This page is part of the Smart App Launch Implementation Guide (v2.2.0: STU 2.2) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions
Active as of 2023-03-05 |
Definitions for the user-access-brand resource profile.
Guidance on how to interpret the contents of this table can be found here
0. Organization | |
Definition | A brand of a healthcare provider, such as a hospital, clinic, or practice |
Short | User Access Brand |
Invariants | uab-1: Portal endpoints must also appear at Organization.endpoint (Organization.extension('http://hl7.org/fhir/StructureDefinition/organization-portal').extension('portalEndpoint').value.ofType(Reference).reference.subsetOf(%resource.endpoint.reference) ) |
2. Organization.extension | |
Slicing | This element introduces a set of slices on Organization.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: |
4. Organization.extension:brand | |
Slice Name | brand |
Short | Brand Details |
Control | 0..* |
Type | Extension(Organization Brand) (Complex Extension) |
Must Support | true |
6. Organization.extension:portal | |
Slice Name | portal |
Short | Portal Details |
Control | 0..* |
Type | Extension(Organization Portal) (Complex Extension) |
Must Support | true |
8. Organization.identifier | |
Definition | The unique identifier for the brand that apps can use to link this Brand across publishers or with external data sets. EHRs SHALL support customer-supplied identifiers (
|
Short | Unique identifier for the brand |
Note | This is a business identifier, not a resource identifier (see discussion) |
Must Support | true |
10. Organization.type | |
Must Support | true |
Slicing | This element introduces a set of slices on Organization.type . The slices are unordered and Open, and can be differentiated using the following discriminators: |
12. Organization.type:pab | |
Slice Name | pab |
Short | Categories of user access offered |
Control | 0..? |
Binding | The codes SHALL be taken from User Access Category Value Set (required to http://hl7.org/fhir/smart-app-launch/ValueSet/user-access-category ) |
Must Support | true |
14. Organization.name | |
Definition | The primary brand name to display on a card. |
Short | Primary brand name to display on a card |
Control | 1..? |
Must Support | true |
16. Organization.alias | |
Definition | Aliases (e.g., former names like "Partners Healthcare") for filtering/search |
Short | Aliases (e.g., former names like "Partners Healthcare") for filtering/search |
Must Support | true |
18. Organization.telecom | |
Definition |
|
Short | The primary public website for the Brand. |
Control | 1..1 |
Must Support | true |
20. Organization.address | |
Definition | Locations (e.g., zip codes and/or street addresses) associated with the Brand. The following combinations are allowed, and as a best practice to ensure consistent worldwide adoption, the Address.country data element SHOULD be populated inside any of these with an ISO 3166-1 alpha-2 country code:
|
Short | Locations (e.g., zip codes and/or street addresses) associated with the Brand. |
Must Support | true |
22. Organization.partOf | |
Definition | Affiliated "parent brand", if this Brand is part of a larger health system. "User access provided by", to convey that an affiliated Brand hosts this Brand's API technology and user portal. The hierarchy of "access provided by" links SHALL NOT exceed a depth of two (i.e., a Brand either includes portal details or links directly to a Brand that provides them). |
Short | Affiliated "parent brand", if this Brand is part of a larger health system |
Must Support | true |
24. Organization.endpoint | |
Definition | References one or more |
Short | Endpoint associated with this brand |
Type | Reference(User Access Endpoint Profile)bundled |
Must Support | true |
26. Organization.endpoint.reference | |
Definition | Relative URL to an Endpoint within the User Access Brands Bundle |
Short | Relative URL to an Endpoint within the User Access Brands Bundle |
Must Support | true |
Guidance on how to interpret the contents of this table can be found here
0. Organization | |
Definition | A brand of a healthcare provider, such as a hospital, clinic, or practice 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, payer/insurer, etc. |
Short | User Access BrandA grouping of people or organizations with a common purpose |
Control | 0..* |
Is Modifier | false |
Summary | false |
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty()) 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 (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()) dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()) dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty()) dom-6: A resource should have narrative for robust management (text.`div`.exists()) org-1: The organization SHALL at least have a name or an identifier, and possibly more than one ( (identifier.count() + name.count()) > 0 )uab-1: Portal endpoints must also appear at Organization.endpoint ( Organization.extension('http://hl7.org/fhir/StructureDefinition/organization-portal').extension('portalEndpoint').value.ofType(Reference).reference.subsetOf(%resource.endpoint.reference) )org-1: The organization SHALL at least have a name or an identifier, and possibly more than one ((identifier.count() + name.count()) > 0) |
2. Organization.implicitRules | |
Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. |
Short | A set of rules under which this content was created |
Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc. |
Control | 0..1 |
Type | uri |
Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
4. Organization.extension | |
Definition | An Extension May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Short | ExtensionAdditional content defined by implementations |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | false |
