Healthcare Provider Directory (HPD)

Data Schema DiscussionONC S&I Framework

Nitin Jain (IBM)

Karen Witting (IBM)

HPD Schema The HPD supports the Individual and Entity level providers

and relationship between and among them.

Individual

Relationships

Organization

OrganizationalType of organizationStatus (Active/Inactive)Names (Legal and other)Contacts Electronic Service URIMedical records delivery emailAddresses (Billing, Mailing, etc)LanguagesSpecialtiesCredentialsIdentifiers (NPI, Tax #, etc)Public keys/certificatesBusiness phone & FAXRelationships

Addresses (Billing, Mailing, etc.)LanguagesSpecialtiesCredentialsIdentifiers (NPI, Tax #, etc)CertificatesBusiness phone, pager & FAXFacility nameRelationships

Attributes - Summary

Individual

Organization AttributesAttribute Description

Type The type of organization represented. Some values are: Hospitals HIEsIDNs AssociationsLabs Clinics, DepartmentsPharmacies PracticeComponents: Type Code, Type Description

Status The status of this organization. Active – This organization is currently in existence.Inactive – This organization is no longer in existence

Name This attribute contains multiple names for an organization. Type of Names: Legal Name, Other Known names

Contact Multiple individuals who can be contacted in reference to this organization, including a phone number and e-mail address. An individual role can be included in the name, instead of an individual.

Electronic Service URI

Reference to an entry in a systems directory or to a services definition page where this organization has its electronic access points defined.

Medical Records Delivery Email Address

Electronic mailing address of an organization where medical or administrative records can be sent

Organization Attributes – contd.Attribute Description

Address Physical address information for an organization. Each type of address can be primary or secondary. Addresses that are no longer valid are marked as Inactive.Billing Address • One primary address-the preferred billing address for the organization• Multiple secondary billing addresses• Multiple inactive addresses which were once used as billing addresses but are no longer valid. Mailing Address • One primary address-the preferred mailing address for the organization• Multiple secondary mailing addresses• Multiple inactive addresses which were once used as mailing addresses but are no longer valid. Practice Address• Multiple primary addresses-All locations where healthcare services are provided• There are no secondary practice addresses• Multiple inactive addresses which were once used as practice addresses but are no longer valid.

Components: streetNumber, streetName, city, state, postalCode, country or a full address string

Organization Attributes – contd.Attribute Description

Language Language(s) that an Organization support

Specialty Organization’s specialization, a specific medical service, a specialization in treating a specific disease. Some specialties are:PsychiatryRadiology Endocrinology

Components: Issuing Authority, Code System, Code: CodeDisplayName

Credential This includes certifications or licenses earned by an organization.

Components: credentialType, credentialName, credentialNumber, credentialDescription, credentialIssueDate, credentialRenewalDate, credentialStatus

Identifier National, Regional or local identifier that uniquely identify an organization that is may be publicly shared.

Some examples are: National Provider Identifier #, Tax ID #

Components: Assigning Authority OID, Identifier Type, ID, Status

Signing Certificate

Public key and certificate for the user’s non-repudiation signing certificate used for health transactions

Organization AttributesAttribute Description

Organization Certificate

Used for storing health care organization certificates; Certificate purpose constraint can be found by looking inside the certificates.

Business Phone Business Telephone number

Fax Facsimile Telephone number

Relationship (memberOf)

Determine which organizations this organization provider is a member of

Individual Provider AttributesAttribute Description

Type Type of individual provider. E.g.Physician, Pharmacist, Nurse, Nurse Practitioner, Physical Therapist Components: Type Code, Type Description

Status The status of this individual. Active – currently practicingInactive – currently not practicing Retired Deceased

Name This attribute contains multiple names for an individual. Components: Primary Name, Title, First, Middle, Last, Other Known names

Gender HL7 Gender types

Electronic Service URI

Reference to an entry in a systems directory or to a services definition page where this individual has its electronic access points defined.

Email-address Intended for general purpose email communication

Medical Records Delivery Email Address

Electronic mailing address of an individual where medical or administrative records can be sent

Individual Provider Attributes – contd.Attribute Description

Address Physical address information. Each type of address can be primary or secondary. Addresses that are no longer valid are marked as Inactive.Billing Address • One primary address-the preferred billing address• Multiple secondary billing addresses• Multiple inactive addresses which were once used as billing addresses but are no longer valid. Mailing Address • One primary address-the preferred mailing address• Multiple secondary mailing addresses• Multiple inactive addresses which were once used as mailing addresses but are no longer valid. Practice Address• Multiple primary addresses-All locations where healthcare services are provided• There are no secondary practice addresses• Multiple inactive addresses which were once used as practice addresses but are no longer valid.

Components: streetNumber, streetName, city, state, postalCode, country or a full address string

Individual Provider Attributes – contd.Attribute Description

Language Language(s) that the provider is fluent in

Specialty Individual’s specialization, a specific medical service, a specialization in treating a specific disease. Some specialties are:Psychiatry, Radiology, Endocrinology etc.

Components: Issuing Authority, Code System, Code: CodeDisplayName

Credential This includes certifications or licenses earned by an individual. E.g. Preventive Cardiology, Diabetes Counselling, PharmD, MD

Components: credentialType, credentialName, credentialNumber, credentialDescription, credentialIssueDate, credentialRenewalDate, credentialStatus

Identifier National, Regional or local identifier that uniquely identify an individual that is may be publicly shared.

Some examples are: National Provider Identifier #, Tax ID #, Hospital Issued ID

Components: Assigning Authority OID, Identifier Type, ID, Status

Signing Certificate

Public key and certificate for the user’s non-repudiation signing certificate used for health transactions

Individual Provider AttributesAttribute Description

User Certificate X.509 user certificate for general purpose use; purpose constraint can be found by looking inside the certificates

S-Mime Certificate

PKCS#7 SignedData used to support S/MIME; typically used for encrypting mime messages over an email. Other purpose constraint can be found by looking inside the certificates.

Provider Business Phone

Business Telephone number

Provider Mobile Phone

Business Mobile

Provider Pager Pager #

Fax Facsimile Telephone number

Facility name Facility name that a postal service uses to identify a provider’s facility.

Relationship (memberOf)

Determine which organizations this individual provider is a member of

Relationship AttributesAttribute Description

Group Name Name of the relationship group.

Group Owner Directory Identifier of an organization that owns the relationship group

Member Identifier of individual or organization that is a member of this group

Individual Provider View

Individual Provider Name

Organizational Provider

Identifier

Addresses

is a member of (0..N)

is located at (0..N)

Credential

Specialty

has (0..N)

Relationship Group

owns (0..N)

has (0..N)has (0..N)

has (1..N)

Organization View

OrganizationalProvider

Specialty

Sub-Organizations e.g. Facilities

Addresses

is composed of (0..N)

Credential

Is located at(0..N)

Identifier

Owns (0..N)Relationship Group

is a member of (0..N)

Name

is a member of (0..N)

Individual Provider

has (0..N)has (0..N)

has (0..N)

has (1..N)

is a member of (1..N)