NHSN Reporting: Inpatient Medication Administration
1.0.0 - STU 1

This page is part of the NHSN Reporting: Inpatient Medication Administration (v1.0.0: STU 1 on FHIR R4) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

: Example of Bundle - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "bundle-document-med-admin-patient-med-admin-1",
  "identifier" : {
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:uuid:21759053-6C48-11EB-2236-09173F13E4C5"
  },
  "type" : "document",
  "timestamp" : "2021-02-11T19:04:21.973+10:00",
  "entry" : [
    {
      "fullUrl" : "http://example.org/fhir/Composition/composition-med-admin-1",
      "resource" : {
        "resourceType" : "Composition",
        "id" : "composition-med-admin-1",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/us/nhsn-med-admin/StructureDefinition/Composition-inpatient-med-admin"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: 2eec4326-bf29-4428-8d02-a334a19cfc14</p><p><b>status</b>: final</p><p><b>type</b>: <span title=\"Codes: {http://loinc.org 87231-7}\">Medication administration.extended Document</span></p><p><b>encounter</b>: <a href=\"#Encounter_encounter-completed-inpatient-med-admin-1\">See above (Encounter/encounter-completed-inpatient-med-admin-1)</a></p><p><b>date</b>: Jan 12, 2021 10:13:23 PM</p><p><b>author</b>: <a href=\"#Practitioner_practitioner-med-admin-henry-seven\">Henry Seven, MD. Generated Summary: id: 9933339108; Seven Henry ; henry.seven@example.com</a></p><p><b>title</b>: Inpatient Medication Administration</p></div>"
        },
        "identifier" : {
          "value" : "2eec4326-bf29-4428-8d02-a334a19cfc14"
        },
        "status" : "final",
        "type" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "87231-7",
              "display" : "Medication administration.extended Document"
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/patient-med-admin-1",
          "display" : "Name: 'masked'"
        },
        "encounter" : {
          "reference" : "Encounter/encounter-completed-inpatient-med-admin-1"
        },
        "date" : "2021-01-12T22:13:23Z",
        "author" : [
          {
            "reference" : "Practitioner/practitioner-med-admin-henry-seven",
            "display" : "Henry Seven, MD"
          }
        ],
        "title" : "Inpatient Medication Administration",
        "section" : [
          {
            "title" : "Medication Section",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "10160-0",
                  "display" : "History of Medication use Narrative"
                }
              ]
            },
            "entry" : [
              {
                "reference" : "MedicationAdministration/medicationadministration-azithromycin-med-admin-1",
                "display" : "Azithromycin 500 MG Oral Tablet"
              },
              {
                "reference" : "MedicationAdministration/medicationadministration-remdesivir-med-admin-1",
                "display" : "remdesivir 100 MG Injection [Veklury]"
              }
            ]
          },
          {
            "title" : "Problems Section",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "11450-4",
                  "display" : "Problem list - Reported"
                }
              ]
            },
            "entry" : [
              {
                "reference" : "Condition/condition-suspected-covid-med-admin-1",
                "display" : "Suspected disease caused by Severe acute respiratory coronavirus 2 (situation)"
              }
            ]
          },
          {
            "title" : "Results Section",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "30954-2",
                  "display" : "Relevant Dx tests/lab data"
                }
              ]
            },
            "entry" : [
              {
                "reference" : "Observation/observation-lab-sars-cov-med-admin",
                "display" : "SARS-CoV-2 (COVID-19) IgM Ab [Presence] in Serum or Plasma by Immunoassay"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/MedicationAdministration/medicationadministration-azithromycin-med-admin-1",
      "resource" : {
        "resourceType" : "MedicationAdministration",
        "id" : "medicationadministration-azithromycin-med-admin-1",
        "meta" : {
          "versionId" : "2",
          "lastUpdated" : "2021-02-10T03:08:19.617+00:00",
          "source" : "#I8dS1RseMvmmvJJC",
          "profile" : [
