Capabilities for a basic Query Server for Health Services where Endpoint search capabilities are met

Capabilities for a Basic Federated Query Server for where expanded search capabilities are met

Capabilities for a Federated Query Server for Health or Human Services where endpoint search capabilities are met

Capabilities for a Federated Query Server for Health or Human Services where expanded search capabilities are met

Capabilities for a Federated Query Server for Health Services where endpoint search capabilities are met

Capabilities for a Federated Query Server for Health Services where expanded search capabilities are met

Capabilities for a Federated Query Server for a Provider where endpoint search capabilities are met

Capabilities for a Federated Query Server for a Provider where minimum search capabilities are met

Accesses the connection type of an Endpoint

Accesses the identifier of an Endpoint

Accesses the mime-type of an Endpoint

Accesses the organization of an Endpoint

Accesses the payload-type of an Endpoint

Accesses the status of an Endpoint

Accesses the usecase-standard of an Endpoint

Accesses the usecase-type of an Endpoint

This SearchParameter enables query of HealthcareService by coverage-area with mutlipleOr enabled.

This SearchParameter enables query of HealthcareService by endpoint with mutlipleOr enabled.

This SearchParameter enables query of HealthcareService by location with mutlipleOr enabled.

This SearchParameter enables query of HealthcareService by name with mutlipleOr enabled.

This SearchParameter enables query of HealthcareService by organization with mutlipleOr enabled.

This SearchParameter enables query of HealthcareService by service-category with mutlipleOr enabled.

This SearchParameter enables query of HealthcareService by service-type with mutlipleOr enabled.

This SearchParameter enables query of HealthcareService by specialty with mutlipleOr enabled.

This SearchParameter enables query of InsurancePlan by administrated-by with mutlipleOr enabled.

This SearchParameter enables query of InsurancePlan by coverage-area with mutlipleOr enabled.

This SearchParameter enables query of InsurancePlan by coverage-benefit-type with mutlipleOr enabled.

This SearchParameter enables query of InsurancePlan by coverage-network with mutlipleOr enabled.

This SearchParameter enables query of InsurancePlan by identifier with mutlipleOr enabled.

This SearchParameter enables query of InsurancePlan by specialty with mutlipleOr enabled.

This SearchParameter enables query of InsurancePlan by owned-by with mutlipleOr enabled.

This SearchParameter enables query of InsurancePlan by type with mutlipleOr enabled.

This SearchParameter enables query of Location by address with mutlipleOr enabled.

This SearchParameter enables query of Location by endpoint with mutlipleOr enabled.

This SearchParameter enables query of Location by organization with mutlipleOr enabled.

This SearchParameter enables query of Location by partOf with mutlipleOr enabled.

This SearchParameter enables query of Location by physicalType with mutlipleOr enabled.

This SearchParameter enables query of Location by type with mutlipleOr enabled.

This SearchParameter enables query of Network by coverage-area with mutlipleOr enabled.

This SearchParameter enables query of Network by name with mutlipleOr enabled.

This SearchParameter enables query of Organization by address with mutlipleOr enabled.

This SearchParameter enables query of Organization by endpoint with mutlipleOr enabled.

This SearchParameter enables query of Organization by identifier with mutlipleOr enabled.

This SearchParameter enables query of Organization by name with mutlipleOr enabled.

This SearchParameter enables query of Organization by partOf with mutlipleOr enabled.

This SearchParameter enables query of Organization by type with mutlipleOr enabled.

This SearchParameter enables query of Organization by endpoint with mutlipleOr enabled.

This SearchParameter enables query of Organization by location with mutlipleOr enabled.

This SearchParameter enables query of Organization by network with mutlipleOr enabled.

This SearchParameter enables query of Organization by participating-organization with mutlipleOr enabled.

This SearchParameter enables query of Organization by primary-organization with mutlipleOr enabled.

This SearchParameter enables query of Organization by role with mutlipleOr enabled.

