DocumentHeader

CareConnect-Organization-1

CareConnect-Organization-1

Organization
Definition

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, etc.

Control 0..*
Type Organization
Comments
Organization.extension(mainLocation)
Definition

Optional Extensions Element - found in all resources.

Control 0..1
Type Extension
Comments
Organization.identifier(odsCode)
Definition

Identifier code supplier by the Organisation Data Service

Control 0..1 ?
Type Identifier
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.

Comments
Organization.identifier.system
Definition

Establishes the namespace in which set of possible id values is unique.

Control 1..1
Type Uri
Requirements

There are many sequences of identifiers. To perform matching, we need to know what sequence we're dealing with. The system identifies a particular sequence or set of unique identifiers.

Comments
Fixed Value http://fhir.nhs.net/Id/ods-organization-code
Organization.identifier.value
Definition

The portion of the identifier typically displayed to the user and which is unique within the context of the system.

Control 1..1
Type String
Comments

If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986.

Example A12345
Organization.identifier(localIdentifier)
Definition

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

Control 0..* ?
Type Identifier
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.

Comments
Organization.identifier.system
Definition

Establishes the namespace in which set of possible id values is unique.

Control 1..1
Type Uri
Requirements

There are many sequences of identifiers. To perform matching, we need to know what sequence we're dealing with. The system identifies a particular sequence or set of unique identifiers.

Comments
Fixed Value http://fhir.nhs.net/Id/ods-organization-code
Organization.identifier.value
Definition

The portion of the identifier typically displayed to the user and which is unique within the context of the system.

Control 1..1
Type String
Comments

If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986.

Example A12345
Organization.active
Definition

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

Control 0..1
Type Boolean
Is Modifier 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.

Comments

Default is true.

Default Value true
Organization.active.extension(activePeriod)
Definition

Optional Extensions Element - found in all resources.

Control 0..1
Type Extension
Comments
Organization.type
Definition

The kind of organization that this is.

Control 0..1
Binding

Used to categorize the organization

For example codes, see http://hl7.org/fhir/ValueSet/organization-type

; other codes may be used where these codes are not suitable
Type CodeableConcept
Requirements

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

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.

Organization.type.coding
Definition

A reference to a code defined by a terminology system.

Control 0..*
Binding

Organization Type

The codes SHALL be taken from the following if appropriate, otherwise an alternate coding may be included instead. http://hl7.org.uk/CareConnect-OrganizationType-1-VS

Type Coding
Requirements

Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.

Comments

Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labelled as UserSelected = true.

Organization.type.coding.system
Definition

The identification of the code system that defines the meaning of the symbol in the code.

Control 1..1
Type Uri
Requirements

Need to be unambiguous about the source of the definition of the symbol.

Comments

The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.

Fixed Value http://hl7.org.uk/fhir/ValueSet/CareConnect-OrganizationType
Organization.type.coding.code
Definition

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Control 0..1
Type Code
Requirements

Need to refer to a particular code in the system.

Comments
Organization.type.coding.display
Definition

A representation of the meaning of the code in the system, following the rules of the system.

Control 0..1
Type String
Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Comments
Organization.type.text
Definition

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

Control 0..1
Type String
Requirements

The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

Comments

Very often the text is the same as a displayName of one of the codings.

Organization.name
Definition

A name associated with the organization.

Control 1..1 ?
Type String
Requirements

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

Comments
Organization.telecom
Definition

A contact detail for the organization.

Control 0..* ?
Type ContactPoint
Requirements

Human contact 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.

Organization.telecom.system
Definition

Telecommunications form for contact point - what communications system is required to make use of the contact.

Control 0..1 ?
Binding

Telecommunications form for contact point

The codes SHALL be taken from http://hl7.org/fhir/ValueSet/contact-point-system

Type Code
Comments
Organization.telecom.value
Definition

The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address).

Control 0..1
Type String
Requirements

Need to support legacy numbers that are not in a tightly controlled format.

Comments

Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.

