<status value="active" /> <description value="Root organization in PCM representing the onboarded parent legal entity. Created and identified by PCM during manual onboarding. Parent identity and active state are controlled by MoH/PCM; the organization may update contact details only." /> <fhirVersion value="4.0.1" /> <kind value="resource" /> <abstract value="false" /> <type value="Organization" /> <baseDefinition value="http://fhir.health.gov.il/StructureDefinition/il-core-organization" /> <derivation value="constraint" /> <differential> <element id="Organization"> <path value="Organization" /> <constraint> <key value="pcm-parent-active-moh-identifier" /> <severity value="error" /> <human value="An active Parent Organization requires exactly one applicable MoH institution-symbol or approved paying-entity identifier." /> <expression value="active = false or (identifier.where(system = 'http://institutions.health.gov.il/Institutions').count() + identifier.where(system = 'http://fhir.health.gov.il/cs/paying-entity-moh').count() = 1)" /> <source value="http://pcm.fhir.health.gov.il/StructureDefinition/pcm-organization-parent" /> </constraint> <constraint> <key value="pcm-parent-payer-identifier" /> <severity value="error" /> <human value="A Parent paying-entity identifier must be one of the approved unique organization codes; generic code 400 is not accepted." /> <expression value="identifier.where(system = 'http://fhir.health.gov.il/cs/paying-entity-moh').value.all($this = '101' or $this = '102' or $this = '103' or $this = '104' or $this = '406' or $this = '401' or $this = '405' or $this = '402' or $this = '300')" /> <source value="http://pcm.fhir.health.gov.il/StructureDefinition/pcm-organization-parent" /> </constraint> <constraint> <key value="pcm-parent-hmo-identifier" /> <severity value="error" /> <human value="An HMO Parent uses one of the four unique HMO paying-entity codes and not an institution symbol; those four codes are valid only for an HMO Parent." /> <expression value="(type.coding.where(system = 'http://fhir.health.gov.il/cs/institution-type-moh' and code = '73').exists() implies (identifier.where(system = 'http://fhir.health.gov.il/cs/paying-entity-moh' and (value = '101' or value = '102' or value = '103' or value = '104')).count() = 1 and identifier.where(system = 'http://institutions.health.gov.il/Institutions').empty())) and (identifier.where(system = 'http://fhir.health.gov.il/cs/paying-entity-moh' and (value = '101' or value = '102' or value = '103' or value = '104')).exists() implies type.coding.where(system = 'http://fhir.health.gov.il/cs/institution-type-moh' and code = '73').exists())" /> <source value="http://pcm.fhir.health.gov.il/StructureDefinition/pcm-organization-parent" /> </constraint> <constraint> <key value="pcm-parent-institution-identifier" /> <severity value="error" /> <human value="A general-hospital or geriatric-medical-center Parent uses an institution symbol and not a paying-entity identifier." /> <expression value="type.coding.where(system = 'http://fhir.health.gov.il/cs/institution-type-moh' and (code = '1' or code = '22')).exists() implies (identifier.where(system = 'http://institutions.health.gov.il/Institutions').count() = 1 and identifier.where(system = 'http://fhir.health.gov.il/cs/paying-entity-moh').empty())" /> <source value="http://pcm.fhir.health.gov.il/StructureDefinition/pcm-organization-parent" /> </constraint> <constraint> <key value="pcm-parent-public-entity-identifier" /> <severity value="error" /> <human value="Structurally distinguishable public-entity Parent types use their decided paying-entity code, and those codes are limited to their matching institution type." /> <expression value="(type.coding.where(system = 'http://fhir.health.gov.il/cs/institution-type-moh' and code = '71').exists() implies identifier.where(system = 'http://fhir.health.gov.il/cs/paying-entity-moh' and value = '406').count() = 1) and (type.coding.where(system = 'http://fhir.health.gov.il/cs/institution-type-moh' and code = '75').exists() implies identifier.where(system = 'http://fhir.health.gov.il/cs/paying-entity-moh' and value = '401').count() = 1) and (type.coding.where(system = 'http://fhir.health.gov.il/cs/institution-type-moh' and code = '87').exists() implies identifier.where(system = 'http://fhir.health.gov.il/cs/paying-entity-moh' and value = '405').count() = 1) and (identifier.where(system = 'http://fhir.health.gov.il/cs/paying-entity-moh' and value = '406').exists() implies type.coding.where(system = 