Transaction instance details (#371067)

Metadata

Timestamp: 4/7/24 3:26:22 PM (EDT GMT-0400)

Simulated actor: Patient Demographic Supplier

Domain: IT-Infrasctructure

Transaction: ITI-78

Initiator: 47.128.54.197 (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="122"/>  
  <meta> 
    <profile value="http://ihe.net/fhir/StructureDefinition/IHE.PDQm.PatientResource"/> 
  </meta>  
  <extension url="http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName"> 
    <valueString value="Singleton"/> 
  </extension>  
  <identifier> 
    <system value="urn:oid:1.3.6.1.4.1.12559.11.46.3"/>  
    <value value="DDS-72923"/> 
  </identifier>  
  <active value="true"/>  
  <name> 
    <use value="official"/>  
    <family value="Champion"/>  
    <given value="Lavera"/> 
  </name>  
  <gender value="female"/>  
  <birthDate value="1989-12-25"/>  
  <address> 
    <use value="home"/>  
    <line value="East 19th Street"/>  
    <city value="Hays"/>  
    <state value="Kansas"/>  
    <postalCode value="67601"/>  
    <country value="USA"/> 
  </address> 
</Patient>

Validation result (Status: )

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