Summary | false |
Alternate Names | extensions, user content |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
Slicing | This element introduces a set of slices on Organization.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: |
6. Organization.extension:brand | |
Slice Name | brand |
Definition | Organization-level Brand information. |
Short | Brand Details |
Control | 0..* |
Type | Extension(Organization Brand) (Complex Extension) |
Is Modifier | false |
Must Support | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) |
8. Organization.extension:portal | |
Slice Name | portal |
Definition | Organization-level portal information. |
Short | Portal Details |
Control | 0..* |
Type | Extension(Organization Portal) (Complex Extension) |
Is Modifier | false |
Must Support | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) |
10. Organization.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | Extensions that cannot be ignored |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them |
Summary | false |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
12. Organization.identifier | |
Definition | The unique identifier for the brand that apps can use to link this Brand across publishers or with external data sets. EHRs SHALL support customer-supplied identifiers (
Identifier for the organization that is used to identify the organization across multiple disparate systems. |
Short | Unique identifier for the brandIdentifies this organization across multiple systems |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 0..* This element is affected by the following invariants: org-1 |
Type | Identifier |
Is Modifier | false |
Must Support | true |
Summary | true |
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. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
14. Organization.active | |
Definition | Whether the organization's record is still in active use. |
Short | Whether the organization's record is still in active use |
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. |
Control | 0..1 |
Type | boolean |
Is Modifier | true because 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 |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
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. |
Meaning if Missing | This resource is generally assumed to be active if no value is provided for the active element |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
16. Organization.type | |
Definition | The kind(s) of organization that this is. |
Short | Kind of organization |
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. |
Control | 0..* |
Binding | For example codes, see OrganizationTypehttp://hl7.org/fhir/ValueSet/organization-type (example to http://hl7.org/fhir/ValueSet/organization-type )Used to categorize the organization. |
Type | CodeableConcept |
Is Modifier | false |
Must Support | true |
Summary | true |
Requirements | Need to be able to track the kind of organization that this is - different organization types have different uses. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
Slicing | This element introduces a set of slices on Organization.type . The slices are unordered and Open, and can be differentiated using the following discriminators: |
18. Organization.type:pab | |
Slice Name | pab |
Definition | The kind(s) of organization that this is. |
Short | Categories of user access offeredKind of organization |
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. |
Control | 0..* |
Binding | The codes SHALL be taken from For example codes, see User Access Category Value Sethttp://hl7.org/fhir/ValueSet/organization-type (required to http://hl7.org/fhir/smart-app-launch/ValueSet/user-access-category ) |
Type | CodeableConcept |
Is Modifier | false |
Must Support | true |
Summary | true |
Requirements | Need to be able to track the kind of organization that this is - different organization types have different uses. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
20. Organization.name | |
Definition | The primary brand name to display on a card. A name associated with the organization. |
Short | Primary brand name to display on a cardName used for the organization |
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. |
Control | 10..1 This element is affected by the following invariants: org-1 |
Type | string |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Must Support | true |
Summary | true |
Requirements | Need to use the name as the label of the organization. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
22. Organization.alias | |
Definition | Aliases (e.g., former names like "Partners Healthcare") for filtering/search A list of alternate names that the organization is known as, or was known as in the past. |
Short | Aliases (e.g., former names like "Partners Healthcare") for filtering/searchA list of alternate names that the organization is known as, or was known as in the past |
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. |
Control | 0..* |
Type | string |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Must Support | true |
Summary | false |
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. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
24. Organization.telecom | |
Definition |
A contact detail for the organization. |
Short | The primary public website for the Brand.A contact detail for the organization |
Comments | The use code 'home' is not to be used. Note that these contacts are not the contact details of people who are employed by or represent the organization, but official contacts for the organization itself. |
Control | 10..1* This element is affected by the following invariants: org-3 |
Type | ContactPoint |
Is Modifier | false |
Must Support | true |
Summary | false |
