wellcare-health-plans · Schema

WellCare FHIR Patient

FHIR R4 Patient resource schema for WellCare Medicaid and Medicare Advantage members. Represents a healthcare consumer receiving care or other health-related services.

Fortune 500

Properties

Name Type Description
resourceType string FHIR resource type identifier.
id string Logical FHIR resource ID.
meta object
identifier array Patient identifiers including WellCare member ID.
name array Patient name(s).
birthDate string Patient date of birth (YYYY-MM-DD).
gender string Administrative gender.
address array
telecom array
View JSON Schema on GitHub

JSON Schema

wellcare-fhir-patient-schema.json Raw ↑ 
{
  "$schema": "https://json-schema.org/draft/2020-12/schema",
  "$id": "https://raw.githubusercontent.com/api-evangelist/wellcare-health-plans/main/json-schema/wellcare-fhir-patient-schema.json",
  "title": "WellCare FHIR Patient",
  "description": "FHIR R4 Patient resource schema for WellCare Medicaid and Medicare Advantage members. Represents a healthcare consumer receiving care or other health-related services.",
  "type": "object",
  "properties": {
    "resourceType": {
      "type": "string",
      "const": "Patient",
      "description": "FHIR resource type identifier."
    },
    "id": {
      "type": "string",
      "description": "Logical FHIR resource ID."
    },
    "meta": {
      "type": "object",
      "properties": {
        "lastUpdated": { "type": "string", "format": "date-time" },
        "profile": {
          "type": "array",
          "items": { "type": "string" }
        }
      }
    },
    "identifier": {
      "type": "array",
      "description": "Patient identifiers including WellCare member ID.",
      "items": {
        "type": "object",
        "properties": {
          "system": {
            "type": "string",
            "description": "Identifier system URI."
          },
          "value": {
            "type": "string",
            "description": "Identifier value."
          }
        },
        "required": ["value"]
      }
    },
    "name": {
      "type": "array",
      "description": "Patient name(s).",
      "items": {
        "type": "object",
        "properties": {
          "use": {
            "type": "string",
            "enum": ["usual", "official", "temp", "nickname", "anonymous", "old", "maiden"]
          },
          "family": { "type": "string" },
          "given": {
            "type": "array",
            "items": { "type": "string" }
          },
          "prefix": {
            "type": "array",
            "items": { "type": "string" }
          },
          "suffix": {
            "type": "array",
            "items": { "type": "string" }
          }
        }
      }
    },
    "birthDate": {
      "type": "string",
      "format": "date",
      "description": "Patient date of birth (YYYY-MM-DD)."
    },
    "gender": {
      "type": "string",
      "enum": ["male", "female", "other", "unknown"],
      "description": "Administrative gender."
    },
    "address": {
      "type": "array",
      "items": {
        "type": "object",
        "properties": {
          "use": {
            "type": "string",
            "enum": ["home", "work", "temp", "old", "billing"]
          },
          "line": {
            "type": "array",
            "items": { "type": "string" }
          },
          "city": { "type": "string" },
          "state": { "type": "string" },
          "postalCode": { "type": "string" },
          "country": { "type": "string" }
        }
      }
    },
    "telecom": {
      "type": "array",
      "items": {
        "type": "object",
        "properties": {
          "system": {
            "type": "string",
            "enum": ["phone", "fax", "email", "pager", "url", "sms", "other"]
          },
          "value": { "type": "string" },
          "use": {
            "type": "string",
            "enum": ["home", "work", "temp", "old", "mobile"]
          }
        }
      }
    }
  },
  "required": ["resourceType", "id"]
}