CMS Hospital Quality Reporting FHIR Implementation Guide
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CMS Hospital Quality Reporting FHIR Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: HQR Reporting Organization (DRAFT)

Official URL: http://example.org/fhir/us/hqr/StructureDefinition/hqr-reporting-organization Version: 0.1.0
Draft as of 2026-10-07 Computable Name: HQRReportingOrganization

DRAFT. Constrains QI-Core Organization to require the CMS Certification Number (CCN), identifying the facility reporting to HQR.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Organization C 0..* QICoreOrganization A grouping of people or organizations with a common purpose
Constraints: org-1
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier SΣC 1..* Identifier Identifies this organization across multiple systems
Slice: Unordered, Open by pattern:$this
.... identifier:NPI SΣC 0..* Identifier National Provider Identifier (NPI)
Constraints: us-core-16, us-core-17

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... use 0..1 code usual | official | temp | secondary | old (If known)
..... type 0..1 CodeableConcept Description of identifier
..... system 1..1 uri The namespace for the identifier value
Fixed Value: http://hl7.org/fhir/sid/us-npi
..... value 0..1 string The value that is unique
..... period 0..1 Period Time period when id is/was valid for use
..... assigner 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:CLIA ΣC 0..* Identifier Clinical Laboratory Improvement Amendments (CLIA) Number for laboratories
Constraints: us-core-18

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... use 0..1 code usual | official | temp | secondary | old (If known)
..... type 0..1 CodeableConcept Description of identifier
..... system 1..1 uri The namespace for the identifier value
Fixed Value: urn:oid:2.16.840.1.113883.4.7
..... value 0..1 string The value that is unique
..... period 0..1 Period Time period when id is/was valid for use
..... assigner 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:NAIC ΣC 0..* Identifier NAIC Code
Constraints: us-core-19

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... use 0..1 code usual | official | temp | secondary | old (If known)
..... type 0..1 CodeableConcept Description of identifier
..... system 1..1 uri The namespace for the identifier value
Fixed Value: urn:oid:2.16.840.1.113883.6.300
..... value 0..1 string The value that is unique
..... period 0..1 Period Time period when id is/was valid for use
..... assigner 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:ccn SΣC 1..1 Identifier (QI-Core) CMS Certification Number

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... type 0..1 CodeableConcept Description of identifier
..... system 1..1 uri The namespace for the identifier value
Fixed Value: http://terminology.hl7.org/NamingSystem/CMSCertificationNumber
..... period 0..1 Period Time period when id is/was valid for use
..... assigner 0..1 Reference(Organization) Organization that issued id (may be just text)
..... use ?!SΣ 1..1 code (QI-Core) usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... value SΣ 1..1 string (QI-Core) The value that is unique
Example General: 123456
.... identifier:ein SΣC 0..1 Identifier (QI-Core) Employer Identification Number

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... type 0..1 CodeableConcept Description of identifier
..... system 1..1 uri The namespace for the identifier value
Fixed Value: urn:oid:2.16.840.1.113883.4.4
..... period 0..1 Period Time period when id is/was valid for use
..... assigner 0..1 Reference(Organization) Organization that issued id (may be just text)
..... use ?!Σ 1..1 code (QI-Core) usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... value Σ 1..1 string (QI-Core) The value that is unique
Example General: 123456
... name SΣC 1..1 string Name used for the organization
... telecom SC 0..* ContactPoint A contact detail for the organization
Constraints: org-3
.... system SΣC 0..1 code phone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.
.... value SΣ 0..1 string The actual contact point details
.... use ?!Σ 0..1 code home | work | temp | old | mobile - purpose of this contact point
Binding: ContactPointUse (required): Use of contact point.
... address SC 0..* Address An address for the organization
Constraints: org-2
.... use ?!Σ 0..1 code home | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.
Example General: home
.... line SΣ 0..4 string Street name, number, direction & P.O. Box etc.
This repeating element order: The order in which lines should appear in an address label
Example General: 137 Nowhere Street
.... city SΣ 0..1 string Name of city, town etc.
Example General: Erewhon
.... state SΣ 0..1 string Sub-unit of country (abbreviations ok)
Binding: UspsTwoLetterAlphabeticCodes (7.0.0) (extensible): Two letter USPS alphabetic codes.
.... postalCode SΣ 0..1 string US Zip Codes
Example General: 9132
.... country SΣ 0..1 string Country (e.g. can be ISO 3166 2 or 3 letter code)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Organization.identifier:ccn.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Organization.identifier:ein.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Organization.telecom.​system Base required ContactPointSystem 📍4.0.1 FHIR Std.
Organization.telecom.​use Base required ContactPointUse 📍4.0.1 FHIR Std.
Organization.address.​use Base required AddressUse 📍4.0.1 FHIR Std.
Organization.address.​state Base extensible USPS Two Letter Alphabetic Codes 📍7.0.0 US Core v7.0

