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Resource Profile: SequoiaOrganization ( Abstract )

This profile on the FHIR Organization resource is an abstract base profile that defines shared constraints for all other profiles on the Organization resource in the implementation guides that are based on it. It is not intended to be used directly, rather end users should create instances conforming to the non-abstract profiles defined in other IGs such as Carequality, eHealthExchange, and RCE.

Usage:

• Refer to this Resource Profile: Delegation of Authority, Sequoia Endpoint, Sequoia Organization and OrgManagingOrg
• Examples for this Resource Profile: Eric Hospital, Kyras Clinic and Test Payer

Formal Views of Profile Content

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

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

This structure is derived from USCoreOrganizationProfile

Name	Flags	Card.	Type	Description & Constraints
Organization	C	0..*	USCoreOrganizationProfile	This is an abstract profile. A grouping of people or organizations with a common purpose 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
extension		1..*	Extension	Extension
Domains	S	1..*	Coding	Domains URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/Domains Binding: Domains (required)
HubServiceSubscriptions		0..*	Coding	HubServiceSubscription 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)	Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/org-managing-org
PurposesOfUse	S	0..*	CodeableConcept	Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/PurposesOfUse Binding: Purpose Of Use (preferred)
StateOfOperation	S	0..*	Address	Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/StateOfOperation
UseCases		0..*	CodeableConcept	Extension 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
identifier		1..*	Identifier	Identifies this organization across multiple systems
identifier:CCN	S	0..1	Identifier	CMS Certification Number (CCN) 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	S	1..1	Identifier	OID (such as a Home Community ID) or UUID 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	S	0..*	Identifier	OID (such as an Assiging Authority ID) or UUID 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	SC	0..*	Identifier	NAIC Code 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	S	1..1	boolean	Whether the organization's record is still in active use
Slices for type	S	1..*	CodeableConcept	Kind of organization Slice: Unordered, Open by pattern:$this
type:sequoiaorgtype	S	1..1	CodeableConcept	Kind of organization Binding: Organization Type (required)
type:hl7orgrole	S	0..*	CodeableConcept	Kind of organization Binding: OrganizationAffiliationRole (required)
name	S	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	S	0..*	ContactPoint	A contact detail for the organization Slice: Unordered, Open by value:system
telecom:phone	S	0..*	ContactPoint	A contact detail for the organization
system	S	1..1	code	phone | fax | email | pager | url | sms | other Fixed Value: phone
telecom:email	S	0..*	ContactPoint	A contact detail for the organization
system	S	1..1	code	phone | fax | email | pager | url | sms | other Fixed Value: email
address	S	0..*	Address	An address for the organization
OrgLocation	S	0..*	Reference(Sequoia Location)	Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/OrgLocation
line	S	0..1	string	Street name, number, direction & P.O. Box etc.
city	S	0..1	string	Name of city, town etc.
state	S	0..1	string	Sub-unit of country (abbreviations ok)
postalCode	S	0..1	string	US Zip Codes
country	S	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
partOf	S	0..1	Reference(Sequoia Organization)	The organization of which this organization forms a part
contact	S	0..*	BackboneElement	Contact for the organization for a certain purpose
company	S	0..*	string	Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/company
Slices for telecom	S	0..*	ContactPoint	Contact details (telephone, email, etc.) for a contact Slice: Unordered, Open by value:system
telecom:phone	S	0..*	ContactPoint	Contact details (telephone, email, etc.) for a contact
system	S	0..1	code	phone | fax | email | pager | url | sms | other Fixed Value: phone
telecom:email	S	0..1	ContactPoint	Contact details (telephone, email, etc.) for a contact
system	S	0..1	code	phone | fax | email | pager | url | sms | other Fixed Value: email
address	S	0..1	Address	Visiting or postal addresses for the contact
line	S	0..1	string	Street name, number, direction & P.O. Box etc.
endpoint	S	0..*	Reference(Sequoia Endpoint)	Technical endpoints providing access to services operated for the organization
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Organization.type:sequoiaorgtype	required	OrganizationType (a valid code from Organization Type) 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

Constraints

Id	Grade	Path(s)	Details	Requirements
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}$')

