Sequoia Project Healthcare Directory Implementation Guide
1.18.0 - Release 1
Sequoia Project Healthcare Directory Implementation Guide
1.18.0 - Release 1
@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
<http://hl7.org/fhir/Organization/5.5.5.5> a fhir:Organization ;
fhir:nodeRole fhir:treeRoot ;
fhir:Resource.id [ fhir:value "5.5.5.5"] ;
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "https://sequoiaproject.org/fhir/sphd/StructureDefinition/SequoiaOrganization" ;
fhir:index 0 ;
fhir:link <https://sequoiaproject.org/fhir/sphd/StructureDefinition/SequoiaOrganization>
]
] ;
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ] ;
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Organization 5.5.5.5</b></p><a name=\"5.5.5.5\"> </a><a name=\"hc5.5.5.5\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-SequoiaOrganization.html\">Sequoia Organization</a></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Eric Hospital (Implementer) (OID:5.5.5.5 (use: official))</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Record is active\">Active:</td><td colspan=\"3\">true</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"The kind(s) of organization that this is\">Type:</td><td colspan=\"3\"><span title=\"Codes:{https://sequoiaproject.org/fhir/sphd/CodeSystem/OrganizationType Implementer}\">Implementer</span></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"The organization of which this organization forms a part\">Part Of:</td><td colspan=\"3\">Identifier: <a href=\"http://terminology.hl7.org/5.0.0/NamingSystem-uri.html\" title=\"As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt #xD;#xA;#xD;#xA;This oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: #xD;#xA;#xD;#xA;Note that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.#xD;#xA;#xD;#xA;This OID may also be used in CD.codeSystem.\">URI</a>/urn:oid:1.1.1.1 (use: official)</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Other Ids (see the one above)\">Other Ids:</td><td colspan=\"3\"><ul><li><a href=\"http://terminology.hl7.org/5.5.0/NamingSystem-USEIN.html\" title=\"An Employer Identification Number (EIN) is also known as a Federal Tax Identification Number, and is used to identify a business entity.\">United States Employer Identification Number</a>/02-3456789 (use: official)</li><li><a href=\"http://terminology.hl7.org/5.0.0/NamingSystem-npi.html\" title=\"National Provider Identifier\">NPI</a>/1234567893 (use: official)</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the organization\">Contact Detail</td><td colspan=\"3\">200 Main St. Austin TX 2472 US (work)</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the organization\">Contact Detail</td><td colspan=\"3\"><ul><li>Family, Given(Official)</li><li><a href=\"mailto:test21@test.com\">test21@test.com</a></li><li>ph: 555-555-5555(Work)</li><li>100 Main St. Austin 78737 US (work)</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"This extension is used on the Organization resource. It is repeatable, and each instances contains a state or province in which the organization operates.\"><a href=\"StructureDefinition-StateOfOperation.html\">StateOfOperation</a></td><td colspan=\"3\">NY USA </td></tr><tr><td style=\"background-color: #f3f5da\" title=\"When an implementation of the Sequoia Directory IG has unique requirements tied to specific Use Case participation, this extension is used on the Organization resource to indicate which Use Case(s) the Organization participates in.