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Resource Profile: QHIN

The QHIN profile represents a Qualified Health Information Network as defined in the Common Agreement. A QHIN can be the parent of Participant, Subparticipant, and Child organizations. There will be exactly one QHIN Organization resource per Designated QHIN.

Usage:

• Refer to this Resource Profile: Child, Participant and Subparticipant
• Examples for this Resource Profile: RCE QHIN Example

Formal Views of Profile Content

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

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints
Organization	C	0..*	RCEOrganization	A grouping of people or organizations with a common purpose dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management org-1: The organization SHALL at least have a name or an identifier, and possibly more than one so-1: For any organization entry with endpoints, the Organization.id value must match the HCID OID contained under Organization.identifier so-2: If Organization.type:hl7orgrole = 'payer' then Organization.identifier:NAIC is required
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
domains	S	1..*	Coding	Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/Domains Binding: Domains (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
hubservicesubscriptions		0..*	Coding	Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/HubServiceSubscriptions Binding: Hub Service Subscriptions (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
administrativestatus		0..1	Coding	Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/AdministrativeStatus Binding: Administrative Status (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
hubroutingstatus		0..1	Coding	Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/HubRoutingStatus Binding: Hub Routing Status (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
initiatoronly	S	0..1	Coding	Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/InitiatorOnly Binding: Initiator Only (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
org-managing-org	S	0..1	Reference(Sequoia Organization)	Optional Extensions Element URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/org-managing-org ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
purposesofuse	S	0..*	(Complex)	Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/PurposesOfUse ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"https://sequoiaproject.org/fhir/sphd/StructureDefinition/PurposesOfUse"
value[x]		1..1	CodeableConcept	Value of extension Binding: RCE Purpose ValueSet (required) ele-1: All FHIR elements must have a @value or children
stateofoperation	S	0..*	Address	Optional Extensions Element URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/StateOfOperation ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
usecases		0..*	CodeableConcept	Optional Extensions Element URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/UseCases Binding: Endpoint Use Case Codes (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
doa	S	0..*	Reference(Sequoia Organization)	Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/DOA ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for identifier	SΣC	1..*	Identifier	Identifies this organization across multiple systems Slice: Unordered, Open by pattern:$this ele-1: All FHIR elements must have a @value or children
identifier:NPI	SΣC	0..1	Identifier	National Provider Identifier (NPI) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
system		1..1	uri	The namespace for the identifier value Fixed Value: http://hl7.org/fhir/sid/us-npi
identifier:CLIA	ΣC	0..1	Identifier	Clinical Laboratory Improvement Amendments (CLIA) Number for laboratories ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
system		1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.4.7
identifier:CCN	SΣC	0..1	Identifier	CMS Certification Number (CCN) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
system		1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.4.336
identifier:HCID	SΣC	1..1	Identifier	OID (such as a Home Community ID) or UUID ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://sequoiaproject.org/fhir/sphd/CodeSystem/SequoiaIdentifierCodes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: HCID
system		1..1	uri	The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986
identifier:AAID	SΣC	0..*	Identifier	OID (such as an Assiging Authority ID) or UUID ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://sequoiaproject.org/fhir/sphd/CodeSystem/SequoiaIdentifierCodes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: AAID
system		1..1	uri	The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986
identifier:NAIC	SΣC	0..*	Identifier	NAIC Code ele-1: All FHIR elements must have a @value or children us-core-19: NAIC must be 5 digits Required Pattern: At least the following
system		1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.6.300
active	?!SΣ	1..1	boolean	Whether the organization's record is still in active use ele-1: All FHIR elements must have a @value or children
Slices for type	SΣ	1..*	CodeableConcept	Kind of organization Slice: Unordered, Open by pattern:$this Binding: OrganizationType (example): Used to categorize the organization. ele-1: All FHIR elements must have a @value or children
type:sequoiaorgtype	SΣ	1..1	CodeableConcept	Kind of organization Binding: Organization Type (required) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://sequoiaproject.org/fhir/sphd/CodeSystem/OrganizationType
code		1..1	code	Symbol in syntax defined by the system Fixed Value: QHIN
type:hl7orgrole	SΣ	0..*	CodeableConcept	Kind of organization Binding: OrganizationAffiliationRole (required) ele-1: All FHIR elements must have a @value or children
name	SΣC	1..1	string	Name used for the organization ele-1: All FHIR elements must have a @value or children
alias	S	0..*	string	A list of alternate names that the organization is known as, or was known as in the past ele-1: All FHIR elements must have a @value or children
Slices for telecom	SC	0..*	ContactPoint	A contact detail for the organization Slice: Unordered, Open by value:system ele-1: All FHIR elements must have a @value or children org-3: The telecom of an organization can never be of use 'home'
telecom:phone	SC	0..1	ContactPoint	A contact detail for the organization ele-1: All FHIR elements must have a @value or children org-3: The telecom of an organization can never be of use 'home'
system	SΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. ele-1: All FHIR elements must have a @value or children Fixed Value: phone
value	SΣ	0..1	string	The actual contact point details ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point. ele-1: All FHIR elements must have a @value or children
telecom:email	SC	0..1	ContactPoint	A contact detail for the organization ele-1: All FHIR elements must have a @value or children org-3: The telecom of an organization can never be of use 'home'
system	SΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. ele-1: All FHIR elements must have a @value or children Fixed Value: email
value	SΣ	0..1	string	The actual contact point details ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point. ele-1: All FHIR elements must have a @value or children
Slices for address	SC	1..*	Address	An address for the organization Slice: Unordered, Open by value:country ele-1: All FHIR elements must have a @value or children org-2: An address of an organization can never be of use 'home'
address:All Slices				Content/Rules for all slices
OrgLocation	S	1..*	Reference(Sequoia Location)	Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/OrgLocation Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
use	?!Σ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. ele-1: All FHIR elements must have a @value or children Example General: home
text	SΣ	1..1	string	Text representation of the address ele-1: All FHIR elements must have a @value or children Example General: 137 Nowhere Street, Erewhon 9132
