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 2 - XML Representation

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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><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-Patient2" 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: 1234-234-1243-1238473074</p><p><b>active</b>: true</p><p><b>name</b>: Jane Doe </p><p><b>telecom</b>: ph: (301)444-1212</p><p><b>gender</b>: female</p><p><b>birthDate</b>: 1990-11-12</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>
  </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>