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 Trust FrameworkType Code System - XML Representation

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

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    <CodeSystem xmlns="http://hl7.org/fhir">
      <id value="NdhTrustFrameworkTypeCS"/>
      <text>
        <status value="generated"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: CodeSystem NdhTrustFrameworkTypeCS</b></p><a name="NdhTrustFrameworkTypeCS"> </a><a name="hcNdhTrustFrameworkTypeCS"> </a><p>This case-sensitive code system <code>http://hl7.org/fhir/us/ndh/CodeSystem/NdhTrustFrameworkTypeCS</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">DirectTrust<a name="NdhTrustFrameworkTypeCS-DirectTrust"> </a></td><td>Direct Trust</td><td>Direct Trust revolves around the secure and reliable exchange of health information, primarily through Direct Secure Messaging.</td></tr><tr><td style="white-space:nowrap">CareQuality<a name="NdhTrustFrameworkTypeCS-CareQuality"> </a></td><td>Carequality</td><td>Carequality is a national-level framework that enables health information networks to connect and share patient data.</td></tr><tr><td style="white-space:nowrap">Commonwell<a name="NdhTrustFrameworkTypeCS-Commonwell"> </a></td><td>Commonwell</td><td>CommonWell Health Alliance is a non-profit trade association dedicated to enabling nationwide health data interoperability.</td></tr><tr><td style="white-space:nowrap">TEFCA<a name="NdhTrustFrameworkTypeCS-TEFCA"> </a></td><td>TEFCA</td><td>Trusted Exchange Framework and Common Agreement (TEFCA) It is a national framework designed to support the secure exchange of electronic health information across the United States</td></tr><tr><td style="white-space:nowrap">PayerToPayer<a name="NdhTrustFrameworkTypeCS-PayerToPayer"> </a></td><td>Payer to Payer Trust Network</td><td>Payer to Payer Trust Network</td></tr><tr><td style="white-space:nowrap">Exchange<a name="NdhTrustFrameworkTypeCS-Exchange"> </a></td><td>Exchange Required by Federal Regulations</td><td>Exchange Required by Federal Regulations</td></tr><tr><td style="white-space:nowrap">PCDH<a name="NdhTrustFrameworkTypeCS-PCDH"> </a></td><td>Patient Centered Data Home</td><td>Patient Centered Data Home</td></tr></table></div>
      </text>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
        <valueCode value="pa"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
        <valueInteger value="4">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
            <valueCanonical
                            value="http://hl7.org/fhir/us/ndh/ImplementationGuide/hl7.fhir.us.ndh"/>
          </extension>
        </valueInteger>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="trial-use">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
            <valueCanonical
                            value="http://hl7.org/fhir/us/ndh/ImplementationGuide/hl7.fhir.us.ndh"/>
          </extension>
        </valueCode>
      </extension>
      <url value="http://hl7.org/fhir/us/ndh/CodeSystem/NdhTrustFrameworkTypeCS"/>
      <version value="2.0.0-current"/>
      <name value="NdhTrustFrameworkTypeCS"/>
      <title value="NDH Trust FrameworkType Code System"/>
      <status value="active"/>
      <experimental value="false"/>
      <date value="2026-03-30T14:03:58+00:00"/>
      <publisher value="HL7 International / Patient Administration"/>
      <contact>
        <name value="HL7 International / Patient Administration"/>
        <telecom>
          <system value="url"/>
          <value value="http://www.hl7.org/Special/committees/pafm"/>
        </telecom>
        <telecom>
          <system value="email"/>
          <value value="pafm@lists.hl7.org"/>
        </telecom>
      </contact>
      <description value="Trust Framework Type"/>
      <jurisdiction>
        <coding>
          <system value="urn:iso:std:iso:3166"/>
          <code value="US"/>
          <display value="United States of America"/>
        </coding>
      </jurisdiction>
      <caseSensitive value="true"/>
      <content value="complete"/>
      <count value="7"/>
      <concept>
        <code value="DirectTrust"/>
        <display value="Direct Trust"/>
        <definition
                    value="Direct Trust revolves around the secure and reliable exchange of health information, primarily through Direct Secure Messaging."/>
      </concept>
      <concept>
        <code value="CareQuality"/>
        <display value="Carequality"/>
        <definition
                    value="Carequality is a national-level framework that enables health information networks to connect and share patient data."/>
      </concept>
      <concept>
        <code value="Commonwell"/>
        <display value="Commonwell"/>
        <definition
                    value="CommonWell Health Alliance is a non-profit trade association dedicated to enabling nationwide health data interoperability."/>
      </concept>
      <concept>
        <code value="TEFCA"/>
        <display value="TEFCA"/>
        <definition
                    value="Trusted Exchange Framework and Common Agreement (TEFCA) It is a national framework designed to support the secure exchange of electronic health information across the United States"/>
      </concept>
      <concept>
        <code value="PayerToPayer"/>
        <display value="Payer to Payer Trust Network"/>
        <definition value="Payer to Payer Trust Network"/>
      </concept>
      <concept>
        <code value="Exchange"/>
        <display value="Exchange Required by Federal Regulations"/>
        <definition value="Exchange Required by Federal Regulations"/>
      </concept>
      <concept>
        <code value="PCDH"/>
        <display value="Patient Centered Data Home"/>
        <definition value="Patient Centered Data Home"/>
      </concept>
    </CodeSystem>