value0..1stringThe value that is unique
    ..... period0..1PeriodTime period when id is/was valid for use
    ..... assigner0..1Reference(Organization)Organization that issued id (may be just text)
    .... identifier:ein SΣI0..1IdentifierIdentifies this organization across multiple systems

    Required Pattern: At least the following
    ..... id0..1stringUnique id for inter-element referencing
    ..... extension0..*ExtensionAdditional content defined by implementations
    ..... use0..1codeusual | official | temp | secondary | old (If known)
    ..... type0..1CodeableConceptDescription of identifier
    ..... system1..1uriThe namespace for the identifier value
    Fixed Value: urn:oid:2.16.840.1.113883.4.4
    ..... value0..1stringThe value that is unique
    ..... period0..1PeriodTime period when id is/was valid for use
    ..... assigner0..1Reference(Organization)Organization that issued id (may be just text)
    .... identifier:ccn SΣI0..1IdentifierIdentifies this organization across multiple systems

    Required Pattern: At least the following
    ..... id0..1stringUnique id for inter-element referencing
    ..... extension0..*ExtensionAdditional content defined by implementations
    ..... use0..1codeusual | official | temp | secondary | old (If known)
    ..... type0..1CodeableConceptDescription of identifier
    ..... system1..1uriThe namespace for the identifier value
    Fixed Value: urn:oid:2.16.840.1.113883.4.336
    ..... value0..1stringThe value that is unique
    ..... period0..1PeriodTime period when id is/was valid for use
    ..... assigner0..1Reference(Organization)Organization that issued id (may be just text)
    ... active ?!SΣI1..1booleanWhether the organization's record is still in active use
    ... type SΣI0..*CodeableConceptKind of organization
    Binding: OrganizationType (example)
    ... name SΣI1..1stringName used for the organization
    ... alias I0..*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 I0..*ExtensionAdditional content defined by implementations
    Slice: Unordered, Open by value:url
    .... use ?!ΣI0..1codehome | work | temp | old | billing - purpose of this address
    Binding: AddressUse (required)
    Example General: home
    .... type ΣI0..1codepostal | physical | both
    Binding: AddressType (required)
    Example General: both
    .... text ΣI0..1stringText representation of the address
    Example General: 137 Nowhere Street, Erewhon 9132
    .... line SΣI0..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 SΣI0..1stringName of city, town etc.
    Example General: Erewhon
    .... district ΣI0..1stringDistrict name (aka county)
    Example General: Madison
    .... state SΣI0..1stringSub-unit of country (abbreviations ok)
    Binding: USPS Two Letter Alphabetic Codes (extensible)
    .... postalCode SΣI0..1stringUS Zip Codes
    Example General: 9132
    .... country SΣI0..1stringCountry (e.g. can be ISO 3166 2 or 3 letter code)
    .... period ΣI0..1PeriodTime period when address was/is in use
    Example General: {"start":"2010-03-22T13:00:00+00:00","end":"2010-06-30T14:00:00+00:00"}
    ... partOf ΣI0..1Reference(QICoreOrganization)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 I0..*ExtensionAdditional content defined by implementations
    .... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
    .... purpose I0..1CodeableConceptThe type of contact
    Binding: ContactEntityType (extensible)
    .... name I0..1HumanNameA name associated with the contact
    .... telecom I0..*ContactPointContact details (telephone, email, etc.) for a contact
    .... address I0..1AddressVisiting or postal addresses for the contact
    ... endpoint SI0..*Reference(Endpoint)Technical endpoints providing access to services operated for the organization

    doco Documentation for this format
    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Organization I0..*QICoreOrganizationA grouping of people or organizations with a common purpose
    deqm-3: Either an NPI, EIN, or CCN identifier SHALL be present
    ... identifier ΣI1..*(Slice Definition)Identifies this organization across multiple systems
    Slice: Unordered, Open by pattern:$this
    .... identifier:NPI ΣI0..1IdentifierNational Provider Identifier (NPI)

    Required Pattern: At least the following
    ..... id0..1stringUnique id for inter-element referencing
    ..... extension0..*ExtensionAdditional content defined by implementations
    ..... use0..1codeusual | official | temp | secondary | old (If known)
    ..... type0..1CodeableConceptDescription of identifier
    ..... system1..1uriThe namespace for the identifier value
    Fixed Value: http://hl7.org/fhir/sid/us-npi
    ..... value0..1stringThe value that is unique
    ..... period0..1PeriodTime period when id is/was valid for use
    ..... assigner0..1Reference(Organization)Organization that issued id (may be just text)
    .... identifier:CLIA ΣI0..1IdentifierClinical Laboratory Improvement Amendments (CLIA) Number for laboratories

    Required Pattern: At least the following
    ..... id0..1stringUnique id for inter-element referencing
    ..... extension0..*ExtensionAdditional content defined by implementations
    ..... use0..1codeusual | official | temp | secondary | old (If known)
    ..... type0..1CodeableConceptDescription of identifier
    ..... system1..1uriThe namespace for the identifier value
    Fixed Value: urn:oid:2.16.840.1.113883.4.7
    ..... value0..1stringThe value that is unique
    ..... period0..1PeriodTime period when id is/was valid for use
    ..... assigner0..1Reference(Organization)Organization that issued id (may be just text)
    .... identifier:ein ΣI0..1IdentifierIdentifies this organization across multiple systems

