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StructureDefinition ​

FHIR StructureDefinitions, including extensions, defined by DirectTrust.

Profiles and Extensions Defined by DirectTrust

TitleVersionStatusDateDescription
hispId Extension1.0.0activeThis extension represents the code established for a Health Information Service Provider's ID (HISPID) in the DirectTrust Network. When used on an Endpoint, it represents the HISP that serves or is responsible for the…
ialCode Extension1.0.1active2026-10-12The coded identity authentication level associated with this endpoint.
Location Information Endpoint Extension1.0.0activeThis extension adds a reference to an Endpoint which carries the url of an page describing the digital communication capabilities associated with a Location.
Publishability Extension1.0.0activeThis extension indicates where a directory listing may be made accessible when directory information is distributed. Allowed integer values are: 1 = Providers Only (default), 2 = Consumers Only, 3 = Both.
MAP Intended Recipient0.1.0draft2026-10-05Identifies an Organization, PractitionerRole, or Practitioner intended to receive the SubmissionSet. A Practitioner reference with no relationship to an Organization and the practitioner role is STRONGLY NOT…
MaP Correlated Response Same as Originating1.0.1active2026-10-02Indicates whether correlated responses normally preserve the originating transaction metadata representation when supported.
MaP Endpoint CapabilityStatement1.0.3active2026-10-12FHIR R4 CapabilityStatement profile for DirectTrust MaP endpoint capabilities.
MaP Identifier Capability1.0.1active2026-10-02Declares an identifier namespace and endpoint behavior.
MaP Intended Workflow1.0.2active2026-10-12Declares a supported intended workflow and an optional advertised initial Workflow Status Update Endpoint. This discovery declaration may be used to select an initial reporting destination; it does not replace or…
MaP Metadata Packaging1.0.1active2026-10-02Declares a supported payload metadata representation, send/receive capability, and initiating preference.
MAP SubmissionSet Purpose20261102draft2026-10-14Identifies the MAP transaction or Shared Activity represented by the SubmissionSet. This required package-level transaction identity is independent of SubmissionSet contentTypeCode and the typeCode of each submitted…
MAP Current SubmissionSet List20261102-V9draft2026-10-14Independent FHIR R4 List profile aligned with IHE MHD conventions. Permits List.mode working for the current transaction SubmissionSet and snapshot for an identification snapshot of an earlier SubmissionSet where a…
MAP typed Context Instance identifier20261102draft2026-11-02Each repetition preserves one established Context Instance identifier and type; xdCXi preserves exact source CXi when supplied.
MAP source patient identifier20261102draft2026-11-02One source-known patient identifier, with assigning authority. The original XD CX string may be retained verbatim for lossless round trip.
MAP source patient demographics20261102draft2026-11-02One set of source patient demographic PID-field encodings; each pidField retains the original XD field string verbatim.
MaP Supported Transaction1.0.1active2026-10-02Declares a canonical transaction and endpoint send/receive support.
MaP Supported Use Case1.0.1active2026-10-02Declares a MaP use case supported by this endpoint.
MaP Terminology Capability1.0.1active2026-10-02Declares implementation-specific terminology support that materially affects interoperability.
MAP TX7 Patient Change List0.2.1draft2026-10-12FHIR R4 List of additions and removals of supported patient demographic and patient identifier values. Corrections use Remove/Add entries. This is primary payload content, not the SubmissionSet metadata List. Uses the…
MAP TX8 Originating Package Identification Snapshot0.1.0draft2026-10-12A minimal FHIR R4 List identifying the originating structured payload reported by TX8. Carries the original business identifier, sourceId, submissionTime, purpose and applicable Context identifiers while omitting…
MAP XD metadata preservation20261102draft2026-11-02Preserves a named XD metadata value without changing the semantics of a native FHIR mapping; for metadata without an exact FHIR R4 field.