Da Vinci - Coverage Requirements Discovery
1.0.0 - STU 1

This page is part of the Da Vinci Coverage Requirements Discovery (CRD) FHIR IG (v1.0.0: STU 1) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Resource Profile: Organization

Defining URL:http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-organization
Version:1.0.0
Name:Organization
Status:Draft as of 2018-07-25
Definition:

This profile specifies additional constraints on the US Core Organization profile to support coverage requirements discovery.

Publisher:HL7 International - Financial Management Work Group
Source Resource:XML / JSON / Turtle

The official URL for this profile is:

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

Usage


CRD Clients SHALL use this profile to resolve references to insurance Organization resources passed to CRD Services.

Information provided in Must Support elements will commonly be required for CRD Services to perform coverage requirements discovery.

Formal Views of Profile Content

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

This structure is derived from USCoreOrganizationProfile

Summary

Must-Support: 2 elements

Structures

This structure refers to these other structures:

This structure is derived from USCoreOrganizationProfile

NameFlagsCard.TypeDescription & Constraintsdoco
.. Organization 0..*USCoreOrganizationProfileA grouping of people or organizations with a common purpose
... identifier S0..*IdentifierIdentifies this organization across multiple systems
... partOf S0..1Reference(Organization)The organization of which this organization forms a part

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

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

Required Pattern: At least the following
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... use0..1codeusual | official | temp | secondary | old (If known)
..... type0..1CodeableConceptDescription of identifier
..... system1..1uriThe namespace for the identifier value
Fixed Value: urn:oid:2.16.840.1.113883.4.7
..... value0..1stringThe value that is unique
..... period0..1PeriodTime period when id is/was valid for use
..... assigner0..1Reference(Organization)Organization that issued id (may be just text)
... active ?!SΣ1..1booleanWhether the organization's record is still in active use
... type Σ0..*CodeableConceptKind of organization
Binding: OrganizationType (example): Used to categorize the organization.


... name SΣI1..1stringName used for the organization
... alias 0..*stringA list of alternate names that the organization is known as, or was known as in the past
... telecom SI0..*ContactPointA contact detail for the organization
... address SI0..*AddressAn address for the organization
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ0..1codehome | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.


Example General: home
.... type Σ0..1codepostal | physical | both
Binding: AddressType (required): The type of an address (physical / postal).


Example General: both
.... text Σ0..1stringText representation of the address
Example General: 137 Nowhere Street, Erewhon 9132
.... line SΣ0..4stringStreet name, number, direction & P.O. Box etc.
This repeating element order: The order in which lines should appear in an address label
Example General: 137 Nowhere Street
.... city SΣ0..1stringName of city, town etc.
Example General: Erewhon
.... district Σ0..1stringDistrict name (aka county)
Example General: Madison
.... state SΣ0..1stringSub-unit of country (abbreviations ok)
Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes.

.... postalCode SΣ0..1stringUS Zip Codes
Example General: 9132
.... country SΣ0..1stringCountry (e.g. can be ISO 3166 2 or 3 letter code)
.... period Σ0..1PeriodTime period when address was/is in use
Example General: {"start":"2010-03-23T00:00:00+11:00","end":"2010-07-01T00:00:00+10:00"}
... partOf SΣ0..1Reference(Organization)The organization of which this organization forms a part
... contact 0..*BackboneElementContact for the organization for a certain purpose
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... purpose 0..1CodeableConceptThe type of contact
Binding: ContactEntityType (extensible): The purpose for which you would contact a contact party.

.... name 0..1HumanNameA name associated with the contact
.... telecom 0..*ContactPointContact details (telephone, email, etc.) for a contact
.... address 0..1AddressVisiting or postal addresses for the contact
... endpoint 0..*Reference(Endpoint)Technical endpoints providing access to services operated for the organization

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Organization I0..*USCoreOrganizationProfileA grouping of people or organizations with a common purpose
... identifier ΣI0..*(Slice Definition)Identifies this organization across multiple systems
Slice: Unordered, Open by pattern:$this
.... identifier:NPI ΣI0..1IdentifierNational Provider Identifier (NPI)

Required Pattern: At least the following
..... system1..1uriThe namespace for the identifier value
Fixed Value: http://hl7.org/fhir/sid/us-npi
.... identifier:CLIA ΣI0..1IdentifierClinical Laboratory Improvement Amendments (CLIA) Number for laboratories

Required Pattern: At least the following
..... system1..1uriThe namespace for the identifier value
Fixed Value: urn:oid:2.16.840.1.113883.4.7
... active ?!Σ1..1booleanWhether the organization's record is still in active use
... name ΣI1..1stringName used for the organization
... address I0..*AddressAn address for the organization
.... line Σ0..4stringStreet name, number, direction & P.O. Box etc.
This repeating element order: The order in which lines should appear in an address label
.... city Σ0..1stringName of city, town etc.
.... state Σ0..1stringSub-unit of country (abbreviations ok)
Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes.

