FHIR Implementatiegids voor de Nederlandse Kankerregistratie
1.2.2 - release

FHIR Implementatiegids voor de Nederlandse Kankerregistratie - Local Development build (v1.2.2) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: NcrEhrHealthcareProvider - Detailed Descriptions

Draft as of 2025-02-10

Definitions for the ncr-ehr-healthcare-provider resource profile.

Guidance on how to interpret the contents of this table can be found here

0. Organization
Definition

A formally or informally recognized grouping of people or organizations formed for the purpose of achieving some form of collective action. Includes companies, institutions, corporations, departments, community groups, healthcare practice groups, payer/insurer, etc.

ShortHealthcareProviderA grouping of people or organizations with a common purpose
Comments

The zib HealthcareProvider is mapped to this Organization profile and a profile on Location (http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider). The Location profile acts as the focal resource of the HealthcareProvider because most references to this zib are concerned about the recording of the physical location where the care to patient/client takes place rather than the organizational information. Often there's no clear distinction between an organizational structure and a physical location. As a rule of thumb, locations are always used for recording where a service occurs, and hence where encounters and observations take place.

Healthcare providers usually consist of multiple organizational levels and physical locations. The hierarchical structure may be captured by using multiple instances of this profile, using the Organization.partOf element to refer to their parent organization. The physical location is captured using the nl-core-HealthcareProvider profile, which refers this profile at the appropriate level in the hierarchy.

Control0..*
Is Modifierfalse
Alternate NamesZorgaanbieder, nl-core-HealthcareProvider-Organization
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
org-1: The organization SHALL at least have a name or an identifier, and possibly more than one ((identifier.count() + name.count()) > 0)
org-1: The organization SHALL at least have a name or an identifier, and possibly more than one ((identifier.count() + name.count()) > 0)
2. Organization.implicitRules
Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

ShortA set of rules under which this content was created
Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

Control0..1
This element is affected by the following invariants: ele-1
Typeuri
Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. Organization.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored
Comments

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.

Control0..*
This element is affected by the following invariants: ele-1
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Standard StatusNormative (from Trial Use)
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on Organization.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 6. Organization.identifier
    Definition

    The organization’s identification number. For Dutch healthcare providers, the URA number or the AGB number is used, if possible. Depending on the context other ID's are also possible. For foreign or non-affiliated healthcare providers, another unique identification number can be used. This must be accompanied by the name and/or code of the issuing organization.


    Identifier for the organization that is used to identify the organization across multiple disparate systems.

    ShortHealthcareProviderIdentificationNumberIdentifies this organization across multiple systems
    NoteThis is a business identifier, not a resource identifier (see discussion)
    Control10..*
    This element is affected by the following invariants: ele-1, org-1
    TypeIdentifier
    Is Modifierfalse
    Summarytrue
    Requirements

    Organizations are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the organization.

    Alternate NamesZorgaanbiederIdentificatienummer
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    SlicingThis element introduces a set of slices on Organization.identifier. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ $this
    • 8. Organization.identifier:ura
      Slice Nameura
      Definition

      Identifier for the organization that is used to identify the organization across multiple disparate systems.

      ShortIdentifies this organization across multiple systems
      NoteThis is a business identifier, not a resource identifier (see discussion)
      Control0..*
      This element is affected by the following invariants: ele-1, org-1
      TypeIdentifier
      Is Modifierfalse
      Standard StatusNormative (from Trial Use)
      Summarytrue
      Requirements

      Organizations are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the organization.

      Pattern Value{
        "system" : "http://fhir.nl/fhir/NamingSystem/ura"
      }
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      10. Organization.identifier:agb
      Slice Nameagb
      Definition

      Identifier for the organization that is used to identify the organization across multiple disparate systems.

      ShortIdentifies this organization across multiple systems
      NoteThis is a business identifier, not a resource identifier (see discussion)
      Control10..1*
      This element is affected by the following invariants: ele-1, org-1
      TypeIdentifier
      Is Modifierfalse
      Must Supporttrue
      Summarytrue
      Requirements

      Organizations are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the organization.

      Pattern Value{
        "system" : "http://fhir.nl/fhir/NamingSystem/agb-z"
      }
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      12. Organization.active
      Definition

      Whether the organization's record is still in active use.

      ShortWhether the organization's record is still in active use
      Comments

      This active flag is not intended to be used to mark an organization as temporarily closed or under construction. Instead the Location(s) within the Organization should have the suspended status. If further details of the reason for the suspension are required, then an extension on this element should be used.

      This element is labeled as a modifier because it may be used to mark that the resource was created in error.

      Control0..1
      This element is affected by the following invariants: ele-1
      Typeboolean
      Is Modifiertrue because This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Requirements

      Need a flag to indicate a record is no longer to be used and should generally be hidden for the user in the UI.

      Meaning if MissingThis resource is generally assumed to be active if no value is provided for the active element
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      14. Organization.type
      Definition

      The kind(s) of organization that this is.

