PACIO Transitions of Care Implementation Guide
1.0.0 - STU 1 US

PACIO Transitions of Care Implementation Guide - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Example Bundle: Example: Transition of Care Bundle

Document Details

Profile: Transition of Care Bundle

Final Document at 2024-05-10 08:49:58-0400 by Practitioner Jen Cadbury for Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1AA3D58WH16)

Document Subject

Last updated: 2021-03-29 14:25:34-0500; Language: en-US

Profile: US Core Patient Profile version: 8.0.1

Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1AA3D58WH16)

Active: | true | Marital Status: | unknown
Other Id: | Medical Record Number/1032702 (use: usual, )
Contact Detail | ph: 555-555-5555(Home) ph: (410) 444-5555 111 Maple Ct, Grand Rapids, MI 49503
Language: | English (preferred)
son: | Charles Johnson 111 Maple Ct, Grand Rapids, MI 49503 ph: (210) 222-3333
daughter: | Debra Johnson 333 W. Camden St., Baltimore, MD 21201 ph: (410) 444-5555
US Core Race Extension: | ombCategory: Race & Ethnicity - CDC: 2106-3 (White) text: White

Document Content

## Advance directives for Betsy Smith-Johnson

Advance directives for Betsy Smith-Johnson

## List of allergies for Betsy Smith-Johnson

Allergies for Betsy Smith-Johnson

## Behavioral health information for Betsy Smith-Johnson

Behavioral health information for Betsy Smith-Johnson

## Functional status of Betsy Smith-Johnson

Functional status of Betsy Smith-Johnson

## List of immunizations for Betsy Smith-Johnson

List of immunizations for Betsy Smith-Johnson

## Discharge instructions for Betsy Smith-Johnson

Discharge instructions for Betsy Smith-Johnson

## List of medical equipment needed by Betsy Smith-Johnson

List of medical equipment needed by Betsy Smith-Johnson

## List of medications prescribed for Betsy Smith-Johnson

List of medications prescribed for Betsy Smith-Johnson

## Discharge care plan for Betsy Smith-Johnson

Discharge care plan for Betsy Smith-Johnson

## List of problem conditions and observations for Betsy Smith-Johnson

List of problem conditions and observations for Betsy Smith-Johnson

## List of procedures prescribed for Betsy Smith-Johnson

List of procedures prescribed for Betsy Smith-Johnson

## Reason for referring Betsy Smith-Johnson

Reason for referring Betsy Smith-Johnson

## List of test results for Betsy Smith-Johnson

List of test results for Betsy Smith-Johnson

## Social history for Betsy Smith-Johnson

Social history for Betsy Smith-Johnson

## Vital signs for Betsy Smith-Johnson

Vital signs for Betsy Smith-Johnson

## Additional Resources Included in Document

Entry 2 - fullUrl = http://www.example.org/fhir/Patient/Example-Smith-Johnson-Patient1

Resource Patient:

> Last updated: 2021-03-29 14:25:34-0500; Language: en-US

> Profile: US Core Patient Profile version: 8.0.1

> Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1AA3D58WH16)

> Active: | true | Marital Status: | unknown
> Other Id: | Medical Record Number/1032702 (use: usual, )
> Contact Detail | ph: 555-555-5555(Home) ph: (410) 444-5555 111 Maple Ct, Grand Rapids, MI 49503
> Language: | English (preferred)
> son: | Charles Johnson 111 Maple Ct, Grand Rapids, MI 49503 ph: (210) 222-3333
> daughter: | Debra Johnson 333 W. Camden St., Baltimore, MD 21201 ph: (410) 444-5555
> US Core Race Extension: | ombCategory: Race & Ethnicity - CDC: 2106-3 (White) text: White

Entry 3 - fullUrl = http://www.example.org/fhir/Encounter/BSJ-Encounter

Resource Encounter:

> Profile: US Core Encounter Profile version: 8.0.1

> status: completed

> class: Home Health

> type: Evaluation and management of patient at home (procedure)

> subject: Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1AA3D58WH16)

> > participant

> ### Locations

> - | Location
> * | Location Motown Home Health Facility

Entry 4 - fullUrl = http://www.example.org/fhir/AllergyIntolerance/BSJ-AllergyACE

Resource AllergyIntolerance:

> Profile: US Core AllergyIntolerance Profile version: 8.0.1

> clinicalStatus: Active

> verificationStatus: Confirmed

> category: Medication

> criticality: High Risk

> code: Substance with angiotensin-converting enzyme inhibitor mechanism of action (substance)

> patient: Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1AA3D58WH16)

> lastOccurrence: 2011-10

> ### Reactions

> - | Substance | Manifestation
> * | captopril 12.5 MG Oral Tablet | No display for AllergyIntolerance.reaction.manifestation (concept: Hyperkalemia caused by angiotensin-converting enzyme inhibitor (disorder))

Entry 5 - fullUrl = http://www.example.org/fhir/Condition/BSJ-DressingConcern

Resource Condition:

> Profile: US Core Condition Problems and Health Concerns Profile version: 8.0.1

> clinicalStatus: Active

> verificationStatus: Confirmed

> category: Problem List Item

> code: Difficulty performing dressing activity (finding)

> subject: Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1AA3D58WH16)

> recordedDate: 2024-04-27 15:40:00-0400

> note:

> > Betsy is frustrated, embarrassed, and worried about not being able to dress herself

Entry 6 - fullUrl = http://www.example.org/fhir/Condition/BSJ-HeartDiseaseDiagnosis

Resource Condition:

> Profile: US Core Condition Encounter Diagnosis Profile version: 8.0.1

> Condition Asserted Date: 2019-06

> clinicalStatus: Active

> verificationStatus: Confirmed

> category: Encounter Diagnosis

> code: Ischemic heart disease (disorder)

> bodySite: Structure of cardiovascular system (body structure)

> subject: Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1AA3D58WH16)

> recordedDate: 2019-06-08 14:15:00-0400

Entry 7 - fullUrl = http://www.example.org/fhir/Condition/BSJ-HemiparesisDiagnosis

Resource Condition:

> Profile: US Core Condition Encounter Diagnosis Profile version: 8.0.1

> Condition Asserted Date: 2024-04-18 13:30:00-0400

> clinicalStatus: Active

> verificationStatus: Confirmed

> category: Encounter Diagnosis

> code: Right hemiparesis (disorder)

> bodySite: Right upper arm structure (body structure)

> subject: Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1AA3D58WH16)

> onset: 2024-04-17 15:40:00-0400

> recordedDate: 2024-04-18 13:30:00-0400

> note:

> > Patient began experiencing right sided weakness, primarily in arm and shoulder. There was no facial droop, but patient reports "tingling" in R face / numbness along R brow. Symptoms in face resolved post tPA administration. Strength improved in shoulder, weakness did not fully resolve. Demonstrates R arm weakness and lack of coordination. Fine motor skills significantly degraded and have not improved post tPA.

Entry 8 - fullUrl = http://www.example.org/fhir/Condition/BSJ-HyperlipidemiaDiagnosis

Resource Condition:

> Profile: US Core Condition Encounter Diagnosis Profile version: 8.0.1

> Condition Asserted Date: 2018-06

> clinicalStatus: Active

> verificationStatus: Confirmed

> category: Encounter Diagnosis

> code: Hyperlipidemia (disorder)

> bodySite: Structure of cardiovascular system (body structure)

> subject: Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1AA3D58WH16)

Entry 9 - fullUrl = http://www.example.org/fhir/Condition/BSJ-HypertensionDiagnosis

Resource Condition:

> Profile: US Core Condition Encounter Diagnosis Profile version: 8.0.1

> Condition Asserted Date: 2011-09

> clinicalStatus: Active

> verificationStatus: Confirmed

> category: Encounter Diagnosis

> code: Hypertensive disorder, systemic arterial (disorder)

> bodySite: Structure of cardiovascular system (body structure)

> subject: Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1AA3D58WH16)

> onset: 2011-08

> recordedDate: 2011-09-17

Entry 10 - fullUrl = http://www.example.org/fhir/Condition/BSJ-StrokeDiagnosis

Resource Condition:

> Profile: US Core Condition Encounter Diagnosis Profile version: 8.0.1

> Condition Asserted Date: 2024-04-17 15:40:00-0400

> clinicalStatus: Active

> verificationStatus: Confirmed

> category: Encounter Diagnosis

> code: Ischemic stroke (disorder)

> bodySite: Structure of middle cerebral artery M1 segment (body structure), Left

> subject: Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1AA3D58WH16)

> onset: 2024-04-17 15:40:00-0400

> recordedDate: 2023-12-15 18:40:00-0400

> note:

> > Partial occlusion of MCA. Stroke event witnessed. EMS response / patient arrived within 45 minutes of symptom onset. Verified by CT with contrast. tPA administered within 2 hours of symptom onset.