line	SΣ	0..1	string	Street name, number, direction & P.O. Box etc. ele-1: All FHIR elements must have a @value or children This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
city	SΣ	0..1	string	Name of city, town etc. ele-1: All FHIR elements must have a @value or children Example General: Erewhon
state	SΣ	0..1	string	Sub-unit of country (abbreviations ok) Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes. ele-1: All FHIR elements must have a @value or children
postalCode	SΣ	0..1	string	US Zip Codes ele-1: All FHIR elements must have a @value or children Example General: 9132
country	SΣ	1..1	string	Must be an ISO 3166 2 or 3 letter code, with 2 letter codes preferred for compliance with later versions of US Core Organization ele-1: All FHIR elements must have a @value or children
address:united-states-address	SC	1..*	Address	An address for the organization ele-1: All FHIR elements must have a @value or children org-2: An address of an organization can never be of use 'home'
OrgLocation	S	0..*	Reference(Sequoia Location)	Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/OrgLocation Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
use	?!Σ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. ele-1: All FHIR elements must have a @value or children Example General: home
line	SΣ	0..1	string	Street name, number, direction & P.O. Box etc. ele-1: All FHIR elements must have a @value or children This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
city	SΣ	1..1	string	Name of city, town etc. ele-1: All FHIR elements must have a @value or children Example General: Erewhon
state	SΣ	1..1	string	Sub-unit of country (abbreviations ok) Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes. ele-1: All FHIR elements must have a @value or children
postalCode	SΣ	1..1	string	US Zip Codes ele-1: All FHIR elements must have a @value or children Example General: 9132
country	SΣ	0..1	string	Must be an ISO 3166 2 or 3 letter code, with 2 letter codes preferred for compliance with later versions of US Core Organization ele-1: All FHIR elements must have a @value or children Fixed Value: US
contact	S	1..*	BackboneElement	Contact for the organization for a certain purpose ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
company	S	0..*	string	Optional Extensions Element URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/company ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
purpose	S	1..1	CodeableConcept	The type of contact Binding: ContactEntityType (extensible): The purpose for which you would contact a contact party. ele-1: All FHIR elements must have a @value or children
name	S	1..1	HumanName	A name associated with the contact ele-1: All FHIR elements must have a @value or children
Slices for telecom	S	2..*	ContactPoint	Contact details (telephone, email, etc.) for a contact Slice: Unordered, Open by value:system ele-1: All FHIR elements must have a @value or children
telecom:phone	S	1..*	ContactPoint	Contact details (telephone, email, etc.) for a contact ele-1: All FHIR elements must have a @value or children
system	SΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. ele-1: All FHIR elements must have a @value or children Fixed Value: phone
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point. ele-1: All FHIR elements must have a @value or children
telecom:email	S	1..1	ContactPoint	Contact details (telephone, email, etc.) for a contact ele-1: All FHIR elements must have a @value or children
system	SΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. ele-1: All FHIR elements must have a @value or children Fixed Value: email
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point. ele-1: All FHIR elements must have a @value or children
address	S	0..1	Address	Visiting or postal addresses for the contact ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. ele-1: All FHIR elements must have a @value or children Example General: home
line	SΣ	0..1	string	Street name, number, direction & P.O. Box etc. ele-1: All FHIR elements must have a @value or children This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
endpoint	S	0..*	Reference(RCE Endpoint)	Technical endpoints providing access to services operated for the organization ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Organization.extension:purposesofuse.value[x]	required	RCEPurposeVS https://sequoiaproject.org/fhir/sphd/ValueSet/RCEPurposeVS from this IG
Organization.type	example	OrganizationType http://hl7.org/fhir/ValueSet/organization-type from the FHIR Standard
Organization.type:sequoiaorgtype	required	Pattern: QHIN https://sequoiaproject.org/fhir/sphd/ValueSet/OrganizationType from this IG
Organization.type:hl7orgrole	required	OrganizationAffiliationRole http://hl7.org/fhir/ValueSet/organization-role from the FHIR Standard
Organization.telecom:phone.system	required	Fixed Value: phone http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 from the FHIR Standard
Organization.telecom:phone.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 from the FHIR Standard
Organization.telecom:email.system	required	Fixed Value: email http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 from the FHIR Standard
Organization.telecom:email.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 from the FHIR Standard
Organization.address.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use|4.0.1 from the FHIR Standard
Organization.address.state	extensible	UspsTwoLetterAlphabeticCodes (a valid code from https://www.usps.com/) http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state
Organization.address:united-states-address.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use|4.0.1 from the FHIR Standard
Organization.address:united-states-address.state	extensible	UspsTwoLetterAlphabeticCodes (a valid code from https://www.usps.com/) http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state
Organization.contact.purpose	extensible	ContactEntityType http://hl7.org/fhir/ValueSet/contactentity-type from the FHIR Standard
Organization.contact.telecom:phone.system	required	Fixed Value: phone http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 from the FHIR Standard
Organization.contact.telecom:phone.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 from the FHIR Standard
Organization.contact.telecom:email.system	required	Fixed Value: email http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 from the FHIR Standard
Organization.contact.telecom:email.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 from the FHIR Standard
Organization.contact.address.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Organization	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Organization	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	error	Organization	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	error	Organization	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Organization	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
org-1	error	Organization	The organization SHALL at least have a name or an identifier, and possibly more than one : (identifier.count() + name.count()) > 0
org-2	error	Organization.address, Organization.address:united-states-address	An address of an organization can never be of use 'home' : where(use = 'home').empty()
org-3	error	Organization.telecom, Organization.telecom:phone, Organization.telecom:email	The telecom of an organization can never be of use 'home' : where(use = 'home').empty()
so-1	warning	Organization	For any organization entry with endpoints, the Organization.id value must match the HCID OID contained under Organization.identifier : endpoint.exists() implies identifier.where(type.coding.first().code='HCID').single().value.substring(8)=id
so-2	warning	Organization	If Organization.type:hl7orgrole = 'payer' then Organization.identifier:NAIC is required : type.where(coding.first().code='payer').exists() implies identifier.where(system='urn:oid:2.16.840.1.113883.6.300').exists()
us-core-19	error	Organization.identifier:NAIC	NAIC must be 5 digits : value.matches('^[0-9]{5}$')

