FHIR © HL7.org  |  FHIRsmith 4.0.1  |  Server Home  |  XIG Home  |  XIG Stats  | 

FHIR IG analytics

Packagesurescripts.specialty
Resource TypeBundle
IdSRxDataResponseExampleAccelerator.json
FHIR VersionR4

Resources that use this resource

No resources found


Resources that this resource uses

No resources found


Narrative

No narrative content found in resource


Source1

{
  "resourceType": "Bundle",
  "id": "4b0bdefccac248fb81f6ec4161d771fa",
  "language": "en-US",
  "type": "message",
  "entry": [
    {
      "resource": {
        "resourceType": "MessageHeader",
        "id": "SRxResponse-24951221-3626598-1151958",
        "eventCoding": {
          "system": "http://surescripts.net/fhir/specialty/message-events",
          "code": "specialty-data-response"
        },
        "sender": {
          "reference": "urn:uuid:86dc932a-8387-4b4c-835f-cb917f1ecbf4",
          "type": "Practitioner"
        },
        "source": {
          "name": "Surescripts, LLC",
          "software": "Specialty Patient Enrollment (SPE)",
          "version": "1.0",
          "endpoint": "088a10bd33ca43989ced71ba95231a50"
        },
        "focus": [
          {
            "reference": "urn:uuid:e3a6eea9-7f5a-421a-b1f2-ba07096ed701",
            "type": "MedicationRequest"
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:a2327d24-4c12-426a-9312-683c01db1646",
      "resource": {
        "resourceType": "RelatedPerson",
        "id": "a2327d24-4c12-426a-9312-683c01db1646",
        "patient": {
          "reference": "urn:uuid:2a04d614-080b-4668-905e-091d17218900",
          "type": "Patient"
        },
        "relationship": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
                "code": "SPS"
              }
            ]
          }
        ],
        "name": [
          {
            "use": "official",
            "family": "Ramanujan",
            "given": [
              "Janakiammal"
            ]
          }
        ],
        "birthDate": "1983-06-01"
      }
    },
    {
      "fullUrl": "urn:uuid:172dd21f-a7ff-4596-8449-3603a49f6caf",
      "resource": {
        "resourceType": "Organization",
        "id": "172dd21f-a7ff-4596-8449-3603a49f6caf",
        "identifier": [
          {
            "use": "official",
            "type": {
              "text": "Payer ID"
            },
            "value": "111"
          }
        ],
        "type": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/organization-type",
                "code": "ins",
                "display": "Insurance Company"
              }
            ],
            "text": "Insurance Company"
          }
        ],
        "name": "General Medical Insurance",
        "telecom": [
          {
            "system": "phone",
            "value": "8002234333",
            "rank": 1
          },
          {
            "system": "email",
            "value": "benefits@coordination.com",
            "rank": 1
          },
          {
            "system": "fax",
            "value": "0",
            "rank": 1
          }
        ],
        "address": [
          {
            "type": "postal",
            "line": [
              "1 Main Street"
            ],
            "city": "Anytown",
            "state": "OR",
            "postalCode": "97215",
            "country": "US"
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:2d637a4f-87af-4aae-b18c-175a0aa86e98",
      "resource": {
        "resourceType": "Organization",
        "id": "2d637a4f-87af-4aae-b18c-175a0aa86e98",
        "identifier": [
          {
            "use": "official",
            "type": {
              "text": "Payer ID"
            },
            "value": "228"
          },
          {
            "use": "official",
            "type": {
              "text": "PCN"
            },
            "value": "229"
          },
          {
            "use": "official",
            "type": {
              "text": "BIN"
            },
            "value": "230"
          }
        ],
        "type": [
          {
            "text": "Pharmacy Benefit Manager"
          }
        ],
        "name": "General Pharmacy Benefit Company",
        "telecom": [
          {
            "system": "phone",
            "value": "0",
            "rank": 1
          },
          {
            "system": "email",
            "value": "coverage@generalpharmacyPBM",
            "rank": 1
          }
        ],
        "address": [
          {
            "type": "postal",
            "line": [
              "1 Chestnut Boulevard"
            ],
            "city": "AnotherTown",
            "state": "OR",
            "postalCode": "97127",
            "country": "US"
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:12e31635-6fbc-4cc9-b2f8-4b1babf0de03",
      "resource": {
        "resourceType": "Coverage",