Constraints

Id Grade Path(s) Description Expression
us-core-16 error Organization.identifier:NPI NPI must be 10 digits value.matches('^[0-9]{10}$')
us-core-17 error Organization.identifier:NPI NPI check digit must be valid (Luhn algorithm check) (((select(value.substring(0,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(1,1).toInteger())+(select(value.substring(2,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(3,1).toInteger())+(select(value.substring(4,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(5,1).toInteger())+(select(value.substring(6,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(7,1).toInteger())+(select(value.substring(8,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(9,1).toInteger()) + 24)mod 10=0)
us-core-18 error Organization.identifier:CLIA CLIA number must be 10 digits with a letter "D" in third position value.matches('^[0-9]{2}D[0-9]{7}$')
us-core-19 error Organization.identifier:NAIC NAIC must be 5 digits value.matches('^[0-9]{5}$')

This structure is derived from QICoreOrganization

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Organization 0..* QICoreOrganization A grouping of people or organizations with a common purpose
... identifier 1..* Identifier Identifies this organization across multiple systems
... Slices for identifier Content/Rules for all slices
.... identifier:ccn 1..1 Identifier (QI-Core) CMS Certification Number
..... use S 1..1 code (QI-Core) usual | official | temp | secondary | old (If known)
..... value S 1..1 string (QI-Core) The value that is unique

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Organization C 0..* QICoreOrganization A grouping of people or organizations with a common purpose
Constraints: org-1
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier SΣC 1..* Identifier Identifies this organization across multiple systems
Slice: Unordered, Open by pattern:$this
.... identifier:NPI SΣC 0..* Identifier National Provider Identifier (NPI)
Constraints: us-core-16, us-core-17

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... use 0..1 code usual | official | temp | secondary | old (If known)
..... type 0..1 CodeableConcept Description of identifier
..... system 1..1 uri The namespace for the identifier value
Fixed Value: http://hl7.org/fhir/sid/us-npi
..... value 0..1 string The value that is unique
..... period 0..1 Period Time period when id is/was valid for use
..... assigner 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:CLIA ΣC 0..* Identifier Clinical Laboratory Improvement Amendments (CLIA) Number for laboratories
Constraints: us-core-18

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... use 0..1 code usual | official | temp | secondary | old (If known)
..... type 0..1 CodeableConcept Description of identifier
..... system 1..1 uri The namespace for the identifier value
Fixed Value: urn:oid:2.16.840.1.113883.4.7
..... value 0..1 string The value that is unique
..... period 0..1 Period Time period when id is/was valid for use
..... assigner 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:NAIC ΣC 0..* Identifier NAIC Code
Constraints: us-core-19

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... use 0..1 code usual | official | temp | secondary | old (If known)
..... type 0..1 CodeableConcept Description of identifier
..... system 1..1 uri The namespace for the identifier value
Fixed Value: urn:oid:2.16.840.1.113883.6.300
..... value 0..1 string The value that is unique
..... period 0..1 Period Time period when id is/was valid for use
..... assigner 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:ccn SΣC 1..1 Identifier (QI-Core) CMS Certification Number

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!SΣ 1..1 code (QI-Core) usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
..... system Σ 0..1 uri The namespace for the identifier value
Fixed Value: http://terminology.hl7.org/NamingSystem/CMSCertificationNumber
..... value SΣ 1..1 string (QI-Core) The value that is unique
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:ein SΣC 0..1 Identifier (QI-Core) Employer Identification Number

