HealthSamurai · akim1995 · Aug 27, 2026
diff --git a/assets/data-integration/care_team.csv b/assets/data-integration/care_team.csv
@@ -1,4 +1,4 @@
-record_id,patient_identifier,member_npi,member_related_person_id,role_code,status,source_system,last_updated,author_org_npi,is_deleted
-CT-0001,MRN-4471903,1407006835,,223366009,active,,2026-08-19T02:00:00-04:00,,
-CT-0002,MRN-4471903,,RP-3310,223366009,active,,2026-08-19T02:00:00-04:00,,
-CT-0003,MRN-7782200,1932108107,,223366009,inactive,,2026-08-19T02:00:00-04:00,,
+record_id,patient_identifier,member_npi,member_related_person_id,role_code,status,source_system,last_updated,author_org_npi,is_deleted
+CT-0001,MRN-4471903,1999999992,,223366009,active,,2026-08-19T02:00:00-04:00,,
+CT-0002,MRN-4471903,,RP-3310,223366009,active,,2026-08-19T02:00:00-04:00,,
+CT-0003,MRN-7782200,1888888884,,223366009,inactive,,2026-08-19T02:00:00-04:00,,
diff --git a/assets/data-integration/documents.csv b/assets/data-integration/documents.csv
@@ -1,4 +1,4 @@
-record_id,patient_identifier,type_code,attachment_file,record_id,document_date,author_npi,encounter_id,source_system,last_updated,author_org_npi,is_deleted
-DOC-0001,MRN-4471903,11488-4,attachments/DOC-0001.pdf,DOC-0001,2026-04-18T10:00:00-04:00,1407006835,ENC-9912,,2026-08-19T02:00:00-04:00,,
-DOC-0002,MRN-7782200,18842-5,attachments/DOC-0002.pdf,DOC-0002,2026-02-06T11:30:00-05:00,1407006835,ENC-9913,,2026-08-19T02:00:00-04:00,,
-DOC-0003,MRN-5510042,11506-3,attachments/DOC-0003.pdf,DOC-0003,2026-01-09T15:05:00-05:00,,,,2026-08-19T02:00:00-04:00,,
+record_id,patient_identifier,type_code,attachment_file,record_id,document_date,author_npi,encounter_id,source_system,last_updated,author_org_npi,is_deleted
+DOC-0001,MRN-4471903,11488-4,attachments/DOC-0001.pdf,DOC-0001,2026-04-18T10:00:00-04:00,1999999992,ENC-9912,,2026-08-19T02:00:00-04:00,,
+DOC-0002,MRN-7782200,18842-5,attachments/DOC-0002.pdf,DOC-0002,2026-02-06T11:30:00-05:00,1999999992,ENC-9913,,2026-08-19T02:00:00-04:00,,
+DOC-0003,MRN-5510042,11506-3,attachments/DOC-0003.pdf,DOC-0003,2026-01-09T15:05:00-05:00,,,,2026-08-19T02:00:00-04:00,,
diff --git a/assets/data-integration/encounters.csv b/assets/data-integration/encounters.csv
@@ -1,5 +1,5 @@
-record_id,encounter_id,encounter_id_system,patient_identifier,status,class,type_code,type_system,period_start,period_end,reason_code,reason_system,location_id,diagnosis_condition_id,participant_npi,participant_type_code,participant_type_system,discharge_disposition_code,discharge_disposition_system,service_provider_npi,source_system,last_updated,author_org_npi,is_deleted
-ENC-9912,ENC-9912,urn:oid:2.16.840.1.113883.3.99.2,MRN-4471903,finished,AMB,99213,,2026-04-18T09:00:00-04:00,2026-04-18T09:30:00-04:00,29857009,,LOC-221,,1407006835,ATND,,,,1234567893,,2026-08-19T02:00:00-04:00,,
-ENC-9913,ENC-9913,urn:oid:2.16.840.1.113883.3.99.2,MRN-7782200,finished,IMP,99213,,2026-02-01T14:00:00-05:00,2026-02-06T11:00:00-05:00,,,,CND-4501,1407006835,ADM,,01,http://www.nubc.org/patient-discharge,1234567893,,2026-08-19T02:00:00-04:00,,
-ENC-9914,ENC-9914,urn:oid:2.16.840.1.113883.3.99.2,MRN-3391077,finished,EMER,99213,,2026-05-20T22:10:00-04:00,2026-05-21T02:40:00-04:00,29857009,,,,,,,,,,,2026-08-19T02:00:00-04:00,,
-ENC-9915,ENC-9915,urn:oid:2.16.840.1.113883.3.99.2,MRN-5510042,cancelled,AMB,99213,,,,,,,,,,,,,,,2026-08-19T02:00:00-04:00,,
+record_id,encounter_id,encounter_id_system,patient_identifier,status,class,type_code,type_system,period_start,period_end,reason_code,reason_system,location_id,diagnosis_condition_id,participant_npi,participant_type_code,participant_type_system,discharge_disposition_code,discharge_disposition_system,service_provider_npi,source_system,last_updated,author_org_npi,is_deleted
+ENC-9912,ENC-9912,urn:oid:2.16.840.1.113883.3.99.2,MRN-4471903,finished,AMB,99213,,2026-04-18T09:00:00-04:00,2026-04-18T09:30:00-04:00,29857009,,LOC-221,,1999999992,ATND,,,,1234567893,,2026-08-19T02:00:00-04:00,,
+ENC-9913,ENC-9913,urn:oid:2.16.840.1.113883.3.99.2,MRN-7782200,finished,IMP,99213,,2026-02-01T14:00:00-05:00,2026-02-06T11:00:00-05:00,,,,CND-4501,1999999992,ADM,,01,http://www.nubc.org/patient-discharge,1234567893,,2026-08-19T02:00:00-04:00,,
+ENC-9914,ENC-9914,urn:oid:2.16.840.1.113883.3.99.2,MRN-3391077,finished,EMER,99213,,2026-05-20T22:10:00-04:00,2026-05-21T02:40:00-04:00,29857009,,,,,,,,,,,2026-08-19T02:00:00-04:00,,
+ENC-9915,ENC-9915,urn:oid:2.16.840.1.113883.3.99.2,MRN-5510042,cancelled,AMB,99213,,,,,,,,,,,,,,,2026-08-19T02:00:00-04:00,,
diff --git a/assets/data-integration/immunizations.csv b/assets/data-integration/immunizations.csv
@@ -1,4 +1,4 @@
-record_id,patient_identifier,status,status_reason_code,status_reason_system,vaccine_code,vaccine_system,occurrence_date,performer_npi,primary_source,source_system,last_updated,author_org_npi,is_deleted
-IM-0001,MRN-4471903,completed,,,140,,2025-10-02,1407006835,true,,2026-08-19T02:00:00-04:00,,
-IM-0002,MRN-7782200,not-done,PATOBJ,http://terminology.hl7.org/CodeSystem/v3-ActReason,140,,2025-11-14,,,,2026-08-19T02:00:00-04:00,,
-IM-0003,MRN-5510042,completed,,,140,,2019-09-30,,false,,2026-08-19T02:00:00-04:00,,
+record_id,patient_identifier,status,status_reason_code,status_reason_system,vaccine_code,vaccine_system,occurrence_date,performer_npi,primary_source,source_system,last_updated,author_org_npi,is_deleted
+IM-0001,MRN-4471903,completed,,,140,,2025-10-02,1999999992,true,,2026-08-19T02:00:00-04:00,,
+IM-0002,MRN-7782200,not-done,PATOBJ,http://terminology.hl7.org/CodeSystem/v3-ActReason,140,,2025-11-14,,,,2026-08-19T02:00:00-04:00,,
+IM-0003,MRN-5510042,completed,,,140,,2019-09-30,,false,,2026-08-19T02:00:00-04:00,,