This SearchParameter enables query of Organization by service with mutlipleOr enabled.

This SearchParameter enables query of Organization by specialty with mutlipleOr enabled.

This SearchParameter enables query of VerificationResult by attestation-who with mutlipleOr enabled.

This SearchParameter enables query of VerificationResult by primarysource-who with mutlipleOr enabled.

This SearchParameter enables query of VerificationResult by target with mutlipleOr enabled.

This SearchParameter enables query of Careteams by category with mutlipleOr enabled.

This SearchParameter enables query of Careteams by endpoint with mutlipleOr enabled.

This SearchParameter enables query of Careteams by location with mutlipleOr enabled.

This SearchParameter enables query of Careteams by name with mutlipleOr enabled.

This SearchParameter enables query of Careteams by organization with mutlipleOr enabled.

This SearchParameter enables query of Careteams by service with mutlipleOr enabled.

This SearchParameter enables query of practitioner by family with mutlipleOr enabled.

This SearchParameter enables query of practitioner by given with mutlipleOr enabled.

This SearchParameter enables query of practitioner by identifier with mutlipleOr enabled.

This SearchParameter enables query of practitioner by identifier-assigner with mutlipleOr enabled.

This SearchParameter enables query of practitioner by name with mutlipleOr enabled.

This SearchParameter enables query of practitioner by qualification-code with mutlipleOr enabled.

This SearchParameter enables query of practitioner by qualification-issuer with mutlipleOr enabled.

This SearchParameter enables query of practitionerRole by endpoint with mutlipleOr enabled.

This SearchParameter enables query of practitionerRole by location with mutlipleOr enabled.

This SearchParameter enables query of practitionerRole by network with mutlipleOr enabled.

This SearchParameter enables query of practitionerRole by organization with mutlipleOr enabled.

This SearchParameter enables query of practitionerRole by practitioner with mutlipleOr enabled.

This SearchParameter enables query of practitionerRole by role with mutlipleOr enabled.

This SearchParameter enables query of practitionerRole by service with mutlipleOr enabled.

This SearchParameter enables query of practitionerRole by specialty with mutlipleOr enabled.

Defines the basic constraints and extensions on the CareTeam resource for use in a Validated Healthcare Directory

The technical details of an endpoint that can be used for electronic services, such as a portal or FHIR REST services, messaging or operations, or DIRECT messaging.

The HealthCareService resource typically describes services offered by an organization/practitioner at a location. The resource may be used to encompass a variety of services covering the entire healthcare spectrum, including promotion, prevention, diagnostics, pharmacy, hospital and ambulatory care, home care, long-term care, and other health-related and community services.

An InsurancePlan is a discrete package of health insurance coverage benefits that are offered under a particular network type. A given payer’s products typically differ by network type and/or covered benefits. A plan pairs a product’s covered benefits with the particular cost sharing structure offered to a consumer. A given product may comprise multiple plans (i.e. each plan offers different cost sharing requirements for the same set of covered benefits).

InsurancePlan describes a health insurance offering comprised of a list of covered benefits (i.e. the product), costs associated with those benefits (i.e. the plan), and additional information about the offering, such as who it is owned and administered by, a coverage area, contact information, etc.

A Location is the physical place where healthcare services are provided, practitioners are employed, organizations are based, etc. Locations can range in scope from a room in a building to a geographic region/area.

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.

An organization is a formal or informal grouping of people or organizations with a common purpose, such as a company, institution, corporation, community group, or healthcare practice. Guidance: When the contact is a department name, rather than a human (e.g., patient help line), include a blank family and given name, and provide the department name in contact.name.text

The OrganizationAffiliation resource describes relationships between two or more organizations, including the services one organization provides another, the location(s) where they provide services, the availability of those services, electronic endpoints, and other relevant information.

Practitioner is a person who is directly or indirectly involved in the provisioning of healthcare.

