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 - XML Representation

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<Patient xmlns="http://hl7.org/fhir">
  <id value="example"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"/>
  </meta>
  <text>
    <status value="generated"/>
    <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: 1032702 (use: USUAL))</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:

 - American Indian or Alaska Native
 - Asian
 - Black or African American
 - Native Hawaiian or Other Pacific Islander
 - 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>
  </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="detailed">
      <valueCoding>
        <system value="urn:oid:2.16.840.1.113883.6.238"/>
        <code value="2184-0"/>
        <display value="Dominican"/>
      </valueCoding>
    </extension>
    <extension url="detailed">
      <valueCoding>
        <system value="urn:oid:2.16.840.1.113883.6.238"/>
        <code value="2148-5"/>
        <display value="Mexican"/>
      </valueCoding>
    </extension>
    <extension url="text">
      <valueString value="Hispanic or Latino"/>
    </extension>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-tribal-affiliation">
    <extension url="tribalAffiliation">
      <valueCodeableConcept>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/v3-TribalEntityUS"/>
          <code value="187"/>
          <display
                   value="Paiute-Shoshone Tribe of the Fallon Reservation and Colony, Nevada"/>
        </coding>
        <text value="Shoshone"/>
      </valueCodeableConcept>
    </extension>
    <extension url="isEnrolled">
      <valueBoolean value="false"/>
    </extension>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex">
    <valueCode value="F"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-sex">
    <valueCode value="248152002"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity">
    <valueCodeableConcept>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor"/>
        <code value="UNK"/>
        <display value="Unknown"/>
      </coding>
      <text value="Unknown"/>
    </valueCodeableConcept>
  </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://hospital.smarthealthit.org"/>
    <value value="1032702"/>
  </identifier>
  <active value="true"/>
  <name>
    <use value="old"/>
    <family value="Shaw"/>
    <given value="Amy"/>
    <given value="V."/>
    <period>
      <start value="2016-12-06"/>
      <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"/>
  <address>
    <use value="old"/>
    <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>
</Patient>