This page is part of the National Healthcare Query (v1.0.0-ballot: STU 1 Ballot 1) based on FHIR R4. . For a full list of available versions, see the Directory of published versions
Official URL: http://hl7.org/fhir/us/directory-query/StructureDefinition/NatlDirEndpointQry-Network | Version: 1.0.0-ballot | |||
Active as of 2022-08-09 | Computable Name: NatlDirEndpointQryNetwork |
A Network refers to a healthcare provider insurance network. A healthcare provider insurance network is an aggregation of organizations and individuals that deliver a set of services across a geography through health insurance products/plans. A network is typically owned by a payer.
In the NatlDir IG, individuals and organizations are represented as participants in a National Directory Exchange Network through the practitionerRole and National Directory Exchange-organizationAffiliation resources, respectively.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from USCoreOrganizationProfile
Summary
Mandatory: 2 elements (1 nested mandatory element)
Must-Support: 11 elements
Fixed Value: 1 element
Prohibited: 1 element
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
This structure is derived from USCoreOrganizationProfile
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Organization | I | 0..* | USCoreOrganizationProfile | A grouping of people or organizations with a common purpose | ||||
id | Σ | 0..1 | string | Logical id of this artifact | ||||
meta | Σ | 0..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 | 1..1 | instant | When the resource version last changed | ||||
source | Σ | 0..1 | uri | Identifies where the resource comes from | ||||
profile | Σ | 0..* | 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 | ||||
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
location-reference | S | 0..* | Reference(National Directory Endpoint Qry Exchange Location) | Network coverage area URL: http://hl7.org/fhir/us/directory-query/StructureDefinition/location-reference | ||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
Slices for identifier | SΣI | 0..* | Identifier | Identifies this organization across multiple systems Slice: Unordered, Open by pattern:$this | ||||
identifier:All Slices | Content/Rules for all slices | |||||||
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 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
system | SΣ | 0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | ||||
value | SΣ | 0..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 | SΣ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
identifier:NPI | SΣI | 0..1 | Identifier | National Provider Identifier (NPI) Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
use | 0..1 | code | usual | official | temp | secondary | old (If known) | |||||
type | 0..1 | CodeableConcept | Description of identifier | |||||
system | 1..1 | uri | The namespace for the identifier value Fixed Value: http://hl7.org/fhir/sid/us-npi | |||||
value | 0..1 | string | The value that is unique | |||||
period | 0..1 | Period | Time period when id is/was valid for use | |||||
assigner | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | |||||
identifier:CLIA | ΣI | 0..1 | Identifier | Clinical Laboratory Improvement Amendments (CLIA) Number for laboratories Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
use | 0..1 | code | usual | official | temp | secondary | old (If known) | |||||
type | 0..1 | CodeableConcept | Description of identifier | |||||
system | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.4.7 | |||||
value | 0..1 | string | The value that is unique | |||||
period | 0..1 | Period | Time period when id is/was valid for use | |||||
assigner | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | |||||
active | ?!SΣ | 1..1 | boolean | Whether the organization's record is still in active use Fixed Value: true | ||||
type | SΣ | 1..1 | CodeableConcept | Kind of organization Binding: Network Type Value Set (required) | ||||
name | SΣI | 1..1 | string | Name used for the organization | ||||
alias | 0..* | string | A list of alternate names that the organization is known as, or was known as in the past | |||||
address | SI | 0..1 | Address | An address for the organization | ||||
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 | home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home | ||||
type | Σ | 0..1 | code | postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both | ||||
text | Σ | 0..1 | string | Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132 | ||||
line | SΣ | 0..4 | string | Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street | ||||
city | SΣ | 0..1 | string | Name of city, town etc. Example General: Erewhon | ||||
district | Σ | 0..1 | string | District name (aka county) Example General: Madison | ||||
state | SΣ | 0..1 | string | Sub-unit of country (abbreviations ok) Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes. | ||||
postalCode | SΣ | 0..1 | string | US Zip Codes Example General: 9132 | ||||
country | SΣ | 0..1 | string | Country (e.g. can be ISO 3166 2 or 3 letter code) | ||||
period | Σ | 0..1 | Period | Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"} | ||||
partOf | SΣ | 1..1 | Reference(National Directory Endpoint Qry Exchange Organization) | The organization that manages this network | ||||
