This profile sets minimum expectations for searching for and fetching information associated with an organization role. It identifies which core elements, extensions, vocabularies and value sets SHALL be present in the OrganizationAffiliation resource when using this profile.

Background & Scope

The OrganizationAffiliation resource describes relationships between two or more organizations, including the services one organization provides another, the location(s) where they provide services, the availability of those services, electronic endpoints, and other relevant information.

OrganizationAffiliation addresses the need to define a non-hierarchical relationship between two or more organizations. For example:

• One organization may provide services to another organization
• Two or more organizations may form a partnership or joint venture
• An organization may be a member of another organization, but not owned by it (e.g. a hospital is a member the American Hospital Association, a hospital is a member of a health information exchange network)

OrganizationAffiliation is similar in structure to practitionerRole. Instead of references to practitioner and organization (as in practitionerRole), organizationaffiliation includes references to a participatingOrg and an organization. The participating organization provides "services" to the primary organization (much like a practitioner provides services to an organization). Using the three examples above:

• The participating organization provides services to the primary organization
• The joint venture is considered the primary organization, and partners within the joint venture are considered participating organizations (requires two organizationaffiliation resource instances)
• An association is the primary organization, and its members are participating organizations.

OrganizationAffiliation is also used to indicate when an organization provides services for a health insurance provider network.

–

This profile modifies the base OrganizationAffiliation resource in the following manner:

• Constrains the cardinality of OrganizationAffiliation.active (1..1), OrganizationAffiliation.telecom.system (1..1), and OrganizationAffiliation.telecom.value (1..1)

• All references SHALL conform to the appropriate Validated Healthcare Directory Implementation Guide profile

• Adds extensions:

1. Identifier status (1..1) - indicates the status of an identifier for the role
2. Via intermediary (0..1) - a reference to an alternative point of contact for this role
3. Available time (0..*) - indicates when the point of contact for this role is available
4. Restriction (0..*) - indicates whether disclosure of any data associated with this role is restricted

Examples:

The following are example uses for the vhdir-organizationaffiliation profile:

• Independence Rehabilitation provides rehab services to Founding Fathers Memorial Hospital
• Founding Fathers Memorial Hospital is a member of Monument HIE

Mandatory Data Elements

The following data-elements are mandatory (i.e data MUST be present). These are presented below in a simple human-readable explanation. The Formal Profile Definition below provides the formal summary, definitions, and terminology requirements.

Each OrganizationAffiliation must have:

