Aetna · Example Payload
Aetna V1 Providerdirectorydata Practitionerrole 200 Example
Health InsuranceHealthcareFHIRPatient AccessProvider DirectoryDrug FormularyPrior AuthorizationCMS InteroperabilitySMART on FHIRCARIN Blue ButtonDa VinciPayerFortune 100CVS Health
Aetna V1 Providerdirectorydata Practitionerrole 200 Example is an example object payload from Aetna, with 2 top-level fields. It illustrates the shape of data this provider's APIs accept or return.
Top-level fields
x-sourceexample
Example Payload
{
"x-source": {
"spec": "openapi/aetna-provider-directory-api-openapi.yml",
"operationId": "get_v1_providerdirectorydata_PractitionerRole",
"path": "/v1/providerdirectorydata/PractitionerRole",
"status": "200",
"media_type": "application/json",
"note": "Response example published verbatim by Aetna in its own Swagger document; extracted, not authored."
},
"example": {
"entry": [
{
"search": {
"mode": "match"
},
"resource": {
"identifier": [
{
"system": "http://aetna.com/identifier",
"use": "official",
"type": {
"coding": [
{
"code": "SPCB",
"system": "https://aetna.com/identifierType/practiceCode",
"display": "Specialty Practice Code - BOTH"
}
],
"text": "Chiropractor Specialty Practice Code \u2013 PCP and Specialist Roles"
},
"value": "33042"
},
{
"system": "http://aetna.com/identifier",
"use": "official",
"type": {
"coding": [
{
"code": "CAPIDOPN",
"system": "https://aetna.com/identifier/capitationID",
"display": "Capitation Office Identifier \u2013 OPEN"
}
],
"text": "Capitation Office Identifier for POIN(s) 0000022281\u2013 Open Status"
},
"value": "53042"
}
],
"extension": [
{
"extension": [
{
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/us/davinci-pdex-plan-net/CodeSystem/AcceptingPatientsCS",
"code": "newpt",
"display": "Accepting"
}
],
"text": "Accepting patients"
},
"url": "acceptingPatients"
}
],
"url": "http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/newpatients"
},
{
"valueReference": {
"reference": "Organization/plannet-network-f98e8fbab8e328bd1184f353fbad5cd3",
"identifier": {
"system": "http://aetna.com/identifier",
"use": "official",
"type": {
"coding": [
{
"code": "NID",
"system": "http://aetna.com/identifier",
"display": "Network ID Number"
}
],
"text": "Aetna Pharmacy Network ID Number"
},
"value": "S2"
},
"display": "Aetna Direct NAP"
},
"url": "http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/network-reference"
}
],
"period": {
"start": "2023-01-01",
"end": "2023-12-31"
},
"specialty": [
{
"coding": [
{
"code": "111NT0100X",
"system": "http://nucc.org/provider-taxonomy",
"display": "Thermography Chiropractor"
},
{
"code": "111NX0100X",
"system": "http://nucc.org/provider-taxonomy",
"display": "Occupational Health Chiropractor"
},
{
"code": "111NX0800X",
"system": "http://nucc.org/provider-taxonomy",
"display": "Orthopedic Chiropractor"
},
{
"code": "111NS0005X",
"system": "http://nucc.org/provider-taxonomy",
"display": "Sports Physician"
}
]
}
],
"code": [
{
"coding": [
{
"code": "ch",
"system": "http://hl7.org/fhir/us/davinci-pdex-plan-net/CodeSystem/ProviderRoleCS",
"display": "Chiropractor"
}
]
}
],
"practitioner": {
"reference": "Practitioner/plannet-practitioner-f34317ef286dce6cbd0345a2892ffb24",
"display": "Gomez, Gloria, MED"
},
"active": true,
"language": "en",
"meta": {
"lastUpdated": "2022-03-23T13:31:33.802713+00:00",
"versionId": "MTY0ODA0MjI5MzgwMjcxMzAwMA",
"profile": [
"http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-PractitionerRole"
]
},
"organization": {
"reference": "Organization/plannet-organization-a76f9512226dce6cbd06b05421765942",
"display": "Advanced Chiropractic & Rehabilitation, Inc"
},
"location": [
{
"reference": "Location/plannet-location-98718bfa198baa5738bc8c40b1d3b42f",
"display": "701 West Fletcher Avenue, Suite B, Tampa, Hillsborough, FL 33612, USA"
},
{
"reference": "Location/plannet-location-880fc54ff38baa5738abd2ccade5f7b4",
"display": "13813 West Hillsborough Avenue, Tampa, Hillsborough, FL 33635, USA"
}
],
"telecom": [
{
"system": "phone",
"rank": 1,
"value": "8139251700"
},
{
"system": "phone",
"rank": 2,
"value": "8139689800"
},
{
"system": "fax",
"rank": 3,
"value": "8139251744"
}
],
"id": "plannet-practitionerrole-8607176b3d67d278d4b7137fcb0a3cd3",
"resourceType": "PractitionerRole"
},
