ZD Organization Activation

A resource conforming to this profile is requested by ZorgDomein during the process of auto-activation to obtain the organization details that belong to the customer code that the user has entered in ZorgDomein. Queries on the https://[FHIRServerUrl]/Organization endpoint may include the following query parameters:

identifier=[system]|[code]: [system] contains the system uri for the coding system that was chosen by the XIS supplier, [code] contains the value of the custom code that the user has entered in ZorgDomein during the process of auto-activation (see auto-activation, step 2).

The canonical URL for this profile is:

http://zorgdomein.nl/fhir/StructureDefinition/zd-organization-activation

This profile builds on Organization.

diffhybridsnap

Organization	S	0..*	Organization	Element Id Organization Short description A grouping of people or organizations with a common purpose Definition A formally or informally recognized grouping of people or organizations formed for the purpose of achieving some form of collective action. Includes companies, institutions, corporations, departments, community groups, healthcare practice groups, etc. Data Type Organization Constraints dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources `contained.contained.empty()` dom-1:If the resource is contained in another resource, it SHALL NOT contain any narrative `contained.text.empty()` dom-4: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-3:If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource `contained.where(('#'+id in %resource.descendants().reference).not()).empty()` org-1:The organization SHALL at least have a name or an id, and possibly more than one `(identifier.count() + name.count()) > 0` Mappings rim:Entity. Role, or Act v2:(also see master files messages) rim:Organization(classCode=ORG, determinerCode=INST) servd:Organization w5:administrative.group
identifier	S Σ	1..1	Identifier	Element Id Organization.identifier Short description Identifies this organization across multiple systems Definition Identifier for the organization that is used to identify the organization across multiple disparate systems. Requirements Organizations are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the organization. Data Type Identifier Constraints ele-1:All FHIR elements must have a @value or children `hasValue() \| (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - see see identifier pattern at http://wiki.hl7.org/index.php?title=Common_Design_Patterns#Identifier_Pattern for relevant discussion. The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier v2:XON.10 / XON.3 rim:.scopes[Role](classCode=IDENT) servd:./Identifiers w5:id
use	Σ ?!	0..1	codeBinding	Element Id Organization.identifier.use Short description usual \| official \| temp \| secondary (If known) Definition The purpose of this identifier. Requirements Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Comments This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Data Type code Binding IdentifierUse (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() \| (children().count() > id.count())` Mappings rim:n/a v2:N/A rim:Role.code or implied by context
type	Σ	0..1	CodeableConceptBinding	Element Id Organization.identifier.type Short description Description of identifier Definition A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Requirements Allows users to make use of identifiers when the identifier system is not known. Comments This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. Data Type CodeableConcept Binding Identifier Type Codes (extensible) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() \| (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD v2:CX.5 rim:Role.code or implied by context
system	S Σ	1..1	uri	Element Id Organization.identifier.system Short description The namespace for the identifier value Definition Establishes the namespace for the value - that is, a URL that describes a set values that are unique. Requirements There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. Comments see http://en.wikipedia.org/wiki/Uniform_resource_identifier Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() \| (children().count() > id.count())` Examples General http://www.acme.com/identifiers/patient Mappings rim:n/a v2:CX.4 / EI-2-4 rim:II.root or Role.id.root servd:./IdentifierType
value	S Σ	1..1	string	Element Id Organization.identifier.value Short description The value that is unique Definition The portion of the identifier typically relevant to the user and which is unique within the context of the system. Comments If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() \| (children().count() > id.count())` Examples General 123456 Mappings rim:n/a v2:CX.1 / EI.1 rim:II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) servd:./Value
period	Σ	0..1	Period	Element Id Organization.identifier.period Short description Time period when id is/was valid for use Definition Time period during which identifier is/was valid for use. Comments This is not a duration - that's a measure of time (a separate type), but a duration that occurs at a fixed value of time. A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). If duration is required, specify the type as Interval\|Duration. Data Type Period Constraints ele-1:All FHIR elements must have a @value or children `hasValue() \| (children().count() > id.count())` per-1:If present, start SHALL have a lower value than end `start.empty() or end.empty() or (start <= end)` Mappings rim:n/a v2:DR rim:IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2:CX.7 + CX.8 rim:Role.effectiveTime or implied by context servd:./StartDate and ./EndDate
assigner	Σ	0..1	Reference(Organization)	Element Id Organization.identifier.assigner Short description Organization that issued id (may be just text) Definition Organization that issued/manages the identifier. Comments The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization. Data Type Reference(Organization) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() \| (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) v2:CX.4 / (CX.4,CX.9,CX.10) rim:II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper servd:./IdentifierIssuingAuthority
active	Σ ?!	0..1	boolean	Element Id Organization.active Short description Whether the organization's record is still in active use Definition Whether the organization's record is still in active use. Requirements Need a flag to indicate a record is no longer to be used and should generally be hidden for the user in the UI. Comments Default is true. This active flag is not intended to be used to mark an organizations as temporarily closed or under construction. Instead the Location(s) within the Organization should have the suspended status. If further details of the reason for the suspension are required, then an extension on this element should be used. This element is labeled as a modifier because it may be used to mark that the resource was created in error. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() \| (children().count() > id.count())` Default value true Mappings rim:n/a v2:No equivalent in HL7 v2 rim:.status servd:./Status (however this concept in ServD more covers why the organization is active or not, could be delisted, deregistered, not operational yet) this could alternatively be derived from ./StartDate and ./EndDate and given a context date. w5:status
type	Σ	0..*	CodeableConcept	Element Id Organization.type Short description Kind of organization Definition The kind(s) of organization that this is. Requirements Need to be able to track the kind of organization that this is - different organization types have different uses. Comments Organizations can be corporations, wards, sections, clinical teams, government departments, etc. Note that code is generally a classifier of the type of organization; in many applications, codes are used to identity a particular organization (say, ward) as opposed to another of the same type - these are identifiers, not codes When considering if multiple types are appropriate, you should evaluate if child organizations would be a more appropriate use of the concept, as different types likely are in different sub-areas of the organization. This is most likely to be used where type values have orthogonal values, such as a religious, academic and medical center. We expect that some jurisdictions will profile this optionality to be a single cardinality. Data Type CodeableConcept Binding OrganizationType (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() \| (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD v2:No equivalent in v2 rim:.code servd:n/a w5:class