      ShortKind of organization
      Comments

      Organizations can be corporations, wards, sections, clinical teams, government departments, etc. Note that code is generally a classifier of the type of organization; in many applications, codes are used to identity a particular organization (say, ward) as opposed to another of the same type - these are identifiers, not codes

      When considering if multiple types are appropriate, you should evaluate if child organizations would be a more appropriate use of the concept, as different types likely are in different sub-areas of the organization. This is most likely to be used where type values have orthogonal values, such as a religious, academic and medical center.

      We expect that some jurisdictions will profile this optionality to be a single cardinality.

      Control0..*
      This element is affected by the following invariants: ele-1
      BindingFor example codes, see OrganizationTypehttp://hl7.org/fhir/ValueSet/organization-type
      (example to http://hl7.org/fhir/ValueSet/organization-type)

      Used to categorize the organization.

      TypeCodeableConcept
      Is Modifierfalse
      Standard StatusNormative (from Trial Use)
      Summarytrue
      Requirements

      Need to be able to track the kind of organization that this is - different organization types have different uses.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      SlicingThis element introduces a set of slices on Organization.type. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ $this
      • 16. Organization.type:departmentSpecialty
        Slice NamedepartmentSpecialty
        Definition

        The specialty of the healthcare provider’s department. The departmental specialty can be filled in if further indication of the healthcare provider is needed. This refers to the recognized medical specialties as stated in the BIG Act.


        The kind(s) of organization that this is.

        ShortDepartmentSpecialtyKind of organization
        Comments

        Organizations can be corporations, wards, sections, clinical teams, government departments, etc. Note that code is generally a classifier of the type of organization; in many applications, codes are used to identity a particular organization (say, ward) as opposed to another of the same type - these are identifiers, not codes

        When considering if multiple types are appropriate, you should evaluate if child organizations would be a more appropriate use of the concept, as different types likely are in different sub-areas of the organization. This is most likely to be used where type values have orthogonal values, such as a religious, academic and medical center.

        We expect that some jurisdictions will profile this optionality to be a single cardinality.

        Control0..1*
        This element is affected by the following invariants: ele-1
        BindingThe codes SHALL be taken from For example codes, see AfdelingSpecialismeCodelijsthttp://hl7.org/fhir/ValueSet/organization-type
        (required to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.17.2.4--20200901000000)

        Used to categorize the organization.

        TypeCodeableConcept
        Is Modifierfalse
        Standard StatusNormative (from Trial Use)
        Summarytrue
        Requirements

        Need to be able to track the kind of organization that this is - different organization types have different uses.

        Alternate NamesAfdelingSpecialisme
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        18. Organization.type:organizationType
        Slice NameorganizationType
        Definition

        The type of healthcare provider, such as general hospital, or nursing home. If this field is filled in and an AGB code is used for the HealthcareProviderIdentificationNumber, the type must match the type implicitly contained in the AGB code.


        The kind(s) of organization that this is.

        ShortOrganizationTypeKind of organization
        Comments

        Organizations can be corporations, wards, sections, clinical teams, government departments, etc. Note that code is generally a classifier of the type of organization; in many applications, codes are used to identity a particular organization (say, ward) as opposed to another of the same type - these are identifiers, not codes

        When considering if multiple types are appropriate, you should evaluate if child organizations would be a more appropriate use of the concept, as different types likely are in different sub-areas of the organization. This is most likely to be used where type values have orthogonal values, such as a religious, academic and medical center.

        We expect that some jurisdictions will profile this optionality to be a single cardinality.

        Control0..1*
        This element is affected by the following invariants: ele-1
        BindingThe codes SHALL be taken from For example codes, see OrganisatieTypeCodelijsthttp://hl7.org/fhir/ValueSet/organization-type
        (required to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.17.2.3--20200901000000)

        Used to categorize the organization.

        TypeCodeableConcept
        Is Modifierfalse
        Standard StatusNormative (from Trial Use)
        Summarytrue
        Requirements

        Need to be able to track the kind of organization that this is - different organization types have different uses.

        Alternate NamesOrganisatieType
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        20. Organization.name
        Definition

        Name of the organization. If an identification number is given, the name must match the name that corresponds to the identification number.


        A name associated with the organization.

        ShortOrganizationNameName used for the organization
        Comments

        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.

        Control0..1
        This element is affected by the following invariants: ele-1, org-1
        Typestring
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summarytrue
        Requirements

        Need to use the name as the label of the organization.

        Alternate NamesOrganisatieNaam
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        22. Organization.telecom
        Definition

        A contact detail for the organization.

        ShortA contact detail for the organization
        Comments

        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.

        Control0..*
        This element is affected by the following invariants: ele-1, org-3
        TypeContactPoint
        Is Modifierfalse
        Standard StatusNormative (from Trial Use)
        Requirements

        Human contact for the organization.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        cpt-2: A system is required if a value is provided. (value.empty() or system.exists())
        org-3: The telecom of an organization can never be of use 'home' (where(use = 'home').empty())
        org-3: The telecom of an organization can never be of use 'home' (where(use = 'home').empty())
        SlicingThis element introduces a set of slices on Organization.telecom. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • profile @ $this
        • 24. Organization.telecom:telephoneNumbers
          Slice NametelephoneNumbers
          Definition

          Details for all kinds of technology mediated contact points for a person or organization, including telephone, email, etc.


          A contact detail for the organization.

