PATIENT ADMINISTRTAION (PA) Workgroup Development Draft

5.5 Resource Organization - Content

This resource maintained by the Patient Administration Work Group

A formally or informally recognized grouping of people or organizations formed for the purpose of achieving some form of collective action. Includes companies, institutions, corporations, departments, community groups, healthcare practice groups, etc.

5.5.1 Scope and Usage

This resource may be used in a shared registry of contact and other information for various organizations or it can be used merely as a support for other resources that need to reference organizations, perhaps as a document, message or as a contained resource. If using a registry approach, it's entirely possible for multiple registries to exist, each dealing with different types or levels of organization.

5.5.2 Boundaries and Relationships

The Organization resourse is used for collections of people that have come together to achieve an objective. The Group resource is used to identify a collection of people (or animals, devices, etc.) that are gathered for the purpose of analysis or acting upon, but are not expected to act themselves.

The Organization resource often exists as a hierarchy of organization resources, using the part-of property to provide the association of the child to its parent organization.
This organizational hierachy helps communicate the conceptual structure, where-as the Location resource provides the physical representation of the heirachy.
The linkage between Organization and Location is from each point in the location hierarchy to the appropriate level in the Organization hierarchy. These links don't all have to be to the top level Organization.
When populating the organization and location hierarchies there is often not a clear distinction between these 2, however to assist in making the decision, Locations are always used for recording where a service occurs, and hence where encounters and observations are associated. The Organization property on these resources may not be the location where the service took place.

This resource is referenced by Account, AuditEvent, CarePlan, Claim, ClaimResponse, Communication, CommunicationRequest, Composition, Contract, Coverage, Device, DiagnosticReport, DocumentManifest, DocumentReference, EligibilityRequest, EligibilityResponse, Encounter, EnrollmentRequest, EnrollmentResponse, EpisodeOfCare, ExplanationOfBenefit, HealthcareService, ImagingObjectSelection, Immunization, ImmunizationRecommendation, Location, Medication, MessageHeader, Observation, Order, OrderResponse, Patient, PaymentNotice, PaymentReconciliation, Person, Practitioner, ProcedureRequest, ProcessRequest, ProcessResponse, ReferralRequest and SupplyRequest

5.5.3 Resource Content

Structure

NameFlagsCard.TypeDescription & Constraintsdoco
.. Organization IDomainResourceA grouping of people or organizations with a common purpose
The organization SHALL at least have a name or an id, and possibly more than one
... identifier Σ I0..*IdentifierIdentifies this organization across multiple systems
... name Σ I0..1stringName used for the organization
... type Σ0..1CodeableConceptKind of organization
OrganizationType (Example)
... telecom I0..*ContactPointA contact detail for the organization
The telecom of an organization can never be of use 'home'
... address I0..*AddressAn address for the organization
An address of an organization can never be of use 'home'
... partOf Σ0..1OrganizationThe organization of which this organization forms a part
... contact 0..*ElementContact for the organization for a certain purpose
.... purpose 0..1CodeableConceptThe type of contact
ContactEntityType (Required)
.... name 0..1HumanNameA name associated with the contact
.... telecom 0..*ContactPointContact details (telephone, email, etc) for a contact
.... address 0..1AddressVisiting or postal addresses for the contact
... active ?! Σ0..1booleanWhether the organization's record is still in active use

XML Template

<Organization xmlns="http://hl7.org/fhir"> doco
 <!-- from Resource: id, meta, implicitRules, and language -->
 <!-- from DomainResource: text, contained, extension, and modifierExtension -->
 <identifier><!-- ?? 0..* Identifier Identifies this organization  across multiple systems --></identifier>
 <name value="[string]"/><!-- ?? 0..1 Name used for the organization -->
 <type><!-- 0..1 CodeableConcept Kind of organization --></type>
 <telecom><!-- ?? 0..* ContactPoint A contact detail for the organization --></telecom>
 <address><!-- ?? 0..* Address An address for the organization --></address>
 <partOf><!-- 0..1 Reference(Organization) The organization of which this organization forms a part --></partOf>
 <contact>  <!-- 0..* Contact for the organization for a certain purpose -->
  <purpose><!-- 0..1 CodeableConcept The type of contact --></purpose>
  <name><!-- 0..1 HumanName A name associated with the contact --></name>
  <telecom><!-- 0..* ContactPoint Contact details (telephone, email, etc)  for a contact --></telecom>
  <address><!-- 0..1 Address Visiting or postal addresses for the contact --></address>
 </contact>
 <active value="[boolean]"/><!-- 0..1 Whether the organization's record is still in active use -->
</Organization>

