CMSgov/dpc-app

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src/main/resources/bb-test-data/patient/-10000010288391.json

Summary

Maintainability
Test Coverage
{
  "resourceType": "Bundle",
  "id": "bc89bf94-d55f-4347-995d-0fa7e9c8d312",
  "type": "searchset",
  "total": 1,
  "entry": [
    {
      "resource": {
        "resourceType": "Patient",
        "id": "-10000010288391",
        "meta": {
          "lastUpdated": "2023-04-26T15:19:31.964-04:00"
        },
        "extension": [
          {
            "url": "https://bluebutton.cms.gov/resources/variables/race",
            "valueCoding": {
              "system": "https://bluebutton.cms.gov/resources/variables/race",
              "code": "5",
              "display": "Hispanic"
            }
          },
          {
            "url": "https://bluebutton.cms.gov/resources/variables/rfrnc_yr",
            "valueDate": "2023"
          },
          {
            "url": "https://bluebutton.cms.gov/resources/variables/dual_01",
            "valueCoding": {
              "system": "https://bluebutton.cms.gov/resources/variables/dual_01",
              "code": "NA",
              "display": "Non-Medicaid"
            }
          },
          {
            "url": "https://bluebutton.cms.gov/resources/variables/dual_02",
            "valueCoding": {
              "system": "https://bluebutton.cms.gov/resources/variables/dual_02",
              "code": "NA",
              "display": "Non-Medicaid"
            }
          },
          {
            "url": "https://bluebutton.cms.gov/resources/variables/dual_03",
            "valueCoding": {
              "system": "https://bluebutton.cms.gov/resources/variables/dual_03",
              "code": "NA",
              "display": "Non-Medicaid"
            }
          },
          {
            "url": "https://bluebutton.cms.gov/resources/variables/dual_04",
            "valueCoding": {
              "system": "https://bluebutton.cms.gov/resources/variables/dual_04",
              "code": "NA",
              "display": "Non-Medicaid"
            }
          },
          {
            "url": "https://bluebutton.cms.gov/resources/variables/dual_05",
            "valueCoding": {
              "system": "https://bluebutton.cms.gov/resources/variables/dual_05",
              "code": "NA",
              "display": "Non-Medicaid"
            }
          }
        ],
        "identifier": [
          {
            "system": "https://bluebutton.cms.gov/resources/variables/bene_id",
            "value": "-10000010288391"
          },
          {
            "system": "https://bluebutton.cms.gov/resources/identifier/mbi-hash",
            "value": "bd02000753dfa2182d57bd9f3debaa274cb59af96d66e76c83df133c33970f80"
          },
          {
            "extension": [
              {
                "url": "https://bluebutton.cms.gov/resources/codesystem/identifier-currency",
                "valueCoding": {
                  "system": "https://bluebutton.cms.gov/resources/codesystem/identifier-currency",
                  "code": "current",
                  "display": "Current"
                }
              }
            ],
            "system": "http://hl7.org/fhir/sid/us-mbi",
            "value": "9V99EU8XY91"
          },
          {
            "extension": [
              {
                "url": "https://bluebutton.cms.gov/resources/codesystem/identifier-currency",
                "valueCoding": {
                  "system": "https://bluebutton.cms.gov/resources/codesystem/identifier-currency",
                  "code": "historic",
                  "display": "Historic"
                }
              }
            ],
            "system": "http://hl7.org/fhir/sid/us-mbi",
            "value": "1S00EU8FE91"
          }
        ],
        "name": [
          {
            "use": "usual",
            "family": "Ruecker817",
            "given": [
              "Kurt412"
            ]
          }
        ],
        "gender": "male",
        "birthDate": "1972-11-11",
        "address": [
          {
            "state": "05",
            "postalCode": "92596"
          }
        ]
      }
    }
  ]
}