U.S. Health and Human Services
Office of the National Coordinator for Health IT
Standards & Interoperability Framework
Clinical Element Data Dictionary (CEDD)
Provider Directory ESI Object Model Analysis
Initial Template – WG Lead Review
February 7, 2012
Office of the National Coordinator for
Health Information Technology
Revision History
Date
Document
Version
2/7/2012
0.1
Document Revision Description
Initial analysis of how to reuse the Provider Directory ESI Object
Model as part of the S&I Framework Clinical Element Data Dictionary
(CEDD)
Office of the National Coordinator for
Health Information Technology
Table of Contents
1. Introduction to Provider Directory CEDD Analysis........................................................................... 4
2. Purpose......................................................................................................................................... 4
Proposed CEDD Object Structure..................................................................................................... 4
3. Proposed Provider Directory CEDD Objects .................................................................................... 5
Electronic Service Information......................................................................................................... 7
Individual Provider Identity (Query and Response) ......................................................................... 8
3.2.1 Individual Provider Identity Query Example....................................................................... 11
Organization Provider Identity (Query and Response) .................................................................. 12
3.3.1 Organization Provider Identity Query Object – Example Usage ........................................ 14
Policy .............................................................................................................................................. 14
Provider Address ............................................................................................................................ 15
Provider Certification ..................................................................................................................... 16
Provider Directory Content Profile ................................................................................................ 17
Provider Directory Identification ................................................................................................... 18
Provider Directory Security Profile ................................................................................................ 18
Provider Individual Name .............................................................................................................. 19
Provider Professional Degree ........................................................................................................ 20
Provider Telephone........................................................................................................................ 20
State License .................................................................................................................................. 21
4. Value Sets Representation ........................................................................................................... 22
Care Transition – State Value Set................................................................................................... 22
Care Transition – Postal Code Value Set ........................................................................................ 23
Care Transition – Provider Type Value Set .................................................................................... 23
Provider Directory State License Type Value Set ........................................................................... 27
Provider Directory Address Usage Value Set ................................................................................. 28
Provider Directory Degree Value Set ............................................................................................. 28
Provider Directory License Status Value Set .................................................................................. 29
Provider Directory Telephone Usage Value Set ............................................................................. 30
5. Objects and Data Elements not included ...................................................................................... 31
Office of the National Coordinator for
Health Information Technology
1. Introduction to Provider Directory CEDD Analysis
This document contains the initial analysis of the Provider Directory ESI Object Model for representation
in the S&I Framework Clinical Element Data Dictionary (CEDD). The CEDD is a repository of clinicallyrelevant data elements and their corresponding definitions. It is intended to capture unambiguouslydefined data elements identified by the initiatives and to encourage reuse of those elements. Adding
the unique elements and objects developed under the Provider Directories (PD) initiative to the CEDD
will enable the S&I Framework to take full advantage of the PD workgroup efforts now and in the future.
2. Purpose
The CEDD and the PD work products have been developed in separate initiatives and there are
differences in how the two present information. Thus, the elements and objects of the PD data model
were analyzed to identify how best to incorporate them into the CEDD. This analysis was conducted to
help support the inclusion of Provider Directory objects as reusable objects within other S&I Framework
initiatives, and to support future efforts at development of Provider Directory implementation guidance.
Given the differences between the CEDD and the PD approaches, the following areas of the ESI Object
Model will demand further analysis before being added to the CEDD (this is reviewed in Section 5):


Individual to Organization and Organization to Organization relationships are excluded from the
CEDD analysis.
o The relationships between individuals and organizations are not included as CEDD
objects. We intend to model these relationships within an implementation and/or
capture them in the CEDD UML and data model representations. The chosen approach
must ensure that the relationship between Individual and Organization objects is clear.
Expected Values for Integration Profile, Content Profile, and Security Profile
o The ESI Object Model includes representative examples of the ESI objects, which are
meant to clarify but not define the content of these objects.
Proposed CEDD Object Structure
Each of the proposed Provider Directory CEDD objects are represented with the following values:
Data Element Name
Data Element Definition
Datatype
Expected Vocabulary
Expected Values
The name of the data element
A definition of the data element – specifically focused on its context of
use
The type or structure of the data being queried or described. It is
important to note that the formats used may vary depending on
context
Denotes the expected vocabulary or value set that is used. This
vocabulary and/or value set is noted in BOLD and ITALICS
Denotes expected value that should be used for this data element. It is
important to note that the expected values should closely follow two
Office of the National Coordinator for
Health Information Technology
guidelines:
Cardinality

The expected value should be as closely aligned to the original
source of the information as possible

The expected value should draw from the underlying standard
that will be used to provide technical representation
As defined within the ESI Object Model, Cardinality (also referred to as
occurrence) defines the minimum and maximum occurrences of an
attribute in a given instance of a set. Occurrences may take the
following values:

1 – The object or element is required in an instance of the set.