\"><a href=\"StructureDefinition-UseCases.html\">UseCases</a></td><td colspan=\"3\"><span title=\"Codes:{https://sequoiaproject.org/fhir/sphd/CodeSystem/EndpointUseCaseCodes QueryBasedDocumentExchange}\">Query Based Document Exchange</span></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"This extension is used on the Organization resource and indicates which Sequoia directory (or directories) the Organization participantes in. The current legal values are CQ, eHx, and RCE. Most Organizations would only have a single value in this extension.\"><a href=\"StructureDefinition-Domains.html\">Domains</a></td><td colspan=\"3\"><a href=\"CodeSystem-Domains.html#Domains-CQ\">Domains: CQ</a> (CQ)</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"This extension is currently only used by eHealthExchange. This should be ignored in other directories.\"><a href=\"StructureDefinition-HubServiceSubscriptions.html\">Hub Service Subscription</a></td><td colspan=\"3\"><a href=\"CodeSystem-HubServiceSubscriptionCodes.html#HubServiceSubscriptionCodes-CarequalityService\">HubServiceSubscriptionCodes: CarequalityService</a> (Carequality Service)</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"This extension is used on both the Endpoint and Organization resources.#xA;For an Endpoint, this extension defines the Purpose(s) of Use for which the Endpoint will receive and respond to requests from others. An Organization may have multiple Endpoints for the same Transaction type that receive and process different Purposes of Use.#xA;For an Organization, this extension defines the Purpose(s) of Use for which the Organization will initiate requests to others.\"><a href=\"StructureDefinition-PurposesOfUse.html\">Purposes Of Use</a></td><td colspan=\"3\"><span title=\"Codes:{http://healthit.gov/nhin/purposeofuse TREATMENT}\">Treatment</span></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"This extension is currently only used by eHealthExchange. This should be ignored in other directories.\"><a href=\"StructureDefinition-HubRoutingStatus.html\">Hub Routing Status</a></td><td colspan=\"3\"><a href=\"CodeSystem-HubRoutingStatus.html#HubRoutingStatus-HubTesting\">Hub Routing Status: HubTesting</a> (HubTesting)</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"This extension allows references to other Organization resources in the directory to which this Organization provides Delegation of Authority.\"><a href=\"StructureDefinition-DOA.html\">Delegation of Authority</a></td><td colspan=\"3\"><a href=\"Organization-8.8.8.8.html\">Kyras Clinic (Implementer) (OID:8.8.8.8 (use: official))</a></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"This extension indicates the profile/standard supported for transactions sent to the Endpoint address (e.g., XCA ITI-38). When this extension appears on an Organization, it represents initiating transactions. When this extension appears on an Endpoint, it identifies responding transactions.\"><a href=\"StructureDefinition-Transaction.html\">Transaction</a></td><td colspan=\"3\"><span title=\"Codes:{https://sequoiaproject.org/fhir/sphd/CodeSystem/TransactionCodes XCA ITI-38}\">XCA ITI-38</span></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"This extension is currently only used by eHealthExchange. This should be ignored in other directories.\"><a href=\"StructureDefinition-AdministrativeStatus.html\">Administrative Status</a></td><td colspan=\"3\"><a href=\"CodeSystem-AdministrativeStatus.html#AdministrativeStatus-Nominal\">Administrative Status: Nominal</a> (Nominal)</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"This extension indicates whether the organization is acting as an initiating node, passthrough node, or has no node\"><a href=\"StructureDefinition-OrganizationNodeType.html\">Organization Node Type</a></td><td colspan=\"3\"><a href=\"CodeSystem-OrganizationNodeTypeCS.html#OrganizationNodeTypeCS-initiating-node\">Organization Node Type CodeSystem: initiating-node</a> (Initiating Node)</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"This extension indicates whether the organization is acting as a Principal, a Delegate, Both, or Neither.