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="PPRF">
<assignedEntity>
<id root="2.16.840.1.113883.19" extension="1"/>
<code displayName="Pediatric Surgeon" codeSystemName="NUCC"
codeSystem="2.16.840.1.113883.6.101" code="2086S0120X"/>
<addr>
<streetAddressLine>1013 Healthcare Drive</streetAddressLine>
<city>Ann Arbor</city>
<state>MI</state>
<postalCode>99999</postalCode>
<country>US</country>
</addr>
<telecom value="tel:(555)555-1013"/>
<assignedPerson>
<name>
<prefix>Dr.</prefix>
<given>Carl</given>
<family>Cutter</family>
</name>
</assignedPerson>
</assignedEntity>
</performer>