Generated Narrative: StructureDefinition DIPSOrganization Name Flags Card. Type Description & Constraints Organization 0..* NoBasisOrganization A grouping of people or organizations with a common purpose #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:validPeriod 0..* Period Optional Extensions Element URL: http://dips.no/fhir/R4/StructureDefinition/OrganizationValidPeriod #xD; extension:paymentCode 0..* string Optional Extensions Element URL: http://dips.no/fhir/R4/StructureDefinition/OrganizationPaymentCode #xD; extension:partOfSection 0..* Reference() Optional Extensions Element URL: http://dips.no/fhir/R4/StructureDefinition/PartOfSection #xD; extension:partOfDepartment 0..* Reference() Optional Extensions Element URL: http://dips.no/fhir/R4/StructureDefinition/PartOfDepartment #xD; extension:bankAccountNumber1 0..* string Extension URL: http://dips.no/fhir/R4/StructureDefinition/BankAccountNumber1 #xD; extension:bankAccountNumber2 0..* string Extension URL: http://dips.no/fhir/R4/StructureDefinition/BankAccountNumber2 #xD; identifier 0..* Identifier Identifies this organization across multiple systems #xD; <a href="StructureDefinition-DIPSOrganization-definitions.html#Organization.identifier.value" title="The portion of the identifier typically relevant to the user and which is unique within the context of the system.#xD;#xA;#xD;#xA;Organization : dipscoredb.dworganizationalunit RESHID#xD;#xA;Hospital: dipscoredb.dworganizationalunit RESHID#xD;#xA;Location : dipscoredb.dworganizationalunit reshid#xD;#xA;Department: dipscoredb.dworganizationalunit RESHID#xD;#xA;Section : dipscoredb.dworganizationalunit RESHID#xD;#xA;Ward: dipscoredb.dworganizationalunit reshid">value 0..1 string The value that is unique #xD; Slices for identifier Content/Rules for all slices #xD; identifier:ENH 0..* Identifier Organisasjonsnummer from Enhetsregisteret #xD; assigner 0..0 Organization that issued id (may be just text) #xD; identifier:RSH 0..* Identifier Nasjonalt register over enheter i spesialisthelsetjenesten (RESH-ID) #xD; assigner 0..0 Organization that issued id (may be just text) #xD; identifier:StandardNumber 0..* Identifier Identifies this organization across multiple systems #xD; use 0..1 code usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required) #xD; system 1..1 uri The namespace for the identifier value Fixed Value: http://dips.no/fhir/namingsystem/dips-standardnumber #xD; <a href="StructureDefinition-DIPSOrganization-definitions.html#Organization.identifier:StandardNumber.value" title="The portion of the identifier typically relevant to the user and which is unique within the context of the system.#xD;#xA;#xD;#xA;Location : dipscoredb.dwlokalisering STANDARDLOKNR#xD;#xA;Department: dipscoredb.dwavdeling STANDARDAVDNR#xD;#xA;Section : DIPSCOREDB.DWSEKSJON STANDARDSEKSJONNR#xD;#xA;Ward: DIPSCOREDB.DWPOST STANDARDPOSTNR">value 1..1 string The value that is unique #xD; assigner 0..0 Organization that issued id (may be just text) #xD; identifier:ShortName 0..* Identifier Identifies this organization across multiple systems #xD; use 0..1 code usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required) #xD; <a href="StructureDefinition-DIPSOrganization-definitions.html#Organization.identifier:ShortName.system" title="Establishes the namespace for the value - that is, a URL that describes a set values that are unique.#xD;#xA;Establishes the namespace in which set of possible id values is unique.#xD;#xA;http://dips.no/fhir/namingsystem/dips/departmentshortname | http://dips.no/fhir/namingsystem/dips/sectionshortname | http://dips.no/fhir/namingsystem/dips/wardshortname">system 1..1 uri The namespace for the identifier value Fixed Value: http://dips.no/fhir/namingsystem/dips/shortname #xD; <a href="StructureDefinition-DIPSOrganization-definitions.html#Organization.identifier:ShortName.value" title="The portion of the identifier typically relevant to the user and which is unique within the context of the system.#xD;#xA;#xD;#xA;Location : dipscoredb.dwlokalisering LOKKORTNAVN#xD;#xA;Department: dipscoredb.dwavdeling AVDKORTNAVN#xD;#xA;Section : DIPSCOREDB.DWSEKSJON KORTNAVN#xD;#xA;Ward: DIPSCOREDB.DWPOST POSTKORTNAVN">value 1..1 string The value that is unique #xD; assigner 0..0 Organization that issued id (may be just text) #xD; identifier:DIPSDepartmentId 0..