    Required Pattern: At least the following
    ..... id0..1stringUnique id for inter-element referencing
    ..... extension0..*ExtensionAdditional content defined by implementations
    ..... use0..1codeusual | official | temp | secondary | old (If known)
    ..... type0..1CodeableConceptDescription of identifier
    ..... system1..1uriThe namespace for the identifier value
    Fixed Value: urn:oid:2.16.840.1.113883.4.4
    ..... value0..1stringThe value that is unique
    ..... period0..1PeriodTime period when id is/was valid for use
    ..... assigner0..1Reference(Organization)Organization that issued id (may be just text)
    .... identifier:ccn ΣI0..1IdentifierIdentifies this organization across multiple systems

    Required Pattern: At least the following
    ..... id0..1stringUnique id for inter-element referencing
    ..... extension0..*ExtensionAdditional content defined by implementations
    ..... use0..1codeusual | official | temp | secondary | old (If known)
    ..... type0..1CodeableConceptDescription of identifier
    ..... system1..1uriThe namespace for the identifier value
    Fixed Value: urn:oid:2.16.840.1.113883.4.336
    ..... value0..1stringThe value that is unique
    ..... period0..1PeriodTime period when id is/was valid for use
    ..... assigner0..1Reference(Organization)Organization that issued id (may be just text)
    ... active ?!ΣI1..1booleanWhether the organization's record is still in active use
    ... type ΣI0..*CodeableConceptKind of organization
    Binding: OrganizationType (example)
    ... name ΣI1..1stringName used for the organization
    ... telecom I1..*ContactPointA contact detail for the organization
    ... address I1..*AddressAn address for the organization
    .... line ΣI0..4stringStreet name, number, direction & P.O. Box etc.
    This repeating element order: The order in which lines should appear in an address label
    .... city ΣI0..1stringName of city, town etc.
    .... state ΣI0..1stringSub-unit of country (abbreviations ok)
    Binding: USPS Two Letter Alphabetic Codes (extensible)
    .... postalCode ΣI0..1stringUS Zip Codes
    .... country ΣI0..1stringCountry (e.g. can be ISO 3166 2 or 3 letter code)
    ... endpoint I0..*Reference(Endpoint)Technical endpoints providing access to services operated for the organization

    doco Documentation for this format

    This structure is derived from QICoreOrganization

    Summary

    Mandatory: 1 element
    Must-Support: 3 elements

    Slices

    This structure defines the following Slices:

    • The element Organization.identifier is sliced based on the value of pattern:$this

    Differential View

    This structure is derived from QICoreOrganization

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Organization I0..*QICoreOrganizationA grouping of people or organizations with a common purpose
    deqm-3: Either an NPI, EIN, or CCN identifier SHALL be present
    ... identifier SI1..*(Slice Definition)Identifies this organization across multiple systems
    Slice: Unordered, Open by pattern:$this
    .... identifier:ein S0..1IdentifierIdentifies this organization across multiple systems
    Required Pattern: At least the following
    ..... system1..1uriThe namespace for the identifier value
    Fixed Value: urn:oid:2.16.840.1.113883.4.4
    .... identifier:ccn S0..1IdentifierIdentifies this organization across multiple systems
    Required Pattern: At least the following
    ..... system1..1uriThe namespace for the identifier value
    Fixed Value: urn:oid:2.16.840.1.113883.4.336

    doco Documentation for this format

    Snapshot View

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Organization I0..*QICoreOrganizationA grouping of people or organizations with a common purpose
    deqm-3: Either an NPI, EIN, or CCN identifier SHALL be present
    ... id Σ0..1stringLogical id of this artifact
    ... meta ΣI0..1MetaMetadata about the resource
    ... implicitRules ?!ΣI0..1uriA set of rules under which this content was created
    ... language I0..1codeLanguage of the resource content
    Binding: CommonLanguages (preferred)
    Max Binding: AllLanguages
    ... text I0..1NarrativeText summary of the resource, for human interpretation
    ... contained 0..*ResourceContained, inline Resources
    ... extension I0..*ExtensionAdditional content defined by implementations
    ... modifierExtension ?!I0..*ExtensionExtensions that cannot be ignored
    ... identifier SΣI1..*(Slice Definition)Identifies this organization across multiple systems
    Slice: Unordered, Open by pattern:$this
    .... identifier:NPI SΣI0..1IdentifierNational Provider Identifier (NPI)

    Required Pattern: At least the following
    ..... id0..1stringUnique id for inter-element referencing
    ..... extension0..*ExtensionAdditional content defined by implementations
    ..... use0..1codeusual | official | temp | secondary | old (If known)
    ..... type0..1CodeableConceptDescription of identifier
    ..... system1..1uriThe namespace for the identifier value
    Fixed Value: http://hl7.org/fhir/sid/us-npi
    ..... value0..1stringThe value that is unique
    ..... period0..1PeriodTime period when id is/was valid for use
    ..... assigner0..1Reference(Organization)Organization that issued id (may be just text)
    .... identifier:CLIA SΣI0..1IdentifierClinical Laboratory Improvement Amendments (CLIA) Number for laboratories

