Implementation Guide
27.0.0 - R4 APIs

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: PAS Requestor Organization Example - JSON Representation

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{
  "resourceType" : "Organization",
  "id" : "DF-450",
  "meta" : {
    "lastUpdated" : "2005-05-10T05:54:54.453+05:30",
    "profile" : [
      🔗 "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-pas-requestor-organization-profile"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table width=\"100%\"><tbody><tr><td width=\"25%\"/><td width=\"42%\">1977 NE Foster Blvd Gresham, OR 97030 USA Phone: 5036650999</td></tr></tbody></table></div>"
  },
  "identifier" : [
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-identifierSubDepartment",
          "valueString" : "Neighborhood Physicians Practice"
        },
        {
          "url" : "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-identifierJurisdiction",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-identifierJurisdiction",
                "code" : "OR",
                "display" : "Oregon"
              }
            ]
          }
        }
      ],
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "NPI",
            "display" : "National Provider Identifier"
          }
        ]
      },
      "system" : "http://hl7.org/fhir/sid/us-npi",
      "value" : "1234567890"
    },
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "TIN",
            "display" : "Tax Identification Number"
          }
        ]
      },
      "system" : "http://terminology.hl7.org/NamingSystem/USEIN",
      "value" : "953515524"
    }
  ],
  "active" : true,
  "type" : [
    {
      "coding" : [
        {
          "system" : "https://codesystem.x12.org/005010/98",
          "code" : "1T",
          "display" : "Physician, Clinic or Group Practice"
        }
      ],
      "text" : "Physician, Clinic or Group Practice"
    }
  ],
  "name" : "Truman Group Practice",
  "telecom" : [
    {
      "system" : "phone",
      "value" : "9726631212",
      "use" : "work"
    },
    {
      "system" : "fax",
      "value" : "9723332222"
    }
  ],
  "address" : [
    {
      "line" : [
        "1977 NE Foster Blvd"
      ],
      "city" : "Gresham",
      "state" : "OR",
      "postalCode" : "97030",
      "country" : "USA"
    }
  ],
  "contact" : [
    {
      "name" : {
        "text" : "Ben Bergeron",
        "family" : "Bergeron",
        "given" : [
          "Ben"
        ]
      },
      "telecom" : [
        {
          "system" : "phone",
          "value" : "5032332233",
          "use" : "work"
        }
      ]
    }
  ]
}