        "id": "12e31635-6fbc-4cc9-b2f8-4b1babf0de03",
        "extension": [
          {
            "url": "http://www.surescripts.net/fhir/InsuranceCardImage",
            "valueAttachment": {
              "contentType": "image/jpeg",
              "data": "UjBsR09EbGhjZ0dTQUxNQUFBUUNBRU1tQ1p0dU1GUXhEUzhi"
            }
          },
          {
            "url": "http://www.surescripts.net/fhir/rx-group",
            "valueString": "240"
          },
          {
            "url": "http://www.surescripts.net/fhir/rx-member",
            "valueString": "123P"
          }
        ],
        "identifier": [
          {
            "use": "official",
            "type": {
              "text": "Member ID"
            },
            "value": "Primary"
          }
        ],
        "status": "active",
        "type": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
              "code": "HIP"
            }
          ],
          "text": "Health Insurance Policy"
        },
        "subscriber": {
          "reference": "urn:uuid:a2327d24-4c12-426a-9312-683c01db1646",
          "type": "RelatedPerson"
        },
        "subscriberId": "BenefitsCoordinationPracticeSubscriberID",
        "beneficiary": {
          "reference": "urn:uuid:2a04d614-080b-4668-905e-091d17218900",
          "type": "Patient"
        },
        "relationship": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
              "code": "spouse"
            }
          ]
        },
        "period": {
          "start": "1957-08-13T00:00:00+00:00",
          "end": "1957-08-13T00:00:00+00:00"
        },
        "payor": [
          {
            "reference": "urn:uuid:172dd21f-a7ff-4596-8449-3603a49f6caf",
            "type": "Organization"
          },
          {
            "reference": "urn:uuid:2d637a4f-87af-4aae-b18c-175a0aa86e98",
            "type": "Organization"
          }
        ],
        "class": [
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/coverage-class",
                  "code": "rxgroup"
                }
              ]
            },
            "value": "240"
          },
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/coverage-class",
                  "code": "group"
                }
              ]
            },
            "value": "224",
            "name": "225"
          },
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/coverage-class",
                  "code": "plan"
                }
              ]
            },
            "value": "226"
          },
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/coverage-class",
                  "code": "rxid"
                }
              ]
            },
            "value": "123P"
          }
        ],
        "order": 1
      }
    },
    {
      "fullUrl": "urn:uuid:aeb56a7e-07c4-4814-902d-19d922cf971d",
      "resource": {
        "resourceType": "MedicationStatement",
        "id": "aeb56a7e-07c4-4814-902d-19d922cf971d",
        "status": "active",
        "medicationCodeableConcept": {
          "coding": [
            {
              "system": "http://hl7.org/fhir/sid/ndc",
              "code": "00280210012",
              "display": "aspirin 81 MG Delayed Release Oral Tablet [Bayer Aspirin]"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:2a04d614-080b-4668-905e-091d17218900",
          "type": "Patient"
        },
        "dateAsserted": "2020-04-09"
      }
    },
    {
      "fullUrl": "urn:uuid:005fcc8c-6c6e-468b-9037-ebc514e40611",
      "resource": {
        "resourceType": "MedicationStatement",
        "id": "005fcc8c-6c6e-468b-9037-ebc514e40611",
        "status": "active",
        "medicationCodeableConcept": {
          "coding": [
            {
              "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
              "code": "617318",
              "display": "Lipitor 20 MG Oral Tablet"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:2a04d614-080b-4668-905e-091d17218900",
          "type": "Patient"
        },
        "effectiveDateTime": "2020-02-02T00:00:00+00:00",
        "dateAsserted": "2020-02-01",
        "reasonCode": [
          {
            "coding": [
              {
                "system": "http://hl7.org/fhir/sid/icd-10-cm",
                "code": "E78.00",
                "display": "Pure hypercholesterolemia, unspecified"
              }
            ]
          }
        ],
        "dosage": [
          {
            "text": "1 tab PO qd",
            "route": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "26643006",
                  "display": "Oral Route"
                }
              ]
            },
            "doseAndRate": [
              {
                "doseQuantity": {
                  "value": 1,
                  "unit": "TAB",
                  "system": "http://hl7.org/fhir/v3/orderableDrugForm",
