Proposed changes for Fred

FHIR-us-ndh.xml

@@ -74,6 +74,8 @@
 <artifact deprecated="true" id="SearchParameter/endpoint-usecase-type" key="SearchParameter-endpoint-usecase-type" name="Endpoint usecase-type"/>
 <artifact deprecated="true" id="SearchParameter/endpoint-verification-status" key="SearchParameter-endpoint-verification-status" name="Endpoint verification-status"/>
 <artifact id="VerificationResult/Example-license" key="VerificationResult-Example-license" name="Example-license"/>
+<artifact id="CodeSystem/FaCeT-credentialCS" key="CodeSystem-FaCeT-credentialCS" name="FaCeT Credential Code System"/>
+<artifact id="CodeSystem/FaCeT-org-credentialCS" key="CodeSystem-FaCeT-org-credentialCS" name="FaCeT Organizational Credential Code System"/>
 <artifact deprecated="true" id="Practitioner/GaryGroup" key="Practitioner-GaryGroup" name="GaryGroup"/>
 <artifact id="Organization/HamiltonClinic" key="Organization-HamiltonClinic" name="HamiltonClinic"/>
 <artifact id="Practitioner/HansSolo" key="Practitioner-HansSolo" name="HansSolo"/>
@@ -129,8 +131,10 @@
 <artifact deprecated="true" id="ValueSet/IgActorVS" key="ValueSet-IgActorVS" name="IG Actor Value Set"/>
 <artifact id="ValueSet/IdentifierStatusVS" key="ValueSet-IdentifierStatusVS" name="Identifier Status Value Set"/>
 <artifact id="Endpoint/IheEndpoint" key="Endpoint-IheEndpoint" name="IheEndpoint"/>
+<artifact id="ValueSet/IndividualQualificationsVS" key="ValueSet-IndividualQualificationsVS" name="Individual Qualifications Value Set"/>
 <artifact id="ValueSet/IndividualSpecialtyAndDegreeLicenseCertificateVS" key="ValueSet-IndividualSpecialtyAndDegreeLicenseCertificateVS" name="Individual Specialties, Degrees, Licenses, and Certificates Value Set"/>
-<artifact id="ValueSet/IndividualAndGroupSpecialtiesVS" key="ValueSet-IndividualAndGroupSpecialtiesVS" name="Individual and Group Specialties"/>
+<artifact id="ValueSet/IndividualSpecialtyVS" key="ValueSet-IndividualSpecialtyVS" name="Individual Specialty Value Set"/>
+<artifact deprecated="true" id="ValueSet/IndividualAndGroupSpecialtiesVS" key="ValueSet-IndividualAndGroupSpecialtiesVS" name="Individual and Group Specialties"/>
 <artifact id="CodeSystem/insurance-benefit-type" key="CodeSystem-insurance-benefit-type" name="Insurance Benefit Type Code System"/>
 <artifact deprecated="true" id="CodeSystem/InsurancePlanTypeCS" key="CodeSystem-InsurancePlanTypeCS" name="Insurance Plan Type Code System"/>
 <artifact deprecated="true" id="ValueSet/InsurancePlanTypeVS" key="ValueSet-InsurancePlanTypeVS" name="Insurance Plan Type Value Set"/>
@@ -171,12 +175,15 @@
 <artifact id="StructureDefinition/base-ext-ndh-age-group" key="StructureDefinition-base-ext-ndh-age-group" name="NDH Age Group"/>
 <artifact id="StructureDefinition/base-ext-ndh-age-range" key="StructureDefinition-base-ext-ndh-age-range" name="NDH Age Range"/>
 <artifact id="CodeSystem/NdhAgeGroupCS" key="CodeSystem-AgeGroupCS" name="NDH Age Range Code System"/>
+<artifact id="StructureDefinition/base-ext-aligned-with-cms-data-network" key="StructureDefinition-base-ext-aligned-with-cms-data-network" name="NDH Aligned with CMS Data Network"/>
 <artifact id="StructureDefinition/base-ext-associatedServers" key="StructureDefinition-base-ext-associatedServers" name="NDH Associated Servers"/>
 <artifact id="CodeSystem/NdhAssociatedServersTypeCS" key="CodeSystem-NdhAssociatedServersTypeCS" name="NDH Associated Servers Type Code System"/>
 <artifact deprecated="true" id="CapabilityStatement/ndh-attestation-server" key="CapabilityStatement-ndh-attestation-server" name="NDH Attestation Server Capability Statement"/>
 <artifact deprecated="true" id="StructureDefinition/ndh-CareTeam" key="StructureDefinition-ndh-CareTeam" name="NDH Base CareTeam Profile"/>
 <artifact deprecated="true" id="StructureDefinition/ndh-Restriction" key="StructureDefinition-ndh-Restriction" name="NDH Base Restriction"/>
 <artifact deprecated="true" id="ValueSet/NdhBenefitTypeVS" key="ValueSet-NdhBenefitTypeVS" name="NDH Benefit Type Value Set"/>
+<artifact id="StructureDefinition/base-ext-cms-enrollment-in-good-standing" key="StructureDefinition-base-ext-cms-enrollment-in-good-standing" name="NDH CMS Enrollment In Good Standing"/>
+<artifact id="StructureDefinition/base-ext-cms-ial2-verified" key="StructureDefinition-base-ext-cms-ial2-verified" name="NDH CMS IAL2 Verified"/>
 <artifact deprecated="true" id="ValueSet/NDHCareTeamCategoryVS" key="ValueSet-NDHCareTeamCategoryVS" name="NDH Care Team Category Value Set"/>
 <artifact deprecated="true" id="StructureDefinition/base-ext-careteam-alias" key="StructureDefinition-base-ext-careteam-alias" name="NDH Careteam Alias"/>
 <artifact deprecated="true" id="StructureDefinition/base-ext-combined-payload-and-mimetype" key="StructureDefinition-base-ext-combined-payload-and-mimetype" name="NDH Combined Payload And MimeType"/>

