Consumer-Directed Payer Data Exchange
- Release 0.1.0

This page is part of the CARIN Blue Button Implementation Guide (v0.1.0: STU 1 Ballot 1) based on FHIR R4. The current version which supercedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions

JSON Format: Patient-Patient1

Raw json

{
  "resourceType" : "Patient",
  "id" : "Patient1",
  "meta" : {
    "versionId" : "4",
    "lastUpdated" : "2019-12-18T23:57:06.000-05:00",
    "profile" : [
      "http://hl7.org/fhir/us/carin/StructureDefinition/carin-bb-patient"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n\t\t\t<p>\n\t\t\t\t<b>Generated Narrative with Details</b>\n\t\t\t</p>\n\t\t\t</div>"
  },
  "extension" : [
    {
      "extension" : [
        {
          "url" : "ombCategory",
          "valueCoding" : {
            "system" : "urn:oid:2.16.840.1.113883.6.238",
            "code" : "2106-3",
            "display" : "White"
          }
        },
        {
          "url" : "text",
          "valueString" : "White"
        }
      ],
      "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
    },
    {
      "extension" : [
        {
          "url" : "ombCategory",
          "valueCoding" : {
            "system" : "urn:oid:2.16.840.1.113883.6.238",
            "code" : "2186-5",
            "display" : "Not Hispanic or Latino"
          }
        },
        {
          "url" : "text",
          "valueString" : "Not Hispanic or Latino"
        }
      ],
      "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
    },
    {
      "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
      "valueCode" : "M"
    }
  ],
  "identifier" : [
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "MB",
            "display" : "Member Number"
          }
        ]
      },
      "system" : "http://www.bcbs.com/fhir/ns/NamingSystem/patient-mb",
      "value" : "4D2F-88E5-60A4FDE99662"
    },
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "MR",
            "display" : "Medical Record Number"
          }
        ]
      },
      "system" : "http://www.bcbs.com/fhir/ns/NamingSystem/patient-mrn",
      "value" : "123456"
    },
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "PT",
            "display" : "Patient External Identifier"
          }
        ]
      },
      "system" : "http://www.external-org.com/fhir/NamingSystem/patient-identifier",
      "value" : "987654"
    }
  ],
  "name" : [
    {
      "text" : "John Doe",
      "family" : "Doe",
      "given" : [
        "John"
      ]
    }
  ],
  "telecom" : [
    {
      "system" : "phone",
      "value" : "555-555-5555",
      "use" : "home"
    }
  ],
  "gender" : "male",
  "birthDate" : "1970-01-01",
  "address" : [
    {
      "line" : [
        "49 Meadow St"
      ],
      "city" : "Mounds",
      "state" : "OK",
      "postalCode" : "74047",
      "country" : "US"
    }
  ]
}