CARIN Consumer Directed Payer Data Exchange (CARIN IG for Blue Button®)
2.0.0 - STU 2 US

This page is part of the CARIN Blue Button Implementation Guide (v2.0.0: STU 2) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Example Patient: Patient Example 2

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)

Active:trueMarital Status:unknown
Contact Details:
  • ph: 5555555551
  • ph: 5555555552
  • ph: 5555555553
  • ph: 5555555554
  • ph: 5555555555(HOME)
  • ph: 5555555556(WORK)
  • GXXX@XXXX.com
  • fax: 5555555557
  • 123 Main Street PITTSBURGH PA 15239
  • 456 Murray Avenue PITTSBURGH PA 15217
Language:English (preferred)
Links:

Notes:

Instance: Patient2
InstanceOf: Patient
Title: "Patient Example 2"
Description: "Patient Example 2"
Usage: #example
* meta.lastUpdated = "2020-10-30T09:48:01.8512764-04:00"
* meta.source = "Organization/PayerOrganizationExample1"
* meta.profile = "http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Patient|2.0.0"
* language = #en-US
* identifier.type = http://terminology.hl7.org/CodeSystem/v2-0203#MB "Member Number"
  * text = "An identifier for the insured of an insurance policy (this insured always has a subscriber), usually assigned by the insurance carrier."
* identifier.system = "https://www.upmchealthplan.com/fhir/memberidentifier"
* identifier.value = "88800933501"
* identifier.assigner = Reference(Payer2) "UPMC Health Plan"
* active = true
* name.family = "Test"
* name.given = "Member 01"
* telecom[0].system = #phone
* telecom[=].value = "5555555551"
* telecom[=].rank = 1
* telecom[+].system = #phone
* telecom[=].value = "5555555552"
* telecom[=].rank = 2
* telecom[+].system = #phone
* telecom[=].value = "5555555553"
* telecom[=].rank = 3
* telecom[+].system = #phone
* telecom[=].value = "5555555554"
* telecom[=].rank = 4
* telecom[+].system = #phone
* telecom[=].value = "5555555555"
* telecom[=].use = #home
* telecom[=].rank = 5
* telecom[+].system = #phone
* telecom[=].value = "5555555556"
* telecom[=].use = #work
* telecom[=].rank = 6
* telecom[+].system = #email
* telecom[=].value = "GXXX@XXXX.com"
* telecom[=].rank = 7
* telecom[+].system = #fax
* telecom[=].value = "5555555557"
* telecom[=].rank = 8
* gender = #male
* birthDate = "1943-01-01"
* address[0].type = #physical
* address[=].line = "123 Main Street"
* address[=].city = "PITTSBURGH"
* address[=].state = "PA"
* address[=].postalCode = "15239"
* address[+].type = #physical
* address[=].line = "456 Murray Avenue"
* address[=].city = "PITTSBURGH"
* address[=].state = "PA"
* address[=].postalCode = "15217"
* maritalStatus = http://terminology.hl7.org/CodeSystem/v3-NullFlavor#UNK
  * text = "unknown"
* communication.language = urn:ietf:bcp:47#en
  * text = "English"
* communication.preferred = true
* managingOrganization = Reference(Payer2) "UPMC Health Plan"