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

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: TC001-PractitionerResponse - JSON Representation

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{
  "resourceType" : "Practitioner",
  "id" : "TC001-PractitionerResponse",
  "meta" : {
    "versionId" : "102",
    "lastUpdated" : "2025-02-10T16:22:13.904-05:00",
    "source" : "#7metA6vOR0ZNpC1Y",
    "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" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Example Refer Testing page - TC008 Multipayload Response</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"
    }
  ],
  "identifier" : [
    {
      "system" : "https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-TransactionId",
      "value" : "QJB0060189169EC"
    }
  ],
  "active" : true,
  "name" : [
    {
      "family" : "Oberheuser",
      "given" : [
        "Herta"
      ],
      "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"
}