R6 Ballot (1st Draft)

This page is part of the FHIR Specification v6.0.0-ballot1: Release 6 Ballot (1st Draft) (see Ballot Notes). The current version is 5.0.0. For a full list of available versions, see the Directory of published versions

Patient Administration icon Work GroupMaturity Level: 5 Trial UseSecurity Category: Business Compartments: No defined compartments

Detailed Descriptions for the elements in the Organization resource.

Organization
Element IdOrganization
Definition

A formally or informally recognized grouping of people or organizations formed for the purpose of achieving some form of collective action.

Short DisplayA grouping of people or organizations with a common purpose
Cardinality0..*
TypeDomainResource
Summaryfalse
Invariants
Defined on this element
org-1Rule The organization SHALL at least have a name or an identifier, and possibly more than one(identifier.count() + name.count()) > 0
Organization.identifier
Element IdOrganization.identifier
Definition

Identifier for the organization that is used to identify the organization across multiple disparate systems.

Short DisplayIdentifies this organization across multiple systems
NoteThis is a business identifier, not a resource identifier (see discussion)
Cardinality0..*
TypeIdentifier
Requirements

Organizations are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the organization.

Summarytrue
Invariants
Affect this element
org-1Rule The organization SHALL at least have a name or an identifier, and possibly more than one(identifier.count() + name.count()) > 0
Organization.active
Element IdOrganization.active
Definition

Whether the organization's record is still in active use.

Short DisplayWhether the organization's record is still in active use
Cardinality0..1
Typeboolean
Is Modifiertrue (Reason: This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid)
Meaning if MissingThis resource is generally assumed to be active if no value is provided for the active element
Requirements

Need a flag to indicate a record is no longer to be used and should generally be hidden for the user in the UI.

Summarytrue
Comments

This active flag is not intended to be used to mark an organization as temporarily closed or under construction. Instead the Location(s) within the Organization should have the suspended status. If further details of the reason for the suspension are required, then an extension on this element should be used.

This element is labeled as a modifier because it may be used to mark that the resource was created in error.

Organization.type
Element IdOrganization.type
Definition

The kind(s) of organization that this is.

Short DisplayKind of organization
Cardinality0..*
Terminology BindingOrganization Type (Example)
TypeCodeableConcept
Requirements

Need to be able to track the kind of organization that this is - different organization types have different uses.

Summarytrue
Comments

Organizations can be corporations, wards, sections, clinical teams, government departments, etc. Note that code is generally a classifier of the type of organization; in many applications, codes are used to identity a particular organization (say, ward) as opposed to another of the same type - these are identifiers, not codes

When considering if multiple types are appropriate, you should evaluate if child organizations would be a more appropriate use of the concept, as different types likely are in different sub-areas of the organization. This is most likely to be used where type values have orthogonal values, such as a religious, academic and medical center.

We expect that some jurisdictions will profile this optionality to be a single cardinality.

Organization.name
Element IdOrganization.name
Definition

A name associated with the organization.

Short DisplayName used for the organization
Cardinality0..1
Typestring
Requirements

Need to use the name as the label of the organization.

Summarytrue
Comments

If the name of an organization changes, consider putting the old name in the alias column so that it can still be located through searches.

Invariants
Affect this element
org-1Rule The organization SHALL at least have a name or an identifier, and possibly more than one(identifier.count() + name.count()) > 0
Organization.alias
Element IdOrganization.alias
Definition

A list of alternate names that the organization is known as, or was known as in the past.

Short DisplayA list of alternate names that the organization is known as, or was known as in the past
Cardinality0..*
Typestring
Requirements

Over time locations and organizations go through many changes and can be known by different names.

For searching knowing previous names that the organization was known by can be very useful.

Summaryfalse
Comments

There are no dates associated with the alias/historic names, as this is not intended to track when names were used, but to assist in searching so that older names can still result in identifying the organization.

Organization.description
Element IdOrganization.description
Definition

Description of the organization, which helps provide additional general context on the organization to ensure that the correct organization is selected.

Short DisplayAdditional details about the Organization that could be displayed as further information to identify the Organization beyond its name
Cardinality0..1
Typemarkdown
Requirements

Humans need additional information to verify a correct Organization has been selected.