                  "code": "TAB"
                }
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:2acb1225-b8f1-4895-a237-6460981d8cb0",
      "resource": {
        "resourceType": "MedicationStatement",
        "id": "2acb1225-b8f1-4895-a237-6460981d8cb0",
        "status": "active",
        "medicationCodeableConcept": {
          "coding": [
            {
              "system": "http://hl7.org/fhir/sid/ndc",
              "code": "544360o1001",
              "display": "0.4 ML Methotrexate 25 MG/ML Auto-Injector [Otrexup]"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:2a04d614-080b-4668-905e-091d17218900",
          "type": "Patient"
        },
        "effectiveDateTime": "2020-01-02T00:00:00+00:00",
        "dateAsserted": "2020-01-01",
        "reasonCode": [
          {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "69896004",
                "display": "Rheumatoid arthritis (disorder)"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:665b2848-5c99-48a0-b1ab-61ca8bac3f5c",
      "resource": {
        "resourceType": "AllergyIntolerance",
        "id": "665b2848-5c99-48a0-b1ab-61ca8bac3f5c",
        "clinicalStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
              "code": "active"
            }
          ],
          "text": "Active"
        },
        "verificationStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
              "code": "confirmed"
            }
          ],
          "text": "Confirmed"
        },
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "213021008",
              "display": "Peanut allergy"
            }
          ],
          "text": "Peanut allergy"
        },
        "patient": {
          "reference": "urn:uuid:2a04d614-080b-4668-905e-091d17218900",
          "type": "Patient"
        },
        "recordedDate": "2007-04-22",
        "reaction": [
          {
            "manifestation": [
              {
                "coding": [
                  {
                    "system": "http://snomed.info/sct",
                    "code": "417516000",
                    "display": "Anaphylaxis caused by substance (disorder)"
                  }
                ]
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:49e5f4d2-2f5b-49e7-8b3f-095da6efeda9",
      "resource": {
        "resourceType": "AllergyIntolerance",
        "id": "49e5f4d2-2f5b-49e7-8b3f-095da6efeda9",
        "clinicalStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
              "code": "active"
            }
          ],
          "text": "Active"
        },
        "verificationStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
              "code": "unconfirmed"
            }
          ],
          "text": "Unconfirmed"
        },
        "category": [
          "medication"
        ],
        "criticality": "high",
        "code": {
          "coding": [
            {
              "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
              "code": "7980",
              "display": "Penicillin G"
            }
          ],
          "text": "Penicillin G"
        },
        "patient": {
          "reference": "urn:uuid:2a04d614-080b-4668-905e-091d17218900",
          "type": "Patient"
        },
        "onsetAge": {
          "value": 2,
          "unit": "Year",
          "system": "http://unitsofmeasure.org",
          "code": "a"
        },
        "recordedDate": "2010-03-01",
        "reaction": [
          {
            "manifestation": [
              {
                "coding": [
                  {
                    "system": "http://snomed.info/sct",
                    "code": "247472004",
                    "display": "Hives"
                  }
                ]
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:88667944-99e3-4b31-a3a6-536d8f6476d4",
      "resource": {
        "resourceType": "Condition",
        "id": "88667944-99e3-4b31-a3a6-536d8f6476d4",
        "clinicalStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
              "code": "active"
            }
          ],
          "text": "Active"
        },
        "verificationStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
              "code": "confirmed"
            }
          ],
          "text": "Confirmed"
        },
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                "code": "problem-list-item"
              }
            ],
            "text": "Problem List Item"
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://hl7.org/fhir/sid/icd-10",
              "code": "A95.9",
              "display": "Yellow fever, unspecified"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:2a04d614-080b-4668-905e-091d17218900",
          "type": "Patient"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:1b6b7f34-b18c-4a97-9a17-b9c28e99273d",
      "resource": {
