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 - XML Representation

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