Carequality Healthcare Directory ImplementationGuide
1.9.0 - Release 1

Carequality Healthcare Directory ImplementationGuide - Local Development build (v1.9.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Resource Profile: Carequality Connection

Official URL: https://sequoiaproject.org/fhir/cq/StructureDefinition/CarequalityConnection | Version: 1.9.0
Active as of 2025-12-22 | Computable Name: CarequalityConnection

The Carequality Connection profile represents an organization that participates in exchange activities via Carequality through a Carequality Implementer, such as a health system that participates via its EHR vendor, who is an implementer.

Usages:

- Examples for this Profile: Connection Hospital

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.

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Organization | C | 0..* | CarequalityOrganization | A grouping of people or organizations with a common purpose Constraints: org-1, so-1, so-2
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  | 2..* | Extension | Extension Slice: Unordered, Open by value:url
extension:domains | S | 1..* | Coding | Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/Domains Binding: Domains (required)
extension:hubservicesubscriptions |  | 0..* | Coding | Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/HubServiceSubscriptions Binding: Hub Service Subscriptions (required)
extension:administrativestatus |  | 0..1 | Coding | Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/AdministrativeStatus Binding: Administrative Status (required)
extension:hubroutingstatus |  | 0..1 | Coding | Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/HubRoutingStatus Binding: Hub Routing Status (required)
extension:initiatoronly | S | 0..1 | Coding | Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/InitiatorOnly Binding: Initiator Only (required)
extension:org-managing-org | S | 1..1 | Reference(Sequoia Organization) | Optional Extensions Element URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/org-managing-org
extension:purposesofuse | S | 0..* | (Complex) | Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/PurposesOfUse
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "https://sequoiaproject.org/fhir/sphd/StructureDefinition/PurposesOfUse"
value[x] |  | 1..1 | CodeableConcept | Value of extension Binding: Purpose Of Use (required)
extension:stateofoperation | S | 0..* | Address | Optional Extensions Element URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/StateOfOperation
extension:usecases | S | 0..* | CodeableConcept | Optional Extensions Element URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/UseCases Binding: Endpoint Use Case Codes (required)
extension:doa | S | 0..* | Reference(Sequoia Organization) | Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/DOA
extension:transaction | S | 0..* | CodeableConcept | When used on an organization, this represents initiating transactions URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/Transaction Binding: Transactions (required)
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
Slices for identifier | S Σ C | 1..* | Identifier | Identifies this organization across multiple systems Slice: Unordered, Open by pattern:$this
identifier:NPI | S Σ C | 0..1 | Identifier | National Provider Identifier (NPI) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
use |  | 0..1 | code | usual | official | temp | secondary | old (If known)
type |  | 0..1 | CodeableConcept | Description of identifier
system |  | 1..1 | uri | The namespace for the identifier value Fixed Value: http://hl7.org/fhir/sid/us-npi
value |  | 0..1 | string | The value that is unique
period |  | 0..1 | Period | Time period when id is/was valid for use
assigner |  | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
identifier:CLIA | Σ C | 0..1 | Identifier | Clinical Laboratory Improvement Amendments (CLIA) Number for laboratories Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
use |  | 0..1 | code | usual | official | temp | secondary | old (If known)
type |  | 0..1 | CodeableConcept | Description of identifier
system |  | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.4.7
value |  | 0..1 | string | The value that is unique
period |  | 0..1 | Period | Time period when id is/was valid for use
assigner |  | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
identifier:CCN | S Σ C | 0..1 | Identifier | CMS Certification Number (CCN) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
use |  | 0..1 | code | usual | official | temp | secondary | old (If known)
type |  | 0..1 | CodeableConcept | Description of identifier
system |  | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.4.336
value |  | 0..1 | string | The value that is unique
period |  | 0..1 | Period | Time period when id is/was valid for use
assigner |  | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
identifier:HCID | S Σ C | 1..1 | Identifier | OID (such as a Home Community ID) or UUID Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
use |  | 0..1 | code | usual | official | temp | secondary | old (If known)
type |  | 1..1 | CodeableConcept | Description of identifier Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: https://sequoiaproject.org/fhir/sphd/CodeSystem/SequoiaIdentifierCodes
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: HCID
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
system |  | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986
value |  | 0..1 | string | The value that is unique
period |  | 0..1 | Period | Time period when id is/was valid for use
assigner |  | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
identifier:AAID | S Σ C | 0..* | Identifier | OID (such as an Assiging Authority ID) or UUID Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
use |  | 0..1 | code | usual | official | temp | secondary | old (If known)
type |  | 1..1 | CodeableConcept | Description of identifier Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: https://sequoiaproject.org/fhir/sphd/CodeSystem/SequoiaIdentifierCodes
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: AAID
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
system |  | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986
value |  | 0..1 | string | The value that is unique
period |  | 0..1 | Period | Time period when id is/was valid for use
assigner |  | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
identifier:NAIC | S Σ C | 0..* | Identifier | NAIC Code Constraints: us-core-19 Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
use |  | 0..1 | code | usual | official | temp | secondary | old (If known)
type |  | 0..1 | CodeableConcept | Description of identifier