\"><a href=\"StructureDefinition-DelegationRole.html\">Delegation Role</a></td><td colspan=\"3\"><a href=\"CodeSystem-DelegationRoleCodes.html#DelegationRoleCodes-neither\">Delegation Role Codes: neither</a> (Neither)</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"This extension is directly tied to the Directory server access API key allowing Organizations to be created, updated, and deleted only by their managing Organization. This is typically the top-level Organization in the hierarchical chain defined by Organization.partOf.\"><a href=\"StructureDefinition-org-managing-org.html\">OrgManagingOrg</a></td><td colspan=\"3\"><a href=\"Organization-8.8.8.8.html\">Kyras Clinic (Implementer) (OID:8.8.8.8 (use: official))</a></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"When an Organization participates in a Use Case that includes a requirement to respond to requests from others, this extension may be used on that Organization resource to indicate that they meet an Initiator Only exception and do not have Endpoints for that Use Case, if allowed by the Use Case's Initiator Only policies.\"><a href=\"StructureDefinition-InitiatorOnly.html\">Initiator Only</a></td><td colspan=\"3\"><a href=\"CodeSystem-InitiatorOnlyCodes.html#InitiatorOnlyCodes-EMS\">Initiator Only Codes: EMS</a> (EMS Provider (Initiator Only))</td></tr></table><hr/><p><b>Contained Resource</b></p><hr/><a name=\"5.5.5.5/SeqLocation\"> </a><p class=\"res-header-id\"><b>Location #SeqLocation</b></p><a name=\"hc5.5.5.5/SeqLocation\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-SequoiaLocation.html\">Sequoia Location</a></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Unnamed Location</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"The latitude and longitude of the location (WGS84)\">Position:</td><td colspan=\"3\">30.4159542, -97.7047386</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"This extension is used on the Location resource to indicate the organization role at a given address.\"><a href=\"StructureDefinition-OrgRole.html\">Org Role</a></td><td colspan=\"3\"><a href=\"http://hl7.org/fhir/R4/codesystem-organization-role.html#organization-role-provider\">Organization Affiliation Role: provider</a> (Provider)</td></tr></table></div>"
] ;
fhir:DomainResource.contained [
a fhir:Location ;
fhir:index 0 ;
fhir:Resource.id [ fhir:value "SeqLocation" ] ;
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "https://sequoiaproject.org/fhir/sphd/StructureDefinition/SequoiaLocation" ;
fhir:index 0 ;
fhir:link <https://sequoiaproject.org/fhir/sphd/StructureDefinition/SequoiaLocation>
]
] ;
fhir:DomainResource.extension [
fhir:index 0 ;
fhir:Extension.url [ fhir:value "https://sequoiaproject.org/fhir/sphd/StructureDefinition/OrgRole" ] ;
fhir:Extension.valueCoding [
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/organization-role" ] ;
fhir:Coding.code [ fhir:value "provider" ]
]
] ;
fhir:Location.position [
fhir:Location.position.longitude [ fhir:value "-97.7047386"^^xsd:decimal ] ;
fhir:Location.position.latitude [ fhir:value "30.4159542"^^xsd:decimal ]
]
] ;
fhir:DomainResource.extension [
fhir:index 0 ;
fhir:Extension.url [ fhir:value "https://sequoiaproject.org/fhir/sphd/StructureDefinition/Domains" ] ;
fhir:Extension.valueCoding [
fhir:Coding.system [ fhir:value "https://sequoiaproject.org/fhir/sphd/CodeSystem/Domains" ] ;
