Corona Contact Form

contact.json

{
  "resourceType": "bundle",
  "entry": [
    {
      "fullUrl": "urn:uuid:38f5cc57-a667-4c44-b9a9-8e8ce1bd86a8",
      "resource": {
        "resourceType": "Patient",
        "name": {
          "family": "___________________________",
          "given": [
            "___________________________________"
          ]
        },
        "telecom": [
          {
            "system": "phone",
            "value": "__________________________"
          },
          {
            "system": "email",
            "value": "__________________________"
          }
        ],
        "address": [
          {
            "use": "home",
            "postalCode": "_____________________"
          }
        ]
      }
    },
    {
      "resource": {
        "resourceType": "Encounter",
        "subject": {
          "reference": "urn:uuid:38f5cc57-a667-4c44-b9a9-8e8ce1bd86a8"
        },
        "period": {
          "start": "____________________________",
          "end": "______________________________"
        }
      }
    }
  ]
}