AmeriHealth Caritas · Schema

AmeriHealthCaritasPractitioner

JSON Schema mirroring the FHIR R4 Practitioner resource exposed by the AmeriHealth Caritas Provider Directory FHIR API. Represents a contracted in-network clinician across the AmeriHealth Caritas family of plans.

HealthcareHealth InsuranceManaged CareMedicaidMedicareDual EligibleCHIPLTSSBehavioral HealthPharmacy BenefitsInteroperabilityFHIRCMSSMART on FHIRPatient AccessProvider Directory

Properties

Name	Type	Description
resourceType	string
id	string
meta	object
identifier	array	Practitioner identifiers including NPI
active	boolean
name	array
telecom	array
address	array
gender	string
birthDate	string
qualification	array
communication	array

View JSON Schema on GitHub

JSON Schema

{
  "$schema": "https://json-schema.org/draft/2020-12/schema",
  "$id": "https://raw.githubusercontent.com/api-evangelist/amerihealth-caritas/refs/heads/main/json-schema/amerihealth-caritas-practitioner-schema.json",
  "title": "AmeriHealthCaritasPractitioner",
  "description": "JSON Schema mirroring the FHIR R4 Practitioner resource exposed by the AmeriHealth Caritas Provider Directory FHIR API. Represents a contracted in-network clinician across the AmeriHealth Caritas family of plans.",
  "type": "object",
  "required": ["resourceType"],
  "properties": {
    "resourceType": { "type": "string", "const": "Practitioner" },
    "id": { "type": "string" },
    "meta": { "type": "object" },
    "identifier": {
      "type": "array",
      "description": "Practitioner identifiers including NPI",
      "items": {
        "type": "object",
        "properties": {
          "use": { "type": "string" },
          "system": { "type": "string" },
          "value": { "type": "string" }
        }
      }
    },
    "active": { "type": "boolean" },
    "name": { "type": "array", "items": { "type": "object" } },
    "telecom": { "type": "array", "items": { "type": "object" } },
    "address": { "type": "array", "items": { "type": "object" } },
    "gender": { "type": "string", "enum": ["male", "female", "other", "unknown"] },
    "birthDate": { "type": "string", "format": "date" },
    "qualification": {
      "type": "array",
      "items": {
        "type": "object",
        "properties": {
          "code": { "type": "object" },
          "period": { "type": "object" },
          "issuer": { "type": "object" }
        }
      }
    },
    "communication": { "type": "array", "items": { "type": "object" } }
  }
}

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