diff --git a/assets/data-integration/practitioners.csv b/assets/data-integration/practitioners.csv
@@ -1,4 +1,4 @@
-record_id,npi,last_name,first_name,specialty_nucc,primary_org_npi,practitioner_role_code,location_id,phone,email,role_period_start,role_period_end,source_system,last_updated,author_org_npi,is_deleted
-PRC-0001,1407006835,Roe,Richard,207R00000X,1234567893,doctor,LOC-221,5551234567,,2021-04-01,,,2026-08-19T02:00:00-04:00,,
-PRC-0002,1407006835,Roe,Richard,207R00000X,1234567893,doctor,LOC-884,5554445555,,,,,2026-08-19T02:00:00-04:00,,
-PRC-0003,1932108107,Fox,Dana,,,,,,,,,,2026-08-19T02:00:00-04:00,,
+record_id,npi,last_name,first_name,specialty_nucc,primary_org_npi,practitioner_role_code,location_id,phone,email,role_period_start,role_period_end,source_system,last_updated,author_org_npi,is_deleted
+PRC-0001,1999999992,Roe,Richard,207R00000X,1234567893,doctor,LOC-221,5551234567,,2021-04-01,,,2026-08-19T02:00:00-04:00,,
+PRC-0002,1999999992,Roe,Richard,207R00000X,1234567893,doctor,LOC-884,5554445555,,,,,2026-08-19T02:00:00-04:00,,
+PRC-0003,1888888884,Fox,Dana,,,,,,,,,,2026-08-19T02:00:00-04:00,,
diff --git a/assets/data-integration/procedures.csv b/assets/data-integration/procedures.csv
@@ -1,4 +1,4 @@
-record_id,patient_identifier,status,code,code_system,performed_start,performed_end,performer_npi,encounter_id,service_request_id,reason_code,reason_system,source_system,last_updated,author_org_npi,is_deleted
-PRO-0001,MRN-4471903,completed,80146002,http://snomed.info/sct,2026-04-18,,1407006835,ENC-9912,,,,,2026-08-19T02:00:00-04:00,,
-PRO-0002,MRN-7782200,completed,80146002,http://snomed.info/sct,2026-02-02,2026-02-02,1407006835,ENC-9913,,,,,2026-08-19T02:00:00-04:00,,
-PRO-0003,MRN-3391077,completed,80146002,http://snomed.info/sct,2026-05-24,,,,SR-2201,733423003,,,2026-08-19T02:00:00-04:00,,
+record_id,patient_identifier,status,code,code_system,performed_start,performed_end,performer_npi,encounter_id,service_request_id,reason_code,reason_system,source_system,last_updated,author_org_npi,is_deleted
+PRO-0001,MRN-4471903,completed,80146002,http://snomed.info/sct,2026-04-18,,1999999992,ENC-9912,,,,,2026-08-19T02:00:00-04:00,,
+PRO-0002,MRN-7782200,completed,80146002,http://snomed.info/sct,2026-02-02,2026-02-02,1999999992,ENC-9913,,,,,2026-08-19T02:00:00-04:00,,
+PRO-0003,MRN-3391077,completed,80146002,http://snomed.info/sct,2026-05-24,,,,SR-2201,733423003,,,2026-08-19T02:00:00-04:00,,
diff --git a/assets/data-integration/service_requests.csv b/assets/data-integration/service_requests.csv
@@ -1,4 +1,4 @@
-record_id,patient_identifier,status,intent,code,code_system,category,category_system,reason_code,reason_system,authored_on,occurrence_date,requester_npi,source_system,last_updated,author_org_npi,is_deleted
-SR-2201,MRN-3391077,active,order,103696004,http://snomed.info/sct,sdoh,http://hl7.org/fhir/us/core/CodeSystem/us-core-category,733423003,,2026-05-10,2026-05-24,1407006835,,2026-08-19T02:00:00-04:00,,
-SR-0002,MRN-4471903,active,order,103696004,http://snomed.info/sct,,,,,2026-04-18,,1407006835,,2026-08-19T02:00:00-04:00,,
-SR-0003,MRN-7782200,completed,plan,103696004,http://snomed.info/sct,,,,,2025-12-01,,,,2026-08-19T02:00:00-04:00,,
+record_id,patient_identifier,status,intent,code,code_system,category,category_system,reason_code,reason_system,authored_on,occurrence_date,requester_npi,source_system,last_updated,author_org_npi,is_deleted
+SR-2201,MRN-3391077,active,order,103696004,http://snomed.info/sct,sdoh,http://hl7.org/fhir/us/core/CodeSystem/us-core-category,733423003,,2026-05-10,2026-05-24,1999999992,,2026-08-19T02:00:00-04:00,,
+SR-0002,MRN-4471903,active,order,103696004,http://snomed.info/sct,,,,,2026-04-18,,1999999992,,2026-08-19T02:00:00-04:00,,
+SR-0003,MRN-7782200,completed,plan,103696004,http://snomed.info/sct,,,,,2025-12-01,,,,2026-08-19T02:00:00-04:00,,
diff --git a/assets/data-integration/vital_signs.csv b/assets/data-integration/vital_signs.csv
@@ -1,6 +1,6 @@
-record_id,patient_identifier,status,loinc_code,effective_datetime,value,unit,component_systolic,component_diastolic,encounter_id,performer_npi,source_system,last_updated,author_org_npi,is_deleted
-VS-0001,MRN-4471903,final,85354-9,2026-04-18T09:05:00-04:00,,,128,82,ENC-9912,1407006835,,2026-08-19T02:00:00-04:00,,
-VS-0002,MRN-4471903,final,8867-4,2026-04-18T09:05:00-04:00,72,/min,,,ENC-9912,,,2026-08-19T02:00:00-04:00,,
-VS-0003,MRN-4471903,final,8302-2,2026-04-18T09:05:00-04:00,163,cm,,,,,,2026-08-19T02:00:00-04:00,,
-VS-0004,MRN-4471903,final,29463-7,2026-04-18T09:05:00-04:00,64.5,kg,,,,,,2026-08-19T02:00:00-04:00,,
-VS-0005,MRN-7782200,final,8310-5,2026-02-02T21:40:00-05:00,38.2,Cel,,,ENC-9913,,,2026-08-19T02:00:00-04:00,,
+record_id,patient_identifier,status,loinc_code,effective_datetime,value,unit,component_systolic,component_diastolic,encounter_id,performer_npi,source_system,last_updated,author_org_npi,is_deleted
+VS-0001,MRN-4471903,final,85354-9,2026-04-18T09:05:00-04:00,,,128,82,ENC-9912,1999999992,,2026-08-19T02:00:00-04:00,,
+VS-0002,MRN-4471903,final,8867-4,2026-04-18T09:05:00-04:00,72,/min,,,ENC-9912,,,2026-08-19T02:00:00-04:00,,
+VS-0003,MRN-4471903,final,8302-2,2026-04-18T09:05:00-04:00,163,cm,,,,,,2026-08-19T02:00:00-04:00,,
+VS-0004,MRN-4471903,final,29463-7,2026-04-18T09:05:00-04:00,64.5,kg,,,,,,2026-08-19T02:00:00-04:00,,
+VS-0005,MRN-7782200,final,8310-5,2026-02-02T21:40:00-05:00,38.2,Cel,,,ENC-9913,,,2026-08-19T02:00:00-04:00,,
diff --git a/docs/data-integration/provider-directory/README.md b/docs/data-integration/provider-directory/README.md
@@ -22,7 +22,7 @@ One row per unique NPI, practice location, plan and specialty. A provider at two
 