system |  | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.6.300
value |  | 0..1 | string | The value that is unique
period |  | 0..1 | Period | Time period when id is/was valid for use
assigner |  | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
identifier:TEFCAID | S Σ C | 0..* | Identifier | TEFCA Identifier Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
use |  | 0..1 | code | usual | official | temp | secondary | old (If known)
type |  | 1..1 | CodeableConcept | Description of identifier Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: https://sequoiaproject.org/fhir/sphd/CodeSystem/SequoiaIdentifierCodes
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: TEFCAID
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
system |  | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986
value |  | 0..1 | string | The value that is unique
period |  | 0..1 | Period | Time period when id is/was valid for use
assigner |  | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
active | ?!S Σ | 1..1 | boolean | Whether the organization's record is still in active use
Slices for type | S Σ | 1..* | CodeableConcept | Kind of organization Slice: Unordered, Open by pattern:$this Binding: OrganizationType (example): Used to categorize the organization.
type:sequoiaorgtype | S Σ | 1..1 | CodeableConcept | Kind of organization Binding: Organization Type (required) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: https://sequoiaproject.org/fhir/sphd/CodeSystem/OrganizationType
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: Connection
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
type:hl7orgrole | S Σ | 0..* | CodeableConcept | Kind of organization Binding: OrganizationAffiliationRole (required)
name | S Σ C | 1..1 | string | Name used for the organization
alias | S | 0..* | string | A list of alternate names that the organization is known as, or was known as in the past
Slices for telecom | S C | 0..* | ContactPoint | A contact detail for the organization Slice: Unordered, Open by value:system Constraints: org-3
telecom:phone | S C | 0..1 | ContactPoint | A contact detail for the organization Constraints: org-3
system | S Σ C | 1..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: phone
value | S Σ | 0..1 | string | The actual contact point details
use | ?!Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
telecom:email | S C | 0..1 | ContactPoint | A contact detail for the organization Constraints: org-3
system | S Σ C | 1..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: email
value | S Σ | 0..1 | string | The actual contact point details
use | ?!Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
Slices for address | S C | 1..* | Address | An address for the organization Slice: Unordered, Open by value:country Constraints: org-2
address:All Slices |  |  |  | Content/Rules for all slices
extension | S | 1..* | Reference(Sequoia Location) | Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/OrgLocation Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
text | S Σ | 1..1 | string | Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
line | S Σ | 0..1 | string | Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
city | S Σ | 0..1 | string | Name of city, town etc. Example General: Erewhon
state | S Σ | 0..1 | string | Sub-unit of country (abbreviations ok) Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes.
postalCode | S Σ | 0..1 | string | US Zip Codes Example General: 9132
country | S Σ | 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
address:united-states-address | S C | 0..* | Address | An address for the organization Constraints: org-2
extension | S | 1..* | Reference(Sequoia Location) | Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/OrgLocation Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
text | S Σ | 1..1 | string | Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
line | S Σ | 0..1 | string | Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
city | S Σ | 1..1 | string | Name of city, town etc. Example General: Erewhon
state | S Σ | 1..1 | string | Sub-unit of country (abbreviations ok) Binding: USPS Two Letter Alphabetic Codes (required): Two letter USPS alphabetic codes.
postalCode | S Σ | 1..1 | string | US Zip Codes Example General: 9132
country | S Σ | 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
partOf | S Σ | 1..1 | Reference(Carequality Organization) | The organization of which this organization forms a part
contact | S | 0..* | BackboneElement | Contact for the organization for a certain purpose
Slices for extension |  |  |  | Content/Rules for all slices
extension:company | S | 0..* | string | Optional Extensions Element URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/company
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
purpose | S | 1..1 | CodeableConcept | The type of contact Binding: ContactEntityType (extensible): The purpose for which you would contact a contact party.
name | S | 1..1 | HumanName | A name associated with the contact
Slices for telecom | S | 2..* | ContactPoint | Contact details (telephone, email, etc.) for a contact Slice: Unordered, Open by value:system
telecom:phone | S | 1..* | ContactPoint | Contact details (telephone, email, etc.) for a contact
system | S Σ C | 1..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: phone
use | ?!Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
telecom:email | S | 1..1 | ContactPoint | Contact details (telephone, email, etc.) for a contact
system | S Σ C | 1..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: email
use | ?!Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
address | S | 0..1 | Address | Visiting or postal addresses for the contact
use | ?!Σ | 0..1 | code | home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
line | S Σ | 0..1 | string | Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
endpoint | S | 0..* | Reference(Carequality Endpoint) | Technical endpoints providing access to services operated for the organization
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Organization.extension:purposesofuse.​value[x] | Base | required | Purpose Of Use | 📦1.9.0 | This IG
Organization.type | Base | example | Organization type | 📦4.0.1 | FHIR Std.
Organization.type:sequoiaorgtype | Base | required | Organization Type | 📦1.9.0 | 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 | 📦4.0.0 | US Core v4.0
Organization.address:united-states-address.​use | Base | required | AddressUse | 📍4.0.1 | FHIR Std.
Organization.address:united-states-address.​state | Base | required | USPS Two Letter Alphabetic Codes | 📦4.0.0 | US Core v4.0
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.

