This page is part of the Da Vinci Unsolicited Notifications (v0.2.0: STU 1 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 1.1.0. For a full list of available versions, see the Directory of published versions
JSON Format: Bundle-admit-notification-message-bundle-01
Download Raw json
{
"resourceType" : "Bundle",
"id" : "admit-notification-message-bundle-01",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/davinci-alerts/StructureDefinition/notifications-bundle"
]
},
"type" : "message",
"timestamp" : "2019-11-14T08:08:47Z",
"entry" : [
{
"fullUrl" : "urn:uuid:267b18ce-3d37-4581-9baa-6fada338038b",
"resource" : {
"resourceType" : "MessageHeader",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/davinci-alerts/StructureDefinition/discharge-notification-messageheader"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: admit-notification-messageheader-01</p><p><b>meta</b>: </p><p><b>event</b>: Notification admit (Details: http://hl7.org/fhir/us/davinci-alerts/CodeSystem/notification-event code notification-admit = 'Notification admit', stated as 'Notification admit')</p><h3>Destinations</h3><table class=\"grid\"><tr><td>-</td><td><b>Name</b></td><td><b>Endpoint</b></td></tr><tr><td>*</td><td>Acme Message Gateway</td><td><a href=\"https://example.org/Endpoints/P123\">https://example.org/Endpoints/P123</a></td></tr></table><p><b>sender</b>: <a href=\"urn:uuid:7221aa91-d9e1-44fa-8b90-c5a8c7caeade\">Saint Luke W Endpoint</a></p><p><b>author</b>: <a href=\"urn:uuid:e4b71aed-1c54-4f85-bea0-48444aa31f59\">Ronald Bone</a></p><h3>Sources</h3><table class=\"grid\"><tr><td>-</td><td><b>Name</b></td><td><b>Software</b></td><td><b>Version</b></td><td><b>Contact</b></td><td><b>Endpoint</b></td></tr><tr><td>*</td><td>Acme Central Patient Registry</td><td>FooBar Patient Manager</td><td>3.1.45.AABB</td><td>ph: +1 (555) 123 4567</td><td><a href=\"https://example.org/Endpoints/P456\">https://example.org/Endpoints/P456</a></td></tr></table><p><b>responsible</b>: <a href=\"urn:uuid:7221aa91-d9e1-44fa-8b90-c5a8c7caeade\">Saint Luke W Endpoint</a></p><p><b>focus</b>: <a href=\"urn:uuid:a33d1eed-c4ad-4def-8087-042b7ac0f2b7\">Inpatient Encounter</a></p></div>"
},
"eventCoding" : {
"system" : "http://hl7.org/fhir/us/davinci-alerts/CodeSystem/notification-event",
"code" : "notification-admit",
"display" : "Notification Admit"
},
"destination" : [
{
"name" : "Acme Message Gateway",
"endpoint" : "https://example.org/Endpoints/P123"
}
],
"sender" : {
"reference" : "urn:uuid:7221aa91-d9e1-44fa-8b90-c5a8c7caeade",
"display" : "Saint Luke W Endpoint"
},
"author" : {
"reference" : "urn:uuid:e4b71aed-1c54-4f85-bea0-48444aa31f59",
"display" : "Ronald Bone"
},
"source" : {
"name" : "Acme Central Patient Registry",
"software" : "FooBar Patient Manager",
"version" : "3.1.45.AABB",
"contact" : {
"system" : "phone",
"value" : "+1 (555) 123 4567"
},
"endpoint" : "https://example.org/Endpoints/P456"
},
"responsible" : {
"reference" : "urn:uuid:7221aa91-d9e1-44fa-8b90-c5a8c7caeade",
"display" : "Saint Luke W Endpoint"
},
"focus" : [
{
"reference" : "urn:uuid:a33d1eed-c4ad-4def-8087-042b7ac0f2b7",
"display" : "Inpatient Encounter"
}
]
}
},
{
"fullUrl" : "urn:uuid:a33d1eed-c4ad-4def-8087-042b7ac0f2b7",
"resource" : {
"resourceType" : "Encounter",
"meta" : {
"lastUpdated" : "2017-05-26T11:56:57.250-04:00",
"profile" : [
