This page is part of the Vital Records Death Reporting FHIR Implementation Guide (v3.0.0-ballot: STU 3 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 2.2.0. For a full list of available versions, see the Directory of published versions
<Practitioner xmlns="http://hl7.org/fhir">
<id value="Certifier-Example1"/>
<meta>
<profile
value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-certifier"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Practitioner</b><a name="Certifier-Example1"> </a><a name="hcCertifier-Example1"> </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 "Certifier-Example1" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-vrdr-certifier.html">Death Certifier</a></p></div><p><b>Practitioner Role</b>: Certifier</p><p><b>identifier</b>: <a href="http://terminology.hl7.org/5.0.0/NamingSystem-npi.html" title="National Provider Identifier">NPI</a>/9941339100</p><p><b>name</b>: Jim Black (Official)</p><p><b>address</b>: 44 South Street Bird in Hand PA 17505 US </p><h3>Qualifications</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Code</b></td></tr><tr><td style="display: none">*</td><td>Death certification and verification by physician (procedure) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#434641000124105)</span></td></tr></table></div>
</text>
<extension
url="http://hl7.org/fhir/us/vrdr/StructureDefinition/practitioner-role">
<valueCode value="Certifier"/>
</extension>
<identifier>
<system value="http://hl7.org/fhir/sid/us-npi"/>
<value value="9941339100"/>
</identifier>
<name>
<use value="official"/>
<family value="Black"/>
<given value="Jim"/>
</name>
<address>
<line value="44 South Street"/>
<city value="Bird in Hand"/>
<state value="PA"/>
<postalCode value="17505"/>
<country value="US"/>
</address>
<qualification>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="434641000124105"/>
</coding>
</code>
</qualification>
</Practitioner>