 | Column | Required | Format / values | Example |
 |---|---|---|---|
-| `npi` | Yes | 10 digits | `1234567893` |
+| `npi` | Yes | 10 digits | `1999999992` |
 | `first_name` | Yes | text | `Jane` |
 | `last_name` | Yes | text | `Smith` |
 | `middle_name` | No | text | `G` |
@@ -35,7 +35,7 @@ One row per unique NPI, practice location, plan and specialty. A provider at two
 | `board_certification` | If available | qualification code or name | `Board Certified, Cardiology` |
 | `plan_id` | Yes | key from `plans`; one plan per row | `PLAN-DSNP` |
 | `network_id` | Yes | key from `networks` | `NET-001` |
-| `organization_npi` | If applicable | 10 digits; blank for a solo practitioner with no group NPI | `1407006835` |
+| `organization_npi` | If applicable | 10 digits; blank for a solo practitioner with no group NPI | `1234567893` |
 | `accepting_new_patients` | Recommended | `accepting`, `not-accepting`, `existing-only`, `existing+family` [AcceptingPatientsVS](https://hl7.org/fhir/us/davinci-pdex-plan-net/STU1.2/ValueSet-AcceptingPatientsVS.html) | `accepting` |
 | `location_name` | Yes | text; Plan-Net requires a name on every location | `Riverdale Family Practice` |
 | `address_line1` | Yes | text | `225 Broadway` |
@@ -56,11 +56,11 @@ One row per facility NPI, plan and network.
 