#### 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()`
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, Organization.address:united-states-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()`
us-core-19 | error | Organization.identifier:NAIC | NAIC must be 5 digits | `value.matches('^[0-9]{5}$')`

This structure is derived from CarequalityOrganization

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Organization |  | 0..* | CarequalityOrganization | A grouping of people or organizations with a common purpose
extension |  | 2..* | Extension | Extension
Slices for extension |  |  |  | Content/Rules for all slices
extension:org-managing-org |  | 1..1 | OrgManagingOrg | Optional Extensions Element
Slices for type |  |  |  | Content/Rules for all slices
type:sequoiaorgtype |  | 1..1 | CodeableConcept | Kind of organization Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: https://sequoiaproject.org/fhir/sphd/CodeSystem/OrganizationType
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: Connection
partOf |  | 1..1 | Reference(Carequality Organization) | The organization of which this organization forms a part
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Organization | C | 0..* | CarequalityOrganization | A grouping of people or organizations with a common purpose Constraints: org-1, so-1, so-2
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 2..* | Extension | Extension Slice: Unordered, Open by value:url
extension:domains | S | 1..* | Coding | Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/Domains Binding: Domains (required)
extension:hubservicesubscriptions |  | 0..* | Coding | Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/HubServiceSubscriptions Binding: Hub Service Subscriptions (required)
extension:administrativestatus |  | 0..1 | Coding | Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/AdministrativeStatus Binding: Administrative Status (required)
extension:hubroutingstatus |  | 0..1 | Coding | Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/HubRoutingStatus Binding: Hub Routing Status (required)
extension:initiatoronly | S | 0..1 | Coding | Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/InitiatorOnly Binding: Initiator Only (required)
extension:org-managing-org | S | 1..1 | Reference(Sequoia Organization) | Optional Extensions Element URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/org-managing-org
extension:purposesofuse | S | 0..* | (Complex) | Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/PurposesOfUse
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "https://sequoiaproject.org/fhir/sphd/StructureDefinition/PurposesOfUse"
value[x] |  | 1..1 | CodeableConcept | Value of extension Binding: Purpose Of Use (required)
extension:stateofoperation | S | 0..* | Address | Optional Extensions Element URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/StateOfOperation
extension:usecases | S | 0..* | CodeableConcept | Optional Extensions Element URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/UseCases Binding: Endpoint Use Case Codes (required)
extension:doa | S | 0..* | Reference(Sequoia Organization) | Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/DOA
extension:transaction | S | 0..* | CodeableConcept | When used on an organization, this represents initiating transactions URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/Transaction Binding: Transactions (required)
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
Slices for identifier | S Σ C | 1..* | Identifier | Identifies this organization across multiple systems Slice: Unordered, Open by pattern:$this
identifier:NPI | S Σ C | 0..1 | Identifier | National Provider Identifier (NPI) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
use |  | 0..1 | code | usual | official | temp | secondary | old (If known)
type |  | 0..1 | CodeableConcept | Description of identifier
system |  | 1..1 | uri | The namespace for the identifier value Fixed Value: http://hl7.org/fhir/sid/us-npi
value |  | 0..1 | string | The value that is unique
period |  | 0..1 | Period | Time period when id is/was valid for use
assigner |  | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
identifier:CLIA | Σ C | 0..1 | Identifier | Clinical Laboratory Improvement Amendments (CLIA) Number for laboratories Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
use |  | 0..1 | code | usual | official | temp | secondary | old (If known)
type |  | 0..1 | CodeableConcept | Description of identifier
system |  | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.4.7
value |  | 0..1 | string | The value that is unique
period |  | 0..1 | Period | Time period when id is/was valid for use
assigner |  | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
identifier:CCN | S Σ C | 0..1 | Identifier | CMS Certification Number (CCN) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
use |  | 0..1 | code | usual | official | temp | secondary | old (If known)
type |  | 0..1 | CodeableConcept | Description of identifier
system |  | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.4.336
value |  | 0..1 | string | The value that is unique
period |  | 0..1 | Period | Time period when id is/was valid for use
assigner |  | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
identifier:HCID | S Σ C | 1..1 | Identifier | OID (such as a Home Community ID) or UUID Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
use |  | 0..1 | code | usual | official | temp | secondary | old (If known)
type |  | 1..1 | CodeableConcept | Description of identifier Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: https://sequoiaproject.org/fhir/sphd/CodeSystem/SequoiaIdentifierCodes
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: HCID
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
system |  | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986
value |  | 0..1 | string | The value that is unique
period |  | 0..1 | Period | Time period when id is/was valid for use
assigner |  | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
identifier:AAID | S Σ C | 0..* | Identifier | OID (such as an Assiging Authority ID) or UUID Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
use |  | 0..1 | code | usual | official | temp | secondary | old (If known)
type |  | 1..1 | CodeableConcept | Description of identifier Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: https://sequoiaproject.org/fhir/sphd/CodeSystem/SequoiaIdentifierCodes
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: AAID
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
system |  | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986
value |  | 0..1 | string | The value that is unique
period |  | 0..1 | Period | Time period when id is/was valid for use
assigner |  | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
identifier:NAIC | S Σ C | 0..* | Identifier | NAIC Code Constraints: us-core-19 Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
use |  | 0..1 | code | usual | official | temp | secondary | old (If known)
type |  | 0..1 | CodeableConcept | Description of identifier
system |  | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.6.300
value |  | 0..1 | string | The value that is unique
period |  | 0..1 | Period | Time period when id is/was valid for use
assigner |  | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
identifier:TEFCAID | S Σ C | 0..* | Identifier | TEFCA Identifier Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
use |  | 0..1 | code | usual | official | temp | secondary | old (If known)
type |  | 1..1 | CodeableConcept | Description of identifier Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: https://sequoiaproject.org/fhir/sphd/CodeSystem/SequoiaIdentifierCodes
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: TEFCAID
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
system |  | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986
value |  | 0..1 | string | The value that is unique
period |  | 0..1 | Period | Time period when id is/was valid for use
assigner |  | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
