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

XML Format: Patient-Patient1

Raw xml


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