This page is part of the CCDA: Consolidated CDA Release (v5.0.0-ballot: CCDA 5.0 Ballot) generated with FHIR (HL7® FHIR® Standard) v5.0.0. This version is a pre-release. The current official version is 4.0.0. For a full list of available versions, see the Directory of published versions
<performer xmlns="urn:hl7-org:v3" typeCode="PRF">
<time value="20130715223615-0800"/>
<assignedEntity>
<id root="2.16.840.1.113883.4.6" extension="5555555555"/>
<code displayName="General Physician" codeSystemName="SNOMED CT"
codeSystem="2.16.840.1.113883.6.96" code="59058001"/>
<addr>
<streetAddressLine>1004 Healthcare Drive</streetAddressLine>
<city>Portland</city>
<state>OR</state>
<postalCode>99123</postalCode>
<country>US</country>
</addr>
<telecom value="tel:+1(555)-1004" use="WP"/>
<assignedPerson>
<name>
<given>Patricia</given>
<given qualifier="CL">Patty</given>
<family>Primary</family>
<suffix qualifier="AC">M.D.</suffix>
</name>
</assignedPerson>
</assignedEntity>
</performer>