        "resourceType": "Condition",
        "id": "1b6b7f34-b18c-4a97-9a17-b9c28e99273d",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: f203</p><p><b>clinicalStatus</b>: active</p><p><b>verificationStatus</b>: confirmed</p><p><b>category</b>: Problem <span>(Details : {SNOMED CT code '55607006' = 'Problem', given as 'Problem'}; {http://hl7.org/fhir/condition-category code 'problem-list-item' = 'Problem List Item)</span></p><p><b>severity</b>: Moderate to severe <span>(Details : {SNOMED CT code '371924009' = 'Moderate to severe', given as 'Moderate to severe'})</span></p><p><b>code</b>: Bacterial sepsis <span>(Details : {SNOMED CT code '10001005' = 'Bacterial septicemia', given as 'Bacterial sepsis'})</span></p><p><b>bodySite</b>: Pulmonary vascular structure <span>(Details : {SNOMED CT code '281158006' = 'Pulmonary vascular structure', given as 'Pulmonary vascular structure'})</span></p><p><b>subject</b>: <a>Roel</a></p><p><b>context</b>: <a>Roel's encounter on March eleventh</a></p><p><b>onset</b>: 08/03/2013</p><p><b>assertedDate</b>: 11/03/2013</p><h3>Evidences</h3><table><tr><td>-</td><td><b>Detail</b></td></tr><tr><td>*</td><td><a>Diagnostic report for Roel's sepsis</a></td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
              "code": "active"
            }
          ],
          "text": "Active"
        },
        "verificationStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
              "code": "confirmed"
            }
          ],
          "text": "Confirmed"
        },
        "category": [
          {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "55607006",
                "display": "Problem"
              }
            ]
          },
          {
            "coding": [
              {
                "system": "http://hl7.org/fhir/condition-category",
                "code": "problem-list-item"
              }
            ]
          }
        ],
        "severity": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "371924009",
              "display": "Moderate to severe"
            }
          ]
        },
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "10001005",
              "display": "Bacterial sepsis"
            }
          ]
        },
        "bodySite": [
          {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "281158006",
                "display": "Pulmonary vascular structure"
              }
            ]
          }
        ],
        "subject": {
          "reference": "urn:uuid:2a04d614-080b-4668-905e-091d17218900",
          "type": "Patient"
        },
        "recordedDate": "2013-03-11"
      }
    },
    {
      "fullUrl": "urn:uuid:9dda8504-c90a-439a-9ee3-e9b3c2ac9af3",
      "resource": {
        "resourceType": "Condition",
        "id": "9dda8504-c90a-439a-9ee3-e9b3c2ac9af3",
        "clinicalStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
              "code": "active"
            }
          ],
          "text": "Active"
        },
        "verificationStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
              "code": "confirmed"
            }
          ],
          "text": "Confirmed"
        },
        "category": [
          {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "55607006",
                "display": "Problem"
              }
            ]
          },
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                "code": "problem-list-item"
              }
            ]
          }
        ],
        "severity": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "6736007",
              "display": "Moderate"
            }
          ]
        },
        "code": {
          "coding": [
            {
              "system": "http://hl7.org/fhir/sid/icd-9-cm",
              "code": "556.9",
              "display": "Ulcerative colitis, unspecified"
            }
          ],
          "text": "Colitis"
        },
        "subject": {
          "reference": "urn:uuid:2a04d614-080b-4668-905e-091d17218900",
          "type": "Patient"
        },
        "onsetString": "While in college at Stanford",
        "abatementString": "true",
        "recordedDate": "2020-02-20"
      }
    },
    {
      "fullUrl": "urn:uuid:26d6eb9d-1b8c-4c4d-8a3d-f682ef209aab",
      "resource": {
        "resourceType": "Observation",
        "id": "26d6eb9d-1b8c-4c4d-8a3d-f682ef209aab",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "8302-2",
              "display": "Body height"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:2a04d614-080b-4668-905e-091d17218900",
          "type": "Patient"
        },
        "effectiveDateTime": "2020-12-04T05:38:32.7624324Z",
        "valueQuantity": {
          "value": 78,
          "unit": "inch",
          "system": "http://unitsofmeasure.org",
          "code": "[in_i]"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:201dc66f-c694-40f5-9d9b-f5fcddb2ded0",
