This page is part of a downloaded copy of this specification. This page is part of the US Core Implementation Guide (v3.0.0: STU3) based on FHIR R4. The current version which supercedes this version is 3.1.0. For a full list of available versions, see the Directory of published versions 
JSON Format: Bundle-66c8856b-ba11-4876-8aa8-467aad8c11a2
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{
"resourceType" : "Bundle",
"id" : "66c8856b-ba11-4876-8aa8-467aad8c11a2",
"type" : "searchset",
"total" : 1,
"link" : [
{
"relation" : "self",
"url" : "http://52.90.126.238:8080/fhir/baseDstu3/PractitionerRole?_id=PractitionerRole-1&_include=PractitionerRole%3Apractitioner&_include=PractitionerRole%3Aendpoint"
}
],
"entry" : [
{
"fullUrl" : "http://52.90.126.238:8080/fhir/baseDstu3/PractitionerRole/PractitionerRole-1",
"resource" : {
"resourceType" : "PractitionerRole",
"id" : "PractitionerRole-1",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: PractitionerRole-1</p><p><b>meta</b>: </p><p><b>practitioner</b>: <a href=\"Practitioner/Practitioner-1011\">Brenda Jennings Richard MD</a></p><p><b>organization</b>: <a href=\"Organization-acme-lab.html\">Acme Lab. Generated Summary: id: acme-lab; 1144221847, 2523423456; active; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/organization-type prov}\">Healthcare Provider</span>; name: Acme Labs; ph: (+1) 734-677-7777, hq@acme.org</a></p><p><b>code</b>: Primary Care <span style=\"background: LightGoldenRodYellow\">(Details : {http://nucc.org/provider-taxonomy code '261QP2300X' = 'Primary Care', given as 'Primary Care'})</span></p><p><b>specialty</b>: General Practice <span style=\"background: LightGoldenRodYellow\">(Details : {http://nucc.org/provider-taxonomy code '208D00000X' = 'General Practice', given as 'General Practice'})</span></p><p><b>location</b>: <a href=\"Location-hl7east.html\">Health Level Seven International. Generated Summary: id: hl7east; 29; status: active; name: Health Level Seven International - Amherst; description: HL7 Headquarters - East; ph: (+1) 734-677-7777</a></p><p><b>endpoint</b>: </p><ul><li><a href=\"http://52.90.126.238:8080/fhir/baseDstu3/Endpoint/Endpoint-71\">Westwood Physicians Organization ADT</a></li><li><a href=\"http://52.90.126.238:8080/fhir/baseDstu3/Endpoint/Endpoint-71\">Brenda.Jennings.Richard.MD@direct.example.org</a></li></ul></div>"
},
"practitioner" : {
"reference" : "Practitioner/Practitioner-1011",
"display" : "Brenda Jennings Richard MD"
},
"organization" : {
"reference" : "Organization/acme-lab",
"display" : "Acme Lab"
},
"code" : [
{
"coding" : [
{
"system" : "http://nucc.org/provider-taxonomy",
"code" : "261QP2300X",
"display" : "Primary Care"
}
]
}
],
"specialty" : [
{
"coding" : [
{
"system" : "http://nucc.org/provider-taxonomy",
"code" : "208D00000X",
"display" : "General Practice"
}
]
}
],
"location" : [
{
"reference" : "Location/hl7east",
"display" : "Health Level Seven International"
}
],
"endpoint" : [
{
"reference" : "http://52.90.126.238:8080/fhir/baseDstu3/Endpoint/Endpoint-71",
"display" : "Westwood Physicians Organization ADT"
},
{
"reference" : "http://52.90.126.238:8080/fhir/baseDstu3/Endpoint/Endpoint-71",
"display" : "Brenda.Jennings.Richard.MD@direct.example.org"
}
]
},
"search" : {
"mode" : "match"
}
},
{
"fullUrl" : "http://52.90.126.238:8080/fhir/baseDstu3/Practitioner/Practitioner-1011",
"resource" : {
"resourceType" : "Practitioner",
"id" : "Practitioner-1011",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: Practitioner-1011</p><p><b>meta</b>: </p><p><b>identifier</b>: US Social Security Number = 000001011 (OFFICIAL), US National Provider Identifier = 9999991011 (OFFICIAL), Michigan Common Key Service Identifier = d46f70565a1042f6a6ece48dd81b408f (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>: Nov 15, 1976</p><h3>Qualifications</h3><table class=\"grid\"><tr><td>-</td><td><b>Identifier</b></td><td><b>Code</b></td><td><b>Issuer</b></td></tr><tr><td>*</td><td>Michigan Medical License = LARA-1011 (OFFICIAL)</td><td>Medical Doctor <span style=\"background: LightGoldenRodYellow\">(Details : {http://michigan.gov/lara/license-type code '4305' = '4305', given as 'Medical Doctor'})</span></td><td>Michigan Department of Licensing and Regulatory Affairs</td></tr></table></div>"