"http://hl7.org/fhir/us/davinci-alerts/StructureDefinition/admit-discharge-notification-encounter"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: admit-discharge-notification-encounter-01</p><p><b>meta</b>: </p><p><b>status</b>: finished</p><p><b>class</b>: inpatient encounter (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code IMP = 'inpatient encounter', stated as 'inpatient encounter')</p><p><b>type</b>: Inpatient hospital care <span style=\"background: LightGoldenRodYellow\">(Details : {http://www.ama-assn.org/go/cpt code '99234' = '99234)</span></p><p><b>subject</b>: <a href=\"urn:uuid:e442c924-df77-47fa-838f-24a8253bbdd4\">Amy V. Shaw</a></p><h3>Participants</h3><table class=\"grid\"><tr><td>-</td><td><b>Type</b></td><td><b>Period</b></td><td><b>Individual</b></td></tr><tr><td>*</td><td>primary performer <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/v3-ParticipationType code 'PPRF' = 'primary performer)</span></td><td>Nov 1, 2015, 2:00:14 PM --> Nov 1, 2015, 3:00:14 PM</td><td><a href=\"urn:uuid:e4b71aed-1c54-4f85-bea0-48444aa31f59\">Ronald Bone</a></td></tr></table><p><b>period</b>: Nov 1, 2015, 2:00:14 PM --> Nov 1, 2015, 3:00:14 PM</p><h3>Locations</h3><table class=\"grid\"><tr><td>-</td><td><b>Location</b></td></tr><tr><td>*</td><td><a href=\"urn:uuid:75ea28b5-74b8-4d9c-9eb5-cfdc10b48fa\">Health Level Seven International - Amherst</a></td></tr></table></div>"
},
"status" : "finished",
"class" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "IMP",
"display" : "inpatient encounter"
},
"type" : [
{
"coding" : [
{
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "99234"
}
],
"text" : "Inpatient hospital care"
}
],
"subject" : {
"reference" : "urn:uuid:e442c924-df77-47fa-838f-24a8253bbdd4",
"display" : "Amy V. Shaw"
},
"participant" : [
{
"type" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code" : "PPRF"
}
],
"text" : "primary performer"
}
],
"period" : {
"start" : "2015-11-01T17:00:14-05:00",
"end" : "2015-11-01T18:00:14-05:00"
},
"individual" : {
"reference" : "urn:uuid:e4b71aed-1c54-4f85-bea0-48444aa31f59",
"display" : "Ronald Bone"
}
}
],
"period" : {
"start" : "2015-11-01T17:00:14-05:00",
"end" : "2015-11-01T18:00:14-05:00"
},
"location" : [
{
"location" : {
"reference" : "urn:uuid:75ea28b5-74b8-4d9c-9eb5-cfdc10b48fa",
"display" : "Health Level Seven International - Amherst"
}
}
]
}
},
{
"fullUrl" : "urn:uuid:75ea28b5-74b8-4d9c-9eb5-cfdc10b48fa",
"resource" : {
"resourceType" : "Location",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-location"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: hl7east</p><p><b>meta</b>: </p><p><b>identifier</b>: 29</p><p><b>status</b>: active</p><p><b>name</b>: Health Level Seven International - Amherst</p><p><b>description</b>: HL7 Headquarters - East</p><p><b>telecom</b>: ph: (+1) 734-677-7777</p><p><b>address</b>: 3300 Washtenaw Avenue, Suite 227 Amherst MA 01002 USA </p><h3>Positions</h3><table class=\"grid\"><tr><td>-</td><td><b>Longitude</b></td><td><b>Latitude</b></td></tr><tr><td>*</td><td>-72.519854</td><td>42.373222</td></tr></table><p><b>managingOrganization</b>: Health Level Seven International</p></div>"
},
"identifier" : [
{
"system" : "http://www.acme.org/location",
"value" : "29"
}
],
"status" : "active",
"name" : "Health Level Seven International - Amherst",
"description" : "HL7 Headquarters - East",
"telecom" : [
{
"system" : "phone",
"value" : "(+1) 734-677-7777"
}
],
"address" : {
"line" : [
"3300 Washtenaw Avenue, Suite 227"
],
"city" : "Amherst",
"state" : "MA",
"postalCode" : "01002",
"country" : "USA"
},
"position" : {
"longitude" : -72.519854,
"latitude" : 42.373222
},
"managingOrganization" : {
"display" : "Health Level Seven International"
}
