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 - XML Representation
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<Patient xmlns="http://hl7.org/fhir">
<id value="example"/>
<meta>
<versionId value="9"/>
<lastUpdated value="2020-09-09T21:58:13.238+00:00"/>
<source value="#T77feouCUwFbnN3H"/>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"/>
</meta>
<text>
<status value="generated"/>
<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: 900 (use: USUAL))</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:
- American Indian or Alaska Native
- Asian
- Black or African American
- Native Hawaiian or Other Pacific Islander
- 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>
</text>
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race">
<extension url="ombCategory">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="2106-3"/>
<display value="White"/>
</valueCoding>
</extension>
<extension url="ombCategory">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="1002-5"/>
<display value="American Indian or Alaska Native"/>
</valueCoding>
</extension>
<extension url="ombCategory">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="2028-9"/>
<display value="Asian"/>
</valueCoding>
</extension>
<extension url="detailed">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="1586-7"/>
<display value="Shoshone"/>
</valueCoding>
</extension>
<extension url="detailed">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="2036-2"/>
<display value="Filipino"/>
</valueCoding>
</extension>
<extension url="text">
<valueString value="Mixed"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity">
<extension url="ombCategory">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="2135-2"/>
<display value="Hispanic or Latino"/>
</valueCoding>
</extension>
<extension url="detailed">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="2184-0"/>
<display value="Dominican"/>
</valueCoding>
</extension>
<extension url="detailed">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="2148-5"/>
<display value="Mexican"/>
</valueCoding>
</extension>
<extension url="text">
<valueString value="Hispanic or Latino"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex">
<valueCode value="F"/>
</extension>
<identifier>
<use value="usual"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MR"/>
<display value="Medical Record Number"/>
</coding>
<text value="Medical Record Number"/>
</type>
<system value="http://hospital.smarthealthit.org"/>
<value value="900"/>
</identifier>
<active value="true"/>
<name>
<family value="Noelle"/>
<given value="Paticia"/>
</name>
<telecom>
<system value="phone"/>
<value value="555-555-2003"/>
<use value="home"/>
</telecom>
<telecom>
<system value="email"/>
<value value="Patricia.Noelle@example.com"/>
</telecom>
<gender value="female"/>
<birthDate value="1954-10-17"/>
<address>
<line value="7247 Main St"/>
<city value="Springfield"/>
<state value="OK"/>
<postalCode value="62707"/>
<country value="US"/>
</address>
</Patient>
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