Organization.telecom.use
Definition

Identifies the purpose for the contact point.

Control 0..1
Binding

Use of contact point

The codes SHALL be taken from http://hl7.org/fhir/ValueSet/contact-point-use

Type Code
Is Modifier True
Requirements

Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.

Comments

This is labeled as "Is Modifier" because applications should not mistake a temporary or old contact etc.for a current/permanent one. Applications can assume that a contact is current unless it explicitly says that it is temporary or old.

Organization.telecom.rank
Definition

Specifies a preferred order in which to use a set of contacts. Contacts are ranked with lower values coming before higher values.

Control 0..1
Type PositiveInt
Comments

Note that rank does not necessarily follow the order in which the contacts are represented in the instance.

Organization.telecom.period
Definition

Time period when the contact point was/is in use.

Control 0..1
Type Period
Comments
Organization.telecom.period.start
Definition

The start of the period. The boundary is inclusive.

Control 0..1 ?
Type DateTime
Comments

If the low element is missing, the meaning is that the low boundary is not known.

Organization.telecom.period.end
Definition

The end of the period. If the end of the period is missing, it means that the period is ongoing. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.

Control 0..1 ?
Type DateTime
Comments

The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has a end value of 2012-02-03.

Organization.address
Definition

An address for the organization.

Control 0..* ?
Type Address
Requirements

May need to keep track of the organization's addresses for contacting, billing or reporting requirements.

Comments

Organization may have multiple addresses with different uses or applicable periods. The use code home is not to be used.

Organization.address.use
Definition

The purpose of this address.

Control 0..1
Binding

The use of an address

The codes SHALL be taken from http://hl7.org/fhir/ValueSet/address-use

Type Code
Is Modifier True
Requirements

Allows an appropriate address to be chosen from a list of many.

Comments

This is labeled as "Is Modifier" because applications should not mistake a temporary or old address etc.for a current/permanent one. Applications can assume that an address is current unless it explicitly says that it is temporary or old.

Example home
Organization.address.type
Definition

Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both.

Control 0..1
Binding

The type of an address (physical / postal)

The codes SHALL be taken from http://hl7.org/fhir/ValueSet/address-type

Type Code
Comments
Example both
Organization.address.text
Definition

A full text representation of the address.

Control 0..1
Type String
Requirements

A renderable, unencoded form.

Comments

Can provide both a text representation and parts.

Example 137 Nowhere Street, Erewhon 9132
Organization.address.line
Definition

This component contains the house number, apartment number, street name, street direction, P.O. Box number, delivery hints, and similar address information.

Control 0..*
Type String
Requirements

home | work | temp | old - purpose of this address.

Comments
Example 137 Nowhere Street
Organization.address.city
Definition

The name of the city, town, village or other community or delivery center.

Control 0..1
Type String
Aliases Municpality
Comments
Example Erewhon
Organization.address.district
Definition

The name of the administrative area (county).

Control 0..1
Type String
Aliases County
Comments

District is sometimes known as county, but in some regions 'county' in used in place of city (municipality), so county name should be conveyed in city instead.

Example Madison
Organization.address.postalCode
Definition

A postal code designating a region defined by the postal service.

Control 0..1
Type String
Aliases Zip
Comments
Example 9132
Organization.address.country
Definition

Country - a nation as commonly understood or generally accepted.

Control 0..1
Type String
Comments

ISO 3166 3 letter codes can be used in place of a full country name.

Organization.address.period
Definition

Time period when address was/is in use.

Control 0..1
Type Period
Requirements

Allows addresses to be placed in historical context.

Comments
Example Hl7.Fhir.Model.Period
Organization.address.period.start
Definition

The start of the period. The boundary is inclusive.

Control 0..1 ?
Type DateTime
Comments

If the low element is missing, the meaning is that the low boundary is not known.

Organization.address.period.end
Definition

The end of the period. If the end of the period is missing, it means that the period is ongoing. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.

Control 0..1 ?
Type DateTime
Comments

The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has a end value of 2012-02-03.