 | Column | Required | Format / values | Example |
 |---|---|---|---|
-| `npi` | Yes | 10 digits | `1407006835` |
+| `npi` | Yes | 10 digits | `1234567893` |
 | `facility_name` | Yes | text | `Example Hospital` |
 | `facility_type_nucc` | Yes | NUCC organization taxonomy code(s), `;`-separated [OrgTypeVS](https://hl7.org/fhir/us/davinci-pdex-plan-net/STU1.2/ValueSet-OrgTypeVS.html) | `282N00000X` |
 | `affiliation_type` | Recommended | `provider`, `pharmacy`, `lab`, `dme`, `urgent`, `hospice` [OrganizationAffiliationRoleVS](https://hl7.org/fhir/us/davinci-pdex-plan-net/STU1.2/ValueSet-OrganizationAffiliationRoleVS.html) | `provider` |
-| `parent_org_npi` | If available | 10 digits, if part of a larger system | `1234567893` |
+| `parent_org_npi` | If available | 10 digits, if part of a larger system | `1666666668` |
 | `plan_id` | Yes | key from `plans` | `PLAN-ISNP` |
 | `network_id` | Yes | key from `networks` | `NET-002` |
 | `location_name` | Recommended | text; defaults to `facility_name` if there is no distinct site name | `Example Hospital` |

