{
  "claimId": "AB12346",
  "vendor": {
    "practiceName": "Nut House",
    "hpiOrganisationNumber": "LINK 3",
    "hpiFacilityNumber": ""
  },
  "provider": {
    "address": {
      "type": "Home",
      "line1": "Riddiford Street",
      "line2": "",
      "suburb": "Newtown",
      "city": "Wellington",
      "postCode": 56,
      "country": "New Zealand"
    },
    "contact": {
      "emailAddress": "john@john.com",
      "homePhone": "045555555",
      "mobilePhone": "0274544848",
      "workPhone": "046666666"
    },
    "details": {
      "providerId": "J99966",
      "providerTypeCode": "5",
      "firstName": "Alfred",
      "middleName": "lu",
      "surname": "Newman"
    }
  },
  "patient": {
    "address": {
      "type": "Home",
      "line1": "28 Winter Way",
      "line2": "",
      "suburb": "Miramar",
      "city": "Wellington",
      "postCode": 2,
      "country": "New Zealand"
    },
    "contact": {
      "emailAddress": "paul@paul.com",
      "homePhone": "045555555",
      "mobilePhone": "0214444545",
      "workPhone": "046666666"
    },
    "details": {
      "nhi": "wwwwwww",
      "firstName": "Chuck",
      "middleName": "Awesome",
      "surname": "Norris",
      "dateOfBirth": "2017-07-03T00:19:35.003Z",
      "gender": "M",
      "ethnicityCode": "54"
    }
  },
  "employment": {
    "occupationCode": "1226",
    "inPaidEmployment": true,
    "employmentStatusCode": "5",
    "otherEmployment": "fireman",
    "workTypeCode": "1",
    "employer": {
      "employerName": "SolNet Morris Dancers",
      "address": {
        "type": "Business",
        "line1": "L12, SolNet House",
        "line2": "70 The Terrace",
        "suburb": "",
        "city": "Wellington",
        "postCode": 20,
        "country": "New Zealand"
      }
    }
  },
  "injury": {
    "accidentDate": "2017-07-03T00:19:35.003Z",
    "accidentLocationCode": "999",
    "accidentSceneCode": "80",
    "causeOfAccident": "Another > surgery, surgeon accidently cut off wrong leg",
    "involvesVehicle": false,
    "medicalTreatmentInjury": false,
    "workInjury": false,
    "sportingInjury": false,
    "sportNameCode": "",
    "accContactProvider": true,
    "gradualProcessInjury":true,
    "admittedToHospital":true
  },
  "diagnosis": [
    {
      "diagnosisAction": "add",
      "diagnosisCodeType": "1",
      "diagnosisCode": "A90..",
      "diagnosisDescription": "Got no leg",
      "diagnosisSide": "left",
      "diagnosisSeverity": "3",
      "primaryDiagnosisIndicator": false
    },
    {
      "diagnosisAction": "modify",
      "diagnosisCodeType": "1",
      "diagnosisCode": "A90..",
      "diagnosisDescription": "Got no arm",
      "diagnosisSide": "right",
      "diagnosisSeverity": "3",
      "primaryDiagnosisIndicator": false
    }
  ],
  "workCapacity": {
    "canResumeNormalWork": false,
    "incapacity":
      {
        "incapacityType": "Fitforselectedwork",
        "incapacityComments": "string",
        "incapacityDateRange": {
          "fromDate": "2017-07-03T00:19:35.003Z",
          "toDate": "2017-07-03T00:19:35.003Z"
        },
        "selectedAlternateWorks": {
            "alternateWorkTypeCode": "1",
            "physicalRestrictions": {
                "restriction": "Lifting",
                "restrictionComment": "string"
              }
            ,
            "restrictedDaysPerWeek": 0,
            "restrictedHoursPerDay": 1
          }
        ,
        "returnToNormalWorkDate": "2017-07-03T00:19:35.003Z",
        "reviewIncapacityDate": "2017-07-03T00:19:35.003Z"
      }
    ,
    "assistanceRequired": false,
    "accAssistance": {
      "makingExpectedProgress": false,
      "issuesDetails": "That must hurt",
      "otherComments": "That must hurt"
    },
    "contactRequired": true,
    "accContact": {
      "contactPerson": "Bill Clinton",
      "preferredContactDay": "Monday",
      "contactComments": "why"
    }
  },
  "referrals": [
    {
      "providerTypeCode": "20",
      "referralReason": "who knows"
    },
    {
      "providerTypeCode": "20",
      "referralReason": "I don't know"
    }
  ],
  "declaration": {
    "providerDeclaration": "2017-07-03T00:19:35.003Z"
  }
}