CARIN Digital Insurance Card
2.0.0-ballot - STU 2 Ballot

CARIN Digital Insurance Card - Downloaded Version 2.0.0-ballot See the Directory of published versions

## : Patient Example 2 - XML Representation

Page standards status: Informative

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    <Patient xmlns="http://hl7.org/fhir">
      <id value="Example-Patient2"/>
      <meta>
        <lastUpdated value="2020-07-07T13:26:22.0314215+00:00"/>
        <profile
                 value="http://hl7.org/fhir/us/insurance-card/StructureDefinition/C4DIC-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 class="res-header-id"><b>Generated Narrative: Patient Example-Patient2</b></p><a name="Example-Patient2"> </a><a name="hcExample-Patient2"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Last updated: 2020-07-07 13:26:22+0000; Language: en-US</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-C4DIC-Patient.html">C4DIC Patient</a></p></div><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Jane Doe  Female, DoB: 1990-11-12 ( Member Number)</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Record is active">Active:</td><td>true</td><td style="background-color: #f3f5da" title="Known Marital status of Patient">Marital Status:</td><td colspan="3"><span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-MaritalStatus M}">Married</span></td></tr><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3"><ul><li>ph: (301)444-1212</li><li>123 Main Street Pittsburgh PA 12519 </li></ul></td></tr></table></div>
      </text>
      <identifier>
        <type>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
            <code value="MB"/>
          </coding>
        </type>
        <system value="https://www.xxxhealthplan.com/fhir/memberidentifier"/>
        <value value="1234-234-1243-1238473074"/>
      </identifier>
      <active value="true"/>
      <name>
        <family value="Doe"/>
        <given value="Jane"/>
      </name>
      <telecom>
        <system value="phone"/>
        <value value="(301)444-1212"/>
        <rank value="2"/>
      </telecom>
      <gender value="female"/>
      <birthDate value="1990-11-12"/>
      <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-MaritalStatus"/>
          <code value="M"/>
        </coding>
      </maritalStatus>
    </Patient>