US Core Implementation Guide
6.1.0-snapshot1 - STU6 United States of America flag

This page is part of the US Core (v6.1.0-snapshot1: STU6 Update) based on FHIR R4. The current version which supercedes this version is 6.0.0. For a full list of available versions, see the Directory of published versions

: Patient Example - JSON Representation

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{
  "resourceType" : "Patient",
  "id" : "example",
  "meta" : {
    "profile" : [
      "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\"><b>Amy V. Baxter </b> female, DoB: 1987-02-20 ( Medical Record Number:\u00a01032702\u00a0(use:\u00a0USUAL))</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=\"Alternate names (see the one above)\">Alt. Name:</td><td colspan=\"3\">Amy V. Shaw (OLD)</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Details:</td><td colspan=\"3\"><ul><li>ph: 555-555-5555(HOME)</li><li><a href=\"mailto:amy.shaw@example.com\">amy.shaw@example.com</a></li><li>49 Meadow St Mounds OK 74047 US (OLD)</li><li>183 Mountain View St Mounds OK 74048 US </li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"The US Core Sex Extension is used to reflect the documentation of a person's sex. It aligns with the C-CDA Sex Observation (LOINC 46098-0). Future versions of this extension will be informed by the content of the HL7 Cross Paradigm IG: Gender Harmony - Sex and Gender Representation 1.0.0 when published. &quot;Birth Sex&quot;, represented by [US Core Birth Sex Extension](http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex) falls under this broader category of &quot;Sex&quot;.\"><a href=\"StructureDefinition-us-core-sex.html\">US Core Sex Extension:</a></td><td colspan=\"3\"><ul><li>248152002</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://terminology.hl7.org/5.0.0/CodeSystem-CDCREC.html#CDCREC-2135-2\">CDC Race and Ethnicity</a> 2135-2: Hispanic or Latino</li><li>detailed: <a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-CDCREC.html#CDCREC-2184-0\">CDC Race and Ethnicity</a> 2184-0: Dominican</li><li>detailed: <a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-CDCREC.html#CDCREC-2148-5\">CDC Race and Ethnicity</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). This extension is no longer a *USCDI Requirement* with the introduction of the US Core Sex Extension in version 6.1.0.\"><a href=\"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#3) 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:\n\n - American Indian or Alaska Native\n - Asian\n - Black or African American\n - Native Hawaiian or Other Pacific Islander\n - White.\">US Core Race Extension:</td><td colspan=\"3\"><ul><li>ombCategory: <a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-CDCREC.html#CDCREC-2106-3\">CDC Race and Ethnicity</a> 2106-3: White</li><li>ombCategory: <a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-CDCREC.html#CDCREC-1002-5\">CDC Race and Ethnicity</a> 1002-5: American Indian or Alaska Native</li><li>ombCategory: <a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-CDCREC.html#CDCREC-2028-9\">CDC Race and Ethnicity</a> 2028-9: Asian</li><li>detailed: <a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-CDCREC.html#CDCREC-1586-7\">CDC Race and Ethnicity</a> 1586-7: Shoshone</li><li>detailed: <a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-CDCREC.html#CDCREC-2036-2\">CDC Race and Ethnicity</a> 2036-2: Filipino</li><li>text: Mixed</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"This Extension profile represents a tribe or band with which a person associates and, optionally, whether they are enrolled.\">US Core Tribal Affiliation Extension:</td><td colspan=\"3\"><ul><li>tribalAffiliation: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-TribalEntityUS 187}\">Shoshone</span></li><li>isEnrolled: false</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"This extension represents an individual's sense of being a man, woman, boy, girl, nonbinary, or something else, ascertained by asking them what that identity is. Systems requiring multiple gender identities and associated dates **SHOULD** use the FHIR R5 [genderIdentity extension](http://hl7.org/fhir/extensions/StructureDefinition-individual-genderIdentity.html). When future versions of US Core are based on FHIR R5, the FHIR R5 extension will supersede this extension.\"><a href=\"StructureDefinition-us-core-genderIdentity.html\">US Core Gender Identity Extension:</a></td><td colspan=\"3\"><ul><li><span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-NullFlavor UNK}\">Unknown</span></li></ul></td></tr></table></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" : "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-ethnicity"
    },
    {
      "extension" : [
        {
          "url" : "tribalAffiliation",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v3-TribalEntityUS",
                "code" : "187",
                "display" : "Paiute-Shoshone Tribe of the Fallon Reservation and Colony, Nevada"
              }
            ],
            "text" : "Shoshone"
          }
        },
        {
          "url" : "isEnrolled",
          "valueBoolean" : false
        }
      ],
      "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-tribal-affiliation"
    },
    {
      "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
      "valueCode" : "F"
    },
    {
      "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-sex",
      "valueCode" : "248152002"
    },
    {
      "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
            "code" : "UNK",
            "display" : "Unknown"
          }
        ],
        "text" : "Unknown"
      }
    }
  ],
  "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" : "1032702"
    }
  ],
  "active" : true,
  "name" : [
    {
      "use" : "old",
      "family" : "Shaw",
      "given" : [
        "Amy",
        "V."
      ],
      "period" : {
        "start" : "2016-12-06",
        "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",
  "address" : [
    {
      "use" : "old",
      "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"
      }
    }
  ]
}