This page is part of the electronic Long-Term Services and Supports Implementation Guide (v0.1.0: STU 1 Ballot 1) based on FHIR R4. The current version which supercedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions

eLTSS Patient Example - JSON Representation

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Raw json

{
  "resourceType" : "Bundle",
  "id" : "patient-patient1",
  "type" : "collection",
  "entry" : [
    {
      "resource" : {
        "resourceType" : "Patient",
        "id" : "patient1",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/us/eltss/StructureDefinition/patient-eltss"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n            <p><b>Person Name:</b> Sally Person</p>\n            <p><b>Person Identifier | Type:</b> 123456ABC | MRN</p>\n            <p><b>Person Phone:</b> (404) 555 1212</p>\n            <p><b>Person Date of Birth:</b> 1935-05-01</p>\n            <p><b>Person Address:</b> 2222 Peachtree Street, Atlanta GA, 30318</p>\n            <p><b>Emergency Contact Name:</b> Jane Daughter</p>\n            <p><b>Emergency Contact Relationship:</b> daughter</p>\n            <p><b>Emergency Contact Phone Number:</b> (770) 224 1544</p>\n          </div>"
        },
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "MR"
                }
              ],
              "text" : "MRN"
            },
            "system" : "http://www.example.org/Codesystem",
            "value" : "123456ABC"
          }
        ],
        "name" : [
          {
            "text" : "Sally Person",
            "family" : "Person",
            "given" : [
              "Sally"
            ]
          }
        ],
        "telecom" : [
          {
            "system" : "phone",
            "value" : "(404) 555 1212"
          }
        ],
        "gender" : "female",
        "birthDate" : "1935-05-01",
        "address" : [
          {
            "text" : "2222 Peachtree Street, Atlanta GA, 30318",
            "line" : [
              "2222 Peachtree Street"
            ],
            "city" : "Atlanta",
            "district" : "Fulton",
            "state" : "GA",
            "postalCode" : "30318"
          }
        ],
        "contact" : [
          {
            "relationship" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/v2-0131",
                    "code" : "C"
                  }
                ]
              },
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
                    "code" : "DAUC"
                  }
                ]
              }
            ],
            "name" : {
              "text" : "Jane Daughter",
              "family" : "Daughter",
              "given" : [
                "Jane"
              ]
            },
            "telecom" : [
              {
                "system" : "phone",
                "value" : "(770) 224 1544"
              }
            ]
          }
        ]
      }
    }
  ]
}