Name	Flags	Card.	Type	Description & Constraints
Organization	C	0..*	USCoreOrganizationProfile	This is an abstract profile. 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
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
Domains	S	1..*	Coding	Domains URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/Domains Binding: Domains (required)
HubServiceSubscriptions		0..*	Coding	HubServiceSubscription 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)	Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/org-managing-org
PurposesOfUse	S	0..*	CodeableConcept	Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/PurposesOfUse Binding: Purpose Of Use (preferred)
StateOfOperation	S	0..*	Address	Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/StateOfOperation
UseCases		0..*	CodeableConcept	Extension 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
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 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) 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 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 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 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
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)
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:All Slices				Content/Rules for all slices
system	SΣC	0..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
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.
telecom:phone	SC	0..*	ContactPoint	A contact detail for the organization 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. 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.
telecom:email	SC	0..*	ContactPoint	A contact detail for the organization 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. 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.
address	SC	0..*	Address	An address for the organization 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
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
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
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	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
partOf	SΣ	0..1	Reference(Sequoia Organization)	The organization of which this organization forms a part
contact	S	0..*	BackboneElement	Contact for the organization for a certain purpose
company	S	0..*	string	Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/company
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Slices for telecom	S	0..*	ContactPoint	Contact details (telephone, email, etc.) for a contact Slice: Unordered, Open by value:system
telecom:phone	S	0..*	ContactPoint	Contact details (telephone, email, etc.) for a contact
system	SΣC	0..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. 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.
telecom:email	S	0..1	ContactPoint	Contact details (telephone, email, etc.) for a contact
system	SΣC	0..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. 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.
address	S	0..1	Address	Visiting or postal addresses for the contact
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
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
endpoint	S	0..*	Reference(Sequoia Endpoint)	Technical endpoints providing access to services operated for the organization
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Organization.type	example	OrganizationType http://hl7.org/fhir/ValueSet/organization-type from the FHIR Standard
Organization.type:sequoiaorgtype	required	OrganizationType (a valid code from Organization Type) 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.system	required	ContactPointSystem http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 from the FHIR Standard
Organization.telecom.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 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.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	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}$')

Name	Flags	Card.	Type	Description & Constraints
Organization	C	0..*	USCoreOrganizationProfile	This is an abstract profile. 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	Domains URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/Domains Binding: Domains (required)
HubServiceSubscriptions		0..*	Coding	HubServiceSubscription 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)	Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/org-managing-org
PurposesOfUse	S	0..*	CodeableConcept	Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/PurposesOfUse Binding: Purpose Of Use (preferred)
StateOfOperation	S	0..*	Address	Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/StateOfOperation
UseCases		0..*	CodeableConcept	Extension 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)
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:All Slices				Content/Rules for all slices
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	0..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
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:phone	SC	0..*	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..*	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
address	SC	0..*	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	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	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
period	Σ	0..1	Period	Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
partOf	SΣ	0..1	Reference(Sequoia Organization)	The organization of which this organization forms a part
contact	S	0..*	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	Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/company
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
purpose		0..1	CodeableConcept	The type of contact Binding: ContactEntityType (extensible): The purpose for which you would contact a contact party.
name		0..1	HumanName	A name associated with the contact
Slices for telecom	S	0..*	ContactPoint	Contact details (telephone, email, etc.) for a contact Slice: Unordered, Open by value:system
telecom:phone	S	0..*	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	0..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	0..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	0..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(Sequoia 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 Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Organization.type	example	OrganizationType http://hl7.org/fhir/ValueSet/organization-type from the FHIR Standard
Organization.type:sequoiaorgtype	required	OrganizationType (a valid code from Organization Type) 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.system	required	ContactPointSystem http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 from the FHIR Standard
Organization.telecom.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 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.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	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 USCoreOrganizationProfile

Summary

Mandatory: 6 elements(2 nested mandatory elements)
Must-Support: 39 elements
Fixed: 4 elements

Structures

This structure refers to these other structures:

• Sequoia Organization (https://sequoiaproject.org/fhir/sphd/StructureDefinition/SequoiaOrganization)
• Sequoia Endpoint (https://sequoiaproject.org/fhir/sphd/StructureDefinition/SequoiaEndpoint)

Extensions

This structure refers to these extensions:

• https://sequoiaproject.org/fhir/sphd/StructureDefinition/Domains
• https://sequoiaproject.org/fhir/sphd/StructureDefinition/HubServiceSubscriptions
• https://sequoiaproject.org/fhir/sphd/StructureDefinition/AdministrativeStatus
• https://sequoiaproject.org/fhir/sphd/StructureDefinition/HubRoutingStatus
• https://sequoiaproject.org/fhir/sphd/StructureDefinition/InitiatorOnly
• https://sequoiaproject.org/fhir/sphd/StructureDefinition/org-managing-org
• https://sequoiaproject.org/fhir/sphd/StructureDefinition/PurposesOfUse
• https://sequoiaproject.org/fhir/sphd/StructureDefinition/StateOfOperation
• https://sequoiaproject.org/fhir/sphd/StructureDefinition/UseCases
• https://sequoiaproject.org/fhir/sphd/StructureDefinition/DOA
• https://sequoiaproject.org/fhir/sphd/StructureDefinition/OrgLocation
• https://sequoiaproject.org/fhir/sphd/StructureDefinition/company

