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

This page is part of the electronic Case Reporting (eCR) (v2.0.0: STU 2 on FHIR R4) 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

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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\">\n            <div class=\"hapiHeaderText\">Eve L \n                <b>EVERYWOMAN </b>\n            </div>\n            <table class=\"hapiPropertyTable\">\n                <tbody>\n                    <tr>\n                        <td>Identifier</td>\n                        <td>1032702</td>\n                    </tr>\n                    <tr>\n                        <td>Address</td>\n                        <td>\n                            <span>5101 Peachtree St NE </span>\n                            <br/>\n                            <span>Atlanta </span>\n                            <span>GA </span>\n                            <span>US </span>\n                        </td>\n                    </tr>\n                    <tr>\n                        <td>Date of birth</td>\n                        <td>\n                            <span>24 November 1974</span>\n                        </td>\n                    </tr>\n                </tbody>\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/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" : [
    {
      "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"
    }
  ]
}