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HdBe-OrganismeSoins

CBBConceptStatus
HdBe-HealthcareOrganization

Un organisme de soins (parfois appelé prestataire de soins) est une organisation qui offre et fournit des soins médicaux, paramédicaux et/ou infirmiers aux patients/clients. Exemples : hôpitaux, établissement de soins, cabinets de médecins.

Purpose

Enregistrer des informations pertinentes permettant d'identifier l'organisme à des fins administratives.

active

id0..1string
extensionI0..*Extension
HealthcareOrganizationIdentificationNumber0..*Identifier
OrganizationName0..1string
DepartmentSpecialty0..1CodeableConceptBinding
ContactInformation0..*HdBe-ContactInformation
AddressInformation0..*HdBe-AddressInformation
OrganizationType0..1CodeableConcept
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
LocationName0..1string
LocationIdentificationNumber0..1CodeableConceptBinding
DepartmentIdentificationNumber0..1CodeableConceptBinding

HealthcareOrganization0..*
HealthcareOrganization.HealthcareOrganizationIdentificationNumberIdentifier0..*
HealthcareOrganization.OrganizationNamestring0..1
HealthcareOrganization.DepartmentSpecialtyCodeableConcept0..1
HealthcareOrganization.ContactInformationHdBe-ContactInformation0..*
HealthcareOrganization.AddressInformationHdBe-AddressInformation0..*
HealthcareOrganization.OrganizationTypeCodeableConcept0..1
HealthcareOrganization.OrganizationLocationBackboneElement0..1
HealthcareOrganization.OrganizationLocation.LocationNamestring0..1
HealthcareOrganization.OrganizationLocation.LocationIdentificationNumberCodeableConcept0..1
HealthcareOrganization.OrganizationLocation.DepartmentIdentificationNumberCodeableConcept0..1


HealthcareOrganization
DefinitionRoot concept of the Healthcare Organization information model. This root concept contains all data elements of the Healthcare Organization information model.
Cardinality0...*
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
HealthcareOrganization.id
DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality0...1
Typestring
Mappings
  • rim: n/a
HealthcareOrganization.extension
DefinitionMay 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.
Cardinality0...*
TypeExtension
Aliasextensions, user content
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.

SlicingUnordered, Open, by url(Value)
Invariants
  • ele-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()
Mappings
  • rim: n/a
  • rim: N/A
HealthcareOrganization.HealthcareOrganizationIdentificationNumber
DefinitionThe organization’s identification number. For Belgian healthcare organizations, the NIHDI (National Institute for Health and Disability Insurance) and/or the CBE (Crossroads Bank for Enterprises) is used, if possible. Depending on the context other IDs are also possible. For foreign or non-affiliated healthcare organizations, another unique identification number can be used. This must be accompanied by the name and/or code of the issuing organization.
Cardinality0...*
TypeIdentifier
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CX / EI (occasionally, more often EI maps to a resource id or a URL)
  • rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
  • servd: Identifier
HealthcareOrganization.OrganizationName
DefinitionName of the organization. If an identification number is given, the name must match the name that corresponds to the identification number.
Cardinality0...1
Typestring
Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
HealthcareOrganization.DepartmentSpecialty
DefinitionThe specialty of the healthcare organization's department. The departmental specialty can be filled in if further indication of the healthcare organization is needed.
Cardinality0...1
TypeCodeableConcept
Binding

DepartmentSpecialty codes.

DepartmentSpecialty (required)
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.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE
  • rim: CD
  • orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
HealthcareOrganization.ContactInformation
DefinitionThe information needed to contact the healthcare organization via telephone and/or e-mail.
Cardinality0...*
TypeHdBe-ContactInformation
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
HealthcareOrganization.AddressInformation
DefinitionThe physical address of the healthcare organization's location.
Cardinality0...*
TypeHdBe-AddressInformation
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
HealthcareOrganization.OrganizationType
DefinitionThe type of healthcare organization, such as general hospital, or nursing home.
Cardinality0...1
TypeCodeableConcept
BindingOrganizationType (example)
Comments

Appropriated terminology codes for OrganizationType are in development and will be bound in a future version. The ValueSet 'OrganizationType' illustrates the purpose of this element. Although the bound concepts will likely be used, the exact codes and system identification is not yet defined. HL7 BE GitHub issue #32 requests to standardize terminology on a federal level for Belgium.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE
  • rim: CD
  • orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
HealthcareOrganization.OrganizationLocation
DefinitionContainer of the OrganizationLocation concept. This container contains all data elements of the OrganizationLocation concept.
Cardinality0...1
TypeBackboneElement
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
HealthcareOrganization.OrganizationLocation.id
DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality0...1
Typestring
Mappings
  • rim: n/a
HealthcareOrganization.OrganizationLocation.extension
DefinitionMay 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.
Cardinality0...*
TypeExtension
Aliasextensions, user content
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.

SlicingUnordered, Open, by url(Value)
Invariants
  • ele-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()
Mappings
  • rim: n/a
  • rim: N/A
HealthcareOrganization.OrganizationLocation.modifierExtension
DefinitionMay 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).
Cardinality0...*
TypeExtension
ModifierTrue
SummaryTrue
Aliasextensions, user content, modifiers
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.

