National Directory of Healthcare Providers & Services (NDH) Implementation Guide, published by HL7 International / Patient Administration. This guide is not an authorized publication; it is the continuous build for version 2.0.0-current built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-us-ndh/ and changes regularly. See the Directory of published versions

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: JoeSmith

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<Practitioner xmlns="http://hl7.org/fhir">
  <id value="JoeSmith"/>
  <meta>
    <lastUpdated value="2020-07-07T13:26:22.0314215+00:00"/>
    <profile
             value="http://hl7.org/fhir/us/ndh/StructureDefinition/ndh-Practitioner"/>
  </meta>
  <language value="en"/>
  <text>
    <status value="extensions"/>
  </text>
  <extension
             url="http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-verification-status">
    <valueCodeableConcept>
      <coding>
        <system
                value="http://hl7.org/fhir/us/ndh/CodeSystem/NdhVerificationStatusCS"/>
        <code value="complete"/>
        <display value="Complete"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-cms-enrollment-in-good-standing">
    <valueBoolean value="true"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-cms-ial2-verified">
    <valueBoolean value="true"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-aligned-with-cms-data-network">
    <valueBoolean value="true"/>
  </extension>
  <identifier>
    <extension
               url="http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-identifier-status">
      <valueCode value="active"/>
    </extension>
    <system value="http://example.org/ndh-identifiers"/>
    <value value="JoeSmith"/>
  </identifier>
  <active value="true"/>
  <name>
    <text value="Joe Smith, MD"/>
    <family value="Smith"/>
    <given value="Joe"/>
  </name>
  <telecom>
    <system value="phone"/>
    <value value="555-123-6666"/>
    <use value="home"/>
  </telecom>
  <telecom>
    <system value="phone"/>
    <value value="555-123-1234"/>
    <use value="work"/>
  </telecom>
  <address>
    <use value="home"/>
    <line value="263 Farmington Ave"/>
    <city value="Farmington"/>
    <state value="CT"/>
    <postalCode value="06030"/>
    <country value="US"/>
  </address>
  <address>
    <use value="work"/>
    <type value="physical"/>
    <line value="400 Lee Rd Farmington, CT 06032"/>
    <city value="Farmington"/>
    <state value="CT"/>
    <postalCode value="06032"/>
    <country value="US"/>
  </address>
  <qualification>
    <extension
               url="http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-practitioner-qualification-scope">
      <extension url="status">
        <valueCode value="active"/>
      </extension>
      <extension url="whereValid">
        <valueCodeableConcept>
          <coding>
            <system value="https://www.usps.com/"/>
            <code value="CT"/>
          </coding>
        </valueCodeableConcept>
      </extension>
    </extension>
    <code>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0360"/>
        <version value="3.0.0"/>
        <code value="MD"/>
      </coding>
      <text value="MD"/>
    </code>
    <issuer>
      <display value="State of Connecticut"/>
    </issuer>
  </qualification>
  <qualification>
    <extension
               url="http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-practitioner-qualification-scope">
      <extension url="status">
        <valueCode value="active"/>
      </extension>
      <extension url="whereValid">
        <valueCodeableConcept>
          <coding>
            <system value="https://www.usps.com/"/>
            <code value="CT"/>
          </coding>
        </valueCodeableConcept>
      </extension>
    </extension>
    <code>
      <coding>
        <system value="http://nucc.org/provider-taxonomy"/>
        <code value="207R00000X"/>
        <display value="Internal Medicine Physician"/>
      </coding>
      <text value="Board Certified Internal Medicine"/>
    </code>
    <issuer>
      <display value="American Board of Internal Medicine"/>
    </issuer>
  </qualification>
  <qualification>
    <code>
      <coding>
        <system
                value="http://hl7.org/fhir/us/ndh/CodeSystem/FaCeT-credentialCS"/>
        <code value="DABIM"/>
      </coding>
      <text value="Diplomate of the American Board of Internal Medicine"/>
    </code>
    <issuer>
      <display value="American Board of Internal Medicine"/>
    </issuer>
  </qualification>
  <qualification>
    <code>
      <coding>
        <system
                value="http://hl7.org/fhir/us/ndh/CodeSystem/FaCeT-credentialCS"/>
        <code value="PharmD"/>
      </coding>
      <text value="Doctor of Pharmacy"/>
    </code>
  </qualification>
</Practitioner>