Requirements | Human contact for the organization. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) org-3: The telecom of an organization can never be of use 'home' ( where(use = 'home').empty() )org-3: The telecom of an organization can never be of use 'home' (where(use = 'home').empty()) |
26. Organization.address | |
Definition | Locations (e.g., zip codes and/or street addresses) associated with the Brand. The following combinations are allowed, and as a best practice to ensure consistent worldwide adoption, the Address.country data element SHOULD be populated inside any of these with an ISO 3166-1 alpha-2 country code:
An address for the organization. |
Short | Locations (e.g., zip codes and/or street addresses) associated with the Brand.An address for the organization |
Comments | Organization may have multiple addresses with different uses or applicable periods. The use code 'home' is not to be used. |
Control | 0..* This element is affected by the following invariants: org-2 |
Type | Address |
Is Modifier | false |
Must Support | true |
Summary | false |
Requirements | May need to keep track of the organization's addresses for contacting, billing or reporting requirements. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) org-2: An address of an organization can never be of use 'home' ( where(use = 'home').empty() )org-2: An address of an organization can never be of use 'home' (where(use = 'home').empty()) |
28. Organization.partOf | |
Definition | Affiliated "parent brand", if this Brand is part of a larger health system. "User access provided by", to convey that an affiliated Brand hosts this Brand's API technology and user portal. The hierarchy of "access provided by" links SHALL NOT exceed a depth of two (i.e., a Brand either includes portal details or links directly to a Brand that provides them). The organization of which this organization forms a part. |
Short | Affiliated "parent brand", if this Brand is part of a larger health systemThe organization of which this organization forms a part |
Control | 0..1 |
Type | Reference(Organization) |
Is Modifier | false |
Must Support | true |
Summary | true |
Requirements | Need to be able to track the hierarchy of organizations within an organization. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
30. Organization.endpoint | |
Definition | References one or more Technical endpoints providing access to services operated for the organization. |
Short | Endpoint associated with this brandTechnical endpoints providing access to services operated for the organization |
Control | 0..* |
Type | Reference(User Access Endpoint Profile, Endpoint)bundled |
Is Modifier | false |
Must Support | true |
Summary | false |
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. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
32. Organization.endpoint.reference | |
Definition | Relative URL to an Endpoint within the User Access Brands Bundle A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. |
Short | Relative URL to an Endpoint within the User Access Brands BundleLiteral reference, Relative, internal or absolute URL |
Comments | Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server. |
Control | 0..1 This element is affected by the following invariants: ref-1 |
Type | string |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Must Support | true |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
Guidance on how to interpret the contents of this table can be found here
0. Organization | |||||
Definition | A brand of a healthcare provider, such as a hospital, clinic, or practice | ||||
Short | User Access Brand | ||||
Control | 0..* | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty() )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 ( contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() )dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated ( contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() )dom-5: If a resource is contained in another resource, it SHALL NOT have a security label ( contained.meta.security.empty() )dom-6: A resource should have narrative for robust management ( text.`div`.exists() )org-1: The organization SHALL at least have a name or an identifier, and possibly more than one ( (identifier.count() + name.count()) > 0 )uab-1: Portal endpoints must also appear at Organization.endpoint ( Organization.extension('http://hl7.org/fhir/StructureDefinition/organization-portal').extension('portalEndpoint').value.ofType(Reference).reference.subsetOf(%resource.endpoint.reference) ) | ||||
2. Organization.id | |||||
Definition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. | ||||
Short | Logical id of this artifact | ||||
Comments | The only time that a resource does not have an id is when it is being submitted to the server using a create operation. | ||||
Control | 0..1 | ||||
Type | id | ||||
Is Modifier | false | ||||
Summary | true | ||||
4. Organization.meta | |||||
Definition | The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource. | ||||
Short | Metadata about the resource | ||||
Control | 0..1 | ||||
Type | Meta | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
6. Organization.implicitRules | |||||
Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. | ||||
Short | A set of rules under which this content was created | ||||
Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc. | ||||
Control | 0..1 | ||||
Type | uri | ||||
Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
8. Organization.language | |||||
Definition | The base language in which the resource is written. | ||||
Short | Language of the resource content | ||||
Comments | Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). | ||||
Control | 0..1 | ||||
Binding | The codes SHOULD be taken from CommonLanguages (preferred to http://hl7.org/fhir/ValueSet/languages )A human language.
| ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
10. Organization.text | |||||
Definition | A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. | ||||
Short | Text summary of the resource, for human interpretation | ||||
Comments | Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later. | ||||
Control | 0..1 | ||||
Type | Narrative | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | narrative, html, xhtml, display | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
12. Organization.contained | |||||
Definition | These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. | ||||
Short | Contained, inline Resources | ||||
Comments | This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels. | ||||
Control | 0..* | ||||
Type | Resource | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | inline resources, anonymous resources, contained resources | ||||
14. Organization.extension | |||||
Definition | An Extension | ||||
Short | Extension | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on Organization.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
16. Organization.extension:brand | |||||
Slice Name | brand | ||||
Definition | Organization-level Brand information. | ||||
Short | Brand Details | ||||
Control | 0..* | ||||
Type | Extension(Organization Brand) (Complex Extension) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
18. Organization.extension:portal | |||||
Slice Name | portal | ||||
Definition | Organization-level portal information. | ||||
Short | Portal Details | ||||
Control | 0..* | ||||
Type | Extension(Organization Portal) (Complex Extension) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
20. Organization.modifierExtension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
Short | Extensions that cannot be ignored | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them | ||||
Summary | false | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
22. Organization.identifier | |||||
Definition | The unique identifier for the brand that apps can use to link this Brand across publishers or with external data sets. EHRs SHALL support customer-supplied identifiers (
| ||||
Short | Unique identifier for the brand | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 0..* This element is affected by the following invariants: org-1 | ||||
Type | Identifier | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
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. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
24. Organization.active | |||||
Definition | Whether the organization's record is still in active use. | ||||
Short | Whether the organization's record is still in active use | ||||
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. | ||||
Control | 0..1 | ||||
Type | boolean | ||||
Is Modifier | true because 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 | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
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. | ||||
Meaning if Missing | This resource is generally assumed to be active if no value is provided for the active element | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
26. Organization.type | |||||
Definition | The kind(s) of organization that this is. | ||||
Short | Kind of organization | ||||
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. | ||||
Control | 0..* | ||||
Binding | For example codes, see OrganizationType (example to http://hl7.org/fhir/ValueSet/organization-type )Used to categorize the organization. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | Need to be able to track the kind of organization that this is - different organization types have different uses. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
Slicing | This element introduces a set of slices on Organization.type . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
28. Organization.type:pab | |||||
Slice Name | pab | ||||
Definition | The kind(s) of organization that this is. | ||||
Short | Categories of user access offered | ||||
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. | ||||
Control | 0..* | ||||
Binding | The codes SHALL be taken from User Access Category Value Set (required to http://hl7.org/fhir/smart-app-launch/ValueSet/user-access-category ) | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | Need to be able to track the kind of organization that this is - different organization types have different uses. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
30. Organization.name | |||||
Definition | The primary brand name to display on a card. | ||||
Short | Primary brand name to display on a card | ||||
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. | ||||
Control | 1..1 This element is affected by the following invariants: org-1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | Need to use the name as the label of the organization. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
32. Organization.alias | |||||
Definition | Aliases (e.g., former names like "Partners Healthcare") for filtering/search | ||||
Short | Aliases (e.g., former names like "Partners Healthcare") for filtering/search | ||||
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. | ||||
Control | 0..* | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | false | ||||
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. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
34. Organization.telecom | |||||
Definition |
| ||||
Short | The primary public website for the Brand. | ||||
Comments | The use code 'home' is not to be used. Note that these contacts are not the contact details of people who are employed by or represent the organization, but official contacts for the organization itself. | ||||
Control | 1..1 This element is affected by the following invariants: org-3 | ||||
Type | ContactPoint | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Requirements | Human contact for the organization. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )org-3: The telecom of an organization can never be of use 'home' ( where(use = 'home').empty() ) | ||||
36. Organization.address | |||||
Definition | Locations (e.g., zip codes and/or street addresses) associated with the Brand. The following combinations are allowed, and as a best practice to ensure consistent worldwide adoption, the Address.country data element SHOULD be populated inside any of these with an ISO 3166-1 alpha-2 country code:
| ||||
Short | Locations (e.g., zip codes and/or street addresses) associated with the Brand. | ||||
Comments | Organization may have multiple addresses with different uses or applicable periods. The use code 'home' is not to be used. | ||||
Control | 0..* This element is affected by the following invariants: org-2 | ||||
Type | Address | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Requirements | May need to keep track of the organization's addresses for contacting, billing or reporting requirements. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )org-2: An address of an organization can never be of use 'home' ( where(use = 'home').empty() ) | ||||
38. Organization.partOf | |||||
Definition | Affiliated "parent brand", if this Brand is part of a larger health system. "User access provided by", to convey that an affiliated Brand hosts this Brand's API technology and user portal. The hierarchy of "access provided by" links SHALL NOT exceed a depth of two (i.e., a Brand either includes portal details or links directly to a Brand that provides them). | ||||
Short | Affiliated "parent brand", if this Brand is part of a larger health system | ||||
Control | 0..1 | ||||
Type | Reference(Organization) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | Need to be able to track the hierarchy of organizations within an organization. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
40. Organization.contact | |||||
Definition | Contact for the organization for a certain purpose. | ||||
Short | Contact for the organization for a certain purpose | ||||
Comments | Where multiple contacts for the same purpose are provided there is a standard extension that can be used to determine which one is the preferred contact to use. | ||||
Control | 0..* | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Need to keep track of assigned contact points within bigger organization. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
42. Organization.contact.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
44. Organization.contact.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
46. Organization.contact.modifierExtension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
Short | Extensions that cannot be ignored even if unrecognized | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
48. Organization.contact.purpose | |||||
Definition | Indicates a purpose for which the contact can be reached. | ||||
Short | The type of contact | ||||
Control | 0..1 | ||||
Binding | Unless not suitable, these codes SHALL be taken from ContactEntityType (extensible to http://hl7.org/fhir/ValueSet/contactentity-type )The purpose for which you would contact a contact party. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Need to distinguish between multiple contact persons. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
50. Organization.contact.name | |||||
Definition | A name associated with the contact. | ||||
Short | A name associated with the contact | ||||
Control | 0..1 | ||||
Type | HumanName | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Need to be able to track the person by name. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
52. Organization.contact.telecom | |||||
Definition | A contact detail (e.g. a telephone number or an email address) by which the party may be contacted. | ||||
Short | Contact details (telephone, email, etc.) for a contact | ||||
Control | 0..* | ||||
Type | ContactPoint | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | People have (primary) ways to contact them in some way such as phone, email. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
54. Organization.contact.address | |||||
Definition | Visiting or postal addresses for the contact. | ||||
Short | Visiting or postal addresses for the contact | ||||
Control | 0..1 | ||||
Type | Address | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | May need to keep track of a contact party's address for contacting, billing or reporting requirements. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
56. Organization.endpoint | |||||
Definition | References one or more | ||||
Short | Endpoint associated with this brand | ||||
Control | 0..* | ||||
Type | Reference(User Access Endpoint Profile)bundled | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
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. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
58. Organization.endpoint.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
60. Organization.endpoint.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on Organization.endpoint.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
62. Organization.endpoint.reference | |||||
Definition | Relative URL to an Endpoint within the User Access Brands Bundle | ||||
Short | Relative URL to an Endpoint within the User Access Brands Bundle | ||||
Comments | Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server. | ||||
Control | 0..1 This element is affected by the following invariants: ref-1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
64. Organization.endpoint.type | |||||
Definition | The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources). | ||||
Short | Type the reference refers to (e.g. "Patient") | ||||
Comments | This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified. | ||||
Control | 0..1 | ||||
Binding | Unless not suitable, these codes SHALL be taken from ResourceType (extensible to http://hl7.org/fhir/ValueSet/resource-types )Aa resource (or, for logical models, the URI of the logical model). | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
66. Organization.endpoint.identifier | |||||
Definition | An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference. | ||||
Short | Logical reference, when literal reference is not known | ||||
Comments | When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any). | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 0..1 | ||||
Type | Identifier | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
68. Organization.endpoint.display | |||||
Definition | Plain text narrative that identifies the resource in addition to the resource reference. | ||||
Short | Text alternative for the resource | ||||
Comments | This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it. | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |