eHealthExchange Healthcare Directory Implementation Guide
1.18.0 - Release 1

Resource Profile: eHx SubParticipant

Official URL: https://sequoiaproject.org/fhir/ehx/StructureDefinition/eHxSubParticipant Version: 1.18.0
Active as of 2026-10-27 Computable Name: EHxSubParticipant

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Organization C 0..* EHxOrganization A grouping of people or organizations with a common purpose
Constraints: org-1, so-1, so-2, so-3, ehx-sub-part-end-1
Organization.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Organization.Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Organization.Slices for extension.extension:domains This element must be supported. 1..* Coding Extension
URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/Domains
Binding: Domains (required)
Organization.Slices for extension.extension:hubservicesubscriptions This element must be supported. 0..* Coding Extension
URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/HubServiceSubscriptions
Binding: Hub Service Subscriptions (required)
Organization.Slices for extension.extension:administrativestatus This element must be supported. 0..1 Coding Extension
URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/AdministrativeStatus
Binding: Administrative Status (required)
Organization.Slices for extension.extension:hubroutingstatus This element must be supported. 0..1 Coding Extension
URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/HubRoutingStatus
Binding: Hub Routing Status (required)
Organization.Slices for extension.extension:initiatoronly This element must be supported. 0..1 Coding Extension
URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/InitiatorOnly
Binding: Initiator Only (required)
Organization.Slices for extension.extension:org-managing-org This element must be supported. 1..1 Reference(Sequoia Organization) Optional Extensions Element
URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/org-managing-org
Organization.Slices for extension.extension:purposesofuse This element must be supported. 0..* (Complex) Extension
URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/PurposesOfUse
Organization.Slices for extension.extension:purposesofuse.extension 0..0 Extension
Slice: Unordered, Open by value:url
Organization.Slices for extension.extension:purposesofuse.url 1..1 uri "https://sequoiaproject.org/fhir/sphd/StructureDefinition/PurposesOfUse"
Organization.Slices for extension.extension:purposesofuse.value[x] 1..1 CodeableConcept Value of extension
Binding: Purpose Of Use (required)
Organization.Slices for extension.extension:stateofoperation This element must be supported. 0..* Address Optional Extensions Element
URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/StateOfOperation
Organization.Slices for extension.extension:usecases This element must be supported. 0..* CodeableConcept Optional Extensions Element
URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/UseCases
Binding: Endpoint Use Case Codes (required)
Organization.Slices for extension.extension:transaction This element must be supported. 0..* CodeableConcept When used on an organization, this represents initiating transactions
URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/Transaction
Binding: Transactions (required)
Organization.Slices for extension.extension:delegation-role This element must be supported. 0..1 Coding Extension
URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/DelegationRole
Binding: Delegation Role Value Set (required)
Organization.Slices for extension.extension:organization-node-type 0..1 Coding Extension
URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/OrganizationNodeType
Binding: Organization Node Type ValueSet (required)
Organization.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Organization.Slices for identifier This element must be supported. This element is included in summaries. C 1..* Identifier Identifies this organization across multiple systems
Slice: Unordered, Open by pattern:$this

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Organization.Slices for identifier.identifier:NPI This element must be supported. This element is included in summaries. C 0..* Identifier National Provider Identifier (NPI)
Constraints: us-core-16, us-core-17

Required Pattern: 
{
  "system" : "http://hl7.org/fhir/sid/us-npi"
}
Organization.Slices for identifier.identifier:CLIA This element is included in summaries. C 0..* Identifier Clinical Laboratory Improvement Amendments (CLIA) Number for laboratories
Constraints: us-core-18

Required Pattern: 
{
  "system" : "urn:oid:2.16.840.1.113883.4.7"
}
Organization.Slices for identifier.identifier:NAIC This element must be supported. This element is included in summaries. C 0..* Identifier NAIC Code
Constraints: us-core-19

Required Pattern: 
{
  "system" : "urn:oid:2.16.840.1.113883.6.300"
}
Organization.Slices for identifier.identifier:USEIN This element must be supported. This element is included in summaries. C 0..* Identifier US Employer Identification Number (USEIN), also known as Federal EIN (FEIN)

Required Pattern: 
{
  "system" : "urn:oid:2.16.840.1.113883.4.4"
}
Organization.Slices for identifier.identifier:CCN This element must be supported. This element is included in summaries. C 0..1 Identifier CMS Certification Number (CCN)

Required Pattern: 
{
  "system" : "urn:oid:2.16.840.1.113883.4.336"
}
Organization.Slices for identifier.identifier:HCID This element must be supported. This element is included in summaries. C 1..1 Identifier OID (such as a Home Community ID) or UUID

Required Pattern: 
{
  "type" : {
    "coding" : [
      {
        "system" : "https://sequoiaproject.org/fhir/sphd/CodeSystem/SequoiaIdentifierCodes",
        "code" : "HCID"
      }
    ]
  },
  "system" : "urn:ietf:rfc:3986"
}
Organization.Slices for identifier.identifier:AAID This element must be supported. This element is included in summaries. C 0..* Identifier OID (such as an Assiging Authority ID) or UUID

Required Pattern: 
{
  "type" : {
    "coding" : [
      {
        "system" : "https://sequoiaproject.org/fhir/sphd/CodeSystem/SequoiaIdentifierCodes",
        "code" : "AAID"
      }
    ]
  },
  "system" : "urn:ietf:rfc:3986"
}
Organization.Slices for identifier.identifier:TEFCAID This element must be supported. This element is included in summaries. C 0..* Identifier TEFCA Identifier

Required Pattern: 
{
  "type" : {
    "coding" : [
      {
        "system" : "https://sequoiaproject.org/fhir/sphd/CodeSystem/SequoiaIdentifierCodes",
        "code" : "TEFCAID"
      }
    ]
  },
  "system" : "urn:ietf:rfc:3986"
}
Organization.active This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 boolean Whether the organization's record is still in active use
Organization.Slices for type This element must be supported. This element is included in summaries. 2..* CodeableConcept Kind of organization
Slice: Unordered, Open by pattern:$this
Binding: OrganizationType (example): Used to categorize the organization.

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Organization.Slices for type.type:sequoiaorgtype This element must be supported. This element is included in summaries. 1..1 CodeableConcept Kind of organization
Binding: Organization Type (required)

Required Pattern: 
{
  "coding" : [
    {
      "system" : "https://sequoiaproject.org/fhir/sphd/CodeSystem/OrganizationType",
      "code" : "Subparticipant"
    }
  ]
}
Organization.Slices for type.type:hl7orgrole This element must be supported. This element is included in summaries. 0..* CodeableConcept Kind of organization
Binding: OrganizationAffiliationRole (required)
Organization.name This element must be supported. This element is included in summaries. C 1..1 string Name used for the organization
Organization.alias This element must be supported. 0..* string A list of alternate names that the organization is known as, or was known as in the past
Organization.Slices for telecom This element must be supported. C 0..* ContactPoint A contact detail for the organization
Slice: Unordered, Open by value:system
Constraints: org-3

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Organization.Slices for telecom.telecom:phone This element must be supported. C 0..1 ContactPoint A contact detail for the organization
Constraints: org-3
Organization.Slices for telecom.telecom:phone.system This element must be supported. This element is included in summaries. C 1..1 code phone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.
Fixed Value: phone (no extensions allowed)
Organization.Slices for telecom.telecom:phone.value This element must be supported. This element is included in summaries. 0..1 string The actual contact point details
Organization.Slices for telecom.telecom:phone.use This element is a modifier element. This element is included in summaries. 0..1 code home | work | temp | old | mobile - purpose of this contact point
Binding: ContactPointUse (required): Use of contact point.
Organization.Slices for telecom.telecom:email This element must be supported. C 0..1 ContactPoint A contact detail for the organization
Constraints: org-3
Organization.Slices for telecom.telecom:email.system This element must be supported. This element is included in summaries. C 1..1 code phone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.
Fixed Value: email (no extensions allowed)
Organization.Slices for telecom.telecom:email.value This element must be supported. This element is included in summaries. 0..1 string The actual contact point details
Organization.Slices for telecom.telecom:email.use This element is a modifier element. This element is included in summaries. 0..1 code home | work | temp | old | mobile - purpose of this contact point
Binding: ContactPointUse (required): Use of contact point.
Organization.address This element must be supported. C 1..* Address An address for the organization
Constraints: org-2
Organization.address.Slices for extension This element must be supported. 1..* Reference(eHx Subparticipant Location) Extension
URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/OrgLocation profiled by https://sequoiaproject.org/fhir/ehx/StructureDefinition/eHxSubparticipantOrgLocation
Slice: Unordered, Open by value:url

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Organization.address.Slices for extension.extension:orglocation This element must be supported. 0..* Reference(eHx Subparticipant Location) Extension
URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/OrgLocation profiled by https://sequoiaproject.org/fhir/ehx/StructureDefinition/eHxSubparticipantOrgLocation
Organization.address.use This element is a modifier element. This element is included in summaries. 0..1 code home | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.
Example General: home
Organization.address.text This element must be supported. This element is included in summaries. 1..1 string Text representation of the address
Example General: 137 Nowhere Street, Erewhon 9132
Organization.address.line This element must be supported. This element is included in summaries. 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
Organization.address.city This element must be supported. This element is included in summaries. 0..1 string Name of city, town etc.
Example General: Erewhon
Organization.address.state This element must be supported. This element is included in summaries. 0..1 string Sub-unit of country (abbreviations ok)
Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes.
Organization.address.postalCode This element must be supported. This element is included in summaries. 0..1 string US Zip Codes
Example General: 9132
Organization.address.country This element must be supported. This element is included in summaries. 1..1 string Must be an ISO 3166 2 or 3 letter code, with 2 letter codes preferred for compliance with later versions of US Core Organization
Fixed Value: US (no extensions allowed)
Organization.partOf This element must be supported. This element is included in summaries. 0..1 Reference(eHx Organization) The organization of which this organization forms a part
Organization.contact This element must be supported. 0..* BackboneElement Contact for the organization for a certain purpose
Organization.contact.Slices for extension Content/Rules for all slices
Organization.contact.Slices for extension.extension:company This element must be supported. 0..* string Optional Extensions Element
URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/company
Organization.contact.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Organization.contact.Slices for telecom This element must be supported. 0..* ContactPoint Contact details (telephone, email, etc.) for a contact
Slice: Unordered, Open by value:system

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Organization.contact.Slices for telecom.telecom:phone This element must be supported. 0..* ContactPoint Contact details (telephone, email, etc.) for a contact
Organization.contact.Slices for telecom.telecom:phone.system This element must be supported. This element is included in summaries. C 1..1 code phone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.
Fixed Value: phone (no extensions allowed)
Organization.contact.Slices for telecom.telecom:phone.use This element is a modifier element. This element is included in summaries. 0..1 code home | work | temp | old | mobile - purpose of this contact point
Binding: ContactPointUse (required): Use of contact point.
Organization.contact.Slices for telecom.telecom:email This element must be supported. 0..1 ContactPoint Contact details (telephone, email, etc.) for a contact
Organization.contact.Slices for telecom.telecom:email.system This element must be supported. This element is included in summaries. C 1..1 code phone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.
Fixed Value: email (no extensions allowed)
Organization.contact.Slices for telecom.telecom:email.use This element is a modifier element. This element is included in summaries. 0..1 code home | work | temp | old | mobile - purpose of this contact point
Binding: ContactPointUse (required): Use of contact point.
Organization.contact.address This element must be supported. 0..1 Address Visiting or postal addresses for the contact
Organization.contact.address.use This element is a modifier element. This element is included in summaries. 0..1 code home | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.
Example General: home
Organization.contact.address.line This element must be supported. This element is included in summaries. 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
Organization.endpoint This element must be supported. 0..* Reference(eHx Endpoint) Technical endpoints providing access to services operated for the organization

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Organization.extension:purposesofuse.​value[x] Base required Purpose Of Use 📦1.18.0 This IG
Organization.type Base example Organization type 📦4.0.1 FHIR Std.
Organization.type:sequoiaorgtype Base required Organization Type 📦1.18.0 This IG
Organization.type:hl7orgrole Base required Organization Affiliation Role 📦4.0.1 FHIR Std.
Organization.telecom:phone.​system Base required ContactPointSystem 📍4.0.1 FHIR Std.
Organization.telecom:phone.​use Base required ContactPointUse 📍4.0.1 FHIR Std.
Organization.telecom:email.​system Base required ContactPointSystem 📍4.0.1 FHIR Std.
Organization.telecom:email.​use Base required ContactPointUse 📍4.0.1 FHIR Std.
Organization.address.​use Base required AddressUse 📍4.0.1 FHIR Std.
Organization.address.​state Base extensible USPS Two Letter Alphabetic Codes 📦6.1.0 US Core v6.1
Organization.contact.​telecom:phone.system Base required ContactPointSystem 📍4.0.1 FHIR Std.
Organization.contact.​telecom:phone.use Base required ContactPointUse 📍4.0.1 FHIR Std.
Organization.contact.​telecom:email.system Base required ContactPointSystem 📍4.0.1 FHIR Std.
Organization.contact.​telecom:email.use Base required ContactPointUse 📍4.0.1 FHIR Std.
Organization.contact.​address.use Base required AddressUse 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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()
ehx-sub-part-end-1 error Organization A sub-participant with a HubRoutingStatus of InitiatorOnly SHALL have no endpoints and SHALL specify the InitiatorOnly extension. A sub-participant without endpoints SHALL either have a HubRoutingStatus of InitiatorOnly or SHALL omit the HubServiceSubscriptions, AdministrativeStatus, and HubRoutingStatus extensions. ( Organization.extension .where( url = 'https://sequoiaproject.org/fhir/sphd/StructureDefinition/HubRoutingStatus' and value.ofType(Coding).code = 'InitiatorOnly' ) .exists() implies ( Organization.endpoint.empty() and Organization.extension .where(url = 'https://sequoiaproject.org/fhir/sphd/StructureDefinition/InitiatorOnly') .exists() ) ) and ( Organization.endpoint.empty() implies ( Organization.extension .where( url = 'https://sequoiaproject.org/fhir/sphd/StructureDefinition/HubRoutingStatus' and value.ofType(Coding).code = 'InitiatorOnly' ) .exists() or ( Organization.extension .where(url = 'https://sequoiaproject.org/fhir/sphd/StructureDefinition/HubServiceSubscriptions') .empty() and Organization.extension .where(url = 'https://sequoiaproject.org/fhir/sphd/StructureDefinition/AdministrativeStatus') .empty() and Organization.extension .where(url = 'https://sequoiaproject.org/fhir/sphd/StructureDefinition/HubRoutingStatus') .empty() ) ) )
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 error 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()
so-3 error Organization USEIN (also known as FEIN) must be 9 digits formatted as XX-XXXXXXX, or have a data-absent-reason of 'masked' identifier.where(system = 'urn:oid:2.16.840.1.113883.4.4').all(value.matches('^[0-9]{2}-[0-9]{7}$') or value.extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists(value = 'masked'))
us-core-16 error Organization.identifier:NPI NPI must be 10 digits value.matches('^[0-9]{10}$')
us-core-17 error Organization.identifier:NPI NPI check digit must be valid (Luhn algorithm check) (((select(value.substring(0,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(1,1).toInteger())+(select(value.substring(2,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(3,1).toInteger())+(select(value.substring(4,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(5,1).toInteger())+(select(value.substring(6,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(7,1).toInteger())+(select(value.substring(8,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(9,1).toInteger()) + 24)mod 10=0)
us-core-18 error Organization.identifier:CLIA CLIA number must be 10 digits with a letter "D" in third position value.matches('^[0-9]{2}D[0-9]{7}$')
us-core-19 error Organization.identifier:NAIC NAIC must be 5 digits value.matches('^[0-9]{5}$')

This structure is derived from EHxOrganization

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Organization C 0..* EHxOrganization A grouping of people or organizations with a common purpose
Constraints: ehx-sub-part-end-1
Organization.extension 2..* Extension Extension
Organization.Slices for extension Content/Rules for all slices
Organization.Slices for extension.extension:org-managing-org 1..1 OrgManagingOrg Optional Extensions Element
Organization.Slices for type Content/Rules for all slices
Organization.Slices for type.type:sequoiaorgtype 1..1 CodeableConcept Kind of organization
Required Pattern: 
{
  "coding" : [
    {
      "system" : "https://sequoiaproject.org/fhir/sphd/CodeSystem/OrganizationType",
      "code" : "Subparticipant"
    }
  ]
}
Organization.address.extension This element must be supported. 1..* Reference(eHx Subparticipant Location) Extension
URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/OrgLocation profiled by https://sequoiaproject.org/fhir/ehx/StructureDefinition/eHxSubparticipantOrgLocation
Organization.address.Slices for extension Content/Rules for all slices
Organization.address.Slices for extension.extension:orglocation 0..* Reference(eHx Subparticipant Location) Extension
URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/OrgLocation profiled by https://sequoiaproject.org/fhir/ehx/StructureDefinition/eHxSubparticipantOrgLocation

doco Documentation for this format

Constraints

Id Grade Path(s) Description Expression
ehx-sub-part-end-1 error Organization A sub-participant with a HubRoutingStatus of InitiatorOnly SHALL have no endpoints and SHALL specify the InitiatorOnly extension. A sub-participant without endpoints SHALL either have a HubRoutingStatus of InitiatorOnly or SHALL omit the HubServiceSubscriptions, AdministrativeStatus, and HubRoutingStatus extensions. ( Organization.extension .where( url = 'https://sequoiaproject.org/fhir/sphd/StructureDefinition/HubRoutingStatus' and value.ofType(Coding).code = 'InitiatorOnly' ) .exists() implies ( Organization.endpoint.empty() and Organization.extension .where(url = 'https://sequoiaproject.org/fhir/sphd/StructureDefinition/InitiatorOnly') .exists() ) ) and ( Organization.endpoint.empty() implies ( Organization.extension .where( url = 'https://sequoiaproject.org/fhir/sphd/StructureDefinition/HubRoutingStatus' and value.ofType(Coding).code = 'InitiatorOnly' ) .exists() or ( Organization.extension .where(url = 'https://sequoiaproject.org/fhir/sphd/StructureDefinition/HubServiceSubscriptions') .empty() and Organization.extension .where(url = 'https://sequoiaproject.org/fhir/sphd/StructureDefinition/AdministrativeStatus') .empty() and Organization.extension .where(url = 'https://sequoiaproject.org/fhir/sphd/StructureDefinition/HubRoutingStatus') .empty() ) ) )
NameFlagsCard.TypeDescription & Constraints    Filter: doco
Organization C 0..* EHxOrganization A grouping of people or organizations with a common purpose
Constraints: org-1, so-1, so-2, so-3, ehx-sub-part-end-1
Organization.id This element is included in summaries. 0..1 id Logical id of this artifact
Organization.meta This element is included in summaries. 0..1 Meta Metadata about the resource
Organization.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Organization.language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
Organization.text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Organization.contained 0..* Resource Contained, inline Resources
Organization.Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Organization.Slices for extension.extension:domains This element must be supported. 1..* Coding Extension
URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/Domains
Binding: Domains (required)
Organization.Slices for extension.extension:hubservicesubscriptions This element must be supported. 0..* Coding Extension
URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/HubServiceSubscriptions
Binding: Hub Service Subscriptions (required)
Organization.Slices for extension.extension:administrativestatus This element must be supported. 0..1 Coding Extension
URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/AdministrativeStatus
Binding: Administrative Status (required)
Organization.Slices for extension.extension:hubroutingstatus This element must be supported. 0..1 Coding Extension
URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/HubRoutingStatus
Binding: Hub Routing Status (required)
Organization.Slices for extension.extension:initiatoronly This element must be supported. 0..1 Coding Extension
URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/InitiatorOnly
Binding: Initiator Only (required)
Organization.Slices for extension.extension:org-managing-org This element must be supported. 1..1 Reference(Sequoia Organization) Optional Extensions Element
URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/org-managing-org
Organization.Slices for extension.extension:purposesofuse This element must be supported. 0..* (Complex) Extension
URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/PurposesOfUse
Organization.Slices for extension.extension:purposesofuse.id 0..1 string Unique id for inter-element referencing
Organization.Slices for extension.extension:purposesofuse.extension 0..0 Extension
Slice: Unordered, Open by value:url
Organization.Slices for extension.extension:purposesofuse.url 1..1 uri "https://sequoiaproject.org/fhir/sphd/StructureDefinition/PurposesOfUse"
Organization.Slices for extension.extension:purposesofuse.value[x] 1..1 CodeableConcept Value of extension
Binding: Purpose Of Use (required)
Organization.Slices for extension.extension:stateofoperation This element must be supported. 0..* Address Optional Extensions Element
URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/StateOfOperation
Organization.Slices for extension.extension:usecases This element must be supported. 0..* CodeableConcept Optional Extensions Element
URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/UseCases
Binding: Endpoint Use Case Codes (required)
Organization.Slices for extension.extension:transaction This element must be supported. 0..* CodeableConcept When used on an organization, this represents initiating transactions
URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/Transaction
Binding: Transactions (required)
Organization.Slices for extension.extension:delegation-role This element must be supported. 0..1 Coding Extension
URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/DelegationRole
Binding: Delegation Role Value Set (required)
Organization.Slices for extension.extension:organization-node-type 0..1 Coding Extension
URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/OrganizationNodeType
Binding: Organization Node Type ValueSet (required)
Organization.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Organization.Slices for identifier This element must be supported. This element is included in summaries. C 1..* Identifier Identifies this organization across multiple systems
Slice: Unordered, Open by pattern:$this

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Organization.Slices for identifier.identifier:NPI This element must be supported. This element is included in summaries. C 0..* Identifier National Provider Identifier (NPI)
Constraints: us-core-16, us-core-17

Required Pattern: 
{
  "system" : "http://hl7.org/fhir/sid/us-npi"
}
Organization.Slices for identifier.identifier:CLIA This element is included in summaries. C 0..* Identifier Clinical Laboratory Improvement Amendments (CLIA) Number for laboratories
Constraints: us-core-18

Required Pattern: 
{
  "system" : "urn:oid:2.16.840.1.113883.4.7"
}
Organization.Slices for identifier.identifier:NAIC This element must be supported. This element is included in summaries. C 0..* Identifier NAIC Code
Constraints: us-core-19

Required Pattern: 
{
  "system" : "urn:oid:2.16.840.1.113883.6.300"
}
Organization.Slices for identifier.identifier:USEIN This element must be supported. This element is included in summaries. C 0..* Identifier US Employer Identification Number (USEIN), also known as Federal EIN (FEIN)

Required Pattern: 
{
  "system" : "urn:oid:2.16.840.1.113883.4.4"
}
Organization.Slices for identifier.identifier:CCN This element must be supported. This element is included in summaries. C 0..1 Identifier CMS Certification Number (CCN)

Required Pattern: 
{
  "system" : "urn:oid:2.16.840.1.113883.4.336"
}
Organization.Slices for identifier.identifier:HCID This element must be supported. This element is included in summaries. C 1..1 Identifier OID (such as a Home Community ID) or UUID

Required Pattern: 
{
  "type" : {
    "coding" : [
      {
        "system" : "https://sequoiaproject.org/fhir/sphd/CodeSystem/SequoiaIdentifierCodes",
        "code" : "HCID"
      }
    ]
  },
  "system" : "urn:ietf:rfc:3986"
}
Organization.Slices for identifier.identifier:AAID This element must be supported. This element is included in summaries. C 0..* Identifier OID (such as an Assiging Authority ID) or UUID

Required Pattern: 
{
  "type" : {
    "coding" : [
      {
        "system" : "https://sequoiaproject.org/fhir/sphd/CodeSystem/SequoiaIdentifierCodes",
        "code" : "AAID"
      }
    ]
  },
  "system" : "urn:ietf:rfc:3986"
}
Organization.Slices for identifier.identifier:TEFCAID This element must be supported. This element is included in summaries. C 0..* Identifier TEFCA Identifier

Required Pattern: 
{
  "type" : {
    "coding" : [
      {
        "system" : "https://sequoiaproject.org/fhir/sphd/CodeSystem/SequoiaIdentifierCodes",
        "code" : "TEFCAID"
      }
    ]
  },
  "system" : "urn:ietf:rfc:3986"
}
Organization.active This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 boolean Whether the organization's record is still in active use
Organization.Slices for type This element must be supported. This element is included in summaries. 2..* CodeableConcept Kind of organization
Slice: Unordered, Open by pattern:$this
Binding: OrganizationType (example): Used to categorize the organization.

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Organization.Slices for type.type:sequoiaorgtype This element must be supported. This element is included in summaries. 1..1 CodeableConcept Kind of organization
Binding: Organization Type (required)

Required Pattern: 
{
  "coding" : [
    {
      "system" : "https://sequoiaproject.org/fhir/sphd/CodeSystem/OrganizationType",
      "code" : "Subparticipant"
    }
  ]
}
Organization.Slices for type.type:hl7orgrole This element must be supported. This element is included in summaries. 0..* CodeableConcept Kind of organization
Binding: OrganizationAffiliationRole (required)
Organization.name This element must be supported. This element is included in summaries. C 1..1 string Name used for the organization
Organization.alias This element must be supported. 0..* string A list of alternate names that the organization is known as, or was known as in the past
Organization.Slices for telecom This element must be supported. C 0..* ContactPoint A contact detail for the organization
Slice: Unordered, Open by value:system
Constraints: org-3

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Organization.Slices for telecom.telecom:phone This element must be supported. C 0..1 ContactPoint A contact detail for the organization
Constraints: org-3
Organization.Slices for telecom.telecom:phone.id 0..1 string Unique id for inter-element referencing
Organization.Slices for telecom.telecom:phone.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Organization.Slices for telecom.telecom:phone.system This element must be supported. This element is included in summaries. C 1..1 code phone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.
Fixed Value: phone (no extensions allowed)
Organization.Slices for telecom.telecom:phone.value This element must be supported. This element is included in summaries. 0..1 string The actual contact point details
Organization.Slices for telecom.telecom:phone.use This element is a modifier element. This element is included in summaries. 0..1 code home | work | temp | old | mobile - purpose of this contact point
Binding: ContactPointUse (required): Use of contact point.
Organization.Slices for telecom.telecom:phone.rank This element is included in summaries. 0..1 positiveInt Specify preferred order of use (1 = highest)
Organization.Slices for telecom.telecom:phone.period This element is included in summaries. 0..1 Period Time period when the contact point was/is in use
Organization.Slices for telecom.telecom:email This element must be supported. C 0..1 ContactPoint A contact detail for the organization
Constraints: org-3
Organization.Slices for telecom.telecom:email.id 0..1 string Unique id for inter-element referencing
Organization.Slices for telecom.telecom:email.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Organization.Slices for telecom.telecom:email.system This element must be supported. This element is included in summaries. C 1..1 code phone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.
Fixed Value: email (no extensions allowed)
Organization.Slices for telecom.telecom:email.value This element must be supported. This element is included in summaries. 0..1 string The actual contact point details
Organization.Slices for telecom.telecom:email.use This element is a modifier element. This element is included in summaries. 0..1 code home | work | temp | old | mobile - purpose of this contact point
Binding: ContactPointUse (required): Use of contact point.
Organization.Slices for telecom.telecom:email.rank This element is included in summaries. 0..1 positiveInt Specify preferred order of use (1 = highest)
Organization.Slices for telecom.telecom:email.period This element is included in summaries. 0..1 Period Time period when the contact point was/is in use
Organization.address This element must be supported. C 1..* Address An address for the organization
Constraints: org-2
Organization.address.id 0..1 string Unique id for inter-element referencing
Organization.address.Slices for extension This element must be supported. 1..* Reference(eHx Subparticipant Location) Extension
URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/OrgLocation profiled by https://sequoiaproject.org/fhir/ehx/StructureDefinition/eHxSubparticipantOrgLocation
Slice: Unordered, Open by value:url

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Organization.address.Slices for extension.extension:orglocation This element must be supported. 0..* Reference(eHx Subparticipant Location) Extension
URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/OrgLocation profiled by https://sequoiaproject.org/fhir/ehx/StructureDefinition/eHxSubparticipantOrgLocation
Organization.address.use This element is a modifier element. This element is included in summaries. 0..1 code home | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.
Example General: home
Organization.address.type This element is included in summaries. 0..1 code postal | physical | both
Binding: AddressType (required): The type of an address (physical / postal).
Example General: both
Organization.address.text This element must be supported. This element is included in summaries. 1..1 string Text representation of the address
Example General: 137 Nowhere Street, Erewhon 9132
Organization.address.line This element must be supported. This element is included in summaries. 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
Organization.address.city This element must be supported. This element is included in summaries. 0..1 string Name of city, town etc.
Example General: Erewhon
Organization.address.district This element is included in summaries. 0..1 string District name (aka county)
Example General: Madison
Organization.address.state This element must be supported. This element is included in summaries. 0..1 string Sub-unit of country (abbreviations ok)
Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes.
Organization.address.postalCode This element must be supported. This element is included in summaries. 0..1 string US Zip Codes
Example General: 9132
Organization.address.country This element must be supported. This element is included in summaries. 1..1 string Must be an ISO 3166 2 or 3 letter code, with 2 letter codes preferred for compliance with later versions of US Core Organization
Fixed Value: US (no extensions allowed)
Organization.address.period This element is included in summaries. 0..1 Period Time period when address was/is in use
Example General: {"start":"2010-03-23","end":"2010-07-01"}
Organization.partOf This element must be supported. This element is included in summaries. 0..1 Reference(eHx Organization) The organization of which this organization forms a part
Organization.contact This element must be supported. 0..* BackboneElement Contact for the organization for a certain purpose
Organization.contact.id 0..1 string Unique id for inter-element referencing
Organization.contact.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Organization.contact.Slices for extension.extension:company This element must be supported. 0..* string Optional Extensions Element
URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/company
Organization.contact.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Organization.contact.purpose 0..1 CodeableConcept The type of contact
Binding: ContactEntityType (extensible): The purpose for which you would contact a contact party.
Organization.contact.name 0..1 HumanName A name associated with the contact
Organization.contact.Slices for telecom This element must be supported. 0..* ContactPoint Contact details (telephone, email, etc.) for a contact
Slice: Unordered, Open by value:system

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Organization.contact.Slices for telecom.telecom:phone This element must be supported. 0..* ContactPoint Contact details (telephone, email, etc.) for a contact
Organization.contact.Slices for telecom.telecom:phone.id 0..1 string Unique id for inter-element referencing
Organization.contact.Slices for telecom.telecom:phone.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Organization.contact.Slices for telecom.telecom:phone.system This element must be supported. This element is included in summaries. C 1..1 code phone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.
Fixed Value: phone (no extensions allowed)
Organization.contact.Slices for telecom.telecom:phone.value This element is included in summaries. 0..1 string The actual contact point details
Organization.contact.Slices for telecom.telecom:phone.use This element is a modifier element. This element is included in summaries. 0..1 code home | work | temp | old | mobile - purpose of this contact point
Binding: ContactPointUse (required): Use of contact point.
Organization.contact.Slices for telecom.telecom:phone.rank This element is included in summaries. 0..1 positiveInt Specify preferred order of use (1 = highest)
Organization.contact.Slices for telecom.telecom:phone.period This element is included in summaries. 0..1 Period Time period when the contact point was/is in use
Organization.contact.Slices for telecom.telecom:email This element must be supported. 0..1 ContactPoint Contact details (telephone, email, etc.) for a contact
Organization.contact.Slices for telecom.telecom:email.id 0..1 string Unique id for inter-element referencing
Organization.contact.Slices for telecom.telecom:email.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Organization.contact.Slices for telecom.telecom:email.system This element must be supported. This element is included in summaries. C 1..1 code phone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.
Fixed Value: email (no extensions allowed)
Organization.contact.Slices for telecom.telecom:email.value This element is included in summaries. 0..1 string The actual contact point details
Organization.contact.Slices for telecom.telecom:email.use This element is a modifier element. This element is included in summaries. 0..1 code home | work | temp | old | mobile - purpose of this contact point
Binding: ContactPointUse (required): Use of contact point.
Organization.contact.Slices for telecom.telecom:email.rank This element is included in summaries. 0..1 positiveInt Specify preferred order of use (1 = highest)
Organization.contact.Slices for telecom.telecom:email.period This element is included in summaries. 0..1 Period Time period when the contact point was/is in use
Organization.contact.address This element must be supported. 0..1 Address Visiting or postal addresses for the contact
Organization.contact.address.id 0..1 string Unique id for inter-element referencing
Organization.contact.address.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Organization.contact.address.use This element is a modifier element. This element is included in summaries. 0..1 code home | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.
Example General: home
Organization.contact.address.type This element is included in summaries. 0..1 code postal | physical | both
Binding: AddressType (required): The type of an address (physical / postal).
Example General: both
Organization.contact.address.text This element is included in summaries. 0..1 string Text representation of the address
Example General: 137 Nowhere Street, Erewhon 9132
Organization.contact.address.line This element must be supported. This element is included in summaries. 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
Organization.contact.address.city This element is included in summaries. 0..1 string Name of city, town etc.
Example General: Erewhon
Organization.contact.address.district This element is included in summaries. 0..1 string District name (aka county)
Example General: Madison
Organization.contact.address.state This element is included in summaries. 0..1 string Sub-unit of country (abbreviations ok)
Organization.contact.address.postalCode This element is included in summaries. 0..1 string Postal code for area
Example General: 9132
Organization.contact.address.country This element is included in summaries. 0..1 string Country (e.g. can be ISO 3166 2 or 3 letter code)
Organization.contact.address.period This element is included in summaries. 0..1 Period Time period when address was/is in use
Example General: {"start":"2010-03-23","end":"2010-07-01"}
Organization.endpoint This element must be supported. 0..* Reference(eHx Endpoint) Technical endpoints providing access to services operated for the organization

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Organization.language Base preferred Common Languages 📦4.0.1 FHIR Std.
Organization.extension:purposesofuse.​value[x] Base required Purpose Of Use 📦1.18.0 This IG
Organization.type Base example Organization type 📦4.0.1 FHIR Std.
Organization.type:sequoiaorgtype Base required Organization Type 📦1.18.0 This IG
Organization.type:hl7orgrole Base required Organization Affiliation Role 📦4.0.1 FHIR Std.
Organization.telecom:phone.​system Base required ContactPointSystem 📍4.0.1 FHIR Std.
Organization.telecom:phone.​use Base required ContactPointUse 📍4.0.1 FHIR Std.
Organization.telecom:email.​system Base required ContactPointSystem 📍4.0.1 FHIR Std.
Organization.telecom:email.​use Base required ContactPointUse 📍4.0.1 FHIR Std.
Organization.address.​use Base required AddressUse 📍4.0.1 FHIR Std.
Organization.address.​type Base required AddressType 📍4.0.1 FHIR Std.
Organization.address.​state Base extensible USPS Two Letter Alphabetic Codes 📦6.1.0 US Core v6.1
Organization.contact.​purpose Base extensible Contact entity type 📦4.0.1 FHIR Std.
Organization.contact.​telecom:phone.system Base required ContactPointSystem 📍4.0.1 FHIR Std.
Organization.contact.​telecom:phone.use Base required ContactPointUse 📍4.0.1 FHIR Std.
Organization.contact.​telecom:email.system Base required ContactPointSystem 📍4.0.1 FHIR Std.
Organization.contact.​telecom:email.use Base required ContactPointUse 📍4.0.1 FHIR Std.
Organization.contact.​address.use Base required AddressUse 📍4.0.1 FHIR Std.
Organization.contact.​address.type Base required AddressType 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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()
ehx-sub-part-end-1 error Organization A sub-participant with a HubRoutingStatus of InitiatorOnly SHALL have no endpoints and SHALL specify the InitiatorOnly extension. A sub-participant without endpoints SHALL either have a HubRoutingStatus of InitiatorOnly or SHALL omit the HubServiceSubscriptions, AdministrativeStatus, and HubRoutingStatus extensions. ( Organization.extension .where( url = 'https://sequoiaproject.org/fhir/sphd/StructureDefinition/HubRoutingStatus' and value.ofType(Coding).code = 'InitiatorOnly' ) .exists() implies ( Organization.endpoint.empty() and Organization.extension .where(url = 'https://sequoiaproject.org/fhir/sphd/StructureDefinition/InitiatorOnly') .exists() ) ) and ( Organization.endpoint.empty() implies ( Organization.extension .where( url = 'https://sequoiaproject.org/fhir/sphd/StructureDefinition/HubRoutingStatus' and value.ofType(Coding).code = 'InitiatorOnly' ) .exists() or ( Organization.extension .where(url = 'https://sequoiaproject.org/fhir/sphd/StructureDefinition/HubServiceSubscriptions') .empty() and Organization.extension .where(url = 'https://sequoiaproject.org/fhir/sphd/StructureDefinition/AdministrativeStatus') .empty() and Organization.extension .where(url = 'https://sequoiaproject.org/fhir/sphd/StructureDefinition/HubRoutingStatus') .empty() ) ) )
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 error 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()
so-3 error Organization USEIN (also known as FEIN) must be 9 digits formatted as XX-XXXXXXX, or have a data-absent-reason of 'masked' identifier.where(system = 'urn:oid:2.16.840.1.113883.4.4').all(value.matches('^[0-9]{2}-[0-9]{7}$') or value.extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists(value = 'masked'))
us-core-16 error Organization.identifier:NPI NPI must be 10 digits value.matches('^[0-9]{10}$')
us-core-17 error Organization.identifier:NPI NPI check digit must be valid (Luhn algorithm check) (((select(value.substring(0,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(1,1).toInteger())+(select(value.substring(2,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(3,1).toInteger())+(select(value.substring(4,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(5,1).toInteger())+(select(value.substring(6,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(7,1).toInteger())+(select(value.substring(8,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(9,1).toInteger()) + 24)mod 10=0)
us-core-18 error Organization.identifier:CLIA CLIA number must be 10 digits with a letter "D" in third position value.matches('^[0-9]{2}D[0-9]{7}$')
us-core-19 error Organization.identifier:NAIC NAIC must be 5 digits value.matches('^[0-9]{5}$')

This structure is derived from EHxOrganization

Summary

Mandatory: 2 elements
Must-Support: 1 element

Extensions

This structure refers to these extensions:

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Organization C 0..* EHxOrganization A grouping of people or organizations with a common purpose
Constraints: org-1, so-1, so-2, so-3, ehx-sub-part-end-1
Organization.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Organization.Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Organization.Slices for extension.extension:domains This element must be supported. 1..* Coding Extension
URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/Domains
Binding: Domains (required)
Organization.Slices for extension.extension:hubservicesubscriptions This element must be supported. 0..* Coding Extension
URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/HubServiceSubscriptions
Binding: Hub Service Subscriptions (required)
Organization.Slices for extension.extension:administrativestatus This element must be supported. 0..1 Coding Extension
URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/AdministrativeStatus
Binding: Administrative Status (required)
Organization.Slices for extension.extension:hubroutingstatus This element must be supported. 0..1 Coding Extension
URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/HubRoutingStatus
Binding: Hub Routing Status (required)
Organization.Slices for extension.extension:initiatoronly This element must be supported. 0..1 Coding Extension
URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/InitiatorOnly
Binding: Initiator Only (required)
Organization.Slices for extension.extension:org-managing-org This element must be supported. 1..1 Reference(Sequoia Organization) Optional Extensions Element
URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/org-managing-org
Organization.Slices for extension.extension:purposesofuse This element must be supported. 0..* (Complex) Extension
URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/PurposesOfUse
Organization.Slices for extension.extension:purposesofuse.extension 0..0 Extension
Slice: Unordered, Open by value:url
Organization.Slices for extension.extension:purposesofuse.url 1..1 uri "https://sequoiaproject.org/fhir/sphd/StructureDefinition/PurposesOfUse"
Organization.Slices for extension.extension:purposesofuse.value[x] 1..1 CodeableConcept Value of extension
Binding: Purpose Of Use (required)
Organization.Slices for extension.extension:stateofoperation This element must be supported. 0..* Address Optional Extensions Element
URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/StateOfOperation
Organization.Slices for extension.extension:usecases This element must be supported. 0..* CodeableConcept Optional Extensions Element
URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/UseCases
Binding: Endpoint Use Case Codes (required)
Organization.Slices for extension.extension:transaction This element must be supported. 0..* CodeableConcept When used on an organization, this represents initiating transactions
URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/Transaction
Binding: Transactions (required)
Organization.Slices for extension.extension:delegation-role This element must be supported. 0..1 Coding Extension
URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/DelegationRole
Binding: Delegation Role Value Set (required)
Organization.Slices for extension.extension:organization-node-type 0..1 Coding Extension
URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/OrganizationNodeType
Binding: Organization Node Type ValueSet (required)
Organization.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Organization.Slices for identifier This element must be supported. This element is included in summaries. C 1..* Identifier Identifies this organization across multiple systems
Slice: Unordered, Open by pattern:$this

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Organization.Slices for identifier.identifier:NPI This element must be supported. This element is included in summaries. C 0..* Identifier National Provider Identifier (NPI)
Constraints: us-core-16, us-core-17

Required Pattern: 
{
  "system" : "http://hl7.org/fhir/sid/us-npi"
}
Organization.Slices for identifier.identifier:CLIA This element is included in summaries. C 0..* Identifier Clinical Laboratory Improvement Amendments (CLIA) Number for laboratories
Constraints: us-core-18

Required Pattern: 
{
  "system" : "urn:oid:2.16.840.1.113883.4.7"
}
Organization.Slices for identifier.identifier:NAIC This element must be supported. This element is included in summaries. C 0..* Identifier NAIC Code
Constraints: us-core-19

Required Pattern: 
{
  "system" : "urn:oid:2.16.840.1.113883.6.300"
}
Organization.Slices for identifier.identifier:USEIN This element must be supported. This element is included in summaries. C 0..* Identifier US Employer Identification Number (USEIN), also known as Federal EIN (FEIN)

Required Pattern: 
{
  "system" : "urn:oid:2.16.840.1.113883.4.4"
}
Organization.Slices for identifier.identifier:CCN This element must be supported. This element is included in summaries. C 0..1 Identifier CMS Certification Number (CCN)

Required Pattern: 
{
  "system" : "urn:oid:2.16.840.1.113883.4.336"
}
Organization.Slices for identifier.identifier:HCID This element must be supported. This element is included in summaries. C 1..1 Identifier OID (such as a Home Community ID) or UUID

Required Pattern: 
{
  "type" : {
    "coding" : [
      {
        "system" : "https://sequoiaproject.org/fhir/sphd/CodeSystem/SequoiaIdentifierCodes",
        "code" : "HCID"
      }
    ]
  },
  "system" : "urn:ietf:rfc:3986"
}
Organization.Slices for identifier.identifier:AAID This element must be supported. This element is included in summaries. C 0..* Identifier OID (such as an Assiging Authority ID) or UUID

Required Pattern: 
{
  "type" : {
    "coding" : [
      {
        "system" : "https://sequoiaproject.org/fhir/sphd/CodeSystem/SequoiaIdentifierCodes",
        "code" : "AAID"
      }
    ]
  },
  "system" : "urn:ietf:rfc:3986"
}
Organization.Slices for identifier.identifier:TEFCAID This element must be supported. This element is included in summaries. C 0..* Identifier TEFCA Identifier

Required Pattern: 
{
  "type" : {
    "coding" : [
      {
        "system" : "https://sequoiaproject.org/fhir/sphd/CodeSystem/SequoiaIdentifierCodes",
        "code" : "TEFCAID"
      }
    ]
  },
  "system" : "urn:ietf:rfc:3986"
}
Organization.active This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 boolean Whether the organization's record is still in active use
Organization.Slices for type This element must be supported. This element is included in summaries. 2..* CodeableConcept Kind of organization
Slice: Unordered, Open by pattern:$this
Binding: OrganizationType (example): Used to categorize the organization.

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Organization.Slices for type.type:sequoiaorgtype This element must be supported. This element is included in summaries. 1..1 CodeableConcept Kind of organization
Binding: Organization Type (required)

Required Pattern: 
{
  "coding" : [
    {
      "system" : "https://sequoiaproject.org/fhir/sphd/CodeSystem/OrganizationType",
      "code" : "Subparticipant"
    }
  ]
}
Organization.Slices for type.type:hl7orgrole This element must be supported. This element is included in summaries. 0..* CodeableConcept Kind of organization
Binding: OrganizationAffiliationRole (required)
Organization.name This element must be supported. This element is included in summaries. C 1..1 string Name used for the organization
Organization.alias This element must be supported. 0..* string A list of alternate names that the organization is known as, or was known as in the past
Organization.Slices for telecom This element must be supported. C 0..* ContactPoint A contact detail for the organization
Slice: Unordered, Open by value:system
Constraints: org-3

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Organization.Slices for telecom.telecom:phone This element must be supported. C 0..1 ContactPoint A contact detail for the organization
Constraints: org-3
Organization.Slices for telecom.telecom:phone.system This element must be supported. This element is included in summaries. C 1..1 code phone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.
Fixed Value: phone (no extensions allowed)
Organization.Slices for telecom.telecom:phone.value This element must be supported. This element is included in summaries. 0..1 string The actual contact point details
Organization.Slices for telecom.telecom:phone.use This element is a modifier element. This element is included in summaries. 0..1 code home | work | temp | old | mobile - purpose of this contact point
Binding: ContactPointUse (required): Use of contact point.
Organization.Slices for telecom.telecom:email This element must be supported. C 0..1 ContactPoint A contact detail for the organization
Constraints: org-3
Organization.Slices for telecom.telecom:email.system This element must be supported. This element is included in summaries. C 1..1 code phone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.
Fixed Value: email (no extensions allowed)
Organization.Slices for telecom.telecom:email.value This element must be supported. This element is included in summaries. 0..1 string The actual contact point details
Organization.Slices for telecom.telecom:email.use This element is a modifier element. This element is included in summaries. 0..1 code home | work | temp | old | mobile - purpose of this contact point
Binding: ContactPointUse (required): Use of contact point.
Organization.address This element must be supported. C 1..* Address An address for the organization
Constraints: org-2
Organization.address.Slices for extension This element must be supported. 1..* Reference(eHx Subparticipant Location) Extension
URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/OrgLocation profiled by https://sequoiaproject.org/fhir/ehx/StructureDefinition/eHxSubparticipantOrgLocation
Slice: Unordered, Open by value:url

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Organization.address.Slices for extension.extension:orglocation This element must be supported. 0..* Reference(eHx Subparticipant Location) Extension
URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/OrgLocation profiled by https://sequoiaproject.org/fhir/ehx/StructureDefinition/eHxSubparticipantOrgLocation
Organization.address.use This element is a modifier element. This element is included in summaries. 0..1 code home | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.
Example General: home
Organization.address.text This element must be supported. This element is included in summaries. 1..1 string Text representation of the address
Example General: 137 Nowhere Street, Erewhon 9132
Organization.address.line This element must be supported. This element is included in summaries. 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
Organization.address.city This element must be supported. This element is included in summaries. 0..1 string Name of city, town etc.
Example General: Erewhon
Organization.address.state This element must be supported. This element is included in summaries. 0..1 string Sub-unit of country (abbreviations ok)
Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes.
Organization.address.postalCode This element must be supported. This element is included in summaries. 0..1 string US Zip Codes
Example General: 9132
Organization.address.country This element must be supported. This element is included in summaries. 1..1 string Must be an ISO 3166 2 or 3 letter code, with 2 letter codes preferred for compliance with later versions of US Core Organization
Fixed Value: US (no extensions allowed)
Organization.partOf This element must be supported. This element is included in summaries. 0..1 Reference(eHx Organization) The organization of which this organization forms a part
Organization.contact This element must be supported. 0..* BackboneElement Contact for the organization for a certain purpose
Organization.contact.Slices for extension Content/Rules for all slices
Organization.contact.Slices for extension.extension:company This element must be supported. 0..* string Optional Extensions Element
URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/company
Organization.contact.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Organization.contact.Slices for telecom This element must be supported. 0..* ContactPoint Contact details (telephone, email, etc.) for a contact
Slice: Unordered, Open by value:system

