Clinical Quality Framework Common FHIR Assets (US-Based)
0.1.0 - CI Build
United States of America (USA)
Clinical Quality Framework Common FHIR Assets (US-Based), published by Clinical Quality Framework. 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/cqframework/cqf-us/ and changes regularly. See the Directory of published versions
<Bundle xmlns="http://hl7.org/fhir">
<id value="tests-USCorePatient-GMTP-1-bundle"/>
<type value="transaction"/>
<entry>
<fullUrl value="https://www.hl7.org/fhir/practitioner.html"/>
<resource>
<Practitioner>
<id value="requesting-provider-USCorePatient-GMTP-1"/>
<meta>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Practitioner_requesting-provider-USCorePatient-GMTP-1"> </a><p class="res-header-id"><b>Generated Narrative: Practitioner requesting-provider-USCorePatient-GMTP-1</b></p><a name="requesting-provider-USCorePatient-GMTP-1"> </a><a name="hcrequesting-provider-USCorePatient-GMTP-1"> </a><a name="requesting-provider-USCorePatient-GMTP-1-en-US"> </a><p><b>identifier</b>: <a href="http://terminology.hl7.org/5.5.0/NamingSystem-npi.html" title="National Provider Identifier">United States National Provider Identifier</a>/3412549073</p><p><b>name</b>: Braden Smart </p><p><b>telecom</b>: ph: 345-416-5672(Mobile), fax: 345-416-5672</p><p><b>address</b>: 8914 115TH ST RICHMOND HIL NY 123456 USA </p></div>
</text>
<identifier>
<system value="http://hl7.org/fhir/sid/us-npi"/>
<value value="3412549073"/>
</identifier>
<name>
<family value="Smart"/>
<given value="Braden"/>
<suffix value="PharmD"/>
</name>
<telecom>
<system value="phone"/>
<value value="345-416-5672"/>
<use value="mobile"/>
</telecom>
<telecom>
<system value="fax"/>
<value value="345-416-5672"/>
</telecom>
<address>
<line value="8914 115TH ST"/>
<city value="RICHMOND HIL"/>
<state value="NY"/>
<postalCode value="123456"/>
<country value="USA"/>
</address>
</Practitioner>
</resource>
<request>
<method value="PUT"/>
<url value="Practitioner/requesting-provider-USCorePatient-GMTP-1"/>
</request>
</entry>
<entry>
<resource>
<Organization>
<id value="billing-provider-GMTP-1"/>
<meta>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_billing-provider-GMTP-1"> </a><p class="res-header-id"><b>Generated Narrative: Organization billing-provider-GMTP-1</b></p><a name="billing-provider-GMTP-1"> </a><a name="hcbilling-provider-GMTP-1"> </a><a name="billing-provider-GMTP-1-en-US"> </a><p><b>identifier</b>: <a href="http://terminology.hl7.org/5.5.0/NamingSystem-npi.html" title="National Provider Identifier">United States National Provider Identifier</a>/1144221847</p><p><b>active</b>: true</p><p><b>name</b>: Oak Street Billing Provider</p><p><b>telecom</b>: <a href="tel:+1(123)4567890">+1 (123) 4567890</a>, fax: +1 (123) 4567890</p><p><b>address</b>: 456 Oak Street Anytown MA 54321 USA </p></div>
</text>
<identifier>
<system value="http://hl7.org/fhir/sid/us-npi"/>
<value value="1144221847"/>
</identifier>
<active value="true"/>
<name value="Oak Street Billing Provider"/>
<telecom>
<system value="phone"/>
<value value="+1 (123) 4567890"/>
<use value="mobile"/>
</telecom>
<telecom>
<system value="fax"/>
<value value="+1 (123) 4567890"/>
</telecom>
<address>
<line value="456 Oak Street"/>
<city value="Anytown"/>
<state value="MA"/>
<postalCode value="54321"/>
<country value="USA"/>
</address>
</Organization>
</resource>
<request>
<method value="PUT"/>
<url value="Organization/billing-provider-GMTP-1"/>
</request>
</entry>
<entry>
<fullUrl value="https://build.fhir.org/researchsubject.html"/>
<resource>
<ResearchSubject>
