Da Vinci Payer Data Exchange
2.1.0-ballot - STU2 Ballot United States of America flag

This page is part of the Da Vinci Payer Data Exchange (v2.1.0-ballot: STU2.1 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions

Example Bundle: BundleExamplePayer1

Generated Narrative: Bundle 1000000-1

Bundle 1000000-1 of type transaction-response


Entry 1 - fullUrl = https://example.com/base/Patient/1

Resource Patient:

Generated Narrative: Patient 1

Last updated: 2019-07-07 13:26:22+0000; Language: en-US

Profile: US Core Patient Profile

Johnny Appleseed Male, DoB: 1986-01-01 ( Member Number)


Active:trueMarital Status:unknown
Other Ids:
  • Medical record number/1234-234-1243-12345678901m
  • Health Plan Identifier/1234-234-1243-12345678901u
  • Patient external identifier/1234-234-1243-12345678901a
Contact Detail
  • ph: (443)555-1212
  • ph: (410)678-2323
  • 123 Main Street Pittsburgh PA 12519

Response:

200

Entry 2 - fullUrl = https://example.com/base/Encounter/6-1

Resource Encounter:

Generated Narrative: Encounter 6-1

Last updated: 2019-07-14 19:26:23+0000

Profile: US Core Encounter Profile

Not done yet

Response:

200

Entry 3 - fullUrl = https://example.com/base/Encounter/7-1

Resource Encounter:

Generated Narrative: Encounter 7-1

Last updated: 2019-10-15 20:26:23+0000

Profile: US Core Encounter Profile

Not done yet

Response:

200

Entry 4 - fullUrl = https://example.com/base/Provenance/1000002-1

Resource Provenance:

Generated Narrative: Provenance 1000002-1

version: 1; Last updated: 2019-07-14 19:26:23+0000

Profile: PDex Provenance

Provenance for Bundle: type = transaction-response; timestamp = 2019-12-31 20:26:23+0000

Summary

Recorded2020-07-10 16:26:23+0000

Agents

Typewho
AuthorOrganization Provider 1

Response:

200

Entry 5 - fullUrl = https://example.com/base/Provenance/1000003-1

Resource Provenance:

Generated Narrative: Provenance 1000003-1

version: 1; Last updated: 2019-10-15 20:26:23+0000

Provenance for Bundle: type = transaction-response; timestamp = 2019-12-31 20:26:23+0000

Summary

Recorded2020-07-10 16:26:23+0000

Agents

Typewho
AuthorOrganization Provider 1

Response:

200

Entry 6 - fullUrl = https://example.com/base/Provenance/1000004-1

Resource Provenance:

Generated Narrative: Provenance 1000004-1

version: 1; Last updated: 2019-12-31 20:26:23+0000

Provenance for Bundle: type = transaction-response; timestamp = 2019-12-31 20:26:23+0000

Summary

Recorded2019-12-31 20:26:23+0000

Agents

TypeRolewho
TransmitterOrganization Payer 1

Response:

200