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 - XML Representation

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<Practitioner xmlns="http://hl7.org/fhir">
  <id value="ccda-practitioner-example"/>
  <meta>
    <versionId value="6"/>
    <lastUpdated value="2020-08-12T21:30:18.070+00:00"/>
    <source value="#csn482LCsnDWyxbW"/>
    <profile
             value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"/>
  </meta>
  <text>
    <status value="generated"/>
    <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 (use: OFFICIAL)</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>
  </text>
  <identifier>
    <use value="official"/>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
        <code value="PRN"/>
        <display value="Provider number"/>
      </coding>
      <text value="US National Provider Identifier"/>
    </type>
    <system value="http://hl7.org/fhir/sid/us-npi"/>
    <value value="9999991011"/>
  </identifier>
  <name>
    <family value="Richard"/>
    <given value="Brenda"/>
    <given value="Jennings"/>
    <suffix value="MD"/>
  </name>
  <telecom>
    <system value="phone"/>
    <value value="313-555-6868"/>
    <use value="home"/>
  </telecom>
  <telecom>
    <system value="phone"/>
    <value value="313-555-6443"/>
    <use value="work"/>
  </telecom>
  <address>
    <text value="346 W Plum Avenu Dearborn MI 48123"/>
    <line value="346 W Plum Avenue"/>
    <city value="Dearborn"/>
    <state value="MI"/>
    <postalCode value="48126"/>
  </address>
  <gender value="female"/>
  <birthDate value="1976-11-15"/>
</Practitioner>