National Directory of Healthcare Providers & Services (NDH) Implementation Guide
2.0.0-current - ci-build

National Directory of Healthcare Providers & Services (NDH) Implementation Guide, published by HL7 International / Patient Administration. This guide is not an authorized publication; it is the continuous build for version 2.0.0-current built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-us-ndh/ and changes regularly. See the Directory of published versions

## : NDH Direct Trust Endpoint Usecase Code System - JSON Representation

Page standards status: Trial-use | Maturity Level: 4

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    {
      "resourceType" : "CodeSystem",
      "id" : "NdhDirectTrustEndpointUsecaseCS",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem NdhDirectTrustEndpointUsecaseCS</b></p><a name=\"NdhDirectTrustEndpointUsecaseCS\"> </a><a name=\"hcNdhDirectTrustEndpointUsecaseCS\"> </a><p>This case-sensitive code system <code>http://hl7.org/fhir/us/ndh/CodeSystem/NdhDirectTrustEndpointUsecaseCS</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">payer-payer-data-exchange<a name=\"NdhDirectTrustEndpointUsecaseCS-payer-payer-data-exchange\"> </a></td><td>information exchange between payers</td><td>information exchange between payers</td></tr><tr><td style=\"white-space:nowrap\">payer-provider-data-exchange<a name=\"NdhDirectTrustEndpointUsecaseCS-payer-provider-data-exchange\"> </a></td><td>information exchange between payers and providers</td><td>information exchange between payers and providers</td></tr><tr><td style=\"white-space:nowrap\">payer-patient-data-exchange<a name=\"NdhDirectTrustEndpointUsecaseCS-payer-patient-data-exchange\"> </a></td><td>information exchange between payers and patients</td><td>information exchange between payers and patients</td></tr><tr><td style=\"white-space:nowrap\">provider-provider-data-exchange<a name=\"NdhDirectTrustEndpointUsecaseCS-provider-provider-data-exchange\"> </a></td><td>information exchange between providers</td><td>information exchange between providers</td></tr><tr><td style=\"white-space:nowrap\">provider-payer-data-exchange<a name=\"NdhDirectTrustEndpointUsecaseCS-provider-payer-data-exchange\"> </a></td><td>information exchange between providers and payers</td><td>information exchange between providers and payers</td></tr><tr><td style=\"white-space:nowrap\">provider-to-patient-data-exchange<a name=\"NdhDirectTrustEndpointUsecaseCS-provider-to-patient-data-exchange\"> </a></td><td>information exchange between providers and patients</td><td>information exchange between providers and patients</td></tr><tr><td style=\"white-space:nowrap\">patient-payer-data-exchange<a name=\"NdhDirectTrustEndpointUsecaseCS-patient-payer-data-exchange\"> </a></td><td>information exchange between patients and payers</td><td>information exchange between patients and payers</td></tr><tr><td style=\"white-space:nowrap\">patient-provider-data-exchange<a name=\"NdhDirectTrustEndpointUsecaseCS-patient-provider-data-exchange\"> </a></td><td>information exchange between patients and providers</td><td>information exchange between patients and providers</td></tr><tr><td style=\"white-space:nowrap\">patient-public-health-data-exchange<a name=\"NdhDirectTrustEndpointUsecaseCS-patient-public-health-data-exchange\"> </a></td><td>information exchange between patients and public health</td><td>information exchange between patients and public health</td></tr><tr><td style=\"white-space:nowrap\">patient-research-data-exchange<a name=\"NdhDirectTrustEndpointUsecaseCS-patient-research-data-exchange\"> </a></td><td>information exchange between patients and research</td><td>information exchange between patients and research</td></tr><tr><td style=\"white-space:nowrap\">public-health-patient-data-exchange<a name=\"NdhDirectTrustEndpointUsecaseCS-public-health-patient-data-exchange\"> </a></td><td>information exchange between public health and patients</td><td>information exchange between public health and patients</td></tr><tr><td style=\"white-space:nowrap\">research-patient-data-exchange<a name=\"NdhDirectTrustEndpointUsecaseCS-research-patient-data-exchange\"> </a></td><td>information exchange between research and patients</td><td>information exchange between research and patients</td></tr><tr><td style=\"white-space:nowrap\">patient-access<a name=\"NdhDirectTrustEndpointUsecaseCS-patient-access\"> </a></td><td>information exchange for patients</td><td>information exchange for patients</td></tr><tr><td style=\"white-space:nowrap\">care-case-manager<a name=\"NdhDirectTrustEndpointUsecaseCS-care-case-manager\"> </a></td><td>information exchange with a care or case managers</td><td>information exchange with a care or case managers</td></tr><tr><td style=\"white-space:nowrap\">care-coordination<a name=\"NdhDirectTrustEndpointUsecaseCS-care-coordination\"> </a></td><td>information exchange for care coordination across the entire patient care team</td><td>information exchange for care coordination