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
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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
<http://hl7.org/fhir/CodeSystem/NdhTrustFrameworkTypeCS> a fhir:CodeSystem ;
fhir:nodeRole fhir:treeRoot ;
fhir:Resource.id [ fhir:value "NdhTrustFrameworkTypeCS"] ;
fhir:Resource.language [ fhir:value "en"] ;
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ] ;
fhir:Narrative.div "<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>"
] ;
fhir:DomainResource.extension [
fhir:index -1 ;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg" ] ;
fhir:Extension.valueCode [ fhir:value "pa" ]
], [
fhir:index -1 ;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm" ] ;
fhir:Extension.valueInteger [
fhir:value "4"^^xsd:integer ;
fhir:Element.extension [
fhir:index -1 ;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom" ] ;
fhir:Extension.valueCanonical [
fhir:value "http://hl7.org/fhir/us/ndh/ImplementationGuide/hl7.fhir.us.ndh" ;
fhir:link <http://hl7.org/fhir/us/ndh/ImplementationGuide/hl7.fhir.us.ndh>
]
]
]
], [
fhir:index -1 ;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status" ] ;
fhir:Extension.valueCode [
fhir:value "trial-use" ;
fhir:Element.extension [
fhir:index -1 ;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom" ] ;
fhir:Extension.valueCanonical [
fhir:value "http://hl7.org/fhir/us/ndh/ImplementationGuide/hl7.fhir.us.ndh" ;
fhir:link <http://hl7.org/fhir/us/ndh/ImplementationGuide/hl7.fhir.us.ndh>
]
]
]
] ;
fhir:CodeSystem.url [ fhir:value "http://hl7.org/fhir/us/ndh/CodeSystem/NdhTrustFrameworkTypeCS"] ;
fhir:CodeSystem.identifier [
fhir:index -1 ;
fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ] ;
fhir:Identifier.value [ fhir:value "urn:oid:2.999.1.2.3.4.16.17" ]
] ;
fhir:CodeSystem.version [ fhir:value "2.0.0-current"] ;
fhir:CodeSystem.name [ fhir:value "NdhTrustFrameworkTypeCS"] ;
fhir:CodeSystem.title [ fhir:value "NDH Trust FrameworkType Code System"] ;
fhir:CodeSystem.status [ fhir:value "active"] ;
fhir:CodeSystem.experimental [ fhir:value "false"^^xsd:boolean] ;
fhir:CodeSystem.date [ fhir:value "2026-06-25T23:39:34+00:00"^^xsd:dateTime] ;
fhir:CodeSystem.publisher [ fhir:value "HL7 International / Patient Administration"] ;
fhir:CodeSystem.contact [
fhir:index -1 ;
fhir:ContactDetail.name [ fhir:value "HL7 International / Patient Administration" ] ;
fhir:ContactDetail.telecom [
fhir:index -1 ;
fhir:ContactPoint.system [ fhir:value "url" ] ;
fhir:ContactPoint.value [ fhir:value "http://www.hl7.org/Special/committees/pafm" ]
], [
fhir:index -1 ;
fhir:ContactPoint.system [ fhir:value "email" ] ;
fhir:ContactPoint.value [ fhir:value "pafm@lists.hl7.org" ]
]
] ;
fhir:CodeSystem.description [ fhir:value "This code system defines NDH trust-framework type concepts so implementations can declare the policy and governance network under which exchange trust relationships operate."] ;
fhir:CodeSystem.jurisdiction [
fhir:index -1 ;
fhir:CodeableConcept.coding [
fhir:index -1 ;
fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ] ;
fhir:Coding.code [ fhir:value "US" ] ;
fhir:Coding.display [ fhir:value "United States of America" ]
]
] ;
fhir:CodeSystem.caseSensitive [ fhir:value "true"^^xsd:boolean] ;
fhir:CodeSystem.content [ fhir:value "complete"] ;
fhir:CodeSystem.count [ fhir:value "7"^^xsd:nonNegativeInteger] ;
fhir:CodeSystem.concept [
fhir:index -1 ;
fhir:CodeSystem.concept.code [ fhir:value "DirectTrust" ] ;
fhir:CodeSystem.concept.display [ fhir:value "Direct Trust" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "Direct Trust revolves around the secure and reliable exchange of health information, primarily through Direct Secure Messaging." ]
], [
fhir:index -1 ;
fhir:CodeSystem.concept.code [ fhir:value "CareQuality" ] ;
fhir:CodeSystem.concept.display [ fhir:value "Carequality" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "Carequality is a national-level framework that enables health information networks to connect and share patient data." ]
], [
fhir:index -1 ;
fhir:CodeSystem.concept.code [ fhir:value "Commonwell" ] ;
fhir:CodeSystem.concept.display [ fhir:value "Commonwell" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "CommonWell Health Alliance is a non-profit trade association dedicated to enabling nationwide health data interoperability." ]
], [
fhir:index -1 ;
fhir:CodeSystem.concept.code [ fhir:value "TEFCA" ] ;
fhir:CodeSystem.concept.display [ fhir:value "TEFCA" ] ;
fhir:CodeSystem.concept.definition [ fhir: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" ]
], [
fhir:index -1 ;
fhir:CodeSystem.concept.code [ fhir:value "PayerToPayer" ] ;
fhir:CodeSystem.concept.display [ fhir:value "Payer to Payer Trust Network" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "Payer to Payer Trust Network" ]
], [
fhir:index -1 ;
fhir:CodeSystem.concept.code [ fhir:value "Exchange" ] ;
fhir:CodeSystem.concept.display [ fhir:value "Exchange Required by Federal Regulations" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "Exchange Required by Federal Regulations" ]
], [
fhir:index -1 ;
fhir:CodeSystem.concept.code [ fhir:value "PCDH" ] ;
fhir:CodeSystem.concept.display [ fhir:value "Patient Centered Data Home" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "Patient Centered Data Home" ]
] .
# - ontology header ------------------------------------------------------------
<http://hl7.org/fhir/CodeSystem/NdhTrustFrameworkTypeCS.ttl> a owl:Ontology ;
owl:imports fhir:fhir.ttl ;
owl:versionIRI <http://build.fhir.org/CodeSystem/NdhTrustFrameworkTypeCS.ttl> .
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