Shared Health Specification and Guide Version 5.0

 

Definitions for the profile-organization-tpr Profile.

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.

Control0..*
Must Supporttrue
Max Length0
InvariantsDefined on this element
org-1: The organization SHALL at least have a name or an id, and possibly more than one (: identifier.exists() or name.exists())
2. Organization.id
Definition

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

Control1..1
Typeid
Must Supporttrue
Comments

Conformance Rule: This must be the CPRID

Max Length0
3. Organization.meta
Definition

The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.

Control1..1
TypeMeta
Must Supporttrue
Max Length0
4. Organization.meta.id
Definition

unique id for the element within a resource (for internal references).

Control0..1
Typeid
Max Length0
5. Organization.meta.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. 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.

Control0..*
TypeExtension
Alternate Namesextensions, user content
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.

Max Length0
6. Organization.meta.versionId
Definition

The version specific identifier, as it appears in the version portion of the URL. This values changes when the resource is created, updated, or deleted.

Control0..1
Typeid
Comments

The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.

Max Length0
7. Organization.meta.lastUpdated
Definition

When the resource last changed - e.g. when the version changed.

Control0..1
Typeinstant
Must Supporttrue
Comments

This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant.

Max Length0
8. Organization.meta.profile
Definition

A list of profiles StructureDefinitions that this resource claims to conform to. The URL is a reference to StructureDefinition.url.

Control0..*
Typeuri
Comments

It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.

Max Length0
9. Organization.meta.security
Definition

Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.

Control0..*
BindingThe codes SHALL be taken from All Security Labels; other codes may be used where these codes are not suitable Security Labels from the Healthcare Privacy and Security Classification System.
TypeCoding
Comments

The security labels can be updated without changing the stated version of the resource The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.

Max Length0
10. Organization.meta.tag
Definition

Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.

Control1..*
Binding

Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones"

TypeCoding
Must Supporttrue
Comments

The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.

Max Length0
SlicingThis element introduces a set of slices on Organization.meta.tag. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ system
11. Organization.meta.tag:version
SliceNameversion
Definition

Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.

Control1..1
BindingThe codes SHALL be taken from SharedSpecificationVersion (20210501)
TypeCoding
Must Supporttrue
Comments

The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.

Max Length0
12. Organization.meta.tag:version.id
Definition

unique id for the element within a resource (for internal references).

Control0..1
Typeid
Max Length0
13. Organization.meta.tag:version.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. 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.

Control0..*
TypeExtension
Alternate Namesextensions, user content
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.

Max Length0
14. Organization.meta.tag:version.system
Definition

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

Control1..1
Typeuri
Must Supporttrue
Requirements

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

Comments

Fixed value: https://fhir.infoway-inforoute.ca/CodeSystem/sharedspecificationversion

Max Length0
Fixed Valuehttps://fhir.infoway-inforoute.ca/CodeSystem/sharedspecificationversion
15. Organization.meta.tag:version.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.

NoteThis is a business versionId, not a resource version id (see discussion)
Control0..1
Typestring
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.

Max Length0
16. Organization.meta.tag:version.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).

Control1..1
Typecode
Must Supporttrue
Requirements

Need to refer to a particular code in the system.

Max Length0
17. Organization.meta.tag:version.display
Definition

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

Control0..1
Typestring
Requirements

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

Max Length0
18. Organization.meta.tag:version.userSelected
Definition

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

Control0..1
Typeboolean
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.

Max Length0
19. 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.

Control0..1
Typeuri
Is Modifiertrue
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 as much as possible.

Max Length0
20. Organization.language
Definition

The base language in which the resource is written.

Control0..1
BindingThe codes SHALL be taken from http://tools.ietf.org/html/bcp47 A human language.
Typecode
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).

Max Length0
21. Organization.text
Definition

A human-readable narrative that contains a summary of the resource, and may 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.

Control0..1 This element is affected by the following invariants: dom-1
TypeNarrative
Alternate Namesnarrative, html, xhtml, display
Comments

Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative.

Max Length0
22. 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.

Control0..*
TypeResource
Alternate Namesinline resources, anonymous resources, contained 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.

Max Length0
23. Organization.extension
Definition

An Extension

Control0..*
TypeExtension
Must Supporttrue
Max Length0
SlicingThis element introduces a set of slices on Organization.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
24. Organization.extension:service
SliceNameservice
Definition

Identifies a electronic communication service offered by a service location or practitioner

Control0..*
TypeExtension(Entity Service) (Extension Type: Choice of: boolean, integer, decimal, base64Binary, instant, string, uri, date, dateTime, time, code, oid, id, unsignedInt, positiveInt, markdown, Annotation, Attachment, Identifier, CodeableConcept, Coding, Quantity, Range, Period, Ratio, SampledData, Signature, HumanName, Address, ContactPoint, Timing, Reference, Meta)
Must Supporttrue
Comments

Entity Service is used at this level, when the service registration requires participation at both the Organization level and the Practitioner level. Both levels must be validated to confirm the outcome.

This is returned in the response when the service is determined to be active. It will be absent from the response when the service is no longer active.

Max Length0
25. 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. 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.

Control0..*
TypeExtension
Is Modifiertrue
Alternate Namesextensions, user content
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.