active | ?!S Σ | 1..1 | boolean | Whether the organization's record is still in active use
Slices for type | S Σ | 1..* | CodeableConcept | Kind of organization Slice: Unordered, Open by pattern:$this Binding: OrganizationType (example): Used to categorize the organization.
type:sequoiaorgtype | S Σ | 1..1 | CodeableConcept | Kind of organization Binding: Organization Type (required) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: https://sequoiaproject.org/fhir/sphd/CodeSystem/OrganizationType
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: Connection
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
type:hl7orgrole | S Σ | 0..* | CodeableConcept | Kind of organization Binding: OrganizationAffiliationRole (required)
name | S Σ C | 1..1 | string | Name used for the organization
alias | S | 0..* | string | A list of alternate names that the organization is known as, or was known as in the past
Slices for telecom | S C | 0..* | ContactPoint | A contact detail for the organization Slice: Unordered, Open by value:system Constraints: org-3
telecom:phone | S C | 0..1 | ContactPoint | A contact detail for the organization Constraints: org-3
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | S Σ C | 1..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: phone
value | S Σ | 0..1 | string | The actual contact point details
use | ?!Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
rank | Σ | 0..1 | positiveInt | Specify preferred order of use (1 = highest)
period | Σ | 0..1 | Period | Time period when the contact point was/is in use
telecom:email | S C | 0..1 | ContactPoint | A contact detail for the organization Constraints: org-3
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | S Σ C | 1..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: email
value | S Σ | 0..1 | string | The actual contact point details
use | ?!Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
rank | Σ | 0..1 | positiveInt | Specify preferred order of use (1 = highest)
period | Σ | 0..1 | Period | Time period when the contact point was/is in use
Slices for address | S C | 1..* | Address | An address for the organization Slice: Unordered, Open by value:country Constraints: org-2
address:All Slices |  |  |  | Content/Rules for all slices
id |  | 0..1 | string | Unique id for inter-element referencing
extension | S | 1..* | Reference(Sequoia Location) | Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/OrgLocation Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
type | Σ | 0..1 | code | postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both
text | S Σ | 1..1 | string | Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
line | S Σ | 0..1 | string | Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
city | S Σ | 0..1 | string | Name of city, town etc. Example General: Erewhon
district | Σ | 0..1 | string | District name (aka county) Example General: Madison
state | S Σ | 0..1 | string | Sub-unit of country (abbreviations ok) Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes.
postalCode | S Σ | 0..1 | string | US Zip Codes Example General: 9132
country | S Σ | 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
period | Σ | 0..1 | Period | Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
address:united-states-address | S C | 0..* | Address | An address for the organization Constraints: org-2
id |  | 0..1 | string | Unique id for inter-element referencing
extension | S | 1..* | Reference(Sequoia Location) | Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/OrgLocation Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
type | Σ | 0..1 | code | postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both
text | S Σ | 1..1 | string | Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
line | S Σ | 0..1 | string | Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
city | S Σ | 1..1 | string | Name of city, town etc. Example General: Erewhon
district | Σ | 0..1 | string | District name (aka county) Example General: Madison
state | S Σ | 1..1 | string | Sub-unit of country (abbreviations ok) Binding: USPS Two Letter Alphabetic Codes (required): Two letter USPS alphabetic codes.
postalCode | S Σ | 1..1 | string | US Zip Codes Example General: 9132
country | S Σ | 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
period | Σ | 0..1 | Period | Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
partOf | S Σ | 1..1 | Reference(Carequality Organization) | The organization of which this organization forms a part
contact | S | 0..* | BackboneElement | Contact for the organization for a certain purpose
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:company | S | 0..* | string | Optional Extensions Element URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/company
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
purpose | S | 1..1 | CodeableConcept | The type of contact Binding: ContactEntityType (extensible): The purpose for which you would contact a contact party.
name | S | 1..1 | HumanName | A name associated with the contact
Slices for telecom | S | 2..* | ContactPoint | Contact details (telephone, email, etc.) for a contact Slice: Unordered, Open by value:system
telecom:phone | S | 1..* | ContactPoint | Contact details (telephone, email, etc.) for a contact
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | S Σ C | 1..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: phone
value | Σ | 0..1 | string | The actual contact point details
use | ?!Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
rank | Σ | 0..1 | positiveInt | Specify preferred order of use (1 = highest)
period | Σ | 0..1 | Period | Time period when the contact point was/is in use
telecom:email | S | 1..1 | ContactPoint | Contact details (telephone, email, etc.) for a contact
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | S Σ C | 1..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: email
value | Σ | 0..1 | string | The actual contact point details
use | ?!Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
rank | Σ | 0..1 | positiveInt | Specify preferred order of use (1 = highest)
period | Σ | 0..1 | Period | Time period when the contact point was/is in use
address | S | 0..1 | Address | Visiting or postal addresses for the contact
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
type | Σ | 0..1 | code | postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both
text | Σ | 0..1 | string | Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
line | S Σ | 0..1 | string | Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
city | Σ | 0..1 | string | Name of city, town etc. Example General: Erewhon
district | Σ | 0..1 | string | District name (aka county) Example General: Madison
state | Σ | 0..1 | string | Sub-unit of country (abbreviations ok)
postalCode | Σ | 0..1 | string | Postal code for area Example General: 9132
country | Σ | 0..1 | string | Country (e.g. can be ISO 3166 2 or 3 letter code)
period | Σ | 0..1 | Period | Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
endpoint | S | 0..* | Reference(Carequality Endpoint) | Technical endpoints providing access to services operated for the organization
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 | 📦1.9.0 | This IG
Organization.type | Base | example | Organization type | 📦4.0.1 | FHIR Std.
Organization.type:sequoiaorgtype | Base | required | Organization Type | 📦1.9.0 | 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 | 📦4.0.0 | US Core v4.0
Organization.address:united-states-address.​use | Base | required | AddressUse | 📍4.0.1 | FHIR Std.
Organization.address:united-states-address.​type | Base | required | AddressType | 📍4.0.1 | FHIR Std.
Organization.address:united-states-address.​state | Base | required | USPS Two Letter Alphabetic Codes | 📦4.0.0 | US Core v4.0
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()`
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, Organization.address:united-states-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()`
us-core-19 | error | Organization.identifier:NAIC | NAIC must be 5 digits | `value.matches('^[0-9]{5}$')`