            "http://hl7.org/fhir/us/nhsn-med-admin/StructureDefinition/MedicationAdministration-inpatient-med-admin"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: completed</p><p><b>medication</b>: <span title=\"Codes: {http://www.nlm.nih.gov/research/umls/rxnorm 248656}\">Azithromycin 500 MG Oral Tablet</span></p><p><b>subject</b>: <a href=\"#Patient_patient-med-admin-1\">See above (Patient/patient-med-admin-1)</a></p><p><b>effective</b>: 2021-01-02 --&gt; 2021-01-10</p><h3>Dosages</h3><table class=\"grid\"><tr><td>-</td><td><b>Text</b></td><td><b>Route</b></td><td><b>Method</b></td><td><b>Dose</b></td></tr><tr><td>*</td><td>Two tablets at once</td><td><span title=\"Codes: {http://snomed.info/sct 26643006}\">Oral Route</span></td><td><span title=\"Codes: {http://snomed.info/sct 421521009}\">Swallow - dosing instruction imperative (qualifier value)</span></td><td>2 TAB</td></tr></table></div>"
        },
        "status" : "completed",
        "medicationCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
              "code" : "248656",
              "display" : "Azithromycin 500 MG Oral Tablet"
            }
          ],
          "text" : "Azithromycin 500 MG Oral Tablet"
        },
        "subject" : {
          "reference" : "Patient/patient-med-admin-1"
        },
        "effectivePeriod" : {
          "start" : "2021-01-02",
          "end" : "2021-01-10"
        },
        "dosage" : {
          "text" : "Two tablets at once",
          "route" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "26643006",
                "display" : "Oral Route"
              }
            ]
          },
          "method" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "421521009",
                "display" : "Swallow - dosing instruction imperative (qualifier value)"
              }
            ]
          },
          "dose" : {
            "value" : 2,
            "unit" : "TAB",
            "system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
            "code" : "TAB"
          }
        }
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/Encounter/encounter-completed-inpatient-med-admin-1",
      "resource" : {
        "resourceType" : "Encounter",
        "id" : "encounter-completed-inpatient-med-admin-1",
        "meta" : {
          "versionId" : "2",
          "lastUpdated" : "2021-02-10T03:08:19.621+00:00",
          "source" : "#qmyg9wZJY8AqPIqz",
          "profile" : [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: finished</p><p><b>class</b>: <span title=\"{http://terminology.hl7.org/CodeSystem/v3-ActCode IMP}\">inpatient encounter</span></p><p><b>type</b>: <span title=\"Codes: {http://snomed.info/sct 24882007}\">Medical consultation on hospital inpatient</span></p><p><b>subject</b>: <a href=\"#Patient_patient-med-admin-1\">Name: 'masked'. Generated Summary: id: ?ngen-9?; active; ; gender: female; birthDate: 1974-11-24</a></p><p><b>period</b>: 2021-01-01 --&gt; 2021-01-12</p><h3>Diagnoses</h3><table class=\"grid\"><tr><td>-</td><td><b>Condition</b></td></tr><tr><td>*</td><td><a href=\"Condition-condition-lab-confirmed-covid-med-admin-1.html\">Generated Summary: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span>; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}\">Confirmed</span>; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-category encounter-diagnosis}\">Encounter Diagnosis</span>; <span title=\"Codes: {http://snomed.info/sct 840539006}\">Disease caused by Severe acute respiratory syndrome coronavirus 2 (disorder)</span>; onset: Jan 2, 2021 4:30:35 PM; recordedDate: Jan 2, 2021 4:30:35 PM</a></td></tr></table><h3>Hospitalizations</h3><table class=\"grid\"><tr><td>-</td><td><b>DischargeDisposition</b></td></tr><tr><td>*</td><td><span title=\"Codes: {http://terminology.hl7.org/CodeSystem/discharge-disposition home}\">Discharged to home</span></td></tr></table><h3>Locations</h3><table class=\"grid\"><tr><td>-</td><td><b>Location</b></td></tr><tr><td>*</td><td><a href=\"#Location_location-salem-medical-center\">Clinic Bldg A, Salem Medical Center, 4646 Brown Rd, Salem, MA 02368. Generated Summary: status: active; name: Clinic Bldg A, Salem Medical Center; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-RoleCode HOSP}\">Hospital</span>; Phone: (+1) (555)555-3001, Fax: (+1) (555)555-3002, mail@smc.org</a></td></tr></table><p><b>serviceProvider</b>: <a href=\"#Organization_organization-salem-medical-center\">Salem Medical Center, 22222 Health Authority Drive, Ann Arbor MI, 99999. Generated Summary: id: 55555555; active; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-RoleCode HOSP}\">Hospital</span>; name: Salem Medical Center; Phone: +1-555-555-1111, mail@salemmedicalcenter.com</a></p></div>"
        },
        "status" : "finished",
        "class" : {
