This page is part of the HSPC FHIR Implementation Guide (v0.1.0: Daft For Comment Draft) based on FHIR v1.9.0. This is the current published version. For a full list of available versions, see the Directory of published versions

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Profile hspc-organization

<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="hspc-organization"/>
  <url value="http://fhir.org/guides/hspc/StructureDefinition/hspc-organization"/>
  <name value="Profile hspc-organization"/>
  <status value="draft"/>
  <publisher value="HSPC"/>
  <contact>
    <telecom>
      <system value="other"/>
      <value value="http://healthcaresoa.org"/>
    </telecom>
  </contact>
  <date value="2015-05-19"/>
  <mapping>
    <identity value="v2"/>
    <uri value="http://hl7.org/v2"/>
    <name value="HL7 v2 Mapping"/>
  </mapping>
  <mapping>
    <identity value="rim"/>
    <uri value="http://hl7.org/v3"/>
    <name value="RIM Mapping"/>
  </mapping>
  <mapping>
    <identity value="servd"/>
    <uri value="http://www.omg.org/spec/ServD/1.0/"/>
    <name value="ServD"/>
  </mapping>
  <mapping>
    <identity value="w5"/>
    <uri value="http://hl7.org/fhir/w5"/>
    <name value="W5 Mapping"/>
  </mapping>
  <kind value="resource"/>
  <abstract value="false"/>
  <type value="Organization"/>
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Organization"/>
  <derivation value="constraint"/>
  <snapshot>
    <element id="Organization:organization">
      <path value="Organization"/>
      <name value="Organization"/>
      <short value="A grouping of people or organizations with a common purpose"/>
      <definition
                  value="A formally or informally recognized grouping of people or organizations formed for the purpose of achieving some form of collective action.  Includes companies, institutions, corporations, departments, community groups, healthcare practice groups, etc."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Organization"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <constraint>
        <key value="org-1"/>
        <severity value="error"/>
        <human
               value="The organization SHALL at least have a name or an id, and possibly more than one"/>
        <expression value="(identifier.count() + name.count()) > 0"/>
        <xpath value="count(f:identifier | f:name) > 0"/>
      </constraint>
      <mustSupport value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="v2"/>
        <map value="(also see master files messages)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="Organization(classCode=ORG, determinerCode=INST)"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="Organization"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="administrative.group"/>
      </mapping>
    </element>
    <element id="Organization:organization.id">
      <path value="Organization.id"/>
      <short value="Logical id of this artifact"/>
      <definition
                  value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes."/>
      <comments
                value="The only time that a resource does not have an id is when it is being submitted to the server using a create operation."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element id="Organization:organization.meta">
      <path value="Organization.meta"/>
      <short value="Metadata about the resource"/>
      <definition
                  value="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.meta"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Meta"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element id="Organization:organization.implicitRules">
      <path value="Organization.implicitRules"/>
      <short value="A set of rules under which this content was created"/>
      <definition
                  value="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content."/>
      <comments
                value="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 as much as possible."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.implicitRules"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="uri"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
    </element>
    <element id="Organization:organization.language">
      <path value="Organization.language"/>
      <short value="Language of the resource content"/>
      <definition value="The base language in which the resource is written."/>
      <comments
                value="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)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.language"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
          <valueReference>
            <reference value="http://hl7.org/fhir/ValueSet/all-languages"/>
          </valueReference>
        </extension>
        <strength value="extensible"/>
        <description value="A human language."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/languages"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="Organization:organization.text">
      <path value="Organization.text"/>
      <short value="Text summary of the resource, for human interpretation"/>
      <definition
                  value="A human-readable narrative that contains a summary of the resource, and may 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."/>
      <comments
                value="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 in formation is added later."/>
      <alias value="narrative"/>
      <alias value="html"/>
      <alias value="xhtml"/>
      <alias value="display"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DomainResource.text"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Narrative"/>
      </type>
      <condition value="dom-1"/>
      <mapping>
        <identity value="rim"/>
        <map value="Act.text?"/>
      </mapping>
    </element>
    <element id="Organization:organization.contained">
      <path value="Organization.contained"/>
      <short value="Contained, inline Resources"/>
      <definition
                  value="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."/>
      <comments
                value="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."/>
      <alias value="inline resources"/>
      <alias value="anonymous resources"/>
      <alias value="contained resources"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.contained"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Resource"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element