* Identifier Identifies this organization across multiple systems #xD; use 0..1 code usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required) #xD; system 1..1 uri The namespace for the identifier value Fixed Value: urn:oid:1.3.6.1.4.1.9038.70.3 #xD; value 1..1 string The value that is unique #xD; assigner 0..0 Organization that issued id (may be just text) #xD; identifier:DIPSOrganizationId 0..* Identifier Identifies this organization across multiple systems #xD; use 0..1 code usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required) #xD; system 1..1 uri The namespace for the identifier value Fixed Value: urn:oid:1.3.6.1.4.1.9038.70.1 #xD; value 1..1 string The value that is unique #xD; assigner 0..0 Organization that issued id (may be just text) #xD; identifier:DIPSHospitalId 0..* Identifier Identifies this organization across multiple systems #xD; use 0..1 code usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required) #xD; system 1..1 uri The namespace for the identifier value Fixed Value: urn:oid:1.3.6.1.4.1.9038.70.2 #xD; value 1..1 string The value that is unique #xD; assigner 0..0 Organization that issued id (may be just text) #xD; identifier:DIPSWardId 0..* Identifier Identifies this organization across multiple systems #xD; use 0..1 code usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required) #xD; system 1..1 uri The namespace for the identifier value Fixed Value: urn:oid:1.3.6.1.4.1.9038.70.4 #xD; value 1..1 string The value that is unique #xD; assigner 0..0 Organization that issued id (may be just text) #xD; identifier:DIPSLocationId 0..* Identifier Identifies this organization across multiple systems #xD; use 0..1 code usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required) #xD; system 1..1 uri The namespace for the identifier value Fixed Value: urn:oid:1.3.6.1.4.1.9038.70.6 #xD; value 1..1 string The value that is unique #xD; assigner 0..0 Organization that issued id (may be just text) #xD; identifier:DIPSSectionId 0..* Identifier Identifies this organization across multiple systems #xD; use 0..1 code usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required) #xD; system 1..1 uri The namespace for the identifier value Fixed Value: urn:oid:1.3.6.1.4.1.9038.70.5 #xD; value 1..1 string The value that is unique #xD; assigner 0..0 Organization that issued id (may be just text) #xD; <a href="StructureDefinition-DIPSOrganization-definitions.html#Organization.active" title="Whether the organization's record is still in active use.#xD;#xA;#xD;#xA;Organization : dipscoredb.dworganisasjon AKTUELL#xD;#xA;Hospital: dipscoredb.dwdelinstitusjon erstattetmedenhetgid#xD;#xA;Location : dipscoredb.dwlokalisering AKTUELL#xD;#xA;Department: dipscoredb.dwavdeling AVDIBRUK#xD;#xA;Section : DIPSCOREDB.DWSEKSJON IBRUK#xD;#xA;Ward: DIPSCOREDB.DWPOST POSTIBRUK">active 1..1 boolean Whether the organization's record is still in active use #xD; type 0..* CodeableConcept Kind of organization #xD; <a href="StructureDefinition-DIPSOrganization-definitions.html#Organization.type.text" title="A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.#xD;#xA;#xD;#xA;Organization : dipscoredb.dwkodeverkverdier LANGTNAVN#xD;#xA;Hospital: "Sykehus"#xD;#xA;Location : "Poliklinikk"#xD;#xA;Department: dipscoredb.dwkodeverkverdier LANGTNAVN#xD;#xA;Section : "Seksjon"#xD;#xA;Ward: dipscoredb.dwkodeverkverdier LANGTNAVN">text 0..1 string Plain text representation of the concept #xD; Slices for type Content/Rules for all slices #xD; type:OrganizationType 0..* CodeableConcept Kind of organization #xD; coding #xD; Slices for extension Content/Rules for all slices #xD; extension:organizationTypeCodeId 0..1 (Complex) Optional Extensions Element URL: http://dips.no/fhir/R4/StructureDefinition/OrganizationTypeCodeId #xD; value[x] #xD; system 0..1 uri Identity of the terminology system Fixed Value: http://dips.no/fhir/namingsystem/dips-organizationtypecodeid #xD; system 1..1 uri Identity of the terminology system Fixed Value: http://dips.no/fhir/namingsystem/dips-organizationtype #xD; code 0..1 code Symbol in syntax defined by the system #xD; display 0..1 string Representation defined by the system #xD; type:DepartmentType 0..