NHDR Implementation Guide Release 1.0
0.1.0 - ci-build

NHDR Implementation Guide Release 1.0, published by NHDR. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/PROJ-PHILHEALTH-EA-NHDR/nhdr-fhir-ig-review-project-2/ and changes regularly. See the Directory of published versions

## : Test-Bundle - JSON Representation

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    {
      "resourceType" : "Bundle",
      "id" : "Test-Bundle",
      "identifier" : {
        "system" : "http://nhdr.gov.ph/fhir/ValueSet-form-type",
        "value" : "CF1"
      },
      "type" : "transaction",
      "entry" : [
        {
          "fullUrl" : "urn:uuid:550e8400-e29b-41d4-a716-446655440000",
          "resource" : {
            "resourceType" : "Patient",
            "id" : "550e8400-e29b-41d4-a716-446655440000",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_550e8400-e29b-41d4-a716-446655440000\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient 550e8400-e29b-41d4-a716-446655440000</b></p><a name=\"550e8400-e29b-41d4-a716-446655440000\"> </a><a name=\"hc550e8400-e29b-41d4-a716-446655440000\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Antonio Jerome Morales Manipol  (no stated gender), DoB: 1994-02-25 ( PhilHealth Identification Number:\u00a0PH12345)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Nominated Contact: Employer\">Employer:</td><td colspan=\"3\"><ul><li>Organization:<a href=\"Bundle-Test-Bundle.html#urn-uuid-550e8400-e29b-41d4-a716-446655440002\">Organization PhilHealth</a></li></ul></td></tr></table></div>"
            },
            "identifier" : [
              {
                "type" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                      "code" : "NIIP"
                    }
                  ],
                  "text" : "PhilHealth Identification Number"
                },
                "value" : "PH12345"
              }
            ],
            "name" : [
              {
                "family" : "Manipol",
                "given" : [
                  "Antonio Jerome",
                  "Morales"
                ],
                "suffix" : [
                  "Mr."
                ]
              }
            ],
            "birthDate" : "1994-02-25",
            "contact" : [
              {
                "relationship" : [
                  {
                    "coding" : [
                      {
                        "system" : "http://terminology.hl7.org/CodeSystem/v2-0131",
                        "code" : "E",
                        "display" : "Employer"
                      }
                    ]
                  }
                ],
                "organization" : {
                  "reference" : "urn:uuid:550e8400-e29b-41d4-a716-446655440002"
                }
              }
            ]
          },
          "request" : {
            "method" : "POST",
            "url" : "Patient"
          }
        },
        {
          "fullUrl" : "urn:uuid:550e8400-e29b-41d4-a716-446655440001",
          "resource" : {
            "resourceType" : "RelatedPerson",
            "id" : "550e8400-e29b-41d4-a716-446655440001",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"RelatedPerson_550e8400-e29b-41d4-a716-446655440001\"> </a><p class=\"res-header-id\"><b>Generated Narrative: RelatedPerson 550e8400-e29b-41d4-a716-446655440001</b></p><a name=\"550e8400-e29b-41d4-a716-446655440001\"> </a><a name=\"hc550e8400-e29b-41d4-a716-446655440001\"> </a><p><b>identifier</b>: PhilHealth Identification Number/PH54321</p><p><b>patient</b>: <a href=\"Bundle-Test-Bundle.html#urn-uuid-550e8400-e29b-41d4-a716-446655440000\">Antonio Jerome Morales Manipol  (no stated gender), DoB: 1994-02-25 ( PhilHealth Identification Number:\u00a0PH12345)</a></p><p><b>name</b>: Lorna Mae Santos Bautista </p><p><b>telecom</b>: ph: 912-00-00, ph: 0927-000-0000, <a href=\"mailto:lmbautista@email.com\">lmbautista@email.com</a></p><p><b>birthDate</b>: 1971-02</p><p><b>address</b>: Fordham Road 1110 PH </p></div>"
            },
            "identifier" : [
              {
                "type" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                      "code" : "NIIP"
                    }
                  ],
                  "text" : "PhilHealth Identification Number"
                },
                "value" : "PH54321"
              }
            ],
            "patient" : {
              "reference" : "urn:uuid:550e8400-e29b-41d4-a716-446655440000"
            },
            "name" : [
              {
                "family" : "Bautista",
                "given" : [
                  "Lorna Mae",
                  "Santos"
                ],
                "suffix" : [
                  "Mrs."