          ShortTelephoneNumbersA contact detail for the organization
          Comments

          Implementation of the "TelephoneNumbers" concept of zib ContactInformation.

          Please note that, although the zib concepts TelecomType and NumberType are functionally equivalent to the FHIR concepts ContactPoint.system and ContactPoint.use respectively, a mismatch occurs on the concept of mobile phone numbers; the zib uses the first concept and FHIR the second. For this reason, the ValueSet on ContactPoint.system is too narrow and the zib code will need to be communicated using the ext-CodeSpecification extension.


          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.

          Control0..*
          This element is affected by the following invariants: ele-1, org-3
          TypeContactPoint(nl core ContactInformation TelephoneNumbers)
          Is Modifierfalse
          Standard StatusNormative (from Trial Use)
          Requirements

          Human contact for the organization.

          Alternate NamesTelefoonnummers, nl-core-ContactInformation-TelephoneNumbers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          cpt-2: A system is required if a value is provided. (value.empty() or system.exists())
          org-3: The telecom of an organization can never be of use 'home' (where(use = 'home').empty())
          org-3: The telecom of an organization can never be of use 'home' (where(use = 'home').empty())
          26. Organization.telecom:emailAddresses
          Slice NameemailAddresses
          Definition

          Details for all kinds of technology mediated contact points for a person or organization, including telephone, email, etc.


          A contact detail for the organization.

          ShortEmailAddressesA contact detail for the organization
          Comments

          Implementation of the "EmailAddresses" concept of zib ContactInformation.


          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.

          Control0..*
          This element is affected by the following invariants: ele-1, org-3
          TypeContactPoint(nl core ContactInformation EmailAddresses)
          Is Modifierfalse
          Standard StatusNormative (from Trial Use)
          Requirements

          Human contact for the organization.

          Alternate NamesEmailAdressen, nl-core-ContactInformation-EmailAddresses
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          cpt-2: A system is required if a value is provided. (value.empty() or system.exists())
          org-3: The telecom of an organization can never be of use 'home' (where(use = 'home').empty())
          org-3: The telecom of an organization can never be of use 'home' (where(use = 'home').empty())
          28. Organization.address
          Definition

          An address expressed using postal conventions (as opposed to GPS or other location definition formats). This data type may be used to convey addresses for use in delivering mail as well as for visiting locations which might not be valid for mail delivery. There are a variety of postal address formats defined around the world.


          An address for the organization.

          ShortAddressInformationAn address for the organization
          Comments

          This datatype defines a common basis for expressing all addresses around the world, but adds extensions to express Dutch addresses specifically, according to the zib AddressInformation v1.1 (2020). A Dutch Address still is a proper FHIR Address, which means that systems that cannot interpret the extensions will still be able to render and work with this datatype.

          To have true compatibility an implementer SHOULD use the core Address parts as intended. To have addresses work for Dutch context, the implementer SHOULD in addition use the extension elements.

          Separate address parts

          The first addition is that Dutch addresses make certain address parts separately communicable. These parts are required for use in true Dutch systems when dealing with Dutch addresses, but may not have value for international systems when information gets sent abroad.

          Custom address types

          The second addition is that the zib defines its own ValueSet for address types, which can only be partially expressed using the FHIR Address datatype and requires a mapping to multiple elements. The table below explains how the zib concepts are mapped to the various FHIR elements (see the ConceptMaps http://nictiz.nl/fhir/ConceptMap/AdresSoortCodelijst-to-AddressUse and http://nictiz.nl/fhir/ConceptMap/AdresSoortCodelijst-to-AddressType as well). The code from the zib should also be included using the extension on Address.extension:addressType.

          zib .ext:addressType .use .type
          Postal Address/Postadres PST postal
          Primary Home/Officieel adres HP home both
          Visit Address/Woon-/verblijfadres PHYS home physical
          Temporary Address/Tijdelijk adres TMP temp
          Work Place/Werkadres WP work
          Vacation Home/Vakantie adres HV temp

          If Address.type is both then this is to be understood as a dual purpose address (postal and physical), unless a specific postal type address is added. Systems that support importing it like this are encouraged to do so, otherwise they may need to import this as two separate addresses.

          Note: FHIR core defines the AD-use extension to further specify the postal address type. However, the ValueSet used in that extension doesn't completely match the zib ValueSet. Therefore, a custom extension has been made. This doesn't preclude the use of the AD-use extension.


          Organization may have multiple addresses with different uses or applicable periods. The use code 'home' is not to be used.

          Control0..*
          This element is affected by the following invariants: ele-1, org-2
          TypeAddress(nl core AddressInformation)
          Is Modifierfalse
          Requirements

          May need to keep track of the organization's addresses for contacting, billing or reporting requirements.

          Alternate NamesAdresgegevens, nl-core-AddressInformation
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          org-2: An address of an organization can never be of use 'home' (where(use = 'home').empty())
          org-2: An address of an organization can never be of use 'home' (where(use = 'home').empty())

          Guidance on how to interpret the contents of this table can be found here

          0. Organization
          2. Organization.identifier
          NoteThis is a business identifier, not a resource identifier (see discussion)
          Control1..?
          4. Organization.identifier:agb
          Slice Nameagb
          NoteThis is a business identifier, not a resource identifier (see discussion)
          Control1..1
          Must Supporttrue

          Guidance on how to interpret the contents of this table can be found here

          0. Organization
          Definition

          A formally or informally recognized grouping of people or organizations formed for the purpose of achieving some form of collective action. Includes companies, institutions, corporations, departments, community groups, healthcare practice groups, payer/insurer, etc.

