Healthcare Financial Services IG Edition 1
0.4.0 - STU-Ballot with Updates Saudi Arabia flag

Healthcare Financial Services IG Edition 1 - Local Development build (v0.4.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: Nphies Policy Holder Organization

Official URL: http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/policyholder-organization Version: 0.4.0
Draft as of 2025-10-12 Computable Name: NphiesPolicyHolderOrganization

Copyright/Legal: Used by permission of HL7 International, all rights reserved Creative Commons License

Policy Holder Profile

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Organization C 0..* NphiesOrganization A grouping of people or organizations with a common purpose
Constraints: org-1, BV-00183, BV-00186
... id Σ 1..1 id Logical id of this artifact
Max Length:64
... meta Σ 1..1 Meta Metadata about the resource
.... profile Σ 1..* DP_canonical(StructureDefinition) Profiles this resource claims to conform to
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... identifier SΣC 0..* DP_Identifier_A Identifies this organization across multiple systems
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
.... type SΣ 0..1 DP_CodeableConcept Description of identifier
Binding: Organization Identifier (required)
..... coding Σ 1..* DP_Coding Code defined by a terminology system
...... system Σ 1..1 DP_uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
Max Length:100
...... code Σ 1..1 DP_code Symbol in syntax defined by the system
Required Pattern: XX
...... display Σ 0..1 string Representation defined by the system
Max Length:500
.... system Σ 1..1 DP_uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value Σ 1..1 string The value that is unique
Example General: 123456
... active ?!Σ 1..1 boolean Whether the organization's record is still in active use
... name SΣC 1..1 string Name used for the organization
Max Length:250
... address SC 0..1 DP_Address An address for the organization
Constraints: org-2
... contact S 0..* BackboneElement Contact for the organization for a certain purpose
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... name S 0..1 DP_HumanName A name associated with the contact
.... telecom S 0..* ContactPoint Contact details (telephone, email, etc.) for a contact

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Organization.identifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Organization.identifier.​type Base required Organization Identifier 📦0.4.0 This IG

Constraints

Id Grade Path(s) Description Expression
BV-00183 error Organization The Organization identifier is not provided. identifier.exists()
BV-00186 error Organization The Provider Organization Identifier is not provided. identifier.exists() implies identifier.value.exists()
dom-2 error Organization If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Organization 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-4 error Organization 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-5 error Organization If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Organization A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
org-1 error Organization The organization SHALL at least have a name or an identifier, and possibly more than one (identifier.count() + name.count()) > 0
org-2 error Organization.address An address of an organization can never be of use 'home' where(use = 'home').empty()

This structure is derived from NphiesOrganization

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Organization 0..* NphiesOrganization A grouping of people or organizations with a common purpose
... identifier S 0..* DP_Identifier_A Identifies this organization across multiple systems
.... type S 0..1 DP_CodeableConcept Description of identifier
..... coding
...... code 1..1 DP_code Symbol in syntax defined by the system
Required Pattern: XX
... name 1..1 string Name used for the organization

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Organization C 0..* NphiesOrganization A grouping of people or organizations with a common purpose
Constraints: org-1, BV-00183, BV-00186
... id Σ 1..1 id Logical id of this artifact
Max Length:64
... meta Σ 1..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 1..* DP_canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣC 0..* DP_Identifier_A Identifies this organization across multiple systems
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
.... type SΣ 0..1 DP_CodeableConcept Description of identifier
Binding: Organization Identifier (required)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 1..* DP_Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 DP_uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
Max Length:100
...... code Σ 1..1 DP_code Symbol in syntax defined by the system
Required Pattern: XX
...... display Σ 0..1 string Representation defined by the system
Max Length:500
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
.... system Σ 1..1 DP_uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value Σ 1..1 string The value that is unique
Example General: 123456
.... period Σ 0..1 Period Time period when id is/was valid for use
.... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... active ?!Σ 1..1 boolean Whether the organization's record is still in active use
... type Σ 0..* CodeableConcept Kind of organization
Binding: OrganizationType (example): Used to categorize the organization.
... name SΣC 1..1 string Name used for the organization
Max Length:250
... alias 0..* string A list of alternate names that the organization is known as, or was known as in the past
... telecom C 0..* ContactPoint A contact detail for the organization
Constraints: org-3
... address SC 0..1 DP_Address An address for the organization
Constraints: org-2
... partOf Σ 0..1 Reference(Organization) The organization of which this organization forms a part
... contact S 0..* BackboneElement Contact for the organization for a certain purpose
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... purpose 0..1 CodeableConcept The type of contact
Binding: ContactEntityType (extensible): The purpose for which you would contact a contact party.
.... name S 0..1 DP_HumanName A name associated with the contact
.... telecom S 0..* ContactPoint Contact details (telephone, email, etc.) for a contact
.... address 0..1 Address Visiting or postal addresses for the contact
... endpoint 0..* Reference(Endpoint) Technical endpoints providing access to services operated for the organization

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Organization.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
Organization.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
Organization.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Organization.identifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Organization.identifier.​type Base required Organization Identifier 📦0.4.0 This IG
Organization.type Base example Organization type 📍4.0.1 FHIR Std.
Organization.contact.​purpose Base extensible Contact entity type 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
BV-00183 error Organization The Organization identifier is not provided. identifier.exists()
BV-00186 error Organization The Provider Organization Identifier is not provided. identifier.exists() implies identifier.value.exists()
dom-2 error Organization If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Organization 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-4 error Organization 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-5 error Organization If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Organization A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
org-1 error Organization The organization SHALL at least have a name or an identifier, and possibly more than one (identifier.count() + name.count()) > 0
org-2 error Organization.address An address of an organization can never be of use 'home' where(use = 'home').empty()
org-3 error Organization.telecom The telecom of an organization can never be of use 'home' where(use = 'home').empty()