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Organization.contact.Slices for telecom.telecom:phone This element must be supported. 0..* ContactPoint Contact details (telephone, email, etc.) for a contact
Organization.contact.Slices for telecom.telecom:phone.system This element must be supported. This element is included in summaries. C 1..1 code phone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.
Fixed Value: phone (no extensions allowed)
Organization.contact.Slices for telecom.telecom:phone.use This element is a modifier element. This element is included in summaries. 0..1 code home | work | temp | old | mobile - purpose of this contact point
Binding: ContactPointUse (required): Use of contact point.
Organization.contact.Slices for telecom.telecom:email This element must be supported. 0..1 ContactPoint Contact details (telephone, email, etc.) for a contact
Organization.contact.Slices for telecom.telecom:email.system This element must be supported. This element is included in summaries. C 1..1 code phone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.
Fixed Value: email (no extensions allowed)
Organization.contact.Slices for telecom.telecom:email.use This element is a modifier element. This element is included in summaries. 0..1 code home | work | temp | old | mobile - purpose of this contact point
Binding: ContactPointUse (required): Use of contact point.
Organization.contact.address This element must be supported. 0..1 Address Visiting or postal addresses for the contact
Organization.contact.address.use This element is a modifier element. This element is included in summaries. 0..1 code home | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.
Example General: home
Organization.contact.address.line This element must be supported. This element is included in summaries. 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
Organization.endpoint This element must be supported. 0..* Reference(eHx Endpoint) Technical endpoints providing access to services operated for the organization

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Organization.extension:purposesofuse.​value[x] Base required Purpose Of Use 📦1.18.0 This IG
Organization.type Base example Organization type 📦4.0.1 FHIR Std.
Organization.type:sequoiaorgtype Base required Organization Type 📦1.18.0 This IG
Organization.type:hl7orgrole Base required Organization Affiliation Role 📦4.0.1 FHIR Std.
Organization.telecom:phone.​system Base required ContactPointSystem 📍4.0.1 FHIR Std.
Organization.telecom:phone.​use Base required ContactPointUse 📍4.0.1 FHIR Std.
Organization.telecom:email.​system Base required ContactPointSystem 📍4.0.1 FHIR Std.
Organization.telecom:email.​use Base required ContactPointUse 📍4.0.1 FHIR Std.
Organization.address.​use Base required AddressUse 📍4.0.1 FHIR Std.
Organization.address.​state Base extensible USPS Two Letter Alphabetic Codes 📦6.1.0 US Core v6.1
Organization.contact.​telecom:phone.system Base required ContactPointSystem 📍4.0.1 FHIR Std.
Organization.contact.​telecom:phone.use Base required ContactPointUse 📍4.0.1 FHIR Std.
Organization.contact.​telecom:email.system Base required ContactPointSystem 📍4.0.1 FHIR Std.
Organization.contact.​telecom:email.use Base required ContactPointUse 📍4.0.1 FHIR Std.
Organization.contact.​address.use Base required AddressUse 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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()
ehx-sub-part-end-1 error Organization A sub-participant with a HubRoutingStatus of InitiatorOnly SHALL have no endpoints and SHALL specify the InitiatorOnly extension. A sub-participant without endpoints SHALL either have a HubRoutingStatus of InitiatorOnly or SHALL omit the HubServiceSubscriptions, AdministrativeStatus, and HubRoutingStatus extensions. ( Organization.extension .where( url = 'https://sequoiaproject.org/fhir/sphd/StructureDefinition/HubRoutingStatus' and value.ofType(Coding).code = 'InitiatorOnly' ) .exists() implies ( Organization.endpoint.empty() and Organization.extension .where(url = 'https://sequoiaproject.org/fhir/sphd/StructureDefinition/InitiatorOnly') .exists() ) ) and ( Organization.endpoint.empty() implies ( Organization.extension .where( url = 'https://sequoiaproject.org/fhir/sphd/StructureDefinition/HubRoutingStatus' and value.ofType(Coding).code = 'InitiatorOnly' ) .exists() or ( Organization.extension .where(url = 'https://sequoiaproject.org/fhir/sphd/StructureDefinition/HubServiceSubscriptions') .empty() and Organization.extension .where(url = 'https://sequoiaproject.org/fhir/sphd/StructureDefinition/AdministrativeStatus') .empty() and Organization.extension .where(url = 'https://sequoiaproject.org/fhir/sphd/StructureDefinition/HubRoutingStatus') .empty() ) ) )
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 error 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()
so-3 error Organization USEIN (also known as FEIN) must be 9 digits formatted as XX-XXXXXXX, or have a data-absent-reason of 'masked' identifier.where(system = 'urn:oid:2.16.840.1.113883.4.4').all(value.matches('^[0-9]{2}-[0-9]{7}$') or value.extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists(value = 'masked'))
us-core-16 error Organization.identifier:NPI NPI must be 10 digits value.matches('^[0-9]{10}$')
us-core-17 error Organization.identifier:NPI NPI check digit must be valid (Luhn algorithm check) (((select(value.substring(0,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(1,1).toInteger())+(select(value.substring(2,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(3,1).toInteger())+(select(value.substring(4,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(5,1).toInteger())+(select(value.substring(6,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(7,1).toInteger())+(select(value.substring(8,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(9,1).toInteger()) + 24)mod 10=0)
us-core-18 error Organization.identifier:CLIA CLIA number must be 10 digits with a letter "D" in third position value.matches('^[0-9]{2}D[0-9]{7}$')
us-core-19 error Organization.identifier:NAIC NAIC must be 5 digits value.matches('^[0-9]{5}$')

Differential View

This structure is derived from EHxOrganization

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Organization C 0..* EHxOrganization A grouping of people or organizations with a common purpose
Constraints: ehx-sub-part-end-1
Organization.extension 2..* Extension Extension
Organization.Slices for extension Content/Rules for all slices
Organization.Slices for extension.extension:org-managing-org 1..1 OrgManagingOrg Optional Extensions Element
Organization.Slices for type Content/Rules for all slices
Organization.Slices for type.type:sequoiaorgtype 1..1 CodeableConcept Kind of organization
Required Pattern: 
{
  "coding" : [
    {
      "system" : "https://sequoiaproject.org/fhir/sphd/CodeSystem/OrganizationType",
      "code" : "Subparticipant"
    }
  ]
}
Organization.address
Organization.address.extension This element must be supported. 1..* Reference(eHx Subparticipant Location) Extension
URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/OrgLocation profiled by https://sequoiaproject.org/fhir/ehx/StructureDefinition/eHxSubparticipantOrgLocation
Organization.address.Slices for extension Content/Rules for all slices
Organization.address.Slices for extension.extension:orglocation 0..* Reference(eHx Subparticipant Location) Extension
URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/OrgLocation profiled by https://sequoiaproject.org/fhir/ehx/StructureDefinition/eHxSubparticipantOrgLocation

doco Documentation for this format

Constraints

Id Grade Path(s) Description Expression
ehx-sub-part-end-1 error Organization A sub-participant with a HubRoutingStatus of InitiatorOnly SHALL have no endpoints and SHALL specify the InitiatorOnly extension. A sub-participant without endpoints SHALL either have a HubRoutingStatus of InitiatorOnly or SHALL omit the HubServiceSubscriptions, AdministrativeStatus, and HubRoutingStatus extensions. ( Organization.extension .where( url = 'https://sequoiaproject.org/fhir/sphd/StructureDefinition/HubRoutingStatus' and value.ofType(Coding).code = 'InitiatorOnly' ) .exists() implies ( Organization.endpoint.empty() and Organization.extension .where(url = 'https://sequoiaproject.org/fhir/sphd/StructureDefinition/InitiatorOnly') .exists() ) ) and ( Organization.endpoint.empty() implies ( Organization.extension .where( url = 'https://sequoiaproject.org/fhir/sphd/StructureDefinition/HubRoutingStatus' and value.ofType(Coding).code = 'InitiatorOnly' ) .exists() or ( Organization.extension .where(url = 'https://sequoiaproject.org/fhir/sphd/StructureDefinition/HubServiceSubscriptions') .empty() and Organization.extension .where(url = 'https://sequoiaproject.org/fhir/sphd/StructureDefinition/AdministrativeStatus') .empty() and Organization.extension .where(url = 'https://sequoiaproject.org/fhir/sphd/StructureDefinition/HubRoutingStatus') .empty() ) ) )

