With the developing technology and transportation opportunities, international health tourism and telemedicine appli- cations have become widespread, and health services have reached a wider dimension by eliminating the national extent and physical health facilities. Failures in the establishment, regulation, and op- eration of health services and damages arising from violations of the administration’s inspection obligation are considered within the scope of administration’s organizational responsibility. The lit- erature review has determined that the term “defects in the estab- lishment and functioning of health services” is also used instead of the concept of the organizational defect. In addition, it is seen that organizational defect is evaluated within service defect in differe sources. On the other hand, some opinions accept organizational fault merely as a type of responsibility. In addition, in judicial deci- sions, side obligations of the administration other than diagnosis and treatment services are also mentioned, and the scope of the relevant obligations is not specified. Our study aims to reveal that the organizational defect has a different quality from the service de- fect in line with the Council of State practice and to determine the scope of the organizational liability that constitutes the side obliga- tions mentioned in the judicial decisions.