Requirements-fromNarrative.json

@@ -1,7 +1,7 @@
 {
   "resourceType" : "Requirements",
   "id" : "fromNarrative",
-  "url" : "http://hl7.org/fhir/us/davinci-cdex/Requirements/fromNarrative",
+  "url" : "http://terminology.hl7.org/Requirements/fromNarrative",
   "name" : "FromNarrative",
   "title" : "Narrative Conformance Statements",
   "status" : "active",

input/fsh/All-Aliases.fsh

@@ -126,7 +126,7 @@ Alias:   $VerificationCommunicationMethodCS = http://terminology.hl7.org/CodeSys
 Alias:   $VerificationresultCommunicationMethodVS = http://terminology.hl7.org/ValueSet/verificationresult-communication-method|1.0.0
 
 Alias: $HealthcareProviderTaxonmyVS = http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066
-Alias: $HL7VS-degreeLicenseCertificate = http://terminology.hl7.org/ValueSet/v2-0360|2.0.0
+Alias: $HL7VS-degreeLicenseCertificate = http://terminology.hl7.org/ValueSet/v2-0360|3.0.0
 
 Alias: $V3AdministrativeGender = http://terminology.hl7.org/CodeSystem/v3-AdministrativeGender
 Alias: $V20066EmploymentStatusCS = http://terminology.hl7.org/CodeSystem/v2-0066

input/fsh/Base-Extensions.fsh

@@ -595,3 +595,38 @@ Context: HealthcareService
 * extension[preferred-language].value[x] from $LanguagesVS (extensible)
 
 
+/* 
+Simple boolean extension to indicate that this artifact represents something in good standing with CMS.
+
+*/
+Extension: CmsEnrollmentInGoodStanding
+Id: base-ext-cms-enrollment-in-good-standing
+Title: "NDH CMS Enrollment In Good Standing"
+Description: "Indicates that this artifact is enrolled in CMS and in good standing."
+Context: Practitioner, Organization, VerificationResult
+* value[x] 1..1
+* value[x] only boolean
+
+/* 
+Simple boolean extension to indicate that this artifact has been IAL2 verified by CMS
+
+*/
+Extension: CmsIAL2Verified
+Id: base-ext-cms-ial2-verified
+Title: "NDH CMS IAL2 Verified"
+Description: "Indicates that this artifact has been IAL2 verified by CMS."
+Context: Practitioner, Organization, VerificationResult
+* value[x] 1..1
+* value[x] only boolean
+
+/* 
+Simple boolean extension to indicate that this artifact is aligned with CMS data network.
+*/
+Extension: AlignedWithCMSDataNetwork
+Id: base-ext-aligned-with-cms-data-network
+Title: "NDH Aligned with CMS Data Network"
+Description: "Indicates that this artifact is aligned with CMS data network."
+Context: Practitioner, Organization
+* value[x] 1..1
+* value[x] only boolean
+

