Da Vinci Payer Data Exchange, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.1.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-epdx/ and changes regularly. See the Directory of published versions
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<Patient xmlns="http://hl7.org/fhir">
<id value="1"/>
<meta>
<lastUpdated value="2019-07-07T13:26:22.0314215+00:00"/>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"/>
</meta>
<language value="en-US"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" xml:lang="en-US" lang="en-US"><p class="res-header-id"><b>Generated Narrative: Patient 1</b></p><a name="1"> </a><a name="hc1"> </a><a name="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">Last updated: 2019-07-07 13:26:22+0000; Language: en-US</p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-patient.html">US Core Patient Profile</a></p></div><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Johnny Appleseed Male, DoB: 1986-01-01 ( Member Number)</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 Marital status of Patient">Marital Status:</td><td colspan="3"><span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-NullFlavor UNK}">unknown</span></td></tr><tr><td style="background-color: #f3f5da" title="Other Ids (see the one above)">Other Ids:</td><td colspan="3"><ul><li>Medical record number/1234-234-1243-12345678901m</li><li>Health Plan Identifier/1234-234-1243-12345678901u</li><li>Patient external identifier/1234-234-1243-12345678901a</li></ul></td></tr><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3"><ul><li>ph: (443)555-1212</li><li>ph: (410)678-2323</li><li>123 Main Street Pittsburgh PA 12519 </li></ul></td></tr></table></div>
</text>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MB"/>
</coding>
</type>
<system value="https://www.xxxhealthplan.com/fhir/memberidentifier"/>
<value
value="https://www.xxxhealthplan.com/fhir/memberidentifier#1234-234-1243-12345678901"/>
</identifier>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MR"/>
</coding>
</type>
<system value="https://www.xxxhealthplan.com/fhir/medicalrecordnumber"/>
<value value="1234-234-1243-12345678901m"/>
</identifier>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="XV"/>
</coding>
</type>
<system
value="https://www.xxxhealthplan.com/fhir/uniquememberidentifier"/>
<value value="1234-234-1243-12345678901u"/>
</identifier>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PT"/>
</coding>
</type>
<system value="https://www.xxxhealthplan.com/fhir/patacctnum"/>
<value value="1234-234-1243-12345678901a"/>
</identifier>
<active value="true"/>
<name>
<family value="Appleseed"/>
<given value="Johnny"/>
</name>
<telecom>
<system value="phone"/>
<value value="(443)555-1212"/>
<rank value="1"/>
</telecom>
<telecom>
<system value="phone"/>
<value value="(410)678-2323"/>
<rank value="2"/>
</telecom>
<gender value="male"/>
<birthDate value="1986-01-01"/>
<address>
<type value="physical"/>
<line value="123 Main Street"/>
<city value="Pittsburgh"/>
<state value="PA"/>
<postalCode value="12519"/>
</address>
<maritalStatus>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor"/>
<code value="UNK"/>
</coding>
</maritalStatus>
</Patient>