FHIR IG analytics| Package | hl7.fhir.uv.deqm |
| Resource Type | Bundle |
| Id | Bundle-mrp-submit-obs.json |
| FHIR Version | R4 |
No resources found
No resources found
No narrative content found in resource
FHIR
FHIRsmith{
"resourceType": "Bundle",
"id": "mrp-submit-obs",
"type": "transaction",
"entry": [
{
"fullUrl": "https://example.com/MeasureReport/datax-measurereport01",
"resource": {
"resourceType": "MeasureReport",
"id": "datax-measurereport01",
"meta": {
"versionId": "1",
"lastUpdated": "2018-09-05T16:59:53.000+00:00",
"profile": [
"http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-dataexchangemeasurereport"
]
},
"text": {
"status": "extensions",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MeasureReport_datax-measurereport01\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MeasureReport datax-measurereport01</b></p><a name=\"datax-measurereport01\"> </a><a name=\"hcdatax-measurereport01\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">version: 1; Last updated: 2018-09-05 16:59:53+0000</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-deqm-dataexchangemeasurereport.html\">DEQM Data Exchange MeasureReport Profile</a></p></div><p><b>DEQM Submit Data Update Type Extension</b>: incremental</p><p><b>status</b>: Complete</p><p><b>type</b>: Data Collection</p><p><b>measure</b>: <a href=\"Measure-measure-mrp-example.html\">MRP Measure</a> version: 1.0.0-cibuild</p><p><b>subject</b>: <a href=\"Patient-patient01.html\">Jairo Webster (official) Male, DoB: 1946-12-16 ( Medical record number: 12345 (use: usual, ))</a></p><p><b>date</b>: 2018-09-05 16:59:52+0000</p><p><b>reporter</b>: <a href=\"Organization-organization01.html\">Organization DaVinciHospital01</a></p><p><b>period</b>: 2018-08-01 --> 2018-09-01</p><p><b>evaluatedResource</b>: <a href=\"Observation-observation01.html\">Observation Discharge medications reconciled with the current medication list in outpatient medical record (COA) (GER)</a></p></div>"
},
"extension": [
{
"url": "http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-submitDataUpdateType",
"valueCode": "incremental"
}
],
"status": "complete",
"type": "data-collection",
"measure": "http://hl7.org/fhir/uv/deqm/Measure/measure-mrp-example|1.0.0-ballot",
"subject": {
"reference": "Patient/patient01"
},
"date": "2018-09-05T16:59:52.404Z",
"reporter": {
"reference": "Organization/organization01"
},
"period": {
"start": "2018-08-01",
"end": "2018-09-01"
},
"evaluatedResource": [
{
"reference": "Observation/observation01"
}
]
},
"request": {
"method": "POST",
"url": "MeasureReport"
}
},
{
"fullUrl": "https://example.com/Patient/patient01",
"resource": {
"resourceType": "Patient",
"id": "patient01",
"meta": {
"versionId": "5",
"lastUpdated": "2019-02-11T14:19:25.000+00:00",
"profile": [
"http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div class=\"hapiHeaderText\"><a name=\"Patient_patient01\"> </a>Jairo <b>WEBSTER </b></div><table class=\"hapiPropertyTable\"><tbody><tr><td>Identifier</td><td>12345</td></tr><tr><td>Address</td><td><span>7496 Beaver Ridge Ave </span><br/><span>Thornton </span><span>NJ </span><span>USA </span></td></tr><tr><td>Date of birth</td><td><span>16 December 1946</span></td></tr></tbody></table></div>"
},
"extension": [
{
"url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
"valueCode": "M"
},
{
"extension": [
{
"url": "ombCategory",
"valueCoding": {
"system": "urn:oid:2.16.840.1.113883.6.238",
"code": "2106-3",
"display": "White"
}
},
{
"url": "text",
"valueString": "White"
}
],
"url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
},
{
"extension": [
{
"url": "ombCategory",
"valueCoding": {
"system": "urn:oid:2.16.840.1.113883.6.238",
"code": "2186-5",
"display": "Not Hispanic or Latino"
}
},
{
"url": "text",
"valueString": "Not Hispanic or Latino"
}
],
"url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
}
],
"identifier": [
{
"use": "usual",
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "MR",
"display": "Medical record number"
}
]
},
"system": "http://hospital.davinci.org",
"value": "12345"
}
],
"active": true,
"name": [
{
"use": "official",
"family": "Webster",
"given": [
"Jairo"
]
}
],
"gender": "male",