          ShortHealthcareProvider
          Comments

          The zib HealthcareProvider is mapped to this Organization profile and a profile on Location (http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider). The Location profile acts as the focal resource of the HealthcareProvider because most references to this zib are concerned about the recording of the physical location where the care to patient/client takes place rather than the organizational information. Often there's no clear distinction between an organizational structure and a physical location. As a rule of thumb, locations are always used for recording where a service occurs, and hence where encounters and observations take place.

          Healthcare providers usually consist of multiple organizational levels and physical locations. The hierarchical structure may be captured by using multiple instances of this profile, using the Organization.partOf element to refer to their parent organization. The physical location is captured using the nl-core-HealthcareProvider profile, which refers this profile at the appropriate level in the hierarchy.

          Control0..*
          Alternate NamesZorgaanbieder, nl-core-HealthcareProvider-Organization
          Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
          dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
          dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
          dom-6: A resource should have narrative for robust management (text.`div`.exists())
          dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
          org-1: The organization SHALL at least have a name or an identifier, and possibly more than one ((identifier.count() + name.count()) > 0)
          2. Organization.id
          Definition

          The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

          ShortLogical id of this artifact
          Comments

          The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

          Control0..1
          Typeid
          Summarytrue
          4. Organization.meta
          Definition

          The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

          ShortMetadata about the resource
          Control0..1
          This element is affected by the following invariants: ele-1
          TypeMeta
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          6. Organization.implicitRules
          Definition

          A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

          ShortA set of rules under which this content was created
          Comments

          Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

          Control0..1
          This element is affected by the following invariants: ele-1
          Typeuri
          Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          8. Organization.language
          Definition

          The base language in which the resource is written.

          ShortLanguage of the resource content
          Comments

          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).

          Control0..1
          This element is affected by the following invariants: ele-1
          BindingThe codes SHOULD be taken from CommonLanguages
          (preferred to http://hl7.org/fhir/ValueSet/languages)

          A human language.

          Additional BindingsPurpose
          AllLanguagesMax Binding
          Typecode
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          10. Organization.text
          Definition

          A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

          ShortText summary of the resource, for human interpretation
          Comments

          Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

          Control0..1
          This element is affected by the following invariants: ele-1
          TypeNarrative
          Alternate Namesnarrative, html, xhtml, display
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          12. Organization.contained
          Definition

          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.

          ShortContained, inline Resources
          Comments

          This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

          Control0..*
          TypeResource
          Alternate Namesinline resources, anonymous resources, contained resources
          14. Organization.extension
          Definition

          May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

          ShortAdditional content defined by implementations
          Comments

          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.

          Control0..*
          This element is affected by the following invariants: ele-1
          TypeExtension
          Standard StatusNormative (from Trial Use)
          Alternate Namesextensions, user content
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          SlicingThis element introduces a set of slices on Organization.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 16. Organization.modifierExtension
            Definition

            May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

            ShortExtensions that cannot be ignored
            Comments

            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.

            Control0..*
            This element is affected by the following invariants: ele-1
            TypeExtension
            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
            Standard StatusNormative (from Trial Use)
            Requirements

            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

            Alternate Namesextensions, user content
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            SlicingThis element introduces a set of slices on Organization.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ url
            • 18. Organization.identifier
              Definition

              The organization’s identification number. For Dutch healthcare providers, the URA number or the AGB number is used, if possible. Depending on the context other ID's are also possible. For foreign or non-affiliated healthcare providers, another unique identification number can be used. This must be accompanied by the name and/or code of the issuing organization.

              ShortHealthcareProviderIdentificationNumber
              NoteThis is a business identifier, not a resource identifier (see discussion)
              Control1..*
              This element is affected by the following invariants: ele-1, org-1
              TypeIdentifier
              Summarytrue
              Requirements

              Organizations are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the organization.

              Alternate NamesZorgaanbiederIdentificatienummer
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              SlicingThis element introduces a set of slices on Organization.identifier. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • value @ $this
              • 20. Organization.identifier:ura
                Slice Nameura
                Definition

                Identifier for the organization that is used to identify the organization across multiple disparate systems.

                ShortIdentifies this organization across multiple systems
                NoteThis is a business identifier, not a resource identifier (see discussion)
                Control0..*
                This element is affected by the following invariants: ele-1, org-1
                TypeIdentifier
                Standard StatusNormative (from Trial Use)
                Summarytrue
                Requirements

                Organizations are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the organization.

                Pattern Value{
                  "system" : "http://fhir.nl/fhir/NamingSystem/ura"
                }
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                22. Organization.identifier:agb
                Slice Nameagb
                Definition

                Identifier for the organization that is used to identify the organization across multiple disparate systems.