                ]
              }
            ],
            "telecom" : [
              {
                "system" : "phone",
                "value" : "912-00-00"
              },
              {
                "system" : "phone",
                "value" : "0927-000-0000"
              },
              {
                "system" : "email",
                "value" : "lmbautista@email.com"
              }
            ],
            "birthDate" : "1971-02",
            "address" : [
              {
                "line" : [
                  "Fordham Road"
                ],
                "postalCode" : "1110",
                "country" : "PH"
              }
            ]
          },
          "request" : {
            "method" : "POST",
            "url" : "RelatedPerson"
          }
        },
        {
          "fullUrl" : "urn:uuid:550e8400-e29b-41d4-a716-446655440002",
          "resource" : {
            "resourceType" : "Organization",
            "id" : "550e8400-e29b-41d4-a716-446655440002",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_550e8400-e29b-41d4-a716-446655440002\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization 550e8400-e29b-41d4-a716-446655440002</b></p><a name=\"550e8400-e29b-41d4-a716-446655440002\"> </a><a name=\"hc550e8400-e29b-41d4-a716-446655440002\"> </a><p><b>identifier</b>: PhilHealth Employer Number (PEN)/EN15243</p><p><b>name</b>: PhilHealth</p><p><b>telecom</b>: ph: 080-00-00</p></div>"
            },
            "identifier" : [
              {
                "type" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                      "code" : "EN"
                    }
                  ],
                  "text" : "PhilHealth Employer Number (PEN)"
                },
                "value" : "EN15243"
              }
            ],
            "name" : "PhilHealth",
            "telecom" : [
              {
                "system" : "phone",
                "value" : "080-00-00"
              }
            ]
          },
          "request" : {
            "method" : "POST",
            "url" : "Organization"
          }
        },
        {
          "fullUrl" : "urn:uuid:550e8400-e29b-41d4-a716-446655440003",
          "resource" : {
            "resourceType" : "Questionnaire",
            "id" : "questionnaire-3",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Questionnaire_questionnaire-3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Questionnaire questionnaire-3</b></p><a name=\"questionnaire-3\"> </a><a name=\"hcquestionnaire-3\"> </a><table border=\"1\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 2px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"The linkID for the item\">LinkID</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Text for the item\">Text</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the item can appear in the instance\">Cardinality</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"The type of the item\">Type</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Additional information about the item\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"data:image/png;base64, \" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_q_root.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"QuestionnaireRoot\" class=\"hierarchy\"/> </td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Questionnaire</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)\" id=\"item.1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-boolean.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"boolean\" class=\"hierarchy\"/> 1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Patient is the member?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"data:image/png;base64, \" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"
            },
            "status" : "active",
            "item" : [
              {
                "linkId" : "1",
                "text" : "Patient is the member?",
                "type" : "boolean"
              }
            ]
          },
          "request" : {
            "method" : "POST",
            "url" : "Questionnaire"
          }
        },
        {
          "fullUrl" : "urn:uuid:550e8400-e29b-41d4-a716-446655440004",
          "resource" : {
            "resourceType" : "QuestionnaireResponse",
            "id" : "questionnaireresponse-3",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"QuestionnaireResponse_questionnaireresponse-3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: QuestionnaireResponse questionnaireresponse-3</b></p><a name=\"questionnaireresponse-3\"> </a><a name=\"hcquestionnaireresponse-3\"> </a><table border=\"1\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 2px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"The linkID for the item\">LinkID</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Text for the item\">Text</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the item can appear in the instance\">Definition</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"The type of the item\">Answer</a><span style=\"float: right\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"data:image/png;base64, \" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_q_root.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"QuestionnaireResponseRoot\" class=\"hierarchy\"/> questionnaireresponse-3</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Questionnaire:None specified</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> 1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Patient is the member?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">false</td></tr>\r\n<tr><td colspan=\"4\" class=\"hierarchy\"><br/><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"data:image/png;base64, \" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"