This structure is derived from CarequalityOrganization

Summary

Mandatory: 2 elements

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Organization | C | 0..* | CarequalityOrganization | A grouping of people or organizations with a common purpose Constraints: org-1, so-1, so-2
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  | 2..* | Extension | Extension Slice: Unordered, Open by value:url
extension:domains | S | 1..* | Coding | Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/Domains Binding: Domains (required)
extension:hubservicesubscriptions |  | 0..* | Coding | Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/HubServiceSubscriptions Binding: Hub Service Subscriptions (required)
extension:administrativestatus |  | 0..1 | Coding | Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/AdministrativeStatus Binding: Administrative Status (required)
extension:hubroutingstatus |  | 0..1 | Coding | Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/HubRoutingStatus Binding: Hub Routing Status (required)
extension:initiatoronly | S | 0..1 | Coding | Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/InitiatorOnly Binding: Initiator Only (required)
extension:org-managing-org | S | 1..1 | Reference(Sequoia Organization) | Optional Extensions Element URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/org-managing-org
extension:purposesofuse | S | 0..* | (Complex) | Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/PurposesOfUse
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "https://sequoiaproject.org/fhir/sphd/StructureDefinition/PurposesOfUse"
value[x] |  | 1..1 | CodeableConcept | Value of extension Binding: Purpose Of Use (required)
extension:stateofoperation | S | 0..* | Address | Optional Extensions Element URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/StateOfOperation
extension:usecases | S | 0..* | CodeableConcept | Optional Extensions Element URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/UseCases Binding: Endpoint Use Case Codes (required)
extension:doa | S | 0..* | Reference(Sequoia Organization) | Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/DOA
extension:transaction | S | 0..* | CodeableConcept | When used on an organization, this represents initiating transactions URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/Transaction Binding: Transactions (required)
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
Slices for identifier | S Σ C | 1..* | Identifier | Identifies this organization across multiple systems Slice: Unordered, Open by pattern:$this
identifier:NPI | S Σ C | 0..1 | Identifier | National Provider Identifier (NPI) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
use |  | 0..1 | code | usual | official | temp | secondary | old (If known)
type |  | 0..1 | CodeableConcept | Description of identifier
system |  | 1..1 | uri | The namespace for the identifier value Fixed Value: http://hl7.org/fhir/sid/us-npi
value |  | 0..1 | string | The value that is unique
period |  | 0..1 | Period | Time period when id is/was valid for use
assigner |  | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
identifier:CLIA | Σ C | 0..1 | Identifier | Clinical Laboratory Improvement Amendments (CLIA) Number for laboratories Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
use |  | 0..1 | code | usual | official | temp | secondary | old (If known)
type |  | 0..1 | CodeableConcept | Description of identifier
system |  | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.4.7
value |  | 0..1 | string | The value that is unique
period |  | 0..1 | Period | Time period when id is/was valid for use
assigner |  | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
identifier:CCN | S Σ C | 0..1 | Identifier | CMS Certification Number (CCN) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
use |  | 0..1 | code | usual | official | temp | secondary | old (If known)
type |  | 0..1 | CodeableConcept | Description of identifier
system |  | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.4.336
value |  | 0..1 | string | The value that is unique
period |  | 0..1 | Period | Time period when id is/was valid for use
assigner |  | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
identifier:HCID | S Σ C | 1..1 | Identifier | OID (such as a Home Community ID) or UUID Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
use |  | 0..1 | code | usual | official | temp | secondary | old (If known)
type |  | 1..1 | CodeableConcept | Description of identifier Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: https://sequoiaproject.org/fhir/sphd/CodeSystem/SequoiaIdentifierCodes
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: HCID
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
system |  | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986
value |  | 0..1 | string | The value that is unique
period |  | 0..1 | Period | Time period when id is/was valid for use
assigner |  | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
identifier:AAID | S Σ C | 0..* | Identifier | OID (such as an Assiging Authority ID) or UUID Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
use |  | 0..1 | code | usual | official | temp | secondary | old (If known)
type |  | 1..1 | CodeableConcept | Description of identifier Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: https://sequoiaproject.org/fhir/sphd/CodeSystem/SequoiaIdentifierCodes
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: AAID
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
system |  | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986
value |  | 0..1 | string | The value that is unique
period |  | 0..1 | Period | Time period when id is/was valid for use
assigner |  | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
identifier:NAIC | S Σ C | 0..* | Identifier | NAIC Code Constraints: us-core-19 Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
use |  | 0..1 | code | usual | official | temp | secondary | old (If known)
type |  | 0..1 | CodeableConcept | Description of identifier
system |  | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.6.300
value |  | 0..1 | string | The value that is unique
period |  | 0..1 | Period | Time period when id is/was valid for use
assigner |  | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
identifier:TEFCAID | S Σ C | 0..* | Identifier | TEFCA Identifier Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