"birthDate": "1946-12-16",
"deceasedBoolean": false,
"address": [
{
"use": "home",
"line": [
"7496 Beaver Ridge Ave"
],
"city": "Thornton",
"state": "NJ",
"postalCode": "07003",
"country": "USA"
}
],
"maritalStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus",
"code": "M",
"display": "Married"
}
]
},
"communication": [
{
"language": {
"coding": [
{
"system": "urn:ietf:bcp:47",
"code": "en-US",
"display": "English (Region=United States)"
}
]
},
"preferred": true
}
],
"managingOrganization": {
"reference": "Organization/organization01"
}
},
"request": {
"method": "POST",
"url": "Patient"
}
},
{
"fullUrl": "https://example.com/Observation/observation01",
"resource": {
"resourceType": "Observation",
"id": "observation01",
"meta": {
"profile": [
"http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-simple-observation"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation01\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation01</b></p><a name=\"observation01\"> </a><a name=\"hcobservation01\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/qicore/STU7.0.1/StructureDefinition-qicore-simple-observation.html\">QICore Simple Observation</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category exam}\">Exam</span></p><p><b>code</b>: <span title=\"Codes:{http://www.ama-assn.org/go/cpt 1111F}\">Discharge medications reconciled with the current medication list in outpatient medical record (COA) (GER)</span></p><p><b>subject</b>: <a href=\"Patient-patient01.html\">Jairo Webster (official) Male, DoB: 1946-12-16 ( Medical record number: 12345 (use: usual, ))</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter01.html\">Encounter: status = finished; class = inpatient encounter (ActCode#IMP); type = Encounter for problem (procedure); period = 2018-05-29 11:00:00-0400 --> 2018-05-29 11:00:00-0400</a></p><p><b>effective</b>: 2018-09-29 14:15:04+0000</p><p><b>issued</b>: 2018-09-29 14:15:04+0000</p><p><b>performer</b>: <a href=\"Practitioner-practitioner01.html\">Practitioner Ronald Bone </a></p><p><b>value</b>: true</p></div>"
},
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "exam",
"display": "Exam"
}
]
}
],
"code": {
"coding": [
{
"system": "http://www.ama-assn.org/go/cpt",
"code": "1111F",
"display": "Discharge medications reconciled with the current medication list in outpatient medical record (COA) (GER)"
}
]
},
"subject": {
"reference": "Patient/patient01"
},
"encounter": {
"reference": "Encounter/encounter01"
},
"effectiveDateTime": "2018-09-29T14:15:04.424Z",
"issued": "2018-09-29T14:15:04.424Z",
"performer": [
{
"reference": "Practitioner/practitioner01"
}
],
"valueBoolean": true
},
"request": {
"method": "POST",
"url": "Observation"
}
},
{
"fullUrl": "https://example.com/Practitioner/practitioner01",
"resource": {
"resourceType": "Practitioner",
"id": "practitioner01",
"meta": {
"profile": [
"http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_practitioner01\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner practitioner01</b></p><a name=\"practitioner01\"> </a><a name=\"hcpractitioner01\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/qicore/STU7.0.1/StructureDefinition-qicore-practitioner.html\">QICore Practitioner</a></p></div><p><b>identifier</b>: Provider number/1234567893 (use: official, )</p><p><b>active</b>: true</p><p><b>name</b>: Cody Hale </p><p><b>gender</b>: Male</p></div>"
},
"identifier": [
{
"use": "official",
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "PRN",
"display": "Provider number"
}
]
},
"system": "http://hl7.org/fhir/sid/us-npi",
"value": "1234567893"
}
],
"active": true,
"name": [
{
"family": "Hale",
"given": [
"Cody"
],
"suffix": [
"MD"
]
}
],
"gender": "male"
},
"request": {
"method": "POST",
"url": "Practitioner"
}
},
{
"fullUrl": "https://example.com/Encounter/encounter01",
"resource": {
"resourceType": "Encounter",
"id": "encounter01",
"meta": {
"profile": [
