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

: Payer Member Example 2 - Sarah Williams - XML Representation

Page standards status: Informative

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<Patient xmlns="http://hl7.org/fhir">
  <id value="payer-member-002"/>
  <meta>
    <lastUpdated value="2024-12-16T10:30:00Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p>Sarah Elizabeth Williams - Payer Member</p></div>
  </text>
  <identifier>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
        <code value="MB"/>
        <display value="Member Number"/>
      </coding>
    </type>
    <system value="http://example.org/payer/member-ids"/>
    <value value="MBR-B98765432"/>
    <assigner>
      <display value="Example Payer"/>
    </assigner>
  </identifier>
  <name>
    <use value="official"/>
    <family value="Williams"/>
    <given value="Sarah"/>
    <given value="Elizabeth"/>
  </name>
  <gender value="female"/>
  <birthDate value="1978-07-22"/>
  <address>
    <line value="456 Oak Avenue"/>
    <city value="Sometown"/>
    <state value="MA"/>
    <postalCode value="02102"/>
  </address>
</Patient>