Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Extension		0..*	Extension	NDH Security Details
extension		1..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:trustFrameworkType	S	1..1	Extension	Trust Framework Type
extension		0..0		Extension
url		1..1	uri	"trustFrameworkType"
value[x]		0..1	CodeableConcept	Value of extension Binding: Trust Framework Type Value Set (extensible)
extension:qualifier	S	0..1	Extension	A qualifier associates with an endpoint to provide additional context or information about that endpoint in a trust framework community. Qualifiers are used to help other members of the community understand the capabilities, compliance status, or other relevant characteristics of an endpoint.
extension		0..0		Extension
url		1..1	uri	"qualifier"
value[x]		1..1	string	Value of extension
extension:signedArtifact		0..1	Extension	By utilizing a signed artifact, you can identify which Certificate Authority has issued the certificate for the entity that signed the artifact. Verifying the issuing Certificate Authority is crucial because it adds an additional layer of trust and security, ensuring that the entity involved in the data exchange is legitimate and that their digital identity has been properly validated.
extension		0..0		Extension
url		1..1	uri	"signedArtifact"
value[x]		1..1	base64Binary	Value of extension
extension:publicCertificate		0..1	Extension	Public certificates help in affirming that an entity is indeed who they claim to be. These certificates are used to establish secure connections via the Mutual TLS (Transport Layer Security) protocol. Public certificates issued by Certificate Authorities are fundamental in establishing a secure and trustworthy digital environment. They enable secure communication, ensure data integrity, and facilitate authentication and trust across a wide range of online interactions.
extension		0..0		Extension
url		1..1	uri	"publicCertificate"
value[x]		1..1	base64Binary	Value of extension
url		1..1	uri	"http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-security-details"
value[x]		0..0		Value of extension
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Extension.extension:trustFrameworkType.​value[x]	Base	extensible	Trust Framework Type Value Set	📦2.0.0-current	This IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Extension		0..*	Extension	NDH Security Details
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:trustFrameworkType	S	1..1	Extension	Trust Framework Type
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"trustFrameworkType"
value[x]		0..1	CodeableConcept	Value of extension Binding: Trust Framework Type Value Set (extensible)
extension:qualifier	S	0..1	Extension	A qualifier associates with an endpoint to provide additional context or information about that endpoint in a trust framework community. Qualifiers are used to help other members of the community understand the capabilities, compliance status, or other relevant characteristics of an endpoint.
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"qualifier"
value[x]		1..1	string	Value of extension
extension:signedArtifact		0..1	Extension	By utilizing a signed artifact, you can identify which Certificate Authority has issued the certificate for the entity that signed the artifact. Verifying the issuing Certificate Authority is crucial because it adds an additional layer of trust and security, ensuring that the entity involved in the data exchange is legitimate and that their digital identity has been properly validated.
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"signedArtifact"
value[x]		1..1	base64Binary	Value of extension
extension:publicCertificate		0..1	Extension	Public certificates help in affirming that an entity is indeed who they claim to be. These certificates are used to establish secure connections via the Mutual TLS (Transport Layer Security) protocol. Public certificates issued by Certificate Authorities are fundamental in establishing a secure and trustworthy digital environment. They enable secure communication, ensure data integrity, and facilitate authentication and trust across a wide range of online interactions.
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"publicCertificate"
value[x]		1..1	base64Binary	Value of extension
url		1..1	uri	"http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-security-details"
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Extension.extension:trustFrameworkType.​value[x]	Base	extensible	Trust Framework Type Value Set	📦2.0.0-current	This IG

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: This extension holds security details for an endpoint. A trust framework typically requires the use of signed artifacts and public certificates to ensure security, integrity, and trust in digital communications and transactions. For trust frameworks that use private PKI there is no need to use this extension unless the goals is to provide access to endpoints via the endpoint reference on any of the relevant resources (e.g., careteam, healthcareService).