Only a single instance of the object or element is allowed.

1..n – The object or element is required in an instance of the
set. One more instances of the object or element are allowed.

0,1 – The object or element may or may not be included in an
instance of the set. If it is included, only a single instance of the
object or element is allowed.

0..n – The object or element may or may not be included in an
instance of the set. If it is included, one more instances of the
object or element are allowed.
3. Proposed Provider Directory CEDD Objects
The list of objects proposed in Section 3 of this document represents the proposed additions from the
S&I Framework Provider Directory initiative to the S&I CEDD. The objects are presented in alphabetical
order as follows:
Section
3.1
3.2
3.2.1
3.3
3.3.1
3.4
3.5
3.6
3.7
Data Object
Electronic Service Information
Individual Provider Identity (Query and Response)
Individual Provider Identity Query - Example Usage
Organizational Provider Identity (Query and Response)
Organizational Provider Identity Query – Example Usage
Policy
Provider Address
Provider Certification
Provider Directory Content Profile
Page Number
7
8
11
12
14
14
15
16
17
Office of the National Coordinator for
Health Information Technology
3.8
3.9
3.10
3.11
3.12
3.13
Provider Directory Identification
Provider Directory Security Profile
Provider Individual Name
Provider Professional Degree
Provider Telephone
State License
18
18
19
20
21
21
A list of objects not included in this analysis is in Section 5 of this document. These objects will require
further discussion and analysis within the CEDD workgroup.
Office of the National Coordinator for
Health Information Technology
Electronic Service Information
This object captures information on a unique electronic service. This object is defined to support information interchange requirements that are
focused on exchanging or querying for specific information on an electronic address.
Data Element Name
Data Element Definition
Datatype
Unique ID for Electronic
Service Information
An identifier assigned by the
provider directory whose
purpose is to uniquely identify
a unique ESI for an individual,
organization, individualorganization relationship.
String
IntegrationProfile
A coded value which identifies
the integration profile which
describes the transport and
valid contents
String/Coded
IntegrationProfileVersion
The version(s) of the
integration profile supported
String
IntegrationProfileOptions Options defined for the specific
Integration Profile
String/Coded
Expected
Vocabulary
Example Value
Cardinality
An electronic service is a
new unique endpoint. A
new unique electronic
service should be created
for each electronic
address in which the data
elements differ.
The Provider Directory
IntegrationProfile CEDD
Object Value data
element shows
representative examples
of coded elements and
descriptions/constraints.
The Provider Directory
IntegrationProfile CEDD
Object shows
representative examples
of coded versions for
each Integration Profile
and
descriptions/constraints.
This specific data
element would be
defined in
1
1
0..n
0..n
Office of the National Coordinator for
Health Information Technology
Data Element Name
Data Element Definition
Datatype
ContentProfile Object
An object that identifies, if
appropriate, the content
profile supported by the
service.
Object
SecurityProfile Object
An object that identifies, if
appropriate, the security
profile supported by the
service.
Object
Address
The address of the Electronic
Service
String
Preferred Method
Integer between 0 and 99
indicating the preferred order
of the service, where 0 is the
most preferred service and 99
is the least preferred
Numeric, 2 digit
Expected
Vocabulary
Example Value
implementation guidance
The Provider Directory
ContentProfile CEDD
object shows
representative examples
of coded elements and
descriptions.
The Provider Directory
SecurityProfile CEDD
object shows
representative examples
of coded elements and
descriptions
The integration profile
identified will define the
format of this value
An electronic service is a
new unique endpoint. A
new unique electronic
service should be created
for each electronic
address in which the data
elements differ.
Individual Provider Identity (Query and Response)
The Individual Provider Identity object is used in a query for and a response to a query for an individual provider.
Cardinality
0..n
0..n
1
0,1
Office of the National Coordinator for
Health Information Technology
Data Element Name
Data Element Definition
Datatype
Individual ID
An identifier assigned by the
provider directory whose
purpose is to uniquely
identify an individual record
within this provider
directory.
String
Alternate Individual
Identifier
An identifier, usually unique ,
associated with this
Individual ID
Status of the Individual
String
Legal name of the individual see Individual Name Object
(for individuals, this is the
name on the birth certificate
or naturalization forms or as
legally changed)
Alternative or other names
used by the individual - see
Individual Name Object
Code to define type of
provider based on standard
code set
Specialty of Individual
Object
1
Object
0..n
Individual Record Status
Legal Individual Name
Alternate/Other Known
Individual Names
Individual Provider Type
Individual Specialty
Expected
Vocabulary
String
Code
ISO 21298
Code
ISO 21298
Or
Use Care Transition
Example Value
Cardinality
Return of this
information assumes that
the query included
information from the
Individual Section or a
unique reference for the
individual
May be any alternative
identifier, including an
OID.