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "code" : "IMP",
          "display" : "inpatient encounter"
        },
        "type" : [
          {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "24882007"
              }
            ],
            "text" : "Medical consultation on hospital inpatient"
          }
        ],
        "subject" : {
          "reference" : "Patient/patient-med-admin-1",
          "display" : "Name: 'masked'"
        },
        "period" : {
          "start" : "2021-01-01",
          "end" : "2021-01-12"
        },
        "diagnosis" : [
          {
            "condition" : {
              "reference" : "Condition/condition-lab-confirmed-covid-med-admin-1"
            }
          }
        ],
        "hospitalization" : {
          "dischargeDisposition" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/discharge-disposition",
                "code" : "home"
              }
            ],
            "text" : "Discharged to home"
          }
        },
        "location" : [
          {
            "location" : {
              "reference" : "Location/location-salem-medical-center",
              "display" : "Clinic Bldg A, Salem Medical Center, 4646 Brown Rd, Salem, MA 02368"
            }
          }
        ],
        "serviceProvider" : {
          "reference" : "Organization/organization-salem-medical-center",
          "display" : "Salem Medical Center, 22222 Health Authority Drive, Ann Arbor MI, 99999"
        }
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/Patient/patient-med-admin-1",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "patient-med-admin-1",
        "meta" : {
          "versionId" : "1",
          "lastUpdated" : "2020-12-23T21:27:41.254+00:00",
          "source" : "#e5lm4KzXeLhJI81V",
          "profile" : [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                  <div class=\"hapiHeaderText\"/>\n                  <table class=\"hapiPropertyTable\">\n                     <tbody>\n                        <tr>\n                           <td>Identifier</td>\n                           <td/>\n                        </tr>\n                        <tr>\n                           <td>Date of birth</td>\n                           <td>\n                              <span>24 November 1974</span>\n                           </td>\n                        </tr>\n                     </tbody>\n                  </table>\n               </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" : "text",
                "valueString" : "White"
              }
            ]
          },
          {
            "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" : "2186-5",
                  "display" : "Not Hispanic or Latino"
                }
              },
              {
                "url" : "text",
                "valueString" : "Not Hispanic or Latino"
              }
            ]
          },
          {
            "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
            "valueCode" : "F"
          }
        ],
        "identifier" : [
          {
            "system" : "http://hospital.smarthealthit.org",
            "_value" : {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                  "valueCode" : "masked"
                }
              ]
            }
          }
        ],
        "active" : true,
        "name" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                "valueCode" : "masked"
              }
            ]
          }
        ],
        "gender" : "female",
        "birthDate" : "1974-11-24"
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/Practitioner/practitioner-med-admin-henry-seven",
      "resource" : {
        "resourceType" : "Practitioner",
        "id" : "practitioner-med-admin-henry-seven",
        "meta" : {
          "versionId" : "1",
          "lastUpdated" : "2021-02-10T03:08:19.831+00:00",
          "source" : "#vNf3iatcV2Dv62N6",
          "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</b></p><p><b>identifier</b>: id: 9933339108</p><p><b>name</b>: Seven Henry </p><p><b>telecom</b>: <a href=\"mailto:henry.seven@example.com\">henry.seven@example.com</a></p><p><b>address</b>: BMass Doctors 2100 North Ave Burlington MA 02368 US </p></div>"
        },
        "identifier" : [
          {
            "system" : "http://hl7.org/fhir/sid/us-npi",
            "value" : "9933339108"
          }
        ],
        "name" : [
          {
            "family" : "Henry",
            "given" : [
              "Seven"
            ],
            "suffix" : [
              "M.D."