* CodeableConcept Kind of organization #xD; coding #xD; Slices for extension Content/Rules for all slices #xD; extension:departmentTypeCodeId 0..1 (Complex) Optional Extensions Element URL: http://dips.no/fhir/R4/StructureDefinition/DepartmentTypeCodeId #xD; value[x] #xD; system 0..1 uri Identity of the terminology system Fixed Value: http://dips.no/fhir/namingsystem/dips-departmenttypecodeid #xD; system 1..1 uri Identity of the terminology system Fixed Value: http://dips.no/fhir/namingsystem/dips-departmenttype #xD; type:LocalizationType 0..* CodeableConcept Kind of organization #xD; coding #xD; Slices for extension Content/Rules for all slices #xD; extension:locationTypeCodeId 0..1 (Complex) Optional Extensions Element URL: http://dips.no/fhir/R4/StructureDefinition/LocationTypeCodeId #xD; value[x] #xD; system 0..1 uri Identity of the terminology system Fixed Value: http://dips.no/fhir/namingsystem/dips-locationtypecodeid #xD; system 1..1 uri Identity of the terminology system Fixed Value: http://dips.no/fhir/namingsystem/dips-locationtype #xD; type:SectionProfession 0..* CodeableConcept Kind of organization #xD; coding #xD; Slices for extension Content/Rules for all slices #xD; extension:sectionProfessionCodeId 0..1 (Complex) Optional Extensions Element URL: http://dips.no/fhir/R4/StructureDefinition/SectionProfessionCodeId #xD; value[x] #xD; system 0..1 uri Identity of the terminology system Fixed Value: http://dips.no/fhir/namingsystem/dips-sectionprofessiontypecodeid #xD; system 1..1 uri Identity of the terminology system Fixed Value: http://dips.no/fhir/namingsystem/dips-sectionprofessiontype #xD; type:DisasterWard 0..* CodeableConcept Kind of organization #xD; coding #xD; system 1..1 uri Identity of the terminology system Fixed Value: http://dips.no/fhir/namingsystem/dips-disasterward #xD; type:WardType 0..* CodeableConcept Kind of organization #xD; coding #xD; Slices for extension Content/Rules for all slices #xD; extension:wardTypeCodeId 0..1 (Complex) Optional Extensions Element URL: http://dips.no/fhir/R4/StructureDefinition/WardTypeCodeId #xD; value[x] #xD; system 0..1 uri Identity of the terminology system Fixed Value: http://dips.no/fhir/namingsystem/dips-wardtypecodeid #xD; system 1..1 uri Identity of the terminology system Fixed Value: http://dips.no/fhir/namingsystem/dips-wardtype #xD; <a href="StructureDefinition-DIPSOrganization-definitions.html#Organization.name" title="A name associated with the organization.#xD;#xA;#xD;#xA;Organization : dipscoredb.dworganisasjon NAVN#xD;#xA;Hospital: dipscoredb.dwdelinstitusjon NAVN#xD;#xA;Location : dipscoredb.dwlokalisering LOKNAVN#xD;#xA;Department: dipscoredb.dwavdeling AVDNAVN#xD;#xA;Section : DIPSCOREDB.DWSEKSJON NAVN#xD;#xA;Ward: DIPSCOREDB.DWPOST POSTNAVN">name 1..1 string Name used for the organization #xD; alias 0..0 A list of alternate names that the organization is known as, or was known as in the past #xD; <a href="StructureDefinition-DIPSOrganization-definitions.html#Organization.telecom" title="A contact detail for the organization.#xD;#xA;#xD;#xA;Organization : dipscoredb.dworganisasjon TELEFON , TELEFAX, EMAILADRESSE#xD;#xA;Hospital: dipscoredb.dwdelinstitusjon TELEFON, TELEFAX, EMAILADRESSE,WEBADRESSE#xD;#xA;Location : dipscoredb.dwlokalisering TELEFON, TELEFAX, EMAILADRESSE, WEBADRESSE#xD;#xA;Department: dipscoredb.dwavdeling TELEFON, TELEFAX, EMAILADRESSE, WEBADRESSE#xD;#xA;Section : DIPSCOREDB.DWSEKSJON TELEFON, TELEFAX, EMAILADRESSE#xD;#xA;Ward: DIPSCOREDB.DWPOST TELEFON, TELEFAX, EMAILADRESSE">telecom 0..* ContactPoint A contact detail for the organization #xD; system 0..1 code phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required) #xD; use 0..1 code home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required) #xD; rank 0..0 Specify preferred order of use (1 = highest) #xD; period 0..0 Time period when the contact point was/is in use #xD; address 1..* NoBasisAddress An address for the organization #xD; Slices for extension Content/Rules for all slices #xD; extension:addressId 0..1 Identifier Optional Extensions Element URL: http://dips.no/fhir/R4/StructureDefinition/OrganizationAddressId #xD; use 0..1 code home | work | temp | old | billing - purpose of this address Binding: AddressUse (required) #xD; type 0..1 code postal | physical | both Binding: AddressType (required) #xD; <a href="StructureDefinition-DIPSOrganization-definitions.html#Organization.address.line" title="This component contains the house number, apartment number, street name, street direction, P.O. Box number, delivery hints, and similar address information.