This structure is derived from RCEOrganization

Name	Flags	Card.	Type	Description & Constraints
Organization			RCEOrganization
Slices for type				Content/Rules for all slices
type:sequoiaorgtype		1..1	CodeableConcept	Kind of organization Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://sequoiaproject.org/fhir/sphd/CodeSystem/OrganizationType
code		1..1	code	Symbol in syntax defined by the system Fixed Value: QHIN
partOf		0..0
contact		1..*	BackboneElement	Contact for the organization for a certain purpose
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Organization	C	0..*	RCEOrganization	A grouping of people or organizations with a common purpose org-1: The organization SHALL at least have a name or an identifier, and possibly more than one so-1: For any organization entry with endpoints, the Organization.id value must match the HCID OID contained under Organization.identifier so-2: If Organization.type:hl7orgrole = 'payer' then Organization.identifier:NAIC is required
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
domains	S	1..*	Coding	Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/Domains Binding: Domains (required)
hubservicesubscriptions		0..*	Coding	Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/HubServiceSubscriptions Binding: Hub Service Subscriptions (required)
administrativestatus		0..1	Coding	Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/AdministrativeStatus Binding: Administrative Status (required)
hubroutingstatus		0..1	Coding	Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/HubRoutingStatus Binding: Hub Routing Status (required)
initiatoronly	S	0..1	Coding	Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/InitiatorOnly Binding: Initiator Only (required)
org-managing-org	S	0..1	Reference(Sequoia Organization)	Optional Extensions Element URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/org-managing-org
purposesofuse	S	0..*	(Complex)	Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/PurposesOfUse
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"https://sequoiaproject.org/fhir/sphd/StructureDefinition/PurposesOfUse"
value[x]		1..1	CodeableConcept	Value of extension Binding: RCE Purpose ValueSet (required)
stateofoperation	S	0..*	Address	Optional Extensions Element URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/StateOfOperation
usecases		0..*	CodeableConcept	Optional Extensions Element URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/UseCases Binding: Endpoint Use Case Codes (required)
doa	S	0..*	Reference(Sequoia Organization)	Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/DOA
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣC	1..*	Identifier	Identifies this organization across multiple systems Slice: Unordered, Open by pattern:$this
identifier:NPI	SΣC	0..1	Identifier	National Provider Identifier (NPI) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		0..1	CodeableConcept	Description of identifier
system		1..1	uri	The namespace for the identifier value Fixed Value: http://hl7.org/fhir/sid/us-npi
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:CLIA	ΣC	0..1	Identifier	Clinical Laboratory Improvement Amendments (CLIA) Number for laboratories Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		0..1	CodeableConcept	Description of identifier
system		1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.4.7
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:CCN	SΣC	0..1	Identifier	CMS Certification Number (CCN) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		0..1	CodeableConcept	Description of identifier
system		1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.4.336
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:HCID	SΣC	1..1	Identifier	OID (such as a Home Community ID) or UUID Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://sequoiaproject.org/fhir/sphd/CodeSystem/SequoiaIdentifierCodes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: HCID
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system		1..1	uri	The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:AAID	SΣC	0..*	Identifier	OID (such as an Assiging Authority ID) or UUID Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://sequoiaproject.org/fhir/sphd/CodeSystem/SequoiaIdentifierCodes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: AAID
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system		1..1	uri	The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:NAIC	SΣC	0..*	Identifier	NAIC Code us-core-19: NAIC must be 5 digits Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		0..1	CodeableConcept	Description of identifier
system		1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.6.300
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
active	?!SΣ	1..1	boolean	Whether the organization's record is still in active use
Slices for type	SΣ	1..*	CodeableConcept	Kind of organization Slice: Unordered, Open by pattern:$this Binding: OrganizationType (example): Used to categorize the organization.
type:sequoiaorgtype	SΣ	1..1	CodeableConcept	Kind of organization Binding: Organization Type (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://sequoiaproject.org/fhir/sphd/CodeSystem/OrganizationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: QHIN
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
type:hl7orgrole	SΣ	0..*	CodeableConcept	Kind of organization Binding: OrganizationAffiliationRole (required)
name	SΣC	1..1	string	Name used for the organization
alias	S	0..*	string	A list of alternate names that the organization is known as, or was known as in the past
Slices for telecom	SC	0..*	ContactPoint	A contact detail for the organization Slice: Unordered, Open by value:system org-3: The telecom of an organization can never be of use 'home'
telecom:phone	SC	0..1	ContactPoint	A contact detail for the organization org-3: The telecom of an organization can never be of use 'home'
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: phone
value	SΣ	0..1	string	The actual contact point details
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
rank	Σ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	Σ	0..1	Period	Time period when the contact point was/is in use
telecom:email	SC	0..1	ContactPoint	A contact detail for the organization org-3: The telecom of an organization can never be of use 'home'
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: email
value	SΣ	0..1	string	The actual contact point details
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
rank	Σ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	Σ	0..1	Period	Time period when the contact point was/is in use
Slices for address	SC	1..*	Address	An address for the organization Slice: Unordered, Open by value:country org-2: An address of an organization can never be of use 'home'
address:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
OrgLocation	S	1..*	Reference(Sequoia Location)	Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/OrgLocation Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
type	Σ	0..1	code	postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both
text	SΣ	1..1	string	Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
line	SΣ	0..1	string	Street 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	SΣ	0..1	string	Name of city, town etc. Example General: Erewhon
district	Σ	0..1	string	District name (aka county) Example General: Madison
state	SΣ	0..1	string	Sub-unit of country (abbreviations ok) Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes.
postalCode	SΣ	0..1	string	US Zip Codes Example General: 9132
country	SΣ	1..1	string	Must be an ISO 3166 2 or 3 letter code, with 2 letter codes preferred for compliance with later versions of US Core Organization
period	Σ	0..1	Period	Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
