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Any newly created or updated resources that meet this criteria in the resource cause the Server to notify the subscriber and "forward" ( e.g., POST)  the result of the search criteria - the updated PractitiionerPractitioner, PractitionerRole and Endpoint - to the specified endpoint.  Note that an alternate flow is that the Server would notify the subscriber of an update without a payload and then the subscriber would fetch the data through the REST API to a predetermined endpoint ("middleman" server).

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