Transaction instance details (#371045)

Metadata

Timestamp: 3/28/24 3:10:15 PM (EDT GMT-0400)

Simulated actor: Patient Demographic Supplier

Domain: IT-Infrasctructure

Transaction: ITI-78

Initiator: 66.249.66.35 (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": "55",
  "meta": {
    "profile": [
      "http://ihe.net/fhir/StructureDefinition/IHE.PDQm.PatientResource"
    ]
  },
  "identifier": [
    {
      "system": "urn:oid:1.3.6.1.4.1.21367.13.20.1000",
      "value": "IHERED-2639"
    },
    {
      "system": "urn:oid:1.3.6.1.4.1.21367.13.20.2000",
      "value": "IHEGREEN-2639"
    },
    {
      "system": "urn:oid:1.3.6.1.4.1.21367.13.20.3000",
      "value": "IHEBLUE-2639"
    },
    {
      "system": "urn:oid:1.3.6.1.4.1.21367.3000.1.6",
      "value": "IHEFACILITY-2639"
    }
  ],
  "active": true,
  "name": [
    {
      "use": "official",
      "family": "SOURCE-TWENTYFOUR",
      "given": [
        "Lynelle"
      ]
    }
  ],
  "gender": "female",
  "birthDate": "1975-05-31",
  "address": [
    {
      "use": "home",
      "line": [
        "Woodland Boulevard"
      ],
      "city": "DeLand",
      "state": "Florida",
      "postalCode": "32723",
      "country": "USA"
    }
  ]
}
                        

Validation result (Status: )

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