Healthcare Provider Directory (HPD) Data Model Discussion

Healthcare Provider Directory (HPD) Data Model Discussion IHE Tcon January 5, 2010 SOCIAL SECURITY ADMINISTRATION-HIT SUPPORT

Topics • HPD Overview • HPD Data Model Review • Next Steps SOCIAL SECURITY ADMINISTRATION-HIT SUPPORT

HPD Overview • This proposal recommends development of a unified approach for electronic lookup query where, upon initiated with a unique identifier or key demographic elements, an authorized user may obtain content of a unique provider entry with high reliability. • Beyond the query lookup functionality, there is a minimum set of transactions required to create and maintain the directory service, first of which is the ability to make additions and updates to provider entries. • The scope of this proposal focuses initially on the minimum “foundational” set required for defining a provider directory, resulting in a usable work product as well as recommendations for future phase expansions. SOCIAL SECURITY ADMINISTRATION-HIT SUPPORT

HPD Actors and Transactions Provider Registry Source Add/Update Provider Secure IT Infrastructure Notify of Change HIT Provider Registry Provider Registry Consumer Lookup Provider Subscribe Authentication Auditing Transaction Actor SOCIAL SECURITY ADMINISTRATION-HIT SUPPORT

Properties Relationships Provider Classifications HPD Content Model • The HPD Content Model supports the query for provider based on properties, relationships, and classifications SOCIAL SECURITY ADMINISTRATION-HIT SUPPORT

Metadata based registry SOCIAL SECURITY ADMINISTRATION-HIT SUPPORT

Individual Provider View Provider Alias Has Individual Provider Organization (s) Has Has Has has business Relationship (s) Education (s) Is composed of (many) Department (s) Credential (s) Is housed in (many) Facility (s) Specialty Is located at Is located at has business Relationship (s) Is composed of (many) Addresses (s) Is housed in (many) Has SOCIAL SECURITY ADMINISTRATION-HIT SUPPORT

Organization View Provider Alias Has Organization Organization Is composed of (many) Has Has Specialty (s) Credential (s) Department (s) Department (s) (many) business relationship (s) Is housed in (many) Individual Provider Facility (s) Which are located at Which are at (Many) Business Relationship (s) Is Composed of (many) Addresses (s) Addresses (s) Is housed in (many) Has SOCIAL SECURITY ADMINISTRATION-HIT SUPPORT

Use Case View Provider Alias Has Organization Belongs to HIE/HIO May support Business Use Case (s) Owns Owns May Support Use Case Owner Belongs to SOCIAL SECURITY ADMINISTRATION-HIT SUPPORT

Attributes Individual Provider • HPD Individual Provider ID • Provider Middle Name • Provider First Name • Provider Last Name • Provider Suffix • Languages Spoken List • Provider Gender • Provider Race • Provider Validation Flag • Provider Birth Date • Provider Birth State Code • Provider Birth Country Code • Social Security Number Organization • HPD Organization ID • ClinicalOrganizationRole • Organization Description • Organization Name • Effective End Date • Effective Start Date • Trusted Source • EIN Provider Entity • HPD Provider ID • Provider Status • Provider Tax ID • Provider Type • Provider Enumeration Date • Provider DEA • Provider CLIA ID • Provider Medicare ID (Legacy List) • Provider UPIN (Legacy List) • Provider NPI List • Provider Validation Flag • Effective End Date • Effective Start Date Provider Alias • Alias Last Or Organization Name • Alias First Name • Alias Middle Name • Alias Type Code • Effective Start Date • Effective End Date SOCIAL SECURITY ADMINISTRATION-HIT SUPPORT

Attributes Education • ED Activity Title ID • ED Award Date • ED Course Date • ED Creation Date • ED Degree Description • ED Degree Type ID • ED Degree Level • ED Hours • ED Provider ID • ED End Date • ED Method • ED ORG ID • ED Renewal Date • ED Training Type • ED Start Date • ED Verify Date Credential • Certification Type Name • Certification Type Description • State Code • CERT Verify Date • Certification License Number • CERT ORG ID • Certification Date • Credential Date • Renewal Date • Effective Start Date • Effective End Date Specialty • HPD Specialty ID • Specialty Description • Specialty Name • Effective End Date • Effective Start Date SOCIAL SECURITY ADMINISTRATION-HIT SUPPORT

Attributes Address • HPD Location ID • Location Description • City • Zip Code • Location Type • First Line Address • Second Line Address • Fax Number • Telephone Number • Country Code • URL • Effective End Date • Effective Start Date • State Code Additional Identifier • Provider Addition Identifier • Identifier Type • Identifier Issue Date • Identifier Expiration Date • Identifier Status • Identifier Notes • Identifier Verification Date • Deactivation Reason Code • State Code Business Relationship • HPD Business Relationship ID • HPD Individual Provider ID • HPD Department ID • HPD Organization ID • Relationship Type • Relationship Status • Trust Indicator • Effective End Date • Effective Start Date • Relationship Number (Local Identifer) SOCIAL SECURITY ADMINISTRATION-HIT SUPPORT

Attributes HIE/HIO • HIE Name • HIE Contact Information • HIE Identifier (OID) • HIE Partnership Status • HIE Certification Status • DURSA Level • HIE Network Info • Effective End Date • Effective Start Date Business Use Case • Use Case Name • Use Case Service Description • Use Case Service Status • Effective End Date • Effective Start Date Use Case Owner • Use Case Owner Address • Use Case Owner Phone Number • Use Case Owner Contact Name • Use Case Owner Name SOCIAL SECURITY ADMINISTRATION-HIT SUPPORT

Next Steps • Decide on a Data Modeling tool • Current use: IBM Rational Software Architect and Computer Associates ERWIN • Propose Open source data modeling tool • Standards (TCON – January 19, 2010) SOCIAL SECURITY ADMINISTRATION-HIT SUPPORT

Backup Information SOCIAL SECURITY ADMINISTRATION-HIT SUPPORT

Use Case View SOCIAL SECURITY ADMINISTRATION-HIT SUPPORT

Feedback and considerations on data model SOCIAL SECURITY ADMINISTRATION-HIT SUPPORT

Healthcare Provider Directory (HPD) Data Model Discussion