Entry 11 - fullUrl = http://www.example.org/fhir/Condition/OT-ProblemList-RightWeak

Resource Condition:

> Profile: US Core Condition Problems and Health Concerns Profile version: 8.0.1

> Condition Asserted Date: 2024-04-17 15:40:00-0400

> clinicalStatus: Active

> verificationStatus: Confirmed

> category: Problem List Item

> code: Muscle weakness of upper limb (finding)

> bodySite: Right upper arm structure (body structure)

> subject: Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1AA3D58WH16)

> recordedDate: 2024-04-27 15:40:00-0400

> > evidence

> note:

> > The weakness and lack of coordination in the patient's right shoulder, arm, and hand are secondary to the stroke. PT/OT from SNF report improvements to rotator cuff strength over last month.

Entry 12 - fullUrl = http://www.example.org/fhir/Immunization/BSJ-Immunization-PCV20

Resource Immunization:

> Profile: US Core Immunization Profile version: 8.0.1

> status: Completed

> vaccineCode: pneumococcal conjugate vaccine, 13 valent

> lotNumber: AAJN88P

> patient: Betsy Smith-Johnson

> occurrence: 2025-11-19 15:00:00-0800

> primarySource: false

> location: Home Health - Motown

> ### Performers

> - | Actor
> * | Dr. Gerald Park

Entry 13 - fullUrl = http://www.example.org/fhir/Immunization/BSJ-Immunization-Fluzone

Resource Immunization:

> Profile: US Core Immunization Profile version: 8.0.1

> status: Completed

> vaccineCode: Influenza, high-dose, quadrivalent, PF

> lotNumber: AAJN55Q

> patient: Betsy Smith-Johnson

> occurrence: 2025-11-19 15:00:00-0800

> primarySource: false

> location: Home Health - Motown

> ### Performers

> - | Actor
> * | Dr. Gerald Park

Entry 14 - fullUrl = http://www.example.org/fhir/List/BSJ-SMPMedList

Resource List:

> Profile: Standardized Medication Profile - Medication List

> ## Home Medication List

> Date: 2024-08-11 | Mode: Working List | Status: Current | Code: Patient generated medication list [Identifier] Episode Pharmacy
> Subject: Betsy Smith-JohnsonSource:

> Items | Date
> atorvastatin 40 MG Oral Tablet | 2024-08-11
> losartan potassium 25 MG Oral Tablet | 2024-08-11
> clopidogrel 75 MG Oral Tablet | 2024-08-11

Entry 15 - fullUrl = http://www.example.org/fhir/MedicationStatement/BSJ-SMPMedStmt1

Resource MedicationStatement:

> Profile: Standardized Medication Profile - MedicationStatement

> status: active

> status: recorded

> subject: Betsy Smith-Johnson

> dateAsserted: 2024-08-11

> informationSource: Dr. Gerald Park

> ### Dosages

> - | Sequence | Text
> * | 1 | po nightly

Entry 16 - fullUrl = http://www.example.org/fhir/MedicationStatement/BSJ-SMPMedStmt4

Resource MedicationStatement:

> Profile: Standardized Medication Profile - MedicationStatement

> status: active

> status: recorded

> subject: Betsy Smith-Johnson

> dateAsserted: 2024-08-11

> informationSource: Dr. Gerald Park

> ### Dosages

> - | Sequence | Text
> * | 1 | po once daily

Entry 17 - fullUrl = http://www.example.org/fhir/MedicationStatement/BSJ-SMPMedStmt9

Resource MedicationStatement:

> Profile: Standardized Medication Profile - MedicationStatement

> status: active

> status: recorded

> subject: Betsy Smith-Johnson

> dateAsserted: 2024-08-11

> informationSource: Dr. Gerald Park

> ### Dosages

> - | Sequence | Text
> * | 1 | po nightly

Entry 18 - fullUrl = http://www.example.org/fhir/MedicationRequest/BSJ-SMPMedReq1

