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

: Patient-L1 - JSON Representation

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{
  "resourceType" : "Patient",
  "id" : "ExamplePatientL1",
  "meta" : {
    "lastUpdated" : "2021-11-01T13:26:22.0314215+00:00",
    "profile" : [
      "http://hl7.org/fhir/us/identity-matching/StructureDefinition/IDI-Patient-L1"
    ]
  },
  "language" : "en-US",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en-US\" lang=\"en-US\"><p><b>Justin Case </b> female, DoB: 1992-05-17 ( Driver's license number: 3902-16532901)</p></div>"
  },
  "identifier" : [
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "DL"
          }
        ]
      },
      "system" : "https://www.xyzhealthplan.com/fhir/memberidentifier",
      "value" : "3902-16532901"
    }
  ],
  "active" : true,
  "name" : [
    {
      "family" : "Case",
      "given" : [
        "Justin"
      ]
    }
  ],
  "telecom" : [
    {
      "system" : "phone",
      "value" : "726-555-2900",
      "use" : "mobile"
    }
  ],
  "gender" : "female",
  "birthDate" : "1992-05-17",
  "address" : [
    {
      "type" : "physical",
      "line" : [
        "418 Teapot Lane"
      ],
      "city" : "Raleigh",
      "state" : "NC",
      "postalCode" : "27513"
    }
  ],
  "maritalStatus" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
        "code" : "UNK"
      }
    ]
  },
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "fax",
          "value" : "726-555-1094",
          "use" : "home"
        }
      ]
    }
  ]
}