HL7 FHIR® Implementation Guide: Electronic Case Reporting (eCR) - US Realm
2.1.2 - STU 2 United States of America flag

This page is part of the electronic Case Reporting (eCR) (v2.1.2: STU 2) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

: US PH Patient Example: Eve Everywoman - JSON Representation

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{
  "resourceType" : "Patient",
  "id" : "patient-ecr-eve-everywoman",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-patient"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Patient patient-ecr-eve-everywoman</b></p><a name=\"patient-ecr-eve-everywoman\"> </a><a name=\"hcpatient-ecr-eve-everywoman\"> </a><a name=\"patient-ecr-eve-everywoman-en-US\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\"> Female, DoB: 1974-11-24 ( Medical Record Number: 1032702\u00a0(use:\u00a0usual,\u00a0))</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Record is active\">Active:</td><td>true</td><td style=\"background-color: #f3f5da\" title=\"Known status of Patient\">Deceased:</td><td colspan=\"3\">false</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\"><ul><li>ph: 1-(404)555-1212(Home)</li><li><a href=\"mailto:eve.everywoman@example.com\">eve.everywoman@example.com</a></li><li>5101 Peachtree St NE Atlanta GA 30302 US </li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Language spoken\">Language:</td><td colspan=\"3\"><span title=\"Codes:{urn:ietf:bcp:47 en}\">English</span></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://hl7.org/fhir/us/core/STU4/CodeSystem-cdcrec.html#cdcrec-2186-5\">Race &amp; Ethnicity - CDC 2186-5</a>: Not Hispanic or Latino</li><li>text: Not 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).\"><a href=\"http://hl7.org/fhir/us/core/STU4/StructureDefinition-us-core-birthsex.html\">US Core Birth Sex Extension</a></td><td colspan=\"3\">F</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) 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:\n\n - American Indian or Alaska Native\n - Asian\n - Black or African American\n - Native Hawaiian or Other Pacific Islander\n - White.\">US Core Race Extension:</td><td colspan=\"3\"><ul><li>ombCategory: <a href=\"http://hl7.org/fhir/us/core/STU4/CodeSystem-cdcrec.html#cdcrec-2106-3\">Race &amp; Ethnicity - CDC 2106-3</a>: White</li><li>text: White</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"This Extension profile represents an affiliated tribe name and whether or not the patient is an enrolled member\">US Public Health Tribal Affiliation Extension:</td><td colspan=\"3\"><ul><li>TribeName: <a href=\"http://terminology.hl7.org/6.0.2/CodeSystem-v3-TribalEntityUS.html#v3-TribalEntityUS-91\">TribalEntityUS 91</a>: Fort Mojave Indian Tribe of Arizona, California &amp; Nevada</li><li>EnrolledTribeMember: true</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"An individual's personal sense of being a man, woman, boy, girl, nonbinary, or something else. This represents an individual’s identity, ascertained by asking them what that identity is. This is a copy of the draft FHIR individual-genderIdentity extension (http://hl7.org/fhir/StructureDefinition/individual-genderIdentity).\">US Public Health Gender Identity Extension:</td><td colspan=\"3\"><ul><li>value: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-NullFlavor ASKU}\">asked but unknown</span></li></ul></td></tr></table></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/us/ecr/StructureDefinition/us-ph-genderidentity-extension",
      "extension" : [
        {
          "url" : "value",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
                "code" : "ASKU",
                "display" : "asked but unknown"
              }
            ],
            "text" : "asked but unknown"
          }
        }
      ]
    },
    {
      "url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-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 & Nevada"
          }
        },
        {
          "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 value="Everywoman" />
    <given value="Eve" />
    <given value="L" />
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
          "valueCode" : "masked"
        }
      ]
    }
  ],
  "telecom" : [
    {
      "system" : "phone",
      "value" : "1-(404)555-1212",
      "use" : "home"
    },
    {
      "system" : "email",
      "value" : "eve.everywoman@example.com"
    }
  ],
  "gender" : "female",
  "birthDate" : "1974-11-24",
  "deceasedBoolean" : false,
  "address" : [
    {
      "line" : [
        "5101 Peachtree St NE"
      ],
      "city" : "Atlanta",
      "state" : "GA",
      "postalCode" : "30302",
      "country" : "US"
    }
  ],
  "communication" : [
    {
      "language" : {
        "coding" : [
          {
            "system" : "urn:ietf:bcp:47",
            "code" : "en",
            "display" : "English"
          }
        ]
      }
    }
  ]
}