#xD;#xA;#xD;#xA;Address:#xD;#xA;Organization - dipscoredb.dwadresse adresse#xD;#xA;Hospital - dipscoredb.dwadresse adresse#xD;#xA;Location - dipscoredb.dwadresse adresse#xD;#xA;Department - dipscoredb.dwadresse adresse#xD;#xA;Section - dipscoredb.dwadresse adresse#xD;#xA;Ward - dipscoredb.dwadresse adresse#xD;#xA;#xD;#xA;Billing Address:#xD;#xA;Organization - dipscoredb.dwadresse adresse#xD;#xA;Hospital - dipscoredb.dwadresse adresse">line 0..* string Street name, number, direction & P.O. Box etc. #xD; <a href="StructureDefinition-DIPSOrganization-definitions.html#Organization.address.city" title="When a postalcode is given the name of the city must be according to the official list of postalcodes used in Norway.#xD;#xA;#xD;#xA;The name of the city, town, village or other community or delivery center.#xD;#xA;#xD;#xA;Address:#xD;#xA;Organization - dipscoredb.dwkodeverkverdier langtnavn#xD;#xA;Hospital - dipscoredb.dwkodeverkverdier langtnavn#xD;#xA;Location - dipscoredb.dwkodeverkverdier langtnavn#xD;#xA;Department - dipscoredb.dwkodeverkverdier langtnavn#xD;#xA;Section - dipscoredb.dwkodeverkverdier langtnavn#xD;#xA;Ward -dipscoredb.dwkodeverkverdier langtnavn#xD;#xA;#xD;#xA;Billing Address:#xD;#xA;Organization - dipscoredb.dwkodeverkverdier langtnavn#xD;#xA;Hospital - dipscoredb.dwkodeverkverdier langtnavn">city 0..1 string Poststed or city #xD; <a href="StructureDefinition-DIPSOrganization-definitions.html#Organization.address.district" title="Name of the county (norwegian "kommune"). If kommune number is required "eiendomsinformasjon" should be used.#xD;#xA;#xD;#xA;The name of the administrative area (county).#xD;#xA;#xD;#xA;Address:#xD;#xA;Organization - dipscoredb.dwkodeverkverdier Langtnavn#xD;#xA;Hospital - dipscoredb.dwkodeverkverdier Langtnavn#xD;#xA;Location -dipscoredb.dwkodeverkverdier Langtnavn#xD;#xA;Department - dipscoredb.dwkodeverkverdier Langtnavn#xD;#xA;Section - dipscoredb.dwkodeverkverdier Langtnavn#xD;#xA;Ward - dipscoredb.dwkodeverkverdier Langtnavn">district 0..1 string name of "kommune" #xD; <a href="StructureDefinition-DIPSOrganization-definitions.html#Organization.address.state" title="Name of the norwegian "fylke"). If fylkes-number is required "eiendomsinformasjon" should be used with koded kommune-number.#xD;#xA;#xD;#xA;Sub-unit of a country with limited sovereignty in a federally organized country. A code may be used if codes are in common use (i.e. US 2 letter state codes).#xD;#xA;#xD;#xA;Address:#xD;#xA;Organization - dipscoredb.dwkodeverkverdier Langtnavn#xD;#xA;Hospital - dipscoredb.dwkodeverkverdier Langtnavn#xD;#xA;Location - dipscoredb.dwkodeverkverdier Langtnavn#xD;#xA;Department - dipscoredb.dwkodeverkverdier Langtnavn#xD;#xA;Section - dipscoredb.dwkodeverkverdier Langtnavn#xD;#xA;Ward - dipscoredb.dwkodeverkverdier Langtnavn">state 0..1 string norwegian "fylke" #xD; <a href="StructureDefinition-DIPSOrganization-definitions.html#Organization.address.postalCode" title="A postal code designating a region defined by the postal service.#xD;#xA;#xD;#xA;In Norway this is af four digit number defined by the norwegian postal service.#xD;#xA;#xD;#xA;Address:#xD;#xA;Organization - dipscoredb.dwkodeverkverdier kode#xD;#xA;Hospital - dipscoredb.dwkodeverkverdier kode#xD;#xA;Location - dipscoredb.dwkodeverkverdier kode#xD;#xA;Department - dipscoredb.dwkodeverkverdier kode#xD;#xA;Section - dipscoredb.dwkodeverkverdier kode#xD;#xA;Ward - dipscoredb.dwkodeverkverdier kode#xD;#xA;#xD;#xA;Billing Address:#xD;#xA;Organization - dipscoredb.dwkodeverkverdier kode#xD;#xA;Hospital - dipscoredb.dwkodeverkverdier kode">postalCode 0..1 string Postal code for area #xD; country 0..0 Country (e.g. can be ISO 3166 2 or 3 letter code) #xD; period 0..0 Time period when address was/is in use #xD; <a href="StructureDefinition-DIPSOrganization-definitions.html#Organization.partOf" title="A reference from one resource to another.