1. A boolean value in OrganizationAffiliation.active

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints
OrganizationAffiliation		0..*	OrganizationAffiliation	Defines an affiliation/assotiation/relationship between 2 distinct oganizations, that is not a part-of relationship/sub-division relationship 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
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
restriction	S	0..*	Reference(VhDir Restriction)	Restriction URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/usage-restriction 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	SΣ	0..*	Identifier	Business identifiers that are specific to this role ele-1: All FHIR elements must have a @value or children
Slices for extension		1..*	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
status	S	1..1	code	Status URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/identifier-status Binding: VhDir 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	?!SΣ	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
type	SΣ	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. 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
period	SΣ	0..1	Period	Time period when id is/was valid for use ele-1: All FHIR elements must have a @value or children
assigner	SΣ	0..1	Reference(VhDir Organization)	Organization that issued id (may be just text) ele-1: All FHIR elements must have a @value or children
active	SΣ	1..1	boolean	Whether this organization affiliation record is in active use ele-1: All FHIR elements must have a @value or children
period	SΣ	0..1	Period	The period during which the participatingOrganization is affiliated with the primary organization ele-1: All FHIR elements must have a @value or children
organization	SΣ	0..1	Reference(VhDir Organization)	Organization where the role is available ele-1: All FHIR elements must have a @value or children
participatingOrganization	SΣ	0..1	Reference(VhDir Organization)	Organization that provides/performs the role (e.g. providing services or is a member of) ele-1: All FHIR elements must have a @value or children
network	SΣ	0..*	Reference(VhDir Network)	Health insurance provider network in which the participatingOrganization provides the role's services (if defined) at the indicated locations (if defined) ele-1: All FHIR elements must have a @value or children
code	SΣ	0..*	CodeableConcept	Definition of the role the participatingOrganization plays Binding: OrganizationAffiliationRole (example): The role the participating organization providing services to the primary organization. ele-1: All FHIR elements must have a @value or children
specialty	SΣ	0..*	CodeableConcept	Specific specialty of the participatingOrganization in the context of the role Binding: PracticeSettingCodeValueSet (preferred): Specific specialty associated with the participating organization. ele-1: All FHIR elements must have a @value or children
location	SΣ	0..*	Reference(VhDir Location)	The location(s) at which the role occurs ele-1: All FHIR elements must have a @value or children
healthcareService	S	0..*	Reference(VhDir Healthcare Service)	Healthcare services provided through the role ele-1: All FHIR elements must have a @value or children
telecom	SΣ	0..*	ContactPoint	Contact details at the participatingOrganization relevant to this Affiliation 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
availabletime	S	0..*	(Complex)	Available time URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/contactpoint-availabletime ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
viaintermediary	S	0..1	Reference(VhDir Practitioner Role | VhDir Organization | VhDir Organization Affiliation | VhDir Location)	viaintermediary URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/contactpoint-viaintermediary ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
system	SΣC	1..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	1..1	string	The actual contact point details ele-1: All FHIR elements must have a @value or children
use	?!SΣ	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
rank	SΣ	0..1	positiveInt	Specify preferred order of use (1 = highest) ele-1: All FHIR elements must have a @value or children
period	SΣ	0..1	Period	Time period when the contact point was/is in use ele-1: All FHIR elements must have a @value or children
endpoint	S	0..*	Reference(VhDir Endpoint)	Technical endpoints providing access to services operated for this role ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
OrganizationAffiliation.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
OrganizationAffiliation.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
OrganizationAffiliation.code	example	OrganizationAffiliationRole http://hl7.org/fhir/ValueSet/organization-role from the FHIR Standard
OrganizationAffiliation.specialty	preferred	PracticeSettingCodeValueSet http://hl7.org/fhir/ValueSet/c80-practice-codes from the FHIR Standard
OrganizationAffiliation.telecom.system	required	ContactPointSystem http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 from the FHIR Standard
OrganizationAffiliation.telecom.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 from the FHIR Standard