                ShortIdentifies this organization across multiple systems
                NoteThis is a business identifier, not a resource identifier (see discussion)
                Control1..1
                This element is affected by the following invariants: ele-1, org-1
                TypeIdentifier
                Must Supporttrue
                Summarytrue
                Requirements

                Organizations are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the organization.

                Pattern Value{
                  "system" : "http://fhir.nl/fhir/NamingSystem/agb-z"
                }
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                24. Organization.active
                Definition

                Whether the organization's record is still in active use.

                ShortWhether the organization's record is still in active use
                Comments

                This active flag is not intended to be used to mark an organization as temporarily closed or under construction. Instead the Location(s) within the Organization should have the suspended status. If further details of the reason for the suspension are required, then an extension on this element should be used.

                This element is labeled as a modifier because it may be used to mark that the resource was created in error.

                Control0..1
                This element is affected by the following invariants: ele-1
                Typeboolean
                Is Modifiertrue because This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Requirements

                Need a flag to indicate a record is no longer to be used and should generally be hidden for the user in the UI.

                Meaning if MissingThis resource is generally assumed to be active if no value is provided for the active element
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                26. Organization.type
                Definition

                The kind(s) of organization that this is.

                ShortKind of organization
                Comments

                Organizations can be corporations, wards, sections, clinical teams, government departments, etc. Note that code is generally a classifier of the type of organization; in many applications, codes are used to identity a particular organization (say, ward) as opposed to another of the same type - these are identifiers, not codes

                When considering if multiple types are appropriate, you should evaluate if child organizations would be a more appropriate use of the concept, as different types likely are in different sub-areas of the organization. This is most likely to be used where type values have orthogonal values, such as a religious, academic and medical center.

                We expect that some jurisdictions will profile this optionality to be a single cardinality.

                Control0..*
                This element is affected by the following invariants: ele-1
                BindingFor example codes, see OrganizationType
                (example to http://hl7.org/fhir/ValueSet/organization-type)

                Used to categorize the organization.

                TypeCodeableConcept
                Standard StatusNormative (from Trial Use)
                Summarytrue
                Requirements

                Need to be able to track the kind of organization that this is - different organization types have different uses.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                SlicingThis element introduces a set of slices on Organization.type. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • value @ $this
                • 28. Organization.type:departmentSpecialty
                  Slice NamedepartmentSpecialty
                  Definition

                  The specialty of the healthcare provider’s department. The departmental specialty can be filled in if further indication of the healthcare provider is needed. This refers to the recognized medical specialties as stated in the BIG Act.

                  ShortDepartmentSpecialty
                  Comments

                  Organizations can be corporations, wards, sections, clinical teams, government departments, etc. Note that code is generally a classifier of the type of organization; in many applications, codes are used to identity a particular organization (say, ward) as opposed to another of the same type - these are identifiers, not codes

                  When considering if multiple types are appropriate, you should evaluate if child organizations would be a more appropriate use of the concept, as different types likely are in different sub-areas of the organization. This is most likely to be used where type values have orthogonal values, such as a religious, academic and medical center.

                  We expect that some jurisdictions will profile this optionality to be a single cardinality.

                  Control0..1
                  This element is affected by the following invariants: ele-1
                  BindingThe codes SHALL be taken from AfdelingSpecialismeCodelijst
                  (required to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.17.2.4--20200901000000)

                  Used to categorize the organization.

                  TypeCodeableConcept
                  Standard StatusNormative (from Trial Use)
                  Summarytrue
                  Requirements

                  Need to be able to track the kind of organization that this is - different organization types have different uses.

                  Alternate NamesAfdelingSpecialisme
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  30. Organization.type:organizationType
                  Slice NameorganizationType
                  Definition

                  The type of healthcare provider, such as general hospital, or nursing home. If this field is filled in and an AGB code is used for the HealthcareProviderIdentificationNumber, the type must match the type implicitly contained in the AGB code.

                  ShortOrganizationType
                  Comments

                  Organizations can be corporations, wards, sections, clinical teams, government departments, etc. Note that code is generally a classifier of the type of organization; in many applications, codes are used to identity a particular organization (say, ward) as opposed to another of the same type - these are identifiers, not codes

                  When considering if multiple types are appropriate, you should evaluate if child organizations would be a more appropriate use of the concept, as different types likely are in different sub-areas of the organization. This is most likely to be used where type values have orthogonal values, such as a religious, academic and medical center.

                  We expect that some jurisdictions will profile this optionality to be a single cardinality.

                  Control0..1
                  This element is affected by the following invariants: ele-1
                  BindingThe codes SHALL be taken from OrganisatieTypeCodelijst
                  (required to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.17.2.3--20200901000000)

                  Used to categorize the organization.

                  TypeCodeableConcept
                  Standard StatusNormative (from Trial Use)
                  Summarytrue
                  Requirements

                  Need to be able to track the kind of organization that this is - different organization types have different uses.

                  Alternate NamesOrganisatieType
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  32. Organization.name
                  Definition

                  Name of the organization. If an identification number is given, the name must match the name that corresponds to the identification number.

                  ShortOrganizationName
                  Comments

                  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.

                  Control0..1
                  This element is affected by the following invariants: ele-1, org-1
                  Typestring
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Requirements

                  Need to use the name as the label of the organization.