#xD;#xA;#xD;#xA;Organization : dipscoredb.dworganisasjon HELSEFORETAKID#xD;#xA;Hospital: dipscoredb.dwdelinstitusjon ORGANISASJONID#xD;#xA;Location : dipscoredb.dwlokalisering SYKEHUSID#xD;#xA;Department: dipscoredb.dwavdeling SYKEHUSID#xD;#xA;Section: DIPSCOREDB.DWSEKSJON SYKEHUSID#xD;#xA;Ward: DIPSCOREDB.DWPOST SYKEHUSID">partOf 0..1 Reference(DIPSOrganization) The organization of which this organization forms a part #xD; type 0..0 Type the reference refers to (e.g. "Patient") #xD; identifier #xD; assigner 0..1 Reference(DIPSOrganization) Organization that issued id (may be just text) #xD; display 0..1 string Text alternative for the resource #xD; contact #xD; purpose 0..0 The type of contact #xD; name 0..0 A name associated with the contact #xD; telecom #xD; use 0..1 code home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required) #xD; address 0..0 Visiting or postal addresses for the contact #xD; endpoint 0..0 Technical endpoints providing access to services operated for the organization #xD; Documentation for this format
A grouping of people or organizations with a common purpose
A formally or informally recognized grouping of people or organizations formed for the purpose of achieving some form of collective action. Includes companies, institutions, corporations, departments, community groups, healthcare practice groups, payer/insurer, etc.
If the resource is contained in another resource, it SHALL NOT contain nested Resources
not(parent::f:contained and f:contained)
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()
not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))
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()
not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))
If a resource is contained in another resource, it SHALL NOT have a security label
When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time.
A resource should have narrative for robust management
The organization SHALL at least have a name or an identifier, and possibly more than one
Organization(classCode=ORG, determinerCode=INST)
The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
A set of rules under which this content was created
A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
The base language in which the resource is written.
Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
Text summary of the resource, for human interpretation
A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
Must have either extensions or value[x], not both
exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
Optional Extension Element - found in all resources.
exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Identifies this organization across multiple systems
Identifier for the organization that is used to identify the organization across multiple disparate systems.
Organizations are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the organization.
Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Extensions are always sliced by (at least) url
Additional content defined by implementations
May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
usual | official | temp | secondary | old (If known)
Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Identifies the purpose for this identifier, if known .
A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
Allows users to make use of identifiers when the identifier system is not known.
A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Identifier.system is always case sensitive.
There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
The portion of the identifier typically relevant to the user and which is unique within the context of the system. Organization : dipscoredb.dworganizationalunit RESHID Hospital: dipscoredb.dworganizationalunit RESHID Location : dipscoredb.dworganizationalunit reshid Department: dipscoredb.dworganizationalunit RESHID Section : dipscoredb.dworganizationalunit RESHID Ward: dipscoredb.dworganizationalunit reshid
If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
Time period when id is/was valid for use
Time period during which identifier is/was valid for use.
Role.effectiveTime or implied by context
Organization that issued id (may be just text)
Organization that issued/manages the identifier.
The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
Organisasjonsnummer from Enhetsregisteret
The portion of the identifier typically relevant to the user and which is unique within the context of the system.
