DFT Sample Messages
The following sample HL7 messages are test data only and contain no PHI:
MSH|^~\&#|98POINT6|Virtual Clinic|||20220421232809.699+0000||DFT^P03^DFT_P03|1|P|2.8.1PID|||003773900456^^^^MR^Virtual Clinic||HDI^Patient2^^^^^L||19891120|F^Female^HL70001||2076-8^Native Hawaiian or Other Pacific Islander^HL70005~2106-3^White^HL70005|701 5th Ave #2300^^Seattle^Washington^98101^^H||||en-US^English^HL70296|O^Other^HL70002||||||||||||||||||||||||^PRN^PH^^1^^1665551235~^NET^X.400^patient2.hdi@gmail.comPV1||VR^Virtual^http://terminology.hl7.org/CodeSystem/v3-ActCode|Virtual Clinic^^^^^VR|R^Routine|||3001725241^Kaynak^Cihan^^^^^^&http://hl7.org/fhir/sid/us-npi^L^^^NPI|||||||9^Information not available^UB04FL15||||VR^virtual|dce40502-63ba-4c85-a292-95b6d1fad3a0^^^&98point6&URI^VN^Virtual Clinic|||||||||||||||||home^Home^HL70112||||||||20220415175255.642+0000|20220415180744.63+0000FT1|1|1234567||20190528000000-0500|20190528000000-0500|CG^Charge^HL70017|99422^Virtual Visit^http://www.ama-assn.org/go/cpt|||||||||Virtual Clinic^^^^^VR|||B95.6^Test Diagnosis Code^I10|^Family Medicine^Physician^^^^^^&http://hl7.org/fhir/sid/us-npi^U|||||99422^Virtual Visit^http://www.ama-assn.org/go/cpt
DFT Sample Message with Patient Credit Card
PID|||001789123596^^^^MR^Virtual Clinic||xinttest^zjack^^^^^L||20000101|M^Male||2^Black or African American|11 Brighton Ave ^^Brighton ^WA^02155^^P||^^H^^1^100^5551017~^^^zjack@98point6.com||EN^English|U^UnknownPV1||O^Outpatient^HL70004|33501^VIRTUAL CARE||||3877450346^Thali^Amogh^^^^^^&http://hl7.org/fhir/sid/us-npi^L^^^NPI|||||||9^Information not available^UB04FL15||||VR^virtual|fff2af22-80a6-4f45-aa36-f090c45a478c^^^&98point6&URI^VN^Virtual Clinic|||||||||||||||||home^Home^HL70112||||||||20230412221444.21+0000|20230412221941.36+0000FT1|1|Claim/01b32a38-61b0-4c5d-bf6f5a17cd2d8cbb||20230412221946.628+0000|20230412221946.628+0000|CG^Charge^HL70017|99423^^http://www.ama-assn.org/go/cpt||||||33501^VIRTUAL CARE|||33501^VIRTUAL CARE|||Z71.2^Person consulting for explanation of examination or test findings^I10~N39.0^Urinary tract infection, site not specified^I10|3877450346^Thali^Amogh^^^^^^&http://hl7.org/fhir/sid/us-npi^L^^^NPI|3877450346^Thali^Amogh^^^^^^&http://hl7.org/fhir/sid/us-npi^L^^^NPI||||99423^^http://www.ama-assn.org/go/cptFT1|2|Claim/01b32a38-61b0-4c5d-bf6f-5a17cd2d8cbb||20230412221946.628+0000|20230412221946.628+0000|CD^Credit^HL70017|99423^^http://www.ama-assn.org/go/cpt|||1|25||33501^VIRTUAL CARE|||33501^VIRTUAL CARE|||Z71.2^Person consulting for explanation of examination or test findings^I10~N39.0^Urinary tract infection, site not specified^I10|3877450346^Thali^Amogh^^^^^^&http://hl7.org/fhir/sid/us-npi^L^^^NPI|3877450346^Thali^Amogh^^^^^^&http://hl7.org/fhir/sid/us-npi^L^^^NPI||||99423^^http://www.ama-assn.org/go/cpt