"http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_encounter01\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter encounter01</b></p><a name=\"encounter01\"> </a><a name=\"hcencounter01\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/qicore/STU7.0.1/StructureDefinition-qicore-encounter.html\">QICore Encounter</a></p></div><p><b>status</b>: Finished</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/7.3.0/CodeSystem-v3-ActCode.html#v3-ActCode-IMP\">ActCode: IMP</a> (inpatient encounter)</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 56876005}\">Drug rehabilitation and detoxification</span></p><p><b>subject</b>: <a href=\"Patient-patient01.html\">Jairo Webster</a></p><p><b>period</b>: 2018-05-29 11:00:00-0400 --> 2018-05-29 11:00:00-0400</p><h3>Hospitalizations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>DischargeDisposition</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/discharge-disposition home}\">Home</span></td></tr></table></div>"
},
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "IMP",
"display": "inpatient encounter"
},
"type": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "56876005",
"display": "Drug rehabilitation and detoxification"
}
]
}
],
"subject": {
"reference": "Patient/patient01",
"display": "Jairo Webster"
},
"period": {
"start": "2018-05-29T11:00:00-04:00",
"end": "2018-05-29T11:00:00-04:00"
},
"hospitalization": {
"dischargeDisposition": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/discharge-disposition",
"code": "home",
"display": "Home"
}
]
}
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
},
{
"fullUrl": "https://example.com/Coverage/coverage01",
"resource": {
"resourceType": "Coverage",
"id": "coverage01",
"meta": {
"versionId": "2",
"lastUpdated": "2019-02-11T14:19:25.000+00:00",
"profile": [
"http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-coverage"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Coverage_coverage01\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Coverage coverage01</b></p><a name=\"coverage01\"> </a><a name=\"hccoverage01\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">version: 2; Last updated: 2019-02-11 14:19:25+0000</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/qicore/STU7.0.1/StructureDefinition-qicore-coverage.html\">QICore Coverage</a></p></div><p><b>status</b>: Active</p><p><b>policyHolder</b>: <a href=\"Patient-patient01.html\">Jairo Webster (official) Male, DoB: 1946-12-16 ( Medical record number: 12345 (use: usual, ))</a></p><p><b>subscriber</b>: <a href=\"Patient-patient01.html\">Jairo Webster (official) Male, DoB: 1946-12-16 ( Medical record number: 12345 (use: usual, ))</a></p><p><b>subscriberId</b>: A123456789</p><p><b>beneficiary</b>: <a href=\"Patient-patient01.html\">Jairo Webster (official) Male, DoB: 1946-12-16 ( Medical record number: 12345 (use: usual, ))</a></p><p><b>relationship</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/subscriber-relationship self}\">Self</span></p><p><b>payor</b>: <a href=\"Organization-organization04.html\">Organization DVPayer04</a></p></div>"
},
"status": "active",
"policyHolder": {
"reference": "Patient/patient01"
},
"subscriber": {
"reference": "Patient/patient01"
},
"subscriberId": "A123456789",
"beneficiary": {
"reference": "Patient/patient01"
},
"relationship": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
"code": "self"
}
]
},
"payor": [
{
"reference": "Organization/organization04"
}
]
},
"request": {
"method": "POST",
"url": "Coverage"
}
},
{
"fullUrl": "https://example.com/Location/location01",
"resource": {
"resourceType": "Location",
"id": "location01",
"meta": {
"profile": [
"http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-location"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Location_location01\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Location location01</b></p><a name=\"location01\"> </a><a name=\"hclocation01\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/qicore/STU7.0.1/StructureDefinition-qicore-location.html\">QICore Location</a></p></div><p><b>identifier</b>: <code>http://exampleoflocation.com</code>/DaVinciClinic01 (use: temp, )</p><p><b>name</b>: DaVinciClinic01</p><p><b>address</b>: 102 Heritage Dr. Somerset NJ 08873 USA </p></div>"
},
"identifier": [
{
"use": "temp",
"system": "http://exampleoflocation.com",
"value": "DaVinciClinic01"
}
],
"name": "DaVinciClinic01",
"address": {
"line": [
"102 Heritage Dr."