across the entire patient care team</td></tr><tr><td style=\"white-space:nowrap\">advanced-eob<a name=\"NdhDirectTrustEndpointUsecaseCS-advanced-eob\"> </a></td><td>information exchange for advanced eobs</td><td>information exchange for advanced eobs</td></tr><tr><td style=\"white-space:nowrap\">coverage-requirements-discovery-crd<a name=\"NdhDirectTrustEndpointUsecaseCS-coverage-requirements-discovery-crd\"> </a></td><td>information exchange for discovering coverage requirements</td><td>information exchange for discovering coverage requirements</td></tr><tr><td style=\"white-space:nowrap\">documentation-templates-rules-dtr<a name=\"NdhDirectTrustEndpointUsecaseCS-documentation-templates-rules-dtr\"> </a></td><td>information exchange for documentation templates and rules</td><td>information exchange for documentation templates and rules</td></tr><tr><td style=\"white-space:nowrap\">prior-authorization<a name=\"NdhDirectTrustEndpointUsecaseCS-prior-authorization\"> </a></td><td>information exchange for prior authorization</td><td>information exchange for prior authorization</td></tr><tr><td style=\"white-space:nowrap\">formulary<a name=\"NdhDirectTrustEndpointUsecaseCS-formulary\"> </a></td><td>information exchange for drug formulary</td><td>information exchange for drug formulary</td></tr><tr><td style=\"white-space:nowrap\">prescriptions<a name=\"NdhDirectTrustEndpointUsecaseCS-prescriptions\"> </a></td><td>information exchange for prescriptions</td><td>information exchange for prescriptions</td></tr><tr><td style=\"white-space:nowrap\">item-service-price-transparency<a name=\"NdhDirectTrustEndpointUsecaseCS-item-service-price-transparency\"> </a></td><td>information exchange for item or service price transparency</td><td>information exchange for item or service price transparency</td></tr><tr><td style=\"white-space:nowrap\">patient-cost-transparency-gfe<a name=\"NdhDirectTrustEndpointUsecaseCS-patient-cost-transparency-gfe\"> </a></td><td>information exchange for making patient costs transparent</td><td>information exchange for making patient costs transparent</td></tr><tr><td style=\"white-space:nowrap\">quality-measure-reporting<a name=\"NdhDirectTrustEndpointUsecaseCS-quality-measure-reporting\"> </a></td><td>information exchange for quality measure reporting</td><td>information exchange for quality measure reporting</td></tr><tr><td style=\"white-space:nowrap\">adverse-event-reporting<a name=\"NdhDirectTrustEndpointUsecaseCS-adverse-event-reporting\"> </a></td><td>information exchange for adverse event reporting</td><td>information exchange for adverse event reporting</td></tr><tr><td style=\"white-space:nowrap\">notifications<a name=\"NdhDirectTrustEndpointUsecaseCS-notifications\"> </a></td><td>information exchange for notifications</td><td>information exchange for notifications</td></tr><tr><td style=\"white-space:nowrap\">adt-notifications<a name=\"NdhDirectTrustEndpointUsecaseCS-adt-notifications\"> </a></td><td>information exchange for ADT notifications</td><td>information exchange for ADT notifications</td></tr><tr><td style=\"white-space:nowrap\">scheduling<a name=\"NdhDirectTrustEndpointUsecaseCS-scheduling\"> </a></td><td>information exchange for scheduling</td><td>information exchange for scheduling</td></tr><tr><td style=\"white-space:nowrap\">release-of-information<a name=\"NdhDirectTrustEndpointUsecaseCS-release-of-information\"> </a></td><td>information exchange for release of information</td><td>information exchange for release of information</td></tr><tr><td style=\"white-space:nowrap\">medical-records<a name=\"NdhDirectTrustEndpointUsecaseCS-medical-records\"> </a></td><td>information exchange for medical records</td><td>information exchange for medical records</td></tr><tr><td style=\"white-space:nowrap\">administrative<a name=\"NdhDirectTrustEndpointUsecaseCS-administrative\"> </a></td><td>information exchange for administrative activities</td><td>information exchange for administrative activities</td></tr><tr><td style=\"white-space:nowrap\">support<a name=\"NdhDirectTrustEndpointUsecaseCS-support\"> </a></td><td>information exchange for technical or customer support activities</td><td>information exchange for technical or customer support activities</td></tr><tr><td style=\"white-space:nowrap\">billing<a name=\"NdhDirectTrustEndpointUsecaseCS-billing\"> </a></td><td>information exchange for billing</td><td>information exchange for billing</td></tr><tr><td style=\"white-space:nowrap\">referrals<a name=\"NdhDirectTrustEndpointUsecaseCS-referrals\"> </a></td><td>information exchange for referrals</td><td>information exchange for referrals</td></tr><tr><td style=\"white-space:nowrap\">transfer-transition-of-care<a name=\"NdhDirectTrustEndpointUsecaseCS-transfer-transition-of-care\"> </a></td><td>information exchange for transfers and transitions of care</td><td>information exchange for transfers and transitions of care</td></tr><tr><td style=\"white-space:nowrap\">provider-directory<a