Sequoia Project FHIR Provider Directory

This profile on the FHIR Endpoint resource represents information about the endpoints provided by organizations participating in Sequoia project sponsored exchanges. The endpoints described can use any Sequoia supported protocol, such as IHE XCA, and need not be FHIR endpoints.

This profile on the FHIR Organization resource is an abstract base profile that defines shared constraints for all other profiles on the Organization resource in the implementation guides that are based on it. It is not intended to be used directly, rather end users should create instances conforming to the non-abstract profiles defined in other IGs such as Carequality, eHealthExchange, and RCE.

This profile on the FHIR Location resource is used to store geolocation data about an address, as well as the OrgRole extension. If not set by the QHIN when publishing an Organization address to the Directory, SequoiaLocation is created by the Directory with geolocation Position details determined from the provided physical address.

This extension is currently only used by eHealthExchange. This should be ignored in other directories.

The company or organization affiliated with the contact. The contact’s company/organization may differ from the Organization.name as the company may be working as a technology partner or consultant in support of the entity defined by the Organization.name. This extension is only necessary when the contact person is employed by an organization different from the one specified in the Organization resource itself.

This extension allows references to other Organization resources in the directory from which this Organization receives its Delegation of Authority

This extension is used on the Organization resource and indicates which Sequoia directory (or directories) the Organization participantes in. The current legal values are CQ, eHx, and RCE. Most Organizations would only have a single value in this extension.

This extension is used on the Endpoint resource and indicates expected future down-time of the endpoint for maintenance, etc.

When the Transaction extension is set to FHIR REST, this extension specifies which implementation guides and CapabilityStatement resources this Endpoint conforms to. If an Endpoint conforms to multiple versions of a single IG (i.e. multiple versions of US Core) then multiple instances of this extension should be specified.

This extension is currently only used by eHealthExchange. This should be ignored in other directories.

This extension is currently only used by eHealthExchange. This should be ignored in other directories.

When an Organization participates in a Use Case that includes a requirement to respond to requests from others, this extension may be used on that Organization resource to indicate that they meet an Initiator Only exception and do not have Endpoints for that Use Case, if allowed by the Use Case's Initiator Only policies.

This extension is used on the Organization resource to indicate the geolocation and organization role at a given address.

This extension is used on the Location resource to indicate the organization role at a given address.

This extension is directly tied to the Directory server access API key allowing Organizations to be created, updated, and deleted only by their managing Organization. This is typically the top-level Organization in the hierarchical chain defined by Organization.partOf.

This extension is used on both the Endpoint and Organization resources. For an Endpoint, this extension defines the Purpose(s) of Use for which the Endpoint will receive and respond to requests from others. An Organization may have multiple Endpoints for the same Transaction type that receive and process different Purposes of Use. For an Organization, this extension defines the Purpose(s) of Use for which the Organization will initiate requests to others.

This extension is used on the Endpoint resource and provides SNOMED CT codes to indicate the clinical role(s) of document authors for documents available from that Endpoint.

This extension is used on the Organization resource. It is repeatable, and each instances contains a state or province in which the organization operates.

This extension is used on the Endpoint resource and indicates the profile/standard supported for transactions sent to the Endpoint address (e.g., XCA ITI-38)

When an implementation of the Sequoia Directory IG has unique requirements tied to specific Use Case participation, this extension is used on the Organization resource to indicate which Use Case(s) the Organization participates in.

When an implementation of the Sequoia Directory IG allows multiple published versions of a single transaction profile/standard, this extension indicates the specific Version supported for transactions sent to the Endpoint address. If the transaction is "FHIR REST" then this should represent the FHIR version supported by the Endpoint.

Codes used by the AdministrativeStatus extension.

Codes used by the Domains extension.

Codes used in Endpoint.connectionType

Codes used in Identifier.type

Codes used in Endpoint.payloadType

Codes used by the UseCases extension

Codes used by the HubRoutingStatus extension

Codes used by the HubServiceSubscriptions extension

Codes used by the InitiatorOnly extension

The value set is defined by the NHIN Specifications Factory to the restricted set of SNOMED CT codes listed in Table 2-155 Author Role Value Set Definition

Codes used in Organization.type

Codes used by the PurposesOfUse extension

Codes used for the RCE implementation of the PurposesOfUse extension. Each code is used as defined in the Common Agreement, QHIN Technical Framework, Exchange Purposes SOP, and any other applicable Exchange Purpose Implementation SOP.

Adds additional codes required by Sequoia directories that are not present in the HL7 Service Delivery Location Role Type value set.

Codes used by the Transactions extension

Codes used by the AdministrativeStatus extension

Codes used by the Domains extension

Codes used in Endpoint.connectionType

Codes used by the Roles extension

Codes used by the UseCases extension

Codes used by the HubRoutingStatus extension

Codes used by the HubServiceSubscriptions extension

Codes used by the InitiatorOnly extension

Codes used in Organization.type

Codes used by the PurposesOfUse extension

Codes used for the RCE implementation of the PurposesOfUse extension. Each code is used as defined in the Common Agreement, QHIN Technical Framework, Exchange Purposes SOP, and any other applicable Exchange Purpose Implementation SOP.

Adds additional codes required by Sequoia directories that are not present in the HL7 Service Delivery Location Role Type code system.

Codes used in Identifier.type

Codes used by the Transaction extension

Create Error Example

Create Success Example

Create Success Example 2

Delete Error Example

Delete Success Example

Delete Success Example 2

Delete Success Example 3

Delete Success Example 4

Example SequoiaOrganization

FHIR Endpoint Example

Kyras Clinic Example

Payer Organization Example

Read Error Example

Read Success Example

Read Success Example

Read Success Example

Read Success Example 4

Update Success Example

Update Success Example 3

Update Success Example 5

Validate Error Example

Validate Success Example