NP Core Health Facility

Sets minimum expectations for representing a registered health facility operating in Nepal.

Canonical URL: http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-health-facility
Resource / type: Organization
Based on: http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-organization
Claim conformance: Put the canonical URL in meta.profile of each instance.

Required elements

“Always” means the element must be present in every instance. Otherwise it is required only when its parent element is present.

Element	Card.	When
`Organization.identifier` Identifies this organization across multiple systems	1..*	Always
`Organization.identifier:nhfrCode` National Health Facility Registry Code	1..1	Always
`Organization.type` Kind of organization	5..*	Always
`Organization.type:organizationType` Kind of organization	1..1	Always
`Organization.type:organizationType.coding` Code defined by a terminology system	1..1	Always
`Organization.type:organizationType.coding.system` Identity of the terminology system	1..1	Always
`Organization.type:organizationType.coding.code` Symbol in syntax defined by the system	1..1	Always
`Organization.type:facilityAuthority` Facility Authority	1..1	Always
`Organization.type:facilityAuthority.coding` Code defined by a terminology system	1..1	Always
`Organization.type:facilityAuthority.coding.system` Identity of the terminology system	1..1	Always
`Organization.type:authorityLevel` Authority Level	1..1	Always
`Organization.type:authorityLevel.coding` Code defined by a terminology system	1..1	Always
`Organization.type:authorityLevel.coding.system` Identity of the terminology system	1..1	Always
`Organization.type:ownership` Facility Ownership	1..1	Always
`Organization.type:ownership.coding` Code defined by a terminology system	1..1	Always
`Organization.type:ownership.coding.system` Identity of the terminology system	1..1	Always
`Organization.type:facilityType` Facility Type	1..1	Always
`Organization.type:facilityType.coding` Code defined by a terminology system	1..1	Always
`Organization.type:facilityType.coding.system` Identity of the terminology system	1..1	Always
`Organization.name` Name used for the organization	1..1	Always

Must-support elements

If your system has this data it SHALL send it, and receivers SHALL process it. Must-support does not by itself make an element mandatory.

Organization.identifier:nhfrCode
Organization.type:organizationType
Organization.type:facilityAuthority
Organization.type:authorityLevel
Organization.type:ownership
Organization.type:facilityType
Organization.name
Organization.address

Identifier slices

Slice	Card.	system	Details
`nhfrCode`	1..1	http://nhfr.digitalhealth.gov.np	type `FI` http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-nhfr-identifier

Fixed and pattern values

Element	Value
`Organization.type:organizationType.coding.system`	http://terminology.hl7.org/CodeSystem/organization-type
`Organization.type:organizationType.coding.code`	prov
`Organization.type:facilityAuthority.coding.system`	http://fhir.digitalhealth.gov.np/core/CodeSystem/facility-authority
`Organization.type:authorityLevel.coding.system`	http://fhir.digitalhealth.gov.np/core/CodeSystem/facility-authority-level
`Organization.type:ownership.coding.system`	http://fhir.digitalhealth.gov.np/core/CodeSystem/facility-ownership
`Organization.type:facilityType.coding.system`	http://fhir.digitalhealth.gov.np/core/CodeSystem/health-facility-type

Terminology bindings

required: codes SHALL come from the value set · extensible: use the value set if a suitable code exists · preferred / example: guidance only.

Element	Strength	Value set
`Organization.language`	preferred	http://hl7.org/fhir/ValueSet/languages
`Organization.type`	example	http://hl7.org/fhir/ValueSet/organization-type
`Organization.type:organizationType`	example	http://hl7.org/fhir/ValueSet/organization-type
`Organization.type:facilityAuthority`	required	Facility Authority `1` Government, `2` Non-Government http://fhir.digitalhealth.gov.np/core/ValueSet/facility-authority-vs
`Organization.type:authorityLevel`	required	Facility Authority Level `federal` Federal, `provincial` Provincial, `local` Local http://fhir.digitalhealth.gov.np/core/ValueSet/facility-authority-level-vs
`Organization.type:ownership`	preferred	Health Facility Ownership ValueSet http://fhir.digitalhealth.gov.np/core/ValueSet/facility-ownership-vs
`Organization.type:facilityType`	preferred	Health Facility Type http://fhir.digitalhealth.gov.np/core/ValueSet/health-facility-type-vs
`Organization.contact.purpose`	extensible	http://hl7.org/fhir/ValueSet/contactentity-type

Rules (invariants)

np-addr-1 The province, district, and localLevel extensions are Nepal-specific and SHALL only be present when country is "NP".

FHIRPath

(extension('http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-province').exists() or extension('http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-district').exists() or extension('http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-local-level').exists()) implies country = 'NP'

Official examples

Organization/ExampleNPCoreOrganization

View in IG ↗

{
  "resourceType": "Organization",
  "id": "ExampleNPCoreOrganization",
  "meta": {
    "profile": [
      "http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-health-facility"
    ]
  },
  "identifier": [
    {
      "use": "official",
      "type": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code": "FI",
            "display": "Facility ID"
          }
        ]
      },
      "system": "http://nhfr.digitalhealth.gov.np",
      "value": "00XX"
    }
  ],
  "active": true,
  "type": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/organization-type",
          "code": "prov",
          "display": "Healthcare Provider"
        }
      ]
    },
    {
      "coding": [
        {
          "system": "http://fhir.digitalhealth.gov.np/core/CodeSystem/facility-authority",
          "code": "1",
          "display": "Government"
        }
      ]
    },
    {
      "coding": [
        {
          "system": "http://fhir.digitalhealth.gov.np/core/CodeSystem/facility-authority-level",
          "code": "federal",
          "display": "Federal"
        }
      ]
    },
    {
      "coding": [
        {
          "system": "http://fhir.digitalhealth.gov.np/core/CodeSystem/facility-ownership",
          "code": "5",
          "display": "Ministry of Health and Food Safety"
        }
      ]
    },
    {
      "coding": [
        {
          "system": "http://fhir.digitalhealth.gov.np/core/CodeSystem/health-facility-type",
          "code": "3",
          "display": "General Hospital"
        }
      ]
    }
  ],
  "name": "Kathmandu Model Hospital",
  "address": [
    {
      "extension": [
        {
          "url": "http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-province",
          "valueCoding": {
            "system": "http://fhir.digitalhealth.gov.np/core/CodeSystem/nepal-administrative-location",
            "code": "3",
            "display": "Bagmati Province"
          }
        },
        {
          "url": "http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-district",
          "valueCoding": {
            "system": "http://fhir.digitalhealth.gov.np/core/CodeSystem/nepal-administrative-location",
            "code": "306",
            "display": "Kathmandu"
          }
        },
        {
          "url": "http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-local-level",
          "valueCoding": {
            "system": "http://fhir.digitalhealth.gov.np/core/CodeSystem/nepal-administrative-location",
            "code": "30608",
            "display": "Kathmandu Metropolitan City"
          }
        },
        {
          "extension": [
            {
              "url": "latitude",
              "valueDecimal": 27.7008
            },
            {
              "url": "longitude",
              "valueDecimal": 85.3126
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/geolocation"
        }
      ],
      "type": "physical",
      "text": "Ward 16, Sundhara, Kathmandu Metropolitan City, Kathmandu, Bagmati Province, Nepal",
      "line": [
        "Ward 16",
        "Sundhara"
      ],
      "city": "Kathmandu Metropolitan City",
      "district": "Kathmandu",
      "state": "Bagmati Province",
      "postalCode": "44600",
      "country": "NP"
    }
  ]
}

Narrative (text) removed for readability.