This structure is derived from OrganizationAffiliation

Name	Flags	Card.	Type	Description & Constraints
OrganizationAffiliation		0..*	OrganizationAffiliation	Defines an affiliation/assotiation/relationship between 2 distinct oganizations, that is not a part-of relationship/sub-division relationship
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
restriction	S	0..*	Reference(VhDir Restriction)	Restriction URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/usage-restriction
identifier	S	0..*	Identifier	Business identifiers that are specific to this role
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
status	S	1..1	code	Status URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/identifier-status Binding: VhDir Identifier Status Value Set (required)
use	S	0..1	code	usual | official | temp | secondary | old (If known)
type	S	0..1	CodeableConcept	Description of identifier
system	S	0..1	uri	The namespace for the identifier value
value	S	0..1	string	The value that is unique
period	S	0..1	Period	Time period when id is/was valid for use
assigner	S	0..1	Reference(VhDir Organization)	Organization that issued id (may be just text)
active	S	1..1	boolean	Whether this organization affiliation record is in active use
period	S	0..1	Period	The period during which the participatingOrganization is affiliated with the primary organization
organization	S	0..1	Reference(VhDir Organization)	Organization where the role is available
participatingOrganization	S	0..1	Reference(VhDir Organization)	Organization that provides/performs the role (e.g. providing services or is a member of)
network	S	0..*	Reference(VhDir Network)	Health insurance provider network in which the participatingOrganization provides the role's services (if defined) at the indicated locations (if defined)
code	S	0..*	CodeableConcept	Definition of the role the participatingOrganization plays
specialty	S	0..*	CodeableConcept	Specific specialty of the participatingOrganization in the context of the role
location	S	0..*	Reference(VhDir Location)	The location(s) at which the role occurs
healthcareService	S	0..*	Reference(VhDir Healthcare Service)	Healthcare services provided through the role
telecom	S	0..*	ContactPoint	Contact details at the participatingOrganization relevant to this Affiliation
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
availabletime	S	0..*	(Complex)	Available time URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/contactpoint-availabletime
viaintermediary	S	0..1	Reference(VhDir Practitioner Role | VhDir Organization | VhDir Organization Affiliation | VhDir Location)	viaintermediary URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/contactpoint-viaintermediary
system	S	1..1	code	phone | fax | email | pager | url | sms | other
value	S	1..1	string	The actual contact point details
use	S	0..1	code	home | work | temp | old | mobile - purpose of this contact point
rank	S	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	S	0..1	Period	Time period when the contact point was/is in use
endpoint	S	0..*	Reference(VhDir Endpoint)	Technical endpoints providing access to services operated for this role
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
OrganizationAffiliation		0..*	OrganizationAffiliation	Defines an affiliation/assotiation/relationship between 2 distinct oganizations, that is not a part-of relationship/sub-division relationship
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	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. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
restriction	S	0..*	Reference(VhDir Restriction)	Restriction URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/usage-restriction
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	Business identifiers that are specific to this role
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
status	S	1..1	code	Status URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/identifier-status Binding: VhDir Identifier Status Value Set (required)
use	?!SΣ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	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	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	The value that is unique Example General: 123456
period	SΣ	0..1	Period	Time period when id is/was valid for use
assigner	SΣ	0..1	Reference(VhDir Organization)	Organization that issued id (may be just text)
active	SΣ	1..1	boolean	Whether this organization affiliation record is in active use
period	SΣ	0..1	Period	The period during which the participatingOrganization is affiliated with the primary organization
organization	SΣ	0..1	Reference(VhDir Organization)	Organization where the role is available
participatingOrganization	SΣ	0..1	Reference(VhDir Organization)	Organization that provides/performs the role (e.g. providing services or is a member of)
network	SΣ	0..*	Reference(VhDir Network)	Health insurance provider network in which the participatingOrganization provides the role's services (if defined) at the indicated locations (if defined)
code	SΣ	0..*	CodeableConcept	Definition of the role the participatingOrganization plays Binding: OrganizationAffiliationRole (example): The role the participating organization providing services to the primary organization.
specialty	SΣ	0..*	CodeableConcept	Specific specialty of the participatingOrganization in the context of the role Binding: PracticeSettingCodeValueSet (preferred): Specific specialty associated with the participating organization.
location	SΣ	0..*	Reference(VhDir Location)	The location(s) at which the role occurs
healthcareService	S	0..*	Reference(VhDir Healthcare Service)	Healthcare services provided through the role
telecom	SΣ	0..*	ContactPoint	Contact details at the participatingOrganization relevant to this Affiliation
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
availabletime	S	0..*	(Complex)	Available time URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/contactpoint-availabletime
viaintermediary	S	0..1	Reference(VhDir Practitioner Role | VhDir Organization | VhDir Organization Affiliation | VhDir Location)	viaintermediary URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/contactpoint-viaintermediary
system	SΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	SΣ	1..1	string	The actual contact point details
use	?!SΣ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
rank	SΣ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	SΣ	0..1	Period	Time period when the contact point was/is in use
endpoint	S	0..*	Reference(VhDir Endpoint)	Technical endpoints providing access to services operated for this role
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
OrganizationAffiliation.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
OrganizationAffiliation.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
OrganizationAffiliation.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
OrganizationAffiliation.code	example	OrganizationAffiliationRole http://hl7.org/fhir/ValueSet/organization-role from the FHIR Standard
OrganizationAffiliation.specialty	preferred	PracticeSettingCodeValueSet http://hl7.org/fhir/ValueSet/c80-practice-codes from the FHIR Standard
OrganizationAffiliation.telecom.system	required	ContactPointSystem http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 from the FHIR Standard
OrganizationAffiliation.telecom.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 from the FHIR Standard

