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

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

Page standards status: Informative

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