'http://fhir.health.gov.il/cs/institution-type-moh' and code = '71').exists()) and (identifier.where(system = 'http://fhir.health.gov.il/cs/paying-entity-moh' and value = '401').exists() implies type.coding.where(system = 'http://fhir.health.gov.il/cs/institution-type-moh' and code = '75').exists()) and (identifier.where(system = 'http://fhir.health.gov.il/cs/paying-entity-moh' and value = '405').exists() implies type.coding.where(system = 'http://fhir.health.gov.il/cs/institution-type-moh' and code = '87').exists())" /> <source value="http://pcm.fhir.health.gov.il/StructureDefinition/pcm-organization-parent" /> </constraint> </element> <element id="Organization.id"> <path value="Organization.id" /> <min value="1" /> </element> <element id="Organization.meta"> <path value="Organization.meta" /> <min value="1" /> </element> <element id="Organization.meta.lastUpdated"> <path value="Organization.meta.lastUpdated" /> <comment value="Server-managed timestamp of the most recent authoritative resource change." /> <min value="1" /> </element> <element id="Organization.meta.profile"> <path value="Organization.meta.profile" /> <slicing> <discriminator> <type value="value" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> <comment value="PCM includes the applicable server-return profile URL; additional compatible profile URLs are allowed." /> <min value="1" /> </element> <element id="Organization.meta.profile:pcmProfile"> <path value="Organization.meta.profile" /> <sliceName value="pcmProfile" /> <min value="1" /> <max value="1" /> <fixedCanonical value="http://pcm.fhir.health.gov.il/StructureDefinition/pcm-organization-parent" /> </element> <element id="Organization.identifier"> <path value="Organization.identifier" /> <comment value="PCM-managed identifiers. Every Parent has one PCM Organization business identifier and, where the type-specific mapping is resolved, the applicable MoH identifier. Organization-facing writes cannot add, replace, or remove these values." /> <min value="1" /> </element> <element id="Organization.identifier:moh-inst-symbol"> <path value="Organization.identifier" /> <sliceName value="moh-inst-symbol" /> <comment value="PCM records this identifier for hospitals and other institution-registry participants where the approved type mapping requires it." /> </element> <element id="Organization.identifier:moe-inst"> <path value="Organization.identifier" /> <sliceName value="moe-inst" /> <max value="0" /> </element> <element id="Organization.identifier:moh-hospital-department"> <path value="Organization.identifier" /> <sliceName value="moh-hospital-department" /> <max value="0" /> </element> <element id="Organization.identifier:paying-entity-moh"> <path value="Organization.identifier" /> <sliceName value="paying-entity-moh" /> <comment value="PCM records the approved paying-entity identifier only for organization types with a specific unique code. Generic code 400 is not a unique organization identifier." /> </element> <element id="Organization.identifier:pcmOrganizationId"> <path value="Organization.identifier" /> <sliceName value="pcmOrganizationId" /> <min value="1" /> <max value="1" /> </element> <element id="Organization.identifier:pcmOrganizationId.use"> <path value="Organization.identifier.use" /> <min value="1" /> <fixedCode value="official" /> </element> <element id="Organization.identifier:pcmOrganizationId.system"> <path value="Organization.identifier.system" /> <fixedUri value="http://pcm.fhir.health.gov.il/identifier/pcm-organization-id" /> </element> <element id="Organization.active"> <path value="Organization.active" /> <comment value="MoH/PCM-controlled participation state. Organizations cannot set this through the client FHIR API. An inactive Parent prevents operational use of its children without rewriting each child's independently MoH/PCM-controlled active value." /> <min value="1" /> </element> <element id="Organization.type"> <path value="Organization.type" /> <comment value="Parent organization classification is MoH/PCM-controlled and not writable by organizations through the client FHIR API." /> <min value="2" /> </element> <element id="Organization.type:pcmOrgType"> <path value="Organization.type" /> <sliceName value="pcmOrgType" /> <comment value="Marks this Organization as a PCM Parent Organization." /> <min value="1" /> <max value="1" /> <patternCodeableConcept> <coding> <system value="http://pcm.fhir.health.gov.il/cs/pcm-org-type" /> <code value="parent-org" /> </coding> </patternCodeableConcept> </element> <element id="Organization.type:pcmOrgType.coding"> <path