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

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Extension: NDH Qualification

An extension to add qualifications for an organization (e.g. accreditation) or practitionerRole (e.g. registered to prescribe controlled substances).

Context of Use

This extension may be used on the following element(s)

• Element ID: Organization
• Element ID: OrganizationAffiliation
• Element ID: PractitionerRole

Usage info

Usages:

• Use this Extension: NDH Organization Profile, NDH OrganizationAffiliation Profile and NDH PractitionerRole
• Examples for this Extension: Acme of CT, BlueCrossBlueShield CT Organization, Hartford General Hospital, Organization Manage Payer Network (OMPN) and OrgOneWithNetwork1AndNetwork2

You can also check for usages in the FHIR IG Statistics

Formal Views of Extension Content

Description Differentials, Snapshots, and other representations.

• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Extension		0..*	Extension	NDH Qualification
extension		2..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:identifier	S	0..*	Extension	Identifier
extension		0..0		Extension
url		1..1	uri	"identifier"
value[x]		1..1	Identifier	Value of extension
extension:code	S	1..1	Extension	Code
extension		0..0		Extension
url		1..1	uri	"code"
value[x]		1..1	CodeableConcept	Value of extension Binding: Specialties, Degrees, Licenses, and Certificates Value Set (extensible)
extension:issuer	S	0..1	Extension	Reference to NdhOrganization
extension		0..0		Extension
url		1..1	uri	"issuer"
value[x]		1..1	Reference(NDH Organization Profile)	Value of extension
extension:status	S	1..1	Extension	Status
extension		0..0		Extension
url		1..1	uri	"status"
value[x]		1..1	code	Value of extension Binding: Qualification Status Value Set (required) Fixed Value: active
extension:period	S	0..1	Extension	Period
extension		0..0		Extension
url		1..1	uri	"period"
value[x]		1..1	Period	Value of extension
extension:whereValid	S	0..*	Extension	Where the qualification is valid
extension		0..0		Extension
url		1..1	uri	"whereValid"
value[x]		1..1		Value of extension Binding: UspsTwoLetterAlphabeticCodes (6.1.0) (required)
valueCodeableConcept			CodeableConcept
valueReference			Reference(NDH Location Profile)
url		1..1	uri	"http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-qualification"
value[x]		0..0		Value of extension
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Extension.extension:code.​value[x]	Base	extensible	Specialties, Degrees, Licenses, and Certificates Value Set	📦2.0.0-current	This IG
Extension.extension:status.​value[x]	Base	required	Qualification Status Value Set	📦2.0.0-current	This IG
Extension.extension:whereValid.​value[x]	Base	required	USPS Two Letter Alphabetic Codes	📍6.1.0	US Core v6.1

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Extension		0..*	Extension	NDH Qualification
id		0..1	string	Unique id for inter-element referencing
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
extension:identifier	S	0..*	Extension	Identifier
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"identifier"
value[x]		1..1	Identifier	Value of extension
extension:code	S	1..1	Extension	Code
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"code"
value[x]		1..1	CodeableConcept	Value of extension Binding: Specialties, Degrees, Licenses, and Certificates Value Set (extensible)
extension:issuer	S	0..1	Extension	Reference to NdhOrganization
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"issuer"
value[x]		1..1	Reference(NDH Organization Profile)	Value of extension
extension:status	S	1..1	Extension	Status
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"status"
value[x]		1..1	code	Value of extension Binding: Qualification Status Value Set (required) Fixed Value: active
extension:period	S	0..1	Extension	Period
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"period"
value[x]		1..1	Period	Value of extension
extension:whereValid	S	0..*	Extension	Where the qualification is valid
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"whereValid"
value[x]		1..1		Value of extension Binding: UspsTwoLetterAlphabeticCodes (6.1.0) (required)
valueCodeableConcept			CodeableConcept
valueReference			Reference(NDH Location Profile)
url		1..1	uri	"http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-qualification"
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Extension.extension:code.​value[x]	Base	extensible	Specialties, Degrees, Licenses, and Certificates Value Set	📦2.0.0-current	This IG
Extension.extension:status.​value[x]	Base	required	Qualification Status Value Set	📦2.0.0-current	This IG
Extension.extension:whereValid.​value[x]	Base	required	USPS Two Letter Alphabetic Codes	📍6.1.0	US Core v6.1

Constraints

Id	Grade	Path(s)	Description	Expression
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Summary

Complex Extension: An extension to add qualifications for an organization (e.g. accreditation) or practitionerRole (e.g. registered to prescribe controlled substances).

