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 - XML Representation

Page standards status: Informative

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<Organization xmlns="http://hl7.org/fhir">
  <id value="acme-payer"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"/>
  </meta>
  <text>
    <status value="extensions"/>
    <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: 55555</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>
  </text>
  <identifier>
    <system value="urn:oid:2.16.840.1.113883.6.300"/>
    <value value="55555"/>
  </identifier>
  <active value="true"/>
  <type>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/organization-type"/>
      <code value="pay"/>
    </coding>
    <text value="Payer"/>
  </type>
  <name value="Acme Health Plan"/>
  <telecom>
    <system value="phone"/>
    <value value="(+1) 555-555-5555"/>
  </telecom>
  <telecom>
    <system value="email"/>
    <value value="hq@acme.org"/>
  </telecom>
  <address>
    <line value="100 Insurance Avenue"/>
    <city value="Amherst"/>
    <state value="MA"/>
    <postalCode value="01002"/>
    <country value="USA"/>
  </address>
</Organization>