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
OrganizationAffiliation		0..*	OrganizationAffiliation	Defines an affiliation/assotiation/relationship between 2 distinct oganizations, that is not a part-of relationship/sub-division relationship 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
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
restriction	S	0..*	Reference(VhDir Restriction)	Restriction URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/usage-restriction 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	SΣ	0..*	Identifier	Business identifiers that are specific to this role ele-1: All FHIR elements must have a @value or children
Slices for extension		1..*	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
status	S	1..1	code	Status URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/identifier-status Binding: VhDir 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	?!SΣ	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
type	SΣ	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. 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
period	SΣ	0..1	Period	Time period when id is/was valid for use ele-1: All FHIR elements must have a @value or children
assigner	SΣ	0..1	Reference(VhDir Organization)	Organization that issued id (may be just text) ele-1: All FHIR elements must have a @value or children
active	SΣ	1..1	boolean	Whether this organization affiliation record is in active use ele-1: All FHIR elements must have a @value or children
period	SΣ	0..1	Period	The period during which the participatingOrganization is affiliated with the primary organization ele-1: All FHIR elements must have a @value or children
organization	SΣ	0..1	Reference(VhDir Organization)	Organization where the role is available ele-1: All FHIR elements must have a @value or children
participatingOrganization	SΣ	0..1	Reference(VhDir Organization)	Organization that provides/performs the role (e.g. providing services or is a member of) ele-1: All FHIR elements must have a @value or children
network	SΣ	0..*	Reference(VhDir Network)	Health insurance provider network in which the participatingOrganization provides the role's services (if defined) at the indicated locations (if defined) ele-1: All FHIR elements must have a @value or children
code	SΣ	0..*	CodeableConcept	Definition of the role the participatingOrganization plays Binding: OrganizationAffiliationRole (example): The role the participating organization providing services to the primary organization. ele-1: All FHIR elements must have a @value or children
specialty	SΣ	0..*	CodeableConcept	Specific specialty of the participatingOrganization in the context of the role Binding: PracticeSettingCodeValueSet (preferred): Specific specialty associated with the participating organization. ele-1: All FHIR elements must have a @value or children
location	SΣ	0..*	Reference(VhDir Location)	The location(s) at which the role occurs ele-1: All FHIR elements must have a @value or children
healthcareService	S	0..*	Reference(VhDir Healthcare Service)	Healthcare services provided through the role ele-1: All FHIR elements must have a @value or children
telecom	SΣ	0..*	ContactPoint	Contact details at the participatingOrganization relevant to this Affiliation 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
availabletime	S	0..*	(Complex)	Available time URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/contactpoint-availabletime ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
viaintermediary	S	0..1	Reference(VhDir Practitioner Role | VhDir Organization | VhDir Organization Affiliation | VhDir Location)	viaintermediary URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/contactpoint-viaintermediary ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
system	SΣC	1..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	1..1	string	The actual contact point details ele-1: All FHIR elements must have a @value or children
use	?!SΣ	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
rank	SΣ	0..1	positiveInt	Specify preferred order of use (1 = highest) ele-1: All FHIR elements must have a @value or children
period	SΣ	0..1	Period	Time period when the contact point was/is in use ele-1: All FHIR elements must have a @value or children
endpoint	S	0..*	Reference(VhDir Endpoint)	Technical endpoints providing access to services operated for this role ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
OrganizationAffiliation.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
OrganizationAffiliation.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
OrganizationAffiliation.code	example	OrganizationAffiliationRole http://hl7.org/fhir/ValueSet/organization-role from the FHIR Standard
OrganizationAffiliation.specialty	preferred	PracticeSettingCodeValueSet http://hl7.org/fhir/ValueSet/c80-practice-codes from the FHIR Standard
OrganizationAffiliation.telecom.system	required	ContactPointSystem http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 from the FHIR Standard
OrganizationAffiliation.telecom.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 from the FHIR Standard

