CARIN Digital Insurance Card
0.1.0 - STU 1 Ballot

This page is part of the CARIN Digital Insurance Card (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

: Patient Example 1 - JSON Representation

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{
  "resourceType" : "Patient",
  "id" : "Example-Patient1",
  "meta" : {
    "lastUpdated" : "2020-07-07T13:26:22.0314215+00:00",
    "profile" : [
      "http://hl7.org/fhir/us/insurance-card/StructureDefinition/C4DIC-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><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\">Resource \"Example-Patient1\" Updated \"2020-07-07T13:26:22.031Z\"  (Language \"en-US\") </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-C4DIC-Patient.html\">C4DIC Patient</a></p></div><p><b>identifier</b>: Member Number: 1234-234-1243-12345678901</p><p><b>active</b>: true</p><p><b>name</b>: John Doe </p><p><b>telecom</b>: ph: (301)666-1212</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>: Married <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-v3-MaritalStatus.html\">MaritalStatus</a>#M)</span></p></div>"
  },
  "identifier" : [
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "MB"
          }
        ]
      },
      "system" : "https://www.xxxhealthplan.com/fhir/memberidentifier",
      "value" : "1234-234-1243-12345678901"
    }
  ],
  "active" : true,
  "name" : [
    {
      "family" : "Doe",
      "given" : [
        "John"
      ]
    }
  ],
  "telecom" : [
    {
      "system" : "phone",
      "value" : "(301)666-1212",
      "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-MaritalStatus",
        "code" : "M"
      }
    ]
  }
}