name	S Σ	1..1	string	Element Id Organization.name Short description Name used for the organization Definition A name associated with the organization. Requirements Need to use the name as the label of the organization. Comments If the name of an organization changes, consider putting the old name in the alias column so that it can still be located through searches. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() \| (children().count() > id.count())` Mappings rim:n/a v2:XON.1 rim:.name servd:.PreferredName/Name
alias		0..*	string	Element Id Organization.alias Short description A list of alternate names that the organization is known as, or was known as in the past Definition A list of alternate names that the organization is known as, or was known as in the past. Requirements Over time locations and organizations go through many changes and can be known by different names. For searching knowing previous names that the organization was known by can be very useful. Comments There are no dates associated with the alias/historic names, as this is not intended to track when names were used, but to assist in searching so that older names can still result in identifying the organization. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() \| (children().count() > id.count())` Mappings rim:n/a rim:.name
telecom		0..*	ContactPoint	Element Id Organization.telecom Short description A contact detail for the organization Definition A contact detail for the organization. Requirements Human contact for the organization. Comments The use code home is not to be used. Note that these contacts are not the contact details of people who are employed by or represent the organization, but official contacts for the organization itself. Data Type ContactPoint Constraints ele-1:All FHIR elements must have a @value or children `hasValue() \| (children().count() > id.count())` cpt-2:A system is required if a value is provided. `value.empty() or system.exists()` org-3:The telecom of an organization can never be of use 'home' `where(use = 'home').empty()` Mappings rim:n/a v2:XTN rim:TEL servd:ContactPoint v2:ORC-22? rim:.telecom servd:./ContactPoints
address	S	1..1	http://fhir.nl/fhir/StructureDefinition/nl-core-address	Element Id Organization.address Short description An address for the organization Definition An address for the organization. Requirements May need to keep track of the organization's addresses for contacting, billing or reporting requirements. Comments Organization may have multiple addresses with different uses or applicable periods. The use code home is not to be used. Data Type http://fhir.nl/fhir/StructureDefinition/nl-core-address Constraints ele-1:All FHIR elements must have a @value or children `hasValue() \| (children().count() > id.count())` org-2:An address of an organization can never be of use 'home' `where(use = 'home').empty()` Mappings rim:n/a v2:XAD rim:AD servd:Address v2:ORC-23? rim:.address servd:./PrimaryAddress and ./OtherAddresses
partOf	Σ	0..1	Reference(Organization)	Element Id Organization.partOf Short description The organization of which this organization forms a part Definition The organization of which this organization forms a part. Requirements Need to be able to track the hierarchy of organizations within an organization. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Organization) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() \| (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) v2:No equivalent in HL7 v2 rim:.playedBy[classCode=Part].scoper servd:n/a
contact		0..*	BackboneElement	Element Id Organization.contact Short description Contact for the organization for a certain purpose Definition Contact for the organization for a certain purpose. Requirements Need to keep track of assigned contact points within bigger organization. Comments Where multiple contacts for the same purpose are provided there is a standard extension that can be used to determine which one is the preferred contact to use. Data Type BackboneElement Constraints ele-1:All FHIR elements must have a @value or children `hasValue() \| (children().count() > id.count())` Mappings rim:n/a rim:.contactParty
purpose		0..1	CodeableConceptBinding	Element Id Organization.contact.purpose Short description The type of contact Definition Indicates a purpose for which the contact can be reached. Requirements Need to distinguish between multiple contact persons. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data Type CodeableConcept Binding ContactEntityType (extensible) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() \| (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD rim:./type
name		0..1	HumanName	Element Id Organization.contact.name Short description A name associated with the contact Definition A name associated with the contact. Requirements Need to be able to track the person by name. Comments Names may be changed, or repudiated, or people may have different names in different contexts. Names may be divided into parts of different type that have variable significance depending on context, though the division into parts does not always matter. With personal names, the different parts may or may not be imbued with some implicit meaning; various cultures associate different importance with the name parts and the degree to which systems must care about name parts around the world varies widely. Data Type HumanName Constraints ele-1:All FHIR elements must have a @value or children `hasValue() \| (children().count() > id.count())` Mappings rim:n/a v2:XPN rim:EN (actually, PN) servd:ProviderName v2:PID-5, PID-9 rim:./name
telecom		0..*	ContactPoint	Element Id Organization.contact.telecom Short description Contact details (telephone, email, etc.) for a contact Definition A contact detail (e.g. a telephone number or an email address) by which the party may be contacted. Requirements People have (primary) ways to contact them in some way such as phone, email. Data Type ContactPoint Constraints ele-1:All FHIR elements must have a @value or children `hasValue() \| (children().count() > id.count())` cpt-2:A system is required if a value is provided. `value.empty() or system.exists()` Mappings rim:n/a v2:XTN rim:TEL servd:ContactPoint v2:PID-13, PID-14 rim:./telecom
address		0..1	Address	Element Id Organization.contact.address Short description Visiting or postal addresses for the contact Definition Visiting or postal addresses for the contact. Requirements May need to keep track of a contact party's address for contacting, billing or reporting requirements. Comments Note: address is for postal addresses, not physical locations. Data Type Address Constraints ele-1:All FHIR elements must have a @value or children `hasValue() \| (children().count() > id.count())` Mappings rim:n/a v2:XAD rim:AD servd:Address v2:PID-11 rim:./addr
endpoint		0..*	Reference(Endpoint)	Element Id Organization.endpoint Short description Technical endpoints providing access to services operated for the organization Definition Technical endpoints providing access to services operated for the organization. Requirements Organizations have multiple systems that provide various services and need to be able to define the technical connection details for how to connect to them, and for what purpose. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Endpoint) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() \| (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity)

