C-CDA on FHIR
1.1.0 - (FHIR R4) STU Release 1.1

This page is part of the C-CDA on FHIR Implementation Guide (v1.1.0: STU 1.1) based on FHIR R4. This is the current published version in it's permanent home (it will always be available at this URL). 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" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><h3>Ids</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><h3>Meta</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><blockquote><p><b>US Core Race Extension</b></p><h3>Urls</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>value</b>: <span title=\"{urn:oid:2.16.840.1.113883.6.238 2106-3}\">White</span></p><h3>Urls</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>value</b>: <span title=\"{urn:oid:2.16.840.1.113883.6.238 1002-5}\">American Indian or Alaska Native</span></p><h3>Urls</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>value</b>: <span title=\"{urn:oid:2.16.840.1.113883.6.238 2028-9}\">Asian</span></p><h3>Urls</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>value</b>: <span title=\"{urn:oid:2.16.840.1.113883.6.238 1586-7}\">Shoshone</span></p><h3>Urls</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>value</b>: <span title=\"{urn:oid:2.16.840.1.113883.6.238 2036-2}\">Filipino</span></p><h3>Urls</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>value</b>: Mixed</p></blockquote><blockquote><p><b>US Core Ethnicity Extension</b></p><h3>Urls</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>value</b>: <span title=\"{urn:oid:2.16.840.1.113883.6.238 2135-2}\">Hispanic or Latino</span></p><h3>Urls</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>value</b>: <span title=\"{urn:oid:2.16.840.1.113883.6.238 2184-0}\">Dominican</span></p><h3>Urls</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>value</b>: <span title=\"{urn:oid:2.16.840.1.113883.6.238 2148-5}\">Mexican</span></p><h3>Urls</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>value</b>: Hispanic or Latino</p></blockquote><p><b>US Core Birth Sex Extension</b>: </p><p><b>identifier</b>: Medical Record Number: 900 (USUAL)</p><p><b>active</b>: true</p><p><b>name</b>: Paticia Noelle </p><p><b>telecom</b>: ph: 555-555-2003(HOME), <a href=\"mailto:Patricia.Noelle@example.com\">Patricia.Noelle@example.com</a></p><p><b>gender</b>: female</p><p><b>birthDate</b>: 1954-10-17</p><p><b>address</b>: 7247 Main St Springfield OK 62707 US </p></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"
    }
  ]
}