                  Alternate NamesOrganisatieNaam
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  34. Organization.alias
                  Definition

                  A list of alternate names that the organization is known as, or was known as in the past.

                  ShortA list of alternate names that the organization is known as, or was known as in the past
                  Comments

                  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.

                  Control0..*
                  This element is affected by the following invariants: ele-1
                  Typestring
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Requirements

                  Over time locations and organizations go through many changes and can be known by different names.

                  For searching knowing previous names that the organization was known by can be very useful.

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  36. Organization.telecom
                  Definition

                  A contact detail for the organization.

                  ShortA contact detail for the organization
                  Comments

                  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.

                  Control0..*
                  This element is affected by the following invariants: ele-1, org-3
                  TypeContactPoint
                  Standard StatusNormative (from Trial Use)
                  Requirements

                  Human contact for the organization.

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  cpt-2: A system is required if a value is provided. (value.empty() or system.exists())
                  org-3: The telecom of an organization can never be of use 'home' (where(use = 'home').empty())
                  SlicingThis element introduces a set of slices on Organization.telecom. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                  • profile @ $this
                  • 38. Organization.telecom:telephoneNumbers
                    Slice NametelephoneNumbers
                    Definition

                    Details for all kinds of technology mediated contact points for a person or organization, including telephone, email, etc.

                    ShortTelephoneNumbers
                    Comments

                    Implementation of the "TelephoneNumbers" concept of zib ContactInformation.

                    Please note that, although the zib concepts TelecomType and NumberType are functionally equivalent to the FHIR concepts ContactPoint.system and ContactPoint.use respectively, a mismatch occurs on the concept of mobile phone numbers; the zib uses the first concept and FHIR the second. For this reason, the ValueSet on ContactPoint.system is too narrow and the zib code will need to be communicated using the ext-CodeSpecification extension.

                    Control0..*
                    This element is affected by the following invariants: ele-1, org-3
                    TypeContactPoint(nl core ContactInformation TelephoneNumbers)
                    Standard StatusNormative (from Trial Use)
                    Requirements

                    Human contact for the organization.

                    Alternate NamesTelefoonnummers, nl-core-ContactInformation-TelephoneNumbers
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    cpt-2: A system is required if a value is provided. (value.empty() or system.exists())
                    org-3: The telecom of an organization can never be of use 'home' (where(use = 'home').empty())
                    40. Organization.telecom:emailAddresses
                    Slice NameemailAddresses
                    Definition

                    Details for all kinds of technology mediated contact points for a person or organization, including telephone, email, etc.

                    ShortEmailAddresses
                    Comments

                    Implementation of the "EmailAddresses" concept of zib ContactInformation.

                    Control0..*
                    This element is affected by the following invariants: ele-1, org-3
                    TypeContactPoint(nl core ContactInformation EmailAddresses)
                    Standard StatusNormative (from Trial Use)
                    Requirements

                    Human contact for the organization.

                    Alternate NamesEmailAdressen, nl-core-ContactInformation-EmailAddresses
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    cpt-2: A system is required if a value is provided. (value.empty() or system.exists())
                    org-3: The telecom of an organization can never be of use 'home' (where(use = 'home').empty())
                    42. Organization.address
                    Definition

                    An address expressed using postal conventions (as opposed to GPS or other location definition formats). This data type may be used to convey addresses for use in delivering mail as well as for visiting locations which might not be valid for mail delivery. There are a variety of postal address formats defined around the world.

                    ShortAddressInformation
                    Comments

                    This datatype defines a common basis for expressing all addresses around the world, but adds extensions to express Dutch addresses specifically, according to the zib AddressInformation v1.1 (2020). A Dutch Address still is a proper FHIR Address, which means that systems that cannot interpret the extensions will still be able to render and work with this datatype.

                    To have true compatibility an implementer SHOULD use the core Address parts as intended. To have addresses work for Dutch context, the implementer SHOULD in addition use the extension elements.

                    Separate address parts

                    The first addition is that Dutch addresses make certain address parts separately communicable. These parts are required for use in true Dutch systems when dealing with Dutch addresses, but may not have value for international systems when information gets sent abroad.

                    Custom address types

                    The second addition is that the zib defines its own ValueSet for address types, which can only be partially expressed using the FHIR Address datatype and requires a mapping to multiple elements. The table below explains how the zib concepts are mapped to the various FHIR elements (see the ConceptMaps http://nictiz.nl/fhir/ConceptMap/AdresSoortCodelijst-to-AddressUse and http://nictiz.nl/fhir/ConceptMap/AdresSoortCodelijst-to-AddressType as well). The code from the zib should also be included using the extension on Address.extension:addressType.

                    zib .ext:addressType .use .type
                    Postal Address/Postadres PST postal
                    Primary Home/Officieel adres HP home both
                    Visit Address/Woon-/verblijfadres PHYS home physical
                    Temporary Address/Tijdelijk adres TMP temp
                    Work Place/Werkadres WP work
                    Vacation Home/Vakantie adres HV temp

                    If Address.type is both then this is to be understood as a dual purpose address (postal and physical), unless a specific postal type address is added. Systems that support importing it like this are encouraged to do so, otherwise they may need to import this as two separate addresses.