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Organization.type
• The element 1 is sliced based on the value of Organization.telecom
• The element 1 is sliced based on the value of Organization.contact.telecom

Differential View

This structure is derived from USCoreOrganizationProfile

Name	Flags	Card.	Type	Description & Constraints
Organization	C	0..*	USCoreOrganizationProfile	This is an abstract profile. A grouping of people or organizations with a common purpose 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
extension		1..*	Extension	Extension
Domains	S	1..*	Coding	Domains URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/Domains Binding: Domains (required)
HubServiceSubscriptions		0..*	Coding	HubServiceSubscription 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)	Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/org-managing-org
PurposesOfUse	S	0..*	CodeableConcept	Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/PurposesOfUse Binding: Purpose Of Use (preferred)
StateOfOperation	S	0..*	Address	Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/StateOfOperation
UseCases		0..*	CodeableConcept	Extension 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
identifier		1..*	Identifier	Identifies this organization across multiple systems
identifier:CCN	S	0..1	Identifier	CMS Certification Number (CCN) 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	S	1..1	Identifier	OID (such as a Home Community ID) or UUID 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	S	0..*	Identifier	OID (such as an Assiging Authority ID) or UUID 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	SC	0..*	Identifier	NAIC Code 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	S	1..1	boolean	Whether the organization's record is still in active use
Slices for type	S	1..*	CodeableConcept	Kind of organization Slice: Unordered, Open by pattern:$this
type:sequoiaorgtype	S	1..1	CodeableConcept	Kind of organization Binding: Organization Type (required)
type:hl7orgrole	S	0..*	CodeableConcept	Kind of organization Binding: OrganizationAffiliationRole (required)
name	S	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	S	0..*	ContactPoint	A contact detail for the organization Slice: Unordered, Open by value:system
telecom:phone	S	0..*	ContactPoint	A contact detail for the organization
system	S	1..1	code	phone | fax | email | pager | url | sms | other Fixed Value: phone
telecom:email	S	0..*	ContactPoint	A contact detail for the organization
system	S	1..1	code	phone | fax | email | pager | url | sms | other Fixed Value: email
address	S	0..*	Address	An address for the organization
OrgLocation	S	0..*	Reference(Sequoia Location)	Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/OrgLocation
line	S	0..1	string	Street name, number, direction & P.O. Box etc.
city	S	0..1	string	Name of city, town etc.
state	S	0..1	string	Sub-unit of country (abbreviations ok)
postalCode	S	0..1	string	US Zip Codes
country	S	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
partOf	S	0..1	Reference(Sequoia Organization)	The organization of which this organization forms a part
contact	S	0..*	BackboneElement	Contact for the organization for a certain purpose
company	S	0..*	string	Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/company
Slices for telecom	S	0..*	ContactPoint	Contact details (telephone, email, etc.) for a contact Slice: Unordered, Open by value:system
telecom:phone	S	0..*	ContactPoint	Contact details (telephone, email, etc.) for a contact
system	S	0..1	code	phone | fax | email | pager | url | sms | other Fixed Value: phone
telecom:email	S	0..1	ContactPoint	Contact details (telephone, email, etc.) for a contact
system	S	0..1	code	phone | fax | email | pager | url | sms | other Fixed Value: email
address	S	0..1	Address	Visiting or postal addresses for the contact
line	S	0..1	string	Street name, number, direction & P.O. Box etc.
endpoint	S	0..*	Reference(Sequoia Endpoint)	Technical endpoints providing access to services operated for the organization
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Organization.type:sequoiaorgtype	required	OrganizationType (a valid code from Organization Type) 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

Constraints

Id	Grade	Path(s)	Details	Requirements
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}$')