Valid values are "active",
"inactive", "retired" and
"deceased"
1
ISO 21298 is
recommended but NOT
required
ISO 21298 or NUCC is
recommended but NOT
required
0..n
1
0..n
0..n
Office of the National Coordinator for
Health Information Technology
Data Element Name
Individual Gender
Data Element Definition
Gender of Individual
Datatype
String
Expected
Vocabulary
– Provider Type
Value Set (NUCC)
HL7 GenderCode
Example Value
Cardinality
Set of "M", "F" no entry
or null would be used for
unknown or
indeterminate
0,1
May also use HL7
GenderCode Value Set if
desired
Date of Birth
Individual Address Object
Individual Telephone
Object
Individual NPI
Individual Certification
Individual State License
Individual Professional
Degree
Individual Email
Birthdate of individual
Physical Addresses for the
individual - see Address
Object
Telephone numbers for the
Individual - See Telephone
Object
NPI assigned by NPPES NPI
Registry
List of certifications held by
the individual - see
Certification Object
List of state licenses held by
the individual - see State
License Object
List of professional degrees
held by the individual - see
Professional Degree Object
Email addresses used by the
individual (other than for
Date
Object
0,1
0..n
Object
0..n
Integer
NPI from CMS
NPPES
Single NPI for a person Single Type 1 NPI
0,1
Object
0..n
Object
0..n
Object
0..n
String
0..n
Office of the National Coordinator for
Health Information Technology
Data Element Name
Data Element Definition
Direct)
Description of electronic
services provided by the
individual - see Electronic
Service Information Object
A base 64 encoded
representation of the public
digital certificate
Serial number from the
public digital certificate
Individual Electronic
Service Information
Individual Public Digital
Certificate
Individual Digital
Certificate ID
Individual Digital
Certificate distinguished
name
3.2.1
Distinguished Name field
from digital certificate
Datatype
Expected
Vocabulary
Example Value
Object
Cardinality
0..n
String
This is a list of
organization public digital
certificates
This is a list of digital
certificate Serial Numbers
for all individual public
digital certificates
This is a list of digital
certificate Distinguished
Names for all Individual
Public Digital Certificates
String
String
0..n
0..n
0..n
Individual Provider Identity Query Example
In this example query for an individual provider identity, the consumer requests a list of individuals by specifying one or more objects included in
the Individual Provider Identity Query Response Object. The response must include all available objects for all individuals that satisfy the query.
Query
Cardinality
1,nq
Description
Elements included in the
Individual Provider Identity
Object
Response
Cardinality
Description
0,nr
Individual Provider Identity
Instances
0,nr
Associated Provider Directory
Object Instances
Office of the National Coordinator for
Health Information Technology
Organization Provider Identity (Query and Response)
The Organization Provider Identity object is used in a query for and a response to a query for an organization.
Data Element Name
Data Element Definition
Datatype
An identifier assigned by the
provider directory whose
purpose is to uniquely
identify an organization
record within this provider
directory.
An identifier, usually unique ,
associated with this
Organization ID
Status of the Organization
String
Legal name of the
organization
String
Organization Alias
Alternate names for the
organization
String
Organization Address
Object
Physical addresses of the
Organization - see Address
Object
Type of the organization
Telephone numbers for the
organization - see Telephone
Object
National provider identifier
Object
Organization ID
Alternate Organizational
Identifier
Organizational Record
Status
Organization Legal Name
Organization Type
Organization Telephone
Object
Organization NPI
Expected
Vocabulary
May be any alternative
identifier, including an
OID.
Valid values are "active"
or "inactive"
Legal name of
organization if this
Organization ID has a
legal name
Includes DBA's and nonlegal names such as
departments or roles
Populated using the
Provider Address CEDD
Object
String
String
Cardinality
1
String
String
Object
Example Value
ISO 21298
Populated using the
Provider Telephone
CEDD Object
0..n
1
0,1
0..n
1..n
1..n
1..n
0..n
Office of the National Coordinator for
Health Information Technology
Data Element Name
Data Element Definition
Datatype
Expected
Vocabulary
Example Value
Cardinality
Organization Certification
Object
issued to the organization
Certifications held by the
organization
Object
Organization Specialty
Specialty of the Organization
String
Organization Policy
Information
Policies supported by the
Organization - see Policy
Information Object
Emails for the organization
(other than a Direct address)
Description of electronic
services provided by the
organization
A base 64 encoded
representation of the public
digital certificate
Serial number from the
public digital certificate
Object
0..n
String
0..n
Distinguished Name field
from digital certificate
String
Organization Email
Organization Electronic
Service Information Object
Organization Public Digital
Certificate
Organization Digital
Certificate ID
Organization Digital
Certificate distinguished
name
Object
String
String
Healthcare Provider
Taxonomy Code Set
Populated using the
Provider Certification
CEDD Object
Standard Code Sets for
Specialty
Populated using the
Electronic Service
Information CEDD Object
This is a list of
organization public
digital certificates
This is a list of digital
certificate Serial
Numbers for all
organization public
digital certificates
This is a list of digital
certificate Distinguished
Names for all
organization Public
Digital Certificates
0..n
0..n
0..n
0..n
0..n
0..n
Office of the National Coordinator for
Health Information Technology
3.3.1
Organization Provider Identity Query Object – Example Usage
A consumer requests a list of organizations and those organizations’ relationships to other organizations by specifying one or more objects
included in the Organization Object.
The response must include:
1. All available objects for all organizations that satisfy the query.
2. All instances of the Organization to Organization Relationship Object in which the Organization ID of an organization that satisfies the
query is stored as either a Parent Organization ID or Child Organization ID data element.
Query
Cardinality
1,nq
Response
Description
Cardinality
Elements included in the
Organization Object
Description
0,nr
Organization Object Instances
0,nx
Organization to Organization
Relationship Object Instances
0,nr
Associated Provider Directory
Object Instances
Policy
The Policy object is used to store information about policies and regulations that may need to be queried or exchanged.
Data Element Name
Policy Name
Data Element Definition
Name of the Policy as defined by
Datatype
String
Expected
Vocabulary
Example Value
Policy Information may
Cardinality
1
Office of the National Coordinator for
Health Information Technology
Data Element Name
Data Element Definition
Datatype
Expected
Vocabulary
the community, state or federal
governance or policy authority
Computable Policy
Object
Policy Document
Address
Policy Document
Placeholder for a URL pointing to a
"to be defined" Computable Policy
Object – details to be defined in
the Provider Directory ESI Object
Model
Contains a URL address to where a
human readable policy document
can be found
Electronic copy of policy in PDF
format
Example Value
contain elements related to
the presence or absence of a
DURSA or other policy
related agreements
Planning for future effort to
define meta data associated
with policies to automate the
sharing/disclosure of data
URL
URL
Cardinality
0,1
0,1
Binary Object
PDF format is recommended
0,1
Provider Address
The Provider Address Object contains a single physical (postal) address. Internationalization is currently out of scope, and may be considered as
necessary in the future.
Data Element Name
Address line 1
Address line 2
City
County
State
Data Element Definition
Datatype
Expected
Vocabulary
Example Value
Cardinality
First line of an address
Second address line, if needed
String
String
1
0,1
Contains a valid US city
String
Valid US city
0,1
Contains a valid US county
String
Valid list of US counties
0,1
Two digit state
String
Use Care
Transition –State
Vocabulary is specified to
make this encoded value --
1
Office of the National Coordinator for
Health Information Technology
Data Element Name
Data Element Definition
Datatype
ZIP Code
five digit zip with optional
extension
String
Usage
Indicates the usage for this
address.
String
Valid values are:
Expected
Vocabulary
Value Set
Use Care
Transition –Zip
Code Value Set
Use Provider
Directory –
Address Usage
Value Set
Example Value
valid city based on US postal
codes
Use coded values from list of
US ZIP codes (drawn from US
postal codes)
Practice location, Mailing,
payment, legal
Cardinality
0,1
0,1
a) practice - the address at which
healthcare services are provided
b) mailing - the address to send
general mail
c) payment - the address to sent
payment and billing issues
d) legal - the address to which legal
communication should be directed.
Provider Certification
The Provider Certification object is used to detail specific attributes about the type of certification(s) that an individual provider has acquired.
Data Element Name
State Certifying
Certifying Authority
Data Element Definition
State certifying assuming it is a
state based certifying authority
otherwise state is not required
Name of Certifying authority as it
appears on the certification
Datatype
String
String
Expected
Vocabulary
Use Care
Transition – State
Value Set
Example Value
Cardinality
Standard state abbreviations
(e.g. CA)
0,1
e.g. American board of
internal medicine
1
Office of the National Coordinator for
Health Information Technology
Data Element Name
Data Element Definition
Datatype
Certificate Type
Name of the certification as defined
by the certifying authority
Certificate number assigned by the
certifying authority
Four digit year certification was
granted
String
Certificate Number
Year Granted
Expected
Vocabulary
Example Value
Cardinality
e.g. fellow in endocrinology
1
String
1
Integer
1
Provider Directory Content Profile
The ContentProfile object identifies the content profile supported by the electronic health record destination. A content profile may be
necessary to support those services which demand a content wrapper.
This object is used directly in conjunction with the Electronic Service Information object.

NOTE: In both the Provider Directory ESI Object Model and in the S&I CEDD, IntegrationProfile, ContentProfile, and SecurityProfile
dictionaries have not been defined to date.
Data Element Name
Data Element Definition
Datatype
ContentProfile
A coded value that identifies, if
appropriate, the content
profile supported by the
service.
String/Coded
ContentProfileVersion
The version(s) of the content
profile supported
String
Expected
Vocabulary
Use ContentProfile
Examples from ESI
Object Model
Use ContentProfile
Examples from ESI
Object Model
Example Value
Cardinality
Use the ESI Object Model
ContentProfile object for
representative examples
of coded versions for
each ContentProfile and
descriptions/options.
Use the ESI Object Model
ContentProfile object for
representative examples
of coded versions for
each ContentProfile and
1
0..n
Office of the National Coordinator for
Health Information Technology
Data Element Name
Data Element Definition
Datatype
Expected
Vocabulary
Example Value
Cardinality
descriptions/options.
ContentProfileConstraints A coded value that identifies, if
appropriate, additional
constraints on this
ContentProfile
String/Coded
Use ContentProfile
Examples from ESI
Object Model
Use the ESI Object Model
ContentProfile object for
representative examples
of coded elements and
descriptions.
0..n
Provider Directory Identification
This identifies a unique provider directory instance that can be queried. The reference to the provider directory is included as part of any
response to a query for individual or organization information from a provider directory in order to identify the specific provider directory
instance that supplies the response.
Data Element Name
Unique Provider Directory
Reference
Provider Directory Name
Data Element Definition
An identifier assigned to the
provider directory whose
purpose is to uniquely
identify the provider
directory from which a set of
data is retuned.
The name associated with
the Provider Directory
Datatype
String
Expected
Vocabulary
Example Value
Cardinality
These data elements
must provide a means for
a query response to
indicate the provider
directory that is the
source of the response.
0,1
String
0,1
Provider Directory Security Profile
The SecurityProfile object identifies the security profile supported by the service. This object is used directly in conjunction with the Electronic
Service Information object.

IntegrationProfile, ContentProfile, and SecurityProfile dictionaries have not been defined to date.
Office of the National Coordinator for
Health Information Technology
Data Element Name
Data Element Definition
Datatype
SecurityProfile
A coded value that identifies, if
appropriate, the security
profile supported by the
service.
String/Coded
SecurityProfileVersion
Version(s) of the security
profile supported
SecurityProfileConstraints A coded value that identifies, if
appropriate, constraints
supported by this
SecurityProfile
Expected
Vocabulary
Use SecurityProfile
Examples from ESI
Object Model
String
Use SecurityProfile
Examples from ESI
Object Model
String/Coded
Use SecurityProfile
Examples from ESI
Object Model
Example Value
Cardinality
Use the ESI Object Model
SecurityProfile object for
representative examples
of coded elements and
descriptions
Use the ESI Object Model
SecurityProfile object for
representative examples
of coded versions for
each SecurityProfile and
descriptions/constraints
Use the ESI Object Model
SecurityProfile object for
representative examples
of coded elements and
descriptions
1
0..n
0..n
Provider Individual Name
The Provider Individual Name object can be used to support the querying of an individual provider using their only their name. It may be used in
situations where more details about the provider are not available.
Data Element Name
Individual First Name
Individual Middle
Name
Data Element Definition
Datatype
First Name or Given Name of the
Individual
String
Middle Name or Initial of the
Individual
String
Expected
Vocabulary
Example Value
For names, suggest support
for Soundex, partial string,
and wild card
For names, suggest support
for Soundex, partial string,
and wild card
Cardinality
1
0,1
Office of the National Coordinator for
Health Information Technology
Data Element Name
Data Element Definition
Datatype
Individual Last Name
Last Name or Family Name of
individual
String
Individual Prefix
Honorary title
String
Individual Suffix
Generational Identifier
String
Expected
Vocabulary
Example Value
For names, suggest support
for Soundex, partial string,
and wild card
Honorary title, example Dr.,
Sister
Generational identifier,
example Jr., Sr., II
Cardinality
1
0,1
0,1
Provider Professional Degree
This object identifies the specific degree that a provider has obtained.
Data Element Name
Data Element Definition
Datatype
Granting Institution
The formal name of the institution
granting the professional degree
Code representing the degree
granted as defined in the code set
String
Four digit year degree was granted
Integer
Degree
Year Granted
String
Expected
Vocabulary
Example Value
Cardinality
1
Use Provider
Directory – Degree
Value Set
RN
1
Valid year
1
Provider Telephone
The Provider Telephone object is used to represent discrete data about a specific provider’s telephone information.
Data Element Name
Data Element Definition
Telephone Number
Telephone number in
standard telephone format
(aaa) nnn-nnnn
Datatype
String
Expected
Vocabulary
Example Value
Cardinality
1
Office of the National Coordinator for
Health Information Technology
Data Element Name
Usage
Data Element Definition
Indicates the usage for this
number.
Datatype
String
Expected
Vocabulary
Use Provider
Directory –
Telephone Usage
Value Set
Example Value
Valid values are:
Cardinality
1
a) business
b) mobile
c) pager
d) fax
State License
The State License object is used to describe information on the credentials for a specific provider.
Data Element Name
State Issuing
Issuing Authority
License Type
License Number
Year Issued
Data Element Definition
Datatype
Expected
Vocabulary
Use Care Transition
– State Value Set
from CEDD Value
Set Index
Example Value
Two digit state which issued
the license
String
The name of the authority
issuing the license
Describes what the individual
is licensed to practice, for
example: physician, nurse,
dental, therapist, etc.
String
The number assigned by the
Issuing Authority for this
license
Four digit year the Issuing
Authority issued this license
for this individual
String
1
Integer
1
String
Standard state
abbreviations (e.g. CA)
Cardinality
1
1
Use License Type
Value Set from
CEDD Value Set
Index
Physician, Nurse, Dental,
Therapist, Pharmacist,
Optician, Midwife,
Medical Assistant, Allied
Health, Other
1
Office of the National Coordinator for
Health Information Technology
Data Element Name
Status
Data Element Definition
Datatype
Status of the license: active,
inactive, revoked suspended
String
Expected
Vocabulary
Example Value
Cardinality
0,1
4. Value Sets Representation
The following value sets would be proposed for inclusion in the S&I Framework CEDD Value Set index. This index keeps a list of current value sets
as defined/reused within other S&I Framework initiatives. Several of the value sets listed are reusable across multiple initiatives, while the
Provider Directory initiative introduces several new value sets (in this case, enumerated lists) for reuse in other initiatives.
An important note needs to be added to this analysis – the value sets listed here would in many cases not be considered true “value sets” in the
sense that they are simply enumerated values that constrain a specific data element. Such values do not draw from any specific controlled
vocabulary and this is noted.
This list can also be appended by other S&I Framework initiatives who wish to include other values as well.
The CEDD analysis concluded that the listed values would be relevant for inclusion into the S&I CEDD to promote reuse of these enumerated
values by other S&I Framework initiatives.
Care Transition – State Value Set
The value set for coding a state value in the S&I Framework is to use any FIPS 5-2 Codes (Identification of the States, the District of Columbia and
the Outlying Areas of the United States, and Associated Areas Publication # 5-2, May, 1987).

NOTE: This value set is adopted from HITSP C80 - Clinical Document and Message Terminology Component without change
Value Set Metadata Element
Source
URL
Type of Binding
Description
Value Set Metadata Element Description
S&I Framework (Reused from HITSP C80)
http://www.itl.nist.gov/fipspubs/fip5-2.htm
Dynamic
Office of the National Coordinator for
Health Information Technology
Code System
Codes for the Identification of the States, the
District of Columbia and the Outlying Areas of the
United States, and Associated Areas Publication #
5-2, May, 1987
Also referred to as FIPS 5-2
Care Transition – Postal Code Value Set
This value set is used within the S&I Framework to represent United States postal codes (known in various countries as a post code, postcode, or
ZIP code) appended to a postal address for the purpose of sorting mail. The value set allows the use of any United States Postal Service (USPS)
postal code.

NOTE: This value set is adopted from HITSP C80 - Clinical Document and Message Terminology Component without change
Value Set Metadata Element
Source
URL
Type of Binding
Description
Code System
Value Set Metadata Element Description
Consolidated CDA
http://zip4.usps.com/zip4/welcome.jsp
Dynamic
United States Postal Service (USPS)
Care Transition – Provider Type Value Set
The value set for a Provider Type in a care transition uses the National Uniform Claim Committee (NUCC) Health Care Provider Taxonomy. This
Provider Type value set classifies providers according to the type of license or accreditation they hold or the service they provide.
A list of the most common provider types is provided below. At this time, the concept codes are not available from NUCC and this table outlines
the high level “Provider Type” classification only:
Value Set Metadata Element
Source
Value Set Metadata Element Description
Consolidated CDA
Office of the National Coordinator for
Health Information Technology
URL
Type of Binding
Description
Code System
http://www.nucc.org/index.php?option=com_content&ta
sk=view&id=14&Itemid=40
Dynamic
National Uniform Claim Committee (NUCC)
Health Care Provider Taxonomy
The following table captures values defined in the S&I Framework Transitions of Care Initiative for provider types, using the NUCC. This list is
provided as purely informative and ISO 21298 functional roles may be substituted as well:
Provider Type Concept Name
Behavioral Health & Social
Service Providers
Chiropractic Providers
Dental Providers
Dietary and Nutritional
Service Providers
Emergency Medical Service
Definition
Broad classification aggregating providers who are trained and
educated to perform services related to behavioral health, mental
health, and counseling and may be licensed or practice within the scope
or licensure or training
A provider qualified by a Doctor of Chiropractic (D.C.) licensed by the
State and who practices chiropractic medicine -that discipline within the
healing arts which deals with the nervous system and its relationship to
the spinal column and its interrelationship with other body systems
Broad category to identify practitioners who render services related the
practice of dentistry. Dentistry is defined as the evaluation, diagnosis,
prevention and/or treatment (nonsurgical, surgical or related
procedures) of diseases, disorders and/or conditions of the oral cavity,
maxillofacial area and/or the adjacent and associated structures and
their impact on the human body; provided by a dentist, within the
scope of his/her education, training and experience, in accordance with
the ethics of the profession and applicable law
Broad category defining practitioners who help prevent and treat illness
by promoting healthy eating habits, scientifically evaluating diets and
suggesting modifications. They may also assess the nutritional needs of
patients, develop and implement nutritional care plans
Broad category for individuals who complete additional training and
Office of the National Coordinator for
Health Information Technology
Provider Type Concept Name
Providers
Eye and Vision Service
Providers
Nursing Service Providers
Pharmacy Service Providers
(Individuals)
Allopathic & Osteopathic
Physicians
Podiatric Medicine and
Surgery Providers
Respiratory, Developmental,
Rehabilitative and
Restorative Service Providers
Speech, Language and
Hearing Providers
Agencies
Ambulatory Health Care
Facilities
Hospitals
Definition
education in the area of pre-hospital emergency services and are
licensed and/or practice within the scope of that training
Broad category grouping individuals who renders services related to the
human eye and visual systems, but are not an allopathic or osteopathic
physicians
Providers who are trained and educated to perform and administer
services related to health promotion, disease prevention, acute and
chronic care, spiritual guidance and comfort for healing and health,
restoration of health and health maintenance across the life span
A broad category grouping providers who render services relating to the
preparation and dispensing of drugs
A broad category grouping state licensed providers in allopathic or
osteopathic medicine whose scope of practice is determined by
education
Broad category grouping licensed providers who renders services
related to the human foot
A provider who is trained and educated to perform services related to
respiratory care, physical therapy, occupational therapy, developmental
therapy, rehabilitation and restorative services and may be licensed,
certified or practice within the scope of training
A provider who renders services to improve communicative skills of
people with language, speech and hearing impairments
A non-facility provider that renders outpatient outreach services that
are not provided at a specific location. The licensure or registration is
assigned to the agency rather than to the individual practitioners as
would be the case in a group practice
A facility or distinct part of one used for the diagnosis and treatment of
outpatients. "Clinic/Center" is irregularly defined, sometimes being
limited to organizations serving specialized treatment requirements or
distinct patient/client groups (e.g., radiology, poor, and public health)
A healthcare organization that has a governing body, an organized
Office of the National Coordinator for
Health Information Technology
Provider Type Concept Name
Laboratories
Managed Care Organizations
Nursing & Custodial Care
Facilities
Residential Treatment
Facilities
Suppliers
Physician Assistants &
Advanced Practice Nursing
Providers
Nursing Service Related
Providers
Definition
medical staff and professional staff and inpatient facilities and provides
medical nursing and related services for ill and injured patients 24 hrs
per day, seven days per week. For licensing purposes, each state has its
own definition of hospital
A room or building equipped for scientific experimentation, research,
testing, or clinical studies of materials, fluids, or tissues obtained from
patients
Not Available
Broad category identifying licensed facilities with inpatient beds
specializing in nursing and custodial care
Live in facilities where patients or clients, who because of their physical,
mental, or emotional condition, are not able to live independently, and
who receive treatment appropriate to their particular needs in a less
restrictive environment than an inpatient facility. For example, an RTC
may provide educational training and therapy for children with
emotional disturbances or continuing care and therapy for people with
severe mental handicaps
Suppliers, pharmacies, and other healthcare providers who supply
healthcare related products or medications and associated professional
and administrative services
A broad grouping of providers who are: 1) trained, educated, and
certified to perform basic medical and minor surgical services (or to
assist the physician in performance of more complex services) under
general physician supervision; and 2) trained, educated at a postgraduate level, and certified to perform autonomous and specialized
roles as nurse practitioners, midwives, nurse anesthetists, or clinical
nurse specialists
Providers not otherwise classified, who perform or administer services
in or related to the delivery or research of healthcare services, disease,
and restoration of health. An individual provider who is not represented
in one of the identified categories but whose data may be needed for
Office of the National Coordinator for
Health Information Technology
Provider Type Concept Name
Definition
clinical, operational or administrative processes
Provider Directory State License Type Value Set
The S&I Framework recommends inclusion of the following enumerated list of values for identifying state licenses:
Value Set Metadata Element
Source
URL
Type of Binding
Description
Code System
Value Set Metadata Element Description
S&I Framework
Local to S&I Framework
URL TBD
Static
This value set was developed within the Provider
Directory initiative to capture information
surrounding the specific state license type that an
individual provider has.