diff --git a/docs/data-integration/uscdi/care-team.md b/docs/data-integration/uscdi/care-team.md
@@ -27,7 +27,7 @@ practitioners.csv Data template with example rows
 
 | Column | Required | Format / values | Example |
 |---|---|---|---|
-| `npi` | Yes | 10 digits | `1407006835` |
+| `npi` | Yes | 10 digits | `1999999992` |
 | `last_name` | Yes | text | `Roe` |
 | `first_name` | Recommended | text | `Richard` |
 | `specialty_nucc` | Recommended | NUCC taxonomy code(s), `;`-separated [Healthcare Provider Taxonomy](https://healthsamurai.github.io/fhir-valueset-viewer/#url=http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066&server=https://tx.fhir.org/r4) | `207R00000X` |
@@ -50,7 +50,7 @@ care_team.csv Data template with example rows
 | Column | Required | Format / values | Example |
 |---|---|---|---|
 | `patient_identifier` | Yes | patient key | `MRN-4471903` |
-| `member_npi` | Yes | 10 digits; send this or `member_related_person_id` | `1407006835` |
+| `member_npi` | Yes | 10 digits; send this or `member_related_person_id` | `1999999992` |
 | `member_related_person_id` | Yes | `record_id` of the `related_persons` row, for non-clinicians; send this or `member_npi` | `RP-3310` |
 | `role_code` | Yes | SNOMED or NUCC code [Care Team Member Function](https://healthsamurai.github.io/fhir-valueset-viewer/#url=http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30&server=https://tx.fhir.org/r4) | `223366009` |
 | `status` | Recommended | `proposed`, `active`, `suspended`, `inactive`, `entered-in-error` [care-team-status](https://healthsamurai.github.io/fhir-valueset-viewer/#url=http://hl7.org/fhir/ValueSet/care-team-status%7C4.0.1) | `active` |

diff --git a/docs/data-integration/uscdi/clinical-notes.md b/docs/data-integration/uscdi/clinical-notes.md
@@ -44,7 +44,7 @@ documents.csv Data template with example rows
 | `attachment_file` | Yes | path relative to the delivery root | `attachments/DOC-0001.pdf` |
 | `record_id` | Recommended | your stable row key | `DOC-0001` |
 | `document_date` | Recommended | datetime | `2026-04-18T10:00:00-04:00` |
-| `author_npi` | Recommended | 10 digits | `1407006835` |
+| `author_npi` | Recommended | 10 digits | `1999999992` |
 | `encounter_id` | If applicable | `encounters` key | `ENC-9912` |
 
 - `type_code` has a required binding, so the note type must come from that value set. It is large, but the four codes above cover most of what a payer holds.

