Validator
LOG IN
SIGN UP
Scope
package:hl7.fhir.r4.core@4.0.1
Readonly
If you
Log in
or
sign up
, you can edit this script yourself.
{ "resourceType": "Bundle", "id": "AABC-CE-GG-DUAL-ENR-35", "type": "transaction", "entry": [ { "fullUrl": "Patient/AABC-CE-GG-DUAL-ENR-35", "resource": { "resourceType": "Patient", "id": "AABC-CE-GG-DUAL-ENR-35", "meta": { "lastUpdated": "2025-08-19T14:59:30.6739238+05:45", "tag": [ { "system": "https://ncqa.org/fhir/CodeSystem/hedis-data-source", "code": "administrative" }, { "system": "https://Cotiviti.com/fhir/CodeSystem/FHIR_release", "code": "R4.0.1" } ] }, "extension": [ { "extension": [ { "url": "ombCategory", "valueCoding": { "system": "urn:oid:2.16.840.1.113883.6.238", "code": "1" } } ], "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": "U" } } ], "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity" } ], "identifier": [ { "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "code": "SS", "display": "Social Security Number" } ], "text": "Social Security Number" }, "value": "NULL" }, { "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "code": "MR", "display": "Medical Record Number" } ], "text": "Medical Record Number" }, "value": "NULL" }, { "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "code": "MC", "display": "Medicare ID" } ], "text": "Medicare ID" }, "value": "NULL" }, { "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "code": "MB", "display": "Health plan Member ID" } ], "text": "Health plan Member ID" }, "value": "AABC_CE_GG_DUAL_ENR_35" } ], "name": [ { "family": "AABC_CE_GG_DUAL_ENR_35", "given": [ "AABC_CE_GG_DUAL_ENR_35" ], "suffix": [ "C" ] } ], "telecom": [ { "system": "phone", "value": "999-999-9999" }, { "system": "email", "value": "AAB_CE_GG_DUAL_ENR_35.AAB_CE_GG_DUAL_ENR_35@abcd.com" } ], "gender": "female", "birthDate": "1960-03-31", "deceasedDateTime": "2199-12-31", "address": [ { "line": [ "1041 ARROWAE DR" ], "city": "CHCITY", "district": "CARVER", "state": "MN", "postalCode": "55358" } ], "contact": [ { "relationship": [ { "coding": [ { "system": "http://snomed.info/sct/731000124108", "code": "394619001" } ] } ], "name": { "family": "NULL", "given": [ "NULL" ] }, "telecom": [ { "system": "email", "value": "p_AAB_CE_GG_DUAL_ENR_35.AAB_CE_GG_DUAL_ENR_35@abcd.com" } ] } ] }, "request": { "method": "POST", "url": "Patient" } }, { "fullUrl": "Coverage/AABC-CE-GG-DUAL-ENR-35-Medical-1", "resource": { "resourceType": "Coverage", "id": "AABC-CE-GG-DUAL-ENR-35-Medical-1", "meta": { "lastUpdated": "2025-08-19T14:59:30.6740164+05:45", "tag": [ { "system": "https://ncqa.org/fhir/CodeSystem/hedis-data-source", "code": "administrative" }, { "system": "https://Cotiviti.com/fhir/CodeSystem/FHIR_release", "code": "R4.0.1" } ] }, "extension": [ { "url": "https://www.ncqa.org/fhir/StructureDefinition/ext-coverage.inhospice", "valueBoolean": false } ], "identifier": [ { "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "code": "U", "display": "Enrollment Subscriber Number" } ] }, "value": "0" }, { "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "code": "EI", "display": "Employee Number" } ] }, "value": "756" }, { "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "code": "U", "display": "CIN Number" } ] }, "value": "AAB_CIN300" } ], "status": "active", "type": { "coding": [ { "system": "https://ncqa.org/fhir/CodeSystem/hedis-coverage-type", "code": "MCD", "display": "Medicaid" }, { "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code": "SUBSIDIZ" }, { "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code": "DRUGPOL", "display": "Pharmacy