DaVinci Payer Data Exchange (PDex) US Drug Formulary
2.1.0 - STU2.1 United States of America flag

This page is part of the US Drug Formulary (v2.1.0: STU2) 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

Example Patient: example

Page standards status: Informative

Generated Narrative: Patient example

Amy V. Baxter Female, DoB: 1987-02-20 ( Medical Record Number: 1032702 (use: usual, ))

Active:true
Alt. Name:Amy V. Shaw (Old)
Contact Detail
  • ph: 555-555-5555(Home)
  • amy.shaw@example.com
  • 49 MEADOW ST MOUNDS OK 74047 US (old)
  • 183 MOUNTAIN VIEW ST MOUNDS OK 74048 US
US Core Sex Extension248152002
US Core Ethnicity Extension:
US Core Birth Sex ExtensionF
US Core Race Extension:
US Core Tribal Affiliation Extension:
  • tribalAffiliation: Shoshone
  • isEnrolled: false
US Core Gender Identity ExtensionUnknown