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StructureDefinition: ehealth-organization

Introduction

An Organizations is 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.

Scope and Usage

In scope of the eHealth infrastructure Organizations are limited to represent organizations in the Danish healthcare system as defined by the national health organization registry, SOR, and the joint municipalities IT community (KOMBIT) Support System Organisation, STS-ORG.

From these sources Organizations are automatically imported into the eHealth infrastructure. It is not the intention that users of the infrastructure should create any other Organization resources.

For SSL supplier organizations not maintained by the SOR or STS-ORG registries, it is possible to manually create and maintain these organizations.

Identifiers

Organizations are imported into the eHealth infrastructure from SOR and STS-ORG. This means that organisations can have different identifiers depending on the source system. For some organisations (for instance SSL suppliers), organizations can use a business registration number (CVR number) as identifier.

• SOR-ID: “urn:oid:1.2.208.176.1.1”
• KOMBIT STS-ORG-ID: “https://www.kombit.dk/sts/organisation”
• CVR number: “urn:oid:2.16.840.1.113883.2.24.1.1”

Organizations created manually are not allowed to have identifiers of types SOR-ID or KOMBIT STS-ORG-ID.

Source

The origin of an Organization is maintained in the extension organization-source which currently has the following concepts:

• SOR for an organisation imported from SOR
• STS-ORG for an organisation imported from STS-ORG
• manual for a manually created organisation

Import and merge

SOR supplies a list of updates each night. These updates will be merged into the existing organisation resources in the database.

STS-ORG provides a number of webservices where the newest organisation data can be fetched.

Contact information can be edited/added both in the integration platform and in the source systems. To ensure that no information is lost during merge, each ContactPoint will be tagged with a custodian element marking which system currently maintains it. When merging information from a given source, the ContactPoint elements with a different custodian will not be affected.

Relations to other organizations

It is possible to relate Organization resources to other Organization resources using the extension element relatedTo.

The intention with this element is to relate Organizations to other Organizations imported from another source. For instance to relate Organizations imported from SOR to similar Organizations imported from STS-ORG.

Hierarchical relations between Organizations imported from the same source are expressed using the partOf element.

Semantics of a relation between organizations

Relations between Organizations which are expressed using the extension element relatedTo have uni-directional semantics.

As an example this implies at that if two representations of the exact same Organization are imported from two different sources, then both could have a relatedTo element with the other Organization as target, and a relation type of e.g. “sameAs”.

Formal Views of Profile Content

The official URL for this profile is:

http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-organization

This profile builds on Organization.

This profile was published on Fri May 22 12:11:22 UTC 2020 as a draft by ehealth.sundhed.dk.

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

 

Terminology Bindings

Path	Conformance	ValueSet
Organization.language	extensible	Common Languages Max Binding: All Languages
Organization.type	required	OrganizationType
Organization.telecom.system	required	ContactPointSystem
Organization.telecom.use	required	ContactPointUse
Organization.contact.purpose	extensible	ContactEntityType
Organization.contact.telecom.use	required	ContactPointUse

Constraints

Id	Path	Details	Requirements
dom-2	Organization	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-1	Organization	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
dom-4	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-3	Organization	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	Organization	The organization SHALL at least have a name or an id, and possibly more than one : (identifier.count() + name.count()) > 0
ele-1	Organization.extension:relatedTo	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	Organization.extension:relatedTo	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Organization.extension:cvrNumber	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	Organization.extension:cvrNumber	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Organization.extension:regionCode	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	Organization.extension:regionCode	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Organization.extension:municipalityCode	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	Organization.extension:municipalityCode	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Organization.extension:source	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	Organization.extension:source	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Organization.extension:synchronizationStatus	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	Organization.extension:synchronizationStatus	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Organization.extension:providerIdentifier	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	Organization.extension:providerIdentifier	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Organization.extension:specialty	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	Organization.extension:specialty	Must have either extensions or value[x], not both : extension.exists() != value.exists()
org-3	Organization.telecom	The telecom of an organization can never be of use 'home' : where(use = 'home').empty()
org-2	Organization.address	An address of an organization can never be of use 'home' : where(use = 'home').empty()
ele-1	Organization.contact	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())

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