            ]
          }
        ],
        "telecom" : [
          {
            "system" : "email",
            "value" : "henry.seven@example.com"
          }
        ],
        "address" : [
          {
            "line" : [
              "BMass Doctors",
              "2100 North Ave"
            ],
            "city" : "Burlington",
            "state" : "MA",
            "postalCode" : "02368",
            "country" : "US"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/Observation/observation-lab-sars-cov-med-admin",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "observation-lab-sars-cov-med-admin",
        "meta" : {
          "versionId" : "4",
          "lastUpdated" : "2021-03-29T23:13:31.865+00:00",
          "source" : "#KrYSK5ISFyZ7HwLy",
          "profile" : [
            "http://hl7.org/fhir/us/nhsn-med-admin/StructureDefinition/Observation-lab-sars-cov"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>category</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 94564-2}\">SARS-CoV-2 (COVID-19) IgM Ab [Presence] in Serum or Plasma by Immunoassay</span></p><p><b>subject</b>: <a href=\"#Patient_patient-med-admin-1\">Name: 'masked'. Generated Summary: id: ?ngen-9?; active; ; gender: female; birthDate: 1974-11-24</a></p><p><b>effective</b>: 2021-01-04</p><p><b>value</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation POS}\">positive</span></p></div>"
        },
        "status" : "final",
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                "code" : "laboratory",
                "display" : "Laboratory"
              }
            ],
            "text" : "Laboratory"
          }
        ],
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "94564-2",
              "display" : "SARS-CoV-2 (COVID-19) IgM Ab [Presence] in Serum or Plasma by Immunoassay"
            }
          ],
          "text" : "SARS-CoV-2 (COVID-19) IgM Ab [Presence] in Serum or Plasma by Immunoassay"
        },
        "subject" : {
          "reference" : "Patient/patient-med-admin-1",
          "display" : "Name: 'masked'"
        },
        "effectiveDateTime" : "2021-01-04",
        "valueCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
              "code" : "POS",
              "display" : "positive"
            }
          ],
          "text" : "positive"
        }
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/Condition/condition-suspected-covid-med-admin-1",
      "resource" : {
        "resourceType" : "Condition",
        "id" : "condition-suspected-covid-med-admin-1",
        "meta" : {
          "versionId" : "2",
          "lastUpdated" : "2021-03-29T23:13:31.855+00:00",
          "source" : "#d3uv1AF8BcDdvd42",
          "profile" : [
            "http://hl7.org/fhir/us/nhsn-med-admin/StructureDefinition/Condition-suspected-covid"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>clinicalStatus</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span></p><p><b>verificationStatus</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-ver-status unconfirmed}\">Unconfirmed</span></p><p><b>category</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-category encounter-diagnosis}\">Encounter Diagnosis</span></p><p><b>code</b>: <span title=\"Codes: {http://snomed.info/sct 840544004}\">Suspected disease caused by Severe acute respiratory coronavirus 2 (situation)</span></p><p><b>subject</b>: <a href=\"#Patient_patient-med-admin-1\">Name: 'masked'. Generated Summary: id: ?ngen-9?; active; ; gender: female; birthDate: 1974-11-24</a></p><p><b>encounter</b>: <a href=\"#Encounter_encounter-completed-inpatient-med-admin-1\">See above (Encounter/encounter-completed-inpatient-med-admin-1)</a></p><p><b>onset</b>: Jan 2, 2021 4:30:35 PM</p><p><b>recordedDate</b>: Jan 2, 2021 4:30:35 PM</p></div>"
        },
        "clinicalStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
              "code" : "active"
            }
          ]
        },
        "verificationStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
              "code" : "unconfirmed"
            }
          ]
        },
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/condition-category",
                "code" : "encounter-diagnosis",
                "display" : "Encounter Diagnosis"
              }
            ]
          }
        ],
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "840544004",
              "display" : "Suspected disease caused by Severe acute respiratory coronavirus 2 (situation)"
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/patient-med-admin-1",
          "display" : "Name: 'masked'"
        },
        "encounter" : {
          "reference" : "Encounter/encounter-completed-inpatient-med-admin-1"
        },
        "onsetDateTime" : "2021-01-02T10:30:35-06:00",
        "recordedDate" : "2021-01-02T10:30:35-06:00"
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/MedicationAdministration/medicationadministration-remdesivir-med-admin-1",
      "resource" : {
        "resourceType" : "MedicationAdministration",
        "id" : "medicationadministration-remdesivir-med-admin-1",
        "meta" : {
          "versionId" : "3",
          "lastUpdated" : "2021-03-29T23:13:31.855+00:00",