address:united-states-address	SC	1..*	Address	An address for the organization org-2: An address of an organization can never be of use 'home'
id		0..1	string	Unique id for inter-element referencing
OrgLocation	S	0..*	Reference(Sequoia Location)	Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/OrgLocation Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
type	Σ	0..1	code	postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both
text	Σ	0..1	string	Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
line	SΣ	0..1	string	Street 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	SΣ	1..1	string	Name of city, town etc. Example General: Erewhon
district	Σ	0..1	string	District name (aka county) Example General: Madison
state	SΣ	1..1	string	Sub-unit of country (abbreviations ok) Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes.
postalCode	SΣ	1..1	string	US Zip Codes Example General: 9132
country	SΣ	0..1	string	Must be an ISO 3166 2 or 3 letter code, with 2 letter codes preferred for compliance with later versions of US Core Organization Fixed Value: US
period	Σ	0..1	Period	Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
contact	S	1..*	BackboneElement	Contact for the organization for a certain purpose
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
company	S	0..*	string	Optional Extensions Element URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/company
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
purpose	S	1..1	CodeableConcept	The type of contact Binding: ContactEntityType (extensible): The purpose for which you would contact a contact party.
name	S	1..1	HumanName	A name associated with the contact
Slices for telecom	S	2..*	ContactPoint	Contact details (telephone, email, etc.) for a contact Slice: Unordered, Open by value:system
telecom:phone	S	1..*	ContactPoint	Contact details (telephone, email, etc.) for a contact
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: phone
value	Σ	0..1	string	The actual contact point details
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
rank	Σ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	Σ	0..1	Period	Time period when the contact point was/is in use
telecom:email	S	1..1	ContactPoint	Contact details (telephone, email, etc.) for a contact
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: email
value	Σ	0..1	string	The actual contact point details
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
rank	Σ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	Σ	0..1	Period	Time period when the contact point was/is in use
address	S	0..1	Address	Visiting or postal addresses for the contact
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
type	Σ	0..1	code	postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both
text	Σ	0..1	string	Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
line	SΣ	0..1	string	Street 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	Σ	0..1	string	Name of city, town etc. Example General: Erewhon
district	Σ	0..1	string	District name (aka county) Example General: Madison
state	Σ	0..1	string	Sub-unit of country (abbreviations ok)
postalCode	Σ	0..1	string	Postal code for area Example General: 9132
country	Σ	0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
period	Σ	0..1	Period	Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
endpoint	S	0..*	Reference(RCE Endpoint)	Technical endpoints providing access to services operated for the organization
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Organization.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Organization.extension:purposesofuse.value[x]	required	RCEPurposeVS https://sequoiaproject.org/fhir/sphd/ValueSet/RCEPurposeVS from this IG
Organization.type	example	OrganizationType http://hl7.org/fhir/ValueSet/organization-type from the FHIR Standard
Organization.type:sequoiaorgtype	required	Pattern: QHIN https://sequoiaproject.org/fhir/sphd/ValueSet/OrganizationType from this IG
Organization.type:hl7orgrole	required	OrganizationAffiliationRole http://hl7.org/fhir/ValueSet/organization-role from the FHIR Standard
Organization.telecom:phone.system	required	Fixed Value: phone http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 from the FHIR Standard
Organization.telecom:phone.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 from the FHIR Standard
Organization.telecom:email.system	required	Fixed Value: email http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 from the FHIR Standard
Organization.telecom:email.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 from the FHIR Standard
Organization.address.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use|4.0.1 from the FHIR Standard
Organization.address.type	required	AddressType http://hl7.org/fhir/ValueSet/address-type|4.0.1 from the FHIR Standard
Organization.address.state	extensible	UspsTwoLetterAlphabeticCodes (a valid code from https://www.usps.com/) http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state
Organization.address:united-states-address.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use|4.0.1 from the FHIR Standard
Organization.address:united-states-address.type	required	AddressType http://hl7.org/fhir/ValueSet/address-type|4.0.1 from the FHIR Standard
Organization.address:united-states-address.state	extensible	UspsTwoLetterAlphabeticCodes (a valid code from https://www.usps.com/) http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state
Organization.contact.purpose	extensible	ContactEntityType http://hl7.org/fhir/ValueSet/contactentity-type from the FHIR Standard
Organization.contact.telecom:phone.system	required	Fixed Value: phone http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 from the FHIR Standard
Organization.contact.telecom:phone.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 from the FHIR Standard
Organization.contact.telecom:email.system	required	Fixed Value: email http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 from the FHIR Standard
Organization.contact.telecom:email.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 from the FHIR Standard
Organization.contact.address.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use|4.0.1 from the FHIR Standard
Organization.contact.address.type	required	AddressType http://hl7.org/fhir/ValueSet/address-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Organization	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Organization	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	error	Organization	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	error	Organization	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Organization	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
org-1	error	Organization	The organization SHALL at least have a name or an identifier, and possibly more than one : (identifier.count() + name.count()) > 0
org-2	error	Organization.address, Organization.address:united-states-address	An address of an organization can never be of use 'home' : where(use = 'home').empty()
org-3	error	Organization.telecom, Organization.telecom:phone, Organization.telecom:email	The telecom of an organization can never be of use 'home' : where(use = 'home').empty()
so-1	warning	Organization	For any organization entry with endpoints, the Organization.id value must match the HCID OID contained under Organization.identifier : endpoint.exists() implies identifier.where(type.coding.first().code='HCID').single().value.substring(8)=id
so-2	warning	Organization	If Organization.type:hl7orgrole = 'payer' then Organization.identifier:NAIC is required : type.where(coding.first().code='payer').exists() implies identifier.where(system='urn:oid:2.16.840.1.113883.6.300').exists()
us-core-19	error	Organization.identifier:NAIC	NAIC must be 5 digits : value.matches('^[0-9]{5}$')

