Da Vinci Payer Data Exchange
2.1.0 - STU 2.1
Da Vinci Payer Data Exchange
2.1.0 - STU 2.1
This page is part of the Da Vinci Payer Data Exchange (v2.1.0: STU2.1) 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
Profile: Bundle
Bundle 1000000-3 of type transaction-response
Entry 1 - fullUrl = https://example.com/base/Patient/1-3
Resource Patient:
Last updated: 2021-01-07 13:26:22+0000; Language: en-US
Profile: US Core Patient Profile
Johnny Appleseed Male, DoB: 1986-01-01 ( Member Number)
Active: true Marital 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/6-1-2-3
Resource Encounter:
Last updated: 2021-01-14 19:26:23+0000
Profile: US Core Encounter Profile
status: completed
class: Ambulatory
type: Consultation
subject: Johnny Appleseed Male, DoB: 1986-01-01 ( Member Number)
Response:
200
Entry 3 - fullUrl = https://example.com/base/Encounter/7-1-2-3
Resource Encounter:
Last updated: 2021-01-15 20:26:23+0000
Profile: US Core Encounter Profile
status: completed
class: Ambulatory
type: Consultation
subject: Bundle: type = transaction-response; timestamp = 2021-12-31 20:26:23+0000
Response:
200
Entry 4 - fullUrl = https://example.com/base/Encounter/8-2-3
Resource Encounter:
Last updated: 2021-03-15 20:26:23+0000
Profile: US Core Encounter Profile
status: completed
class: Ambulatory
type: Consultation
subject: Bundle: type = transaction-response; timestamp = 2021-12-31 20:26:23+0000
Response:
200
Entry 5 - fullUrl = https://example.com/base/Provenance/1000002-1-2-3
Resource Provenance:
version: 1; Last updated: 2021-01-14 19:26:23+0000
Profile: PDex Provenance
Provenance for Bundle: type = transaction-response; timestamp = 2021-12-31 20:26:23+0000
Summary
Recorded 2020-07-10 16:26:23+0000 Agents
Type who Author Organization Provider 1
Response:
200
Entry 6 - fullUrl = https://example.com/base/Provenance/1000003-1-2-3
Resource Provenance:
version: 1; Last updated: 2021-10-01 20:26:23+0000
Provenance for Bundle: type = transaction-response; timestamp = 2021-12-31 20:26:23+0000
Summary
Recorded 2020-07-10 16:26:23+0000 Agents
Type who Author Organization Provider 1
Response:
200
Entry 7 - fullUrl = https://example.com/base/Provenance/1000005-2
Resource Provenance:
version: 1; Last updated: 2021-10-01 20:26:23+0000
Provenance for Bundle: type = transaction-response; timestamp = 2021-12-31 20:26:23+0000
Summary
Recorded 2021-03-10 16:26:23+0000 Agents
Type who Author Organization Provider 1
Response:
200
Entry 8 - fullUrl = https://example.com/base/Provenance/1000004-1-2-3
Resource Provenance:
version: 1; Last updated: 2019-12-31 20:26:23+0000
Provenance for:
- Bundle: type = transaction-response; timestamp = 2021-12-31 20:26:23+0000
- Bundle: type = transaction-response; timestamp = 2021-12-31 20:26:23+0000
- Bundle: type = transaction-response; timestamp = 2021-12-31 20:26:23+0000
- Bundle: type = transaction-response; timestamp = 2021-12-31 20:26:23+0000
- Bundle: type = transaction-response; timestamp = 2021-12-31 20:26:23+0000
Summary
Recorded 2019-12-31 20:26:23+0000 Agents
Type Role who Transmitter Organization Payer 1
Response:
200
Entry 9 - fullUrl = https://example.com/base/Provenance/1000004-2
Resource Provenance:
version: 1; Last updated: 2020-06-15 20:26:23+0000
Provenance for:
- Bundle: type = transaction-response; timestamp = 2021-12-31 20:26:23+0000
- Bundle: type = transaction-response; timestamp = 2019-12-31 20:26:23+0000
Summary
Recorded 2020-06-15 20:26:23+0000 Agents
Type who Author Organization Provider 1
Response:
200
Entry 10 - fullUrl = https://example.com/base/Provenance/1000005-2-3
Resource Provenance:
version: 1; Last updated: 2020-12-31 20:26:23+0000
Provenance for Bundle: type = transaction-response; timestamp = 2019-12-31 20:26:23+0000
Summary
Recorded 2019-12-31 20:26:23+0000 Agents
Type Role who Transmitter Organization Payer 1
Response:
200
Entry 11 - fullUrl = https://example.com/base/Provenance/1000006-3
Resource Provenance:
version: 1; Last updated: 2020-12-31 20:26:23+0000
Provenance for Bundle: type = transaction-response; timestamp = 2019-12-31 20:26:23+0000
Summary
Recorded 2019-12-31 20:26:23+0000 Agents
Type Role who Transmitter Organization Payer 1
Response:
200
IG © 2024+ HL7 International / Financial Management. Package hl7.fhir.us.davinci-pdex#2.1.0 based on FHIR 4.0.1. Generated 2025-06-18
Links: Table of Contents |
QA Report
| Version History |
|
Propose a change