use |  | 0..1 | code | usual | official | temp | secondary | old (If known)
type |  | 1..1 | CodeableConcept | Description of identifier Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: https://sequoiaproject.org/fhir/sphd/CodeSystem/SequoiaIdentifierCodes
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: TEFCAID
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
system |  | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986
value |  | 0..1 | string | The value that is unique
period |  | 0..1 | Period | Time period when id is/was valid for use
assigner |  | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
active | ?!S Σ | 1..1 | boolean | Whether the organization's record is still in active use
Slices for type | S Σ | 1..* | CodeableConcept | Kind of organization Slice: Unordered, Open by pattern:$this Binding: OrganizationType (example): Used to categorize the organization.
type:sequoiaorgtype | S Σ | 1..1 | CodeableConcept | Kind of organization Binding: Organization Type (required) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: https://sequoiaproject.org/fhir/sphd/CodeSystem/OrganizationType
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: Connection
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
type:hl7orgrole | S Σ | 0..* | CodeableConcept | Kind of organization Binding: OrganizationAffiliationRole (required)
name | S Σ C | 1..1 | string | Name used for the organization
alias | S | 0..* | string | A list of alternate names that the organization is known as, or was known as in the past
Slices for telecom | S C | 0..* | ContactPoint | A contact detail for the organization Slice: Unordered, Open by value:system Constraints: org-3
telecom:phone | S C | 0..1 | ContactPoint | A contact detail for the organization Constraints: org-3
system | S Σ C | 1..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: phone
value | S Σ | 0..1 | string | The actual contact point details
use | ?!Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
telecom:email | S C | 0..1 | ContactPoint | A contact detail for the organization Constraints: org-3
system | S Σ C | 1..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: email
value | S Σ | 0..1 | string | The actual contact point details
use | ?!Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
Slices for address | S C | 1..* | Address | An address for the organization Slice: Unordered, Open by value:country Constraints: org-2
address:All Slices |  |  |  | Content/Rules for all slices
extension | S | 1..* | Reference(Sequoia Location) | Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/OrgLocation Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
text | S Σ | 1..1 | string | Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
line | S Σ | 0..1 | string | Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
city | S Σ | 0..1 | string | Name of city, town etc. Example General: Erewhon
state | S Σ | 0..1 | string | Sub-unit of country (abbreviations ok) Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes.
postalCode | S Σ | 0..1 | string | US Zip Codes Example General: 9132
country | S Σ | 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
address:united-states-address | S C | 0..* | Address | An address for the organization Constraints: org-2
extension | S | 1..* | Reference(Sequoia Location) | Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/OrgLocation Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
text | S Σ | 1..1 | string | Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
line | S Σ | 0..1 | string | Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
city | S Σ | 1..1 | string | Name of city, town etc. Example General: Erewhon
state | S Σ | 1..1 | string | Sub-unit of country (abbreviations ok) Binding: USPS Two Letter Alphabetic Codes (required): Two letter USPS alphabetic codes.
postalCode | S Σ | 1..1 | string | US Zip Codes Example General: 9132
country | S Σ | 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
partOf | S Σ | 1..1 | Reference(Carequality Organization) | The organization of which this organization forms a part
contact | S | 0..* | BackboneElement | Contact for the organization for a certain purpose
Slices for extension |  |  |  | Content/Rules for all slices
extension:company | S | 0..* | string | Optional Extensions Element URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/company
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
purpose | S | 1..1 | CodeableConcept | The type of contact Binding: ContactEntityType (extensible): The purpose for which you would contact a contact party.
name | S | 1..1 | HumanName | A name associated with the contact
Slices for telecom | S | 2..* | ContactPoint | Contact details (telephone, email, etc.) for a contact Slice: Unordered, Open by value:system
telecom:phone | S | 1..* | ContactPoint | Contact details (telephone, email, etc.) for a contact
system | S Σ C | 1..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: phone
use | ?!Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
telecom:email | S | 1..1 | ContactPoint | Contact details (telephone, email, etc.) for a contact
system | S Σ C | 1..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: email
use | ?!Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
address | S | 0..1 | Address | Visiting or postal addresses for the contact
use | ?!Σ | 0..1 | code | home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
line | S Σ | 0..1 | string | Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
endpoint | S | 0..* | Reference(Carequality Endpoint) | Technical endpoints providing access to services operated for the organization
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Organization.extension:purposesofuse.​value[x] | Base | required | Purpose Of Use | 📦1.9.0 | This IG
Organization.type | Base | example | Organization type | 📦4.0.1 | FHIR Std.
Organization.type:sequoiaorgtype | Base | required | Organization Type | 📦1.9.0 | 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 | 📦4.0.0 | US Core v4.0
Organization.address:united-states-address.​use | Base | required | AddressUse | 📍4.0.1 | FHIR Std.
Organization.address:united-states-address.​state | Base | required | USPS Two Letter Alphabetic Codes | 📦4.0.0 | US Core v4.0
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.

