This page is part of the Risk Based Contracts Member Attribution List FHIR IG (v0.1.0: STU 1 Ballot 1) based on FHIR R4. The current version which supercedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions

- JSON Representation

(back to description)

Raw json

Source view

{
  "resourceType" : "Patient",
  "id" : "pat1",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n\t<p> <b> Generated Narrative with Details</b> </p> \n\t<p> <b> Example Patient : </b> Patient-1 </p> \n\t</div>"
  },
  "identifier" : [
    {
      "use" : "usual",
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "MR",
            "display" : "Medical Record Number"
          }
        ],
        "text" : "Medical Record Number"
      },
      "system" : "http://multicareprovider.org",
      "value" : "1032702"
    },
    {
      "use" : "usual",
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "MC",
            "display" : "Patient's Medicare number"
          }
        ],
        "text" : "Patient's Medicare number"
      },
      "system" : "http://medicare.gov",
      "value" : "123456"
    },
    {
      "use" : "usual",
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "MA",
            "display" : "Patient Medicaid number"
          }
        ],
        "text" : "Patient Medicaid number"
      },
      "system" : "http://medicare.gov",
      "value" : "1234567"
    },
    {
      "use" : "usual",
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "MB",
            "display" : "Member Number"
          }
        ],
        "text" : "Member Number"
      },
      "system" : "http://cambia.org",
      "value" : "12353435"
    },
    {
      "use" : "usual",
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "SS",
            "display" : "Social Security number"
          }
        ],
        "text" : "Social Security number"
      },
      "system" : "http://http://hl7.org/fhir/sid/us-ssn",
      "value" : "551-54-2343"
    }
  ],
  "name" : [
    {
      "use" : "official",
      "family" : "Smith",
      "given" : [
        "John",
        "J"
      ],
      "prefix" : [
        "Mr"
      ],
      "suffix" : [
        "II"
      ]
    }
  ],
  "gender" : "male",
  "birthDate" : "2001-02-20",
  "address" : [
    {
      "line" : [
        "49 Meadow St"
      ],
      "city" : "Mounds",
      "district" : "Salem County",
      "state" : "OR",
      "postalCode" : "74047",
      "country" : "US"
    }
  ],
  "generalPractitioner" : [
    {
      "reference" : "Organization/MulticareProviderOrg"
    }
  ]
}