<id value="research-subject-GMTP-1"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="ResearchSubject_research-subject-GMTP-1"> </a><p class="res-header-id"><b>Generated Narrative: ResearchSubject research-subject-GMTP-1</b></p><a name="research-subject-GMTP-1"> </a><a name="hcresearch-subject-GMTP-1"> </a><a name="research-subject-GMTP-1-en-US"> </a><p><b>status</b>: On-study</p><p><b>study</b>: <a href="Bundle-tests-USCorePatient-GMTP-1-bundle.html#ResearchStudy_research-study-GMTP-1">Bundle: type = transaction</a></p><p><b>individual</b>: <a href="Bundle-tests-USCorePatient-GMTP-1-bundle.html#Patient_USCorePatient-GMTP-1">Bundle: type = transaction</a></p></div>
</text>
<status value="on-study"/>
<study>
<reference value="ResearchStudy/research-study-GMTP-1"/>
</study>
<individual>
<reference value="Patient/USCorePatient-GMTP-1"/>
</individual>
</ResearchSubject>
</resource>
<request>
<method value="PUT"/>
<url value="ResearchSubject/research-subject-GMTP-1"/>
</request>
</entry>
<entry>
<fullUrl value="https://www.hl7.org/fhir/coverage.html"/>
<resource>
<Coverage>
<id value="coverage-GMTP-1"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Coverage_coverage-GMTP-1"> </a><p class="res-header-id"><b>Generated Narrative: Coverage coverage-GMTP-1</b></p><a name="coverage-GMTP-1"> </a><a name="hccoverage-GMTP-1"> </a><a name="coverage-GMTP-1-en-US"> </a><p><b>identifier</b>: Member Number/member-id-from-identifier-slice-USCorePatient-GMTP-1</p><p><b>status</b>: Active</p><p><b>policyHolder</b>: <a href="Bundle-tests-USCorePatient-GMTP-1-bundle.html#Patient_USCorePatient-GMTP-1">Bundle: type = transaction</a></p><p><b>subscriber</b>: <a href="Bundle-tests-USCorePatient-GMTP-1-bundle.html#Patient_USCorePatient-GMTP-1">Bundle: type = transaction</a></p><p><b>subscriberId</b>: subscriber-id-USCorePatient-GMTP-1</p><p><b>beneficiary</b>: <a href="Bundle-tests-USCorePatient-GMTP-1-bundle.html#Patient_USCorePatient-GMTP-1">Bundle: type = transaction</a></p><p><b>payor</b>: <a href="Bundle-tests-USCorePatient-GMTP-1-bundle.html#Organization_billing-provider-GMTP-1">Bundle: type = transaction</a></p></div>
</text>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MB"/>
</coding>
</type>
<value
value="member-id-from-identifier-slice-USCorePatient-GMTP-1"/>
</identifier>
<status value="active"/>
<policyHolder>
<reference value="Patient/USCorePatient-GMTP-1"/>
</policyHolder>
<subscriber>
<reference value="Patient/USCorePatient-GMTP-1"/>
</subscriber>
<subscriberId value="subscriber-id-USCorePatient-GMTP-1"/>
<beneficiary>
<reference value="Patient/USCorePatient-GMTP-1"/>
</beneficiary>
<payor>
<reference value="Organization/billing-provider-GMTP-1"/>
</payor>
</Coverage>
</resource>
<request>
<method value="PUT"/>
<url value="Coverage/coverage-GMTP-1"/>
</request>
</entry>
<entry>
<fullUrl value="https://www.hl7.org/fhir/patient.html"/>
<resource>
<Patient>
<id value="USCorePatient-GMTP-1"/>
<meta>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_USCorePatient-GMTP-1"> </a><p class="res-header-id"><b>Generated Narrative: Patient USCorePatient-GMTP-1</b></p><a name="USCorePatient-GMTP-1"> </a><a name="hcUSCorePatient-GMTP-1"> </a><a name="USCorePatient-GMTP-1-en-US"> </a><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Emilia Smith (official) Female, DoB: 1990-05-15 ( Medical Record Number: 12345678 (use: usual, period: 2002-05-06 --> (ongoing)))</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Record is active">Active:</td><td>true</td><td style="background-color: #f3f5da" title="Known status of Patient">Deceased:</td><td colspan="3">false</td></tr><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3"><ul><li><a href="tel:+1(555)1234567">+1 (555) 1234567</a></li><li>123 Maple Street, Cityville, State, 12345(home)</li></ul></td></tr></table></div>
</text>
<identifier>
<use value="usual"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MR"/>
<display value="Medical Record Number"/>
</coding>
</type>
<system value="urn:oid:1.2.36.146.595.217.0.1"/>
<value value="12345678"/>