See the profile on simplifier.net for additional details.

Resource example

Below you find an example of an Organization resource that conforms to the ZD Organization Activation profile.

{
  "resourceType": "Organization",
  "id": "zd-organization-activation-1",
  "meta": {
    "profile": [
      "http://zorgdomein.nl/fhir/StructureDefinition/zd-organization-activation"
    ]
  },
  "identifier": [
    {
      "system": "http://zorgdomein.nl/fhir/identifier/local",
      "value": "61944012-80ea-11eb-9439-0242ac130002"
    }
  ],
  "name": "Voorbeeldziekenhuis Breukelen",
  "address": [
    {
      "extension": [
        {
          "url": "http://fhir.nl/fhir/StructureDefinition/nl-core-address-official",
          "valueBoolean": true
        }
      ],
      "use": "work",
      "type": "both",
      "line": [
        "Straatweg 68"
      ],
      "_line": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName",
              "valueString": "Straatweg"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber",
              "valueString": "68"
            }
          ]
        }
      ],
      "city": "Breukelen",
      "postalCode": "3621BR",
      "country": "NL"
    }
  ]
}

<Organization xmlns='http://hl7.org/fhir'>
  <id value='zd-organization-activation-1'/>
  <meta>
    <profile value='http://zorgdomein.nl/fhir/StructureDefinition/zd-organization-activation'/>
  </meta>
  <identifier>
    <system value='http://zorgdomein.nl/fhir/identifier/local'/>
    <value value='61944012-80ea-11eb-9439-0242ac130002'/>
  </identifier>
  <name value='Voorbeeldziekenhuis Breukelen'/>
  <address>
    <extension url='http://fhir.nl/fhir/StructureDefinition/nl-core-address-official'>
      <valueBoolean value='true'/>
    </extension>
    <use value='work'/>
    <type value='both'/>
    <line value='Straatweg 68'>
      <extension url='http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName'>
        <valueString value='Straatweg'/>
      </extension>
      <extension url='http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber'>
        <valueString value='68'/>
      </extension>
    </line>
    <city value='Breukelen'/>
    <postalCode value='3621BR'/>
    <country value='NL'/>
  </address>
</Organization>

ZD Organization Activation

Resource example

Questions or comments?

Thank you!