}
},
{
"fullUrl" : "urn:uuid:e4b71aed-1c54-4f85-bea0-48444aa31f59",
"resource" : {
"resourceType" : "Practitioner",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: practitioner-1</p><p><b>meta</b>: </p><p><b>identifier</b>: 9941339108, 25456</p><p><b>name</b>: Ronald Bone </p><p><b>address</b>: 1003 Healthcare Drive Amherst MA 01002 (HOME)</p></div>"
},
"identifier" : [
{
"system" : "http://hl7.org.fhir/sid/us-npi",
"value" : "9941339108"
},
{
"system" : "http://www.acme.org/practitioners",
"value" : "25456"
}
],
"name" : [
{
"family" : "Bone",
"given" : [
"Ronald"
],
"prefix" : [
"Dr"
]
}
],
"address" : [
{
"use" : "home",
"line" : [
"1003 Healthcare Drive"
],
"city" : "Amherst",
"state" : "MA",
"postalCode" : "01002"
}
]
}
},
{
"fullUrl" : "urn:uuid:e442c924-df77-47fa-838f-24a8253bbdd4",
"resource" : {
"resourceType" : "Patient",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>Generated Narrative with Details</b>\n\t\t\t\t\t\t</p>\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>id</b>: example</p>\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>identifier</b>: Medical Record Number = 1032702 (USUAL)</p>\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>active</b>: true</p>\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>name</b>: Amy V. Shaw </p>\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>telecom</b>: ph: 555-555-5555(HOME), amy.shaw@example.com</p>\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>gender</b>: </p>\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>birthsex</b>: Female</p>\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>birthDate</b>: Feb 20, 2007</p>\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>address</b>: 49 Meadow St Mounds OK 74047 US </p>\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>race</b>: White, American Indian or Alaska Native, Asian, Shoshone, Filipino</p>\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>ethnicity</b>: Hispanic or Latino, Dominican, Mexican</p>\n\t\t\t\t\t</div>"
},
"extension" : [
{
"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" : "2106-3",
"display" : "White"
}
},
{
"url" : "ombCategory",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "1002-5",
"display" : "American Indian or Alaska Native"
}
},
{
"url" : "ombCategory",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2028-9",
"display" : "Asian"
}
},
{
"url" : "detailed",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "1586-7",
"display" : "Shoshone"
}
},
{
"url" : "detailed",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2036-2",
"display" : "Filipino"
}
},
{
"url" : "text",
"valueString" : "Mixed"
}
]
},
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity",
"extension" : [
{
"url" : "ombCategory",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2135-2",
"display" : "Hispanic or Latino"
}
},
{
"url" : "detailed",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2184-0",
"display" : "Dominican"
}
},
{
"url" : "detailed",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2148-5",
"display" : "Mexican"
}
},
{
"url" : "text",
"valueString" : "Hispanic or Latino"
}
]
},
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
"valueCode" : "F"
}
],
"identifier" : [
{
"use" : "usual",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "MR",
"display" : "Medical Record Number"
}
],
"text" : "Medical Record Number"
},
"system" : "http://hospital.smarthealthit.org",
"value" : "1032702"
}
],
"active" : true,
"name" : [
{
"family" : "Shaw",
"given" : [
"Amy",
"V."
