ESMD FHIR Implementation Guide
1.0.0 - esmd

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

: TC004-BundlePractitioner - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "TC004-BundlePractitioner",
  "meta" : {
    "profile" : [
      🔗 "https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-BundleServiceRegistration"
    ],
    "security" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
        "code" : "V",
        "display" : "very restricted"
      }
    ]
  },
  "identifier" : {
    "system" : "https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-SenderOid",
    "value" : "urn:oid:123.456.657.126"
  },
  "type" : "batch",
  "timestamp" : "2024-12-13T18:04:09.671-05:00",
  "entry" : [
    {
      "fullUrl" : "urn:uuid:eaf16fc9-8f01-4f22-9bd4-4cf9927c22f2",
      "resource" : {
        "resourceType" : "Practitioner",
        "id" : "eaf16fc9-8f01-4f22-9bd4-4cf9927c22f2",
        "meta" : {
          "profile" : [
            🔗 "https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Practitioner"
          ],
          "security" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
              "code" : "V",
              "display" : "very restricted"
            }
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_eaf16fc9-8f01-4f22-9bd4-4cf9927c22f2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner eaf16fc9-8f01-4f22-9bd4-4cf9927c22f2</b></p><a name=\"eaf16fc9-8f01-4f22-9bd4-4cf9927c22f2\"> </a><a name=\"hceaf16fc9-8f01-4f22-9bd4-4cf9927c22f2\"> </a><a name=\"eaf16fc9-8f01-4f22-9bd4-4cf9927c22f2-en-US\"> </a><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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Esmd-Practitioner.html\">EsMD Practitioner</a></p><p style=\"margin-bottom: 0px\">Security Label: very restricted (Details: Confidentiality code V = 'very restricted')</p></div><p><b>esMD Provider NPI</b>: 1992854350</p><p><b>esMD Provider Tax ID</b>: HIH1234</p><p><b>esMD support Action Requested Code</b>: A</p><p><b>esMD supported Services Code</b>: EEP</p><p><b>esMD supported Service Start Date</b>: 2025-05-01</p><p><b>esMD supported Services End Date</b>: 2025-12-31</p><p><b>active</b>: true</p><p><b>name</b>: Ronald Bone </p><p><b>telecom</b>: ph: 555-123-4567(Work)</p><p><b>address</b>: 1003 HEALTHCARE DR AMHERST MA 01002 (work)</p><p><b>gender</b>: Male</p></div>"
        },
        "extension" : [
          {
            "url" : "https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-NPI",
            "valueString" : "1992854350"
          },
          {
            "url" : "https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ProviderTaxId",
            "valueString" : "HIH1234"
          },
          {
            "url" : "https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ActionRequestedCode",
            "valueCode" : "A"
          },
          {
            "url" : "https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ServiceCode",
            "valueCode" : "EEP"
          },
          {
            "url" : "https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ServiceStartDate",
            "valueDate" : "2025-05-01"
          },
          {
            "url" : "https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ServiceEndDate",
            "valueDate" : "2025-12-31"
          }
        ],
        "active" : true,
        "name" : [
          {
            "family" : "Bone",
            "given" : [
              "Ronald"
            ],
            "prefix" : [
              "Dr"
            ]
          }
        ],
        "telecom" : [
          {
            "system" : "phone",
            "value" : "555-123-4567",
            "use" : "work"
          }
        ],
        "address" : [
          {
            "use" : "work",
            "line" : [
              "1003 HEALTHCARE DR"
            ],
            "city" : "AMHERST",
            "state" : "MA",
            "postalCode" : "01002"
          }
        ],
        "gender" : "male"
      },
      "request" : {
        "method" : "PUT",
        "url" : "Practitioner/eaf16fc9-8f01-4f22-9bd4-4cf9927c22f2"
      }
    },
    {
      "fullUrl" : "urn:uuid:eaf16fc9-8f01-4f22-9bd4-4cf9927c22f3",
      "resource" : {
        "resourceType" : "Practitioner",
        "id" : "eaf16fc9-8f01-4f22-9bd4-4cf9927c22f3",
        "meta" : {
          "profile" : [
            🔗 "https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Practitioner"
          ],
          "security" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
              "code" : "V",
              "display" : "very restricted"
            }
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_eaf16fc9-8f01-4f22-9bd4-4cf9927c22f3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner eaf16fc9-8f01-4f22-9bd4-4cf9927c22f3</b></p><a name=\"eaf16fc9-8f01-4f22-9bd4-4cf9927c22f3\"> </a><a name=\"hceaf16fc9-8f01-4f22-9bd4-4cf9927c22f3\"> </a><a name=\"eaf16fc9-8f01-4f22-9bd4-4cf9927c22f3-en-US\"> </a><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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Esmd-Practitioner.html\">EsMD Practitioner</a></p><p style=\"margin-bottom: 0px\">Security Label: very restricted (Details: Confidentiality code V = 'very restricted')</p></div><p><b>esMD Provider NPI</b>: 1598736860</p><p><b>esMD Provider Tax ID</b>: HIH1234</p><p><b>esMD support Action Requested Code</b>: A</p><p><b>esMD supported Services Code</b>: EEP</p><p><b>esMD supported Service Start Date</b>: 2025-10-01</p><p><b>esMD supported Services End Date</b>: 2025-12-31</p><p><b>active</b>: true</p><p><b>name</b>: Dome Jeffrey </p><p><b>telecom</b>: ph: 555-123-4568(Work)</p><p><b>address</b>: 1004 HEALTHCARE DR AMHERST MA 01002 (work)</p><p><b>gender</b>: Male</p></div>"