This structure is derived from RCEOrganization

Summary

Mandatory: 1 element
Prohibited: 1 element

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Organization	C	0..*	RCEOrganization	A grouping of people or organizations with a common purpose dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management org-1: The organization SHALL at least have a name or an identifier, and possibly more than one so-1: For any organization entry with endpoints, the Organization.id value must match the HCID OID contained under Organization.identifier so-2: If Organization.type:hl7orgrole = 'payer' then Organization.identifier:NAIC is required
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
domains	S	1..*	Coding	Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/Domains Binding: Domains (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
hubservicesubscriptions		0..*	Coding	Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/HubServiceSubscriptions Binding: Hub Service Subscriptions (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
administrativestatus		0..1	Coding	Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/AdministrativeStatus Binding: Administrative Status (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
hubroutingstatus		0..1	Coding	Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/HubRoutingStatus Binding: Hub Routing Status (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
initiatoronly	S	0..1	Coding	Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/InitiatorOnly Binding: Initiator Only (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
org-managing-org	S	0..1	Reference(Sequoia Organization)	Optional Extensions Element URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/org-managing-org ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
purposesofuse	S	0..*	(Complex)	Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/PurposesOfUse ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"https://sequoiaproject.org/fhir/sphd/StructureDefinition/PurposesOfUse"
value[x]		1..1	CodeableConcept	Value of extension Binding: RCE Purpose ValueSet (required) ele-1: All FHIR elements must have a @value or children
stateofoperation	S	0..*	Address	Optional Extensions Element URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/StateOfOperation ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
usecases		0..*	CodeableConcept	Optional Extensions Element URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/UseCases Binding: Endpoint Use Case Codes (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
doa	S	0..*	Reference(Sequoia Organization)	Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/DOA ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for identifier	SΣC	1..*	Identifier	Identifies this organization across multiple systems Slice: Unordered, Open by pattern:$this ele-1: All FHIR elements must have a @value or children
identifier:NPI	SΣC	0..1	Identifier	National Provider Identifier (NPI) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
system		1..1	uri	The namespace for the identifier value Fixed Value: http://hl7.org/fhir/sid/us-npi
identifier:CLIA	ΣC	0..1	Identifier	Clinical Laboratory Improvement Amendments (CLIA) Number for laboratories ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
system		1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.4.7
identifier:CCN	SΣC	0..1	Identifier	CMS Certification Number (CCN) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
system		1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.4.336
identifier:HCID	SΣC	1..1	Identifier	OID (such as a Home Community ID) or UUID ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://sequoiaproject.org/fhir/sphd/CodeSystem/SequoiaIdentifierCodes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: HCID
system		1..1	uri	The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986
identifier:AAID	SΣC	0..*	Identifier	OID (such as an Assiging Authority ID) or UUID ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://sequoiaproject.org/fhir/sphd/CodeSystem/SequoiaIdentifierCodes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: AAID
system		1..1	uri	The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986
identifier:NAIC	SΣC	0..*	Identifier	NAIC Code ele-1: All FHIR elements must have a @value or children us-core-19: NAIC must be 5 digits Required Pattern: At least the following
system		1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.6.300
active	?!SΣ	1..1	boolean	Whether the organization's record is still in active use ele-1: All FHIR elements must have a @value or children
Slices for type	SΣ	1..*	CodeableConcept	Kind of organization Slice: Unordered, Open by pattern:$this Binding: OrganizationType (example): Used to categorize the organization. ele-1: All FHIR elements must have a @value or children
type:sequoiaorgtype	SΣ	1..1	CodeableConcept	Kind of organization Binding: Organization Type (required) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://sequoiaproject.org/fhir/sphd/CodeSystem/OrganizationType
code		1..1	code	Symbol in syntax defined by the system Fixed Value: QHIN
type:hl7orgrole	SΣ	0..*	CodeableConcept	Kind of organization Binding: OrganizationAffiliationRole (required) ele-1: All FHIR elements must have a @value or children
name	SΣC	1..1	string	Name used for the organization ele-1: All FHIR elements must have a @value or children
alias	S	0..*	string	A list of alternate names that the organization is known as, or was known as in the past ele-1: All FHIR elements must have a @value or children
Slices for telecom	SC	0..*	ContactPoint	A contact detail for the organization Slice: Unordered, Open by value:system ele-1: All FHIR elements must have a @value or children org-3: The telecom of an organization can never be of use 'home'
telecom:phone	SC	0..1	ContactPoint	A contact detail for the organization ele-1: All FHIR elements must have a @value or children org-3: The telecom of an organization can never be of use 'home'
system	SΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. ele-1: All FHIR elements must have a @value or children Fixed Value: phone
value	SΣ	0..1	string	The actual contact point details ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point. ele-1: All FHIR elements must have a @value or children
telecom:email	SC	0..1	ContactPoint	A contact detail for the organization ele-1: All FHIR elements must have a @value or children org-3: The telecom of an organization can never be of use 'home'
system	SΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. ele-1: All FHIR elements must have a @value or children Fixed Value: email
value	SΣ	0..1	string	The actual contact point details ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point. ele-1: All FHIR elements must have a @value or children
Slices for address	SC	1..*	Address	An address for the organization Slice: Unordered, Open by value:country ele-1: All FHIR elements must have a @value or children org-2: An address of an organization can never be of use 'home'
address:All Slices				Content/Rules for all slices
OrgLocation	S	1..*	Reference(Sequoia Location)	Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/OrgLocation Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
use	?!Σ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. ele-1: All FHIR elements must have a @value or children Example General: home
text	SΣ	1..1	string	Text representation of the address ele-1: All FHIR elements must have a @value or children Example General: 137 Nowhere Street, Erewhon 9132
line	SΣ	0..1	string	Street name, number, direction & P.O. Box etc. ele-1: All FHIR elements must have a @value or children This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
city	SΣ	0..1	string	Name of city, town etc. ele-1: All FHIR elements must have a @value or children Example General: Erewhon