      "resource": {
        "resourceType": "Observation",
        "id": "201dc66f-c694-40f5-9d9b-f5fcddb2ded0",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "29463-7"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:2a04d614-080b-4668-905e-091d17218900",
          "type": "Patient"
        },
        "effectiveDateTime": "2020-12-04T05:38:32.7624324Z",
        "valueQuantity": {
          "value": 112.74,
          "unit": "pound",
          "system": "http://unitsofmeasure.org",
          "code": "[lb_av]"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:a10e962f-3366-4b3e-afba-13769bd73d17",
      "resource": {
        "resourceType": "Condition",
        "id": "a10e962f-3366-4b3e-afba-13769bd73d17",
        "clinicalStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
              "code": "active"
            }
          ],
          "text": "Active"
        },
        "verificationStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
              "code": "confirmed"
            }
          ],
          "text": "Confirmed"
        },
        "category": [
          {
            "text": "Prescription Primary Diagnosis"
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://hl7.org/fhir/sid/icd-10",
              "code": "M08.3",
              "text": "Juvenile rheumatoid polyarthritis (seronegative)"
            }
          ],
          "text": "Juvenile rheumatoid polyarthritis (seronegative)"
        },
        "subject": {
          "reference": "urn:uuid:2a04d614-080b-4668-905e-091d17218900",
          "type": "Patient"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:e3a6eea9-7f5a-421a-b1f2-ba07096ed701",
      "resource": {
        "resourceType": "MedicationRequest",
        "id": "e3a6eea9-7f5a-421a-b1f2-ba07096ed701",
        "identifier": [
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "PLAC",
                  "display": "Placer Identifier"
                }
              ],
              "text": "Prescriber Order Number"
            },
            "value": "55555",
            "assigner": {
              "display": "General Hospital"
            }
          }
        ],
        "status": "active",
        "intent": "order",
        "medicationCodeableConcept": {
          "coding": [
            {
              "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
              "code": "802652",
              "display": "1 ML Enbrel 50 MG/ML Prefilled Syringe"
            },
            {
              "system": "http://hl7.org/fhir/sid/ndc",
              "code": "58406043501",
              "display": "1 ML Enbrel 50 MG/ML Prefilled Syringe"
            }
          ],
          "text": "1 ML Enbrel 50 MG/ML Prefilled Syringe"
        },
        "subject": {
          "reference": "urn:uuid:2a04d614-080b-4668-905e-091d17218900",
          "type": "Patient"
        },
        "authoredOn": "2020-12-04T05:38:33+00:00",
        "requester": {
          "reference": "urn:uuid:86dc932a-8387-4b4c-835f-cb917f1ecbf4",
          "type": "Practitioner"
        },
        "reasonReference": [
          {
            "reference": "urn:uuid:a10e962f-3366-4b3e-afba-13769bd73d17",
            "type": "Condition"
          }
        ],
        "dosageInstruction": [
          {
            "text": "Inject at a slow and steady rate"
          }
        ],
        "dispenseRequest": {
          "quantity": {
            "value": 1,
            "unit": "mL",
            "system": "http://unitsofmeasure.org",
            "code": "mL"
          },
          "expectedSupplyDuration": {
            "value": 30,
            "unit": "days",
            "system": "http://unitsofmeasure.org",
            "code": "d"
          },
          "performer": {
            "reference": "urn:uuid:efdecbee-a64f-4c1a-bdea-5d0907d079f7",
            "type": "Organization"
          }
        }
      }
    },
    {
      "fullUrl": "urn:uuid:3b054051-0de8-4a1e-be72-84113b1650be",
      "resource": {
        "resourceType": "Patient",
        "id": "3b054051-0de8-4a1e-be72-84113b1650be",
        "identifier": [
          {
            "use": "official",
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "MR",
                  "display": "Medical Record Number"
                }
              ],
              "text": "Medical Record Number"
            },
            "system": "urn:oid:1.2.36.146.595.217.0.1",
            "value": "12345",
            "assigner": {
              "display": "Acme Healthcare"
            }
          }
        ],
        "active": true,
        "name": [
          {
            "use": "official",
            "family": "Ramanujan",
            "given": [
              "Srinivasa",
              "Aiyangar"
            ],
            "prefix": [
              "Mr."
