US Core Implementation Guide
7.0.0-ballot - Ballot United States of America flag

This page is part of the US Core (v7.0.0-ballot: STU7 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 6.1.0. For a full list of available versions, see the Directory of published versions

: Targeted Provenance Patient Example - XML Representation

Page standards status: Informative

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<Patient xmlns="http://hl7.org/fhir">
  <id value="example-targeted-provenance"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|7.0.0-ballot"/>
  </meta>
  <extension
             url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race" id="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="text">
      <valueString value="Mixed"/>
    </extension>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity" id="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/us/core/StructureDefinition/us-core-birthsex" id="birthsex">
    <valueCode value="F"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-sex" id="sex">
    <valueCode value="248152002"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity" id="genderIdentity">
    <valueCodeableConcept>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor"/>
        <code value="UNK"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <identifier>
    <system value="http://hospital.smarthealthit.org"/>
    <value value="1032702"/>
  </identifier>
  <active value="true"/>
  <name>
    <family value="Shaw"/>
    <given value="Amy"/>
    <given value="V."/>
  </name>
  <telecom>
    <system value="phone"/>
    <value value="555-555-5555"/>
  </telecom>
  <gender value="female">
    <id value="gender"/>
  </gender>
  <birthDate value="1987-02-20"/>
  <address>
    <line value="183 MOUNTAIN VIEW ST"/>
    <city value="MOUNDS"/>
    <state value="OK"/>
    <postalCode value="74048"/>
  </address>
</Patient>