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
<Patient xmlns="http://hl7.org/fhir">
<id value="patient-ecr-eve-everywoman"/>
<meta>
<versionId value="10"/>
<lastUpdated value="2021-08-17T08:00:32.356+00:00"/>
<source value="#zjFlzHDvZIYVyMAB"/>
<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"><p><b></b> female, DoB: 1974-11-24 ( Medical Record Number: 1032702 (USUAL))</p></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/us/ecr/StructureDefinition/us-ph-genderidentity-extension">
<extension url="value">
<valueCodeableConcept>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor"/>
<code value="ASKU"/>
<display value="asked but unknown"/>
</coding>
<text value="asked but unknown"/>
</valueCodeableConcept>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-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"/>
<!-- <family value="Everywoman" />
<given value="Eve" />
<given value="L" /> -->
<name>
<extension url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
<valueCode value="masked"/>
</extension>
</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"/>
<deceasedBoolean value="false"/>
<address>
<line value="5101 Peachtree St NE"/>
<city value="Atlanta"/>
<state value="GA"/>
<postalCode value="30302"/>
<country value="US"/>
</address>
<communication>
<language>
<coding>
<system value="urn:ietf:bcp:47"/>
<code value="en"/>
<display value="English"/>
</coding>
</language>
</communication>
</Patient>