.... postalCode Σ0..1stringUS Zip Codes
.... country Σ0..1stringCountry (e.g. can be ISO 3166 2 or 3 letter code)
... partOf Σ0..1Reference(Organization)The organization of which this organization forms a part

doco Documentation for this format

This structure is derived from USCoreOrganizationProfile

Summary

Must-Support: 2 elements

Structures

This structure refers to these other structures:

Differential View

This structure is derived from USCoreOrganizationProfile

NameFlagsCard.TypeDescription & Constraintsdoco
.. Organization 0..*USCoreOrganizationProfileA grouping of people or organizations with a common purpose
... identifier S0..*IdentifierIdentifies this organization across multiple systems
... partOf S0..1Reference(Organization)The organization of which this organization forms a part

doco Documentation for this format

Snapshot View

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

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

Required Pattern: At least the following
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... use0..1codeusual | official | temp | secondary | old (If known)
..... type0..1CodeableConceptDescription of identifier
..... system1..1uriThe namespace for the identifier value
Fixed Value: urn:oid:2.16.840.1.113883.4.7
..... value0..1stringThe value that is unique
..... period0..1PeriodTime period when id is/was valid for use
..... assigner0..1Reference(Organization)Organization that issued id (may be just text)
... active ?!SΣ1..1booleanWhether the organization's record is still in active use
... type Σ0..*CodeableConceptKind of organization
Binding: OrganizationType (example): Used to categorize the organization.


... name SΣI1..1stringName used for the organization
... alias 0..*stringA list of alternate names that the organization is known as, or was known as in the past
... telecom SI0..*ContactPointA contact detail for the organization
... address SI0..*AddressAn address for the organization
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ0..1codehome | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.


Example General: home
.... type Σ0..1codepostal | physical | both
Binding: AddressType (required): The type of an address (physical / postal).


Example General: both
.... text Σ0..1stringText representation of the address
Example General: 137 Nowhere Street, Erewhon 9132
.... line SΣ0..4stringStreet name, number, direction & P.O. Box etc.
This repeating element order: The order in which lines should appear in an address label
Example General: 137 Nowhere Street
.... city SΣ0..1stringName of city, town etc.
Example General: Erewhon
.... district Σ0..1stringDistrict name (aka county)
Example General: Madison
.... state SΣ0..1stringSub-unit of country (abbreviations ok)
Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes.

.... postalCode SΣ0..1stringUS Zip Codes
Example General: 9132
.... country SΣ0..1stringCountry (e.g. can be ISO 3166 2 or 3 letter code)
.... period Σ0..1PeriodTime period when address was/is in use
Example General: {"start":"2010-03-23T00:00:00+11:00","end":"2010-07-01T00:00:00+10:00"}
... partOf SΣ0..1Reference(Organization)The organization of which this organization forms a part
... contact 0..*BackboneElementContact for the organization for a certain purpose
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... purpose 0..1CodeableConceptThe type of contact
Binding: ContactEntityType (extensible): The purpose for which you would contact a contact party.

.... name 0..1HumanNameA name associated with the contact
.... telecom 0..*ContactPointContact details (telephone, email, etc.) for a contact
.... address 0..1AddressVisiting or postal addresses for the contact
... endpoint 0..*Reference(Endpoint)Technical endpoints providing access to services operated for the organization

doco Documentation for this format

 

Other representations of profile: Schematron

Terminology Bindings

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

Constraints

IdPathDetailsRequirements
dom-2OrganizationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3OrganizationIf 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-4OrganizationIf 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-5OrganizationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6OrganizationA resource should have narrative for robust management
: text.`div`.exists()
org-1OrganizationThe organization SHALL at least have a name or an identifier, and possibly more than one
: (identifier.count() + name.count()) > 0
ele-1Organization.metaAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Organization.implicitRulesAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Organization.languageAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Organization.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Organization.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Organization.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Organization.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Organization.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Organization.identifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Organization.identifier:NPIAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Organization.identifier:CLIAAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Organization.activeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Organization.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Organization.nameAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Organization.aliasAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Organization.telecomAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
org-3Organization.telecomThe telecom of an organization can never be of use 'home'
: where(use = 'home').empty()
ele-1Organization.addressAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
org-2Organization.addressAn address of an organization can never be of use 'home'
: where(use = 'home').empty()
ele-1Organization.address.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Organization.address.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Organization.address.useAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Organization.address.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Organization.address.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Organization.address.lineAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Organization.address.cityAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Organization.address.districtAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Organization.address.stateAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Organization.address.postalCodeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Organization.address.countryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Organization.address.periodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Organization.partOfAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Organization.contactAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Organization.contact.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Organization.contact.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Organization.contact.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Organization.contact.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Organization.contact.purposeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Organization.contact.nameAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Organization.contact.telecomAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Organization.contact.addressAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Organization.endpointAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())