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 1..1 code (QI-Core) usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
..... system Σ 0..1 uri The namespace for the identifier value
Fixed Value: urn:oid:2.16.840.1.113883.4.4
..... value Σ 1..1 string (QI-Core) The value that is unique
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... active ?!SΣ 1..1 boolean Whether the organization's record is still in active use
... type Σ 0..* CodeableConcept Kind of organization
Binding: OrganizationType (preferred): Used to categorize the organization
... name SΣC 1..1 string Name used for the organization
... alias 0..* string A list of alternate names that the organization is known as, or was known as in the past
... telecom SC 0..* ContactPoint A contact detail for the organization
Constraints: org-3
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... system SΣC 0..1 code phone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.
.... value SΣ 0..1 string The actual contact point details
.... use ?!Σ 0..1 code home | work | temp | old | mobile - purpose of this contact point
Binding: ContactPointUse (required): Use of contact point.
.... rank Σ 0..1 positiveInt Specify preferred order of use (1 = highest)
.... period Σ 0..1 Period Time period when the contact point was/is in use
... address SC 0..* Address An address for the organization
Constraints: org-2
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ 0..1 code home | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.
Example General: home
.... type Σ 0..1 code postal | physical | both
Binding: AddressType (required): The type of an address (physical / postal).
Example General: both
.... text Σ 0..1 string Text representation of the address
Example General: 137 Nowhere Street, Erewhon 9132
.... line SΣ 0..4 string Street name, number, direction & P.O. Box etc.
This repeating element order: The order in which lines should appear in an address label
Example General: 137 Nowhere Street
.... city SΣ 0..1 string Name of city, town etc.
Example General: Erewhon
.... district Σ 0..1 string District name (aka county)
Example General: Madison
.... state SΣ 0..1 string Sub-unit of country (abbreviations ok)
Binding: UspsTwoLetterAlphabeticCodes (7.0.0) (extensible): Two letter USPS alphabetic codes.
.... postalCode SΣ 0..1 string US Zip Codes
Example General: 9132
.... country SΣ 0..1 string Country (e.g. can be ISO 3166 2 or 3 letter code)
.... period Σ 0..1 Period Time period when address was/is in use
Example General: {"start":"2010-03-23","end":"2010-07-01"}
... partOf Σ 0..1 Reference(QICore Organization) The organization of which this organization forms a part
... contact 0..* BackboneElement Contact for the organization for a certain purpose
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... purpose 0..1 CodeableConcept The type of contact
Binding: ContactEntityType (extensible): The purpose for which you would contact a contact party.
.... name 0..1 HumanName A name associated with the contact
.... telecom 0..* ContactPoint Contact details (telephone, email, etc.) for a contact
.... address 0..1 Address Visiting 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

Path Status Usage ValueSet Version Source
Organization.language Base preferred Common Languages 📦4.0.1 FHIR Std.
Organization.identifier:ccn.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Organization.identifier:ccn.​type Base extensible IdentifierType 📦4.0.1 FHIR Std.
Organization.identifier:ein.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Organization.identifier:ein.​type Base extensible IdentifierType 📦4.0.1 FHIR Std.
Organization.type Base preferred Organization type 📦4.0.1 FHIR Std.
Organization.telecom.​system Base required ContactPointSystem 📍4.0.1 FHIR Std.
Organization.telecom.​use Base required ContactPointUse 📍4.0.1 FHIR Std.
Organization.address.​use Base required AddressUse 📍4.0.1 FHIR Std.
Organization.address.​type Base required AddressType 📍4.0.1 FHIR Std.
Organization.address.​state Base extensible USPS Two Letter Alphabetic Codes 📍7.0.0 US Core v7.0
Organization.contact.​purpose Base extensible Contact entity type 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
us-core-16 error Organization.identifier:NPI NPI must be 10 digits value.matches('^[0-9]{10}$')
us-core-17 error Organization.identifier:NPI NPI check digit must be valid (Luhn algorithm check) (((select(value.substring(0,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(1,1).toInteger())+(select(value.substring(2,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(3,1).toInteger())+(select(value.substring(4,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(5,1).toInteger())+(select(value.substring(6,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(7,1).toInteger())+(select(value.substring(8,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(9,1).toInteger()) + 24)mod 10=0)
us-core-18 error Organization.identifier:CLIA CLIA number must be 10 digits with a letter "D" in third position value.matches('^[0-9]{2}D[0-9]{7}$')
us-core-19 error Organization.identifier:NAIC NAIC must be 5 digits value.matches('^[0-9]{5}$')