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 | HumanName | A name associated with the contact | ||||
telecom | S | 0..* | ContactPoint | Contact details (telephone, email, etc.) for a contact | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
contactpoint-availabletime | 0..* | (Complex) | Contactpoint Availabletime URL: http://hl7.org/fhir/us/directory-query/StructureDefinition/contactpoint-availabletime | |||||
via-intermediary | 0..* | Reference(National Directory Endpoint Qry Exchange PractitionerRole | National Directory Endpoint Qry Exchange OrganizationAffiliation | National Directory Endpoint Qry Exchange Location | National Directory Endpoint Qry Exchange Organization) | Via Intermediary URL: http://hl7.org/fhir/us/directory-query/StructureDefinition/via-intermediary | |||||
system | SΣI | 0..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. | ||||
value | SΣ | 0..1 | string | The actual contact point details | ||||
use | ?!Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point. | ||||
rank | Σ | 0..1 | positiveInt | Specify preferred order of use (1 = highest) | ||||
period | Σ | 0..1 | Period | Time period when the contact point was/is in use | ||||
address | 0..1 | Address | Visiting or postal addresses for the contact | |||||
endpoint | S | 0..* | Reference(National Directory Endpoint Qry Exchange Endpoint) | Technical endpoints providing access to services operated for the organization | ||||
Documentation for this format |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Organization | I | 0..* | USCoreOrganizationProfile | A grouping of people or organizations with a common purpose |
location-reference | 0..* | Reference(National Directory Endpoint Qry Exchange Location) | Network coverage area URL: http://hl7.org/fhir/us/directory-query/StructureDefinition/location-reference | |
Slices for identifier | ΣI | 0..* | Identifier | Identifies this organization across multiple systems Slice: Unordered, Open by pattern:$this |
identifier:All Slices | Content/Rules for all slices | |||
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. |
system | Σ | 0..1 | uri | The namespace for the identifier value |
value | Σ | 0..1 | string | The value that is unique |
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) |
identifier:NPI | ΣI | 0..1 | Identifier | National Provider Identifier (NPI) Required Pattern: At least the following |
system | 1..1 | uri | The namespace for the identifier value Fixed Value: http://hl7.org/fhir/sid/us-npi | |
active | ?!Σ | 1..1 | boolean | Whether the organization's record is still in active use Fixed Value: true |
type | Σ | 1..1 | CodeableConcept | Kind of organization Binding: Network Type Value Set (required) |
name | ΣI | 1..1 | string | Name used for the organization |
address | I | 0..1 | Address | An address for the organization |
line | Σ | 0..4 | string | Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label |
city | Σ | 0..1 | string | Name of city, town etc. |
state | Σ | 0..1 | string | Sub-unit of country (abbreviations ok) Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes. |
postalCode | Σ | 0..1 | string | US Zip Codes |
country | Σ | 0..1 | string | Country (e.g. can be ISO 3166 2 or 3 letter code) |
partOf | Σ | 1..1 | Reference(National Directory Endpoint Qry Exchange Organization) | The organization that manages this network |
contact | 0..* | BackboneElement | Contact for the organization for a certain purpose | |
name | 0..1 | HumanName | A name associated with the contact | |
telecom | 0..* | ContactPoint | Contact details (telephone, email, etc.) for a contact | |
system | ΣI | 0..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. |
value | Σ | 0..1 | string | The actual contact point details |
endpoint | 0..* | Reference(National Directory Endpoint Qry Exchange Endpoint) | Technical endpoints providing access to services operated for the organization | |
Documentation for this format |
This structure is derived from USCoreOrganizationProfile
Summary
Mandatory: 2 elements (1 nested mandatory element)
Must-Support: 11 elements
Fixed Value: 1 element
Prohibited: 1 element
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Differential View
This structure is derived from USCoreOrganizationProfile
Snapshot View
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Organization | I | 0..* | USCoreOrganizationProfile | A grouping of people or organizations with a common purpose | ||||
id | Σ | 0..1 | string | Logical id of this artifact | ||||
meta | Σ | 0..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 | 1..1 | instant | When the resource version last changed | ||||
source | Σ | 0..1 | uri | Identifies where the resource comes from | ||||
profile | Σ | 0..* | 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 | ||||
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
location-reference | S | 0..* | Reference(National Directory Endpoint Qry Exchange Location) | Network coverage area URL: http://hl7.org/fhir/us/directory-query/StructureDefinition/location-reference | ||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
Slices for identifier | SΣI | 0..* | Identifier | Identifies this organization across multiple systems Slice: Unordered, Open by pattern:$this | ||||
identifier:All Slices | Content/Rules for all slices | |||||||
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 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