            },
            "status" : "in-progress",
            "item" : [
              {
                "linkId" : "1",
                "text" : "Patient is the member?",
                "answer" : [
                  {
                    "valueBoolean" : false
                  }
                ]
              }
            ]
          },
          "request" : {
            "method" : "POST",
            "url" : "QuestionnaireResponse"
          }
        },
        {
          "fullUrl" : "urn:uuid:550e8400-e29b-41d4-a716-446655440005",
          "resource" : {
            "resourceType" : "Coverage",
            "id" : "coverage-3",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Coverage_coverage-3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Coverage coverage-3</b></p><a name=\"coverage-3\"> </a><a name=\"hccoverage-3\"> </a><p><b>status</b>: Active</p><p><b>beneficiary</b>: <a href=\"Bundle-Test-Bundle.html#urn-uuid-550e8400-e29b-41d4-a716-446655440000\">Antonio Jerome Morales Manipol  (no stated gender), DoB: 1994-02-25 ( PhilHealth Identification Number:\u00a0PH12345)</a></p><p><b>payor</b>: <a href=\"Bundle-Test-Bundle.html#urn-uuid-550e8400-e29b-41d4-a716-446655440002\">Organization PhilHealth</a></p></div>"
            },
            "status" : "active",
            "beneficiary" : {
              "reference" : "urn:uuid:550e8400-e29b-41d4-a716-446655440000"
            },
            "payor" : [
              {
                "reference" : "urn:uuid:550e8400-e29b-41d4-a716-446655440002"
              }
            ]
          },
          "request" : {
            "method" : "POST",
            "url" : "Coverage"
          }
        },
        {
          "fullUrl" : "urn:uuid:550e8400-e29b-41d4-a716-446655440006",
          "resource" : {
            "resourceType" : "Claim",
            "id" : "claim-3",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Claim_claim-3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Claim claim-3</b></p><a name=\"claim-3\"> </a><a name=\"hcclaim-3\"> </a><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/claim-type vision}\">Vision</span></p><p><b>use</b>: Claim</p><p><b>patient</b>: <a href=\"Bundle-Test-Bundle.html#urn-uuid-550e8400-e29b-41d4-a716-446655440000\">Antonio Jerome Morales Manipol  (no stated gender), DoB: 1994-02-25 ( PhilHealth Identification Number:\u00a0PH12345)</a></p><p><b>created</b>: 2025-07-03</p><p><b>provider</b>: <a href=\"Bundle-Test-Bundle.html#urn-uuid-550e8400-e29b-41d4-a716-446655440002\">Organization PhilHealth</a></p><p><b>priority</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/processpriority normal}\">Normal</span></p><h3>Payees</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Party</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/payeetype provider}\">Provider</span></td><td><a href=\"Bundle-Test-Bundle.html#urn-uuid-550e8400-e29b-41d4-a716-446655440002\">Organization PhilHealth</a></td></tr></table><h3>Insurances</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Sequence</b></td><td><b>Focal</b></td><td><b>Coverage</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td>true</td><td><a href=\"Bundle-Test-Bundle.html#Coverage_coverage-3\">Coverage: status = active</a></td></tr></table></div>"
            },
            "status" : "active",
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/claim-type",
                  "code" : "vision"
                }
              ]
            },
            "use" : "claim",
            "patient" : {
              "reference" : "urn:uuid:550e8400-e29b-41d4-a716-446655440000"
            },
            "created" : "2025-07-03",
            "provider" : {
              "reference" : "urn:uuid:550e8400-e29b-41d4-a716-446655440002"
            },
            "priority" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/processpriority",
                  "code" : "normal"
                }
              ]
            },
            "payee" : {
              "type" : {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/payeetype",
                    "code" : "provider"
                  }
                ]
              },
              "party" : {
                "reference" : "urn:uuid:550e8400-e29b-41d4-a716-446655440002"
              }
            },
            "insurance" : [
              {
                "sequence" : 1,
                "focal" : true,
                "coverage" : {
                  "reference" : "Coverage/coverage-3"
                }
              }
            ]
          },
          "request" : {
            "method" : "POST",
            "url" : "Claim"
          }
        }
      ]
    }