This structure is derived from QICoreOrganization

Summary

Mandatory: 2 elements
Must-Support: 2 elements

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Organization C 0..* QICoreOrganization A grouping of people or organizations with a common purpose
Constraints: org-1
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier SΣC 1..* Identifier Identifies this organization across multiple systems
Slice: Unordered, Open by pattern:$this
.... identifier:NPI SΣC 0..* Identifier National Provider Identifier (NPI)
Constraints: us-core-16, us-core-17

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... use 0..1 code usual | official | temp | secondary | old (If known)
..... type 0..1 CodeableConcept Description of identifier
..... system 1..1 uri The namespace for the identifier value
Fixed Value: http://hl7.org/fhir/sid/us-npi
..... value 0..1 string The value that is unique
..... period 0..1 Period Time period when id is/was valid for use
..... assigner 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:CLIA ΣC 0..* Identifier Clinical Laboratory Improvement Amendments (CLIA) Number for laboratories
Constraints: us-core-18

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... use 0..1 code usual | official | temp | secondary | old (If known)
..... type 0..1 CodeableConcept Description of identifier
..... system 1..1 uri The namespace for the identifier value
Fixed Value: urn:oid:2.16.840.1.113883.4.7
..... value 0..1 string The value that is unique
..... period 0..1 Period Time period when id is/was valid for use
..... assigner 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:NAIC ΣC 0..* Identifier NAIC Code
Constraints: us-core-19

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... use 0..1 code usual | official | temp | secondary | old (If known)
..... type 0..1 CodeableConcept Description of identifier
..... system 1..1 uri The namespace for the identifier value
Fixed Value: urn:oid:2.16.840.1.113883.6.300
..... value 0..1 string The value that is unique
..... period 0..1 Period Time period when id is/was valid for use
..... assigner 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:ccn SΣC 1..1 Identifier (QI-Core) CMS Certification Number

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... type 0..1 CodeableConcept Description of identifier
..... system 1..1 uri The namespace for the identifier value
Fixed Value: http://terminology.hl7.org/NamingSystem/CMSCertificationNumber
..... period 0..1 Period Time period when id is/was valid for use
..... assigner 0..1 Reference(Organization) Organization that issued id (may be just text)
..... use ?!SΣ 1..1 code (QI-Core) usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... value SΣ 1..1 string (QI-Core) The value that is unique
Example General: 123456
.... identifier:ein SΣC 0..1 Identifier (QI-Core) Employer Identification Number

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... type 0..1 CodeableConcept Description of identifier
..... system 1..1 uri The namespace for the identifier value
Fixed Value: urn:oid:2.16.840.1.113883.4.4
..... period 0..1 Period Time period when id is/was valid for use
..... assigner 0..1 Reference(Organization) Organization that issued id (may be just text)
..... use ?!Σ 1..1 code (QI-Core) usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... value Σ 1..1 string (QI-Core) The value that is unique
Example General: 123456
... name SΣC 1..1 string Name used for the organization
... telecom SC 0..* ContactPoint A contact detail for the organization
Constraints: org-3
.... system SΣC 0..1 code phone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.
.... value SΣ 0..1 string The actual contact point details
.... use ?!Σ 0..1 code home | work | temp | old | mobile - purpose of this contact point
Binding: ContactPointUse (required): Use of contact point.
... address SC 0..* Address An address for the organization
Constraints: org-2
.... use ?!Σ 0..1 code home | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.
Example General: home
.... line SΣ 0..4 string Street name, number, direction & P.O. Box etc.
This repeating element order: The order in which lines should appear in an address label
Example General: 137 Nowhere Street
.... city SΣ 0..1 string Name of city, town etc.
Example General: Erewhon
.... state SΣ 0..1 string Sub-unit of country (abbreviations ok)
Binding: UspsTwoLetterAlphabeticCodes (7.0.0) (extensible): Two letter USPS alphabetic codes.
.... postalCode SΣ 0..1 string US Zip Codes
Example General: 9132
.... country SΣ 0..1 string Country (e.g. can be ISO 3166 2 or 3 letter code)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Organization.identifier:ccn.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Organization.identifier:ein.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Organization.telecom.​system Base required ContactPointSystem 📍4.0.1 FHIR Std.
Organization.telecom.​use Base required ContactPointUse 📍4.0.1 FHIR Std.
Organization.address.​use Base required AddressUse 📍4.0.1 FHIR Std.
Organization.address.​state Base extensible USPS Two Letter Alphabetic Codes 📍7.0.0 US Core v7.0