#### 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()`
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, Organization.address:united-states-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()`
us-core-19 | error | Organization.identifier:NAIC | NAIC must be 5 digits | `value.matches('^[0-9]{5}$')`

Differential View

This structure is derived from CarequalityOrganization

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Organization |  | 0..* | CarequalityOrganization | A grouping of people or organizations with a common purpose
extension |  | 2..* | Extension | Extension
Slices for extension |  |  |  | Content/Rules for all slices
extension:org-managing-org |  | 1..1 | OrgManagingOrg | Optional Extensions Element
Slices for type |  |  |  | Content/Rules for all slices
type:sequoiaorgtype |  | 1..1 | CodeableConcept | Kind of organization Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: https://sequoiaproject.org/fhir/sphd/CodeSystem/OrganizationType
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: Connection
partOf |  | 1..1 | Reference(Carequality Organization) | The organization of which this organization forms a part
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Organization | C | 0..* | CarequalityOrganization | A grouping of people or organizations with a common purpose Constraints: org-1, so-1, so-2
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 2..* | Extension | Extension Slice: Unordered, Open by value:url
extension:domains | S | 1..* | Coding | Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/Domains Binding: Domains (required)
extension:hubservicesubscriptions |  | 0..* | Coding | Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/HubServiceSubscriptions Binding: Hub Service Subscriptions (required)
extension:administrativestatus |  | 0..1 | Coding | Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/AdministrativeStatus Binding: Administrative Status (required)
extension:hubroutingstatus |  | 0..1 | Coding | Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/HubRoutingStatus Binding: Hub Routing Status (required)
extension:initiatoronly | S | 0..1 | Coding | Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/InitiatorOnly Binding: Initiator Only (required)
extension:org-managing-org | S | 1..1 | Reference(Sequoia Organization) | Optional Extensions Element URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/org-managing-org
extension:purposesofuse | S | 0..* | (Complex) | Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/PurposesOfUse
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "https://sequoiaproject.org/fhir/sphd/StructureDefinition/PurposesOfUse"
value[x] |  | 1..1 | CodeableConcept | Value of extension Binding: Purpose Of Use (required)
extension:stateofoperation | S | 0..* | Address | Optional Extensions Element URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/StateOfOperation
extension:usecases | S | 0..* | CodeableConcept | Optional Extensions Element URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/UseCases Binding: Endpoint Use Case Codes (required)
extension:doa | S | 0..* | Reference(Sequoia Organization) | Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/DOA
extension:transaction | S | 0..* | CodeableConcept | When used on an organization, this represents initiating transactions URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/Transaction Binding: Transactions (required)
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
Slices for identifier | S Σ C | 1..* | Identifier | Identifies this organization across multiple systems Slice: Unordered, Open by pattern:$this
identifier:NPI | S Σ C | 0..1 | Identifier | National Provider Identifier (NPI) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
use |  | 0..1 | code | usual | official | temp | secondary | old (If known)
type |  | 0..1 | CodeableConcept | Description of identifier
system |  | 1..1 | uri | The namespace for the identifier value Fixed Value: http://hl7.org/fhir/sid/us-npi
value |  | 0..1 | string | The value that is unique
period |  | 0..1 | Period | Time period when id is/was valid for use
assigner |  | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
identifier:CLIA | Σ C | 0..1 | Identifier | Clinical Laboratory Improvement Amendments (CLIA) Number for laboratories Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
use |  | 0..1 | code | usual | official | temp | secondary | old (If known)
type |  | 0..1 | CodeableConcept | Description of identifier
system |  | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.4.7
value |  | 0..1 | string | The value that is unique
period |  | 0..1 | Period | Time period when id is/was valid for use
assigner |  | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
identifier:CCN | S Σ C | 0..1 | Identifier | CMS Certification Number (CCN) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
use |  | 0..1 | code | usual | official | temp | secondary | old (If known)
type |  | 0..1 | CodeableConcept | Description of identifier
system |  | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.4.336
value |  | 0..1 | string | The value that is unique
period |  | 0..1 | Period | Time period when id is/was valid for use
assigner |  | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
identifier:HCID | S Σ C | 1..1 | Identifier | OID (such as a Home Community ID) or UUID Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
use |  | 0..1 | code | usual | official | temp | secondary | old (If known)
type |  | 1..1 | CodeableConcept | Description of identifier Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: https://sequoiaproject.org/fhir/sphd/CodeSystem/SequoiaIdentifierCodes
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: HCID
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
system |  | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986
value |  | 0..1 | string | The value that is unique
period |  | 0..1 | Period | Time period when id is/was valid for use
assigner |  | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
identifier:AAID | S Σ C | 0..* | Identifier | OID (such as an Assiging Authority ID) or UUID Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
use |  | 0..1 | code | usual | official | temp | secondary | old (If known)
type |  | 1..1 | CodeableConcept | Description of identifier Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: https://sequoiaproject.org/fhir/sphd/CodeSystem/SequoiaIdentifierCodes
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: AAID
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
system |  | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986
value |  | 0..1 | string | The value that is unique
period |  | 0..1 | Period | Time period when id is/was valid for use
assigner |  | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
identifier:NAIC | S Σ C | 0..* | Identifier | NAIC Code Constraints: us-core-19 Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
use |  | 0..1 | code | usual | official | temp | secondary | old (If known)
type |  | 0..1 | CodeableConcept | Description of identifier
system |  | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.6.300
value |  | 0..1 | string | The value that is unique
period |  | 0..1 | Period | Time period when id is/was valid for use
assigner |  | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
identifier:TEFCAID | S Σ C | 0..* | Identifier | TEFCA Identifier Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
use |  | 0..1 | code | usual | official | temp | secondary | old (If known)
type |  | 1..1 | CodeableConcept | Description of identifier Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: https://sequoiaproject.org/fhir/sphd/CodeSystem/SequoiaIdentifierCodes
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: TEFCAID
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
system |  | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986
value |  | 0..1 | string | The value that is unique
period |  | 0..1 | Period | Time period when id is/was valid for use
assigner |  | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
active | ?!S Σ | 1..1 | boolean | Whether the organization's record is still in active use