    Required Pattern: At least the following
    ..... id0..1stringUnique id for inter-element referencing
    ..... extension0..*ExtensionAdditional content defined by implementations
    ..... use0..1codeusual | official | temp | secondary | old (If known)
    ..... type0..1CodeableConceptDescription of identifier
    ..... system1..1uriThe namespace for the identifier value
    Fixed Value: urn:oid:2.16.840.1.113883.4.7
    ..... value0..1stringThe value that is unique
    ..... period0..1PeriodTime period when id is/was valid for use
    ..... assigner0..1Reference(Organization)Organization that issued id (may be just text)
    .... identifier:ein SΣI0..1IdentifierIdentifies this organization across multiple systems

    Required Pattern: At least the following
    ..... id0..1stringUnique id for inter-element referencing
    ..... extension0..*ExtensionAdditional content defined by implementations
    ..... use0..1codeusual | official | temp | secondary | old (If known)
    ..... type0..1CodeableConceptDescription of identifier
    ..... system1..1uriThe namespace for the identifier value
    Fixed Value: urn:oid:2.16.840.1.113883.4.4
    ..... value0..1stringThe value that is unique
    ..... period0..1PeriodTime period when id is/was valid for use
    ..... assigner0..1Reference(Organization)Organization that issued id (may be just text)
    .... identifier:ccn SΣI0..1IdentifierIdentifies this organization across multiple systems

    Required Pattern: At least the following
    ..... id0..1stringUnique id for inter-element referencing
    ..... extension0..*ExtensionAdditional content defined by implementations
    ..... use0..1codeusual | official | temp | secondary | old (If known)
    ..... type0..1CodeableConceptDescription of identifier
    ..... system1..1uriThe namespace for the identifier value
    Fixed Value: urn:oid:2.16.840.1.113883.4.336
    ..... value0..1stringThe value that is unique
    ..... period0..1PeriodTime period when id is/was valid for use
    ..... assigner0..1Reference(Organization)Organization that issued id (may be just text)
    ... active ?!SΣI1..1booleanWhether the organization's record is still in active use
    ... type SΣI0..*CodeableConceptKind of organization
    Binding: OrganizationType (example)
    ... name SΣI1..1stringName used for the organization
    ... alias I0..*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 I0..*ExtensionAdditional content defined by implementations
    Slice: Unordered, Open by value:url
    .... use ?!ΣI0..1codehome | work | temp | old | billing - purpose of this address
    Binding: AddressUse (required)
    Example General: home
    .... type ΣI0..1codepostal | physical | both
    Binding: AddressType (required)
    Example General: both
    .... text ΣI0..1stringText representation of the address
    Example General: 137 Nowhere Street, Erewhon 9132
    .... line SΣI0..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 SΣI0..1stringName of city, town etc.
    Example General: Erewhon
    .... district ΣI0..1stringDistrict name (aka county)
    Example General: Madison
    .... state SΣI0..1stringSub-unit of country (abbreviations ok)
    Binding: USPS Two Letter Alphabetic Codes (extensible)
    .... postalCode SΣI0..1stringUS Zip Codes
    Example General: 9132
    .... country SΣI0..1stringCountry (e.g. can be ISO 3166 2 or 3 letter code)
    .... period ΣI0..1PeriodTime period when address was/is in use
    Example General: {"start":"2010-03-22T13:00:00+00:00","end":"2010-06-30T14:00:00+00:00"}
    ... partOf ΣI0..1Reference(QICoreOrganization)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 I0..*ExtensionAdditional content defined by implementations
    .... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
    .... purpose I0..1CodeableConceptThe type of contact
    Binding: ContactEntityType (extensible)
    .... name I0..1HumanNameA name associated with the contact
    .... telecom I0..*ContactPointContact details (telephone, email, etc.) for a contact
    .... address I0..1AddressVisiting or postal addresses for the contact
    ... endpoint SI0..*Reference(Endpoint)Technical endpoints providing access to services operated for the organization

    doco Documentation for this format

     

    Other representations of profile: Schematron

    Terminology Bindings

    PathConformanceValueSet
    Organization.languagepreferredCommonLanguages
    Max Binding: AllLanguages
    Organization.typeexampleOrganizationType
    Organization.address.userequiredAddressUse
    Organization.address.typerequiredAddressType
    Organization.address.stateextensibleUspsTwoLetterAlphabeticCodes
    Organization.contact.purposeextensibleContactEntityType

    Constraints

    IdPathDetailsRequirements
    deqm-3OrganizationEither an NPI, EIN, or CCN identifier SHALL be present
    : (identifier.system contains 'urn:oid:2.16.840.1.113883.4.4') or (identifier.system contains 'urn:oid:2.16.840.1.113883.4.336') or (identifier.system contains 'http://hl7.org/fhir/sid/us-npi')

    Notes: