C-CDA on FHIR
1.2.0 - STU 1 United States of America flag

This page is part of the C-CDA on FHIR Implementation Guide (v1.2.0: STU 1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

: Practitioner Brenda Jennings Richard - JSON Representation

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{
  "resourceType" : "Practitioner",
  "id" : "ccda-practitioner-example",
  "meta" : {
    "versionId" : "6",
    "lastUpdated" : "2020-08-12T21:30:18.070+00:00",
    "source" : "#csn482LCsnDWyxbW",
    "profile" : [
      🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Practitioner</b><a name=\"ccda-practitioner-example\"> </a><a name=\"hcccda-practitioner-example\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Practitioner &quot;ccda-practitioner-example&quot; Version &quot;6&quot; Updated &quot;2020-08-12 21:30:18+0000&quot; </p><p style=\"margin-bottom: 0px\">Information Source: #csn482LCsnDWyxbW!</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU4/StructureDefinition-us-core-practitioner.html\">US Core Practitioner Profile</a></p></div><p><b>identifier</b>: US National Provider Identifier/9999991011\u00a0(use:\u00a0OFFICIAL)</p><p><b>name</b>: Brenda Jennings Richard </p><p><b>telecom</b>: ph: 313-555-6868(HOME), ph: 313-555-6443(WORK)</p><p><b>address</b>: 346 W Plum Avenu Dearborn MI 48123</p><p><b>gender</b>: female</p><p><b>birthDate</b>: 1976-11-15</p></div>"
  },
  "identifier" : [
    {
      "use" : "official",
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "PRN",
            "display" : "Provider number"
          }
        ],
        "text" : "US National Provider Identifier"
      },
      "system" : "http://hl7.org/fhir/sid/us-npi",
      "value" : "9999991011"
    }
  ],
  "name" : [
    {
      "family" : "Richard",
      "given" : [
        "Brenda",
        "Jennings"
      ],
      "suffix" : [
        "MD"
      ]
    }
  ],
  "telecom" : [
    {
      "system" : "phone",
      "value" : "313-555-6868",
      "use" : "home"
    },
    {
      "system" : "phone",
      "value" : "313-555-6443",
      "use" : "work"
    }
  ],
  "address" : [
    {
      "text" : "346 W Plum Avenu Dearborn MI 48123",
      "line" : [
        "346 W Plum Avenue"
      ],
      "city" : "Dearborn",
      "state" : "MI",
      "postalCode" : "48126"
    }
  ],
  "gender" : "female",
  "birthDate" : "1976-11-15"
}