Da Vinci Payer Data Exchange
1.0.0 - STU1

This page is part of the Da Vinci Payer Data Exchange (v1.0.0: STU1) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

: Patient1 - JSON Representation

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{
  "resourceType" : "Patient",
  "id" : "1",
  "meta" : {
    "lastUpdated" : "2020-07-07T13:26:22.0314215+00:00",
    "profile" : [
      "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"
    ]
  },
  "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>: Member Number: https://www.xxxhealthplan.com/fhir/memberidentifier#1234-234-1243-12345678901, Medical record number: 1234-234-1243-12345678901m, Health Plan Identifier: 1234-234-1243-12345678901u, Patient external identifier: 1234-234-1243-12345678901a</p><p><b>active</b>: true</p><p><b>name</b>: Johnny Appleseed </p><p><b>telecom</b>: ph: (410)678-2323</p><p><b>gender</b>: male</p><p><b>birthDate</b>: 1986-01-01</p><p><b>address</b>: 123 Main Street Pittsburgh PA 12519 </p><p><b>maritalStatus</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-NullFlavor UNK}\">unknown</span></p></div>"
  },
  "identifier" : [
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "MB"
          }
        ]
      },
      "system" : "https://www.xxxhealthplan.com/fhir/memberidentifier",
      "value" : "https://www.xxxhealthplan.com/fhir/memberidentifier#1234-234-1243-12345678901"
    },
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "MR"
          }
        ]
      },
      "system" : "https://www.xxxhealthplan.com/fhir/medicalrecordnumber",
      "value" : "1234-234-1243-12345678901m"
    },
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "XV"
          }
        ]
      },
      "system" : "https://www.xxxhealthplan.com/fhir/uniquememberidentifier",
      "value" : "1234-234-1243-12345678901u"
    },
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "PT"
          }
        ]
      },
      "system" : "https://www.xxxhealthplan.com/fhir/patacctnum",
      "value" : "1234-234-1243-12345678901a"
    }
  ],
  "active" : true,
  "name" : [
    {
      "family" : "Appleseed",
      "given" : [
        "Johnny"
      ]
    }
  ],
  "telecom" : [
    {
      "system" : "phone",
      "value" : "(410)678-2323",
      "rank" : 2
    }
  ],
  "gender" : "male",
  "birthDate" : "1986-01-01",
  "address" : [
    {
      "type" : "physical",
      "line" : [
        "123 Main Street"
      ],
      "city" : "Pittsburgh",
      "state" : "PA",
      "postalCode" : "12519"
    }
  ],
  "maritalStatus" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
        "code" : "UNK"
      }
    ]
  }
}