Constraints

Id Grade Path(s) Description Expression
us-core-16 error Organization.identifier:NPI NPI must be 10 digits value.matches('^[0-9]{10}$')
us-core-17 error Organization.identifier:NPI NPI check digit must be valid (Luhn algorithm check) (((select(value.substring(0,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(1,1).toInteger())+(select(value.substring(2,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(3,1).toInteger())+(select(value.substring(4,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(5,1).toInteger())+(select(value.substring(6,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(7,1).toInteger())+(select(value.substring(8,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(9,1).toInteger()) + 24)mod 10=0)
us-core-18 error Organization.identifier:CLIA CLIA number must be 10 digits with a letter "D" in third position value.matches('^[0-9]{2}D[0-9]{7}$')
us-core-19 error Organization.identifier:NAIC NAIC must be 5 digits value.matches('^[0-9]{5}$')

Differential View

This structure is derived from QICoreOrganization

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Organization 0..* QICoreOrganization A grouping of people or organizations with a common purpose
... identifier 1..* Identifier Identifies this organization across multiple systems
... Slices for identifier Content/Rules for all slices
.... identifier:ccn 1..1 Identifier (QI-Core) CMS Certification Number
..... use S 1..1 code (QI-Core) usual | official | temp | secondary | old (If known)
..... value S 1..1 string (QI-Core) The value that is unique

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Organization C 0..* QICoreOrganization A grouping of people or organizations with a common purpose
Constraints: org-1
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier SΣC 1..* Identifier Identifies this organization across multiple systems
Slice: Unordered, Open by pattern:$this
.... identifier:NPI SΣC 0..* Identifier National Provider Identifier (NPI)
Constraints: us-core-16, us-core-17

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... use 0..1 code usual | official | temp | secondary | old (If known)
..... type 0..1 CodeableConcept Description of identifier
..... system 1..1 uri The namespace for the identifier value
Fixed Value: http://hl7.org/fhir/sid/us-npi
..... value 0..1 string The value that is unique
..... period 0..1 Period Time period when id is/was valid for use
..... assigner 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:CLIA ΣC 0..* Identifier Clinical Laboratory Improvement Amendments (CLIA) Number for laboratories
Constraints: us-core-18

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... use 0..1 code usual | official | temp | secondary | old (If known)
..... type 0..1 CodeableConcept Description of identifier
..... system 1..1 uri The namespace for the identifier value
Fixed Value: urn:oid:2.16.840.1.113883.4.7
..... value 0..1 string The value that is unique
..... period 0..1 Period Time period when id is/was valid for use
..... assigner 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:NAIC ΣC 0..* Identifier NAIC Code
Constraints: us-core-19

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... use 0..1 code usual | official | temp | secondary | old (If known)
..... type 0..1 CodeableConcept Description of identifier
..... system 1..1 uri The namespace for the identifier value
Fixed Value: urn:oid:2.16.840.1.113883.6.300
..... value 0..1 string The value that is unique
..... period 0..1 Period Time period when id is/was valid for use
..... assigner 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:ccn SΣC 1..1 Identifier (QI-Core) CMS Certification Number

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!SΣ 1..1 code (QI-Core) usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
..... system Σ 0..1 uri The namespace for the identifier value
Fixed Value: http://terminology.hl7.org/NamingSystem/CMSCertificationNumber
..... value SΣ 1..1 string (QI-Core) The value that is unique
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:ein SΣC 0..1 Identifier (QI-Core) Employer Identification Number

