Data Exchange For Quality Measures STU3 for FHIR R4
2.1.0 - Ballot

This page is part of the Da Vinci Data Exchange for Quality Measures (DEQM) FHIR IG (v2.1.0: STU 3) based on FHIR R4. The current version which supercedes this version is 3.1.0. For a full list of available versions, see the Directory of published versions

: Patient01 - JSON Representation

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{
  "resourceType" : "Patient",
  "id" : "patient01",
  "meta" : {
    "versionId" : "5",
    "lastUpdated" : "2019-02-11T14:19:25.000+00:00",
    "source" : "http://example.org/fhir/server",
    "profile" : [
      "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div class=\"hapiHeaderText\">Jairo <b>WEBSTER </b></div><table class=\"hapiPropertyTable\"><tbody><tr><td>Identifier</td><td>12345</td></tr><tr><td>Address</td><td><span>7496 Beaver Ridge Ave </span><br/><span>Thornton </span><span>NJ </span><span>USA </span></td></tr><tr><td>Date of birth</td><td><span>16 December 1946</span></td></tr></tbody></table></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
      "valueCode" : "M"
    },
    {
      "extension" : [
        {
          "url" : "ombCategory",
          "valueCoding" : {
            "system" : "urn:oid:2.16.840.1.113883.6.238",
            "code" : "2106-3",
            "display" : "White"
          }
        },
        {
          "url" : "text",
          "valueString" : "White"
        }
      ],
      "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" : "2186-5",
            "display" : "Not Hispanic or Latino"
          }
        },
        {
          "url" : "text",
          "valueString" : "Not Hispanic or Latino"
        }
      ],
      "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
    }
  ],
  "identifier" : [
    {
      "use" : "usual",
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "MR",
            "display" : "Medical record number"
          }
        ]
      },
      "system" : "http://hospital.davinci.org",
      "value" : "12345"
    }
  ],
  "active" : true,
  "name" : [
    {
      "use" : "official",
      "family" : "Webster",
      "given" : [
        "Jairo"
      ]
    }
  ],
  "gender" : "male",
  "birthDate" : "1946-12-16",
  "deceasedBoolean" : false,
  "address" : [
    {
      "use" : "home",
      "line" : [
        "7496 Beaver Ridge Ave"
      ],
      "city" : "Thornton",
      "state" : "NJ",
      "postalCode" : "07003",
      "country" : "USA"
    }
  ],
  "maritalStatus" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus",
        "code" : "M",
        "display" : "Married"
      }
    ]
  },
  "communication" : [
    {
      "language" : {
        "coding" : [
          {
            "system" : "urn:ietf:bcp:47",
            "code" : "en-US",
            "display" : "English (Region=United States)"
          }
        ]
      },
      "preferred" : true
    }
  ],
  "managingOrganization" : {
    "reference" : "Organization/organization01"
  }
}