Differential View

This structure is derived from OrganizationAffiliation

Name	Flags	Card.	Type	Description & Constraints
OrganizationAffiliation		0..*	OrganizationAffiliation	Defines an affiliation/assotiation/relationship between 2 distinct oganizations, that is not a part-of relationship/sub-division relationship
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
restriction	S	0..*	Reference(VhDir Restriction)	Restriction URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/usage-restriction
identifier	S	0..*	Identifier	Business identifiers that are specific to this role
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
status	S	1..1	code	Status URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/identifier-status Binding: VhDir Identifier Status Value Set (required)
use	S	0..1	code	usual | official | temp | secondary | old (If known)
type	S	0..1	CodeableConcept	Description of identifier
system	S	0..1	uri	The namespace for the identifier value
value	S	0..1	string	The value that is unique
period	S	0..1	Period	Time period when id is/was valid for use
assigner	S	0..1	Reference(VhDir Organization)	Organization that issued id (may be just text)
active	S	1..1	boolean	Whether this organization affiliation record is in active use
period	S	0..1	Period	The period during which the participatingOrganization is affiliated with the primary organization
organization	S	0..1	Reference(VhDir Organization)	Organization where the role is available
participatingOrganization	S	0..1	Reference(VhDir Organization)	Organization that provides/performs the role (e.g. providing services or is a member of)
network	S	0..*	Reference(VhDir Network)	Health insurance provider network in which the participatingOrganization provides the role's services (if defined) at the indicated locations (if defined)
code	S	0..*	CodeableConcept	Definition of the role the participatingOrganization plays
specialty	S	0..*	CodeableConcept	Specific specialty of the participatingOrganization in the context of the role
location	S	0..*	Reference(VhDir Location)	The location(s) at which the role occurs
healthcareService	S	0..*	Reference(VhDir Healthcare Service)	Healthcare services provided through the role
telecom	S	0..*	ContactPoint	Contact details at the participatingOrganization relevant to this Affiliation
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
availabletime	S	0..*	(Complex)	Available time URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/contactpoint-availabletime
viaintermediary	S	0..1	Reference(VhDir Practitioner Role | VhDir Organization | VhDir Organization Affiliation | VhDir Location)	viaintermediary URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/contactpoint-viaintermediary
system	S	1..1	code	phone | fax | email | pager | url | sms | other
value	S	1..1	string	The actual contact point details
use	S	0..1	code	home | work | temp | old | mobile - purpose of this contact point
rank	S	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	S	0..1	Period	Time period when the contact point was/is in use
endpoint	S	0..*	Reference(VhDir Endpoint)	Technical endpoints providing access to services operated for this role
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
OrganizationAffiliation		0..*	OrganizationAffiliation	Defines an affiliation/assotiation/relationship between 2 distinct oganizations, that is not a part-of relationship/sub-division relationship
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	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. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
restriction	S	0..*	Reference(VhDir Restriction)	Restriction URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/usage-restriction
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	Business identifiers that are specific to this role
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
status	S	1..1	code	Status URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/identifier-status Binding: VhDir Identifier Status Value Set (required)
use	?!SΣ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	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	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	The value that is unique Example General: 123456
period	SΣ	0..1	Period	Time period when id is/was valid for use
assigner	SΣ	0..1	Reference(VhDir Organization)	Organization that issued id (may be just text)
active	SΣ	1..1	boolean	Whether this organization affiliation record is in active use
period	SΣ	0..1	Period	The period during which the participatingOrganization is affiliated with the primary organization
organization	SΣ	0..1	Reference(VhDir Organization)	Organization where the role is available
participatingOrganization	SΣ	0..1	Reference(VhDir Organization)	Organization that provides/performs the role (e.g. providing services or is a member of)
network	SΣ	0..*	Reference(VhDir Network)	Health insurance provider network in which the participatingOrganization provides the role's services (if defined) at the indicated locations (if defined)
code	SΣ	0..*	CodeableConcept	Definition of the role the participatingOrganization plays Binding: OrganizationAffiliationRole (example): The role the participating organization providing services to the primary organization.
specialty	SΣ	0..*	CodeableConcept	Specific specialty of the participatingOrganization in the context of the role Binding: PracticeSettingCodeValueSet (preferred): Specific specialty associated with the participating organization.
location	SΣ	0..*	Reference(VhDir Location)	The location(s) at which the role occurs
healthcareService	S	0..*	Reference(VhDir Healthcare Service)	Healthcare services provided through the role
telecom	SΣ	0..*	ContactPoint	Contact details at the participatingOrganization relevant to this Affiliation
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
availabletime	S	0..*	(Complex)	Available time URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/contactpoint-availabletime
viaintermediary	S	0..1	Reference(VhDir Practitioner Role | VhDir Organization | VhDir Organization Affiliation | VhDir Location)	viaintermediary URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/contactpoint-viaintermediary
system	SΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	SΣ	1..1	string	The actual contact point details
use	?!SΣ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
rank	SΣ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	SΣ	0..1	Period	Time period when the contact point was/is in use
endpoint	S	0..*	Reference(VhDir Endpoint)	Technical endpoints providing access to services operated for this role
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
OrganizationAffiliation.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
OrganizationAffiliation.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
OrganizationAffiliation.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
OrganizationAffiliation.code	example	OrganizationAffiliationRole http://hl7.org/fhir/ValueSet/organization-role from the FHIR Standard
OrganizationAffiliation.specialty	preferred	PracticeSettingCodeValueSet http://hl7.org/fhir/ValueSet/c80-practice-codes from the FHIR Standard
OrganizationAffiliation.telecom.system	required	ContactPointSystem http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 from the FHIR Standard
OrganizationAffiliation.telecom.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 from the FHIR Standard