Slices for type | S Σ | 1..* | CodeableConcept | Kind of organization Slice: Unordered, Open by pattern:$this Binding: OrganizationType (example): Used to categorize the organization.
type:sequoiaorgtype | S Σ | 1..1 | CodeableConcept | Kind of organization Binding: Organization Type (required) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: https://sequoiaproject.org/fhir/sphd/CodeSystem/OrganizationType
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: Connection
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
type:hl7orgrole | S Σ | 0..* | CodeableConcept | Kind of organization Binding: OrganizationAffiliationRole (required)
name | S Σ C | 1..1 | string | Name used for the organization
alias | S | 0..* | string | A list of alternate names that the organization is known as, or was known as in the past
Slices for telecom | S C | 0..* | ContactPoint | A contact detail for the organization Slice: Unordered, Open by value:system Constraints: org-3
telecom:phone | S C | 0..1 | ContactPoint | A contact detail for the organization Constraints: org-3
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | S Σ C | 1..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: phone
value | S Σ | 0..1 | string | The actual contact point details
use | ?!Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
rank | Σ | 0..1 | positiveInt | Specify preferred order of use (1 = highest)
period | Σ | 0..1 | Period | Time period when the contact point was/is in use
telecom:email | S C | 0..1 | ContactPoint | A contact detail for the organization Constraints: org-3
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | S Σ C | 1..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: email
value | S Σ | 0..1 | string | The actual contact point details
use | ?!Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
rank | Σ | 0..1 | positiveInt | Specify preferred order of use (1 = highest)
period | Σ | 0..1 | Period | Time period when the contact point was/is in use
Slices for address | S C | 1..* | Address | An address for the organization Slice: Unordered, Open by value:country Constraints: org-2
address:All Slices |  |  |  | Content/Rules for all slices
id |  | 0..1 | string | Unique id for inter-element referencing
extension | S | 1..* | Reference(Sequoia Location) | Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/OrgLocation Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
type | Σ | 0..1 | code | postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both
text | S Σ | 1..1 | string | Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
line | S Σ | 0..1 | string | Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
city | S Σ | 0..1 | string | Name of city, town etc. Example General: Erewhon
district | Σ | 0..1 | string | District name (aka county) Example General: Madison
state | S Σ | 0..1 | string | Sub-unit of country (abbreviations ok) Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes.
postalCode | S Σ | 0..1 | string | US Zip Codes Example General: 9132
country | S Σ | 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
period | Σ | 0..1 | Period | Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
address:united-states-address | S C | 0..* | Address | An address for the organization Constraints: org-2
id |  | 0..1 | string | Unique id for inter-element referencing
extension | S | 1..* | Reference(Sequoia Location) | Extension URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/OrgLocation Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
type | Σ | 0..1 | code | postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both
text | S Σ | 1..1 | string | Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
line | S Σ | 0..1 | string | Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
city | S Σ | 1..1 | string | Name of city, town etc. Example General: Erewhon
district | Σ | 0..1 | string | District name (aka county) Example General: Madison
state | S Σ | 1..1 | string | Sub-unit of country (abbreviations ok) Binding: USPS Two Letter Alphabetic Codes (required): Two letter USPS alphabetic codes.
postalCode | S Σ | 1..1 | string | US Zip Codes Example General: 9132
country | S Σ | 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
period | Σ | 0..1 | Period | Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
partOf | S Σ | 1..1 | Reference(Carequality Organization) | The organization of which this organization forms a part
contact | S | 0..* | BackboneElement | Contact for the organization for a certain purpose
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:company | S | 0..* | string | Optional Extensions Element URL: https://sequoiaproject.org/fhir/sphd/StructureDefinition/company
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
purpose | S | 1..1 | CodeableConcept | The type of contact Binding: ContactEntityType (extensible): The purpose for which you would contact a contact party.
name | S | 1..1 | HumanName | A name associated with the contact
Slices for telecom | S | 2..* | ContactPoint | Contact details (telephone, email, etc.) for a contact Slice: Unordered, Open by value:system
telecom:phone | S | 1..* | ContactPoint | Contact details (telephone, email, etc.) for a contact
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | S Σ C | 1..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: phone
value | Σ | 0..1 | string | The actual contact point details
use | ?!Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
rank | Σ | 0..1 | positiveInt | Specify preferred order of use (1 = highest)
period | Σ | 0..1 | Period | Time period when the contact point was/is in use
telecom:email | S | 1..1 | ContactPoint | Contact details (telephone, email, etc.) for a contact
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | S Σ C | 1..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: email
value | Σ | 0..1 | string | The actual contact point details
use | ?!Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
rank | Σ | 0..1 | positiveInt | Specify preferred order of use (1 = highest)
period | Σ | 0..1 | Period | Time period when the contact point was/is in use
address | S | 0..1 | Address | Visiting or postal addresses for the contact
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
type | Σ | 0..1 | code | postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both
text | Σ | 0..1 | string | Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
line | S Σ | 0..1 | string | Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
city | Σ | 0..1 | string | Name of city, town etc. Example General: Erewhon
district | Σ | 0..1 | string | District name (aka county) Example General: Madison
state | Σ | 0..1 | string | Sub-unit of country (abbreviations ok)
postalCode | Σ | 0..1 | string | Postal code for area Example General: 9132
country | Σ | 0..1 | string | Country (e.g. can be ISO 3166 2 or 3 letter code)
period | Σ | 0..1 | Period | Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
endpoint | S | 0..* | Reference(Carequality Endpoint) | Technical endpoints providing access to services operated for the organization
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 | 📦1.9.0 | This IG
Organization.type | Base | example | Organization type | 📦4.0.1 | FHIR Std.
Organization.type:sequoiaorgtype | Base | required | Organization Type | 📦1.9.0 | 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 | 📦4.0.0 | US Core v4.0
Organization.address:united-states-address.​use | Base | required | AddressUse | 📍4.0.1 | FHIR Std.
Organization.address:united-states-address.​type | Base | required | AddressType | 📍4.0.1 | FHIR Std.
Organization.address:united-states-address.​state | Base | required | USPS Two Letter Alphabetic Codes | 📦4.0.0 | US Core v4.0
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()`
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, Organization.address:united-states-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()`
us-core-19 | error | Organization.identifier:NAIC | NAIC must be 5 digits | `value.matches('^[0-9]{5}$')`

This structure is derived from CarequalityOrganization

Summary

Mandatory: 2 elements

Other representations of profile: CSV, Excel, Schematron