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 in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
<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 "ccda-practitioner-example" Version "6" Updated "2020-08-12 21:30:18+0000" </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>