CARIN Consumer Directed Payer Data Exchange (CARIN IG for Blue ButtonĀ®)
1.2.0 - STU 2 Ballot

This page is part of the CARIN Blue Button Implementation Guide (v1.2.0: STU 2 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

: Patient Example 1 - JSON Representation

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{
  "resourceType" : "Patient",
  "id" : "ExamplePatient1",
  "meta" : {
    "lastUpdated" : "2020-10-30T09:48:01.8512764-04:00",
    "source" : "Organization/PayerOrganizationExample1",
    "profile" : [
      "http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Patient|1.2.0"
    ]
  },
  "language" : "en-US",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en-US\" lang=\"en-US\"><p><b>Generated Narrative</b></p><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\">Resource \"ExamplePatient1\" Updated \"2020-10-30T13:48:01.851Z\"  (Language \"en-US\") </p><p style=\"margin-bottom: 0px\">Information Source: Organization/PayerOrganizationExample1!</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-C4BB-Patient.html\">C4BB Patient (version 1.2.0)</a></p></div><p><b>identifier</b>: An identifier for the insured of an insurance policy (this insured always has a subscriber), usually assigned by the insurance carrier.: 88800933501</p><p><b>active</b>: true</p><p><b>name</b>: Member 01 Test </p><p><b>telecom</b>: ph: 5555555551, ph: 5555555552, ph: 5555555553, ph: 5555555554, ph: 5555555555(HOME), ph: 5555555556(WORK), <a href=\"mailto:GXXX@XXXX.com\">GXXX@XXXX.com</a>, fax: 5555555557</p><p><b>gender</b>: male</p><p><b>birthDate</b>: 1943-01-01</p><p><b>address</b>: </p><ul><li>123 Main Street PITTSBURGH PA 15239 </li><li>456 Murray Avenue PITTSBURGH PA 15217 </li></ul><p><b>maritalStatus</b>: unknown <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-v3-NullFlavor.html\">NullFlavor</a>#UNK)</span></p><h3>Communications</h3><table class=\"grid\"><tr><td>-</td><td><b>Language</b></td><td><b>Preferred</b></td></tr><tr><td>*</td><td>English <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-v3-ietf3066.html\">Tags for the Identification of Languages</a>#en)</span></td><td>true</td></tr></table><p><b>managingOrganization</b>: <a href=\"Organization-PayerOrganizationExample1.html\">Organization/PayerOrganizationExample1: UPMC Health Plan</a> \"UPMC Health Plan\"</p></div>"
  },
  "identifier" : [
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "MB",
            "display" : "Member Number"
          }
        ],
        "text" : "An identifier for the insured of an insurance policy (this insured always has a subscriber), usually assigned by the insurance carrier."
      },
      "system" : "https://www.upmchealthplan.com/fhir/memberidentifier",
      "value" : "88800933501",
      "assigner" : {
        "reference" : "Organization/PayerOrganizationExample1",
        "display" : "UPMC Health Plan"
      }
    }
  ],
  "active" : true,
  "name" : [
    {
      "family" : "Test",
      "given" : [
        "Member 01"
      ]
    }
  ],
  "telecom" : [
    {
      "system" : "phone",
      "value" : "5555555551",
      "rank" : 1
    },
    {
      "system" : "phone",
      "value" : "5555555552",
      "rank" : 2
    },
    {
      "system" : "phone",
      "value" : "5555555553",
      "rank" : 3
    },
    {
      "system" : "phone",
      "value" : "5555555554",
      "rank" : 4
    },
    {
      "system" : "phone",
      "value" : "5555555555",
      "use" : "home",
      "rank" : 5
    },
    {
      "system" : "phone",
      "value" : "5555555556",
      "use" : "work",
      "rank" : 6
    },
    {
      "system" : "email",
      "value" : "GXXX@XXXX.com",
      "rank" : 7
    },
    {
      "system" : "fax",
      "value" : "5555555557",
      "rank" : 8
    }
  ],
  "gender" : "male",
  "birthDate" : "1943-01-01",
  "address" : [
    {
      "type" : "physical",
      "line" : [
        "123 Main Street"
      ],
      "city" : "PITTSBURGH",
      "state" : "PA",
      "postalCode" : "15239"
    },
    {
      "type" : "physical",
      "line" : [
        "456 Murray Avenue"
      ],
      "city" : "PITTSBURGH",
      "state" : "PA",
      "postalCode" : "15217"
    }
  ],
  "maritalStatus" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
        "code" : "UNK"
      }
    ],
    "text" : "unknown"
  },
  "communication" : [
    {
      "language" : {
        "coding" : [
          {
            "system" : "urn:ietf:bcp:47",
            "code" : "en"
          }
        ],
        "text" : "English"
      },
      "preferred" : true
    }
  ],
  "managingOrganization" : {
    "reference" : "Organization/PayerOrganizationExample1",
    "display" : "UPMC Health Plan"
  }
}