Nasjonalt register over enheter i spesialisthelsetjenesten (RESH-ID)
The portion of the identifier typically relevant to the user and which is unique within the context of the system. Location : dipscoredb.dwlokalisering STANDARDLOKNR Department: dipscoredb.dwavdeling STANDARDAVDNR Section : DIPSCOREDB.DWSEKSJON STANDARDSEKSJONNR Ward: DIPSCOREDB.DWPOST STANDARDPOSTNR
Establishes the namespace for the value - that is, a URL that describes a set values that are unique. Establishes the namespace in which set of possible id values is unique. http://dips.no/fhir/namingsystem/dips/departmentshortname | http://dips.no/fhir/namingsystem/dips/sectionshortname | http://dips.no/fhir/namingsystem/dips/wardshortname
The portion of the identifier typically relevant to the user and which is unique within the context of the system. Location : dipscoredb.dwlokalisering LOKKORTNAVN Department: dipscoredb.dwavdeling AVDKORTNAVN Section : DIPSCOREDB.DWSEKSJON KORTNAVN Ward: DIPSCOREDB.DWPOST POSTKORTNAVN
The portion of the identifier typically relevant to the user and which is unique within the context of the system. Department: dipscoredb.dwavdeling AVDID
The portion of the identifier typically relevant to the user and which is unique within the context of the system. Organization : dipscoredb.dworganisasjon ORGANISASJONID
The portion of the identifier typically relevant to the user and which is unique within the context of the system. Hospital : dipscoredb.dwdelinstitusjon SYKEHUSID
The portion of the identifier typically relevant to the user and which is unique within the context of the system. Ward: DIPSCOREDB.DWPOST POSTID
The portion of the identifier typically relevant to the user and which is unique within the context of the system. Location : dipscoredb.dwlokalisering LocationId
The portion of the identifier typically relevant to the user and which is unique within the context of the system. Section : DIPSCOREDB.DWSEKSJON SEKSJONSID
Whether the organization's record is still in active use
Whether the organization's record is still in active use. Organization : dipscoredb.dworganisasjon AKTUELL Hospital: dipscoredb.dwdelinstitusjon erstattetmedenhetgid Location : dipscoredb.dwlokalisering AKTUELL Department: dipscoredb.dwavdeling AVDIBRUK Section : DIPSCOREDB.DWSEKSJON IBRUK Ward: DIPSCOREDB.DWPOST POSTIBRUK
This active flag is not intended to be used to mark an organization as temporarily closed or under construction. Instead the Location(s) within the Organization should have the suspended status. If further details of the reason for the suspension are required, then an extension on this element should be used. This element is labeled as a modifier because it may be used to mark that the resource was created in error.
Need a flag to indicate a record is no longer to be used and should generally be hidden for the user in the UI.
This resource is generally assumed to be active if no value is provided for the active element
This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid
./Status (however this concept in ServD more covers why the organization is active or not, could be delisted, deregistered, not operational yet) this could alternatively be derived from ./StartDate and ./EndDate and given a context date.
no-basis provides two commonly used slices to indicate Organization.type. Both ValueSets are used in the Norweian realm and is currently maintained at Volven.no: - Organisatorisk nivå (OID=8628) - Organisatorisk betegnelse (OID=8624) The kind(s) of organization that this is.
Organizations can be corporations, wards, sections, clinical teams, government departments, etc. Note that code is generally a classifier of the type of organization; in many applications, codes are used to identity a particular organization (say, ward) as opposed to another of the same type - these are identifiers, not codes When considering if multiple types are appropriate, you should evaluate if child organizations would be a more appropriate use of the concept, as different types likely are in different sub-areas of the organization. This is most likely to be used where type values have orthogonal values, such as a religious, academic and medical center. We expect that some jurisdictions will profile this optionality to be a single cardinality.
Need to be able to track the kind of organization that this is - different organization types have different uses.
A reference to a code defined by a terminology system.
Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Allows for alternative encodings within a code system, and translations to other code systems.
fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
Plain text representation of the concept
A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. Organization : dipscoredb.dwkodeverkverdier LANGTNAVN Hospital: "Sykehus" Location : "Poliklinikk" Department: dipscoredb.dwkodeverkverdier LANGTNAVN Section : "Seksjon" Ward: dipscoredb.dwkodeverkverdier LANGTNAVN
Very often the text is the same as a displayName of one of the codings.
The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
C*E.9. But note many systems use C*E.2 for this
fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
The kind(s) of organization that this is.
The identification of the code system that defines the meaning of the symbol in the code.
The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
Need to be unambiguous about the source of the definition of the symbol.
fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.
Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Need to refer to a particular code in the system.
fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
A representation of the meaning of the code in the system, following the rules of the system.
Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
C*E.2 - but note this is not well followed
fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
If this coding was chosen directly by the user
Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).
Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.
fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
Source of the definition for the extension code - a logical name or a URL.
The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list).
A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Organization : dipscoredb.dwkodeverkverdier KODE
A representation of the meaning of the code in the system, following the rules of the system. dipscoredb.dwkodeverkverdier LANGTNAVN
A name associated with the organization. Organization : dipscoredb.dworganisasjon NAVN Hospital: dipscoredb.dwdelinstitusjon NAVN Location : dipscoredb.dwlokalisering LOKNAVN Department: dipscoredb.dwavdeling AVDNAVN Section : DIPSCOREDB.DWSEKSJON NAVN Ward: DIPSCOREDB.DWPOST POSTNAVN
If the name of an organization changes, consider putting the old name in the alias column so that it can still be located through searches.
Need to use the name as the label of the organization.
