Implementation Guide
25.0.0 - R4 APIs

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: PAS Insurer Organization Example - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Organization ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "IC-1"] ; # 
  fhir:meta [
fhir:lastUpdated [ fhir:v "2025-11-27T20:27:11.000-06:00"^^xsd:dateTime ] ;
    ( fhir:profile [
fhir:v "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-pas-insurer-organization-profile"^^xsd:anyURI ;
fhir:link <https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-pas-insurer-organization-profile>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table width=\"100%\"><tbody><tr><td width=\"25%\">Aetna Life and Casualty</td><td width=\"42%\">P O Box 1458 Carrollton, TX 75006 US Phone: 9726621350 Phone: 9876543211</td></tr></tbody></table></div>"^^rdf:XMLLiteral
  ] ; # 
  fhir:identifier ( [
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-identifierSubDepartment"^^xsd:anyURI ] ;
fhir:value [
a fhir:string ;
fhir:v "Aetna Life and Casualty"       ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-identifierJurisdiction"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-identifierJurisdiction"^^xsd:anyURI ] ;
fhir:code [ fhir:v "TX " ] ;
fhir:display [ fhir:v "Texas" ]         ] )       ]     ] ) ;
fhir:system [ fhir:v "http://hl7.org/fhir/sid/us-npi"^^xsd:anyURI ] ;
fhir:value [ fhir:v "0" ]
  ] [
fhir:type [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
fhir:code [ fhir:v "TIN" ] ;
fhir:display [ fhir:v "Tax Identification Number" ]       ] )     ] ;
fhir:system [ fhir:v "http://terminology.hl7.org/NamingSystem/USEIN"^^xsd:anyURI ] ;
fhir:value [ fhir:v "12345" ]
  ] [
fhir:type [
      ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBIdentifierType"^^xsd:anyURI ] ;
fhir:code [ fhir:v "payerid" ] ;
fhir:display [ fhir:v "Payer ID" ]       ] )     ] ;
fhir:value [ fhir:v "11223344" ]
  ] ) ; # 
  fhir:active [ fhir:v true] ; # 
  fhir:type ( [
    ( fhir:coding [
fhir:system [ fhir:v "https://valueset.x12.org/x217/005010/request/2010A/NM1/1/01/00/98"^^xsd:anyURI ] ;
fhir:code [ fhir:v "93" ] ;
fhir:display [ fhir:v "Insurance Institute" ]     ] ) ;
fhir:text [ fhir:v "Insurance Institute" ]
  ] ) ; # 
  fhir:name [ fhir:v "Aetna Life and Casualty"] ; # 
  fhir:telecom ( [
fhir:system [ fhir:v "phone" ] ;
fhir:value [ fhir:v "9726621350" ] ;
fhir:use [ fhir:v "work" ]
  ] [
fhir:system [ fhir:v "phone" ] ;
fhir:value [ fhir:v "9876543211" ] ;
fhir:use [ fhir:v "mobile" ]
  ] ) ; # 
  fhir:address ( [
    ( fhir:line [ fhir:v "P O Box 1458" ] ) ;
fhir:city [ fhir:v "Carrollton" ] ;
fhir:state [ fhir:v "TX" ] ;
fhir:postalCode [ fhir:v "75006" ] ;
fhir:country [ fhir:v "US" ]
  ] ) . #