Da Vinci Payer Data Exchange
2.1.1 - STU 2.1 United States of America flag

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 2002 - XML Representation

Page standards status: Informative

Raw xml | Download


<Patient xmlns="http://hl7.org/fhir">
  <id value="payer-patient-2002"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Patient payer-patient-2002</b></p><a name="payer-patient-2002"> </a><a name="hcpayer-patient-2002"> </a><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">John Michael Doe (official) Male, DoB: 1985-06-15 ( 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-2002-PLAN</td></tr><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3">456 Oak Avenue Springfield IL 62702 </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-87654321"/>
    <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-2002-PLAN"/>
    <assigner>
      <display value="Example Health Plan"/>
    </assigner>
  </identifier>
  <name>
    <use value="official"/>
    <family value="Doe"/>
    <given value="John"/>
    <given value="Michael"/>
  </name>
  <gender value="male"/>
  <birthDate value="1985-06-15"/>
  <address>
    <line value="456 Oak Avenue"/>
    <city value="Springfield"/>
    <state value="IL"/>
    <postalCode value="62702"/>
  </address>
</Patient>