system | SΣ | 0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | ||||
value | SΣ | 0..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 | SΣ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
identifier:NPI | SΣI | 0..1 | Identifier | National Provider Identifier (NPI) Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
use | 0..1 | code | usual | official | temp | secondary | old (If known) | |||||
type | 0..1 | CodeableConcept | Description of identifier | |||||
system | 1..1 | uri | The namespace for the identifier value Fixed Value: http://hl7.org/fhir/sid/us-npi | |||||
value | 0..1 | string | The value that is unique | |||||
period | 0..1 | Period | Time period when id is/was valid for use | |||||
assigner | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | |||||
identifier:CLIA | ΣI | 0..1 | Identifier | Clinical Laboratory Improvement Amendments (CLIA) Number for laboratories Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
use | 0..1 | code | usual | official | temp | secondary | old (If known) | |||||
type | 0..1 | CodeableConcept | Description of identifier | |||||
system | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.4.7 | |||||
value | 0..1 | string | The value that is unique | |||||
period | 0..1 | Period | Time period when id is/was valid for use | |||||
assigner | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | |||||
active | ?!SΣ | 1..1 | boolean | Whether the organization's record is still in active use Fixed Value: true | ||||
type | SΣ | 1..1 | CodeableConcept | Kind of organization Binding: Network Type Value Set (required) | ||||
name | SΣI | 1..1 | string | Name used for the organization | ||||
alias | 0..* | string | A list of alternate names that the organization is known as, or was known as in the past | |||||
address | SI | 0..1 | Address | An address for the organization | ||||
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 | home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home | ||||
type | Σ | 0..1 | code | postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both | ||||
text | Σ | 0..1 | string | Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132 | ||||
line | SΣ | 0..4 | string | Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street | ||||
city | SΣ | 0..1 | string | Name of city, town etc. Example General: Erewhon | ||||
district | Σ | 0..1 | string | District name (aka county) Example General: Madison | ||||
state | SΣ | 0..1 | string | Sub-unit of country (abbreviations ok) Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes. | ||||
postalCode | SΣ | 0..1 | string | US Zip Codes Example General: 9132 | ||||
country | SΣ | 0..1 | string | Country (e.g. can be ISO 3166 2 or 3 letter code) | ||||
period | Σ | 0..1 | Period | Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"} | ||||
partOf | SΣ | 1..1 | Reference(National Directory Endpoint Qry Exchange Organization) | The organization that manages this network | ||||
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 | HumanName | A name associated with the contact | ||||
telecom | S | 0..* | ContactPoint | Contact details (telephone, email, etc.) for a contact | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
contactpoint-availabletime | 0..* | (Complex) | Contactpoint Availabletime URL: http://hl7.org/fhir/us/directory-query/StructureDefinition/contactpoint-availabletime | |||||
via-intermediary | 0..* | Reference(National Directory Endpoint Qry Exchange PractitionerRole | National Directory Endpoint Qry Exchange OrganizationAffiliation | National Directory Endpoint Qry Exchange Location | National Directory Endpoint Qry Exchange Organization) | Via Intermediary URL: http://hl7.org/fhir/us/directory-query/StructureDefinition/via-intermediary | |||||
system | SΣI | 0..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. | ||||
value | SΣ | 0..1 | string | The actual contact point details | ||||
use | ?!Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point. | ||||
rank | Σ | 0..1 | positiveInt | Specify preferred order of use (1 = highest) | ||||
period | Σ | 0..1 | Period | Time period when the contact point was/is in use | ||||
address | 0..1 | Address | Visiting or postal addresses for the contact | |||||
endpoint | S | 0..* | Reference(National Directory Endpoint Qry Exchange Endpoint) | Technical endpoints providing access to services operated for the organization | ||||
Documentation for this format |
Other representations of profile: CSV, Excel, Schematron
Path | Conformance | ValueSet |
Organization.meta.security | extensible | All Security Labels |
Organization.meta.tag | example | CommonTags |
Organization.language | preferred | CommonLanguages Max Binding: AllLanguages |
Organization.identifier.use | required | IdentifierUse |
Organization.identifier.type | extensible | Identifier Type Codes |
Organization.type | required | NetworkTypeVS |
Organization.telecom.system | required | ContactPointSystem |
Organization.telecom.use | required | ContactPointUse |
Organization.address.use | required | AddressUse |
Organization.address.type | required | AddressType |
Organization.address.state | extensible | UspsTwoLetterAlphabeticCodes |
Organization.contact.purpose | extensible | ContactEntityType |
Organization.contact.telecom.system | required | ContactPointSystem |
Organization.contact.telecom.use | required | ContactPointUse |