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

• Narrative Content
• JSON

: Example-TC001-Esmd-Practitioner - JSON Representation

Raw json | Download

{
  "resourceType" : "Practitioner",
  "id" : "Example-TC001-Esmd-Practitioner",
  "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\"><p class=\"res-header-id\"><b>Generated Narrative: Practitioner Example-TC001-Esmd-Practitioner</b></p><a name=\"Example-TC001-Esmd-Practitioner\"> </a><a name=\"hcExample-TC001-Esmd-Practitioner\"> </a><a name=\"Example-TC001-Esmd-Practitioner-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>: 101-56-55</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>: 2026-12-30</p><p><b>active</b>: true</p><p><b>name</b>: Radems Gaven </p><p><b>telecom</b>: ph: 551-333-6141(Work)</p><p><b>address</b>: 1003 MILLERS DR ELLICOTT CITY MD 21043 (work)</p><p><b>gender</b>: Female</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" : "101-56-55"
    },
    {
      "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" : "2026-12-30"
    }
  ],
  "active" : true,
  "name" : [
    {
      "family" : "Gaven",
      "given" : [
        "Radems"
      ],
      "prefix" : [
        "Dr"
      ],
      "suffix" : [
        "Ph.D"
      ]
    }
  ],
  "telecom" : [
    {
      "system" : "phone",
      "value" : "551-333-6141",
      "use" : "work"
    }
  ],
  "address" : [
    {
      "use" : "work",
      "line" : [
        "1003 MILLERS DR"
      ],
      "city" : "ELLICOTT CITY",
      "state" : "MD",
      "postalCode" : "21043"
    }
  ],
  "gender" : "female"
}