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Packagehl7.fhir.us.ndh
Resource TypeStructureDefinition
IdStructureDefinition-base-ext-cms-medicare-enrollment-in-good-standing.json
FHIR VersionR4
Sourcehttps://build.fhir.org/ig/HL7/fhir-us-ndh/StructureDefinition-base-ext-cms-medicare-enrollment-in-good-standing.html
URLhttp://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-cms-medicare-enrollment-in-good-standing
Version2.0.0-current
Statusactive
Date2026-07-22T20:37:41+00:00
NameCmsMedicareEnrollmentInGoodStanding
TitleNDH CMS Medicare Enrollment In Good Standing
Realmus
Authorityhl7
DescriptionIndicates whether an individual or organization is actively enrolled in Medicare according to CMS enrollment records (e.g., PECOS or other CMS enrollment systems).
TypeExtension
Kindcomplex-type

Resources that use this resource

StructureDefinition
hl7.fhir.us.ndh#currentndh-OrganizationNDH Organization Profile
hl7.fhir.us.ndh#currentndh-PractitionerNDH Practitioner Profile
hl7.fhir.us.ndh#currentndh-VerificationNDH Verification

Resources that this resource uses

No resources found


Examples of Use for Extension

ResourceVersion
hl7.fhir.us.ndh#current:Practitioner/HansSoloR4
hl7.fhir.us.ndh#current:Practitioner/JoeSmithR4

Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: StructureDefinition base-ext-cms-medicare-enrollment-in-good-standing

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..*ExtensionNDH CMS Medicare Enrollment In Good Standing
... extension 0..0Extension
... url 1..1uri"http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-cms-medicare-enrollment-in-good-standing"
... value[x] 1..1booleanValue of extension

doco Documentation for this format

Source1

{
  "resourceType": "StructureDefinition",
  "id": "base-ext-cms-medicare-enrollment-in-good-standing",
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "pa"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 4,
      "_valueInteger": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical": "http://hl7.org/fhir/us/ndh/ImplementationGuide/hl7.fhir.us.ndh"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode": "trial-use",
      "_valueCode": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical": "http://hl7.org/fhir/us/ndh/ImplementationGuide/hl7.fhir.us.ndh"
          }
        ]
      }
    }
  ],
  "url": "http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-cms-medicare-enrollment-in-good-standing",
  "identifier": [
    {
      "system": "urn:ietf:rfc:3986",
      "value": "urn:oid:2.16.840.1.113883.4.642.40.43.42.53"
    }
  ],
  "version": "2.0.0-current",
  "name": "CmsMedicareEnrollmentInGoodStanding",
  "title": "NDH CMS Medicare Enrollment In Good Standing",
  "status": "active",
  "date": "2026-07-22T20:37:41+00:00",
  "publisher": "HL7 International / Patient Administration",
  "contact": [
    {
      "name": "HL7 International / Patient Administration",
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/pafm"
        },
        {
          "system": "email",
          "value": "pafm@lists.hl7.org"
        }
      ]
    }
  ],
  "description": "Indicates whether an individual or organization is actively enrolled in Medicare according to CMS enrollment records (e.g., PECOS or other CMS enrollment systems).",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "US",
          "display": "United States of America"
        }
      ]
    }
  ],
  "fhirVersion": "4.0.1",
  "kind": "complex-type",
  "abstract": false,
  "context": [
    {
      "type": "element",
      "expression": "Practitioner"
    },
    {
      "type": "element",
      "expression": "Organization"
    },
    {
      "type": "element",
      "expression": "VerificationResult"
    }
  ],
  "type": "Extension",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
  "derivation": "constraint",
  "snapshot": {
    "extension": [
      {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version",
        "valueString": "4.0.1"
      }
    ],
    "element": [
      {
        "id": "Extension",
        "path": "Extension",
        "short": "NDH CMS Medicare Enrollment In Good Standing",
        "definition": "Indicates whether an individual or organization is actively enrolled in Medicare according to CMS enrollment records (e.g., PECOS or other CMS enrollment systems).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Extension",
          "min": 0,
          "max": "*"
        },
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false
      },
      {
        "id": "Extension.id",
        "path": "Extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension",
        "path": "Extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.url",
        "path": "Extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-cms-medicare-enrollment-in-good-standing",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.value[x]",
        "path": "Extension.value[x]",
        "short": "Value of extension",
        "definition": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      }
    ]
  },
  "differential": {
    "element": [
      {
        "id": "Extension",
        "path": "Extension",
        "short": "NDH CMS Medicare Enrollment In Good Standing",
        "definition": "Indicates whether an individual or organization is actively enrolled in Medicare according to CMS enrollment records (e.g., PECOS or other CMS enrollment systems)."
      },
      {
        "id": "Extension.extension",
        "path": "Extension.extension",
        "max": "0"
      },
      {
        "id": "Extension.url",
        "path": "Extension.url",
        "fixedUri": "http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-cms-medicare-enrollment-in-good-standing"
      },
      {
        "id": "Extension.value[x]",
        "path": "Extension.value[x]",
        "min": 1,
        "type": [
          {
            "code": "boolean"
          }
        ]
      }
    ]
  }
}