name=\"NdhDirectTrustEndpointUsecaseCS-provider-directory\"> </a></td><td>information exchange for directory maintenance and quality</td><td>information exchange for directory maintenance and quality</td></tr><tr><td style=\"white-space:nowrap\">care-plans-review-or-approval<a name=\"NdhDirectTrustEndpointUsecaseCS-care-plans-review-or-approval\"> </a></td><td>information exchange to support care plan review and approval</td><td>information exchange to support care plan review and approval</td></tr><tr><td style=\"white-space:nowrap\">public-health-reporting<a name=\"NdhDirectTrustEndpointUsecaseCS-public-health-reporting\"> </a></td><td>information exchange for public health reporting</td><td>information exchange for public health reporting</td></tr><tr><td style=\"white-space:nowrap\">payers-and-payments<a name=\"NdhDirectTrustEndpointUsecaseCS-payers-and-payments\"> </a></td><td>information exchange for billing</td><td>information exchange for billing</td></tr><tr><td style=\"white-space:nowrap\">break-the-glass<a name=\"NdhDirectTrustEndpointUsecaseCS-break-the-glass\"> </a></td><td>information exchange that requires break the glass</td><td>information exchange that requires break the glass</td></tr><tr><td style=\"white-space:nowrap\">individual-practitioner<a name=\"NdhDirectTrustEndpointUsecaseCS-individual-practitioner\"> </a></td><td>information exchange with an individual provider</td><td>information exchange with an individual provider</td></tr><tr><td style=\"white-space:nowrap\">individual-patient-member-consumer<a name=\"NdhDirectTrustEndpointUsecaseCS-individual-patient-member-consumer\"> </a></td><td>information exchange with an individual patient-member-client-consumer</td><td>information exchange with an individual patient-member-client-consumer</td></tr><tr><td style=\"white-space:nowrap\">location<a name=\"NdhDirectTrustEndpointUsecaseCS-location\"> </a></td><td>information exchange with a treating facility</td><td>information exchange with a treating facility</td></tr><tr><td style=\"white-space:nowrap\">group<a name=\"NdhDirectTrustEndpointUsecaseCS-group\"> </a></td><td>information exchange with a provider group</td><td>information exchange with a provider group</td></tr><tr><td style=\"white-space:nowrap\">department<a name=\"NdhDirectTrustEndpointUsecaseCS-department\"> </a></td><td>information exchange with a provider department</td><td>information exchange with a provider department</td></tr><tr><td style=\"white-space:nowrap\">no-reply<a name=\"NdhDirectTrustEndpointUsecaseCS-no-reply\"> </a></td><td>endpoint does not accept information for exchange</td><td>endpoint does not accept information for exchange</td></tr><tr><td style=\"white-space:nowrap\">any-all<a name=\"NdhDirectTrustEndpointUsecaseCS-any-all\"> </a></td><td>endpoint that accepts any and all types of information exchange possible for its endpoint type</td><td>endpoint that accepts any and all types of information exchange possible for its endpoint type</td></tr></table></div>"
      },
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
          "valueCode" : "pa"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
          "valueInteger" : 4,
          "_valueInteger" : {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
                "valueCanonical" : "http://hl7.org/fhir/us/ndh/ImplementationGuide/hl7.fhir.us.ndh"
              }
            ]
          }
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
          "valueCode" : "trial-use",
          "_valueCode" : {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
                "valueCanonical" : "http://hl7.org/fhir/us/ndh/ImplementationGuide/hl7.fhir.us.ndh"
              }
            ]
          }
        }
      ],
      "url" : "http://hl7.org/fhir/us/ndh/CodeSystem/NdhDirectTrustEndpointUsecaseCS",
      "version" : "2.0.0-current",
      "name" : "NdhDirectTrustEndpointUsecaseCS",
      "title" : "NDH Direct Trust Endpoint Usecase Code System",
      "status" : "active",
      "experimental" : false,
      "date" : "2026-03-30T14:03:58+00:00",
      "publisher" : "HL7 International / Patient Administration",
      "contact" : [
        {
          "name" : "HL7 International / Patient Administration",
          "telecom" : [
            {
              "system" : "url",
              "value" : "http://www.hl7.org/Special/committees/pafm"
            },
            {
              "system" : "email",
              "value" : "pafm@lists.hl7.org"
            }
          ]
        }
      ],
      "description" : "NDH Direct Trust Endpoint Usecase",
      "jurisdiction" : [
        {
          "coding" : [
            {
              "system" : "urn:iso:std:iso:3166",
              "code" : "US",
              "display" : "United States of America"
            }
          ]
        }
      ],
      "caseSensitive" : true,
      "content" : "complete",
      "count" : 47,
      "concept" : [
        {
          "code" : "payer-payer-data-exchange",
          "display" : "information exchange between payers",