state	SΣ	0..1	string	Sub-unit of country (abbreviations ok) Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes. ele-1: All FHIR elements must have a @value or children
postalCode	SΣ	0..1	string	US Zip Codes ele-1: All FHIR elements must have a @value or children Example General: 9132
country	SΣ	1..1	string	Must be an ISO 3166 2 or 3 letter code, with 2 letter codes preferred for compliance with later versions of US Core Organization ele-1: All FHIR elements must have a @value or children
address:united-states-address	SC	1..*	Address	An address for the organization ele-1: All FHIR elements must have a @value or children org-2: An address of an organization can never be of use 'home'
OrgLocation	S	0..*	Reference(Sequoia Location)	Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/OrgLocation Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
use	?!Σ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. ele-1: All FHIR elements must have a @value or children Example General: home
line	SΣ	0..1	string	Street name, number, direction & P.O. Box etc. ele-1: All FHIR elements must have a @value or children This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
city	SΣ	1..1	string	Name of city, town etc. ele-1: All FHIR elements must have a @value or children Example General: Erewhon
state	SΣ	1..1	string	Sub-unit of country (abbreviations ok) Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes. ele-1: All FHIR elements must have a @value or children
postalCode	SΣ	1..1	string	US Zip Codes ele-1: All FHIR elements must have a @value or children Example General: 9132
country	SΣ	0..1	string	Must be an ISO 3166 2 or 3 letter code, with 2 letter codes preferred for compliance with later versions of US Core Organization ele-1: All FHIR elements must have a @value or children Fixed Value: US
contact	S	1..*	BackboneElement	Contact for the organization for a certain purpose ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
company	S	0..*	string	Optional Extensions Element URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/company ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
purpose	S	1..1	CodeableConcept	The type of contact Binding: ContactEntityType (extensible): The purpose for which you would contact a contact party. ele-1: All FHIR elements must have a @value or children
name	S	1..1	HumanName	A name associated with the contact ele-1: All FHIR elements must have a @value or children
Slices for telecom	S	2..*	ContactPoint	Contact details (telephone, email, etc.) for a contact Slice: Unordered, Open by value:system ele-1: All FHIR elements must have a @value or children
telecom:phone	S	1..*	ContactPoint	Contact details (telephone, email, etc.) for a contact ele-1: All FHIR elements must have a @value or children
system	SΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. ele-1: All FHIR elements must have a @value or children Fixed Value: phone
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point. ele-1: All FHIR elements must have a @value or children
telecom:email	S	1..1	ContactPoint	Contact details (telephone, email, etc.) for a contact ele-1: All FHIR elements must have a @value or children
system	SΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. ele-1: All FHIR elements must have a @value or children Fixed Value: email
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point. ele-1: All FHIR elements must have a @value or children
address	S	0..1	Address	Visiting or postal addresses for the contact ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. ele-1: All FHIR elements must have a @value or children Example General: home
line	SΣ	0..1	string	Street name, number, direction & P.O. Box etc. ele-1: All FHIR elements must have a @value or children This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
endpoint	S	0..*	Reference(RCE Endpoint)	Technical endpoints providing access to services operated for the organization ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Organization.extension:purposesofuse.value[x]	required	RCEPurposeVS https://sequoiaproject.org/fhir/sphd/ValueSet/RCEPurposeVS from this IG
Organization.type	example	OrganizationType http://hl7.org/fhir/ValueSet/organization-type from the FHIR Standard
Organization.type:sequoiaorgtype	required	Pattern: QHIN https://sequoiaproject.org/fhir/sphd/ValueSet/OrganizationType from this IG
Organization.type:hl7orgrole	required	OrganizationAffiliationRole http://hl7.org/fhir/ValueSet/organization-role from the FHIR Standard
Organization.telecom:phone.system	required	Fixed Value: phone http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 from the FHIR Standard
Organization.telecom:phone.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 from the FHIR Standard
Organization.telecom:email.system	required	Fixed Value: email http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 from the FHIR Standard
Organization.telecom:email.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 from the FHIR Standard
Organization.address.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use|4.0.1 from the FHIR Standard
Organization.address.state	extensible	UspsTwoLetterAlphabeticCodes (a valid code from https://www.usps.com/) http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state
Organization.address:united-states-address.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use|4.0.1 from the FHIR Standard
Organization.address:united-states-address.state	extensible	UspsTwoLetterAlphabeticCodes (a valid code from https://www.usps.com/) http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state
Organization.contact.purpose	extensible	ContactEntityType http://hl7.org/fhir/ValueSet/contactentity-type from the FHIR Standard
Organization.contact.telecom:phone.system	required	Fixed Value: phone http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 from the FHIR Standard
Organization.contact.telecom:phone.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 from the FHIR Standard
Organization.contact.telecom:email.system	required	Fixed Value: email http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 from the FHIR Standard
Organization.contact.telecom:email.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 from the FHIR Standard
Organization.contact.address.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Organization	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Organization	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	error	Organization	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	error	Organization	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Organization	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
org-1	error	Organization	The organization SHALL at least have a name or an identifier, and possibly more than one : (identifier.count() + name.count()) > 0
org-2	error	Organization.address, Organization.address:united-states-address	An address of an organization can never be of use 'home' : where(use = 'home').empty()
org-3	error	Organization.telecom, Organization.telecom:phone, Organization.telecom:email	The telecom of an organization can never be of use 'home' : where(use = 'home').empty()
so-1	warning	Organization	For any organization entry with endpoints, the Organization.id value must match the HCID OID contained under Organization.identifier : endpoint.exists() implies identifier.where(type.coding.first().code='HCID').single().value.substring(8)=id
so-2	warning	Organization	If Organization.type:hl7orgrole = 'payer' then Organization.identifier:NAIC is required : type.where(coding.first().code='payer').exists() implies identifier.where(system='urn:oid:2.16.840.1.113883.6.300').exists()
us-core-19	error	Organization.identifier:NAIC	NAIC must be 5 digits : value.matches('^[0-9]{5}$')