<period>
<start value="2002-05-06"/>
</period>
<assigner>
<display value="Acme Healthcare"/>
</assigner>
</identifier>
<active value="true"/>
<name>
<use value="official"/>
<family value="Smith"/>
<given value="Emilia"/>
</name>
<telecom>
<system value="phone"/>
<value value="+1 (555) 1234567"/>
<use value="mobile"/>
</telecom>
<gender value="female"/>
<birthDate value="1990-05-15"/>
<deceasedBoolean value="false"/>
<address>
<use value="home"/>
<type value="both"/>
<text value="123 Maple Street, Cityville, State, 12345"/>
<line value="123 Maple Street"/>
<city value="Cityville"/>
<state value="MA"/>
<postalCode value="12345"/>
<period>
<start value="1990-05-15"/>
</period>
</address>
</Patient>
</resource>
<request>
<method value="PUT"/>
<url value="Patient/USCorePatient-GMTP-1"/>
</request>
</entry>
<entry>
<fullUrl value="https://www.hl7.org/fhir/servicerequest.html"/>
<resource>
<ServiceRequest>
<id value="service-request-2-USCorePatient-GMTP-1"/>
<meta>
<versionId value="1"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="ServiceRequest_service-request-2-USCorePatient-GMTP-1"> </a><p class="res-header-id"><b>Generated Narrative: ServiceRequest service-request-2-USCorePatient-GMTP-1</b></p><a name="service-request-2-USCorePatient-GMTP-1"> </a><a name="hcservice-request-2-USCorePatient-GMTP-1"> </a><a name="service-request-2-USCorePatient-GMTP-1-en-US"> </a><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">version: 1</p></div><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 405825005}, {http://hl7.org/fhir/sid/icd-10-cm Z13.89}, {http://www.ama-assn.org/go/cpt 81479}">Molecular genetic test (procedure)</span></p><p><b>subject</b>: <a href="Bundle-tests-USCorePatient-GMTP-1-bundle.html#Patient_USCorePatient-GMTP-1">Bundle: type = transaction</a></p><p><b>occurrence</b>: 2023-12-10 19:32:52-0500</p><p><b>authoredOn</b>: 2023-11-10 19:32:52-0500</p><p><b>requester</b>: <a href="Bundle-tests-USCorePatient-GMTP-1-bundle.html#Practitioner_requesting-provider-USCorePatient-GMTP-1">Bundle: type = transaction</a></p><p><b>performer</b>: <a href="Bundle-tests-USCorePatient-GMTP-1-bundle.html#Organization_servicing-provider-GMTP-1">Bundle: type = transaction</a></p><p><b>reasonReference</b>: <a href="Bundle-tests-USCorePatient-GMTP-1-bundle.html#Condition_related-Condition-GMTP-1">Bundle: type = transaction</a></p><p><b>insurance</b>: <a href="Bundle-tests-USCorePatient-GMTP-1-bundle.html#Coverage_coverage-GMTP-1">Bundle: type = transaction</a></p></div>
</text>
<status value="active"/>
<intent value="order"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="405825005"/>
<display value="Molecular genetic test (procedure)"/>
</coding>
<coding>
<system value="http://hl7.org/fhir/sid/icd-10-cm"/>
<code value="Z13.89"/>
<display value="Encounter for screening for other disorder"/>
</coding>
<coding>
<system value="http://www.ama-assn.org/go/cpt"/>
<code value="81479"/>
<display value="Unlisted molecular pathology procedure"/>
</coding>
</code>
<subject>
<reference value="Patient/USCorePatient-GMTP-1"/>
</subject>
<occurrenceDateTime value="2023-12-10T19:32:52-05:00"/>
<authoredOn value="2023-11-10T19:32:52-05:00"/>
<requester>
<reference
value="Practitioner/requesting-provider-USCorePatient-GMTP-1"/>
</requester>
<performer>
<reference value="Organization/servicing-provider-GMTP-1"/>
</performer>
<reasonReference>
<reference value="Condition/related-Condition-GMTP-1"/>
</reasonReference>
<insurance>
<reference value="Coverage/coverage-GMTP-1"/>
</insurance>
</ServiceRequest>
</resource>
<request>
<method value="PUT"/>
<url value="ServiceRequest/service-request-2-USCorePatient-GMTP-1"/>
</request>
</entry>
<entry>
<fullUrl value="https://www.hl7.org/fhir/condition.html"/>
<resource>
<Condition>
<id value="related-Condition-GMTP-1"/>
