Nictiz FHIR NL R4 Zib2020
0.9.0 - CI Build

Nictiz FHIR NL R4 Zib2020 - Local Development build (v0.9.0). See the Directory of published versions

Resource Profile: nl core Payer Organization

Official URL: http://nictiz.nl/fhir/StructureDefinition/nl-core-Payer-Organization Version: 0.9.0
Draft as of 2023-10-17 Computable Name: NlcorePayerOrganization

Copyright/Legal: Copyright and related rights waived via CC0, https://creativecommons.org/publicdomain/zero/1.0/. This does not apply to information from third parties, for example a medical terminology system. The implementer alone is responsible for identifying and obtaining any necessary licenses or authorizations to utilize third party IP in connection with the specification or otherwise.

Payers are organizations or individuals that pay for the healthcare supplied to the patient. These organizations or individuals can be: facilities or people who financially guarantee or who are responsible for the patient (such as parents or guardians of minors), organizations with direct financial responsibility, combinations of these or the patient themselves.

A derived profile from zib-Payer-Organization to provide a version better suited for implementation purposes. This profile augments the base profile with elements found in the various use cases that have adopted the zib.

Usage:

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraintsdoco
.. Organization C0..*ZibPayerOrganizationInsuranceCompany
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... Slices for identifier ΣC0..*IdentifierIdentifies this organization across multiple systems
Slice: Unordered, Open by value:$this
.... identifier:uzovi ΣC0..1IdentifierIdentificationNumber

Required Pattern: At least the following
..... system1..1uriThe namespace for the identifier value
Fixed Value: http://fhir.nl/fhir/NamingSystem/uzovi
... Slices for telecom C0..*ContactPointContactInformation
Slice: Unordered, Open by profile:$this
.... telecom:telephoneNumbers C0..*NlcoreContactInformationTelephoneNumbersTelephoneNumbers
.... telecom:emailAddresses C0..*NlcoreContactInformationEmailAddressesEmailAddresses
... address C0..*NlcoreAddressInformationAddressInformation

doco Documentation for this format

Constraints

IdGradePath(s)DetailsRequirements
cpt-2errorOrganization.telecom:telephoneNumbers, Organization.telecom:emailAddressesA system is required if a value is provided.
: value.empty() or system.exists()
dom-2errorOrganizationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorOrganizationIf 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-4errorOrganizationIf 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-5errorOrganizationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceOrganizationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
org-1errorOrganizationThe organization SHALL at least have a name or an identifier, and possibly more than one
: (identifier.count() + name.count()) > 0
org-2errorOrganization.addressAn address of an organization can never be of use 'home'
: where(use = 'home').empty()
org-3errorOrganization.telecom, Organization.telecom:telephoneNumbers, Organization.telecom:emailAddressesThe telecom of an organization can never be of use 'home'
: where(use = 'home').empty()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Organization C0..*ZibPayerOrganizationInsuranceCompany
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... Slices for identifier ΣC0..*IdentifierIdentifies this organization across multiple systems
Slice: Unordered, Open by value:$this
.... identifier:uzovi ΣC0..1IdentifierIdentificationNumber

Required Pattern: At least the following
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... use0..1codeusual | official | temp | secondary | old (If known)
..... type0..1CodeableConceptDescription of identifier
..... system1..1uriThe namespace for the identifier value
Fixed Value: http://fhir.nl/fhir/NamingSystem/uzovi
..... value0..1stringThe value that is unique
..... period0..1PeriodTime period when id is/was valid for use
..... assigner0..1Reference(Organization)Organization that issued id (may be just text)
... active ?!Σ0..1booleanWhether the organization's record is still in active use
... type Σ0..*CodeableConceptKind of organization
Binding: OrganizationType (example): Used to categorize the organization.


... name ΣC0..1stringOrganizationName / PayerName
... alias 0..*stringA list of alternate names that the organization is known as, or was known as in the past
... Slices for telecom C0..*ContactPointContactInformation
Slice: Unordered, Open by profile:$this
.... telecom:telephoneNumbers C0..*NlcoreContactInformationTelephoneNumbersTelephoneNumbers
.... telecom:emailAddresses C0..*NlcoreContactInformationEmailAddressesEmailAddresses
... address C0..*NlcoreAddressInformationAddressInformation
... partOf Σ0..1Reference(Organization)The organization of which this organization forms a part
... contact 0..*BackboneElementContact for the organization for a certain purpose
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... purpose 0..1CodeableConceptThe type of contact
Binding: ContactEntityType (extensible): The purpose for which you would contact a contact party.