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Organization C 0..* EHxOrganization A grouping of people or organizations with a common purpose
Constraints: org-1, so-1, so-2, so-3, ehx-sub-part-end-1
Organization.id This element is included in summaries. 0..1 id Logical id of this artifact
Organization.meta This element is included in summaries. 0..1 Meta Metadata about the resource
Organization.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Organization.language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
Organization.text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Organization.contained 0..* Resource Contained, inline Resources
Organization.Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Organization.Slices for extension.extension:domains This element must be supported. 1..* Coding Extension
URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/Domains
Binding: Domains (required)
Organization.Slices for extension.extension:hubservicesubscriptions This element must be supported. 0..* Coding Extension
URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/HubServiceSubscriptions
Binding: Hub Service Subscriptions (required)
Organization.Slices for extension.extension:administrativestatus This element must be supported. 0..1 Coding Extension
URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/AdministrativeStatus
Binding: Administrative Status (required)
Organization.Slices for extension.extension:hubroutingstatus This element must be supported. 0..1 Coding Extension
URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/HubRoutingStatus
Binding: Hub Routing Status (required)
Organization.Slices for extension.extension:initiatoronly This element must be supported. 0..1 Coding Extension
URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/InitiatorOnly
Binding: Initiator Only (required)
Organization.Slices for extension.extension:org-managing-org This element must be supported. 1..1 Reference(Sequoia Organization) Optional Extensions Element
URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/org-managing-org
Organization.Slices for extension.extension:purposesofuse This element must be supported. 0..* (Complex) Extension
URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/PurposesOfUse
Organization.Slices for extension.extension:purposesofuse.id 0..1 string Unique id for inter-element referencing
Organization.Slices for extension.extension:purposesofuse.extension 0..0 Extension
Slice: Unordered, Open by value:url
Organization.Slices for extension.extension:purposesofuse.url 1..1 uri "https://sequoiaproject.org/fhir/sphd/StructureDefinition/PurposesOfUse"
Organization.Slices for extension.extension:purposesofuse.value[x] 1..1 CodeableConcept Value of extension
Binding: Purpose Of Use (required)
Organization.Slices for extension.extension:stateofoperation This element must be supported. 0..* Address Optional Extensions Element
URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/StateOfOperation
Organization.Slices for extension.extension:usecases This element must be supported. 0..* CodeableConcept Optional Extensions Element
URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/UseCases
Binding: Endpoint Use Case Codes (required)
Organization.Slices for extension.extension:transaction This element must be supported. 0..* CodeableConcept When used on an organization, this represents initiating transactions
URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/Transaction
Binding: Transactions (required)
Organization.Slices for extension.extension:delegation-role This element must be supported. 0..1 Coding Extension
URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/DelegationRole
Binding: Delegation Role Value Set (required)
Organization.Slices for extension.extension:organization-node-type 0..1 Coding Extension
URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/OrganizationNodeType
Binding: Organization Node Type ValueSet (required)
Organization.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Organization.Slices for identifier This element must be supported. This element is included in summaries. C 1..* Identifier Identifies this organization across multiple systems
Slice: Unordered, Open by pattern:$this

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Organization.Slices for identifier.identifier:NPI This element must be supported. This element is included in summaries. C 0..* Identifier National Provider Identifier (NPI)
Constraints: us-core-16, us-core-17

Required Pattern: 
{
  "system" : "http://hl7.org/fhir/sid/us-npi"
}
Organization.Slices for identifier.identifier:CLIA This element is included in summaries. C 0..* Identifier Clinical Laboratory Improvement Amendments (CLIA) Number for laboratories
Constraints: us-core-18

Required Pattern: 
{
  "system" : "urn:oid:2.16.840.1.113883.4.7"
}
Organization.Slices for identifier.identifier:NAIC This element must be supported. This element is included in summaries. C 0..* Identifier NAIC Code
Constraints: us-core-19

Required Pattern: 
{
  "system" : "urn:oid:2.16.840.1.113883.6.300"
}
Organization.Slices for identifier.identifier:USEIN This element must be supported. This element is included in summaries. C 0..* Identifier US Employer Identification Number (USEIN), also known as Federal EIN (FEIN)

Required Pattern: 
{
  "system" : "urn:oid:2.16.840.1.113883.4.4"
}
Organization.Slices for identifier.identifier:CCN This element must be supported. This element is included in summaries. C 0..1 Identifier CMS Certification Number (CCN)

Required Pattern: 
{
  "system" : "urn:oid:2.16.840.1.113883.4.336"
}
Organization.Slices for identifier.identifier:HCID This element must be supported. This element is included in summaries. C 1..1 Identifier OID (such as a Home Community ID) or UUID

Required Pattern: 
{
  "type" : {
    "coding" : [
      {
        "system" : "https://sequoiaproject.org/fhir/sphd/CodeSystem/SequoiaIdentifierCodes",
        "code" : "HCID"
      }
    ]
  },
  "system" : "urn:ietf:rfc:3986"
}
Organization.Slices for identifier.identifier:AAID This element must be supported. This element is included in summaries. C 0..* Identifier OID (such as an Assiging Authority ID) or UUID

Required Pattern: 
{
  "type" : {
    "coding" : [
      {
        "system" : "https://sequoiaproject.org/fhir/sphd/CodeSystem/SequoiaIdentifierCodes",
        "code" : "AAID"
      }
    ]
  },
  "system" : "urn:ietf:rfc:3986"
}
Organization.Slices for identifier.identifier:TEFCAID This element must be supported. This element is included in summaries. C 0..* Identifier TEFCA Identifier

Required Pattern: 
{
  "type" : {
    "coding" : [
      {
        "system" : "https://sequoiaproject.org/fhir/sphd/CodeSystem/SequoiaIdentifierCodes",
        "code" : "TEFCAID"
      }
    ]
  },
  "system" : "urn:ietf:rfc:3986"
}
Organization.active This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 boolean Whether the organization's record is still in active use
Organization.Slices for type This element must be supported. This element is included in summaries. 2..* CodeableConcept Kind of organization
Slice: Unordered, Open by pattern:$this
Binding: OrganizationType (example): Used to categorize the organization.

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Organization.Slices for type.type:sequoiaorgtype This element must be supported. This element is included in summaries. 1..1 CodeableConcept Kind of organization
Binding: Organization Type (required)

Required Pattern: 
{
  "coding" : [
    {
      "system" : "https://sequoiaproject.org/fhir/sphd/CodeSystem/OrganizationType",
      "code" : "Subparticipant"
    }
  ]
}
Organization.Slices for type.type:hl7orgrole This element must be supported. This element is included in summaries. 0..* CodeableConcept Kind of organization
Binding: OrganizationAffiliationRole (required)
Organization.name This element must be supported. This element is included in summaries. C 1..1 string Name used for the organization
Organization.alias This element must be supported. 0..* string A list of alternate names that the organization is known as, or was known as in the past
Organization.Slices for telecom This element must be supported. C 0..* ContactPoint A contact detail for the organization
Slice: Unordered, Open by value:system
Constraints: org-3

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Organization.Slices for telecom.telecom:phone This element must be supported. C 0..1 ContactPoint A contact detail for the organization
Constraints: org-3
Organization.Slices for telecom.telecom:phone.id 0..1 string Unique id for inter-element referencing
Organization.Slices for telecom.telecom:phone.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Organization.Slices for telecom.telecom:phone.system This element must be supported. This element is included in summaries. C 1..1 code phone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.
Fixed Value: phone (no extensions allowed)
Organization.Slices for telecom.telecom:phone.value This element must be supported. This element is included in summaries. 0..1 string The actual contact point details
Organization.Slices for telecom.telecom:phone.use This element is a modifier element. This element is included in summaries. 0..1 code home | work | temp | old | mobile - purpose of this contact point
Binding: ContactPointUse (required): Use of contact point.
Organization.Slices for telecom.telecom:phone.rank This element is included in summaries. 0..1 positiveInt Specify preferred order of use (1 = highest)
Organization.Slices for telecom.telecom:phone.period This element is included in summaries. 0..1 Period Time period when the contact point was/is in use
Organization.Slices for telecom.telecom:email This element must be supported. C 0..1 ContactPoint A contact detail for the organization
Constraints: org-3
Organization.Slices for telecom.telecom:email.id 0..1 string Unique id for inter-element referencing
Organization.Slices for telecom.telecom:email.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Organization.Slices for telecom.telecom:email.system This element must be supported. This element is included in summaries. C 1..1 code phone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.
Fixed Value: email (no extensions allowed)
Organization.Slices for telecom.telecom:email.value This element must be supported. This element is included in summaries. 0..1 string The actual contact point details
Organization.Slices for telecom.telecom:email.use This element is a modifier element. This element is included in summaries. 0..1 code home | work | temp | old | mobile - purpose of this contact point
Binding: ContactPointUse (required): Use of contact point.
Organization.Slices for telecom.telecom:email.rank This element is included in summaries. 0..1 positiveInt Specify preferred order of use (1 = highest)
Organization.Slices for telecom.telecom:email.period This element is included in summaries. 0..1 Period Time period when the contact point was/is in use
Organization.address This element must be supported. C 1..* Address An address for the organization
Constraints: org-2
Organization.address.id 0..1 string Unique id for inter-element referencing
Organization.address.Slices for extension This element must be supported. 1..* Reference(eHx Subparticipant Location) Extension
URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/OrgLocation profiled by https://sequoiaproject.org/fhir/ehx/StructureDefinition/eHxSubparticipantOrgLocation
Slice: Unordered, Open by value:url