             id="Organization:organization.extension:organizationperiod$Extension">
      <path value="Organization.extension"/>
      <name value="OrganizationPeriod"/>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DomainResource.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </type>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
      </constraint>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="Organization:organization.modifierExtension">
      <path value="Organization.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition
                  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. Usually modifier elements provide negation or qualification. In order 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."/>
      <comments
                value="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."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Organization:organization.identifier">
      <path value="Organization.identifier"/>
      <short value="Identifies this organization  across multiple systems"/>
      <definition
                  value="Identifier for the organization that is used to identify the organization across multiple disparate systems."/>
      <requirements
                    value="Organizations are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the organization."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Organization.identifier"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Identifier"/>
      </type>
      <condition value="org-1"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="XON.10 / XON.3"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".scopes[Role](classCode=IDENT)"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="./Identifiers"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="id"/>
      </mapping>
    </element>
    <element id="Organization:organization.active">
      <path value="Organization.active"/>
      <short
             value="Whether the organization's record is still in active use"/>
      <definition
                  value="Whether the organization's record is still in active use."/>
      <comments
                value="Default is true.  This active flag is not intended to be used to mark an organizations as temporarily closed or under construction. Instead the Location(s) within the Organization should have the suspended status. If further details of the reason for the suspension are required, then an extension on this element should be used."/>
      <requirements
                    value="Need a flag to indicate a record is no longer to be used and should generally be hidden for the user in the UI."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Organization.active"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
      <defaultValueBoolean value="true"/>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="No equivalent in HL7 v2"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".status"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map
             value="./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."/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="status"/>
      </mapping>
    </element>
    <element id="Organization:organization.type">
      <path value="Organization.type"/>
      <short value="Concept - reference to a terminology or just  text"/>
      <definition
                  value="A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text."/>
      <comments
                value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Organization.type"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/CodeableConcept"/>
      </type>
      <mustSupport value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="preferred"/>
        <description
                     value="The set of values that are in the ABO and Rh blood group."/>
        <valueSetReference>
          <reference value="ValueSet/organization-organizationtype"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="CE/CNE/CWE"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="CD"/>
      </mapping>
      <mapping>
        <identity value="orim"/>
        <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD"/>
      </mapping>
    </element>
    <element id="Organization:organization.name:organizationname">
      <path value="Organization.name"/>
      <name value="OrganizationName"/>
      <short value="Name used for the organization"/>
      <definition value="A name associated with the organization."/>
      <comments
                value="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."/>
      <requirements
                    value="Need to use the name as the label of the organization."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Organization.name"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <condition value="org-1"/>
      <mustSupport value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="v2"/>
        <map value="XON.1"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".name"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value=".PreferredName/Name"/>
      </mapping>
    </element>
    <element id="Organization:organization.name:organizationname.id">
      <path value="Organization.name.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition
                  value="unique id for the element within a resource (for internal references)"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="string.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="id"/>
      </type>
    </element>
    <element id="Organization:organization.name:organizationname.extension">
      <path value="Organization.name.extension"/>
      <slicing id="11">
        <discriminator value="url"/>
        <ordered value="false"/>
        <rules value="open"/>
      </slicing>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="string.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
    </element>
    <element
             id="Organization:organization.name:organizationname.extension:organizationnameuse$Extension">
      <path value="Organization.name.extension"/>
      <name value="OrganizationNameUse"/>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="string.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </type>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
      </constraint>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element
             id="Organization:organization.name:organizationname.extension:nameperiod$Extension">
      <path value="Organization.name.extension"/>