A list of alternate names that the organization is known as, or was known as in the past
There are no dates associated with the alias/historic names, as this is not intended to track when names were used, but to assist in searching so that older names can still result in identifying the organization.
Over time locations and organizations go through many changes and can be known by different names. For searching knowing previous names that the organization was known by can be very useful.
A contact detail for the organization. Organization : dipscoredb.dworganisasjon TELEFON , TELEFAX, EMAILADRESSE Hospital: dipscoredb.dwdelinstitusjon TELEFON, TELEFAX, EMAILADRESSE,WEBADRESSE Location : dipscoredb.dwlokalisering TELEFON, TELEFAX, EMAILADRESSE, WEBADRESSE Department: dipscoredb.dwavdeling TELEFON, TELEFAX, EMAILADRESSE, WEBADRESSE Section : DIPSCOREDB.DWSEKSJON TELEFON, TELEFAX, EMAILADRESSE Ward: DIPSCOREDB.DWPOST TELEFON, TELEFAX, EMAILADRESSE
The use code 'home' is not to be used. Note that these contacts are not the contact details of people who are employed by or represent the organization, but official contacts for the organization itself.
The telecom of an organization can never be of use 'home'
phone | fax | email | pager | url | sms | other
Telecommunications form for contact point - what communications system is required to make use of the contact.
The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address).
Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.
Need to support legacy numbers that are not in a tightly controlled format.
home | work | temp | old | mobile - purpose of this contact point
Identifies the purpose for the contact point.
Applications can assume that a contact is current unless it explicitly says that it is temporary or old.
Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.
This is labeled as "Is Modifier" because applications should not mistake a temporary or old contact etc.for a current/permanent one
Specify preferred order of use (1 = highest)
Specifies a preferred order in which to use a set of contacts. ContactPoints with lower rank values are more preferred than those with higher rank values.
Note that rank does not necessarily follow the order in which the contacts are represented in the instance.
Time period when the contact point was/is in use
Organization may have multiple addresses with different uses or applicable periods. The use code 'home' is not to be used.
May need to keep track of the organization's addresses for contacting, billing or reporting requirements.
An address of an organization can never be of use 'home'
The name and number of the of the urban district of this address.
Identification of a real property in Norway is defined using gårdsnummer, bruksnummer and kommunenummer. In addition real property can be rented out, the area of the real property that is rented is measured and is further identified by its festenummer. In addition some real property is split into sections identified by its seksjonsnummer
home | work | temp | old | billing - purpose of this address
The purpose of this address. Mapping of values to other Norwegian CodeSystems is documented in the implementation guide. In general the address used for visiting the person should have use "home" and type "physical" or "both". The "official" flag can be either true or false.
Applications can assume that an address is current unless it explicitly says that it is temporary or old.
Allows an appropriate address to be chosen from a list of many.
This is labeled as "Is Modifier" because applications should not mistake a temporary or old address etc.for a current/permanent one
Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both. Mapping of values to other Norwegian CodeSystems is documented in the implementation guide. In general the address used for visiting the person should have use "home" and type "physical" or "both". The "official" flag can be either true or false.
The definition of Address states that "address is intended to describe postal addresses, not physical locations". However, many applications track whether an address has a dual purpose of being a location that can be visited as well as being a valid delivery destination, and Postal addresses are often used as proxies for physical locations (also see the [Location](http://hl7.org/fhir/R4/location.html#) resource).
Specifies the entire address as it should be displayed e.g. on a postal label. This may be provided instead of or as well as the specific parts.
Can provide both a text representation and parts. Applications updating an address SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.
XAD.1 + XAD.2 + XAD.3 + XAD.4 + XAD.5 + XAD.6
Street name, number, direction & P.O. Box etc.
This component contains the house number, apartment number, street name, street direction, P.O. Box number, delivery hints, and similar address information. Address: Organization - dipscoredb.dwadresse adresse Hospital - dipscoredb.dwadresse adresse Location - dipscoredb.dwadresse adresse Department - dipscoredb.dwadresse adresse Section - dipscoredb.dwadresse adresse Ward - dipscoredb.dwadresse adresse Billing Address: Organization - dipscoredb.dwadresse adresse Hospital - dipscoredb.dwadresse adresse
The order in which lines should appear in an address label
XAD.1 + XAD.2 (note: XAD.1 and XAD.2 have different meanings for a company address than for a person address)
When a postalcode is given the name of the city must be according to the official list of postalcodes used in Norway. The name of the city, town, village or other community or delivery center. Address: Organization - dipscoredb.dwkodeverkverdier langtnavn Hospital - dipscoredb.dwkodeverkverdier langtnavn Location - dipscoredb.dwkodeverkverdier langtnavn Department - dipscoredb.dwkodeverkverdier langtnavn Section - dipscoredb.dwkodeverkverdier langtnavn Ward -dipscoredb.dwkodeverkverdier langtnavn Billing Address: Organization - dipscoredb.dwkodeverkverdier langtnavn Hospital - dipscoredb.dwkodeverkverdier langtnavn
Name of the county (norwegian "kommune"). If kommune number is required "eiendomsinformasjon" should be used. The name of the administrative area (county). Address: Organization - dipscoredb.dwkodeverkverdier Langtnavn Hospital - dipscoredb.dwkodeverkverdier Langtnavn Location -dipscoredb.dwkodeverkverdier Langtnavn Department - dipscoredb.dwkodeverkverdier Langtnavn Section - dipscoredb.dwkodeverkverdier Langtnavn Ward - dipscoredb.dwkodeverkverdier Langtnavn
District is sometimes known as county, but in some regions 'county' is used in place of city (municipality), so county name should be conveyed in city instead.