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 1..1 code (QI-Core) usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
..... system Σ 0..1 uri The namespace for the identifier value
Fixed Value: urn:oid:2.16.840.1.113883.4.4
..... value Σ 1..1 string (QI-Core) The value that is unique
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... active ?!SΣ 1..1 boolean Whether the organization's record is still in active use
... type Σ 0..* CodeableConcept Kind of organization
Binding: OrganizationType (preferred): Used to categorize the organization
... name SΣC 1..1 string Name used for the organization
... alias 0..* string A list of alternate names that the organization is known as, or was known as in the past
... telecom SC 0..* ContactPoint A contact detail for the organization
Constraints: org-3
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... system SΣC 0..1 code phone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.
.... value SΣ 0..1 string The actual contact point details
.... use ?!Σ 0..1 code home | work | temp | old | mobile - purpose of this contact point
Binding: ContactPointUse (required): Use of contact point.
.... rank Σ 0..1 positiveInt Specify preferred order of use (1 = highest)
.... period Σ 0..1 Period Time period when the contact point was/is in use
... address SC 0..* Address An address for the organization
Constraints: org-2
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ 0..1 code home | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.
Example General: home
.... type Σ 0..1 code postal | physical | both
Binding: AddressType (required): The type of an address (physical / postal).
Example General: both
.... text Σ 0..1 string Text representation of the address
Example General: 137 Nowhere Street, Erewhon 9132
.... line SΣ 0..4 string Street name, number, direction & P.O. Box etc.
This repeating element order: The order in which lines should appear in an address label
Example General: 137 Nowhere Street
.... city SΣ 0..1 string Name of city, town etc.
Example General: Erewhon
.... district Σ 0..1 string District name (aka county)
Example General: Madison
.... state SΣ 0..1 string Sub-unit of country (abbreviations ok)
Binding: UspsTwoLetterAlphabeticCodes (7.0.0) (extensible): Two letter USPS alphabetic codes.
.... postalCode SΣ 0..1 string US Zip Codes
Example General: 9132
.... country SΣ 0..1 string Country (e.g. can be ISO 3166 2 or 3 letter code)
.... period Σ 0..1 Period Time period when address was/is in use
Example General: {"start":"2010-03-23","end":"2010-07-01"}
... partOf Σ 0..1 Reference(QICore Organization) The organization of which this organization forms a part
... contact 0..* BackboneElement Contact for the organization for a certain purpose
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... purpose 0..1 CodeableConcept The type of contact
Binding: ContactEntityType (extensible): The purpose for which you would contact a contact party.
.... name 0..1 HumanName A name associated with the contact
.... telecom 0..* ContactPoint Contact details (telephone, email, etc.) for a contact
.... address 0..1 Address Visiting 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

Path Status Usage ValueSet Version Source
Organization.language Base preferred Common Languages 📦4.0.1 FHIR Std.
Organization.identifier:ccn.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Organization.identifier:ccn.​type Base extensible IdentifierType 📦4.0.1 FHIR Std.
Organization.identifier:ein.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Organization.identifier:ein.​type Base extensible IdentifierType 📦4.0.1 FHIR Std.
Organization.type Base preferred Organization type 📦4.0.1 FHIR Std.
Organization.telecom.​system Base required ContactPointSystem 📍4.0.1 FHIR Std.
Organization.telecom.​use Base required ContactPointUse 📍4.0.1 FHIR Std.
Organization.address.​use Base required AddressUse 📍4.0.1 FHIR Std.
Organization.address.​type Base required AddressType 📍4.0.1 FHIR Std.
Organization.address.​state Base extensible USPS Two Letter Alphabetic Codes 📍7.0.0 US Core v7.0
Organization.contact.​purpose Base extensible Contact entity type 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
us-core-16 error Organization.identifier:NPI NPI must be 10 digits value.matches('^[0-9]{10}$')
us-core-17 error Organization.identifier:NPI NPI check digit must be valid (Luhn algorithm check) (((select(value.substring(0,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(1,1).toInteger())+(select(value.substring(2,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(3,1).toInteger())+(select(value.substring(4,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(5,1).toInteger())+(select(value.substring(6,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(7,1).toInteger())+(select(value.substring(8,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(9,1).toInteger()) + 24)mod 10=0)
us-core-18 error Organization.identifier:CLIA CLIA number must be 10 digits with a letter "D" in third position value.matches('^[0-9]{2}D[0-9]{7}$')
us-core-19 error Organization.identifier:NAIC NAIC must be 5 digits value.matches('^[0-9]{5}$')

This structure is derived from QICoreOrganization

Summary

Mandatory: 2 elements
Must-Support: 2 elements

 

Other representations of profile: CSV, Excel, Schematron