      <name value="NamePeriod"/>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="string.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </type>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
      </constraint>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="Organization:organization.name:organizationname.value">
      <path value="Organization.name.value"/>
      <representation value="xmlAttr"/>
      <short value="Primitive value for string"/>
      <definition value="The actual value"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="string.value"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <maxLength value="1048576"/>
    </element>
    <element id="Organization:organization.alias">
      <path value="Organization.alias"/>
      <short
             value="A list of alternate names that the organization is known as, or was known as in the past"/>
      <definition
                  value="A list of alternate names that the organization is known as, or was known as in the past."/>
      <comments
                value="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."/>
      <requirements
                    value="Over time locations and organizations go through many changes and can be known by different names.  For searching knowing previous names that the location was known by can be very useful."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Organization.alias"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="Organization:organization.telecom">
      <path value="Organization.telecom"/>
      <short value="A contact detail for the organization"/>
      <definition value="A contact detail for the organization."/>
      <comments
                value="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."/>
      <requirements value="Human contact for the organization."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Organization.telecom"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="ContactPoint"/>
      </type>
      <condition value="org-3"/>
      <constraint>
        <key value="org-3"/>
        <severity value="error"/>
        <human
               value="The telecom of an organization can never be of use 'home'"/>
        <expression value="select(use = 'home').empty()"/>
        <xpath value="count(f:use[@value='home']) = 0"/>
      </constraint>
      <mapping>
        <identity value="v2"/>
        <map value="ORC-22?"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".telecom"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="./ContactPoints"/>
      </mapping>
    </element>
    <element id="Organization:organization.address">
      <path value="Organization.address"/>
      <short value="An address for the organization"/>
      <definition value="An address for the organization."/>
      <comments
                value="Organization may have multiple addresses with different uses or applicable periods. The use code home is not to be used."/>
      <requirements
                    value="May need to keep track of the organization's addresses for contacting, billing or reporting requirements."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Organization.address"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Address"/>
      </type>
      <condition value="org-2"/>
      <constraint>
        <key value="org-2"/>
        <severity value="error"/>
        <human
               value="An address of an organization can never be of use 'home'"/>
        <expression value="select(use = 'home').empty()"/>
        <xpath value="count(f:use[@value='home']) = 0"/>
      </constraint>
      <mapping>
        <identity value="v2"/>
        <map value="ORC-23?"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".address"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="./PrimaryAddress and ./OtherAddresses"/>
      </mapping>
    </element>
    <element id="Organization:organization.partOf">
      <path value="Organization.partOf"/>
      <short value="The organization of which this organization forms a part"/>
      <definition
                  value="The organization of which this organization forms a part."/>
      <requirements
                    value="Need to be able to track the hierarchy of organizations within an organization."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Organization.partOf"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Organization"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="No equivalent in HL7 v2"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".playedBy[classCode=Part].scoper"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Organization:organization.contact">
      <path value="Organization.contact"/>
      <short value="Contact for the organization for a certain purpose"/>
      <definition value="Contact for the organization for a certain purpose."/>
      <comments
                value="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."/>
      <requirements
                    value="Need to keep track of assigned contact points within bigger organization."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Organization.contact"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <mustSupport value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value=".contactParty"/>
      </mapping>
    </element>
    <element id="Organization:organization.contact.id">
      <path value="Organization.contact.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition
                  value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Organization:organization.contact.extension">
      <path value="Organization.contact.extension"/>
      <slicing id="12">
        <discriminator value="url"/>
        <ordered value="false"/>
        <rules value="open"/>
      </slicing>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
    </element>
    <element
             id="Organization:organization.contact.extension:contactperiod$Extension">
      <path value="Organization.contact.extension"/>
      <name value="ContactPeriod"/>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </type>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
      </constraint>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element
             id="Organization:organization.contact.extension:primarylanguage$Extension">
      <path value="Organization.contact.extension"/>
      <name value="PrimaryLanguage"/>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </type>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
