Transaction instance details (#111064)

Metadata

Timestamp: 6/18/25 8:15:22 AM (CEST GMT+0200)

Simulated actor: Patient Demographic Supplier

Domain: IT-Infrasctructure

Transaction: ITI-78

Initiator: 15.236.228.56 (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="21636"/>  
  <meta> 
    <profile value="http://ihe.net/fhir/StructureDefinition/IHE.PDQm.PatientResource"/> 
  </meta>  
  <extension url="http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName"> 
    <valueString value="Bardin"/> 
  </extension>  
  <identifier> 
    <system value="urn:oid:1.2.250.1.213.1.4.6"/>  
    <value value="1233973358294226294291"/> 
  </identifier>  
  <identifier> 
    <system value="urn:oid:1.3.6.1.4.1.12559.11.36.9"/>  
    <value value="DDS-54314"/> 
  </identifier>  
  <identifier> 
    <system value="urn:oid:1.2.250.1.213.1.4.10"/>  
    <value value="106056925910586"/> 
  </identifier>  
  <identifier> 
    <system value="urn:oid:1.2.250.1.213.1.4.9"/>  
    <value value="106056925910586"/> 
  </identifier>  
  <active value="true"/>  
  <name> 
    <use value="official"/>  
    <family value="MARTIN"/>  
    <given value="LAZARE"/> 
  </name>  
  <name> 
    <use value="usual"/>  
    <given value="LAZARE"/> 
  </name>  
  <gender value="male"/>  
  <birthDate value="2006-05-19"/>  
  <address> 
    <use value="home"/>  
    <line value="Avenue Comte de Bertier"/>  
    <city value="Thionville"/>  
    <postalCode value="57100"/>  
    <country value="FRA"/> 
  </address>  
  <address> 
    <use value="?"/>  
    <city value="Vénissieux"/>  
    <postalCode value="69200"/>  
    <country value="FRA"/> 
  </address> 
</Patient>

Validation result (Status: )

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