This page is part of the CARIN Blue Button Implementation Guide (v2.1.0-snapshot1: STU 2) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions
Page standards status: Informative |
<Patient xmlns="http://hl7.org/fhir">
<id value="Patient2"/>
<meta>
<lastUpdated value="2020-10-30T09:48:01.8512764-04:00"/>
<source value="Organization/PayerOrganizationExample1"/>
<profile
value="http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Patient|2.1.0-snapshot1"/>
</meta>
<language value="en-US"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" xml:lang="en-US" lang="en-US"><p class="res-header-id"><b>Generated Narrative: Patient Patient2</b></p><a name="Patient2"> </a><a name="hcPatient2"> </a><a name="Patient2-en-US"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Last updated: 2020-10-30 09:48:01-0400; Language: en-US; </p><p style="margin-bottom: 0px">Information Source: <a href="https://simplifier.net/resolve?scope=hl7.fhir.us.core.3.1.1@3.1.1&canonical=http://hl7.org/fhir/us/core/Organization/PayerOrganizationExample1">Organization/PayerOrganizationExample1</a></p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-C4BB-Patient.html">C4BB Patientversion: {0}2.1.0-snapshot1)</a></p></div><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Member 01 Test Male, DoB: 1943-01-01 ( An identifier for the insured of an insurance policy (this insured always has a subscriber), usually assigned by the insurance carrier.: 88800933501)</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Record is active">Active:</td><td>true</td><td style="background-color: #f3f5da" title="Known Marital status of Patient">Marital Status:</td><td colspan="3"><span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-NullFlavor UNK}">unknown</span></td></tr><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3"><ul><li>ph: 5555555551</li><li>ph: 5555555552</li><li>ph: 5555555553</li><li>ph: 5555555554</li><li>ph: 5555555555(Home)</li><li>ph: 5555555556(Work)</li><li><a href="mailto:GXXX@XXXX.com">GXXX@XXXX.com</a></li><li>fax: 5555555557</li><li>123 Main Street PITTSBURGH PA 15239 </li><li>456 Murray Avenue PITTSBURGH PA 15217 </li></ul></td></tr><tr><td style="background-color: #f3f5da" title="Language spoken">Language:</td><td colspan="3"><span title="Codes:{urn:ietf:bcp:47 en}">English</span> (preferred)</td></tr><tr><td style="background-color: #f3f5da" title="Patient Links">Links:</td><td colspan="3"><ul><li>Managing Organization: <a href="Organization-Payer2.html">UPMC Health Plan</a></li></ul></td></tr></table></div>
</text>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MB"/>
<display value="Member Number"/>
</coding>
<text
value="An identifier for the insured of an insurance policy (this insured always has a subscriber), usually assigned by the insurance carrier."/>
</type>
<system value="https://www.upmchealthplan.com/fhir/memberidentifier"/>
<value value="88800933501"/>
<assigner>🔗
<reference value="Organization/Payer2"/>
<display value="UPMC Health Plan"/>
</assigner>
</identifier>
<active value="true"/>
<name>
<family value="Test"/>
<given value="Member 01"/>
</name>
<telecom>
<system value="phone"/>
<value value="5555555551"/>
<rank value="1"/>
</telecom>
<telecom>
<system value="phone"/>
<value value="5555555552"/>
<rank value="2"/>
</telecom>
<telecom>
<system value="phone"/>
<value value="5555555553"/>
<rank value="3"/>
</telecom>
<telecom>
<system value="phone"/>
<value value="5555555554"/>
<rank value="4"/>
</telecom>
<telecom>
<system value="phone"/>
<value value="5555555555"/>
<use value="home"/>
<rank value="5"/>
</telecom>
<telecom>
<system value="phone"/>
<value value="5555555556"/>
<use value="work"/>
<rank value="6"/>
</telecom>
<telecom>
<system value="email"/>
<value value="GXXX@XXXX.com"/>
<rank value="7"/>
</telecom>
<telecom>
<system value="fax"/>
<value value="5555555557"/>
<rank value="8"/>
</telecom>
<gender value="male"/>
<birthDate value="1943-01-01"/>
<address>
<type value="physical"/>
<line value="123 Main Street"/>
<city value="PITTSBURGH"/>
<state value="PA"/>
<postalCode value="15239"/>
</address>
<address>
<type value="physical"/>
<line value="456 Murray Avenue"/>
<city value="PITTSBURGH"/>
<state value="PA"/>
<postalCode value="15217"/>
</address>
<maritalStatus>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor"/>
<code value="UNK"/>
</coding>
<text value="unknown"/>
</maritalStatus>
<communication>
<language>
<coding>
<system value="urn:ietf:bcp:47"/>
<code value="en"/>
</coding>
<text value="English"/>
</language>
<preferred value="true"/>
</communication>
<managingOrganization>🔗
<reference value="Organization/Payer2"/>
<display value="UPMC Health Plan"/>
</managingOrganization>
</Patient>