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

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

Example Bundle: BundleWithProvenance

Profile: Bundle

Bundle 3000002 of type searchset

Entry 1 - fullUrl = https://example.com/base/MedicationDispense/1000001

Search:Mode = match

Resource MedicationDispense:

status: completed

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

Performers

-Actor
*Practitioner Susan Smith

location: Location MyFavorite Pharmacy

type: Refill

quantity: 60

daysSupply: 30

Entry 2 - fullUrl = https://example.com/base/Provenance/321000001

Search:Mode = include

Resource Provenance:

version: 1; Last updated: 2020-09-28 23:26:23+0000

Profile: PDex Provenance

Provenance for MedicationDispense: extension = 1; status = completed; medication[x] = Lisinopril, 30 TABLET in 1 BLISTER PACK (54458-872-10) (package); type = Refill; quantity = 60; daysSupply = 30; whenHandedOver = 2024-04-15 09:00:23+0000

Summary

Recorded2020-07-12 18:26:23+0000

Agents

Typewho
TransmitterOrganization Payer 1