Da Vinci Risk Adjustment Implementation Guide
1.0.0 - STU 1 US

This page is part of the Da Vinci Risk Adjustment FHIR Implementation Guide (v1.0.0: STU 1) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

: Patient01: Eve Everywoman - XML Representation

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<Patient xmlns="http://hl7.org/fhir">
  <id value="ra-patient01"/>
  <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><b>Eve Everywoman (OFFICIAL)</b> female, DoB: 1975-01-16 ( Medical record number: 12345 (USUAL))</p></div>
  </text>
  <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-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="White"/>
    </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="2186-5"/>
        <display value="Not Hispanic or Latino"/>
      </valueCoding>
    </extension>
    <extension url="text">
      <valueString value="Not Hispanic or Latino"/>
    </extension>
  </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>
    </type>
    <system value="http://hospital.davinci.org"/>
    <value value="12345"/>
  </identifier>
  <active value="true"/>
  <name>
    <use value="official"/>
    <family value="Everywoman"/>
    <given value="Eve"/>
  </name>
  <gender value="female"/>
  <birthDate value="1975-01-16"/>
  <deceasedBoolean value="false"/>
  <address>
    <use value="home"/>
    <line value="2222 Home Street"/>
    <city value="Ann Arbor"/>
    <state value="MI"/>
    <postalCode value="99999"/>
    <country value="USA"/>
  </address>
  <maritalStatus>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/v3-MaritalStatus"/>
      <code value="M"/>
      <display value="Married"/>
    </coding>
  </maritalStatus>
  <communication>
    <language>
      <coding>
        <system value="urn:ietf:bcp:47"/>
        <code value="en-US"/>
        <display value="English (Region=United States)"/>
      </coding>
    </language>
    <preferred value="true"/>
  </communication>
</Patient>