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

This page is part of the electronic Case Reporting (eCR) (v2.1.0: STU 2) 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

: US PH Patient Example: Eve Everywoman - JSON Representation

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{
  "resourceType" : "Patient",
  "id" : "patient-ecr-eve-everywoman",
  "meta" : {
    "versionId" : "10",
    "lastUpdated" : "2021-08-17T08:00:32.356+00:00",
    "source" : "#zjFlzHDvZIYVyMAB",
    "profile" : [
      "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-patient"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b></b> female, DoB: 1974-11-24 ( Medical Record Number: 1032702 (USUAL))</p></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"
          }
        },
        {
          "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" : [
    {
      "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"
          }
        ]
      }
    }
  ]
}