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.

Invariants
  • ele-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()
Mappings
  • rim: n/a
  • rim: N/A
HealthcareOrganization.OrganizationLocation.LocationName
DefinitionName of the location, in case a healthcare organization has more than one location.
Cardinality0...1
Typestring
Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
HealthcareOrganization.OrganizationLocation.LocationIdentificationNumber
DefinitionIdentification number of the location, if a numerical location identification is used next to or instead of a location name. The identifier value is equal to the HCOrganization.Site.SiteID (or site number) value as found in the [Common Base Registry for HealthCare Actor (CoBRHA)](https://www.ehealth.fgov.be/ehealthplatform/nl/service-cobrha-common-base-registry-for-healthcare-actor). Additionally, the LocationIdentificationNumber can be found in the [Internal organization of departments within Belgian healthcare organizations](https://fair.healthdata.be/dataset/53c8b040-0b48-4c41-ab65-4c9d1600e908) dataset as the Site number in the HCP_SITE tab.
Cardinality0...1
TypeCodeableConcept
Binding

LocationIdentificationNumber codes

LocationIdentificationNumber (extensible)
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.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE
  • rim: CD
  • orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
HealthcareOrganization.OrganizationLocation.DepartmentIdentificationNumber
DefinitionThe healthcare organization's internal department's identification number ('department' is also referred to as ‘ward’). This needs to be an identification number listed in [fair.healthdata.be dataset Internal organization of departments within Belgian healthcare organizations](https://fair.healthdata.be/dataset/53c8b040-0b48-4c41-ab65-4c9d1600e908). Please note that this dataset is a temporary solution. A more structured and standardized version will follow in the future, which will then be documented here.
Cardinality0...1
TypeCodeableConcept
Binding

DepartmentIdentificationNumber codes

DepartmentIdentificationNumber (extensible)
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.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE
  • rim: CD
  • orim: fhir:CodeableConcept rdfs:subClassOf dt:CD

Example instances

HealthcareOrganization
HealthcareOrganizationIdentificationNumber 010SS3170
OrganizationName GRAND HOPITAL DE CHARLEROI
DepartmentSpecialty Cardiologie
AddressInformation reference to AddressInformation (6, Rue Marguerite Depasse, 6060 Gilly)
ContactInformation reference to ContactInformation (071102111; info@example.Be)
OrganizationType Ziekenhuis
OrganizationLocation.LocationName SAINT-JOSEPH
OrganizationLocation.LocationIdentificationNumber 3170
OrganizationLocation.DepartmentIdentificationNumber 004-C - Chirurgie

zib HealthcareProvider-v3.4 difference

Concept Category Description
HealthcareOrganization textual Renamed HealthcareProvider with HealthcareOrganization because HealthcareOrganization is a term already heavily in use within the BE context.
HealthcareOrganizationIdentificationNumber textual Replaced ID's with IDs. Replaced the Dutch context (URA, AGB) with NIHDI and CBE.
DepartmentSpecialty textual Removed the Dutch context.
DepartmentSpecialty terminology Replaced values in ValueSet DepartmentSpecialty with a defined list of SNOMED codes and included SNOMED codes for Unknown and Other.
ContactInformation cardinality Loosened cardinality from 0..1 to 0..* based on the changes made to the CBB ConctactInformation. Widening the cardinality here allows for capturing all contact information necessary.
OrganizationType textual Removed the Dutch context.
OrganizationType terminology Replaced ValueSet OrganizationType codes with terminology based on a one-time export of HCO_TYPE as found in the Common Base Registry for HealthCare Actor (CoBRHA). These codes are placed in the healthdata.be namespace. HL7 BE GitHub issue #32 requests to standardize terminology on a federal level for Belgium.
HealthcareOrganization.OrganizationLocation textual Replaced 'concept.This' in 'concept. This'
OrganizationLocation.LocationIdentificationNumber element Renamed LocationNumber to LocationIdentificationNumber to align with HealthcareOrganizationIdentificationNumber and DepartmentIdentificationNumber. The name is also more explicit about what it represents.
OrganizationLocation.LocationIdentificationNumber type Changed type interger to CodeadebleConcept to bind terminology in use by healthdata.be
OrganizationLocation.DepartmentIdentificationNumber element Added a new element that specifies an Organization's internal identification number for its departments.



Terminology Bindings

PathNameStrengthURL
DepartmentSpecialtyDepartmentSpecialtyrequiredhttps://fhir.healthdata.be/ValueSet/DepartmentSpecialty
OrganizationTypeOrganizationTypeexamplehttps://fhir.healthdata.be/ValueSet/OrganizationType
OrganizationLocation.LocationIdentificationNumberLocationIdentificationNumberextensiblehttps://fhir.healthdata.be/ValueSet/LocationIdentificationNumber
OrganizationLocation.DepartmentIdentificationNumberDepartmentIdentificationNumberextensiblehttps://fhir.healthdata.be/ValueSet/DepartmentIdentificationNumber