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

- XML Representation

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Raw xml

Source view

<Patient xmlns="http://hl7.org/fhir">
  <id value="pat2"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
	<p> <b> Generated Narrative with Details</b> </p> 
	<p> <b> Example Patient : </b> Patient-2 </p> 
	</div>
  </text>
<!--   
    Notes: 1. Need to determine code system URLs for Medicare/Medicaid, what we have in FHIR Spec does not resolve.
           2. 
    -->
  <identifier>
    <use value="usual"/>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
        <code value="MR"/>
        <display value="Medical Record Number"/>
      </coding>
      <text value="Medical Record Number"/>
    </type>
  <!--   This is an example system, not real  -->
    <system value="http://multicareprovider.org"/>
    <value value="1233232702"/>
  </identifier>
  <identifier>
    <use value="usual"/>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
        <code value="MC"/>
        <display value="Patient&#39;s Medicare number"/>
      </coding>
      <text value="Patient&#39;s Medicare number"/>
    </type>
  <!--   This is a sample system, not the real one  -->
    <system value="http://medicare.gov"/>
    <value value="34234"/>
  </identifier>
  <identifier>
    <use value="usual"/>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
        <code value="MA"/>
        <display value="Patient Medicaid number"/>
      </coding>
      <text value="Patient Medicaid number"/>
    </type>
  <!--   This is a sample system, not the real one  -->
    <system value="http://medicare.gov"/>
    <value value="435345"/>
  </identifier>
  <identifier>
    <use value="usual"/>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
        <code value="MB"/>
        <display value="Member Number"/>
      </coding>
      <text value="Member Number"/>
    </type>
    <system value="http://cambia.org"/>
    <value value="454534435"/>
  </identifier>
  <identifier>
    <use value="usual"/>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
        <code value="SS"/>
        <display value="Social Security number"/>
      </coding>
      <text value="Social Security number"/>
    </type>
    <system value="http://http://hl7.org/fhir/sid/us-ssn"/>
    <value value="558-24-2345"/>
  </identifier>
  <name>
    <use value="official"/>
    <family value="Harper"/>
    <given value="Jane"/>
    <given value="Philip"/>
    <prefix value="Ms"/>
  </name>
  <gender value="male"/>
  <birthDate value="2001-02-20"/>
  <address>
    <line value="123 Market St"/>
    <city value="Portland"/>
    <state value="OR"/>
    <postalCode value="23455"/>
    <country value="US"/>
  </address>
  <generalPractitioner>
    <reference value="Organization/MulticareProviderOrg"/>
  </generalPractitioner>
</Patient>