unique id for the element within a resource (for internal references)
Coded value for municipality/county Norwegian kommune
Name of the norwegian "fylke"). If fylkes-number is required "eiendomsinformasjon" should be used with koded kommune-number. Sub-unit of a country with limited sovereignty in a federally organized country. A code may be used if codes are in common use (i.e. US 2 letter state codes). Address: Organization - dipscoredb.dwkodeverkverdier Langtnavn Hospital - dipscoredb.dwkodeverkverdier Langtnavn Location - dipscoredb.dwkodeverkverdier Langtnavn Department - dipscoredb.dwkodeverkverdier Langtnavn Section - dipscoredb.dwkodeverkverdier Langtnavn Ward - dipscoredb.dwkodeverkverdier Langtnavn
A postal code designating a region defined by the postal service. In Norway this is af four digit number defined by the norwegian postal service. Address: Organization - dipscoredb.dwkodeverkverdier kode Hospital - dipscoredb.dwkodeverkverdier kode Location - dipscoredb.dwkodeverkverdier kode Department - dipscoredb.dwkodeverkverdier kode Section - dipscoredb.dwkodeverkverdier kode Ward - dipscoredb.dwkodeverkverdier kode Billing Address: Organization - dipscoredb.dwkodeverkverdier kode Hospital - dipscoredb.dwkodeverkverdier kode
Country (e.g. can be ISO 3166 2 or 3 letter code)
Country - a nation as commonly understood or generally accepted.
ISO 3166 3 letter codes can be used in place of a human readable country name.
Allows addresses to be placed in historical context.
The organization of which this organization forms a part
A reference from one resource to another. Organization : dipscoredb.dworganisasjon HELSEFORETAKID Hospital: dipscoredb.dwdelinstitusjon ORGANISASJONID Location : dipscoredb.dwlokalisering SYKEHUSID Department: dipscoredb.dwavdeling SYKEHUSID Section: DIPSCOREDB.DWSEKSJON SYKEHUSID Ward: DIPSCOREDB.DWPOST SYKEHUSID
Need to be able to track the hierarchy of organizations within an organization.
Literal reference, Relative, internal or absolute URL
A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
Type the reference refers to (e.g. "Patient")
The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).
This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.
Aa resource (or, for logical models, the URI of the logical model).
Logical reference, when literal reference is not known
An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).
Plain text narrative that identifies the resource in addition to the resource reference. Organization : dipscoredb.dworganisasjon NAVN Hospital: dipscoredb.dwdelinstitusjon NAVN
This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
Contact for the organization for a certain purpose
Where multiple contacts for the same purpose are provided there is a standard extension that can be used to determine which one is the preferred contact to use.
Need to keep track of assigned contact points within bigger organization.
Extensions that cannot be ignored even if unrecognized
May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Indicates a purpose for which the contact can be reached.
Need to distinguish between multiple contact persons.
The purpose for which you would contact a contact party.
Need to be able to track the person by name.
Contact details (telephone, email, etc.) for a contact
A contact detail (e.g. a telephone number or an email address) by which the party may be contacted.
People have (primary) ways to contact them in some way such as phone, email.
Telecommunications form for contact point.
Visiting or postal addresses for the contact
May need to keep track of a contact party's address for contacting, billing or reporting requirements.
Technical endpoints providing access to services operated for the organization
Technical endpoints providing access to services operated for the organization. no-basis don't use this element to reference endpoints registered in the Norwegian Address register (endpoints connected to a kommunikasjonspart in tjenestebasert adressering). Endpoints registered in the Norwegian Address register should only be referenced through a kommunikasjonspart-Organization resource.
Organizations have multiple systems that provide various services and need to be able to define the technical connection details for how to connect to them, and for what purpose.