HL7 FHIR® Implementation Guide: Electronic Case Reporting (eCR) - US Realm
1.1.0 - STU 2 Ballot

This page is part of the electronic Case Reporting (eCR) (v1.1.0: STU 2 on FHIR R4 Ballot 1) based on FHIR R4. The current version which supercedes this version is 2.1.0. For a full list of available versions, see the Directory of published versions

: US PH Patient Example: Eve Everywoman - JSON Representation

Raw json | Download


{
  "resourceType" : "Patient",
  "id" : "patient-ecr-eve-everywoman",
  "meta" : {
    "versionId" : "7",
    "lastUpdated" : "2020-12-02T22:45:53.376+00:00",
    "source" : "#eGbehSiDGSMLjwnP",
    "profile" : [
      "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-patient"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n            <table xmlns:xsl=\"http://www.w3.org/1999/XSL/Transform\">\n                <tr>\n                    <td style=\"font-weight: bold\">id</td>\n                    <td>\n                        <div title=\"id\">patient-ecr-eve-everywoman</div>\n                    </td>\n                </tr>\n                <tr>\n                    <td style=\"font-weight: bold\">meta</td>\n                    <td>\n                        <table>\n                            <tr>\n                                <td style=\"font-weight: bold\">versionId</td>\n                                <td>\n                                    <div title=\"versionId\">13</div>\n                                </td>\n                            </tr>\n                            <tr>\n                                <td style=\"font-weight: bold\">lastUpdated</td>\n                                <td>\n                                    <div title=\"lastUpdated\">2019-10-11T03:45:24.000-04:00</div>\n                                </td>\n                            </tr>\n                            <tr>\n                                <td style=\"font-weight: bold\">profile</td>\n                                <td>\n                                    <div title=\"profile\">http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-patient</div>\n                                </td>\n                            </tr>\n                        </table>\n                    </td>\n                </tr>\n                <tr>\n                    <td style=\"font-weight: bold\">us-core-race</td>\n                    <td>\n                        <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n                            <li>\n                                <div title=\"display\">White</div>\n                            </li>\n                            <li>\n                                <div title=\"system\">urn:oid:2.16.840.1.113883.6.238</div>\n                            </li>\n                            <li>\n                                <div title=\"code\">2106-3</div>\n                            </li>\n                            <li>\n                                <div title=\"valueString\">White</div>\n                            </li>\n                        </ul>\n                    </td>\n                </tr>\n                <tr>\n                    <td style=\"font-weight: bold\">us-core-ethnicity</td>\n                    <td>\n                        <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n                            <li>\n                                <div title=\"display\">Not Hispanic or Latino</div>\n                            </li>\n                            <li>\n                                <div title=\"system\">urn:oid:2.16.840.1.113883.6.238</div>\n                            </li>\n                            <li>\n                                <div title=\"code\">2186-5</div>\n                            </li>\n                            <li>\n                                <div title=\"valueString\">Not Hispanic or Latino</div>\n                            </li>\n                        </ul>\n                    </td>\n                </tr>\n                <tr>\n                    <td style=\"font-weight: bold\">us-core-birthsex</td>\n                    <td>\n                        <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n                            <li>\n                                <div title=\"valueCode\">F</div>\n                            </li>\n                        </ul>\n                    </td>\n                </tr>\n                <tr>\n                    <td style=\"font-weight: bold\">patient-genderIdentity</td>\n                    <td>\n                        <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n                            <li>\n                                <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n                                    <li>\n                                        <div title=\"display\">female</div>  (\n                                        \n                                        \n                                        \n                                        \n                                        \n                                        <div title=\"code\">female</div> )\n          \n                                    \n                                    \n                                    \n                                    \n                                    \n                                    </li>\n                                    <li>\n                                        <div title=\"system\">\n                                            <a href=\"http://hl7.org/fhir/gender-identity\">http://hl7.org/fhir/gender-identity</a>\n                                        </div>\n                                    </li>\n                                </ul>\n                            </li>\n                        </ul>\n                    </td>\n                </tr>\n                <tr>\n                    <td style=\"font-weight: bold\">identifier</td>\n                    <td>\n                        <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n                            <li>\n                                <div title=\"use\">usual</div>\n                            </li>\n                            <li>\n                                <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n                                    <li>\n                                        <div title=\"display\">Medical Record Number</div>  (\n                                        \n                                        \n                                        \n                                        \n                                        \n                                        <div title=\"code\">MR</div> )\n          \n                                    \n                                    \n                                    \n                                    \n                                    \n                                    </li>\n                                    <li>\n                                        <div title=\"system\">\n                                            <a href=\"http://terminology.hl7.org/CodeSystem/v2-0203\">http://terminology.hl7.org/CodeSystem/v2-0203</a>\n                                        </div>\n                                    </li>\n                                </ul>\n                            </li>\n                            <li>\n                                <div title=\"system\">\n                                    <a href=\"http://hospital.smarthealthit.org\">http://hospital.smarthealthit.org</a>\n                                </div>\n                            </li>\n                            <li>\n                                <div title=\"value\">1032702</div>\n                            </li>\n                        </ul>\n                    </td>\n                </tr>\n                <tr>\n                    <td style=\"font-weight: bold\">active</td>\n                    <td>\n                        <div title=\"active\">true</div>\n                    </td>\n                </tr>\n                <tr>\n                    <td style=\"font-weight: bold\">name</td>\n                    <td>\n                        <table>\n                            <tr>\n                                <td style=\"font-weight: bold\">family</td>\n                                <td>\n                                    <div title=\"family\">Everywoman</div>\n                                </td>\n                            </tr>\n                            <tr>\n                                <td style=\"font-weight: bold\">given</td>\n                                <td>\n                                    <div title=\"given\">Eve</div>\n                                </td>\n                            </tr>\n                            <tr>\n                                <td style=\"font-weight: bold\">given</td>\n                                <td>\n                                    <div title=\"given\">L</div>\n                                </td>\n                            </tr>\n                        </table>\n                    </td>\n                </tr>\n                <tr>\n                    <td style=\"font-weight: bold\">telecom</td>\n                    <td>\n                        <table>\n                            <tr>\n                                <td style=\"font-weight: bold\">system</td>\n                                <td>\n                                    <div title=\"system\">phone</div>\n                                </td>\n                            </tr>\n                            <tr>\n                                <td style=\"font-weight: bold\">value</td>\n                                <td>\n                                    <div title=\"value\">1-(404)555-1212</div>\n                                </td>\n                            </tr>\n                            <tr>\n                                <td style=\"font-weight: bold\">use</td>\n                                <td>\n                                    <div title=\"use\">home</div>\n                                </td>\n                            </tr>\n                        </table>\n                    </td>\n                </tr>\n                <tr>\n                    <td style=\"font-weight: bold\">telecom</td>\n                    <td>\n                        <table>\n                            <tr>\n                                <td style=\"font-weight: bold\">system</td>\n                                <td>\n                                    <div title=\"system\">email</div>\n                                </td>\n                            </tr>\n                            <tr>\n                                <td style=\"font-weight: bold\">value</td>\n                                <td>\n                                    <div title=\"value\">eve.everywoman@example.com</div>\n                                </td>\n                            </tr>\n                        </table>\n                    </td>\n                </tr>\n                <tr>\n                    <td style=\"font-weight: bold\">gender</td>\n                    <td>\n                        <div title=\"gender\">female</div>\n                    </td>\n                </tr>\n                <tr>\n                    <td style=\"font-weight: bold\">birthDate</td>\n                    <td>\n                        <div title=\"birthDate\">1974-11-24</div>\n                    </td>\n                </tr>\n                <tr>\n                    <td style=\"font-weight: bold\">address</td>\n                    <td>\n                        <table>\n                            <tr>\n                                <td style=\"font-weight: bold\">line</td>\n                                <td>\n                                    <div title=\"line\">5101 Peachtree St NE</div>\n                                </td>\n                            </tr>\n                            <tr>\n                                <td style=\"font-weight: bold\">city</td>\n                                <td>\n                                    <div title=\"city\">Atlanta</div>\n                                </td>\n                            </tr>\n                            <tr>\n                                <td style=\"font-weight: bold\">state</td>\n                                <td>\n                                    <div title=\"state\">GA</div>\n                                </td>\n                            </tr>\n                            <tr>\n                                <td style=\"font-weight: bold\">postalCode</td>\n                                <td>\n                                    <div title=\"postalCode\">30302</div>\n                                </td>\n                            </tr>\n                            <tr>\n                                <td style=\"font-weight: bold\">country</td>\n                                <td>\n                                    <div title=\"country\">US</div>\n                                </td>\n                            </tr>\n                        </table>\n                    </td>\n                </tr>\n            </table>\n        </div>"
  },
  "extension" : [
    {
      "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" : "2106-3",
            "display" : "White"
          }
        },
        {
          "url" : "text",
          "valueString" : "White"
        }
      ]
    },
    {
      "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity",
      "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-birthsex",
      "valueCode" : "F"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/patient-genderIdentity",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/gender-identity",
            "code" : "female",
            "display" : "female"
          }
        ]
      }
    },
    {
      "url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/tribal-affiliation-extension",
      "extension" : [
        {
          "url" : "TribeName",
          "valueCoding" : {
            "system" : "http://terminology.hl7.org/CodeSystem/v3-TribalEntityUS",
            "code" : "91",
            "display" : "Fort Mojave Indian Tribe of Arizona, California"
          }
        },
        {
          "url" : "EnrolledTribeMember",
          "valueBoolean" : true
        }
      ]
    }
  ],
  "identifier" : [
    {
      "use" : "usual",
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "MR",
            "display" : "Medical Record Number"
          }
        ]
      },
      "system" : "http://hospital.smarthealthit.org",
      "value" : "1032702"
    }
  ],
  "active" : true,
  "name" : [
    {
      "family" : "Everywoman",
      "given" : [
        "Eve",
        "L"
      ]
    }
  ],
  "telecom" : [
    {
      "system" : "phone",
      "value" : "1-(404)555-1212",
      "use" : "home"
    },
    {
      "system" : "email",
      "value" : "eve.everywoman@example.com"
    }
  ],
  "gender" : "female",
  "birthDate" : "1974-11-24",
  "address" : [
    {
      "line" : [
        "5101 Peachtree St NE"
      ],
      "city" : "Atlanta",
      "state" : "GA",
      "postalCode" : "30302",
      "country" : "US"
    }
  ]
}