Resource MedicationRequest:

> Profile: US Core MedicationRequest Profile

> status: Active

> intent: Order

> subject: Betsy Smith-Johnson

> authoredOn: 2024-08-11

> requester: Dr. Jen Cadbury

> ### DosageInstructions

> - | Sequence | Text
> * | 1 | po nightly

Entry 19 - fullUrl = http://www.example.org/fhir/MedicationRequest/BSJ-SMPMedReq4

Resource MedicationRequest:

> Profile: US Core MedicationRequest Profile

> status: Active

> intent: Order

> subject: Betsy Smith-Johnson

> authoredOn: 2024-08-11

> requester: Dr. Jen Cadbury

> ### DosageInstructions

> - | Sequence | Text
> * | 1 | po once daily

Entry 20 - fullUrl = http://www.example.org/fhir/MedicationRequest/BSJ-SMPMedReq9

Resource MedicationRequest:

> Profile: US Core MedicationRequest Profile

> status: Active

> intent: Order

> subject: Betsy Smith-Johnson

> authoredOn: 2024-08-11

> requester: Dr. Jen Cadbury

> ### DosageInstructions

> - | Sequence | Text
> * | 1 | po nightly

Entry 21 - fullUrl = http://www.example.org/fhir/CarePlan/BSJ-SNFDischargeCarePlan

Resource CarePlan:

> Profile: US Core CarePlan Profile version: 8.0.1

> status: Active

> intent: Plan

> category: Assessment and Plan of Treatment

> subject: Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1AA3D58WH16)

> > activity

> > activity

> > activity

> > activity

> > activity

> > activity

> > activity

> > activity

Entry 22 - fullUrl = http://www.example.org/fhir/ServiceRequest/BSJ-PCPFollowUp

Resource ServiceRequest:

> Profile: US Core ServiceRequest Profile version: 8.0.1

> status: Active

> intent: Order

> category: Evaluation procedure (procedure)

> priority: Routine

> code: No display for ServiceRequest.code (concept: Follow-up visit (procedure))

> subject: Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1AA3D58WH16)

> occurrence: 2024-05-28

> authoredOn: 2024-05-18

> requester: PractitionerRole Geriatric Medicine (Family Medicine) Physician

Entry 23 - fullUrl = http://www.example.org/fhir/ServiceRequest/BSJ-SNFDischargeCallOrder

Resource ServiceRequest:

> Profile: US Core ServiceRequest Profile version: 8.0.1

> status: Active

> intent: Order

> category: Evaluation procedure (procedure)

> priority: Routine

> code: No display for ServiceRequest.code (concept: Informing doctor (procedure))

> subject: Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1AA3D58WH16)

> occurrence: 2024-05-18 --> (ongoing)

> authoredOn: 2024-05-18

> requester: PractitionerRole Geriatric Medicine (Family Medicine) Physician

Entry 24 - fullUrl = http://www.example.org/fhir/ServiceRequest/BSJ-SNFDischargeCallOTRefer

Resource ServiceRequest:

> Profile: US Core ServiceRequest Profile version: 8.0.1

> status: Active

> intent: Order

> category: Evaluation procedure (procedure)

> priority: Routine

> code: No display for ServiceRequest.code (concept: Occupational therapy assessment (procedure))

> subject: Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1AA3D58WH16)

> occurrence: 2024-05-18 --> (ongoing)

> authoredOn: 2024-05-18

> requester: PractitionerRole Geriatric Medicine (Family Medicine) Physician

Entry 25 - fullUrl = http://www.example.org/fhir/ServiceRequest/BSJ-SNFDischargeCallSLPRefer

Resource ServiceRequest:

> Profile: US Core ServiceRequest Profile version: 8.0.1

> status: Active

> intent: Order

> category: Evaluation procedure (procedure)

> priority: Routine

> code: No display for ServiceRequest.code (concept: Speech therapy assessment (procedure))

> subject: Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1AA3D58WH16)

> occurrence: 2024-05-18 --> (ongoing)

> authoredOn: 2024-05-18

> requester: PractitionerRole Geriatric Medicine (Family Medicine) Physician

Entry 26 - fullUrl = http://www.example.org/fhir/ServiceRequest/BSJ-SNFDischargeDietSalt