.... name 0..1HumanNameA name associated with the contact
.... telecom 0..*ContactPointContact details (telephone, email, etc.) for a contact
.... address 0..1AddressVisiting or postal addresses for the contact
... endpoint 0..*Reference(Endpoint)Technical endpoints providing access to services operated for the organization

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Organization.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Organization.typeexampleOrganizationType
Organization.contact.purposeextensibleContactEntityType

Constraints

IdGradePath(s)DetailsRequirements
cpt-2errorOrganization.telecom:telephoneNumbers, Organization.telecom:emailAddressesA system is required if a value is provided.
: value.empty() or system.exists()
dom-2errorOrganizationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorOrganizationIf 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-4errorOrganizationIf 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-5errorOrganizationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceOrganizationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
org-1errorOrganizationThe organization SHALL at least have a name or an identifier, and possibly more than one
: (identifier.count() + name.count()) > 0
org-2errorOrganization.addressAn address of an organization can never be of use 'home'
: where(use = 'home').empty()
org-3errorOrganization.telecom, Organization.telecom:telephoneNumbers, Organization.telecom:emailAddressesThe telecom of an organization can never be of use 'home'
: where(use = 'home').empty()

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Organization C0..*ZibPayerOrganizationInsuranceCompany
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... Slices for identifier ΣC0..*IdentifierIdentifies this organization across multiple systems
Slice: Unordered, Open by value:$this
.... identifier:uzovi ΣC0..1IdentifierIdentificationNumber

Required Pattern: At least the following
..... system1..1uriThe namespace for the identifier value
Fixed Value: http://fhir.nl/fhir/NamingSystem/uzovi
... Slices for telecom C0..*ContactPointContactInformation
Slice: Unordered, Open by profile:$this
.... telecom:telephoneNumbers C0..*NlcoreContactInformationTelephoneNumbersTelephoneNumbers
.... telecom:emailAddresses C0..*NlcoreContactInformationEmailAddressesEmailAddresses
... address C0..*NlcoreAddressInformationAddressInformation

doco Documentation for this format

Constraints

IdGradePath(s)DetailsRequirements
cpt-2errorOrganization.telecom:telephoneNumbers, Organization.telecom:emailAddressesA system is required if a value is provided.
: value.empty() or system.exists()
dom-2errorOrganizationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorOrganizationIf 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-4errorOrganizationIf 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-5errorOrganizationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceOrganizationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
org-1errorOrganizationThe organization SHALL at least have a name or an identifier, and possibly more than one
: (identifier.count() + name.count()) > 0
org-2errorOrganization.addressAn address of an organization can never be of use 'home'
: where(use = 'home').empty()
org-3errorOrganization.telecom, Organization.telecom:telephoneNumbers, Organization.telecom:emailAddressesThe telecom of an organization can never be of use 'home'
: where(use = 'home').empty()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Organization C0..*ZibPayerOrganizationInsuranceCompany
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... Slices for identifier ΣC0..*IdentifierIdentifies this organization across multiple systems
Slice: Unordered, Open by value:$this
.... identifier:uzovi ΣC0..1IdentifierIdentificationNumber

Required Pattern: At least the following
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... use0..1codeusual | official | temp | secondary | old (If known)
..... type0..1CodeableConceptDescription of identifier
..... system1..1uriThe namespace for the identifier value
Fixed Value: http://fhir.nl/fhir/NamingSystem/uzovi
..... value0..1stringThe value that is unique
..... period0..1PeriodTime period when id is/was valid for use
..... assigner0..1Reference(Organization)Organization that issued id (may be just text)
... active ?!Σ0..1booleanWhether the organization's record is still in active use
... type Σ0..*CodeableConceptKind of organization
Binding: OrganizationType (example): Used to categorize the organization.


... name ΣC0..1stringOrganizationName / PayerName
... alias 0..*stringA list of alternate names that the organization is known as, or was known as in the past
... Slices for telecom C0..*ContactPointContactInformation
Slice: Unordered, Open by profile:$this
.... telecom:telephoneNumbers C0..*NlcoreContactInformationTelephoneNumbersTelephoneNumbers
.... telecom:emailAddresses C0..*NlcoreContactInformationEmailAddressesEmailAddresses
... address C0..*NlcoreAddressInformationAddressInformation
... partOf Σ0..1Reference(Organization)The organization of which this organization forms a part
... contact 0..*BackboneElementContact for the organization for a certain purpose
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... purpose 0..1CodeableConceptThe type of contact
Binding: ContactEntityType (extensible): The purpose for which you would contact a contact party.

.... name 0..1HumanNameA name associated with the contact
.... telecom 0..*ContactPointContact details (telephone, email, etc.) for a contact
.... address 0..1AddressVisiting or postal addresses for the contact
... endpoint 0..*Reference(Endpoint)Technical endpoints providing access to services operated for the organization

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Organization.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Organization.typeexampleOrganizationType
Organization.contact.purposeextensibleContactEntityType

Constraints

IdGradePath(s)DetailsRequirements
cpt-2errorOrganization.telecom:telephoneNumbers, Organization.telecom:emailAddressesA system is required if a value is provided.
: value.empty() or system.exists()
dom-2errorOrganizationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorOrganizationIf 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-4errorOrganizationIf 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-5errorOrganizationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceOrganizationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
org-1errorOrganizationThe organization SHALL at least have a name or an identifier, and possibly more than one
: (identifier.count() + name.count()) > 0
org-2errorOrganization.addressAn address of an organization can never be of use 'home'
: where(use = 'home').empty()
org-3errorOrganization.telecom, Organization.telecom:telephoneNumbers, Organization.telecom:emailAddressesThe telecom of an organization can never be of use 'home'
: where(use = 'home').empty()

 

Other representations of profile: CSV, Excel, Schematron