Central Cancer Registry Reporting Content IG
2.0.0-ballot - STU 2 Ballot

Central Cancer Registry Reporting Content IG - Downloaded Version 2.0.0-ballot See the Directory of published versions

## : Central Cancer Registry Reporting Patient - Example - JSON Representation

Page standards status: Informative

Raw json | Download

    {
      "resourceType" : "Patient",
      "id" : "example",
      "meta" : {
        "profile" : [
          🔗 "http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/central-cancer-registry-reporting-patient"
        ]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n  <p><b>Profile:</b> <a href=\"StructureDefinition-central-cancer-registry-reporting-patient.html\">Central Cancer Registry Reporting Patient</a></p>\n  <p><b>Patient:</b> Amy V. Baxter (formerly Amy V. Shaw)</p>\n    <p><b>Identifiers:</b></p>\n  <ul>\n    <li>Medical Record Number: 1032702 (system: http://CancerOrg.smarthealthit.org)</li>\n    <li>Social Security Number: 11-222-3333</li>\n  </ul>\n  <p><b>Active:</b> true</p>\n  <p><b>Gender:</b> female</p>\n  <p><b>Birth Date:</b> 1987-02-20</p>\n  <p><b>Marital Status:</b> Never Married</p>\n  <p><b>Race:</b> White, American Indian or Alaska Native (Shoshone), Asian (Filipino)</p>\n  <p><b>Ethnicity:</b> Hispanic or Latino (Mexican, Dominican)</p>\n  <p><b>Birthplace:</b> Georgia, US</p>\n  <p><b>Addresses:</b></p>\n  <ul>\n    <li>49 Meadow St, Mounds, OK 74047, US (2016-12-06 to 2020-07-22)</li>\n    <li>183 Mountain View St, Mounds, OK 74048, US (2020-07-22 to present)</li>\n  </ul>\n  <p><b>Telecom:</b></p>\n  <ul>\n    <li>Phone: 555-555-5555 (home)</li>\n    <li>Email: amy.shaw@example.com</li>\n  </ul>\n  <p><b>Languages:</b> English</p>\n  <p><b>Managing Organization:</b> Cancer Organization (Organization/example-cancer-org)</p>\n</div>"
      },
      "extension" : [
        {
          "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-race"
        },
        {
          "extension" : [
            {
              "url" : "ombCategory",
              "valueCoding" : {
                "system" : "urn:oid:2.16.840.1.113883.6.238",
                "code" : "2135-2",
                "display" : "Hispanic or Latino"
              }
            },
            {
              "url" : "text",
              "valueString" : "Hispanic or Latino"
            }
          ],
          "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/patient-birthPlace",
          "valueAddress" : {
            "state" : "GA",
            "country" : "US"
          }
        }
      ],
      "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://example.org",
          "value" : "1032702"
        },
        {
          "use" : "usual",
          "type" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                "code" : "SS",
                "display" : "Social Security Number"
              }
            ],
            "text" : "Social Security Number"
          },
          "system" : "http://hl7.org/fhir/sid/us-ssn",
          "value" : "11-222-3333"
        }
      ],
      "active" : true,
      "name" : [
        {
          "use" : "maiden",
          "family" : "Shaw",
          "given" : [
            "Amy",
            "V."
          ],
          "period" : {
            "start" : "1987-02-20",
            "end" : "2020-07-22"
          }
        },
        {
          "family" : "Baxter",
          "given" : [
            "Amy",
            "V."
          ],
          "suffix" : [
            "PharmD"
          ],
          "period" : {
            "start" : "2020-07-22"
          }
        }
      ],
      "telecom" : [
        {
          "system" : "phone",
          "value" : "555-555-5555",
          "use" : "home"
        },
        {
          "system" : "email",
          "value" : "amy.shaw@example.com"
        }
      ],
      "gender" : "female",
      "birthDate" : "1987-02-20",
      "deceasedBoolean" : false,
      "address" : [
        {
          "line" : [
            "49 Meadow St"
          ],
          "city" : "Mounds",
          "state" : "OK",
          "postalCode" : "74047",
          "country" : "US",
          "period" : {
            "start" : "2016-12-06",
            "end" : "2020-07-22"
          }
        },
        {
          "line" : [
            "183 Mountain View St"
          ],
          "city" : "Mounds",
          "state" : "OK",
          "postalCode" : "74048",
          "country" : "US",
          "period" : {
            "start" : "2020-07-22"
          }
        }
      ],
      "maritalStatus" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus",
            "code" : "S",
            "display" : "Never Married"
          }
        ]
      },
      "communication" : [
        {
          "language" : {
            "coding" : [
              {
                "system" : "urn:ietf:bcp:47",
                "code" : "en",
                "display" : "English"
              }
            ]
          }
        }
      ],
      "managingOrganization" : {
        🔗 "reference" : "Organization/example-cancer-org",
        "display" : "Cancer Organization"
      }
    }