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Organization	C	0..*	USCoreOrganizationProfile	This is an abstract profile. 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
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
Domains	S	1..*	Coding	Domains URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/Domains Binding: Domains (required)
HubServiceSubscriptions		0..*	Coding	HubServiceSubscription 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)	Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/org-managing-org
PurposesOfUse	S	0..*	CodeableConcept	Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/PurposesOfUse Binding: Purpose Of Use (preferred)
StateOfOperation	S	0..*	Address	Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/StateOfOperation
UseCases		0..*	CodeableConcept	Extension 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
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 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) 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 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 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 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
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)
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:All Slices				Content/Rules for all slices
system	SΣC	0..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
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.
telecom:phone	SC	0..*	ContactPoint	A contact detail for the organization 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. 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.
telecom:email	SC	0..*	ContactPoint	A contact detail for the organization 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. 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.
address	SC	0..*	Address	An address for the organization 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
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
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
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	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
partOf	SΣ	0..1	Reference(Sequoia Organization)	The organization of which this organization forms a part
contact	S	0..*	BackboneElement	Contact for the organization for a certain purpose
company	S	0..*	string	Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/company
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Slices for telecom	S	0..*	ContactPoint	Contact details (telephone, email, etc.) for a contact Slice: Unordered, Open by value:system
telecom:phone	S	0..*	ContactPoint	Contact details (telephone, email, etc.) for a contact
system	SΣC	0..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. 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.
telecom:email	S	0..1	ContactPoint	Contact details (telephone, email, etc.) for a contact
system	SΣC	0..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. 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.
address	S	0..1	Address	Visiting or postal addresses for the contact
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
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
endpoint	S	0..*	Reference(Sequoia Endpoint)	Technical endpoints providing access to services operated for the organization
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Organization.type	example	OrganizationType http://hl7.org/fhir/ValueSet/organization-type from the FHIR Standard
Organization.type:sequoiaorgtype	required	OrganizationType (a valid code from Organization Type) 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.system	required	ContactPointSystem http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 from the FHIR Standard
Organization.telecom.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 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.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	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}$')

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Organization	C	0..*	USCoreOrganizationProfile	This is an abstract profile. 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	Domains URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/Domains Binding: Domains (required)
HubServiceSubscriptions		0..*	Coding	HubServiceSubscription 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)	Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/org-managing-org
PurposesOfUse	S	0..*	CodeableConcept	Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/PurposesOfUse Binding: Purpose Of Use (preferred)
StateOfOperation	S	0..*	Address	Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/StateOfOperation
UseCases		0..*	CodeableConcept	Extension 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)
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:All Slices				Content/Rules for all slices
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	0..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
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:phone	SC	0..*	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..*	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
address	SC	0..*	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	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	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
period	Σ	0..1	Period	Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
partOf	SΣ	0..1	Reference(Sequoia Organization)	The organization of which this organization forms a part
contact	S	0..*	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	Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/company
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
purpose		0..1	CodeableConcept	The type of contact Binding: ContactEntityType (extensible): The purpose for which you would contact a contact party.
name		0..1	HumanName	A name associated with the contact
Slices for telecom	S	0..*	ContactPoint	Contact details (telephone, email, etc.) for a contact Slice: Unordered, Open by value:system
telecom:phone	S	0..*	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	0..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	0..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	0..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(Sequoia 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 Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Organization.type	example	OrganizationType http://hl7.org/fhir/ValueSet/organization-type from the FHIR Standard
Organization.type:sequoiaorgtype	required	OrganizationType (a valid code from Organization Type) 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.system	required	ContactPointSystem http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 from the FHIR Standard
Organization.telecom.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 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.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	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 USCoreOrganizationProfile

Summary

Mandatory: 6 elements(2 nested mandatory elements)
Must-Support: 39 elements
Fixed: 4 elements

Structures

This structure refers to these other structures:

• Sequoia Organization (https://sequoiaproject.org/fhir/sphd/StructureDefinition/SequoiaOrganization)
• Sequoia Endpoint (https://sequoiaproject.org/fhir/sphd/StructureDefinition/SequoiaEndpoint)

Extensions

This structure refers to these extensions:

• https://sequoiaproject.org/fhir/sphd/StructureDefinition/Domains
• https://sequoiaproject.org/fhir/sphd/StructureDefinition/HubServiceSubscriptions
• https://sequoiaproject.org/fhir/sphd/StructureDefinition/AdministrativeStatus
• https://sequoiaproject.org/fhir/sphd/StructureDefinition/HubRoutingStatus
• https://sequoiaproject.org/fhir/sphd/StructureDefinition/InitiatorOnly
• https://sequoiaproject.org/fhir/sphd/StructureDefinition/org-managing-org
• https://sequoiaproject.org/fhir/sphd/StructureDefinition/PurposesOfUse
• https://sequoiaproject.org/fhir/sphd/StructureDefinition/StateOfOperation
• https://sequoiaproject.org/fhir/sphd/StructureDefinition/UseCases
• https://sequoiaproject.org/fhir/sphd/StructureDefinition/DOA
• https://sequoiaproject.org/fhir/sphd/StructureDefinition/OrgLocation
• https://sequoiaproject.org/fhir/sphd/StructureDefinition/company

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Organization.type
• The element 1 is sliced based on the value of Organization.telecom
• The element 1 is sliced based on the value of Organization.contact.telecom