Organization.partOf
Definition

The organization of which this organization forms a part.

Control 0..1
Requirements

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

Comments
Organization.partOf.reference
Definition

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.

Control 0..1 ?
Type String
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.

Organization.partOf.display
Definition

Plain text narrative that identifies the resource in addition to the resource reference.

Control 0..1
Type String
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.

Organization.contact
Definition

Contact for the organization for a certain purpose.

Control 0..*
Type BackboneElement
Requirements

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

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.

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 that contains it. Usually modifier elements provide negation or qualification. In order 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.

Control 0..*
Type Extension
Is Modifier True
Aliases extensions, user content, modifiers
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.

Organization.contact.purpose
Definition

Indicates a purpose for which the contact can be reached.

Control 0..1
Binding

The purpose for which you would contact a contact party

The codes SHALL be taken from the following if appropriate, otherwise an alternate coding may be included instead. http://hl7.org/fhir/ValueSet/contactentity-type

Type CodeableConcept
Requirements

Need to distinguish between multiple contact persons.

Comments
Organization.contact.purpose.coding
Definition

A reference to a code defined by a terminology system.

Control 0..*
Type Coding
Requirements

Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.

Comments

Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labelled as UserSelected = true.

Organization.contact.purpose.coding.system
Definition

The identification of the code system that defines the meaning of the symbol in the code.

Control 0..1
Type Uri
Requirements

Need to be unambiguous about the source of the definition of the symbol.

Comments

The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.

Organization.contact.purpose.coding.version
Definition

The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

Control 0..1
Type String
Comments

Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

Organization.contact.purpose.coding.code
Definition

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Control 0..1
Type Code
Requirements

Need to refer to a particular code in the system.

Comments
Organization.contact.purpose.coding.display
Definition

A representation of the meaning of the code in the system, following the rules of the system.

Control 0..1
Type String
Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Comments
Organization.contact.purpose.coding.userSelected
Definition

Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).

Control 0..1
Type Boolean
Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Comments

Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

Organization.contact.purpose.text
Definition

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

Control 0..1
Type String
Requirements

The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

Comments

Very often the text is the same as a displayName of one of the codings.

Organization.contact.name
Definition

A name associated with the contact.

Control 0..1
Type HumanName
Requirements

Need to be able to track the person by name.

Comments
Organization.contact.name.family
Definition

The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.

Control 1..1
Type String
Aliases surname
Comments

For family name, hyphenated names such as "Smith-Jones" are a single name, but names with spaces such as "Smith Jones" are broken into multiple parts.

Organization.contact.name.given
Definition

Given name.

Control 0..*
Type String
Aliases first name, middle name
Comments

If only initials are recorded, they may be used in place of the full name. Not called "first name" since given names do not always come first.

Organization.contact.name.prefix
Definition

Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name.

Control 0..1
Type String
Comments
Organization.contact.name.suffix
Definition

Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name.

Control 0..1
Type String
Comments
Organization.contact.telecom
Definition

A contact detail (e.g. a telephone number or an email address) by which the party may be contacted.

Control 0..*
Type ContactPoint
Requirements

People have (primary) ways to contact them in some way such as phone, email.

Comments
Organization.contact.telecom.system
Definition

Telecommunications form for contact point - what communications system is required to make use of the contact.

Control 0..1 ?
Binding

Telecommunications form for contact point

The codes SHALL be taken from http://hl7.org/fhir/ValueSet/contact-point-system

Type Code
Comments
Organization.contact.telecom.value
Definition

The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address).

Control 0..1
Type String
Requirements

Need to support legacy numbers that are not in a tightly controlled format.

Comments

Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.

Organization.contact.telecom.use
Definition

Identifies the purpose for the contact point.

Control 0..1
Binding

Use of contact point

The codes SHALL be taken from http://hl7.org/fhir/ValueSet/contact-point-use

Type Code
Is Modifier True
Requirements

Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.