          "definition" : "information exchange between payers"
        },
        {
          "code" : "payer-provider-data-exchange",
          "display" : "information exchange between payers and providers",
          "definition" : "information exchange between payers and providers"
        },
        {
          "code" : "payer-patient-data-exchange",
          "display" : "information exchange between payers and patients",
          "definition" : "information exchange between payers and patients"
        },
        {
          "code" : "provider-provider-data-exchange",
          "display" : "information exchange between providers",
          "definition" : "information exchange between providers"
        },
        {
          "code" : "provider-payer-data-exchange",
          "display" : "information exchange between providers and payers",
          "definition" : "information exchange between providers and payers"
        },
        {
          "code" : "provider-to-patient-data-exchange",
          "display" : "information exchange between providers and patients",
          "definition" : "information exchange between providers and patients"
        },
        {
          "code" : "patient-payer-data-exchange",
          "display" : "information exchange between patients and payers",
          "definition" : "information exchange between patients and payers"
        },
        {
          "code" : "patient-provider-data-exchange",
          "display" : "information exchange between patients and providers",
          "definition" : "information exchange between patients and providers"
        },
        {
          "code" : "patient-public-health-data-exchange",
          "display" : "information exchange between patients and public health",
          "definition" : "information exchange between patients and public health"
        },
        {
          "code" : "patient-research-data-exchange",
          "display" : "information exchange between patients and research",
          "definition" : "information exchange between patients and research"
        },
        {
          "code" : "public-health-patient-data-exchange",
          "display" : "information exchange between public health and patients",
          "definition" : "information exchange between public health and patients"
        },
        {
          "code" : "research-patient-data-exchange",
          "display" : "information exchange between research and patients",
          "definition" : "information exchange between research and patients"
        },
        {
          "code" : "patient-access",
          "display" : "information exchange for patients",
          "definition" : "information exchange for patients"
        },
        {
          "code" : "care-case-manager",
          "display" : "information exchange with a care or case managers",
          "definition" : "information exchange with a care or case managers"
        },
        {
          "code" : "care-coordination",
          "display" : "information exchange for care coordination across the entire patient care team",
          "definition" : "information exchange for care coordination across the entire patient care team"
        },
        {
          "code" : "advanced-eob",
          "display" : "information exchange for advanced eobs",
          "definition" : "information exchange for advanced eobs"
        },
        {
          "code" : "coverage-requirements-discovery-crd",
          "display" : "information exchange for discovering coverage requirements",
          "definition" : "information exchange for discovering coverage requirements"
        },
        {
          "code" : "documentation-templates-rules-dtr",
          "display" : "information exchange for documentation templates and rules",
          "definition" : "information exchange for documentation templates and rules"
        },
        {
          "code" : "prior-authorization",
          "display" : "information exchange for prior authorization",
          "definition" : "information exchange for prior authorization"
        },
        {
          "code" : "formulary",
          "display" : "information exchange for drug formulary",
          "definition" : "information exchange for drug formulary"
        },
        {
          "code" : "prescriptions",
          "display" : "information exchange for prescriptions",
          "definition" : "information exchange for prescriptions"
        },
        {
          "code" : "item-service-price-transparency",
          "display" : "information exchange for item or service price transparency",
          "definition" : "information exchange for item or service price transparency"
        },
        {
          "code" : "patient-cost-transparency-gfe",
          "display" : "information exchange for making patient costs transparent",
          "definition" : "information exchange for making patient costs transparent"
        },
        {
          "code" : "quality-measure-reporting",