            ]
          }
        ],
        "telecom": [
          {
            "system": "email",
            "value": "myemail@yahoo.com",
            "rank": 1
          },
          {
            "system": "phone",
            "value": "8005551212",
            "rank": 1
          },
          {
            "system": "phone",
            "value": "5555551212",
            "use": "home"
          }
        ],
        "gender": "male",
        "birthDate": "1981-12-03",
        "address": [
          {
            "type": "postal",
            "line": [
              "2234 My Street",
              "No. 2234"
            ],
            "city": "Beaverton",
            "state": "OR",
            "postalCode": "97008",
            "country": "US"
          }
        ],
        "communication": [
          {
            "language": {
              "coding": [
                {
                  "system": "urn:ietf:bcp:47",
                  "code": "en"
                }
              ]
            }
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:efdecbee-a64f-4c1a-bdea-5d0907d079f7",
      "resource": {
        "resourceType": "Organization",
        "id": "efdecbee-a64f-4c1a-bdea-5d0907d079f7",
        "identifier": [
          {
            "use": "official",
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "PRN",
                  "display": "Provider Number"
                }
              ],
              "text": "Provider Number"
            },
            "system": "http://ncpdp.org/provider-id",
            "value": "8488848"
          },
          {
            "use": "official",
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "PRN",
                  "display": "Provider Number"
                }
              ],
              "text": "Provider Number"
            },
            "system": "http://hl7.org/fhir/sid/us-npi",
            "value": "1131435277"
          }
        ],
        "active": true,
        "type": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/organization-type",
                "code": "prov",
                "display": "Healthcare Provider"
              }
            ],
            "text": "Pharmacy"
          }
        ],
        "name": "Pharmacy Business Name",
        "telecom": [
          {
            "system": "email",
            "value": "pharmacist@myspecialtypharmacy.com",
            "rank": 1
          },
          {
            "system": "phone",
            "value": "8005552234",
            "rank": 1
          },
          {
            "system": "fax",
            "value": "5037772234",
            "rank": 1
          }
        ],
        "address": [
          {
            "type": "postal",
            "line": [
              "1 Medication Avenue",
              "Suite 500"
            ],
            "city": "Beaverton",
            "state": "OR",
            "postalCode": "97008",
            "country": "US"
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:86dc932a-8387-4b4c-835f-cb917f1ecbf4",
      "resource": {
        "resourceType": "Practitioner",
        "id": "86dc932a-8387-4b4c-835f-cb917f1ecbf4",
        "identifier": [
          {
            "use": "secondary",
            "system": "http://fhirdocs.surescripts.net/spi",
            "value": "1883900364001"
          },
          {
            "use": "official",
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "PRN",
                  "display": "Provider Number"
                }
              ],
              "text": "Provider Number"
            },
            "system": "http://hl7.org/fhir/sid/us-npi",
            "value": "1131435277"
          }
        ],
        "active": true,
        "name": [
          {
            "use": "official",
            "family": "Doolittle",
            "given": [
              "John"
            ],
            "prefix": [
              "Dr."
            ],
            "suffix": [
              "MD"
            ]
          }
        ],
        "telecom": [
          {
            "system": "email",
            "value": "john.doolittle@mydoctor.com",
            "rank": 1
          },
          {
            "system": "phone",
            "value": "800DOLITTL",
            "rank": 1
          },
          {
            "system": "fax",
            "value": "888DOLITTL",
            "rank": 1
          }
        ],
        "address": [
          {
            "type": "postal",
            "line": [
              "55 Karma Lane",
              "Suite 1"
            ],
            "city": "Calcutta",
            "state": "OR",
            "postalCode": "97001",
            "country": "US"
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:a40bbfd3-c0f6-407c-aa29-981602942892",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "a40bbfd3-c0f6-407c-aa29-981602942892",
        "practitioner": {
          "reference": "urn:uuid:86dc932a-8387-4b4c-835f-cb917f1ecbf4",
          "type": "Practitioner"
        },
        "specialty": [
          {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "408443003",
                "display": "General medical practice"
              }
            ]
          }
        ],
        "location": [
          {
            "display": "General Health Clinic"
          }
        ]
      }
    }
  ]
}