diff --git a/docs/data-integration/uscdi/clinical-tests.md b/docs/data-integration/uscdi/clinical-tests.md
@@ -34,7 +34,7 @@ clinical_observations.csv Data template with example rows
 | `value_code` | If coded | SNOMED CT or LOINC code, with `value_system` | |
 | `data_absent_reason` | If there is no result | `unknown`, `asked-declined`, `not-performed` [data-absent-reason](https://healthsamurai.github.io/fhir-valueset-viewer/#url=http://hl7.org/fhir/ValueSet/data-absent-reason%7C4.0.1) | |
 | `effective_datetime` | Recommended | datetime | `2026-04-18` |
-| `performer_npi` | If available | 10 digits | `1407006835` |
+| `performer_npi` | If available | 10 digits | `1999999992` |
 | `panel_id` | If available | `record_id` of the parent `clinical_observations` row | `CO-1200` |
 
 - Send exactly one of `value_quantity`, `value_string`, `value_code` or `data_absent_reason`. A row with a result and an absent reason contradicts itself; a row with neither cannot become an Observation.

diff --git a/docs/data-integration/uscdi/encounters.md b/docs/data-integration/uscdi/encounters.md
@@ -36,7 +36,7 @@ encounters.csv Data template with example rows
 | `reason_code` | If available | SNOMED CT or ICD-10-CM code(s), `;`-separated, with `reason_system`; SNOMED CT if omitted [encounter-reason](https://healthsamurai.github.io/fhir-valueset-viewer/#url=http://hl7.org/fhir/ValueSet/encounter-reason%7C4.0.1) | `29857009` chest pain |
 | `location_id` | Recommended | `locations` key | `LOC-221` |
 | `diagnosis_condition_id` | If available | `record_id` of the `conditions` row(s), `;`-separated | `CND-4501` |
-| `participant_npi` | If available | 10 digits, `;`-separated | `1407006835` |
+| `participant_npi` | If available | 10 digits, `;`-separated | `1999999992` |
 | `participant_type_code` | If available | `ATND` attender, `ADM` admitter, `DIS` discharger, `CON` consultant, `REF` referrer, with `participant_type_system`; v3-ParticipationType if omitted [encounter-participant-type](https://healthsamurai.github.io/fhir-valueset-viewer/#url=http://hl7.org/fhir/ValueSet/encounter-participant-type%7C4.0.1) | `ATND` |
 | `discharge_disposition_code` | If applicable | NUBC patient discharge status code, as carried in UB-04 field 17, with `discharge_disposition_system` [AHA NUBC Patient Discharge Status](https://terminology.hl7.org/5.5.0/CodeSystem-AHANUBCPatientDischargeStatus.html) | `01` discharged to home or self-care |
 | `service_provider_npi` | If available | 10 digits | `1234567893` |

diff --git a/docs/data-integration/uscdi/immunizations.md b/docs/data-integration/uscdi/immunizations.md
@@ -31,7 +31,7 @@ immunizations.csv Data template with example rows
 | `status_reason_code` | If `not-done` | SNOMED CT or v3 ActReason code, with `status_reason_system` [immunization-status-reason](https://healthsamurai.github.io/fhir-valueset-viewer/#url=http://hl7.org/fhir/ValueSet/immunization-status-reason%7C4.0.1) | `PATOBJ` patient objection |
 | `vaccine_code` | Yes | CVX code, with `vaccine_system`; CVX if omitted [CVX Vaccines Administered Vaccine Set](https://healthsamurai.github.io/fhir-valueset-viewer/#url=http://hl7.org/fhir/ValueSet/vaccine-code%7C4.0.1) | `140` influenza, seasonal, injectable, preservative free |
 | `occurrence_date` | Yes | datetime | `2025-10-02` |
-| `performer_npi` | If available | 10 digits | `1407006835` |
+| `performer_npi` | If available | 10 digits | `1999999992` |
 | `primary_source` | Recommended | `true` / `false` | `true` |
 
 - `vaccine_code` is the one coded field with no fallback: a row without it cannot become an Immunization. Send `vaccine_system` as `http://hl7.org/fhir/sid/cvx`. US Core requires the CVX coding, so a row sourced from a billed claim that only carries an NDC should send that NDC with `vaccine_system` as `http://hl7.org/fhir/sid/ndc`; Payerbox crosswalks it to CVX.