fhir:Coding.code [ fhir:value "CQ" ]
]
], [
fhir:index 1 ;
fhir:Extension.url [ fhir:value "https://sequoiaproject.org/fhir/sphd/StructureDefinition/HubServiceSubscriptions" ] ;
fhir:Extension.valueCoding [
fhir:Coding.system [ fhir:value "https://sequoiaproject.org/fhir/sphd/CodeSystem/HubServiceSubscriptionCodes" ] ;
fhir:Coding.code [ fhir:value "CarequalityService" ]
]
], [
fhir:index 2 ;
fhir:Extension.url [ fhir:value "https://sequoiaproject.org/fhir/sphd/StructureDefinition/AdministrativeStatus" ] ;
fhir:Extension.valueCoding [
fhir:Coding.system [ fhir:value "https://sequoiaproject.org/fhir/sphd/CodeSystem/AdministrativeStatus" ] ;
fhir:Coding.code [ fhir:value "Nominal" ]
]
], [
fhir:index 3 ;
fhir:Extension.url [ fhir:value "https://sequoiaproject.org/fhir/sphd/StructureDefinition/HubRoutingStatus" ] ;
fhir:Extension.valueCoding [
fhir:Coding.system [ fhir:value "https://sequoiaproject.org/fhir/sphd/CodeSystem/HubRoutingStatus" ] ;
fhir:Coding.code [ fhir:value "HubTesting" ]
]
], [
fhir:index 4 ;
fhir:Extension.url [ fhir:value "https://sequoiaproject.org/fhir/sphd/StructureDefinition/InitiatorOnly" ] ;
fhir:Extension.valueCoding [
fhir:Coding.system [ fhir:value "https://sequoiaproject.org/fhir/sphd/CodeSystem/InitiatorOnlyCodes" ] ;
fhir:Coding.code [ fhir:value "EMS" ]
]
], [
fhir:index 5 ;
fhir:Extension.url [ fhir:value "https://sequoiaproject.org/fhir/sphd/StructureDefinition/org-managing-org" ] ;
fhir:Extension.valueReference [
fhir:link <http://hl7.org/fhir/Organization/8.8.8.8> ;
fhir:Reference.reference [ fhir:value "Organization/8.8.8.8" ]
]
], [
fhir:index 6 ;
fhir:Extension.url [ fhir:value "https://sequoiaproject.org/fhir/sphd/StructureDefinition/PurposesOfUse" ] ;
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0 ;
fhir:Coding.system [ fhir:value "http://healthit.gov/nhin/purposeofuse" ] ;
fhir:Coding.code [ fhir:value "TREATMENT" ]
]
]
], [
fhir:index 7 ;
fhir:Extension.url [ fhir:value "https://sequoiaproject.org/fhir/sphd/StructureDefinition/StateOfOperation" ] ;
fhir:Extension.valueAddress [
fhir:Address.state [ fhir:value "NY" ] ;
fhir:Address.country [ fhir:value "USA" ]
]
], [
fhir:index 8 ;
fhir:Extension.url [ fhir:value "https://sequoiaproject.org/fhir/sphd/StructureDefinition/UseCases" ] ;
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0 ;
fhir:Coding.system [ fhir:value "https://sequoiaproject.org/fhir/sphd/CodeSystem/EndpointUseCaseCodes" ] ;
fhir:Coding.code [ fhir:value "QueryBasedDocumentExchange" ]
]
]
], [
fhir:index 9 ;
fhir:Extension.url [ fhir:value "https://sequoiaproject.org/fhir/sphd/StructureDefinition/DOA" ] ;
fhir:Extension.valueReference [
fhir:link <http://hl7.org/fhir/Organization/8.8.8.8> ;
fhir:Reference.reference [ fhir:value "Organization/8.8.8.8" ]
]
], [
fhir:index 10 ;
fhir:Extension.url [ fhir:value "https://sequoiaproject.org/fhir/sphd/StructureDefinition/Transaction" ] ;
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0 ;
fhir:Coding.system [ fhir:value "https://sequoiaproject.org/fhir/sphd/CodeSystem/TransactionCodes" ] ;
fhir:Coding.code [ fhir:value "XCA ITI-38" ]
]
]
], [
fhir:index 11 ;
fhir:Extension.url [ fhir:value "https://sequoiaproject.org/fhir/sphd/StructureDefinition/DelegationRole" ] ;
fhir:Extension.valueCoding [
fhir:Coding.system [ fhir:value "https://sequoiaproject.org/fhir/sphd/CodeSystem/DelegationRoleCodes" ] ;
fhir:Coding.code [ fhir:value "neither" ]
]
], [
fhir:index 12 ;
fhir:Extension.url [ fhir:value "https://sequoiaproject.org/fhir/sphd/StructureDefinition/OrganizationNodeType" ] ;
fhir:Extension.valueCoding [
