Interoperable Digital Identity and Patient Matching
1.0.0-ballot - STU Ballot 1 US

This page is part of the Interoperable Digital Identity and Patient Matching (v1.0.0-ballot: STU 1 Ballot 1) based on FHIR R4. . For a full list of available versions, see the Directory of published versions

: Patient1 - XML Representation

Raw xml | Download



<Patient xmlns="http://hl7.org/fhir">
  <id value="ExamplePatient"/>
  <meta>
    <lastUpdated value="2020-07-07T13:26:22.0314215+00:00"/>
    <profile
             value="http://hl7.org/fhir/us/identity-matching/StructureDefinition/IDI-Patient"/>
  </meta>
  <language value="en-US"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml" xml:lang="en-US" lang="en-US"><p><b>Johnny Beegood </b> male, DoB: 1986-05-01 ( Member Number: 1234-234-1243-12345678901)</p></div>
  </text>
  <identifier>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
        <code value="MB"/>
      </coding>
    </type>
    <system value="https://www.xyzhealthplan.com/fhir/memberidentifier"/>
    <value value="1234-234-1243-12345678901"/>
  </identifier>
  <active value="true"/>
  <name>
    <family value="Beegood"/>
    <given value="Johnny"/>
  </name>
  <telecom>
    <system value="phone"/>
    <value value="301-555-2112"/>
    <use value="mobile"/>
  </telecom>
  <gender value="male"/>
  <birthDate value="1986-05-01"/>
  <address>
    <type value="physical"/>
    <line value="123 Main Street"/>
    <city value="Pittsburgh"/>
    <state value="PA"/>
    <postalCode value="12519"/>
  </address>
  <maritalStatus>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor"/>
      <code value="UNK"/>
    </coding>
  </maritalStatus>
  <contact>
    <telecom>
      <system value="fax"/>
      <value value="555-555-5555"/>
      <use value="home"/>
    </telecom>
  </contact>
</Patient>