HRSA 2023 Uniform Data System (UDS) Patient Level Submission (PLS) (UDS+) FHIR IG
1.1.0 - STU1 Release 1.1 - Standard for Trial-Use International flag

This page is part of the HRSA Uniform Data System (UDS) Patient Level Submission (PLS) (UDS+ or uds-plus) FHIR IG (v1.1.0: STU1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

: US Core Organization Example for a Payer - JSON Representation

Page standards status: Informative

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{
  "resourceType" : "Organization",
  "id" : "acme-payer",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Organization</b><a name=\"acme-payer\"> </a></p><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\">Resource Organization &quot;acme-payer&quot; </p><p style=\"margin-bottom: 0px\"></p></div><p><b>identifier</b>: id:\u00a055555</p><p><b>active</b>: true</p><p><b>type</b>: Payer <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-organization-type.html\">Organization type</a>#pay)</span></p><p><b>name</b>: Acme Health Plan</p><p><b>telecom</b>: ph: (+1) 555-555-5555, <a href=\"mailto:hq@acme.org\">hq@acme.org</a></p><p><b>address</b>: 100 Insurance Avenue Amherst MA 01002 USA </p></div>"
  },
  "identifier" : [
    {
      "system" : "urn:oid:2.16.840.1.113883.6.300",
      "value" : "55555"
    }
  ],
  "active" : true,
  "type" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/organization-type",
          "code" : "pay"
        }
      ],
      "text" : "Payer"
    }
  ],
  "name" : "Acme Health Plan",
  "telecom" : [
    {
      "system" : "phone",
      "value" : "(+1) 555-555-5555"
    },
    {
      "system" : "email",
      "value" : "hq@acme.org"
    }
  ],
  "address" : [
    {
      "line" : [
        "100 Insurance Avenue"
      ],
      "city" : "Amherst",
      "state" : "MA",
      "postalCode" : "01002",
      "country" : "USA"
    }
  ]
}