<meta>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Condition_related-Condition-GMTP-1"> </a><p class="res-header-id"><b>Generated Narrative: Condition related-Condition-GMTP-1</b></p><a name="related-Condition-GMTP-1"> </a><a name="hcrelated-Condition-GMTP-1"> </a><a name="related-Condition-GMTP-1-en-US"> </a><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 confirmed}">Confirmed</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://hl7.org/fhir/sid/icd-10-cm E11.618}">Type 2 diabetes mellitus with other diabetic arthropathy</span></p><p><b>subject</b>: <a href="Bundle-tests-USCorePatient-GMTP-1-bundle.html#Patient_USCorePatient-GMTP-1">Bundle: type = transaction</a></p><p><b>onset</b>: 2012-05-24 00:00:00+0000</p><p><b>recordedDate</b>: 2012-05-24 00:00:00+0000</p></div>
</text>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
<code value="active"/>
</coding>
</clinicalStatus>
<verificationStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
<code value="confirmed"/>
</coding>
</verificationStatus>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-category"/>
<code value="encounter-diagnosis"/>
<display value="Encounter Diagnosis"/>
</coding>
</category>
<code>
<coding>
<system value="http://hl7.org/fhir/sid/icd-10-cm"/>
<code value="E11.618"/>
<display
value="Type 2 diabetes mellitus with other diabetic arthropathy"/>
</coding>
</code>
<subject>
<reference value="Patient/USCorePatient-GMTP-1"/>
</subject>
<onsetDateTime value="2012-05-24T00:00:00+00:00"/>
<recordedDate value="2012-05-24T00:00:00+00:00"/>
</Condition>
</resource>
<request>
<method value="PUT"/>
<url value="Condition/related-Condition-GMTP-1"/>
</request>
</entry>
<entry>
<fullUrl value="https://www.hl7.org/fhir/researchstudy.html"/>
<resource>
<ResearchStudy>
<id value="research-study-GMTP-1"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="ResearchStudy_research-study-GMTP-1"> </a><p class="res-header-id"><b>Generated Narrative: ResearchStudy research-study-GMTP-1</b></p><a name="research-study-GMTP-1"> </a><a name="hcresearch-study-GMTP-1"> </a><a name="research-study-GMTP-1-en-US"> </a><p><b>identifier</b>: <code>https://clinicaltrials.gov</code>/NCT02326129</p><p><b>title</b>: Clinical Study on Treatment X</p><p><b>status</b>: Active</p><p><b>condition</b>: <span title="Codes:{http://hl7.org/fhir/sid/icd-10-cm E11.618}">Type 2 diabetes mellitus with other diabetic arthropathy</span></p><p><b>period</b>: 2023-11-01 --> 2025-11-30</p><p><b>sponsor</b>: <a href="Bundle-tests-USCorePatient-GMTP-1-bundle.html#Organization_billing-provider-GMTP-1">Bundle: type = transaction</a></p></div>
</text>
<identifier>
<system value="https://clinicaltrials.gov"/>
<value value="NCT02326129"/>
</identifier>
<title value="Clinical Study on Treatment X"/>
<status value="active"/>
<condition>
<coding>
<system value="http://hl7.org/fhir/sid/icd-10-cm"/>
<code value="E11.618"/>
<display
value="Type 2 diabetes mellitus with other diabetic arthropathy"/>
</coding>
</condition>
<period>
<start value="2023-11-01"/>
<end value="2025-11-30"/>
</period>
<sponsor>
<reference value="Organization/billing-provider-GMTP-1"/>
</sponsor>
</ResearchStudy>
</resource>
<request>
<method value="PUT"/>
<url value="ResearchStudy/research-study-GMTP-1"/>
</request>
</entry>
<entry>
<fullUrl value="https://www.hl7.org/fhir/servicerequest.html"/>
<resource>
<ServiceRequest>
<id value="service-request-USCorePatient-GMTP-1"/>
<meta>
