careMESH NPD
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Artifacts Summary

This page provides a list of the FHIR artifacts defined as part of this implementation guide.

Behavior: Operation Definitions

These are custom operations that can be supported by and/or invoked by systems conforming to this implementation guide.

FHIR Bulk Data ResourceType Level Export

FHIR Operation to obtain a detailed set of FHIR resources of diverse resource types pertaining to all Resources. The FHIR server SHALL support invocation of this operation using the FHIR Asynchronous Request Pattern

PractitionerRole data for Practitioner(CM Proprietary)

This FHIR operation is used internally by careMESH to pull information related to a given Practitioner instance. It is not supported for external use.

Suggest an edit operation (CM Proprietary)

This FHIR operation is used internally by careMESH to create a ticket whereby a user might request a directory update. It is a private API and not for external use.

System level export for related sets of resources

FHIR Operation to return all resources related to either a type 1 (individual) or type 2 (organization) NPI, from the system level.

Structures: Resource Profiles

These define constraints on FHIR resources for systems conforming to this implementation guide.

careMESH Audit Event

A record of an event made for purposes of maintaining a security log. Typical uses include detection of intrusion attempts and monitoring for inappropriate usage.

careMESH Endpoint

The technical details of an endpoint that can be used for electronic services, such as for web services providing XDS.b or a REST endpoint for another FHIR server. This may include any security context information.

careMESH HealthcareService

The HealthCareService resource typically describes services offered by an organization/practitioner at a location. The resource may be used to encompass a variety of services covering the entire healthcare spectrum, including promotion, prevention, diagnostics, pharmacy, hospital and ambulatory care, home care, long-term care, and other health-related and community services.

careMESH InsurancePlan

The details of a health insurance product/plan

careMESH Location

A physical street address at which services are provided

careMESH Media

Used for Practitioner photos

careMESH Network

A Network refers to a healthcare provider insurance network. A healthcare provider insurance network is an aggregation of organizations and individuals that deliver a set of services across a geography through health insurance products/plans. A network is typically owned by a payer.

careMESH Organization

A formally or informally recognized grouping of people or organizations formed for the purpose of achieving some form of collective action. Includes companies, institutions, corporations, departments, community groups, healthcare practice groups, payer/insurer, etc.

careMESH Organization Affiliation

A careMESH Organization Affiliation is currently only used for a legacy mechanism of handling insurance associations.

careMESH Practitioner

Practitioner is a person who is directly or indirectly involved in the provisioning of healthcare.

careMESH PractitionerRole

A careMESH PractionerRole describes details about a provider, which can be a practitioner or an organization. When the provider is a practitioner, there may be a relationship to an organization.

Structures: Extension Definitions

These define constraints on FHIR data types for systems conforming to this implementation guide.

NY Location Evacuation Zone

NY Location Evacuation Zone extension

careMESH ContactPoint Description

Explanatory information for a careMESH contact

careMESH Custom Designation

An extension to associate arbitrary customer-defined codes with a resource

careMESH PractitionerRoleTitle

An extension to describes a Practitioner's title at an organization

careMESH Prefix Published

An extension to capture whether a direct prefix has been published to a customer

careMESH Primary Designator

An extension to capture whether a practitioner acts as a PCP in a role

careMESH Program Participation

An extension to associate participation in a program and if new patients are accepted

careMESH Provenance

Source and update information for careMESH data imports

Terminology: Value Sets

These define sets of codes used by systems conforming to this implementation guide.

Caremesh Audit Event Subtypes VS

Extension of base FHIR audit event subtypes with search events

Caremesh Organization Types VS

Codes describing an organization type

Caremesh Specialties VS

Codes describing a practitioner specialty

NY Location Evacuation Zone Valueset

Title of provider in this Practitioner Role

careMESH Custom Designation

Custom designators to meet customer needs, can be applied to any careMESH Directory resource

careMESH Practitioner Role Title Valueset

Title of provider in this Practitioner Role

careMESH Program Participation Valueset

Provider participation in NY state medical programs

Terminology: Code Systems

These define new code systems used by systems conforming to this implementation guide.

NUCC Taxonomy

National Uniform Claim Committee Taxonomy Codes (version 23)

NY Location Evacuation Zone Codesystem

Describes a set of titles that a practitioner can hold within an organization

New York PNDS Specialties

Specialty codes used in the New York PNDS system

PractitionerRole Affiliation Code

Codes describe the type of relationship between practitioner and an organization

careMESH Custom Designation Codesystem

Custom designators to meet customer needs, can be applied to any careMESH Directory resource

careMESH Practitioner Role Title

Describes a set of titles that a practitioner can hold within an organization

careMESH Primary Care Provider Indicator

Describes whether this practitionerRole serves as a primary care provider

careMESH Program Participation

Provider participation in medical programs

careMESH Specialty Codes

careMESH Specialty Codes

Terminology: Naming Systems

These define identifier and/or code system identities used by systems conforming to this implementation guide.

CaremeshPecosEnrollmentNS

Medicare Provider Enrollment, Chain, and Ownership System (PECOS) Enrollment ID

CaremeshPecosNS

Medicare Provider Enrollment, Chain, and Ownership System (PECOS) Associate Control ID

CaremeshSourceID

careMESH Source ID

Example: Example Instances

These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.

CaremeshEndpointExample

An Example Endpoint

CaremeshHealthcareServiceExample

An example HealthcareService

CaremeshLocationExample

An example Location

CaremeshOrganizationExample

An example Organization

CaremeshPractitionerExample

An example Practitioner

CaremeshPractitionerRoleExample

An example PractitionerRole

Olympus

Payer Organization

OlympusOfCTPortalEndpoint

Endpoint for Olympus of CT Portal

OlympusQHPBronze

Olympus of CT QHP Bronze Plan

OlympusQHPGold

Olympus of CT QHP Gold Plan

OlympusofCTPremNet

Olympus of CT Premium Premium Network

OlympusofCTStdNet

Olympus of CT Standard Network

StateOfCTLocation

State of CT Area