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Organization.address.Slices for extension.extension:orglocation This element must be supported. 0..* Reference(eHx Subparticipant Location) Extension
URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/OrgLocation profiled by https://sequoiaproject.org/fhir/ehx/StructureDefinition/eHxSubparticipantOrgLocation
Organization.address.use This element is a modifier element. This element is included in summaries. 0..1 code home | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.
Example General: home
Organization.address.type This element is included in summaries. 0..1 code postal | physical | both
Binding: AddressType (required): The type of an address (physical / postal).
Example General: both
Organization.address.text This element must be supported. This element is included in summaries. 1..1 string Text representation of the address
Example General: 137 Nowhere Street, Erewhon 9132
Organization.address.line This element must be supported. This element is included in summaries. 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
Organization.address.city This element must be supported. This element is included in summaries. 0..1 string Name of city, town etc.
Example General: Erewhon
Organization.address.district This element is included in summaries. 0..1 string District name (aka county)
Example General: Madison
Organization.address.state This element must be supported. This element is included in summaries. 0..1 string Sub-unit of country (abbreviations ok)
Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes.
Organization.address.postalCode This element must be supported. This element is included in summaries. 0..1 string US Zip Codes
Example General: 9132
Organization.address.country This element must be supported. This element is included in summaries. 1..1 string Must be an ISO 3166 2 or 3 letter code, with 2 letter codes preferred for compliance with later versions of US Core Organization
Fixed Value: US (no extensions allowed)
Organization.address.period This element is included in summaries. 0..1 Period Time period when address was/is in use
Example General: {"start":"2010-03-23","end":"2010-07-01"}
Organization.partOf This element must be supported. This element is included in summaries. 0..1 Reference(eHx Organization) The organization of which this organization forms a part
Organization.contact This element must be supported. 0..* BackboneElement Contact for the organization for a certain purpose
Organization.contact.id 0..1 string Unique id for inter-element referencing
Organization.contact.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Organization.contact.Slices for extension.extension:company This element must be supported. 0..* string Optional Extensions Element
URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/company
Organization.contact.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Organization.contact.purpose 0..1 CodeableConcept The type of contact
Binding: ContactEntityType (extensible): The purpose for which you would contact a contact party.
Organization.contact.name 0..1 HumanName A name associated with the contact
Organization.contact.Slices for telecom This element must be supported. 0..* ContactPoint Contact details (telephone, email, etc.) for a contact
Slice: Unordered, Open by value:system

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Organization.contact.Slices for telecom.telecom:phone This element must be supported. 0..* ContactPoint Contact details (telephone, email, etc.) for a contact
Organization.contact.Slices for telecom.telecom:phone.id 0..1 string Unique id for inter-element referencing
Organization.contact.Slices for telecom.telecom:phone.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Organization.contact.Slices for telecom.telecom:phone.system This element must be supported. This element is included in summaries. C 1..1 code phone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.
Fixed Value: phone (no extensions allowed)
Organization.contact.Slices for telecom.telecom:phone.value This element is included in summaries. 0..1 string The actual contact point details
Organization.contact.Slices for telecom.telecom:phone.use This element is a modifier element. This element is included in summaries. 0..1 code home | work | temp | old | mobile - purpose of this contact point
Binding: ContactPointUse (required): Use of contact point.
Organization.contact.Slices for telecom.telecom:phone.rank This element is included in summaries. 0..1 positiveInt Specify preferred order of use (1 = highest)
Organization.contact.Slices for telecom.telecom:phone.period This element is included in summaries. 0..1 Period Time period when the contact point was/is in use
Organization.contact.Slices for telecom.telecom:email This element must be supported. 0..1 ContactPoint Contact details (telephone, email, etc.) for a contact
Organization.contact.Slices for telecom.telecom:email.id 0..1 string Unique id for inter-element referencing
Organization.contact.Slices for telecom.telecom:email.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Organization.contact.Slices for telecom.telecom:email.system This element must be supported. This element is included in summaries. C 1..1 code phone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.
Fixed Value: email (no extensions allowed)
Organization.contact.Slices for telecom.telecom:email.value This element is included in summaries. 0..1 string The actual contact point details
Organization.contact.Slices for telecom.telecom:email.use This element is a modifier element. This element is included in summaries. 0..1 code home | work | temp | old | mobile - purpose of this contact point
Binding: ContactPointUse (required): Use of contact point.
Organization.contact.Slices for telecom.telecom:email.rank This element is included in summaries. 0..1 positiveInt Specify preferred order of use (1 = highest)
Organization.contact.Slices for telecom.telecom:email.period This element is included in summaries. 0..1 Period Time period when the contact point was/is in use
Organization.contact.address This element must be supported. 0..1 Address Visiting or postal addresses for the contact
Organization.contact.address.id 0..1 string Unique id for inter-element referencing
Organization.contact.address.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Organization.contact.address.use This element is a modifier element. This element is included in summaries. 0..1 code home | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.
Example General: home
Organization.contact.address.type This element is included in summaries. 0..1 code postal | physical | both
Binding: AddressType (required): The type of an address (physical / postal).
Example General: both
Organization.contact.address.text This element is included in summaries. 0..1 string Text representation of the address
Example General: 137 Nowhere Street, Erewhon 9132
Organization.contact.address.line This element must be supported. This element is included in summaries. 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
Organization.contact.address.city This element is included in summaries. 0..1 string Name of city, town etc.
Example General: Erewhon
Organization.contact.address.district This element is included in summaries. 0..1 string District name (aka county)
Example General: Madison
Organization.contact.address.state This element is included in summaries. 0..1 string Sub-unit of country (abbreviations ok)
Organization.contact.address.postalCode This element is included in summaries. 0..1 string Postal code for area
Example General: 9132
Organization.contact.address.country This element is included in summaries. 0..1 string Country (e.g. can be ISO 3166 2 or 3 letter code)
Organization.contact.address.period This element is included in summaries. 0..1 Period Time period when address was/is in use
Example General: {"start":"2010-03-23","end":"2010-07-01"}
Organization.endpoint This element must be supported. 0..* Reference(eHx Endpoint) Technical endpoints providing access to services operated for the organization

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Organization.language Base preferred Common Languages 📦4.0.1 FHIR Std.
Organization.extension:purposesofuse.​value[x] Base required Purpose Of Use 📦1.18.0 This IG
Organization.type Base example Organization type 📦4.0.1 FHIR Std.
Organization.type:sequoiaorgtype Base required Organization Type 📦1.18.0 This IG
Organization.type:hl7orgrole Base required Organization Affiliation Role 📦4.0.1 FHIR Std.
Organization.telecom:phone.​system Base required ContactPointSystem 📍4.0.1 FHIR Std.
Organization.telecom:phone.​use Base required ContactPointUse 📍4.0.1 FHIR Std.
Organization.telecom:email.​system Base required ContactPointSystem 📍4.0.1 FHIR Std.
Organization.telecom:email.​use Base required ContactPointUse 📍4.0.1 FHIR Std.
Organization.address.​use Base required AddressUse 📍4.0.1 FHIR Std.
Organization.address.​type Base required AddressType 📍4.0.1 FHIR Std.
Organization.address.​state Base extensible USPS Two Letter Alphabetic Codes 📦6.1.0 US Core v6.1
Organization.contact.​purpose Base extensible Contact entity type 📦4.0.1 FHIR Std.
Organization.contact.​telecom:phone.system Base required ContactPointSystem 📍4.0.1 FHIR Std.
Organization.contact.​telecom:phone.use Base required ContactPointUse 📍4.0.1 FHIR Std.
Organization.contact.​telecom:email.system Base required ContactPointSystem 📍4.0.1 FHIR Std.
Organization.contact.​telecom:email.use Base required ContactPointUse 📍4.0.1 FHIR Std.
Organization.contact.​address.use Base required AddressUse 📍4.0.1 FHIR Std.
Organization.contact.​address.type Base required AddressType 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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()
ehx-sub-part-end-1 error Organization A sub-participant with a HubRoutingStatus of InitiatorOnly SHALL have no endpoints and SHALL specify the InitiatorOnly extension. A sub-participant without endpoints SHALL either have a HubRoutingStatus of InitiatorOnly or SHALL omit the HubServiceSubscriptions, AdministrativeStatus, and HubRoutingStatus extensions. ( Organization.extension .where( url = 'https://sequoiaproject.org/fhir/sphd/StructureDefinition/HubRoutingStatus' and value.ofType(Coding).code = 'InitiatorOnly' ) .exists() implies ( Organization.endpoint.empty() and Organization.extension .where(url = 'https://sequoiaproject.org/fhir/sphd/StructureDefinition/InitiatorOnly') .exists() ) ) and ( Organization.endpoint.empty() implies ( Organization.extension .where( url = 'https://sequoiaproject.org/fhir/sphd/StructureDefinition/HubRoutingStatus' and value.ofType(Coding).code = 'InitiatorOnly' ) .exists() or ( Organization.extension .where(url = 'https://sequoiaproject.org/fhir/sphd/StructureDefinition/HubServiceSubscriptions') .empty() and Organization.extension .where(url = 'https://sequoiaproject.org/fhir/sphd/StructureDefinition/AdministrativeStatus') .empty() and Organization.extension .where(url = 'https://sequoiaproject.org/fhir/sphd/StructureDefinition/HubRoutingStatus') .empty() ) ) )
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 error 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()
so-3 error Organization USEIN (also known as FEIN) must be 9 digits formatted as XX-XXXXXXX, or have a data-absent-reason of 'masked' identifier.where(system = 'urn:oid:2.16.840.1.113883.4.4').all(value.matches('^[0-9]{2}-[0-9]{7}$') or value.extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists(value = 'masked'))
us-core-16 error Organization.identifier:NPI NPI must be 10 digits value.matches('^[0-9]{10}$')
us-core-17 error Organization.identifier:NPI NPI check digit must be valid (Luhn algorithm check) (((select(value.substring(0,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(1,1).toInteger())+(select(value.substring(2,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(3,1).toInteger())+(select(value.substring(4,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(5,1).toInteger())+(select(value.substring(6,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(7,1).toInteger())+(select(value.substring(8,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(9,1).toInteger()) + 24)mod 10=0)
us-core-18 error Organization.identifier:CLIA CLIA number must be 10 digits with a letter "D" in third position value.matches('^[0-9]{2}D[0-9]{7}$')
us-core-19 error Organization.identifier:NAIC NAIC must be 5 digits value.matches('^[0-9]{5}$')

This structure is derived from EHxOrganization

Summary

Mandatory: 2 elements
Must-Support: 1 element

Extensions

This structure refers to these extensions:

 

Other representations of profile: CSV, Excel, Schematron