        },
        "extension" : [
          {
            "url" : "https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-NPI",
            "valueString" : "1598736860"
          },
          {
            "url" : "https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ProviderTaxId",
            "valueString" : "HIH1234"
          },
          {
            "url" : "https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ActionRequestedCode",
            "valueCode" : "A"
          },
          {
            "url" : "https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ServiceCode",
            "valueCode" : "EEP"
          },
          {
            "url" : "https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ServiceStartDate",
            "valueDate" : "2025-10-01"
          },
          {
            "url" : "https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ServiceEndDate",
            "valueDate" : "2025-12-31"
          }
        ],
        "active" : true,
        "name" : [
          {
            "family" : "Jeffrey",
            "given" : [
              "Dome"
            ],
            "prefix" : [
              "Dr"
            ]
          }
        ],
        "telecom" : [
          {
            "system" : "phone",
            "value" : "555-123-4568",
            "use" : "work"
          }
        ],
        "address" : [
          {
            "use" : "work",
            "line" : [
              "1004 HEALTHCARE DR"
            ],
            "city" : "AMHERST",
            "state" : "MA",
            "postalCode" : "01002"
          }
        ],
        "gender" : "male"
      },
      "request" : {
        "method" : "PUT",
        "url" : "Practitioner/eaf16fc9-8f01-4f22-9bd4-4cf9927c22f2-1"
      }
    },
    {
      "fullUrl" : "urn:uuid:eaf16fc9-8f01-4f22-9bd4-4cf9927c22f4",
      "resource" : {
        "resourceType" : "Practitioner",
        "id" : "eaf16fc9-8f01-4f22-9bd4-4cf9927c22f4",
        "meta" : {
          "profile" : [
            🔗 "https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Practitioner"
          ],
          "security" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
              "code" : "V",
              "display" : "very restricted"
            }
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_eaf16fc9-8f01-4f22-9bd4-4cf9927c22f4\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner eaf16fc9-8f01-4f22-9bd4-4cf9927c22f4</b></p><a name=\"eaf16fc9-8f01-4f22-9bd4-4cf9927c22f4\"> </a><a name=\"hceaf16fc9-8f01-4f22-9bd4-4cf9927c22f4\"> </a><a name=\"eaf16fc9-8f01-4f22-9bd4-4cf9927c22f4-en-US\"> </a><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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Esmd-Practitioner.html\">EsMD Practitioner</a></p><p style=\"margin-bottom: 0px\">Security Label: very restricted (Details: Confidentiality code V = 'very restricted')</p></div><p><b>esMD Provider NPI</b>: 1992853964</p><p><b>esMD Provider Tax ID</b>: HIH1234</p><p><b>esMD support Action Requested Code</b>: A</p><p><b>esMD supported Services Code</b>: EEP</p><p><b>esMD supported Service Start Date</b>: 2025-10-01</p><p><b>esMD supported Services End Date</b>: 2025-12-31</p><p><b>active</b>: true</p><p><b>name</b>: Alex carey </p><p><b>telecom</b>: ph: 555-123-4569(Work)</p><p><b>address</b>: 1006 HEALTHCARE DR AMHERST MA 01002 (work)</p><p><b>gender</b>: Male</p></div>"
        },
        "extension" : [
          {
            "url" : "https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-NPI",
            "valueString" : "1992853964"
          },
          {
            "url" : "https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ProviderTaxId",
            "valueString" : "HIH1234"
          },
          {
            "url" : "https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ActionRequestedCode",
            "valueCode" : "A"
          },
          {
            "url" : "https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ServiceCode",
            "valueCode" : "EEP"
          },
          {
            "url" : "https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ServiceStartDate",
            "valueDate" : "2025-10-01"
          },
          {
            "url" : "https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ServiceEndDate",
            "valueDate" : "2025-12-31"
          }
        ],
        "active" : true,
        "name" : [
          {
            "family" : "carey",
            "given" : [
              "Alex"
            ],
            "prefix" : [
              "Dr"
            ]
          }
        ],
        "telecom" : [
          {
            "system" : "phone",
            "value" : "555-123-4569",
            "use" : "work"
          }
        ],
        "address" : [
          {
            "use" : "work",
            "line" : [
              "1006 HEALTHCARE DR"
            ],
            "city" : "AMHERST",
            "state" : "MA",
            "postalCode" : "01002"
          }
        ],
        "gender" : "male"
      },
      "request" : {
        "method" : "PUT",
        "url" : "Practitioner/eaf16fc9-8f01-4f22-9bd4-4cf9927c22f4"
      }
    }
  ]
}