Differential View

This structure is derived from RCEOrganization

Name	Flags	Card.	Type	Description & Constraints
Organization			RCEOrganization
Slices for type				Content/Rules for all slices
type:sequoiaorgtype		1..1	CodeableConcept	Kind of organization Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://sequoiaproject.org/fhir/sphd/CodeSystem/OrganizationType
code		1..1	code	Symbol in syntax defined by the system Fixed Value: QHIN
partOf		0..0
contact		1..*	BackboneElement	Contact for the organization for a certain purpose
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Organization	C	0..*	RCEOrganization	A grouping of people or organizations with a common purpose org-1: The organization SHALL at least have a name or an identifier, and possibly more than one so-1: For any organization entry with endpoints, the Organization.id value must match the HCID OID contained under Organization.identifier so-2: If Organization.type:hl7orgrole = 'payer' then Organization.identifier:NAIC is required
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
domains	S	1..*	Coding	Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/Domains Binding: Domains (required)
hubservicesubscriptions		0..*	Coding	Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/HubServiceSubscriptions Binding: Hub Service Subscriptions (required)
administrativestatus		0..1	Coding	Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/AdministrativeStatus Binding: Administrative Status (required)
hubroutingstatus		0..1	Coding	Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/HubRoutingStatus Binding: Hub Routing Status (required)
initiatoronly	S	0..1	Coding	Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/InitiatorOnly Binding: Initiator Only (required)
org-managing-org	S	0..1	Reference(Sequoia Organization)	Optional Extensions Element URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/org-managing-org
purposesofuse	S	0..*	(Complex)	Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/PurposesOfUse
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"https://sequoiaproject.org/fhir/sphd/StructureDefinition/PurposesOfUse"
value[x]		1..1	CodeableConcept	Value of extension Binding: RCE Purpose ValueSet (required)
stateofoperation	S	0..*	Address	Optional Extensions Element URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/StateOfOperation
usecases		0..*	CodeableConcept	Optional Extensions Element URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/UseCases Binding: Endpoint Use Case Codes (required)
doa	S	0..*	Reference(Sequoia Organization)	Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/DOA
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣC	1..*	Identifier	Identifies this organization across multiple systems Slice: Unordered, Open by pattern:$this
identifier:NPI	SΣC	0..1	Identifier	National Provider Identifier (NPI) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		0..1	CodeableConcept	Description of identifier
system		1..1	uri	The namespace for the identifier value Fixed Value: http://hl7.org/fhir/sid/us-npi
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:CLIA	ΣC	0..1	Identifier	Clinical Laboratory Improvement Amendments (CLIA) Number for laboratories Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		0..1	CodeableConcept	Description of identifier
system		1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.4.7
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:CCN	SΣC	0..1	Identifier	CMS Certification Number (CCN) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		0..1	CodeableConcept	Description of identifier
system		1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.4.336
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:HCID	SΣC	1..1	Identifier	OID (such as a Home Community ID) or UUID Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://sequoiaproject.org/fhir/sphd/CodeSystem/SequoiaIdentifierCodes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: HCID
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system		1..1	uri	The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:AAID	SΣC	0..*	Identifier	OID (such as an Assiging Authority ID) or UUID Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://sequoiaproject.org/fhir/sphd/CodeSystem/SequoiaIdentifierCodes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: AAID
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system		1..1	uri	The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:NAIC	SΣC	0..*	Identifier	NAIC Code us-core-19: NAIC must be 5 digits Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		0..1	CodeableConcept	Description of identifier
system		1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.6.300
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
active	?!SΣ	1..1	boolean	Whether the organization's record is still in active use
Slices for type	SΣ	1..*	CodeableConcept	Kind of organization Slice: Unordered, Open by pattern:$this Binding: OrganizationType (example): Used to categorize the organization.
type:sequoiaorgtype	SΣ	1..1	CodeableConcept	Kind of organization Binding: Organization Type (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://sequoiaproject.org/fhir/sphd/CodeSystem/OrganizationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: QHIN
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
type:hl7orgrole	SΣ	0..*	CodeableConcept	Kind of organization Binding: OrganizationAffiliationRole (required)
name	SΣC	1..1	string	Name used for the organization
alias	S	0..*	string	A list of alternate names that the organization is known as, or was known as in the past
Slices for telecom	SC	0..*	ContactPoint	A contact detail for the organization Slice: Unordered, Open by value:system org-3: The telecom of an organization can never be of use 'home'
telecom:phone	SC	0..1	ContactPoint	A contact detail for the organization org-3: The telecom of an organization can never be of use 'home'
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: phone
value	SΣ	0..1	string	The actual contact point details
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
rank	Σ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	Σ	0..1	Period	Time period when the contact point was/is in use
telecom:email	SC	0..1	ContactPoint	A contact detail for the organization org-3: The telecom of an organization can never be of use 'home'
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: email
value	SΣ	0..1	string	The actual contact point details
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
rank	Σ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	Σ	0..1	Period	Time period when the contact point was/is in use
Slices for address	SC	1..*	Address	An address for the organization Slice: Unordered, Open by value:country org-2: An address of an organization can never be of use 'home'
address:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
OrgLocation	S	1..*	Reference(Sequoia Location)	Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/OrgLocation Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
type	Σ	0..1	code	postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both
text	SΣ	1..1	string	Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
line	SΣ	0..1	string	Street 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	SΣ	0..1	string	Name of city, town etc. Example General: Erewhon
district	Σ	0..1	string	District name (aka county) Example General: Madison
state	SΣ	0..1	string	Sub-unit of country (abbreviations ok) Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes.
postalCode	SΣ	0..1	string	US Zip Codes Example General: 9132
country	SΣ	1..1	string	Must be an ISO 3166 2 or 3 letter code, with 2 letter codes preferred for compliance with later versions of US Core Organization
period	Σ	0..1	Period	Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