PractionerRole describes details about a provider, which can be a practitioner or an organization. When the provider is a practitioner, there may be a relationship to an organization. A provider renders services to patients at a location. When the provider is a practitioner, there may also be a relationship to an organization. Practitioner participation in healthcare provider insurance networks may be direct or through their role at an organization.

Describes Verification requirements, source(s), status and dates for one or more elements

Restriction on use/release of exchanged information

An extension to describe accessibility options offered by a practitioner or at a location.

Associated Servers

Alternate names by which the team is known

An extension to express a practitioner’s spoken proficiency with the language indicated in practitioner.communication.

An extension representing the days and times a contact point is available

An extension describing the service delivery method. If service delivery is virtual, one or more delivery modalities should be specified.

Dynamic Registration

The technical details of an endpoint that can be used for electronic services

Type of Endpoint

EndpointUseCase is an enumeration of the specific use cases (service descriptions) supported by the endpoint

The sources of funding for a service or organization

Reference to healthcareservice resource

IGs Supported document the different types of IGs supported by the Endpoint.

Describes the status of an identifier

A reference to a Location resource (NatlDir-Location) defining the coverage area of a health insurance provider network

A reference to the healthcare provider insurance networks (NatlDirEndpointQry-Network) the practitioner participates in through their role

New Patients indicates whether new patients are being accepted in general, or from a specific network.
This extension is included in the PractitionerRole, HealthcareService, and Location profiles.
This provides needed flexibility for specifying whether a provider accepts new patients by location and network.

An extension to provide a human-readable description of an organization.

Methods of payment that can be used for a healthcare service.

An extension to add status and whereValid elements to a practitioner’s qualifications.

Rating

Documents that are required in order to access or use services (eg. Gov’t issued ID, passport)

Is the Endpoint Secured

Secure Exchange Artifacts

Trust Framework

The FHIR specification contains a security meta tag which can be used to inform systems of the sensitivity of resources, as well as by access control mechanisms to ensure content isn’t exposed that shouldn’t be. This mechanism only goes to the resource level, this reference to a usage-restriction (consent) extends this further into the resource, and can be applied to any element, and may apply to all properties beneath the element (e.g. If applied to an identifier on a practitioner, then all the properties of the identifier should not be exposed unless it is understood) This will be expected to be used as a modifier extension.

A reference to an alternative point of contact (NatlDirEndpointQry-PractitionerRole, NatlDirEndpointQry-Organization, NatlDirEndpointQry-OrganizationAffiliation, or NatlDirEndpointQry-Location) for this organization

Codes to identify if the practice is accepting new patients

Codes for documenting general categories of accommodations available.

Codes for use in defining access levels for sharing subsets of constrained content (as an example).

Codes for documenting delivery methods.

Endpoint Connection Types

Endpoint Payload Types are constrained to NA (Not Applicable) as part of this IG

Codes to identify Endpoint Type

Codes for documenting business use case by a general grouping by business area.

Broad categories of healthcare services being performed or delivered.

HealthCareService type Value Set

Codes for Identifier Status

Codes to identify IG Type

Individual and Group Specialties from National Uniform Claim Committee (NUCC) Health Care Provider Taxonomy code set.

Individual Specialties, Degrees, Licenses, and Certificates

Categories of cost-sharing used by plans.

A distinct package of health insurance coverage benefits that are offered using a particular product network type.

Codes for documenting spoken language proficiency based on the Interagency Language Roundtable scale of abilities to communicate in a language.

Minimum Endpoint Connection Types

Single value describing networks.

Non-Individual Specialties from National Uniform Claim Committee (NUCC) Health Care Provider Taxonomy code set.

Non-Individual Specialties, Degrees, Licenses, and Certificates

Categories of an organization’s Alias based on criteria in provider directories.

Categories of organizations based on criteria in provider directories.

