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 in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
| Page standards status: Informative |
<Patient xmlns="http://hl7.org/fhir">
<id value="PatientMemberMatchExample2"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>Sarah Elizabeth Williams - DOB: 1978-03-22, Female</p></div>
</text>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MB"/>
</coding>
</type>
<system value="http://example.org/provider-org/patient-ids"/>
<value value="PAT-002"/>
<assigner>
<display value="Provider Organization"/>
</assigner>
</identifier>
<name>
<use value="official"/>
<family value="Williams"/>
<given value="Sarah"/>
<given value="Elizabeth"/>
</name>
<telecom>
<system value="phone"/>
<value value="555-987-6543"/>
</telecom>
<gender value="female"/>
<birthDate value="1978-03-22"/>
<address>
<use value="home"/>
<line value="456 Oak Avenue"/>
<city value="Columbus"/>
<state value="OH"/>
<postalCode value="43085"/>
</address>
</Patient>