Comments

This is labeled as "Is Modifier" because applications should not mistake a temporary or old contact etc.for a current/permanent one. Applications can assume that a contact is current unless it explicitly says that it is temporary or old.

Organization.contact.telecom.rank
Definition

Specifies a preferred order in which to use a set of contacts. Contacts are ranked with lower values coming before higher values.

Control 0..1
Type PositiveInt
Comments

Note that rank does not necessarily follow the order in which the contacts are represented in the instance.

Organization.contact.telecom.period
Definition

Time period when the contact point was/is in use.

Control 0..1
Type Period
Comments
Organization.contact.telecom.period.start
Definition

The start of the period. The boundary is inclusive.

Control 0..1 ?
Type DateTime
Comments

If the low element is missing, the meaning is that the low boundary is not known.

Organization.contact.telecom.period.end
Definition

The end of the period. If the end of the period is missing, it means that the period is ongoing. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.

Control 0..1 ?
Type DateTime
Comments

The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has a end value of 2012-02-03.

Organization.contact.address
Definition

Visiting or postal addresses for the contact.

Control 0..1
Type Address
Requirements

May need to keep track of a contact party's address for contacting, billing or reporting requirements.

Comments
Organization.contact.address.use
Definition

The purpose of this address.

Control 0..1
Binding

The use of an address

The codes SHALL be taken from http://hl7.org/fhir/ValueSet/address-use

Type Code
Is Modifier True
Requirements

Allows an appropriate address to be chosen from a list of many.

Comments

This is labeled as "Is Modifier" because applications should not mistake a temporary or old address etc.for a current/permanent one. Applications can assume that an address is current unless it explicitly says that it is temporary or old.

Example home
Organization.contact.address.type
Definition

Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both.

Control 0..1
Binding

The type of an address (physical / postal)

The codes SHALL be taken from http://hl7.org/fhir/ValueSet/address-type

Type Code
Comments
Example both
Organization.contact.address.text
Definition

A full text representation of the address.

Control 0..1
Type String
Requirements

A renderable, unencoded form.

Comments

Can provide both a text representation and parts.

Example 137 Nowhere Street, Erewhon 9132
Organization.contact.address.line
Definition

This component contains the house number, apartment number, street name, street direction, P.O. Box number, delivery hints, and similar address information.

Control 0..*
Type String
Requirements

home | work | temp | old - purpose of this address.

Comments
Example 137 Nowhere Street
Organization.contact.address.city
Definition

The name of the city, town, village or other community or delivery center.

Control 0..1
Type String
Aliases Municpality
Comments
Example Erewhon
Organization.contact.address.district
Definition

The name of the administrative area (county).

Control 0..1
Type String
Aliases County
Comments

District is sometimes known as county, but in some regions 'county' in used in place of city (municipality), so county name should be conveyed in city instead.

Example Madison
Organization.contact.address.state
Definition

Sub-unit of a country with limited sovereignty in a federally organized country. A code may be used if codes are in common use (i.e. US 2 letter state codes).

Control 0..1
Type String
Aliases Province, Territory
Comments
Organization.contact.address.postalCode
Definition

A postal code designating a region defined by the postal service.

Control 0..1
Type String
Aliases Zip
Comments
Example 9132
Organization.contact.address.country
Definition

Country - a nation as commonly understood or generally accepted.

Control 0..1
Type String
Comments

ISO 3166 3 letter codes can be used in place of a full country name.

Organization.contact.address.period
Definition

Time period when address was/is in use.

Control 0..1
Type Period
Requirements

Allows addresses to be placed in historical context.

Comments
Example Hl7.Fhir.Model.Period
Organization.contact.address.period.start
Definition

The start of the period. The boundary is inclusive.

Control 0..1 ?
Type DateTime
Comments

If the low element is missing, the meaning is that the low boundary is not known.

Organization.contact.address.period.end
Definition

The end of the period. If the end of the period is missing, it means that the period is ongoing. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.

Control 0..1 ?
Type DateTime
Comments

The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has a end value of 2012-02-03.