"fullUrl": "https://apif1.aetna.com/fhir/v1/providerdirectorydata/PractitionerRole/plannet-practitionerrole-12812d34f31d5fa350146ac42dacd52b"
},
{
"search": {
"mode": "match"
},
"resource": {
"identifier": [
{
"system": "http://aetna.com/identifier",
"use": "official",
"type": {
"coding": [
{
"code": "SPC",
"system": "https://aetna.com/identifierType/practiceCode",
"display": "Specialty Practice Code"
}
],
"text": "Psychologist Specialty Practice Code"
},
"value": "33042"
}
],
"extension": [
{
"extension": [
{
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/us/davinci-pdex-plan-net/CodeSystem/AcceptingPatientsCS",
"code": "newpt",
"display": "Accepting"
}
],
"text": "Accepting patients"
},
"url": "acceptingPatients"
}
],
"url": "http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/newpatients"
},
{
"valueReference": {
"reference": "Organization/plannet-network-221457651c2c6791a85524779b3d1d40",
"identifier": {
"system": "http://aetna.com/identifier",
"use": "official",
"type": {
"coding": [
{
"code": "NID",
"system": "http://aetna.com/identifier",
"display": "Network ID Number"
}
],
"text": "Aetna Pharmacy Network ID Number"
},
"value": "F2"
},
"display": "W. Central FL Medicare PPO 3408"
},
"url": "http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/network-reference"
}
],
"period": {
"start": "2023-01-01",
"end": "2023-12-31"
},
"specialty": [
{
"coding": [
{
"code": "225XF0002X",
"system": "http://nucc.org/provider-taxonomy",
"display": "Feeding. Eating & Swallowing Occupational Therapist"
},
{
"code": "225XG0600X",
"system": "http://nucc.org/provider-taxonomy",
"display": "Gerontology Occupational Therapist"
},
{
"code": "225XH1200X",
"system": "http://nucc.org/provider-taxonomy",
"display": "Hand Occupational Therapist"
},
{
"code": "225XL0004X",
"system": "http://nucc.org/provider-taxonomy",
"display": "Low Vision Occupational Therapist"
}
]
}
],
"code": [
{
"coding": [
{
"code": "py",
"system": "http://hl7.org/fhir/us/davinci-pdex-plan-net/CodeSystem/ProviderRoleCS",
"display": "Psychologist"
}
]
}
],
"active": true,
"language": "en",
"meta": {
"lastUpdated": "2022-03-23T13:31:33.758448+00:00",
"versionId": "MTY0ODA0MjI5Mzc1ODQ0ODAwMA",
"profile": [
"http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-PractitionerRole"
]
},
"organization": {
"reference": "Organization/plannet-organization-e45ffb51286dce6cbd0a3ca1f848e0fa",
"display": "DNA Comprehensive Therapy Services, LLC"
},
"location": [
{
"reference": "Location/plannet-location-391e84c0cf8baa5738b3381774466050",
"display": "3191 Harbor Blvd., Suite A, Port Charlotte, Charlotte, FL 33952, USA"
},
{
"reference": "Location/plannet-location-d53d0bb8c08baa5738b69ccbe9e090d8",
"display": "1777 Tamiami Trail, Suite 201, Port Charlotte, Charlotte, FL 33948, USA"
},
{
"reference": "Location/plannet-location-be48c445648baa5738b6972546637afc",
"display": "4310 Metro Pkwy., Suite 205, Fort Myers, Lee, FL 33916, USA"
},
{
"reference": "Location/plannet-location-b21158a58c8baa5738b69417ce4bb881",
"display": "6430 Plantation Park Court, Suite 200, Fort Myers, Lee, FL 33966, USA"
}
],
"telecom": [
{
"system": "phone",
"rank": 1,
"value": "7862443732"
},
{
"system": "fax",
"rank": 2,
"value": "9544801784"
}
],
"id": "plannet-practitionerrole-de1adfcde965561fff543f446a18d3cb",
"resourceType": "PractitionerRole"
},
"fullUrl": "https://apif1.aetna.com/fhir/v1/providerdirectorydata/PractitionerRole/plannet-practitionerrole-12812d34f31d5fa350146ac42dacd529"
}
],
"total": 4,
"link": [
{
"url": "https://apif1.aetna.com/fhir/v1/providerdirectorydata/PractitionerRole?_count=2",
"relation": "search"
},
{
"url": "https://apif1.aetna.com/fhir/v1/providerdirectorydata/PractitionerRole?_count=2&_page_token=Cjj3YIGJFv%2F%2F%2F%2F%2BABcCQjgd%2BagD%2FAf%2F%2BY2YxNjhhNTcxYzI3ZDQwYTExNzRiMjBjOWZjOWVkM2EAARACIRdZYDGqWfwzOQAAAADpdn6fSAJQAFoLCbGK4RJnYbokEANgxMKh8gM%3D",
"relation": "next"
},
{
"url": "https://apif1.aetna.com/fhir/v1/providerdirectorydata/PractitionerRole?_count=2",
"relation": "first"
},
{
"url": "https://apif1.aetna.com/fhir/v1/providerdirectorydata/PractitionerRole?_count=2",
"relation": "self"
}
],
"type": "searchset",
"resourceType": "Bundle"
}
}Work with this as data
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