          "display" : "information exchange for quality measure reporting",
          "definition" : "information exchange for quality measure reporting"
        },
        {
          "code" : "adverse-event-reporting",
          "display" : "information exchange for adverse event reporting",
          "definition" : "information exchange for adverse event reporting"
        },
        {
          "code" : "notifications",
          "display" : "information exchange for notifications",
          "definition" : "information exchange for notifications"
        },
        {
          "code" : "adt-notifications",
          "display" : "information exchange for ADT notifications",
          "definition" : "information exchange for ADT notifications"
        },
        {
          "code" : "scheduling",
          "display" : "information exchange for scheduling",
          "definition" : "information exchange for scheduling"
        },
        {
          "code" : "release-of-information",
          "display" : "information exchange for release of information",
          "definition" : "information exchange for release of information"
        },
        {
          "code" : "medical-records",
          "display" : "information exchange for medical records",
          "definition" : "information exchange for medical records"
        },
        {
          "code" : "administrative",
          "display" : "information exchange for administrative activities",
          "definition" : "information exchange for administrative activities"
        },
        {
          "code" : "support",
          "display" : "information exchange for technical or customer support activities",
          "definition" : "information exchange for technical or customer support activities"
        },
        {
          "code" : "billing",
          "display" : "information exchange for billing",
          "definition" : "information exchange for billing"
        },
        {
          "code" : "referrals",
          "display" : "information exchange for referrals",
          "definition" : "information exchange for referrals"
        },
        {
          "code" : "transfer-transition-of-care",
          "display" : "information exchange for transfers and transitions of care",
          "definition" : "information exchange for transfers and transitions of care"
        },
        {
          "code" : "provider-directory",
          "display" : "information exchange for directory maintenance and quality",
          "definition" : "information exchange for directory maintenance and quality"
        },
        {
          "code" : "care-plans-review-or-approval",
          "display" : "information exchange to support care plan review and approval",
          "definition" : "information exchange to support care plan review and approval"
        },
        {
          "code" : "public-health-reporting",
          "display" : "information exchange for public health reporting",
          "definition" : "information exchange for public health reporting"
        },
        {
          "code" : "payers-and-payments",
          "display" : "information exchange for billing",
          "definition" : "information exchange for billing"
        },
        {
          "code" : "break-the-glass",
          "display" : "information exchange that requires break the glass",
          "definition" : "information exchange that requires break the glass"
        },
        {
          "code" : "individual-practitioner",
          "display" : "information exchange with an individual provider",
          "definition" : "information exchange with an individual provider"
        },
        {
          "code" : "individual-patient-member-consumer",
          "display" : "information exchange with an individual patient-member-client-consumer",
          "definition" : "information exchange with an individual patient-member-client-consumer"
        },
        {
          "code" : "location",
          "display" : "information exchange with a treating facility",
          "definition" : "information exchange with a treating facility"
        },
        {
          "code" : "group",
          "display" : "information exchange with a provider group",
          "definition" : "information exchange with a provider group"
        },
        {
          "code" : "department",
          "display" : "information exchange with a provider department",
          "definition" : "information exchange with a provider department"
        },
        {
          "code" : "no-reply",
          "display" : "endpoint does not accept information for exchange",
          "definition" : "endpoint does not accept information for exchange"
        },
        {
          "code" : "any-all",
          "display" : "endpoint that accepts any and all types of information exchange possible for its endpoint type",
          "definition" : "endpoint that accepts any and all types of information exchange possible for its endpoint type"
        }
      ]
    }