This structure is derived from NphiesOrganization

Summary

Mandatory: 1 element
Must-Support: 2 elements

Structures

This structure refers to these other structures:

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Organization C 0..* NphiesOrganization A grouping of people or organizations with a common purpose
Constraints: org-1, BV-00183, BV-00186
... id Σ 1..1 id Logical id of this artifact
Max Length:64
... meta Σ 1..1 Meta Metadata about the resource
.... profile Σ 1..* DP_canonical(StructureDefinition) Profiles this resource claims to conform to
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... identifier SΣC 0..* DP_Identifier_A Identifies this organization across multiple systems
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
.... type SΣ 0..1 DP_CodeableConcept Description of identifier
Binding: Organization Identifier (required)
..... coding Σ 1..* DP_Coding Code defined by a terminology system
...... system Σ 1..1 DP_uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
Max Length:100
...... code Σ 1..1 DP_code Symbol in syntax defined by the system
Required Pattern: XX
...... display Σ 0..1 string Representation defined by the system
Max Length:500
.... system Σ 1..1 DP_uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value Σ 1..1 string The value that is unique
Example General: 123456
... active ?!Σ 1..1 boolean Whether the organization's record is still in active use
... name SΣC 1..1 string Name used for the organization
Max Length:250
... address SC 0..1 DP_Address An address for the organization
Constraints: org-2
... contact S 0..* BackboneElement Contact for the organization for a certain purpose
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... name S 0..1 DP_HumanName A name associated with the contact
.... telecom S 0..* ContactPoint Contact details (telephone, email, etc.) for a contact

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Organization.identifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Organization.identifier.​type Base required Organization Identifier 📦0.4.0 This IG

Constraints

Id Grade Path(s) Description Expression
BV-00183 error Organization The Organization identifier is not provided. identifier.exists()
BV-00186 error Organization The Provider Organization Identifier is not provided. identifier.exists() implies identifier.value.exists()
dom-2 error Organization If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Organization 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-4 error Organization 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-5 error Organization If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Organization A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
org-1 error Organization The organization SHALL at least have a name or an identifier, and possibly more than one (identifier.count() + name.count()) > 0
org-2 error Organization.address An address of an organization can never be of use 'home' where(use = 'home').empty()

Differential View

This structure is derived from NphiesOrganization

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Organization 0..* NphiesOrganization A grouping of people or organizations with a common purpose
... identifier S 0..* DP_Identifier_A Identifies this organization across multiple systems
.... type S 0..1 DP_CodeableConcept Description of identifier
..... coding
...... code 1..1 DP_code Symbol in syntax defined by the system
Required Pattern: XX
... name 1..1 string Name used for the organization

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Organization C 0..* NphiesOrganization A grouping of people or organizations with a common purpose
Constraints: org-1, BV-00183, BV-00186
... id Σ 1..1 id Logical id of this artifact
Max Length:64
... meta Σ 1..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 1..* DP_canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣC 0..* DP_Identifier_A Identifies this organization across multiple systems
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
.... type SΣ 0..1 DP_CodeableConcept Description of identifier
Binding: Organization Identifier (required)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 1..* DP_Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 DP_uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
Max Length:100
...... code Σ 1..1 DP_code Symbol in syntax defined by the system
Required Pattern: XX
...... display Σ 0..1 string Representation defined by the system
Max Length:500
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
.... system Σ 1..1 DP_uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value Σ 1..1 string The value that is unique
Example General: 123456
.... period Σ 0..1 Period Time period when id is/was valid for use
.... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... active ?!Σ 1..1 boolean Whether the organization's record is still in active use
... type Σ 0..* CodeableConcept Kind of organization
Binding: OrganizationType (example): Used to categorize the organization.
... name SΣC 1..1 string Name used for the organization
Max Length:250
... alias 0..* string A list of alternate names that the organization is known as, or was known as in the past
... telecom C 0..* ContactPoint A contact detail for the organization
Constraints: org-3
... address SC 0..1 DP_Address An address for the organization
Constraints: org-2
... partOf Σ 0..1 Reference(Organization) The organization of which this organization forms a part
... contact S 0..* BackboneElement Contact for the organization for a certain purpose
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... purpose 0..1 CodeableConcept The type of contact
Binding: ContactEntityType (extensible): The purpose for which you would contact a contact party.
.... name S 0..1 DP_HumanName A name associated with the contact
.... telecom S 0..* ContactPoint Contact details (telephone, email, etc.) for a contact
.... address 0..1 Address Visiting or postal addresses for the contact
... endpoint 0..* Reference(Endpoint) Technical endpoints providing access to services operated for the organization

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Organization.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
Organization.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
Organization.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Organization.identifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Organization.identifier.​type Base required Organization Identifier 📦0.4.0 This IG
Organization.type Base example Organization type 📍4.0.1 FHIR Std.
Organization.contact.​purpose Base extensible Contact entity type 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
BV-00183 error Organization The Organization identifier is not provided. identifier.exists()
BV-00186 error Organization The Provider Organization Identifier is not provided. identifier.exists() implies identifier.value.exists()
dom-2 error Organization If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Organization 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-4 error Organization 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-5 error Organization If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Organization A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
org-1 error Organization The organization SHALL at least have a name or an identifier, and possibly more than one (identifier.count() + name.count()) > 0
org-2 error Organization.address An address of an organization can never be of use 'home' where(use = 'home').empty()
org-3 error Organization.telecom The telecom of an organization can never be of use 'home' where(use = 'home').empty()

This structure is derived from NphiesOrganization

Summary

Mandatory: 1 element
Must-Support: 2 elements

Structures

This structure refers to these other structures:

 

Other representations of profile: CSV, Excel, Schematron