      </constraint>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="Organization:organization.contact.modifierExtension">
      <path value="Organization.contact.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition
                  value="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 that contains it. Usually modifier elements provide negation or qualification. In order 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."/>
      <comments
                value="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."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Organization:organization.contact.purpose">
      <path value="Organization.contact.purpose"/>
      <short value="The type of contact"/>
      <definition
                  value="Indicates a purpose for which the contact can be reached."/>
      <requirements
                    value="Need to distinguish between multiple contact persons."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Organization.contact.purpose"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <description
                     value="The purpose for which you would contact a contact party"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/contactentity-type"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value="./type"/>
      </mapping>
    </element>
    <element id="Organization:organization.contact.name">
      <path value="Organization.contact.name"/>
      <short value="A name associated with the contact"/>
      <definition value="A name associated with the contact."/>
      <requirements value="Need to be able to track the person by name."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Organization.contact.name"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="HumanName"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="PID-5, PID-9"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="./name"/>
      </mapping>
    </element>
    <element id="Organization:organization.contact.telecom">
      <path value="Organization.contact.telecom"/>
      <short value="Contact details (telephone, email, etc.)  for a contact"/>
      <definition
                  value="A contact detail (e.g. a telephone number or an email address) by which the party may be contacted."/>
      <requirements
                    value="People have (primary) ways to contact them in some way such as phone, email."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Organization.contact.telecom"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="ContactPoint"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="PID-13, PID-14"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="./telecom"/>
      </mapping>
    </element>
    <element id="Organization:organization.contact.address">
      <path value="Organization.contact.address"/>
      <short value="Visiting or postal addresses for the contact"/>
      <definition value="Visiting or postal addresses for the contact."/>
      <requirements
                    value="May need to keep track of a contact party's address for contacting, billing or reporting requirements."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Organization.contact.address"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Address"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="PID-11"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="./addr"/>
      </mapping>
    </element>
    <element id="Organization:organization.endpoint">
      <path value="Organization.endpoint"/>
      <short
             value="Technical endpoints providing access to services operated for the organization"/>
      <definition
                  value="Technical endpoints providing access to services operated for the organization."/>
      <requirements
                    value="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."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Organization.endpoint"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Endpoint"/>
      </type>
    </element>
  </snapshot>
  <differential>
    <element id="Organization:organization">
      <path value="Organization"/>
      <name value="Organization"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element
             id="Organization:organization.extension:organizationperiod$Extension">
      <path value="Organization.extension"/>
      <name value="OrganizationPeriod"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Extension"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="Organization:organization.type">
      <path value="Organization.type"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/CodeableConcept"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="preferred"/>
        <description
                     value="The set of values that are in the ABO and Rh blood group."/>
        <valueSetReference>
          <reference value="ValueSet/organization-organizationtype"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="Organization:organization.name:organizationname">
      <path value="Organization.name"/>
      <name value="OrganizationName"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element
             id="Organization:organization.name:organizationname.extension:organizationnameuse$Extension">
      <path value="Organization.name.extension"/>
      <name value="OrganizationNameUse"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Extension"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element
             id="Organization:organization.name:organizationname.extension:nameperiod$Extension">
      <path value="Organization.name.extension"/>
      <name value="NamePeriod"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Extension"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="Organization:organization.contact">
      <path value="Organization.contact"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element
             id="Organization:organization.contact.extension:contactperiod$Extension">
      <path value="Organization.contact.extension"/>
      <name value="ContactPeriod"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Extension"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element
             id="Organization:organization.contact.extension:primarylanguage$Extension">
      <path value="Organization.contact.extension"/>
      <name value="PrimaryLanguage"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Extension"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
  </differential>
</StructureDefinition>