Value Set for Organization Affiliation Roles

Codes for the capabilities that an individual, group, or organization is acknowledged to have in a payer network, including general codes from the HL7 PractitionerRole Code System.

The state indicating if a qualification is currently valid.

Specialties value set based on National Uniform Claim Committee (NUCC) Health Care Provider Taxonomy code set.

Specialties and Degree License and Certificates

Trust Framework Type

Codes to identify Validation Type

Codes for virtual service delivery modalities .

Codes to identify if the practice is accepting new patients

General categories of accommodations available.

This code system contains codes for Care Team Category.

This value set includes the four Consent scope codes.

This code system contains codes for indicating the status of a credential, such as an identifier or qualification.

Categories of healthcare service delivery methods.

Extension codes for http://terminology.hl7.org/CodeSystem/endpoint-connection-type

Endpoint Payload Types are constrained to NA (Not Applicable) as part of this IG

Endpoint Type

Broad categories of healthcare services being performed or delivered

IG Type

Categories of cost-sharing used by plans

A distinct package of health insurance coverage benefits that are offered using a particular product network type.

Codes for documenting spoken language proficiency based on the Interagency Language Roundtable scale of abilities to communicate in a language.

The state indicating if an Organization has an alias.

Categories of organizations based on criteria in provider directories.

Codes For Organization Affiliation Role

A capability that an individual, group, or organization is acknowledged to have in a payer network.

The state indicating if a qualification is currently valid.

Trust Framework Type

This code system contains codes for documenting the attributes of the FHIR resource Validation to reflect the business process of validating information in a Healthcare Directory..

Categories of virtual service delivery modalities.

Payer Organization

Endpoint for Acme of CT Portal

Acme of CT QHP Bronze Plan

Acme of CT QHP Gold Plan

Acme of CT Premium Premium Network

Acme of CT Standard Network

Practitioner role that doesn’t refer to a specific practitioner

Organization that Manages 2 of PharmChain’s pharmacies

Burr Clinic provides service to Hartford Hospital

Burr Clinic’s affiliation with Acme of CT Provider Network and Hartford General Hospital

Burr Clinic Services

HartfordCancerClinicLLC

Location1 of Cancer Clinic

Cancer Clinic Services

Burr Clinic’s Care Team

Connecticut HIE

Burr Clinic’s affiliation with Conn HIE

Counselor Susie Smith

Susie Smith is a counselor via Telemedicine

Hamilton Clinic (a Division of Hartford Hospital)

Hamilton Clinic’s affiliation with Acme of CT Provider Network and Hartford General Hospital

Hamilton Clinic Services

Solo Practitioner Hans Solo

Location of Hans Solo’s clinic

Hans Solo is a solo practitioner

Hans Solo Services

Hartford Orthopedic Services affiliation with Acme of CT Provider Network and Hartford General Hospital

Hartford Orthopedic Services

Hartford Orthpedic Services is a group providing Orthpods for Acme of CT at Hartford General Hospital

Hartford General Hospital ER

Location1 of Hartford Hospital

Location2 of Hartford Hospital

Hartford General Hospital

Practitioner Dr Joe Smith

Dr Smith moonlighting as ER Doc at Hartford Hospital

Dr Smith Internal Medicine at Burr Clinic

Dr Smith Admitting Privileges at Hartford General

Patient that gives consent

Organization that Provides Pharmacy Services

Organization Affiliation for PharmChain (Retail)

Organization Affiliation for PharmChain (Compounding)

Organization Affiliation for PharmChain (MailOrder)

Compound Pharmacy Service provided by PharmacyOrganization A

Mail Order Pharmacy Service provided by PharmacyOrganization A

Pharmacy Service provided by PharmChain

Location of Pharmacy1 in PharmChain’s network

Location of Pharmacy2 in PharmChain’s network

Location of Pharmacy3 in PharmChain’s network

Location of Pharmacy4 in PharmChain’s network

Patient that gives consent

State of CT Area

Virtual Counseling Service