Resource ServiceRequest:

> Profile: US Core ServiceRequest Profile version: 8.0.1

> status: Active

> intent: Order

> category: Evaluation procedure (procedure)

> priority: Routine

> code: No display for ServiceRequest.code (concept: Decreased fat and oil diet (regime/therapy))

> subject: Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1AA3D58WH16)

> occurrence: 2024-05-18 --> (ongoing)

> authoredOn: 2024-05-18

> requester: PractitionerRole Geriatric Medicine (Family Medicine) Physician

Entry 27 - fullUrl = http://www.example.org/fhir/ServiceRequest/BSJ-SNFDischargeLabOrderBMP

Resource ServiceRequest:

> Profile: US Core ServiceRequest Profile version: 8.0.1

> status: Active

> intent: Order

> category: Laboratory procedure

> priority: Routine

> code: No display for ServiceRequest.code (concept: Blood chemistry (procedure))

> subject: Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1AA3D58WH16)

> occurrence: 2024-05-28

> authoredOn: 2024-05-18

> requester: PractitionerRole Geriatric Medicine (Family Medicine) Physician

Entry 28 - fullUrl = http://www.example.org/fhir/ServiceRequest/BSJ-SNFDischargeLabOrderCBC

Resource ServiceRequest:

> Profile: US Core ServiceRequest Profile version: 8.0.1

> status: Active

> intent: Order

> category: Laboratory procedure

> priority: Routine

> code: No display for ServiceRequest.code (concept: Complete blood count without differential (procedure))

> subject: Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1AA3D58WH16)

> occurrence: 2024-05-28

> authoredOn: 2024-05-18

> requester: PractitionerRole Geriatric Medicine (Family Medicine) Physician

Entry 29 - fullUrl = http://www.example.org/fhir/ServiceRequest/BSJ-SNFDischargePTRefer

Resource ServiceRequest:

> Profile: US Core ServiceRequest Profile version: 8.0.1

> status: Active

> intent: Order

> category: Evaluation procedure (procedure)

> priority: Routine

> code: No display for ServiceRequest.code (concept: Physical therapy assessment (procedure))

> subject: Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1AA3D58WH16)

> occurrence: 2024-05-18 --> (ongoing)

> authoredOn: 2024-05-18

> requester: PractitionerRole Geriatric Medicine (Family Medicine) Physician

Entry 30 - fullUrl = http://www.example.org/fhir/Location/org-Loc-Neuro-Care-Inc

Resource Location:

> Profile: US Core Location Profile version: 8.0.1

> status: Active

> name: Neuro Care Inc.

> address: 177 Branching Tree Blvd, Grand Rapids, MI 49509

Entry 31 - fullUrl = http://www.example.org/fhir/Location/org-Loc-PC-Primary-Care-Michigan

Resource Location:

> Profile: US Core Location Profile version: 8.0.1

> status: Active

> name: Michigan Primary Health Care Associates

> address: 123 Spruce Dr. Grand Rapids, MI 49503

Entry 32 - fullUrl = http://www.example.org/fhir/Location/org-Loc-SNF-Happy-Nursing-Facility

Resource Location:

> Profile: US Core Location Profile version: 8.0.1

> status: Active

> name: Happy Nursing Facility

> address: 8100 Pinebrook Dr, Grand Rapids, MI 49504

Entry 33 - fullUrl = http://www.example.org/fhir/Location/org-Loc-HomeHealth-Motown

Resource Location:

> Profile: US Core Location Profile version: 8.0.1

> status: Active

> name: Motown Home Health Facility

> address: 121 Spruce Dr. Grand Rapids, MI 49503

> managingOrganization: Organization Motown Home Health Grand Rapids

Entry 34 - fullUrl = http://www.example.org/fhir/Organization/org-Neuro-Care-Inc

Resource Organization:

> Profile: US Core Organization Profile version: 8.0.1

> active: true

> name: Neuro Care Inc.