Benefit" }, { "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code": "MENTPOL", "display": "Mental Health Benefit" }, { "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code": "SUBPOL", "display": "Chemical Dependency Benefit" }, { "system": "https://ncqa.org/fhir/CodeSystem/hedis-coverage-type", "code": "IPMENTPOL" }, { "system": "https://ncqa.org/fhir/CodeSystem/hedis-coverage-type", "code": "IOMENTPOL" }, { "system": "https://ncqa.org/fhir/CodeSystem/hedis-coverage-type", "code": "OEMENTPOL" }, { "system": "https://ncqa.org/fhir/CodeSystem/hedis-coverage-type", "code": "IPSUBPOL" }, { "system": "https://ncqa.org/fhir/CodeSystem/hedis-coverage-type", "code": "IOSUBPOL" }, { "system": "https://ncqa.org/fhir/CodeSystem/hedis-coverage-type", "code": "OESUBPOL" } ] }, "beneficiary": { "reference": "Patient/AABC-CE-GG-DUAL-ENR-35" }, "period": { "start": "2019-04-01", "end": "2026-03-31" }, "payor": [ { "reference": "Organization/Organization-1", "display": "Quality Answers Demo Plan 1" } ], "order": 1 }, "request": { "method": "POST", "url": "Coverage" } }, { "fullUrl": "Coverage/AABC-CE-GG-DUAL-ENR-35-Medical-2", "resource": { "resourceType": "Coverage", "id": "AABC-CE-GG-DUAL-ENR-35-Medical-2", "meta": { "lastUpdated": "2025-08-19T14:59:30.7873902+05:45", "tag": [ { "system": "https://ncqa.org/fhir/CodeSystem/hedis-data-source", "code": "administrative" }, { "system": "https://Cotiviti.com/fhir/CodeSystem/FHIR_release", "code": "R4.0.1" } ] }, "extension": [ { "url": "https://www.ncqa.org/fhir/StructureDefinition/ext-coverage.inhospice", "valueBoolean": false } ], "identifier": [ { "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "code": "U", "display": "Enrollment Subscriber Number" } ] }, "value": "0" }, { "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "code": "EI", "display": "Employee Number" } ] }, "value": "756" }, { "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "code": "U", "display": "CIN Number" } ] }, "value": "AAB_CIN299" } ], "status": "active", "type": { "coding": [ { "system": "https://ncqa.org/fhir/CodeSystem/hedis-coverage-type", "code": "MCR", "display": "Medicare Advantage HMO" }, { "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code": "RETIRE" }, { "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code": "DRUGPOL", "display": "Pharmacy Benefit" }, { "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code": "MENTPOL", "display": "Mental Health Benefit" }, { "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code": "SUBPOL", "display": "Chemical Dependency Benefit" }, { "system": "https://ncqa.org/fhir/CodeSystem/hedis-coverage-type", "code": "IPMENTPOL" }, { "system": "https://ncqa.org/fhir/CodeSystem/hedis-coverage-type", "code": "IOMENTPOL" }, { "system": "https://ncqa.org/fhir/CodeSystem/hedis-coverage-type", "code": "OEMENTPOL" }, { "system": "https://ncqa.org/fhir/CodeSystem/hedis-coverage-type", "code": "IPSUBPOL" }, { "system": "https://ncqa.org/fhir/CodeSystem/hedis-coverage-type", "code": "IOSUBPOL" }, { "system": "https://ncqa.org/fhir/CodeSystem/hedis-coverage-type", "code": "OESUBPOL" } ] }, "beneficiary": { "reference": "Patient/AABC-CE-GG-DUAL-ENR-35" }, "period": { "start": "2019-04-01", "end": "2026-03-31" }, "payor": [ { "reference": "Organization/Organization-1", "display": "Quality Answers Demo Plan 1" } ], "order": 2 }, "request": { "method": "POST", "url": "Coverage" } }, { "fullUrl": "Claim/2138-1-1", "resource": { "resourceType": "Claim", "id": "2138-1-1", "meta": { "lastUpdated": "2025-08-19T14:59:30.9988361+05:45", "tag": [ { "system": "https://Cotiviti.com/fhir/CodeSystem/FHIR_release", "code": "R4.0.1" }, { "system": "https://ncqa.org/fhir/CodeSystem/hedis-data-source", "code": "administrative" }, { "system": "https://ncqa.org/fhir/CodeSystem/hedis-data-source", "code": "administrative" } ] }, "identifier": [ { "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "code": "U", "display": "FILE_ID" } ], "text": "File id" }, "value": "90055" } ], "status": "active", "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/claim-type", "code": "professional" } ] }, "use": "claim", "patient": { "reference": "Patient/AABC-CE-GG-DUAL-ENR-35" }, "created": "2025-08-19", "provider": { "display": "Insurance" }, "priority": { "coding": [ { "code": "normal" } ] }, "careTeam": [ { "sequence": 1, "provider": { "reference": "Practitioner/26057" } } ], "diagnosis": [ { "sequence": 1, "diagnosisCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/sid/icd-10-cm", "code": "J20.3" } ] } } ], "insurance": [ { "sequence": 1, "focal": true, "coverage": { "display": "insurance" } } ], "item": [ { "sequence": 1, "careTeamSequence": [ 1 ], "productOrService": { "coding": [ { "system": "http://www.ama-assn.org/go/cpt", "code": "98966" } ] }, "servicedDate": "2025-09-01", "quantity": { "value": 0 } } ] }, "request": { "method": "POST", "url": "Claim" } }, { "fullUrl": "Encounter/Encounter-2138-1-1", "resource": { "resourceType": "Encounter", "id": "Encounter-2138-1-1", "meta": { "lastUpdated": "2025-08-19T14:59:30.941388+05:45", "tag": [ { "system": "https://Cotiviti.com/fhir/CodeSystem/FHIR_release", "code": "R4.0.1" }, { "system": "https://ncqa.org/fhir/CodeSystem/hedis-data-source", "code": "administrative" }, { "system": "https://ncqa.org/fhir/CodeSystem/hedis-data-source", "code": "administrative" } ] }, "identifier": [ { "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "code": "U", "display": "File Id" } ] }, "value": "90055" } ], "status": "finished", "class": { "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code": "OBSENC" }, "type": [ { "coding": [ { "system": "http://www.ama-assn.org/go/cpt", "code": "98966" } ] } ], "subject": { "reference": "Patient/AABC-CE-GG-DUAL-ENR-35" }, "participant": [ { "individual": { "reference": "Practitioner/26057" } } ], "period": { "start": "2025-09-01", "end": "2025-09-01" }, "diagnosis": [ { "condition": { "reference": "Condition/Condition-2138-1-P-1" }, "rank": 1 } ] }, "request": { "method": "POST", "url": "Encounter" } }, { "fullUrl": "Condition/Condition-2138-1-P-1", "resource": { "resourceType": "Condition", "id": "Condition-2138-1-P-1", "meta": { "lastUpdated": "2025-08-19T14:59:30.8860233+05:45", "tag": [ { "system": "https://Cotiviti.com/fhir/CodeSystem/FHIR_release", "code": "R4.0.1" }, { "system": "https://ncqa.org/fhir/CodeSystem/hedis-data-source", "code": "administrative" }, { "system": "https://ncqa.org/fhir/CodeSystem/hedis-data-source", "code": "administrative" } ] }, "identifier": [ { "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "code": "U", "display": "File Id" } ] }, "value": "90055" } ], "clinicalStatus": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/condition-clinical", "code": "active" } ] }, "code": { "coding": [ { "system": "http://hl7.org/fhir/sid/icd-10-cm", "code": "J20.3" } ] }, "subject": { "reference": "Patient/AABC-CE-GG-DUAL-ENR-35" }, "encounter": { "reference": "Encounter/Encounter-2138-1-1" }, "onsetDateTime": "2025-09-01" }, "request": { "method": "POST", "url": "Condition" } }, { "fullUrl": "Procedure/Proc-2138-1-1", "resource": { "resourceType": "Procedure", "id": "Proc-2138-1-1", "meta": { "lastUpdated": "2025-08-19T14:59:31.1716982+05:45", "tag": [ { "system": "https://Cotiviti.com/fhir/CodeSystem/FHIR_release", "code": "R4.0.1" }, { "system": "https://ncqa.org/fhir/CodeSystem/hedis-data-source", "code": "administrative" }, { "system": "https://ncqa.org/fhir/CodeSystem/hedis-data-source", "code": "administrative" } ] }, "identifier": [ { "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "code": "U", "display": "File Id" } ] }, "value": "90055" } ], "status": "completed", "code": { "coding": [ { "system": "http://www.ama-assn.org/go/cpt", "code": "98966" } ] }, "subject": { "reference": "Patient/AABC-CE-GG-DUAL-ENR-35" }, "encounter": { "reference": "Encounter/Encounter-2138-1-1" }, "performedPeriod": { "start": "2025-09-01", "end": "2025-09-01" }, "performer": [ { "actor": { "reference": "Practitioner/26057" } } ] }, "request": { "method": "POST", "url": "Procedure" } }, { "fullUrl": "Practitioner/26057", "resource": { "resourceType": "Practitioner", "id": "26057", "meta": { "lastUpdated": "2025-08-19T14:59:31.0545344+05:45", "tag": [ { "system": "https://Cotiviti.com/fhir/CodeSystem/FHIR_release", "code": "R4.0.1" }, { "system": "https://ncqa.org/fhir/CodeSystem/hedis-data-source", "code": "administrative" } ] }, "identifier": [ { "system": "http://hl7.org/fhir/sid/us-npi", "value": "26057" }, { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "value": "FILE_ID12000" } ], "name": [ { "family": "Beard", "given": [ "Lauren" ] } ], "telecom": [ { "system": "phone", "value": "9523689970" }, { "system": "fax", "value": "9523689916" } ], "address": [ { "line": [ "8330 commerce dr" ], "city": "Chanhassen", "state": "MN", "postalCode": "55317" } ] }, "request": { "method": "POST", "url": "Practitioner" } }, { "fullUrl": "PractitionerRole/PractitionerRole-26057-1", "resource": { "resourceType": "PractitionerRole", "id": "PractitionerRole-26057-1", "meta": { "lastUpdated": "2025-08-19T14:59:31.1094555+05:45", "tag": [ { "system": "https://Cotiviti.com/fhir/CodeSystem/FHIR_release", "code": "R4.0.1" }, { "system": "https://ncqa.org/fhir/CodeSystem/hedis-data-source", "code": "administrative" } ] }, "extension": [ { "url": "https://ncqa.org/fhir/StructureDefinition/ext-practitionerrole.presc", "valueBoolean": false } ], "identifier": [ { "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "code": "U", "display": "File Id" } ] }, "value": "14000" } ], "practitioner": { "reference": "Practitioner/26057" }, "organization": { "reference": "Organization/Plan1" }, "code": [ { "coding": [ { "system": "http://nucc.org/provider-taxonomy", "code": "07RN0300X" } ] } ], "specialty": [ { "coding": [ { "system": "http://snomed.info/sct", "code": "408475000", "display": "Diabetic medicine" } ] } ], "location": [ { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" }, { "reference": "Location/2079" } ] }, "request": { "method": "POST", "url": "PractitionerRole" } }, { "fullUrl": "Location/2079", "resource": { "resourceType": "Location", "id": "2079", "meta": { "lastUpdated": "2025-08-19T14:59:31.171601+05:45", "tag": [ { "system": "https://Cotiviti.com/fhir/CodeSystem/FHIR_release", "code": "R4.0.1" } ] }, "identifier": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "value": "2079" } ], "name": "Tiermed demo location", "type": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/service-type", "code": "437", "display": "service" } ] } ], "telecom": [ { "system": "phone", "value": "9523689970" }, { "system": "fax", "value": "9523689916" } ], "address": { "line": [ "8330 commerce dr" ], "city": "Chanhassen", "state": "MN", "postalCode": "55317" } }, "request": { "method": "POST", "url": "Location" } }, { "fullUrl": "ClaimResponse/2138-1-1", "resource": { "resourceType": "ClaimResponse", "id": "2138-1-1", "meta": { "lastUpdated": "2025-08-19T14:59:31.2289397+05:45", "tag": [ { "system": "https://Cotiviti.com/fhir/CodeSystem/FHIR_release", "code": "R4.0.1" }, { "system": "https://ncqa.org/fhir/CodeSystem/hedis-data-source", "code": "administrative" }, { "system": "https://ncqa.org/fhir/CodeSystem/hedis-data-source", "code": "administrative" } ] }, "identifier": [ { "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "code": "U", "display": "FILE_ID" } ] }, "value": "90055" } ], "status": "active", "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/claim-type", "code": "professional" } ] }, "use": "claim", "patient": { "reference": "Patient/AABC-CE-GG-DUAL-ENR-35" }, "created": "2025-08-19", "insurer": { "display": "MCO" }, "request": { "reference": "Claim/2138-1-1" }, "outcome": "complete", "disposition": "Approved", "item": [ { "itemSequence": 1, "adjudication": [ { "category": { "coding": [ { "code": "BENEFIT" } ] }, "amount": { "value": 100 } } ] } ], "addItem": [ { "itemSequence": [ 1 ], "productOrService": { "coding": [ { "system": "http://www.ama-assn.org/go/cpt", "code": "98966" } ] }, "servicedDate": "2025-09-01", "adjudication": [ { "category": { "coding": [ { "code": "BENEFIT" } ] }, "amount": { "value": 100 } } ] } ] }, "request": { "method": "POST", "url": "ClaimResponse" } }, { "fullUrl": "Organization/Organization-1", "resource": { "resourceType": "Organization", "id": "Organization-1", "meta": { "lastUpdated": "2025-08-19T14:59:31.286137+05:45", "tag": [ { "system": "https://Cotiviti.com/fhir/CodeSystem/FHIR_release", "code": "R4.0.1" }, { "system": "https://ncqa.org/fhir/CodeSystem/hedis-data-source", "code": "administrative" } ] }, "identifier": [ { "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "code": "U", "display": "FILE_ID" } ] }, "value": "5000" }, { "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "code": "O", "display": "ORG_ID" } ] }, "value": "1234" } ], "name": "Quality Answers Demo Plan 1", "telecom": [ { "system": "phone", "value": "9523689970" } ], "address": [ { "line": [ "8330 COMMERCE DR" ], "city": "Chanhassen", "state": "MN", "postalCode": "55317" } ], "contact": [ { "name": { "text": "Janet" }, "telecom": [ { "system": "phone", "value": "9523689970" } ] } ] }, "request": { "method": "POST", "url": "Organization" } }, { "fullUrl": "Organization/Organization-2", "resource": { "resourceType": "Organization", "id": "Organization-2", "meta": { "lastUpdated": "2025-08-19T14:59:31.3418537+05:45", "tag": [ { "system": "https://Cotiviti.com/fhir/CodeSystem/FHIR_release", "code": "R4.0.1" }, { "system": "https://ncqa.org/fhir/CodeSystem/hedis-data-source", "code": "administrative" } ] }, "identifier": [ { "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "code": "U", "display": "FILE_ID" } ] }, "value": "5000" }, { "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "code": "O", "display": "ORG_ID" } ] }, "value": "1234" } ], "name": "Quality Answers Demo Plan 2", "telecom": [ { "system": "phone", "value": "9523689970" } ], "address": [ { "line": [ "8330 COMMERCE DR" ], "city": "Chanhassen", "state": "MN", "postalCode": "55317" } ], "contact": [ { "name": { "text": "Janet" }, "telecom": [ { "system": "phone", "value": "9523689970" } ] } ] }, "request": { "method": "POST", "url": "Organization" } } ] }