<versionId value="2"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="ServiceRequest_service-request-USCorePatient-GMTP-1"> </a><p class="res-header-id"><b>Generated Narrative: ServiceRequest service-request-USCorePatient-GMTP-1</b></p><a name="service-request-USCorePatient-GMTP-1"> </a><a name="hcservice-request-USCorePatient-GMTP-1"> </a><a name="service-request-USCorePatient-GMTP-1-en-US"> </a><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">version: 2</p></div><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 405825005}, {http://hl7.org/fhir/sid/icd-10-cm Z13.89}, {http://www.ama-assn.org/go/cpt 81479}">Molecular genetic test (procedure)</span></p><p><b>subject</b>: <a href="Bundle-tests-USCorePatient-GMTP-1-bundle.html#Patient_USCorePatient-GMTP-1">Bundle: type = transaction</a></p><p><b>occurrence</b>: 2023-12-15 19:32:52-0500</p><p><b>authoredOn</b>: 2023-11-29 19:32:52-0500</p><p><b>requester</b>: <a href="Bundle-tests-USCorePatient-GMTP-1-bundle.html#Practitioner_requesting-provider-USCorePatient-GMTP-1">Bundle: type = transaction</a></p><p><b>performer</b>: <a href="Bundle-tests-USCorePatient-GMTP-1-bundle.html#Organization_servicing-provider-GMTP-1">Bundle: type = transaction</a></p><p><b>reasonReference</b>: <a href="Bundle-tests-USCorePatient-GMTP-1-bundle.html#Condition_related-Condition-GMTP-1">Bundle: type = transaction</a></p><p><b>insurance</b>: <a href="Bundle-tests-USCorePatient-GMTP-1-bundle.html#Coverage_coverage-GMTP-1">Bundle: type = transaction</a></p></div>
</text>
<status value="active"/>
<intent value="order"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="405825005"/>
<display value="Molecular genetic test (procedure)"/>
</coding>
<coding>
<system value="http://hl7.org/fhir/sid/icd-10-cm"/>
<code value="Z13.89"/>
<display value="Encounter for screening for other disorder"/>
</coding>
<coding>
<system value="http://www.ama-assn.org/go/cpt"/>
<code value="81479"/>
<display value="Unlisted molecular pathology procedure"/>
</coding>
</code>
<subject>
<reference value="Patient/USCorePatient-GMTP-1"/>
</subject>
<occurrenceDateTime value="2023-12-15T19:32:52-05:00"/>
<authoredOn value="2023-11-29T19:32:52-05:00"/>
<requester>
<reference
value="Practitioner/requesting-provider-USCorePatient-GMTP-1"/>
</requester>
<performer>
<reference value="Organization/servicing-provider-GMTP-1"/>
</performer>
<reasonReference>
<reference value="Condition/related-Condition-GMTP-1"/>
</reasonReference>
<insurance>
<reference value="Coverage/coverage-GMTP-1"/>
</insurance>
</ServiceRequest>
</resource>
<request>
<method value="PUT"/>
<url value="ServiceRequest/service-request-USCorePatient-GMTP-1"/>
</request>
</entry>
<entry>
<fullUrl value="https://www.hl7.org/fhir/organization.html"/>
<resource>
<Organization>
<id value="servicing-provider-GMTP-1"/>
<meta>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_servicing-provider-GMTP-1"> </a><p class="res-header-id"><b>Generated Narrative: Organization servicing-provider-GMTP-1</b></p><a name="servicing-provider-GMTP-1"> </a><a name="hcservicing-provider-GMTP-1"> </a><a name="servicing-provider-GMTP-1-en-US"> </a><p><b>identifier</b>: <a href="http://terminology.hl7.org/5.5.0/NamingSystem-npi.html" title="National Provider Identifier">United States National Provider Identifier</a>/1234567893</p><p><b>active</b>: true</p><p><b>name</b>: Healthcare Clinic</p><p><b>telecom</b>: <a href="tel:+1(987)6543210">+1 (987) 6543210</a>, fax: +1 (987) 6543210</p><p><b>address</b>: 789 Elm Street Metropolis NY 67890 USA </p></div>
</text>
<identifier>
<system value="http://hl7.org/fhir/sid/us-npi"/>
<value value="1234567893"/>
</identifier>
<active value="true"/>
<name value="Healthcare Clinic"/>
<telecom>
<system value="phone"/>
<value value="+1 (987) 6543210"/>
<use value="mobile"/>
</telecom>
<telecom>
<system value="fax"/>
<value value="+1 (987) 6543210"/>
</telecom>
<address>
<line value="789 Elm Street"/>
<city value="Metropolis"/>
<state value="NY"/>
<postalCode value="67890"/>
<country value="USA"/>
</address>
</Organization>
</resource>
<request>
<method value="PUT"/>
<url value="Organization/servicing-provider-GMTP-1"/>
</request>
</entry>
</Bundle>