This page is part of the CARIN Blue Button Implementation Guide (v1.1.0: STU 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
{
"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|1.1.0"
]
},
"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><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>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-NullFlavor UNK}\">unknown</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><span title=\"Codes: {urn:ietf:bcp:47 en}\">English</span></td><td>true</td></tr></table><p><b>managingOrganization</b>: <a href=\"Organization-PayerOrganizationExample1.html\">UPMC Health Plan. Generated Summary: NAIC Code: 95216; active; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/organization-type pay}\">Payer</span>; name: UPMC Health Plan; Phone: 1-844-220-4785 TTY: 711, Phone: 1-866-406-8762</a></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"
}
}