value="Organization.type.coding" /> <min value="1" /> <max value="1" /> </element> <element id="Organization.type:pcmOrgType.coding.system"> <path value="Organization.type.coding.system" /> <min value="1" /> <fixedUri value="http://pcm.fhir.health.gov.il/cs/pcm-org-type" /> </element> <element id="Organization.type:pcmOrgType.coding.code"> <path value="Organization.type.coding.code" /> <min value="1" /> <fixedCode value="parent-org" /> </element> <element id="Organization.name"> <path value="Organization.name" /> <comment value="Parent organization name is MoH/PCM-controlled and not writable by organizations through the client FHIR API." /> </element> <element id="Organization.alias"> <path value="Organization.alias" /> <max value="0" /> </element> <element id="Organization.telecom"> <path value="Organization.telecom" /> <comment value="Parent organization telecom is MoH/PCM-controlled; organization-managed operational contacts are represented in contact." /> </element> <element id="Organization.address"> <path value="Organization.address" /> <comment value="Parent organization address is MoH/PCM-controlled and not writable by organizations through the client FHIR API." /> </element> <element id="Organization.partOf"> <path value="Organization.partOf" /> <max value="0" /> </element> <element id="Organization.contact"> <path value="Organization.contact" /> <slicing> <discriminator> <type value="value" /> <path value="purpose.coding.code" /> </discriminator> <rules value="open" /> </slicing> <comment value="The organization SHOULD supply ADMIN, PATINF, and SEC contacts. Additional purpose-coded contacts are allowed. Parent contacts are the fallback for a child that does not override the same purpose." /> </element> <element id="Organization.contact.purpose"> <path value="Organization.contact.purpose" /> <min value="1" /> <binding> <strength value="extensible" /> <valueSet value="http://pcm.fhir.health.gov.il/ValueSet/pcm-contactentity-type" /> </binding> </element> <element id="Organization.contact:admin"> <path value="Organization.contact" /> <sliceName value="admin" /> <comment value="Administrative enquiries contact." /> <min value="0" /> <max value="1" /> </element> <element id="Organization.contact:admin.purpose.coding"> <path value="Organization.contact.purpose.coding" /> <min value="1" /> <max value="1" /> </element> <element id="Organization.contact:admin.purpose.coding.system"> <path value="Organization.contact.purpose.coding.system" /> <min value="1" /> <fixedUri value="http://terminology.hl7.org/CodeSystem/contactentity-type" /> </element> <element id="Organization.contact:admin.purpose.coding.code"> <path value="Organization.contact.purpose.coding.code" /> <min value="1" /> <fixedCode value="ADMIN" /> </element> <element id="Organization.contact:patientInfo"> <path value="Organization.contact" /> <sliceName value="patientInfo" /> <comment value="Patient information / patient-facing enquiries contact." /> <min value="0" /> <max value="1" /> </element> <element id="Organization.contact:patientInfo.purpose.coding"> <path value="Organization.contact.purpose.coding" /> <min value="1" /> <max value="1" /> </element> <element id="Organization.contact:patientInfo.purpose.coding.system"> <path value="Organization.contact.purpose.coding.system" /> <min value="1" /> <fixedUri value="http://terminology.hl7.org/CodeSystem/contactentity-type" /> </element> <element id="Organization.contact:patientInfo.purpose.coding.code"> <path value="Organization.contact.purpose.coding.code" /> <min value="1" /> <fixedCode value="PATINF" /> </element> <element id="Organization.contact:security"> <path value="Organization.contact" /> <sliceName value="security" /> <comment value="Security / InfoSec / incident response contact." /> <min value="0" /> <max value="1" /> </element> <element id="Organization.contact:security.purpose.coding"> <path value="Organization.contact.purpose.coding" /> <min value="1" /> <max value="1" /> </element> <element id="Organization.contact:security.purpose.coding.system"> <path value="Organization.contact.purpose.coding.system" /> <min value="1" /> <fixedUri value="http://pcm.fhir.health.gov.il/cs/pcm-contactentity-type" /> </element> <element id="Organization.contact:security.purpose.coding.code"> <path value="Organization.contact.purpose.coding.code" /> <min value="1" /> <fixedCode value="SEC" /> </element> <element id="Organization.endpoint"> <path value="Organization.endpoint" /> <max value="0" /> </element> </differential> </StructureDefinition>