input/fsh/Base-Profiles.fsh

@@ -299,11 +299,17 @@ and given name, and provide the department name in contact.name.text"
     OrgDescription named org-description  0..1 and
     Qualification named qualification 0..* and
     InsurancePlanReference named insuranceplan 0..* and
+   CmsEnrollmentInGoodStanding named cms-enrollment-in-good-standing 0..1 and
+   CmsIAL2Verified named ial2-verified 0..1 and
+   AlignedWithCMSDataNetwork named aligned-with-cms-data-network 0..1 and
     VerificationStatus named verification-status 0..1 and
     Logo named logo 0..1
 * extension[org-description] ^short = "Organization Description"
 * extension[qualification] ^short = "Qualification"
 * extension[insuranceplan] ^short = "Insurance plan(s) offered to the organization's employees"
+* extension[cms-enrollment-in-good-standing] ^short = "CMS Enrollment In Good Standing"
+* extension[ial2-verified] ^short = "IAL2 Verified"
+* extension[aligned-with-cms-data-network] ^short = "Aligned with CMS Data Network"
 * identifier contains 
     TID 0..1
 * identifier[TID] ^short = "Tax Identifier"
@@ -422,10 +428,16 @@ Description:    "Practitioner is a person who is directly or indirectly involved
     EndpointReference named endpoint 0..* and
     Accessibility named accessibility 0..* and
     Rating named rating 0..* and
+   CmsEnrollmentInGoodStanding named cms-enrollment-in-good-standing 0..1 and
+   CmsIAL2Verified named cms-ial2-verified 0..1 and
+   AlignedWithCMSDataNetwork named aligned-with-cms-data-network 0..1 and
     VerificationStatus named verification-status 0..1
 * extension[endpoint] ^short = "Endpoint Reference"
 * extension[accessibility] ^short = "Accessibility"
 * extension[rating] ^short = "Rating"
+* extension[cms-enrollment-in-good-standing] ^short = "CMS Enrollment In Good Standing"
+* extension[cms-ial2-verified] ^short = "CMS IAL2 Verified"
+* extension[aligned-with-cms-data-network] ^short = "Aligned with CMS Data Network"
 * identifier MS
 * identifier.extension contains
     IdentifierStatus named identifier-status 0..1
@@ -516,7 +528,7 @@ Each of the examples above, would be represented as different PractitionerRole i
 * specialty ^binding.extension[=].extension[+].url = "purpose"
 * specialty ^binding.extension[=].extension[=].valueCode = #extensible
 * specialty ^binding.extension[=].extension[+].url = "valueSet"
-* specialty ^binding.extension[=].extension[=].valueCanonical = "http://hl7.org/fhir/us/ndh/ValueSet/IndividualAndGroupSpecialtiesVS"
+* specialty ^binding.extension[=].extension[=].valueCanonical = Canonical(IndividualQualificationsVS)
 * specialty ^binding.extension[=].extension[+].url = "documentation"
 * specialty ^binding.extension[=].extension[=].valueMarkdown = "The specialty(ies) of the practitioner role, which may be defined by the organization or provided by the practitioner directly.  This is not intended to represent certifications or licenses, but rather areas of focus or concentration for a particular role.  For example, a practitioner may have a role as a physician with a specialty in cardiology, and another role as a physician with a specialty in pediatrics."
 * specialty ^binding.extension[=].extension[+].url = "shortDoco"
@@ -541,6 +553,11 @@ Description: "Describes Verification requirements, source(s), status and dates f
 * ^status = #active
 * . ^short = "Verification"
 * . ^definition = "Describes Verification requirements, source(s), status and dates for one or more elements"
+* extension contains
+   CmsEnrollmentInGoodStanding named cms-enrollment-in-good-standing 0..1 and
+   CmsIAL2Verified named cms-ial2-verified 0..1
+* extension[cms-enrollment-in-good-standing] ^short = "CMS Enrollment In Good Standing"
+* extension[cms-ial2-verified] ^short = "CMS IAL2 Verified"
 * target 1..* MS
 * target ^short = "The resource instance was verified or attested"
 * targetLocation MS

input/fsh/Base-VS-IndividualAndGroupSpecialties.fsh

@@ -1,6 +1,6 @@
-ValueSet: IndividualAndGroupSpecialtiesVS
-Title: "Individual and Group Specialties"
-Description:  "Individual and Group Specialties from National Uniform Claim Committee (NUCC) Health Care Provider Taxonomy code set."
+ValueSet: IndividualQualificationsVS
+Title: "Individual Qualifications Value Set"
+Description:  "Individual Qualifications from National Uniform Claim Committee (NUCC) Health Care Provider Taxonomy code set. Inclusive of Degrees, Licenses, and Certifications."
 * ^experimental = false
 * $NUCCProviderTaxonomy#101200000X "Drama Therapist"  // added 4/21/21
 * $NUCCProviderTaxonomy#101Y00000X "Counselor" 

input/fsh/Base-VS.fsh

@@ -258,13 +258,19 @@ Description: "Codes for Identifier Status"
 * ^experimental = false
 * codes from system $CredentialStatusCS
 
+ValueSet: IndividualSpecialtyVS
+Title: "Individual Specialty Value Set"
+Description: "Individual Specialty"
+* ^experimental = false
+* codes from system $V2table0360CS
+
 
 ValueSet: IndividualSpecialtyAndDegreeLicenseCertificateVS
 Title: "Individual Specialties, Degrees, Licenses, and Certificates Value Set"
 Description: "Individual Specialties, Degrees, Licenses, and Certificates"
 * ^experimental = false
-* codes from system $V2table0360CS
-* codes from valueset IndividualAndGroupSpecialtiesVS
+* codes from valueset IndividualSpecialtyVS
+* codes from valueset IndividualQualificationsVS
 
 
 
@@ -325,7 +331,7 @@ Description:  "Specialties and Degree License and Certificates"
 * codes from valueset http://terminology.hl7.org/ValueSet/v3-ActCredentialedCareCode|3.0.0
 * codes from valueset $HealthcareProviderTaxonmyVS
 //* codes from system $V2table0360CS
-* codes from valueset http://terminology.hl7.org/ValueSet/v2-0360|2.0.0
+* codes from valueset $HL7VS-degreeLicenseCertificate
 //* codes from valueset $V3ActCredentialedCareCodeVS