This structure is derived from OrganizationAffiliation

Summary

Mandatory: 1 element(4 nested mandatory elements)
Must-Support: 27 elements

Structures

This structure refers to these other structures:

• VhDir Organization (http://hl7.org/fhir/uv/vhdir/StructureDefinition/vhdir-organization)
• VhDir Network (http://hl7.org/fhir/uv/vhdir/StructureDefinition/vhdir-network)
• VhDir Location (http://hl7.org/fhir/uv/vhdir/StructureDefinition/vhdir-location)
• VhDir Healthcare Service (http://hl7.org/fhir/uv/vhdir/StructureDefinition/vhdir-healthcareservice)
• VhDir Endpoint (http://hl7.org/fhir/uv/vhdir/StructureDefinition/vhdir-endpoint)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/uv/vhdir/StructureDefinition/usage-restriction
• http://hl7.org/fhir/uv/vhdir/StructureDefinition/identifier-status
• http://hl7.org/fhir/uv/vhdir/StructureDefinition/contactpoint-availabletime
• http://hl7.org/fhir/uv/vhdir/StructureDefinition/contactpoint-viaintermediary

Maturity: 2

Supported Searches

1. GET [base]/OrganizationAffiliation?active=[code]

   Support: SHALL support search by the active parameter: http://hl7.org/fhir/SearchParameter/OrganizationAffiliation-active

1. GET [base]/OrganizationAffiliation?endpoint=[id]

   Support: SHOULD support search by the endpoint parameter

   • with a target type: Endpoint
   • including these search paramaters which may be chained: endpoint.identifier, endpoint.connection-type, endpoint.organization

1. GET [base]/OrganizationAffiliation?identifier=[code]

   Support: SHALL support search by the identifier parameter

   • including the modifiers: text, ofType

1. GET [base]/Organization?identifier-assigner=[id]

   Support: MAY support search by the identifier-assigner parameter

   • with a target type: Organization
   • including the modifiers: below
   • including these search paramaters which may be chained: identifier-assigner.identifier, identifier-assigner.name

1. GET [base]/OrganizationAffiliation?location=[id]

   Support: SHALL support search by the location parameter

   • with a target type: Location
   • including the modifiers: above, below
   • including these search paramaters which may be chained: location.identifier, location.type, location.address, location.organization

1. GET [base]/OrganizationAffiliation?network=[id]

   Support: SHOULD support search by the network parameter

   • with a target type: Organization
   • including these search paramaters which may be chained: network.identifier, network.name, network.partof

1. GET [base]/OrganizationAffiliation?participating-organization=[id]

   Support: SHALL support search by the participating-organization parameter

   • with a target type: Organization
   • including the modifiers: above, below
   • including these search paramaters which may be chained: participating-organization.identifier, participating-organization.name, participating-organization.address, participating-organization.partof, participating-organization.type

1. GET [base]/OrganizationAffiliation?primary-organization=[id]

   Support: SHALL support search by the primary-organization parameter

   • with a target type: Organization
   • including the modifiers: above, below
   • including these search paramaters which may be chained: primary-organization.identifier, primary-organization.type, primary-organization.address, primary-organization.name, primary-organization.partof

1. GET [base]/OrganizationAffiliation?role=[code]

   Support: SHALL support search by the role parameter

   • including the modifiers: text

1. GET [base]/OrganizationAffiliation?service=[id]

   Support: SHOULD support search by the service parameter

   • with a target type: HealthcareService
   • including these search paramaters which may be chained: service.identifier, service.service-category, service.organization, service.location

1. GET [base]/OrganizationAffiliation?specialty=[code]

   Support: SHOULD support search by the specialty parameter

   • including the modifiers: text

1. GET [base]/Organization?via-intermediary=[id]

   Support: MAY support search by the via-intermediary parameter

   • with a target type: PractitionerRole, Organization, OrganizationAffiliation, Location