Structure

NameFlagsCard.TypeDescription & Constraintsdoco
.. Organization IDomainResourceA grouping of people or organizations with a common purpose
The organization SHALL at least have a name or an id, and possibly more than one
... identifier Σ I0..*IdentifierIdentifies this organization across multiple systems
... name Σ I0..1stringName used for the organization
... type Σ0..1CodeableConceptKind of organization
OrganizationType (Example)
... telecom I0..*ContactPointA contact detail for the organization
The telecom of an organization can never be of use 'home'
... address I0..*AddressAn address for the organization
An address of an organization can never be of use 'home'
... partOf Σ0..1OrganizationThe organization of which this organization forms a part
... contact 0..*ElementContact for the organization for a certain purpose
.... purpose 0..1CodeableConceptThe type of contact
ContactEntityType (Required)
.... name 0..1HumanNameA name associated with the contact
.... telecom 0..*ContactPointContact details (telephone, email, etc) for a contact
.... address 0..1AddressVisiting or postal addresses for the contact
... active ?! Σ0..1booleanWhether the organization's record is still in active use

XML Template

<Organization xmlns="http://hl7.org/fhir"> doco
 <!-- from Resource: id, meta, implicitRules, and language -->
 <!-- from DomainResource: text, contained, extension, and modifierExtension -->
 <identifier><!-- ?? 0..* Identifier Identifies this organization  across multiple systems --></identifier>
 <name value="[string]"/><!-- ?? 0..1 Name used for the organization -->
 <type><!-- 0..1 CodeableConcept Kind of organization --></type>
 <telecom><!-- ?? 0..* ContactPoint A contact detail for the organization --></telecom>
 <address><!-- ?? 0..* Address An address for the organization --></address>
 <partOf><!-- 0..1 Reference(Organization) The organization of which this organization forms a part --></partOf>
 <contact>  <!-- 0..* Contact for the organization for a certain purpose -->
  <purpose><!-- 0..1 CodeableConcept The type of contact --></purpose>
  <name><!-- 0..1 HumanName A name associated with the contact --></name>
  <telecom><!-- 0..* ContactPoint Contact details (telephone, email, etc)  for a contact --></telecom>
  <address><!-- 0..1 Address Visiting or postal addresses for the contact --></address>
 </contact>
 <active value="[boolean]"/><!-- 0..1 Whether the organization's record is still in active use -->
</Organization>

 

Alternate definitions: Schema/Schematron, Resource Profile (XML, JSON)

5.5.3.1 Terminology Bindings

PathDefinitionTypeReference
Organization.type Used to categorize the organizationExamplehttp://hl7.org/fhir/vs/organization-type
Organization.contact.purpose The purpose for which you would contact a contact partyRequiredhttp://hl7.org/fhir/vs/contactentity-type

5.5.3.2 Constraints

  • org-1: The organization SHALL at least have a name or an id, and possibly more than one (xpath: count(f:identifier | f:name) > 0)
  • org-2: On Organization.address: An address of an organization can never be of use 'home' (xpath on f:Organization/f:address: count(f:use[@value='home']) = 0)
  • org-3: On Organization.telecom: The telecom of an organization can never be of use 'home' (xpath on f:Organization/f:telecom: count(f:use[@value='home']) = 0)

5.5.4 Notes:

  • There are two places for contact information: one on Organization itself and zero or more using the ContactEntity construct. The first one is to be used for the generic, public organization point of contact. The ContactEntity is to be used for reaching a person or party that has been designated by the organization to be contacted for a specific purpose or goal.

5.5.5 Example Organization Hierarchy:

An example organization heirachy should help give some guidance as to one example of how a location heirachy could look within a fictitious Medical Organization.
(The nesting here would be the "part-of" structure of the Organization resource)

Burgers University Medical Center
    Eastern Services (prov)
        Emergency Dept
        Oncology Dept
            Neuclear Medicine Research Trials (edu)
        Maternity Ward
        Childrens Ward
        Day Procedures Unit
    Mobile Services (Ambulance)
    Research Center (edu)
        Neuclear Medicine  (edu)
    Burgers University (edu)
        Neuclear Medicine Faculty (edu)
        Undergraduate Medicine (edu)
        ...
	

Note that physical structures of this heirarchy are not present, these are defined by a Location hierarchy.

5.5.6 Search Parameters

Search parameters for this resource. The common parameters also apply. See Searching for more information about searching in REST, messaging, and services.

NameTypeDescriptionPaths
activetokenWhether the organization's record is activeOrganization.active
addressstringA (part of the) address of the OrganizationOrganization.address
identifiertokenAny identifier for the organization (not the accreditation issuer's identifier)Organization.identifier
namestringA portion of the organization's nameOrganization.name
partofreferenceSearch all organizations that are part of the given organizationOrganization.partOf
(Organization)
phoneticstringA portion of the organization's name using some kind of phonetic matching algorithm
typetokenA code for the type of organizationOrganization.type