<participant typeCode=“LOC”>
<associatedEntity classCode="SDLOC"> <id root="2.16.840.1.113883.3.249.5.1" extension="T2OR1234" assigningAuthorityName="CMS-CMMI"/> <code code="394730007" displayName="healthcare related organization" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT"/> <addr> <streetAddressLine>202 Burlington Rd.</streetAddressLine> <city>Bedford</city> <state>MA</state> <postalCode>01730</postalCode> <country>US</country> </addr> </associatedEntity>
</participant>