> ### Contacts

> - | Telecom | Address
> * | ph: (210) 555 5555 | 177 Branching Tree Blvd, Grand Rapids, MI 49509

Entry 35 - fullUrl = http://www.example.org/fhir/Organization/org-PC-Primary-Care-Michigan

Resource Organization:

> Profile: US Core Organization Profile version: 8.0.1

> active: true

> name: Michigan Primary Health Care Associates

> ### Contacts

> - | Telecom | Address
> * | ph: (616) 555-1212 | 123 Spruce Dr. Grand Rapids, MI 49503

Entry 36 - fullUrl = http://www.example.org/fhir/Organization/org-SNF-Happy-Nursing-Facility

Resource Organization:

> Profile: US Core Organization Profile version: 8.0.1

> active: true

> name: Happy Nursing Facility

> ### Contacts

> - | Telecom | Address
> * | ph: (210) 555 1871 | 8100 Pinebrook Dr, Grand Rapids, MI 49504

Entry 37 - fullUrl = http://www.example.org/fhir/Organization/org-HomeHealth-Motown

Resource Organization:

> Profile: US Core Organization Profile version: 8.0.1

> active: true

> name: Motown Home Health Grand Rapids

> ### Contacts

> - | Telecom | Address
> * | ph: (210) 555-2882 | 121 Spruce Dr. Grand Rapids, MI 49503

Entry 38 - fullUrl = http://www.example.org/fhir/Practitioner/Example-AnitaChu

Resource Practitioner:

> Profile: US Core Practitioner Profile version: 8.0.1

> identifier: United States National Provider Identifier/8134258523

> active: true

> name: Anita Chu

> telecom: ph: (616) 555-1212

> gender: Female

> address: 123 Spruce Dr. Grand Rapids, MI 49503

Entry 39 - fullUrl = http://www.example.org/fhir/Practitioner/Example-GeraldPark

Resource Practitioner:

> Profile: US Core Practitioner Profile version: 8.0.1

> identifier: United States National Provider Identifier/8554084011

> active: true

> name: Gerald Park

> telecom: ph: (555) 566 3494

> gender: Male

> address: 8100 Pinebrook Dr, Grand Rapids, MI 49504

Entry 40 - fullUrl = http://www.example.org/fhir/Practitioner/Example-JenCadbury

Resource Practitioner:

> Profile: US Core Practitioner Profile version: 8.0.1

> identifier: United States National Provider Identifier/9635749481

> active: true

> name: Jen Cadbury

> telecom: ph: (210) 555 1871

> gender: Female

> address: 8100 Pinebrook Dr, Grand Rapids, MI 49504

Entry 41 - fullUrl = http://www.example.org/fhir/Practitioner/Example-NuraMekel

Resource Practitioner:

> Profile: US Core Practitioner Profile version: 8.0.1

> identifier: United States National Provider Identifier/8224780964

> active: true

> name: Nura Mekel

> telecom: ph: (210) 555 5555

> gender: Female

> address: 177 Branching Tree Blvd, Grand Rapids, MI 49509

Entry 42 - fullUrl = http://www.example.org/fhir/PractitionerRole/Role-IMMD-AnitaChu

Resource PractitionerRole:

> Profile: US Core PractitionerRole Profile version: 8.0.1

> active: true

> practitioner: Dr. Anita Chu

> organization: Michigan Primary Health Care Associates

> code: Internal Medicine Physician

> location: Location Michigan Primary Health Care Associates

Entry 43 - fullUrl = http://www.example.org/fhir/PractitionerRole/Role-Neuro-NuraMekel

Resource PractitionerRole:

> Profile: US Core PractitionerRole Profile version: 8.0.1

> active: true

> practitioner: Nura Mekel

> organization: Neuro Care Inc.

> code: Neurology Physician

> location: Location Neuro Care Inc.

Entry 44 - fullUrl = http://www.example.org/fhir/PractitionerRole/Role-OT-JenCadbury

Resource PractitionerRole:

> Profile: US Core PractitionerRole Profile version: 8.0.1

> active: true

> practitioner: Jen Cadbury

> organization: Happy Nursing Facility

> code: Occupational Therapist

> location: Location Happy Nursing Facility

Entry 45 - fullUrl = http://www.example.org/fhir/PractitionerRole/Role-SNFDoc-GeraldPark

Resource PractitionerRole:

> Profile: US Core PractitionerRole Profile version: 8.0.1

> active: true

> practitioner: Gerald Park

> organization: Happy Nursing Facility

> code: Geriatric Medicine (Family Medicine) Physician

> location: Location Happy Nursing Facility