Max Length0
26. Organization.identifier
Definition

Unique identifier for a healthcare service location

NoteThis is a business identifier, not a resource identifier (see discussion)
Control1..1 This element is affected by the following invariants: org-1
TypeIdentifier
Must Supporttrue
Requirements

Allows for lookup and retrieval of detailed information about a specific service location. Also ensures unique identification of service location and is therefore mandatory.The identifier is mandatory because it is the principal mechanism for uniquely identifying the facility.

Comments

Usage Note: This will convey the Organization ID (Clinic or Pharmacy) as assigned by the Shared Health Provider Registration service. This is known as the CPRID and will be provided to each successfully registered Clinic or Pharmacy and can be stored in the local system.

Conformance Rule: The receiving system must use this field and insert as the"Receiver SERVICELOCATIONENTITY_ID in a response message.

Usage Note: It has a one to one mapping to each SENDINGAPPLICATIONINSTANCEID. This is also used by the Central Service to discover the application instance ID when routing the response message.hl7 MAPPING: SERVICELOCATION_IDENTIFIER

Max Length0
27. Organization.active
Definition

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

Control0..1
Typeboolean
Is Modifiertrue
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.

Max Length0
Default Valuetrue
28. Organization.type
Definition

Describes the basic type or category of the service delivery location

Control0..1
BindingThe codes SHALL be taken from SharedOrganizationType (20190415)
TypeCodeableConcept(Shared Health CodeableConcept Code)
Must Supporttrue
Requirements

Useful in providing context. May also be used for grouping and organizing data. Because this is a key element in understanding the location, it is mandatory.

Comments

Distinguishes clinics from pharmacies. Binding value set. (PROFF - Provider's Office, OUTPHARM - outpatient pharmacy)

Max Length0
29. Organization.name
Definition

The name assigned to the service location.

Control1..1 This element is affected by the following invariants: org-1
Typestring
Must Supporttrue
Requirements

Used for human communication, and for cross-checking of location Id and is therefore mandatory

Comments

-

Max Length100
30. Organization.telecom
Definition

The phone numbers and/or email addresses by which a service location may be contacted.

Control0..3
TypeContactPoint(Shared Health ContactPoint)
Must Supporttrue
Requirements

Human contact for the organization.

Comments

Conformance Rule: This is mandatory because the phone number is part of the written presciption.

Usage Note: This is used to specify the public Clinic or Pharmacy telephone number and/or a number of a private office number.

Max Length0
InvariantsDefined on this element
cpt-2: A system is required if a value is provided. (: value.empty() or system.exists())
org-3: The telecom of an organization can never be of use 'home' (: where(use = 'home').empty())
31. Organization.address
Definition

An address expressed using postal conventions (as opposed to GPS or other location definition formats). This data type may be used to convey addresses for use in delivering mail as well as for visiting locations and which might not be valid for mail delivery. There are a variety of postal address formats defined around the world.

Control0..20
TypeAddress(Shared Health Address)
Must Supporttrue
Requirements

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

Comments

In the context of the Provider Registry query, the address will be returned most of the time; however, this is currently optional in the Provider Query Response. As such, vendors MUST populate the Clinic or Pharmacy address from a local data store when the Provider Registry query does not return an address. For eFax generation, as EMRs do not always have full and accurate address, the solution will query our Registry and provide the address information from that source.

Conformance Rule: In the context of Interactions 101, 201, 305, 401, and 903 only one address is to be provided. (cardinality will be re-visited in a future release of the specification).

Max Length0
InvariantsDefined on this element
org-2: An address of an organization can never be of use 'home' (: where(use = 'home').empty())
32. Organization.partOf
Definition

The organization of which this organization forms a part.

Control0..1
TypeReference(Organization)
Must Supporttrue
Requirements

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

Max Length0
33. Organization.partOf.id
Definition

unique id for the element within a resource (for internal references).

Control0..1
Typeid
Max Length0
34. Organization.partOf.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. 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.

Control0..*
TypeExtension
Alternate Namesextensions, user content
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.

Max Length0
35. 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.

Control0..1 This element is affected by the following invariants: ref-1
Typestring
Must Supporttrue
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.

Max Length0
36. Organization.partOf.display
Definition

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

Control0..1
Typestring
Must Supporttrue
Comments

Usage Note: If present in the Provider Registry query response, it may be populated here.

Max Length0
37. Organization.contact
Definition

Contact for the organization for a certain purpose.

Control0..*
TypeBackboneElement
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.

Max Length0
38. Organization.contact.id
Definition

unique id for the element within a resource (for internal references).

Control0..1
Typeid
Max Length0
39. Organization.contact.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. 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.

Control0..*
TypeExtension
Alternate Namesextensions, user content
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.

Max Length0
40. 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.

Control0..*
TypeExtension
Is Modifiertrue
Alternate Namesextensions, 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.

Max Length0
41. Organization.contact.purpose
Definition

Indicates a purpose for which the contact can be reached.

Control0..1
BindingThe codes SHALL be taken from ContactEntityType; other codes may be used where these codes are not suitable The purpose for which you would contact a contact party
TypeCodeableConcept
Requirements

Need to distinguish between multiple contact persons.

Max Length0
42. Organization.contact.name
Definition

A name associated with the contact.

Control0..1
TypeHumanName
Requirements

Need to be able to track the person by name.

Max Length0
43. Organization.contact.telecom
Definition

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

Control0..*
TypeContactPoint
Requirements

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

Max Length0
44. Organization.contact.address
Definition

Visiting or postal addresses for the contact.

Control0..1
TypeAddress
Requirements

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

Max Length0