• trustFrameworkType: CodeableConcept: An Extension
• qualifier: string: An Extension
• signedArtifact: base64Binary: An Extension
• publicCertificate: base64Binary: An Extension

Maturity: 4

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Extension		0..*	Extension	NDH Security Details
extension		1..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:trustFrameworkType	S	1..1	Extension	Trust Framework Type
extension		0..0		Extension
url		1..1	uri	"trustFrameworkType"
value[x]		0..1	CodeableConcept	Value of extension Binding: Trust Framework Type Value Set (extensible)
extension:qualifier	S	0..1	Extension	A qualifier associates with an endpoint to provide additional context or information about that endpoint in a trust framework community. Qualifiers are used to help other members of the community understand the capabilities, compliance status, or other relevant characteristics of an endpoint.
extension		0..0		Extension
url		1..1	uri	"qualifier"
value[x]		1..1	string	Value of extension
extension:signedArtifact		0..1	Extension	By utilizing a signed artifact, you can identify which Certificate Authority has issued the certificate for the entity that signed the artifact. Verifying the issuing Certificate Authority is crucial because it adds an additional layer of trust and security, ensuring that the entity involved in the data exchange is legitimate and that their digital identity has been properly validated.
extension		0..0		Extension
url		1..1	uri	"signedArtifact"
value[x]		1..1	base64Binary	Value of extension
extension:publicCertificate		0..1	Extension	Public certificates help in affirming that an entity is indeed who they claim to be. These certificates are used to establish secure connections via the Mutual TLS (Transport Layer Security) protocol. Public certificates issued by Certificate Authorities are fundamental in establishing a secure and trustworthy digital environment. They enable secure communication, ensure data integrity, and facilitate authentication and trust across a wide range of online interactions.
extension		0..0		Extension
url		1..1	uri	"publicCertificate"
value[x]		1..1	base64Binary	Value of extension
url		1..1	uri	"http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-security-details"
value[x]		0..0		Value of extension
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Extension.extension:trustFrameworkType.​value[x]	Base	extensible	Trust Framework Type Value Set	📦2.0.0-current	This IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Extension		0..*	Extension	NDH Security Details
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:trustFrameworkType	S	1..1	Extension	Trust Framework Type
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"trustFrameworkType"
value[x]		0..1	CodeableConcept	Value of extension Binding: Trust Framework Type Value Set (extensible)
extension:qualifier	S	0..1	Extension	A qualifier associates with an endpoint to provide additional context or information about that endpoint in a trust framework community. Qualifiers are used to help other members of the community understand the capabilities, compliance status, or other relevant characteristics of an endpoint.
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"qualifier"
value[x]		1..1	string	Value of extension
extension:signedArtifact		0..1	Extension	By utilizing a signed artifact, you can identify which Certificate Authority has issued the certificate for the entity that signed the artifact. Verifying the issuing Certificate Authority is crucial because it adds an additional layer of trust and security, ensuring that the entity involved in the data exchange is legitimate and that their digital identity has been properly validated.
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"signedArtifact"
value[x]		1..1	base64Binary	Value of extension
extension:publicCertificate		0..1	Extension	Public certificates help in affirming that an entity is indeed who they claim to be. These certificates are used to establish secure connections via the Mutual TLS (Transport Layer Security) protocol. Public certificates issued by Certificate Authorities are fundamental in establishing a secure and trustworthy digital environment. They enable secure communication, ensure data integrity, and facilitate authentication and trust across a wide range of online interactions.
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"publicCertificate"
value[x]		1..1	base64Binary	Value of extension
url		1..1	uri	"http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-security-details"
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Extension.extension:trustFrameworkType.​value[x]	Base	extensible	Trust Framework Type Value Set	📦2.0.0-current	This IG

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: This extension holds security details for an endpoint. A trust framework typically requires the use of signed artifacts and public certificates to ensure security, integrity, and trust in digital communications and transactions. For trust frameworks that use private PKI there is no need to use this extension unless the goals is to provide access to endpoints via the endpoint reference on any of the relevant resources (e.g., careteam, healthcareService).

• trustFrameworkType: CodeableConcept: An Extension
• qualifier: string: An Extension
• signedArtifact: base64Binary: An Extension
• publicCertificate: base64Binary: An Extension

Maturity: 4