],
"city": "Somerset",
"state": "NJ",
"postalCode": "08873",
"country": "USA"
}
},
"request": {
"method": "POST",
"url": "Location"
}
},
{
"fullUrl": "https://example.com/Organization/organization01",
"resource": {
"resourceType": "Organization",
"id": "organization01",
"meta": {
"versionId": "4",
"lastUpdated": "2019-02-21T01:47:54.000+00:00",
"profile": [
"http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_organization01\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization organization01</b></p><a name=\"organization01\"> </a><a name=\"hcorganization01\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">version: 4; Last updated: 2019-02-21 01:47:54+0000</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/qicore/STU7.0.1/StructureDefinition-qicore-organization.html\">QICore Organization</a></p></div><p><b>identifier</b>: Tax ID number/123456789 (use: official, )</p><p><b>active</b>: true</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/organization-type prov}\">Healthcare Provider</span></p><p><b>name</b>: DaVinciHospital01</p><p><b>telecom</b>: ph: (+1) 401-555-1212</p><p><b>address</b>: 73 Lakewood Street Warwick RI 02886 USA </p></div>"
},
"identifier": [
{
"use": "official",
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "TAX",
"display": "Tax ID number"
}
]
},
"system": "urn:oid:2.16.840.1.113883.4.4",
"value": "123456789",
"assigner": {
"display": "www.irs.gov"
}
}
],
"active": true,
"type": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/organization-type",
"code": "prov",
"display": "Healthcare Provider"
}
]
}
],
"name": "DaVinciHospital01",
"telecom": [
{
"system": "phone",
"value": "(+1) 401-555-1212"
}
],
"address": [
{
"line": [
"73 Lakewood Street"
],
"city": "Warwick",
"state": "RI",
"postalCode": "02886",
"country": "USA"
}
]
},
"request": {
"method": "POST",
"url": "Organization"
}
},
{
"fullUrl": "https://example.com/Organization/organization02",
"resource": {
"resourceType": "Organization",
"id": "organization02",
"meta": {
"versionId": "3",
"lastUpdated": "2019-03-06T19:03:03.000+00:00",
"profile": [
"http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_organization02\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization organization02</b></p><a name=\"organization02\"> </a><a name=\"hcorganization02\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">version: 3; Last updated: 2019-03-06 19:03:03+0000</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/qicore/STU7.0.1/StructureDefinition-qicore-organization.html\">QICore Organization</a></p></div><p><b>identifier</b>: Tax ID number/234567891 (use: official, )</p><p><b>active</b>: true</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/organization-type prov}\">Healthcare Provider</span></p><p><b>name</b>: DaVinciHospital02</p><p><b>telecom</b>: ph: (+1) 551-555-1212</p><p><b>address</b>: 3 Sherwood St. Englewood NJ 07631 USA </p></div>"
},
"identifier": [
{
"use": "official",
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "TAX",
"display": "Tax ID number"
}
]
},
"system": "urn:oid:2.16.840.1.113883.4.4",
"value": "234567891",
"assigner": {
"display": "www.irs.gov"
}
}
],
"active": true,
"type": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/organization-type",
"code": "prov",
"display": "Healthcare Provider"
}
]
}
],
"name": "DaVinciHospital02",
"telecom": [
{
"system": "phone",
"value": "(+1) 551-555-1212"
}
],
"address": [
{
"line": [
"3 Sherwood St."
],
"city": "Englewood",
"state": "NJ",
"postalCode": "07631",
"country": "USA"
}
]
},
"request": {
"method": "POST",
"url": "Organization"
}
},
{
"fullUrl": "https://example.com/Organization/organization04",
"resource": {
"resourceType": "Organization",
"id": "organization04",
"meta": {
"versionId": "4",
"lastUpdated": "2019-03-06T19:03:03.000+00:00",
"profile": [
"http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_organization04\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization organization04</b></p><a name=\"organization04\"> </a><a name=\"hcorganization04\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">version: 4; Last updated: 2019-03-06 19:03:03+0000</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/qicore/STU7.0.1/StructureDefinition-qicore-organization.html\">QICore Organization</a></p></div><p><b>identifier</b>: Tax ID number/456789123 (use: official, )</p><p><b>active</b>: true</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/organization-type ins}\">Insurance Company</span></p><p><b>name</b>: DVPayer04</p><p><b>telecom</b>: ph: (+1) 616-555-1212</p><p><b>address</b>: 160 Glen Eagles Road Grand Rapids MI 49503 USA </p></div>"
},
"identifier": [
{
"use": "official",
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "TAX",
"display": "Tax ID number"
}
]
},
"system": "urn:oid:2.16.840.1.113883.4.4",
"value": "456789123",
"assigner": {
"display": "www.irs.gov"
}
}
],
"active": true,
"type": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/organization-type",
"code": "ins",
"display": "Insurance Company"
}
]
}
],
"name": "DVPayer04",
"telecom": [
{
"system": "phone",
"value": "(+1) 616-555-1212"
}
],
"address": [
{
"line": [
"160 Glen Eagles Road"
],
"city": "Grand Rapids",
"state": "MI",
"postalCode": "49503",
"country": "USA"
}
]
},
"request": {
"method": "POST",
"url": "Organization"
}
}
]
}