This page is part of the C-CDA on FHIR Implementation Guide (v1.2.0-ballot: STU 1 Ballot 4) based on FHIR R4. The current version which supercedes this version is 1.1.0. For a full list of available versions, see the Directory of published versions 
: Patient Amy V. Shaw - JSON Representation
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{
"resourceType" : "Patient",
"id" : "example",
"meta" : {
"versionId" : "9",
"lastUpdated" : "2020-09-09T21:58:13.238+00:00",
"source" : "#T77feouCUwFbnN3H",
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\"><b>Paticia Noelle </b> female, DoB: 1954-10-17 ( Medical Record Number:\u00a0900\u00a0(use:\u00a0USUAL))</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Record is active\">Active:</td><td colspan=\"3\">true</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Details:</td><td colspan=\"3\"><ul><li>ph: 555-555-2003(HOME)</li><li><a href=\"mailto:Patricia.Noelle@example.com\">Patricia.Noelle@example.com</a></li><li>7247 Main St Springfield OK 62707 US </li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality. The ethnicity codes used to represent these concepts are based upon the [CDC ethnicity and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 43 reference ethnicity. The ethnicity concepts are grouped by and pre-mapped to the 2 OMB ethnicity categories: - Hispanic or Latino - Not Hispanic or Latino.\">US Core Ethnicity Extension:</td><td colspan=\"3\"><ul><li>ombCategory: <a href=\"http://hl7.org/fhir/us/core/STU3.1/CodeSystem-cdcrec.html#cdcrec-2135-2\">Race & Ethnicity - CDC</a> 2135-2: Hispanic or Latino</li><li>detailed: <a href=\"http://hl7.org/fhir/us/core/STU3.1/CodeSystem-cdcrec.html#cdcrec-2184-0\">Race & Ethnicity - CDC</a> 2184-0: Dominican</li><li>detailed: <a href=\"http://hl7.org/fhir/us/core/STU3.1/CodeSystem-cdcrec.html#cdcrec-2148-5\">Race & Ethnicity - CDC</a> 2148-5: Mexican</li><li>text: Hispanic or Latino</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"A code classifying the person's sex assigned at birth as specified by the [Office of the National Coordinator for Health IT (ONC)](https://www.healthit.gov/newsroom/about-onc). This extension aligns with the C-CDA Birth Sex Observation (LOINC 76689-9).\"><a href=\"http://hl7.org/fhir/us/core/STU3.1/StructureDefinition-us-core-birthsex.html\">US Core Birth Sex Extension:</a></td><td colspan=\"3\"><ul><li>F</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality. The race codes used to represent these concepts are based upon the [CDC Race and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 921 reference race. The race concepts are grouped by and pre-mapped to the 5 OMB race categories:\n\n - American Indian or Alaska Native\n - Asian\n - Black or African American\n - Native Hawaiian or Other Pacific Islander\n - White.\">US Core Race Extension:</td><td colspan=\"3\"><ul><li>ombCategory: <a href=\"http://hl7.org/fhir/us/core/STU3.1/CodeSystem-cdcrec.html#cdcrec-2106-3\">Race & Ethnicity - CDC</a> 2106-3: White</li><li>ombCategory: <a href=\"http://hl7.org/fhir/us/core/STU3.1/CodeSystem-cdcrec.html#cdcrec-1002-5\">Race & Ethnicity - CDC</a> 1002-5: American Indian or Alaska Native</li><li>ombCategory: <a href=\"http://hl7.org/fhir/us/core/STU3.1/CodeSystem-cdcrec.html#cdcrec-2028-9\">Race & Ethnicity - CDC</a> 2028-9: Asian</li><li>detailed: <a href=\"http://hl7.org/fhir/us/core/STU3.1/CodeSystem-cdcrec.html#cdcrec-1586-7\">Race & Ethnicity - CDC</a> 1586-7: Shoshone</li><li>detailed: <a href=\"http://hl7.org/fhir/us/core/STU3.1/CodeSystem-cdcrec.html#cdcrec-2036-2\">Race & Ethnicity - CDC</a> 2036-2: Filipino</li><li>text: Mixed</li></ul></td></tr></table></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race",
"extension" : [
{
"url" : "ombCategory",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2106-3",
"display" : "White"
}
},
{
"url" : "ombCategory",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "1002-5",
"display" : "American Indian or Alaska Native"
}
},
{
"url" : "ombCategory",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2028-9",
"display" : "Asian"
}
},
{
"url" : "detailed",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "1586-7",
"display" : "Shoshone"
}
},
{
"url" : "detailed",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2036-2",
"display" : "Filipino"
}
},
{
"url" : "text",
"valueString" : "Mixed"
}
]
},
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity",
"extension" : [
{
"url" : "ombCategory",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2135-2",
"display" : "Hispanic or Latino"
}
},
{
"url" : "detailed",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2184-0",
"display" : "Dominican"
}
},
{
"url" : "detailed",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2148-5",
"display" : "Mexican"
}
},
{
"url" : "text",
"valueString" : "Hispanic or Latino"
}
]
},
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
"valueCode" : "F"
}
],
"identifier" : [
{
"use" : "usual",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "MR",
"display" : "Medical Record Number"
}
],
"text" : "Medical Record Number"
},
"system" : "http://hospital.smarthealthit.org",
"value" : "900"
}
],
"active" : true,
"name" : [
{
"family" : "Noelle",
"given" : [
"Paticia"
]
}
],
"telecom" : [
{
"system" : "phone",
"value" : "555-555-2003",
"use" : "home"
},
{
"system" : "email",
"value" : "Patricia.Noelle@example.com"
}
],
"gender" : "female",
"birthDate" : "1954-10-17",
"address" : [
{
"line" : [
"7247 Main St"
],
"city" : "Springfield",
"state" : "OK",
"postalCode" : "62707",
"country" : "US"
}
]
}
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