Da Vinci Payer Data Exchange
2.2.0 - STU 2.2 United States of America flag

This page is part of the Da Vinci Payer Data Exchange (v2.2.0: STU2.2) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

: Patient Provider Example 1 - Robert Johnson - XML Representation

Page standards status: Informative

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<Patient xmlns="http://hl7.org/fhir">
  <id value="patient-prov-001"/>
  <meta>
    <lastUpdated value="2024-12-16T10:00:00Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p>Robert Michael Johnson</p></div>
  </text>
  <identifier>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
        <code value="MR"/>
        <display value="Medical Record Number"/>
      </coding>
    </type>
    <system value="http://example.org/provider-emr/patient-ids"/>
    <value value="MRN-12345"/>
    <assigner>
      <display value="Example Provider Organization"/>
    </assigner>
  </identifier>
  <name>
    <use value="official"/>
    <family value="Johnson"/>
    <given value="Robert"/>
    <given value="Michael"/>
  </name>
  <gender value="male"/>
  <birthDate value="1965-03-15"/>
  <address>
    <line value="123 Main Street"/>
    <city value="Anytown"/>
    <state value="MA"/>
    <postalCode value="02101"/>
  </address>
</Patient>