]
}
],
"telecom" : [
{
"system" : "phone",
"value" : "555-555-5555",
"use" : "home"
},
{
"system" : "email",
"value" : "amy.shaw@example.com"
}
],
"gender" : "female",
"birthDate" : "2007-02-20",
"address" : [
{
"line" : [
"49 Meadow St"
],
"city" : "Mounds",
"state" : "OK",
"postalCode" : "74047",
"country" : "US"
}
]
}
},
{
"fullUrl" : "urn:uuid:c470de5b-345c-4945-bc4a-cbdec7d86f54",
"resource" : {
"resourceType" : "Coverage",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/davinci-alerts/StructureDefinition/admit-discharge-notification-coverage"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: admit-discharge-notification-coverage-01</p><p><b>meta</b>: </p><p><b>identifier</b>: DZW9200000000</p><p><b>status</b>: active</p><p><b>type</b>: health insurance plan policy <span style=\"background: LightGoldenRodYellow\">(Details : { http://terminology.hl7.org/CodeSystem/v3-ActCode code ' HIP' = 'health insurance plan policy', given as 'health insurance plan policy'})</span></p><p><b>subscriber</b>: <a href=\"urn:uuid:e442c924-df77-47fa-838f-24a8253bbdd4\"> urn:uuid:e442c924-df77-47fa-838f-24a8253bbdd4</a></p><p><b>subscriberId</b>: DZW9200000000</p><p><b>beneficiary</b>: <a href=\"urn:uuid:e442c924-df77-47fa-838f-24a8253bbdd4\"> urn:uuid:e442c924-df77-47fa-838f-24a8253bbdd4</a></p><p><b>relationship</b>: Self <span style=\"background: LightGoldenRodYellow\">(Details : { http://terminology.hl7.org/CodeSystem/subscriber-relationship code ' self' = 'Self', given as ' Self'})</span></p><p><b>period</b>: Jan 1, 2016, 12:00:00 AM --> (ongoing)</p><p><b>payor</b>: Anthem Blue Cross of California</p><h3>Classes</h3><table class=\"grid\"><tr><td>-</td><td><b>Type</b></td><td><b>Value</b></td><td><b>Name</b></td></tr><tr><td>*</td><td>Plan <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/coverage-class code 'plan' = 'Plan)</span></td><td>1FZQ</td><td>Bronze D HSA</td></tr></table></div>"
},
"identifier" : [
{
"system" : "https://www.anthem.com/ca",
"value" : "DZW9200000000"
}
],
"status" : "active",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "HIP",
"display" : "health insurance plan policy"
}
]
},
"subscriber" : {
"reference" : "urn:uuid:e442c924-df77-47fa-838f-24a8253bbdd4"
},
"subscriberId" : "DZW9200000000",
"beneficiary" : {
"reference" : "urn:uuid:e442c924-df77-47fa-838f-24a8253bbdd4"
},
"relationship" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
"code" : "self",
"display" : "Self"
}
]
},
"period" : {
"start" : "2016-01-01"
},
"payor" : [
{
"display" : "Anthem Blue Cross of California"
}
],
"class" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
"code" : "plan"
}
]
},
"value" : "1FZQ",
"name" : "Bronze D HSA"
}
]
}
},
{
"fullUrl" : "urn:uuid:54f0ea3f-dc89-4e71-8d98-8774a5add41e",
"resource" : {