• identifier: Identifier: An Extension
• code: CodeableConcept: An Extension
• issuer: Reference: An Extension
• status: code: An Extension
• period: Period: An Extension
• whereValid: CodeableConcept, Reference: An Extension

Maturity: 4

Differential ViewDifferential View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Extension		0..*	Extension	NDH Qualification
extension		2..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:identifier	S	0..*	Extension	Identifier
extension		0..0		Extension
url		1..1	uri	"identifier"
value[x]		1..1	Identifier	Value of extension
extension:code	S	1..1	Extension	Code
extension		0..0		Extension
url		1..1	uri	"code"
value[x]		1..1	CodeableConcept	Value of extension Binding: Specialties, Degrees, Licenses, and Certificates Value Set (extensible)
extension:issuer	S	0..1	Extension	Reference to NdhOrganization
extension		0..0		Extension
url		1..1	uri	"issuer"
value[x]		1..1	Reference(NDH Organization Profile)	Value of extension
extension:status	S	1..1	Extension	Status
extension		0..0		Extension
url		1..1	uri	"status"
value[x]		1..1	code	Value of extension Binding: Qualification Status Value Set (required) Fixed Value: active
extension:period	S	0..1	Extension	Period
extension		0..0		Extension
url		1..1	uri	"period"
value[x]		1..1	Period	Value of extension
extension:whereValid	S	0..*	Extension	Where the qualification is valid
extension		0..0		Extension
url		1..1	uri	"whereValid"
value[x]		1..1		Value of extension Binding: UspsTwoLetterAlphabeticCodes (6.1.0) (required)
valueCodeableConcept			CodeableConcept
valueReference			Reference(NDH Location Profile)
url		1..1	uri	"http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-qualification"
value[x]		0..0		Value of extension
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Extension.extension:code.​value[x]	Base	extensible	Specialties, Degrees, Licenses, and Certificates Value Set	📦2.0.0-current	This IG
Extension.extension:status.​value[x]	Base	required	Qualification Status Value Set	📦2.0.0-current	This IG
Extension.extension:whereValid.​value[x]	Base	required	USPS Two Letter Alphabetic Codes	📍6.1.0	US Core v6.1

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Extension		0..*	Extension	NDH Qualification
id		0..1	string	Unique id for inter-element referencing
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
extension:identifier	S	0..*	Extension	Identifier
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"identifier"
value[x]		1..1	Identifier	Value of extension
extension:code	S	1..1	Extension	Code
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"code"
value[x]		1..1	CodeableConcept	Value of extension Binding: Specialties, Degrees, Licenses, and Certificates Value Set (extensible)
extension:issuer	S	0..1	Extension	Reference to NdhOrganization
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"issuer"
value[x]		1..1	Reference(NDH Organization Profile)	Value of extension
extension:status	S	1..1	Extension	Status
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"status"
value[x]		1..1	code	Value of extension Binding: Qualification Status Value Set (required) Fixed Value: active
extension:period	S	0..1	Extension	Period
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"period"
value[x]		1..1	Period	Value of extension
extension:whereValid	S	0..*	Extension	Where the qualification is valid
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"whereValid"
value[x]		1..1		Value of extension Binding: UspsTwoLetterAlphabeticCodes (6.1.0) (required)
valueCodeableConcept			CodeableConcept
valueReference			Reference(NDH Location Profile)
url		1..1	uri	"http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-qualification"
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Extension.extension:code.​value[x]	Base	extensible	Specialties, Degrees, Licenses, and Certificates Value Set	📦2.0.0-current	This IG
Extension.extension:status.​value[x]	Base	required	Qualification Status Value Set	📦2.0.0-current	This IG
Extension.extension:whereValid.​value[x]	Base	required	USPS Two Letter Alphabetic Codes	📍6.1.0	US Core v6.1

Constraints

Id	Grade	Path(s)	Description	Expression
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Summary

Complex Extension: An extension to add qualifications for an organization (e.g. accreditation) or practitionerRole (e.g. registered to prescribe controlled substances).

• identifier: Identifier: An Extension
• code: CodeableConcept: An Extension
• issuer: Reference: An Extension
• status: code: An Extension
• period: Period: An Extension
• whereValid: CodeableConcept, Reference: An Extension

Maturity: 4

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