# Management of FHIR Resource Organization

## Overview of FHIR Resource Organization

Standardized resources such as personnel and organizations (Patient, Practitioner, PractitionerRole, Organization) have been specified in FHIR. According to FHIR specification:
- Patients and positions (PractitionerRole) may refer to the organization they belong to.
- Subsidiary organization can refer to its parent organization.
- The position (PractitionerRole) refers to a professional medical staff (Practitioner)

The schematic diagram is as follows:

## Reference Relations
- Specify the custodial organization entitled to patient records
Patient.managingOrganization reference to Organization
- Subsidiary organization references to parent organization
Organization.partOf reference to Organization
- Specify the organization where the practitioner belongs to
PractitionerRole.organization reference to Organization
- Specify the position of personnel
PractitionerRole.practitioner reference to Practitioner

## Practitioner、Organization、PractitionerRole relations

## Resource Organization schematic diagram


**Resource Organization introductory practice**
- [Add personnel, organization, and personnel who belong to the organization](https://hackmd.io/yuq_8brgRJaNYxGcfVx6ow)
- Establish organization and affiliated patients

## Application Context

- Cloud registration
- Online consultation, medical imaging outsourcing diagnostic report
- Remote consultation
- Laboratory outsourcing
- Assistance in seeking medical treatment: assistance in transportation, pick-up and drop-off, accompanying medical treatment, etc.
- A library for chronic diseases
- Accompanied care: Infants, dementia, disabled, etc. require 24-hour companion care, cross-institutional and family and personnel cooperation (can be combined with ICT online services), provide division of work, time division, and various services.

## Applicable Situation Classification

- Resource Organization Management in a single portal
- The common requirement of the current system is where the personnel organization performing data modifications or queries. Henceforth, Resource Organization Management can be built exclusively (custom database structure) using FHIR specifications.
- Resource Organization Management required for interoperability
- In many application scenarios, we need interoperability: it is necessary to obtain contact information, authorization to data access, inquire and track processing status for a certain unit or person
- It is recommended to build a cross-system information exchange mechanism based on FHIR to facilitate horizontal integration
- FHIR Resource Organization Management is an infrastructure for cross-system integration, which can match various application scenarios and establish the specifications required by its personnel organization

## Related Link
- [Kan’s Organization Management PPT](https://drive.google.com/file/d/1f4LLVpPFrnQT7xuXysYUu30HMmJ1eAXl/view?usp=sharing)
- Device Management:
-- [Hospital device management](https://hackmd.io/XX7_GDNiRSmWlgeHHVaqSQ?view)
-- [Construction of standardized integration interface for home physiological measurement and personal computer](https://hackmd.io/aWyoc5fcTW67dSIsVAQ5gw?both)
-- [Management of home measurement device and personal computer](https://hackmd.io/-N4o1mqOSpC14IAbnJsQeA?view)
- [Chinese Version](https://hackmd.io/@VirtualHospitalaaa/SJtxm3lYq)