Transaction instance details (#370815)

Metadata

Timestamp: 6/4/23 2:24:19 PM (EDT GMT-0400)

Simulated actor: Patient Demographic Supplier

Domain: IT-Infrasctructure

Transaction: ITI-78

Initiator: 13.251.147.188 (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.XMLContent

<?xml version="1.0" encoding="UTF-8"?>

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

Validation result (Status: )

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