Transaction instance details (#371150)

Metadata

Timestamp: 5/16/24 4:27:59 AM (EDT GMT-0400)

Simulated actor: Patient Demographic Supplier

Domain: IT-Infrasctructure

Transaction: ITI-78

Initiator: 3.143.111.233 (Patient Demographic Consumer)

Responder: PatientManager (Patient Demographic Supplier)


Validation result (Status: )

Validation of the request has not been performed yet or is not available

gazelle.HL7Common.JSONContent

{
  "resourceType": "Patient",
  "id": "126",
  "meta": {
    "profile": [
      "http://ihe.net/fhir/StructureDefinition/IHE.PDQm.PatientResource"
    ]
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName",
      "valueString": "Wilbanks"
    }
  ],
  "identifier": [
    {
      "system": "urn:oid:1.3.6.1.4.1.12559.11.46.3",
      "value": "DDS-72938"
    },
    {
      "system": "urn:oid:1.3.6.1.4.1.21367.13.20.3000",
      "value": "IHEBLUE-3226"
    },
    {
      "system": "urn:oid:1.3.6.1.4.1.21367.3000.1.6",
      "value": "IHEFACILITY-3226"
    },
    {
      "system": "urn:oid:1.3.6.1.4.1.21367.13.20.2000",
      "value": "IHEGREEN-3226"
    },
    {
      "system": "urn:oid:1.3.6.1.4.1.21367.13.20.1000",
      "value": "IHERED-3226"
    }
  ],
  "active": true,
  "name": [
    {
      "use": "official",
      "family": "Pereira",
      "given": [
        "Lynelle"
      ]
    }
  ],
  "gender": "female",
  "birthDate": "1988-04-26",
  "address": [
    {
      "use": "home",
      "line": [
        "West Walnut Street"
      ],
      "city": "Bloomington",
      "state": "Illinois",
      "postalCode": "61701",
      "country": "USA"
    }
  ]
}
                        

Validation result (Status: )

Validation of the response has not been performed yet or is not available