fhir:Coding.system [ fhir:value "https://sequoiaproject.org/fhir/sphd/CodeSystem/OrganizationNodeTypeCS" ] ;
fhir:Coding.code [ fhir:value "initiating-node" ]
]
] ;
fhir:Organization.identifier [
fhir:index 0 ;
fhir:Identifier.use [ fhir:value "official" ] ;
fhir:Identifier.type [
fhir:CodeableConcept.coding [
fhir:index 0 ;
fhir:Coding.system [ fhir:value "https://sequoiaproject.org/fhir/sphd/CodeSystem/SequoiaIdentifierCodes" ] ;
fhir:Coding.code [ fhir:value "HCID" ]
]
] ;
fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ] ;
fhir:Identifier.value [ fhir:value "urn:oid:5.5.5.5" ]
], [
fhir:index 1 ;
fhir:Identifier.use [ fhir:value "official" ] ;
fhir:Identifier.system [ fhir:value "urn:oid:2.16.840.1.113883.4.4" ] ;
fhir:Identifier.value [ fhir:value "02-3456789" ]
], [
fhir:index 2 ;
fhir:Identifier.use [ fhir:value "official" ] ;
fhir:Identifier.system [ fhir:value "http://hl7.org/fhir/sid/us-npi" ] ;
fhir:Identifier.value [ fhir:value "1234567893" ]
] ;
fhir:Organization.active [ fhir:value "true"^^xsd:boolean] ;
fhir:Organization.type [
fhir:index 0 ;
fhir:CodeableConcept.coding [
fhir:index 0 ;
fhir:Coding.system [ fhir:value "https://sequoiaproject.org/fhir/sphd/CodeSystem/OrganizationType" ] ;
fhir:Coding.code [ fhir:value "Implementer" ]
]
] ;
fhir:Organization.name [ fhir:value "Eric Hospital"] ;
fhir:Organization.address [
fhir:index 0 ;
fhir:Element.extension [
fhir:index 0 ;
fhir:Extension.url [ fhir:value "https://sequoiaproject.org/fhir/sphd/StructureDefinition/OrgLocation" ] ;
fhir:Extension.valueReference [
fhir:Reference.reference [ fhir:value "#SeqLocation" ]
]
] ;
fhir:Address.use [ fhir:value "work" ] ;
fhir:Address.type [ fhir:value "both" ] ;
fhir:Address.line [
fhir:value "200 Main St." ;
fhir:index 0
] ;
fhir:Address.city [ fhir:value "Austin" ] ;
fhir:Address.state [ fhir:value "TX" ] ;
fhir:Address.postalCode [ fhir:value "2472" ] ;
fhir:Address.country [ fhir:value "US" ]
] ;
fhir:Organization.partOf [
fhir:Reference.identifier [
fhir:Identifier.use [ fhir:value "official" ] ;
fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ] ;
fhir:Identifier.value [ fhir:value "urn:oid:1.1.1.1" ]
]
] ;
fhir:Organization.contact [
fhir:index 0 ;
fhir:Element.extension [
fhir:index 0 ;
fhir:Extension.url [ fhir:value "https://sequoiaproject.org/fhir/sphd/StructureDefinition/company" ] ;
fhir:Extension.valueString [ fhir:value "Ace HealthCare" ]
] ;
fhir:Organization.contact.name [
fhir:HumanName.use [ fhir:value "official" ] ;
fhir:HumanName.text [ fhir:value "Family, Given" ]
] ;
fhir:Organization.contact.telecom [
fhir:index 0 ;
fhir:ContactPoint.system [ fhir:value "email" ] ;
fhir:ContactPoint.value [ fhir:value "test21@test.com" ] ;
fhir:ContactPoint.use [ fhir:value "work" ]
], [
fhir:index 1 ;
fhir:ContactPoint.system [ fhir:value "phone" ] ;
fhir:ContactPoint.value [ fhir:value "555-555-5555" ] ;
fhir:ContactPoint.use [ fhir:value "work" ]
] ;
fhir:Organization.contact.address [
fhir:Address.use [ fhir:value "work" ] ;
fhir:Address.type [ fhir:value "both" ] ;
fhir:Address.line [
fhir:value "100 Main St." ;
fhir:index 0
] ;
fhir:Address.city [ fhir:value "Austin" ] ;
fhir:Address.postalCode [ fhir:value "78737" ] ;
fhir:Address.country [ fhir:value "US" ]
]
] .
<http://hl7.org/fhir/Organization/8.8.8.8> a fhir:Organization .
# - ontology header ------------------------------------------------------------
<http://hl7.org/fhir/Organization/5.5.5.5.ttl> a owl:Ontology ;
owl:imports fhir:fhir.ttl ;
owl:versionIRI <http://build.fhir.org/Organization/5.5.5.5.ttl> .
IG © 2026+ The Sequoia Project. Package sequoia.fhir.us.sphd#1.18.0 based on FHIR 4.0.1. Generated 2026-10-27
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