address:united-states-address	SC	1..*	Address	An address for the organization org-2: An address of an organization can never be of use 'home'
id		0..1	string	Unique id for inter-element referencing
OrgLocation	S	0..*	Reference(Sequoia Location)	Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/OrgLocation Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
type	Σ	0..1	code	postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both
text	Σ	0..1	string	Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
line	SΣ	0..1	string	Street 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	SΣ	1..1	string	Name of city, town etc. Example General: Erewhon
district	Σ	0..1	string	District name (aka county) Example General: Madison
state	SΣ	1..1	string	Sub-unit of country (abbreviations ok) Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes.
postalCode	SΣ	1..1	string	US Zip Codes Example General: 9132
country	SΣ	0..1	string	Must be an ISO 3166 2 or 3 letter code, with 2 letter codes preferred for compliance with later versions of US Core Organization Fixed Value: US
period	Σ	0..1	Period	Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
contact	S	1..*	BackboneElement	Contact for the organization for a certain purpose
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
company	S	0..*	string	Optional Extensions Element URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/company
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
purpose	S	1..1	CodeableConcept	The type of contact Binding: ContactEntityType (extensible): The purpose for which you would contact a contact party.
name	S	1..1	HumanName	A name associated with the contact
Slices for telecom	S	2..*	ContactPoint	Contact details (telephone, email, etc.) for a contact Slice: Unordered, Open by value:system
telecom:phone	S	1..*	ContactPoint	Contact details (telephone, email, etc.) for a contact
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: phone
value	Σ	0..1	string	The actual contact point details
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
rank	Σ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	Σ	0..1	Period	Time period when the contact point was/is in use
telecom:email	S	1..1	ContactPoint	Contact details (telephone, email, etc.) for a contact
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: email
value	Σ	0..1	string	The actual contact point details
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
rank	Σ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	Σ	0..1	Period	Time period when the contact point was/is in use
address	S	0..1	Address	Visiting or postal addresses for the contact
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
type	Σ	0..1	code	postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both
text	Σ	0..1	string	Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
line	SΣ	0..1	string	Street 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	Σ	0..1	string	Name of city, town etc. Example General: Erewhon
district	Σ	0..1	string	District name (aka county) Example General: Madison
state	Σ	0..1	string	Sub-unit of country (abbreviations ok)
postalCode	Σ	0..1	string	Postal code for area Example General: 9132
country	Σ	0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
period	Σ	0..1	Period	Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
endpoint	S	0..*	Reference(RCE Endpoint)	Technical endpoints providing access to services operated for the organization
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Organization.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Organization.extension:purposesofuse.value[x]	required	RCEPurposeVS https://sequoiaproject.org/fhir/sphd/ValueSet/RCEPurposeVS from this IG
Organization.type	example	OrganizationType http://hl7.org/fhir/ValueSet/organization-type from the FHIR Standard
Organization.type:sequoiaorgtype	required	Pattern: QHIN https://sequoiaproject.org/fhir/sphd/ValueSet/OrganizationType from this IG
Organization.type:hl7orgrole	required	OrganizationAffiliationRole http://hl7.org/fhir/ValueSet/organization-role from the FHIR Standard
Organization.telecom:phone.system	required	Fixed Value: phone http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 from the FHIR Standard
Organization.telecom:phone.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 from the FHIR Standard
Organization.telecom:email.system	required	Fixed Value: email http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 from the FHIR Standard
Organization.telecom:email.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 from the FHIR Standard
Organization.address.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use|4.0.1 from the FHIR Standard
Organization.address.type	required	AddressType http://hl7.org/fhir/ValueSet/address-type|4.0.1 from the FHIR Standard
Organization.address.state	extensible	UspsTwoLetterAlphabeticCodes (a valid code from https://www.usps.com/) http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state
Organization.address:united-states-address.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use|4.0.1 from the FHIR Standard
Organization.address:united-states-address.type	required	AddressType http://hl7.org/fhir/ValueSet/address-type|4.0.1 from the FHIR Standard
Organization.address:united-states-address.state	extensible	UspsTwoLetterAlphabeticCodes (a valid code from https://www.usps.com/) http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state
Organization.contact.purpose	extensible	ContactEntityType http://hl7.org/fhir/ValueSet/contactentity-type from the FHIR Standard
Organization.contact.telecom:phone.system	required	Fixed Value: phone http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 from the FHIR Standard
Organization.contact.telecom:phone.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 from the FHIR Standard
Organization.contact.telecom:email.system	required	Fixed Value: email http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 from the FHIR Standard
Organization.contact.telecom:email.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 from the FHIR Standard
Organization.contact.address.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use|4.0.1 from the FHIR Standard
Organization.contact.address.type	required	AddressType http://hl7.org/fhir/ValueSet/address-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Organization	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Organization	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	error	Organization	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	error	Organization	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Organization	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
org-1	error	Organization	The organization SHALL at least have a name or an identifier, and possibly more than one : (identifier.count() + name.count()) > 0
org-2	error	Organization.address, Organization.address:united-states-address	An address of an organization can never be of use 'home' : where(use = 'home').empty()
org-3	error	Organization.telecom, Organization.telecom:phone, Organization.telecom:email	The telecom of an organization can never be of use 'home' : where(use = 'home').empty()
so-1	warning	Organization	For any organization entry with endpoints, the Organization.id value must match the HCID OID contained under Organization.identifier : endpoint.exists() implies identifier.where(type.coding.first().code='HCID').single().value.substring(8)=id
so-2	warning	Organization	If Organization.type:hl7orgrole = 'payer' then Organization.identifier:NAIC is required : type.where(coding.first().code='payer').exists() implies identifier.where(system='urn:oid:2.16.840.1.113883.6.300').exists()
us-core-19	error	Organization.identifier:NAIC	NAIC must be 5 digits : value.matches('^[0-9]{5}$')

This structure is derived from RCEOrganization

Summary

Mandatory: 1 element
Prohibited: 1 element