"resourceType" : "Condition",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/davinci-alerts/StructureDefinition/admit-discharge-notification-condition"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: admit-discharge-notification-condition-01</p><p><b>meta</b>: </p><p><b>clinicalStatus</b>: Active <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/condition-clinical code 'active' = 'Active', given as 'Active'})</span></p><p><b>verificationStatus</b>: Confirmed <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/condition-ver-status code 'confirmed' = 'Confirmed', given as 'Confirmed'})</span></p><p><b>category</b>: Problem <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/condition-category code 'problem-list-item' = 'Problem List Item', given as 'Problem List Item'})</span></p><p><b>code</b>: Single liveborn, born in hospital <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '442311008' = 'Liveborn born in hospital', given as 'Liveborn born in hospital'})</span></p><p><b>subject</b>: <a href=\"urn:uuid:e442c924-df77-47fa-838f-24a8253bbdd4\">Amy V. Shaw</a></p><p><b>encounter</b>: <a href=\"urn:uuid:a33d1eed-c4ad-4def-8087-042b7ac0f2b7\">urn:uuid:a33d1eed-c4ad-4def-8087-042b7ac0f2b7</a></p><p><b>onset</b>: Aug 10, 2016, 12:00:00 AM</p></div>"
},
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code" : "active",
"display" : "Active"
}
],
"text" : "Active"
},
"verificationStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code" : "confirmed",
"display" : "Confirmed"
}
],
"text" : "Confirmed"
},
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-category",
"code" : "problem-list-item",
"display" : "Problem List Item"
}
],
"text" : "Problem"
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "442311008",
"display" : "Liveborn born in hospital"
}
],
"text" : "Single liveborn, born in hospital"
},
"subject" : {
"reference" : "urn:uuid:e442c924-df77-47fa-838f-24a8253bbdd4",
"display" : "Amy V. Shaw"
},
"encounter" : {
"reference" : "urn:uuid:a33d1eed-c4ad-4def-8087-042b7ac0f2b7"
},
"onsetDateTime" : "2016-08-10"
}
},
{
"fullUrl" : "urn:uuid:7221aa91-d9e1-44fa-8b90-c5a8c7caeade",
"resource" : {
"resourceType" : "Organization",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <h1>Organization</h1>\n <div>\n <p>ID: 393872</p>\n <p>Name: Saint Luke's Hospital of Kansas City </p>\n <p>NPI: 1063494177</p>\n <p>Phone:(816)932-2000</p>\n <p>Address:4401 Wornall Rd,, MO, 64111</p>\n </div>\n </div>"
},
"contained" : [
{
"resourceType" : "Endpoint",
"id" : "direct",
"status" : "active",
"connectionType" : {
"system" : "http://terminology.hl7.org/CodeSystem/endpoint-connection-type",
"code" : "direct-project"
},
"name" : "Dr. Ronald Bone Direct Address",
"managingOrganization" : {
"reference" : "urn:uuid:7221aa91-d9e1-44fa-8b90-c5a8c7caeade"
},
"payloadType" : [
{
"coding" : [
{
"system" : "urn:oid:1.3.6.1.4.1.19376.1.2.3",
"code" : "urn:hl7-org:sdwg:ccda-structuredBody:1.1"
}
]
}
],
"payloadMimeType" : [
"text/xml"
],
"address" : "mailto:Interoperability@DirectAddress.com"
}
],
"identifier" : [
{
"system" : "http://example.org/fhir/sid/us-npi",
"value" : "1063494177"
},
{
"system" : "http://example.org/fhir/us/argo/sid/us-ein",
"value" : "00-0000000"
}
],
"active" : true,
"name" : "Saint Luke's Hospital of Kansas City",
"telecom" : [
{
"system" : "phone",
"value" : "(816)932-2000",
"use" : "work"
},
{
"system" : "other",
"value" : "http://www.saintlukeshealthsystem.org/locations/saint-lukes-hospital-kansas-city",
"use" : "work"
}
],
"address" : [
{
"text" : "3300 Washtenaw Avenue, Suite 227 Amherst MA 01002",
"line" : [
"4401 Wornall Rd,"
],
"city" : "Amherst",
"state" : "MA",
"postalCode" : "64111"
}
],
"endpoint" : [
{
"reference" : "#direct"
}
]
}
}
]
}