                    Note: FHIR core defines the AD-use extension to further specify the postal address type. However, the ValueSet used in that extension doesn't completely match the zib ValueSet. Therefore, a custom extension has been made. This doesn't preclude the use of the AD-use extension.

                    Control0..*
                    This element is affected by the following invariants: ele-1, org-2
                    TypeAddress(nl core AddressInformation)
                    Requirements

                    May need to keep track of the organization's addresses for contacting, billing or reporting requirements.

                    Alternate NamesAdresgegevens, nl-core-AddressInformation
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    org-2: An address of an organization can never be of use 'home' (where(use = 'home').empty())
                    44. Organization.partOf
                    Definition

                    The organization of which this organization forms a part.

                    ShortThe organization of which this organization forms a part
                    Comments

                    References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

                    Control0..1
                    This element is affected by the following invariants: ele-1
                    TypeReference(Organization, nl core HealthcareProvider Organization)
                    Summarytrue
                    Requirements

                    Need to be able to track the hierarchy of organizations within an organization.

                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ref-1: SHALL have a contained resource if a local reference is provided (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')))
                    46. Organization.contact
                    Definition

                    Contact for the organization for a certain purpose.

                    ShortContact for the organization for a certain purpose
                    Comments

                    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.

                    Control0..*
                    This element is affected by the following invariants: ele-1
                    TypeBackboneElement
                    Requirements

                    Need to keep track of assigned contact points within bigger organization.

                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    48. Organization.contact.id
                    Definition

                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                    ShortUnique id for inter-element referencing
                    Control0..1
                    Typestring
                    XML FormatIn the XML format, this property is represented as an attribute.
                    50. Organization.contact.extension
                    Definition

                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                    ShortAdditional content defined by implementations
                    Comments

                    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.

                    Control0..*
                    This element is affected by the following invariants: ele-1
                    TypeExtension
                    Standard StatusNormative (from Trial Use)
                    Alternate Namesextensions, user content
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    SlicingThis element introduces a set of slices on Organization.contact.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                    • value @ url
                    • 52. Organization.contact.modifierExtension
                      Definition

                      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                      ShortExtensions that cannot be ignored even if unrecognized
                      Comments

                      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.

                      Control0..*
                      This element is affected by the following invariants: ele-1
                      TypeExtension
                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                      Summarytrue
                      Requirements

                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                      Alternate Namesextensions, user content, modifiers
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      54. Organization.contact.purpose
                      Definition

                      Indicates a purpose for which the contact can be reached.

                      ShortThe type of contact
                      Comments

                      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.

                      Control0..1
                      This element is affected by the following invariants: ele-1
                      BindingUnless not suitable, these codes SHALL be taken from ContactEntityType
                      (extensible to http://hl7.org/fhir/ValueSet/contactentity-type)

                      The purpose for which you would contact a contact party.

                      TypeCodeableConcept
                      Requirements

                      Need to distinguish between multiple contact persons.

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      56. Organization.contact.name
                      Definition

                      This slice represents the person's official name information, including given names, last name and possibly the partner's last name.

                      ShortNameInformation
                      Comments

                      This .name element represents a Dutch name according to the zib NameInformation (v1.1, 2020) (except for the GivenName concept). A Dutch name is represented in FHIR as an ordinary international name, but is augmented using extensions to specify how the last name is built up according to the Dutch rules. See the guidance on .family and on .extension:nameUsage for more information. Systems that need to work in a Dutch context SHOULD support these extensions as specified here. In addition, systems SHOULD use the core elements according to the FHIR specifications to provide compatibility outside Dutch contexts. It is encouraged to provide a representation of the full name in the .text element.

                      Note 1: The zib cannot be represented straightforward in FHIR. Especially note the guidance on .given on how to map the FirstNames and Initials concepts, and on .prefix/.suffix on how to map the Titles concept.

                      Note 2: This element should only contain a person's official names. The GivenName concept is represented in another .name element with .name.use = usual.

                      Note 3: The examples illustrate how the zib is mapped to FHIR.

                      Control0..1
                      This element is affected by the following invariants: ele-1
                      TypeHumanName(nl core NameInformation)
                      Requirements

                      Need to be able to track the person by name.

                      Alternate NamesNaamgegevens, nl-core-NameInformation
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      zib-NameInformation-1: If a prefix for a family name is specified, the family name is expected as well (family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-prefix').empty().not() implies family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-name').empty().not())
                      zib-NameInformation-2: If the prefix for a partner family name is specified, the partner family name is expected as well (family.extension('http://hl7.org/fhir/StructureDefinition/humanname-partner-prefix').empty().not() implies family.extension('http://hl7.org/fhir/StructureDefinition/humanname-partner-name').empty().not())
                      58. Organization.contact.telecom
                      Definition

                      A contact detail (e.g. a telephone number or an email address) by which the party may be contacted.

                      ShortContact details (telephone, email, etc.) for a contact
                      Control0..*
                      This element is affected by the following invariants: ele-1
                      TypeContactPoint
                      Standard StatusNormative (from Trial Use)
                      Requirements

                      People have (primary) ways to contact them in some way such as phone, email.

