Da Vinci Payer Data Exchange
2.1.1 - STU 2.1

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

## : Payer's Patient Record for Member 1001 - XML Representation

Page standards status: Informative

Raw xml | Download

    <Patient xmlns="http://hl7.org/fhir">
      <id value="payer-patient-1001"/>
      <text>
        <status value="generated"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Patient payer-patient-1001</b></p><a name="payer-patient-1001"> </a><a name="hcpayer-patient-1001"> </a><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Patricia Ann Person (official) Female, DoB: 1974-12-25 ( Member Number)</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Other Id (see the one above)">Other Id:</td><td colspan="3">Medical record number/MR-1001-PLAN</td></tr><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3">123 Main Street Springfield IL 62701 </td></tr></table></div>
      </text>
      <identifier>
        <type>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
            <code value="MB"/>
          </coding>
        </type>
        <system value="http://example.org/health-plan/identifiers/member"/>
        <value value="HP-12345678"/>
        <assigner>
          <display value="Example Health Plan"/>
        </assigner>
      </identifier>
      <identifier>
        <type>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
            <code value="MR"/>
          </coding>
        </type>
        <system
                value="http://example.org/health-plan/identifiers/medical-record"/>
        <value value="MR-1001-PLAN"/>
        <assigner>
          <display value="Example Health Plan"/>
        </assigner>
      </identifier>
      <name>
        <use value="official"/>
        <family value="Person"/>
        <given value="Patricia"/>
        <given value="Ann"/>
      </name>
      <gender value="female"/>
      <birthDate value="1974-12-25"/>
      <address>
        <line value="123 Main Street"/>
        <city value="Springfield"/>
        <state value="IL"/>
        <postalCode value="62701"/>
      </address>
    </Patient>