S&I Framework Enumerated List (code system n/a)
The following table captures values defined in the S&I Framework Provider Directory initiative for provider state license types, as an enumerated
list:
State License Type Enumerated List Value
Physician
Nurse
Dental
Therapist
Pharmacist
Optician
Midwife
Medical Assistant
Allied Health
Other
Meaning
Office of the National Coordinator for
Health Information Technology
Provider Directory Address Usage Value Set
The S&I Framework recommends inclusion of the following enumerated list of values for identifying the usage of a specific provider address:
Value Set Metadata Element
Source
URL
Type of Binding
Description
Code System
Value Set Metadata Element Description
S&I Framework
Local to S&I Framework
URL TBD
Static
This value set was developed within the Provider
Directory initiative to capture information
surrounding the usage of a provider address
S&I Framework Enumerated List (code system n/a)
The following table captures values defined in the S&I Framework Provider Directory initiative for provider address usage, as an enumerated list:
Provider Address Enumerated List Value
Practice Location
Mailing
Payment
Legal
Usage Note
The address at which healthcare services are
provided
The address to send general mail
The address to send payment and billing issues
The address to which legal communication should
be directed
Provider Directory Degree Value Set
The S&I Framework recommends inclusion of the following enumerated list of values for identifying degrees/credentials that a provider may
have acquired:
Value Set Metadata Element
Source
Value Set Metadata Element Description
S&I Framework
Office of the National Coordinator for
Health Information Technology
URL
Type of Binding
Description
Code System
Local to S&I Framework
URL TBD
Static
This value set was developed within the Provider
Directory initiative to capture information
surrounding the specific degrees/credentials that
an individual provider has.
S&I Framework Enumerated List (code system n/a)
The following table captures values defined in the S&I Framework Provider Directory initiative for a provider degree/credential as an
enumerated list:
Provider Degree Enumerated List Value
Meaning
MD
DO
DC
PhD
BS
BA
MPH
MS
MA
RN
LVN
LPT
OTR
AuD
OD
Provider Directory License Status Value Set
The S&I Framework recommends inclusion of the following enumerated list of values for identifying a provider’s license status:
Office of the National Coordinator for
Health Information Technology
Value Set Metadata Element
Source
URL
Type of Binding
Description
Code System
Value Set Metadata Element Description
S&I Framework
Local to S&I Framework
URL TBD
Static
This value set was developed within the Provider
Directory initiative to capture information
surrounding the status of a specific state license
that an individual provider has.
S&I Framework Enumerated List (code system n/a)
The following table captures values defined in the S&I Framework Provider Directory initiative for provider license status as an enumerated list
Provider License Status Enumerated List Value
Active
Inactive
Revoked
Suspended
Usage Note
Provider Directory Telephone Usage Value Set
The S&I Framework recommends inclusion of the following enumerated list of values for identifying the usage of a specific telephone number:
Value Set Metadata Element
Source
URL
Type of Binding
Description
Value Set Metadata Element Description
S&I Framework
Local to S&I Framework
URL TBD
Static
This value set was developed within the Provider
Directory initiative to capture information
Office of the National Coordinator for
Health Information Technology
surrounding the usage of a telephone number.
S&I Framework Enumerated List (code system n/a)
Code System
The following table captures values defined in the S&I Framework Provider Directory initiative for telephone usage as an enumerated list
Provider Telephone Usage Enumerated List Value
Business
Mobile
Pager
Fax
Usage Note
5. Objects and Data Elements not included
The following objects from the Provider Directory ESI Object model were not included in the analysis:
Area of Analysis not included
Individual to Individual Relationship
Organization to Organization Relationship
Organization to Individual Relationship
Integration Profile Examples
Security Profile Examples
Content Profile Examples
Reasoning Used in Analysis
May need to be modeled in the CEDD directly – further discussion in the CEDD Workgroup
May need to be modeled in the CEDD directly – further discussion in the CEDD Workgroup
May need to be modeled in the CEDD directly – further discussion in the CEDD Workgroup
As of now, recommend inclusion only in the ESI Object Model (can be linked to directly)
As of now, recommend inclusion only in the ESI Object Model (can be linked to directly)
As of now, recommend inclusion only in the ESI Object Model (can be linked to directly)