},
"identifier" : [
{
"use" : "official",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/identifier-type",
"code" : "SB",
"display" : "Social Beneficiary Identifier"
}
],
"text" : "US Social Security Number"
},
"system" : "http://hl7.org/fhir/sid/us-ssn",
"value" : "000001011"
},
{
"use" : "official",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "PRN",
"display" : "Provider number"
}
],
"text" : "US National Provider Identifier"
},
"system" : "http://hl7.org/fhir/sid/us-npi",
"value" : "9999991011"
},
{
"use" : "official",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/identifier-type",
"code" : "SB",
"display" : "Social Beneficiary Identifier"
}
],
"text" : "Michigan Common Key Service Identifier"
},
"system" : "http://mihin.org/fhir/cks",
"value" : "d46f70565a1042f6a6ece48dd81b408f"
}
],
"name" : [
{
"family" : "Richard",
"given" : [
"Brenda",
"Jennings"
],
"suffix" : [
"MD"
]
}
],
"telecom" : [
{
"system" : "phone",
"value" : "313-555-6868",
"use" : "home"
},
{
"system" : "phone",
"value" : "313-555-6443",
"use" : "work"
}
],
"address" : [
{
"text" : "346 W Plum Avenu Dearborn MI 48123",
"line" : [
"346 W Plum Avenue"
],
"city" : "Dearborn",
"state" : "MI",
"postalCode" : "48126"
}
],
"gender" : "female",
"birthDate" : "1976-11-15",
"qualification" : [
{
"identifier" : [
{
"use" : "official",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "MD",
"display" : "Medical License number"
}
],
"text" : "Michigan Medical License"
},
"system" : "http://michigan.gov/fhir/medical-license",
"value" : "LARA-1011",
"assigner" : {
"display" : "State of Michigan"
}
}
],
"code" : {
"coding" : [
{
"system" : "http://michigan.gov/lara/license-type",
"code" : "4305",
"display" : "Medical Doctor"
}
]
},
"issuer" : {
"display" : "Michigan Department of Licensing and Regulatory Affairs"
}
}
]
},
"search" : {
"mode" : "include"
}
},
{
"fullUrl" : "http://52.90.126.238:8080/fhir/baseDstu3/Endpoint/Endpoint-71",
"resource" : {
"resourceType" : "Endpoint",
"id" : "71",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 71</p><p><b>status</b>: active</p><p><b>connectionType</b>: Direct Project (Details: http://terminology.hl7.org/CodeSystem/endpoint-connection-type code direct-project = 'Direct Project', stated as 'null')</p><p><b>name</b>: Brenda.Jennings.Richard.MD@direct.example.org</p><p><b>managingOrganization</b>: <a href=\"Organization-acme-lab.html\">Generated Summary: id: acme-lab; 1144221847, 2523423456; active; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/organization-type prov}\">Healthcare Provider</span>; name: Acme Labs; ph: (+1) 734-677-7777, hq@acme.org</a></p><p><b>payloadType</b>: urn:hl7-org:sdwg:ccda-structuredBody:1.1 <span style=\"background: LightGoldenRodYellow\">(Details : {urn:oid:1.3.6.1.4.1.19376.1.2.3 code 'urn:hl7-org:sdwg:ccda-structuredBody:1.1' = 'urn:hl7-org:sdwg:ccda-structuredBody:1.1)</span></p><p><b>payloadMimeType</b>: text/xml</p><p><b>address</b>: <a href=\"mailto:Brenda.Jennings.Richard.MD@direct.example.org\">Brenda.Jennings.Richard.MD@direct.example.org</a></p></div>"
},
"status" : "active",
"connectionType" : {
"system" : "http://terminology.hl7.org/CodeSystem/endpoint-connection-type",
"code" : "direct-project"
},
"name" : "Brenda.Jennings.Richard.MD@direct.example.org",
"managingOrganization" : {
"reference" : "Organization/acme-lab"
},
"payloadType" : [
{
"coding" : [
{
"system" : "urn:oid:1.3.6.1.4.1.19376.1.2.3",
"code" : "urn:hl7-org:sdwg:ccda-structuredBody:1.1"
}
]
}
],
"payloadMimeType" : [
"text/xml"
],
"address" : "mailto:Brenda.Jennings.Richard.MD@direct.example.org"
},
"search" : {
"mode" : "include"
}
}
]
}
