Release 5 Ballot

This page is part of the FHIR Specification (v5.0.0-ballot: FHIR R5 Ballot Preview). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

Example Patient/example (XML)

Patient Administration Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Patient, Practitioner, RelatedPerson

Raw XML (canonical form + also see XML Format Specification)

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General Person Example (id = "example")

<?xml version="1.0" encoding="UTF-8"?>

<Patient xmlns="http://hl7.org/fhir">
  <id value="example"/> 
  <text> 
    <status value="generated"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">
      <table> 
        <tbody> 
          <tr> 
            <td> Name</td> 
            <td> Peter James 
              <b> Chalmers</b>  (&quot;Jim&quot;)
            </td> 
          </tr> 
          <tr> 
            <td> Address</td> 
            <td> 534 Erewhon, Pleasantville, Vic, 3999</td> 
          </tr> 
          <tr> 
            <td> Contacts</td> 
            <td> Home: unknown. Work: (03) 5555 6473</td> 
          </tr> 
          <tr> 
            <td> Id</td> 
            <td> MRN: 12345 (Acme Healthcare)</td> 
          </tr> 
        </tbody> 
      </table> 
    </div> 
  </text> 
  <!--    MRN assigned by ACME healthcare on 6-May 2001    -->
  <identifier> 
    <use value="usual"/> 
    <type> 
      <coding> 
        <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/> 
        <code value="MR"/> 
      </coding> 
    </type> 
    <system value="urn:oid:1.2.36.146.595.217.0.1"/> 
    <value value="12345"/> 
    <period> 
      <start value="2001-05-06"/> 
    </period> 
    <assigner> 
      <display value="Acme Healthcare"/> 
    </assigner> 
  </identifier> 
  <active value="true"/> 
  <!--    Peter James Chalmers, but called "Jim"    -->
  <name> 
    <use value="official"/> 
    <family value="Chalmers"/> 
    <given value="Peter"/> 
    <given value="James"/> 
  </name> 
  <name> 
    <use value="usual"/> 
    <given value="Jim"/> 
  </name> 
  <name> 
    <!--   Maiden names apply for anyone whose name changes as a result of marriage - irrespective
     of gender   -->
    <use value="maiden"/> 
    <family value="Windsor"/> 
    <given value="Peter"/> 
    <given value="James"/> 
    <period> 
      <end value="2002"/> 
    </period> 
  </name> 
  <telecom> 
    <use value="home"/> 
    <!--    home communication details aren't known    -->
  </telecom> 
  <telecom> 
    <system value="phone"/> 
    <value value="(03) 5555 6473"/> 
    <use value="work"/> 
    <rank value="1"/> 
  </telecom> 
  <telecom> 
    <system value="phone"/> 
    <value value="(03) 3410 5613"/> 
    <use value="mobile"/> 
    <rank value="2"/> 
  </telecom> 
  <telecom> 
    <system value="phone"/> 
    <value value="(03) 5555 8834"/> 
    <use value="old"/> 
    <period> 
      <end value="2014"/> 
    </period> 
  </telecom> 
  <!--    use FHIR code system for male / female    -->
  <gender value="male"/> 
  <birthDate value="1974-12-25">
    <extension url="http://hl7.org/fhir/StructureDefinition/patient-birthTime">
      <valueDateTime value="1974-12-25T14:35:45-05:00"/> 
    </extension> 
  </birthDate> 
  <deceasedBoolean value="false"/> 
  <address> 
    <use value="home"/> 
    <type value="both"/> 
    <text value="534 Erewhon St PeasantVille, Rainbow, Vic  3999"/> 
    <line value="534 Erewhon St"/> 
    <city value="PleasantVille"/> 
    <district value="Rainbow"/> 
    <state value="Vic"/> 
    <postalCode value="3999"/> 
    <period> 
      <start value="1974-12-25"/> 
    </period> 
  </address> 
  <contact> 
    <relationship> 
      <coding> 
        <system value="http://terminology.hl7.org/CodeSystem/v2-0131"/> 
        <code value="N"/> 
      </coding> 
    </relationship> 
    <name> 
      <family value="du Marché">
        <!--    the "du" part is a family name prefix (VV in iso 21090)    -->
        <extension url="http://hl7.org/fhir/StructureDefinition/humanname-own-prefix">
          <valueString value="VV"/> 
        </extension> 
      </family> 
      <given value="Bénédicte"/> 
    </name> 
    <telecom> 
      <system value="phone"/> 
      <value value="+33 (237) 998327"/> 
    </telecom> 
    <address> 
      <use value="home"/> 
      <type value="both"/> 
      <line value="534 Erewhon St"/> 
      <city value="PleasantVille"/> 
      <district value="Rainbow"/> 
      <state value="Vic"/> 
      <postalCode value="3999"/> 
      <period> 
        <start value="1974-12-25"/> 
      </period> 
    </address> 
    <gender value="female"/> 
    <period> 
      <!--    The contact relationship started in 2012    -->
      <start value="2012"/> 
    </period> 
  </contact> 
  <managingOrganization> 
    <reference value="Organization/1"/> 
  </managingOrganization> 
</Patient> 

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.