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      cpt-2: A system is required if a value is provided. (value.empty() or system.exists())
                      SlicingThis element introduces a set of slices on Organization.contact.telecom. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                      • profile @ $this
                      • 60. Organization.contact.telecom:telephoneNumbers
                        Slice NametelephoneNumbers
                        Definition

                        Details for all kinds of technology mediated contact points for a person or organization, including telephone, email, etc.

                        ShortTelephoneNumbers
                        Comments

                        Implementation of the "TelephoneNumbers" concept of zib ContactInformation.

                        Please note that, although the zib concepts TelecomType and NumberType are functionally equivalent to the FHIR concepts ContactPoint.system and ContactPoint.use respectively, a mismatch occurs on the concept of mobile phone numbers; the zib uses the first concept and FHIR the second. For this reason, the ValueSet on ContactPoint.system is too narrow and the zib code will need to be communicated using the ext-CodeSpecification extension.

                        Control0..*
                        This element is affected by the following invariants: ele-1
                        TypeContactPoint(nl core ContactInformation TelephoneNumbers)
                        Standard StatusNormative (from Trial Use)
                        Requirements

                        People have (primary) ways to contact them in some way such as phone, email.

                        Alternate NamesTelefoonnummers, nl-core-ContactInformation-TelephoneNumbers
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        cpt-2: A system is required if a value is provided. (value.empty() or system.exists())
                        62. Organization.contact.telecom:emailAddresses
                        Slice NameemailAddresses
                        Definition

                        Details for all kinds of technology mediated contact points for a person or organization, including telephone, email, etc.

                        ShortEmailAddresses
                        Comments

                        Implementation of the "EmailAddresses" concept of zib ContactInformation.

                        Control0..*
                        This element is affected by the following invariants: ele-1
                        TypeContactPoint(nl core ContactInformation EmailAddresses)
                        Standard StatusNormative (from Trial Use)
                        Requirements

                        People have (primary) ways to contact them in some way such as phone, email.

                        Alternate NamesEmailAdressen, nl-core-ContactInformation-EmailAddresses
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        cpt-2: A system is required if a value is provided. (value.empty() or system.exists())
                        64. Organization.contact.address
                        Definition

                        An address expressed using postal conventions (as opposed to GPS or other location definition formats). This data type may be used to convey addresses for use in delivering mail as well as for visiting locations which might not be valid for mail delivery. There are a variety of postal address formats defined around the world.

                        ShortAddressInformation
                        Comments

                        This datatype defines a common basis for expressing all addresses around the world, but adds extensions to express Dutch addresses specifically, according to the zib AddressInformation v1.1 (2020). A Dutch Address still is a proper FHIR Address, which means that systems that cannot interpret the extensions will still be able to render and work with this datatype.

                        To have true compatibility an implementer SHOULD use the core Address parts as intended. To have addresses work for Dutch context, the implementer SHOULD in addition use the extension elements.

                        Separate address parts

                        The first addition is that Dutch addresses make certain address parts separately communicable. These parts are required for use in true Dutch systems when dealing with Dutch addresses, but may not have value for international systems when information gets sent abroad.

                        Custom address types

                        The second addition is that the zib defines its own ValueSet for address types, which can only be partially expressed using the FHIR Address datatype and requires a mapping to multiple elements. The table below explains how the zib concepts are mapped to the various FHIR elements (see the ConceptMaps http://nictiz.nl/fhir/ConceptMap/AdresSoortCodelijst-to-AddressUse and http://nictiz.nl/fhir/ConceptMap/AdresSoortCodelijst-to-AddressType as well). The code from the zib should also be included using the extension on Address.extension:addressType.

                        zib .ext:addressType .use .type
                        Postal Address/Postadres PST postal
                        Primary Home/Officieel adres HP home both
                        Visit Address/Woon-/verblijfadres PHYS home physical
                        Temporary Address/Tijdelijk adres TMP temp
                        Work Place/Werkadres WP work
                        Vacation Home/Vakantie adres HV temp

                        If Address.type is both then this is to be understood as a dual purpose address (postal and physical), unless a specific postal type address is added. Systems that support importing it like this are encouraged to do so, otherwise they may need to import this as two separate addresses.

                        Note: FHIR core defines the AD-use extension to further specify the postal address type. However, the ValueSet used in that extension doesn't completely match the zib ValueSet. Therefore, a custom extension has been made. This doesn't preclude the use of the AD-use extension.

                        Control0..1
                        This element is affected by the following invariants: ele-1
                        TypeAddress(nl core AddressInformation)
                        Requirements

                        May need to keep track of a contact party's address for contacting, billing or reporting requirements.

                        Alternate NamesAdresgegevens, nl-core-AddressInformation
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        66. Organization.endpoint
                        Definition

                        Technical endpoints providing access to services operated for the organization.

                        ShortTechnical endpoints providing access to services operated for the organization
                        Comments

                        References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

                        Control0..*
                        This element is affected by the following invariants: ele-1
                        TypeReference(Endpoint)
                        Requirements

                        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.

                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ref-1: SHALL have a contained resource if a local reference is provided (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')))