          "source" : "#HHgXpYtZnHnbIpzQ",
          "profile" : [
            "http://hl7.org/fhir/us/nhsn-med-admin/StructureDefinition/MedicationAdministration-inpatient-med-admin"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: completed</p><p><b>medication</b>: <span title=\"Codes: {http://www.nlm.nih.gov/research/umls/rxnorm 2284960}\">remdesivir 100 MG Injection</span></p><p><b>subject</b>: <a href=\"#Patient_patient-med-admin-1\">See above (Patient/patient-med-admin-1)</a></p><p><b>effective</b>: 2021-01-02 --&gt; 2021-01-10</p><h3>Dosages</h3><table class=\"grid\"><tr><td>-</td><td><b>Route</b></td><td><b>Dose</b></td></tr><tr><td>*</td><td><span title=\"Codes: {http://snomed.info/sct 47625008}\">Intravenous use</span></td><td>100 mg</td></tr></table></div>"
        },
        "status" : "completed",
        "medicationCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
              "code" : "2284960",
              "display" : "remdesivir 100 MG Injection"
            }
          ],
          "text" : "remdesivir 100 MG Injection"
        },
        "subject" : {
          "reference" : "Patient/patient-med-admin-1"
        },
        "effectivePeriod" : {
          "start" : "2021-01-02",
          "end" : "2021-01-10"
        },
        "dosage" : {
          "route" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "47625008",
                "display" : "Intravenous use"
              }
            ]
          },
          "dose" : {
            "value" : 100,
            "unit" : "mg"
          }
        }
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/Location/location-salem-medical-center",
      "resource" : {
        "resourceType" : "Location",
        "id" : "location-salem-medical-center",
        "meta" : {
          "versionId" : "3",
          "lastUpdated" : "2020-12-23T22:50:03.721+00:00",
          "source" : "#oU4GwVxgBOSn7Uov",
          "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</b></p><p><b>status</b>: active</p><p><b>name</b>: Clinic Bldg A, Salem Medical Center</p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-RoleCode HOSP}\">Hospital</span></p><p><b>telecom</b>: ph: (+1) (555)555-3001, fax: (+1) (555)555-3002, <a href=\"mailto:mail@smc.org\">mail@smc.org</a></p><p><b>address</b>: Clinic Bldg A 4444 Healthcare Drive Ann Arbor MI 99999 </p><p><b>managingOrganization</b>: <a href=\"#Organization_organization-salem-medical-center\">See above (Organization/organization-salem-medical-center)</a></p></div>"
        },
        "status" : "active",
        "name" : "Clinic Bldg A, Salem Medical Center",
        "type" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
                "code" : "HOSP",
                "display" : "Hospital"
              }
            ]
          }
        ],
        "telecom" : [
          {
            "system" : "phone",
            "value" : "(+1) (555)555-3001"
          },
          {
            "system" : "fax",
            "value" : "(+1) (555)555-3002"
          },
          {
            "system" : "email",
            "value" : "mail@smc.org"
          }
        ],
        "address" : {
          "line" : [
            "Clinic Bldg A",
            "4444 Healthcare Drive"
          ],
          "city" : "Ann Arbor",
          "state" : "MI",
          "postalCode" : "99999"
        },
        "managingOrganization" : {
          "reference" : "Organization/organization-salem-medical-center"
        }
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/Organization/organization-salem-medical-center",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "organization-salem-medical-center",
        "meta" : {
          "versionId" : "2",
          "lastUpdated" : "2020-12-23T22:50:03.696+00:00",
          "source" : "#hArO9sYGMNs4bOnd",
          "profile" : [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: 55555555</p><p><b>active</b>: true</p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-RoleCode HOSP}\">Hospital</span></p><p><b>name</b>: Salem Medical Center</p><p><b>telecom</b>: <a href=\"tel:+1-555-555-1111\">+1-555-555-1111</a>, <a href=\"mailto:mail@salemmedicalcenter.com\">mail@salemmedicalcenter.com</a></p><p><b>address</b>: 22222 Health Authority Drive Ann Arbor MI 99999 </p></div>"
        },
        "identifier" : [
          {
            "system" : "http://hl7.org.fhir/sid/us-npi",
            "value" : "55555555"
          }
        ],
        "active" : true,
        "type" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
                "code" : "HOSP",
                "display" : "Hospital"
              }
            ]
          }
        ],
        "name" : "Salem Medical Center",
        "telecom" : [
          {
            "system" : "phone",
            "value" : "+1-555-555-1111"
          },
          {
            "system" : "email",
            "value" : "mail@salemmedicalcenter.com"
          }
        ],
        "address" : [
          {
            "line" : [
              "22222 Health Authority Drive"
            ],
            "city" : "Ann Arbor",
            "state" : "MI",
            "postalCode" : "99999"
          }
        ]
      }
    }
  ]
}