This page is part of the CARIN Digital Insurance Card (v1.0.0: STU 1) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
<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>Jane Doe </b> female, DoB: 1990-11-12 ( Member Number: 1234-234-1243-1238473074)</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>