Summarytrue
Organization.contact
Element IdOrganization.contact
Definition

The contact details of communication devices available relevant to the specific Organization. This can include addresses, phone numbers, fax numbers, mobile numbers, email addresses and web sites.

Short DisplayOfficial contact details for the Organization
Cardinality0..*
TypeExtendedContactDetail
Requirements

Need to keep track of assigned contact points within bigger organization.

Summaryfalse
Comments

The address/telecom use code 'home' are not to be used. Note that these contacts are not the contact details of people who provide the service (that would be through PractitionerRole), these are official contacts for the Organization itself for specific purposes. E.g. Mailing Addresses, Billing Addresses, Contact numbers for Booking or Billing Enquiries, general web address, web address for online bookings etc.

Invariants
Defined on this element
org-3Rule The telecom of an organization can never be of use 'home'telecom.where(use = 'home').empty()
org-4Rule The address of an organization can never be of use 'home'address.where(use = 'home').empty()
Organization.partOf
Element IdOrganization.partOf
Definition

The organization of which this organization forms a part.

Short DisplayThe organization of which this organization forms a part
Cardinality0..1
TypeReference(Organization)
HierarchyThis reference is part of a strict Hierarchy
Requirements

Need to be able to track the hierarchy of organizations within an organization.

Summarytrue
Organization.endpoint
Element IdOrganization.endpoint
Definition

Technical endpoints providing access to services operated for the organization.

Short DisplayTechnical endpoints providing access to services operated for the organization
Cardinality0..*
TypeReference(Endpoint)
Requirements

Organizations have multiple systems that provide various services and need to be able to define the technical connection details for how to connect to them, and for what purpose.

Summaryfalse
Comments

Note that an organization might have endpoints listed in any of the referenced directory resources, not just at the top Organization level (i.e. sub Organizations, Locations, HealthcareServices, PractitionerRoles)

The Endpoint.managingOrganization property indicates the organization that is supporting/managing the technical endpoint.

Organization.qualification
Element IdOrganization.qualification
Definition

The official certifications, accreditations, training, designations and licenses that authorize and/or otherwise endorse the provision of care by the organization.

For example, an approval to provide a type of services issued by a certifying body (such as the US Joint Commission) to an organization.

Short DisplayQualifications, certifications, accreditations, licenses, training, etc. pertaining to the provision of care
Cardinality0..*
Summaryfalse
Organization.qualification.identifier
Element IdOrganization.qualification.identifier
Definition

An identifier allocated to this qualification for this organization.

Short DisplayAn identifier for this qualification for the organization
NoteThis is a business identifier, not a resource identifier (see discussion)
Cardinality0..*
TypeIdentifier
Requirements

Often, specific identities are assigned for the qualification by the assigning organization.

Summaryfalse
Organization.qualification.code
Element IdOrganization.qualification.code
Definition

Coded representation of the qualification.

Short DisplayCoded representation of the qualification
Cardinality1..1
Terminology BindingQualification:
TypeCodeableConcept
Summaryfalse
Organization.qualification.status
Element IdOrganization.qualification.status
Definition

Qualifications often take time to attain and might be tracked during this time, and completed qualifications might not always be valid. This status concept has some overlap with period and both should be considered together. Refer to the descriptions of the codes for how the period should be interpreted.

If a qualification is revoked or otherwise cancelled, then the period is likely to be ignored, and might be related to when it was active.

Short DisplayStatus/progress of the qualification
Cardinality0..1
Terminology BindingQualification Status (Preferred)
TypeCodeableConcept
Summaryfalse
Organization.qualification.period
Element IdOrganization.qualification.period
Definition

Period during which the qualification is valid.

Short DisplayPeriod during which the qualification is valid
Cardinality0..1
TypePeriod
Requirements

Qualifications are often for a limited period of time, and can be revoked.

Summaryfalse
Organization.qualification.issuer
Element IdOrganization.qualification.issuer
Definition

Organization that regulates and issues the qualification.

Short DisplayOrganization that regulates and issues the qualification
Cardinality0..1
TypeReference(Organization)
Summaryfalse