This page is part of the electronic Long-Term Services and Supports Implementation Guide (v2.0.0-ballot: STU2 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions
Page standards status: Informative |
{
"resourceType" : "Patient",
"id" : "patientBSJ1",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/eltss/StructureDefinition/Patient-eltss"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\"><b>Betsy Smith-Johnson</b> female, DoB: 1950-11-01 ( Medical Record Number:\u00a0<a href=\"http://terminology.hl7.org/5.3.0/NamingSystem-medicareHIC.html\">#</a>10A3D58WH1600\u00a0(use:\u00a0USUAL))</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 Marital status of Patient\">Marital Status:</td><td colspan=\"3\"><span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-MaritalStatus U}\">Not married</span></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Details:</td><td colspan=\"3\"><ul><li>ph: 210-222-1111(MOBILE)</li><li>111 Maple Ct, San Antonio, TX 78212</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Languages spoken\">Language:</td><td colspan=\"3\"><span title=\"Codes: {urn:ietf:bcp:47 en}\">US</span> (preferred)</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Patient contact\">Contact</td><td colspan=\"3\"><ul><li>Charles Johnson</li><li>Relationships: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-RoleCode SONC}\">Son</span>, <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v2-0131 C}\">Emergency Contact</span>, <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-RoleCode GUARD}\">Guardian</span></li><li>100 Montana St., San Antonio, TX 78203</li><li>ph: (210) 222-3333</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Nominated Contact: Daughter\">Daughter:</td><td colspan=\"3\"><ul><li>Debra Johnson</li><li>333 W. Camden St., Baltimore, MD 21201</li><li>ph: (410) 444-5555</li></ul></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/STU3.1.1/CodeSystem-cdcrec.html#cdcrec-2186-5\">Race & Ethnicity - CDC</a> 2186-5: Not Hispanic or Latino</li><li>text: Not Hispanic or Latino</li></ul></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/STU3.1.1/CodeSystem-cdcrec.html#cdcrec-2106-3\">Race & Ethnicity - CDC</a> 2106-3: White</li><li>text: White</li></ul></td></tr></table></div>"
},
"extension" : [
{
"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-race"
},
{
"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-ethnicity"
}
],
"identifier" : [
{
"use" : "usual",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "MR",
"display" : "Medical Record Number"
}
]
},
"system" : "http://hl7.org/fhir/sid/us-medicare",
"value" : "10A3D58WH1600"
}
],
"active" : true,
"name" : [
{
"text" : "Betsy Smith-Johnson",
"family" : "Smith-Johnson",
"given" : [
"Betsy"
]
}
],
"telecom" : [
{
"system" : "phone",
"value" : "210-222-1111",
"use" : "mobile"
}
],
"gender" : "female",
"birthDate" : "1950-11-01",
"address" : [
{
"text" : "111 Maple Ct, San Antonio, TX 78212",
"line" : [
"111 Maple Ct"
],
"city" : "San Antonio",
"district" : "Bexar",
"state" : "TX",
"postalCode" : "78212"
}
],
"maritalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus",
"code" : "U",
"display" : "unmarried"
}
],
"text" : "Not married"
},
"contact" : [
{
"relationship" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code" : "SONC",
"display" : "Son"
}
]
},
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0131",
"code" : "C",
"display" : "Emergency Contact"
}
]
},
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code" : "GUARD",
"display" : "Guardian"
}
]
}
],
"name" : {
"text" : "Charles Johnson",
"family" : "Johnson",
"given" : [
"Charles"
]
},
"telecom" : [
{
"system" : "phone",
"value" : "(210) 222-3333"
}
],
"address" : {
"text" : "100 Montana St., San Antonio, TX 78203"
}
},
{
"relationship" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code" : "DAUC",
"display" : "Daughter"
}
]
}
],
"name" : {
"text" : "Debra Johnson",
"family" : "Johnson",
"given" : [
"Debra"
]
},
"telecom" : [
{
"system" : "phone",
"value" : "(410) 444-5555"
}
],
"address" : {
"text" : "333 W. Camden St., Baltimore, MD 21201"
}
}
],
"communication" : [
{
"language" : {
"coding" : [
{
"system" : "urn:ietf:bcp:47",
"code" : "en",
"display" : "English"
}
],
"text" : "US"
},
"preferred" : true
}
]
}
IG © 2020+ HL7 International / Human and Social Services. Package hl7.fhir.us.eltss#2.0.0-ballot based on FHIR 4.0.1. Generated 2023-12-15
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