This page is part of the electronic Long-Term Services and Supports Implementation Guide (v2.0.0: STU2) based on FHIR (HL7® FHIR® Standard) 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
Page standards status: Informative |
<Patient xmlns="http://hl7.org/fhir">
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value="http://hl7.org/fhir/us/eltss/StructureDefinition/Patient-eltss"/>
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<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/10A3D58WH1600 (use: usual))</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 Detail</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="Language 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://terminology.hl7.org/5.5.0/CodeSystem-CDCREC.html#CDCREC-2186-5">CDC Race and Ethnicity</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#3) 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:
- American Indian or Alaska Native
- Asian
- Black or African American
- Native Hawaiian or Other Pacific Islander
- White.">US Core Race Extension:</td><td colspan="3"><ul><li>ombCategory: <a href="http://terminology.hl7.org/5.5.0/CodeSystem-CDCREC.html#CDCREC-2106-3">CDC Race and Ethnicity</a> 2106-3: White</li><li>text: White</li></ul></td></tr></table></div>
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<code value="2106-3"/>
<display value="White"/>
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url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity">
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<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="2186-5"/>
<display value="Not Hispanic or Latino"/>
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<valueString value="Not Hispanic or Latino"/>
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<code value="MR"/>
<display value="Medical Record Number"/>
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<system value="http://hl7.org/fhir/sid/us-medicare"/>
<value value="10A3D58WH1600"/>
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<active value="true"/>
<name>
<text value="Betsy Smith-Johnson"/>
<family value="Smith-Johnson"/>
<given value="Betsy"/>
</name>
<telecom>
<system value="phone"/>
<value value="210-222-1111"/>
<use value="mobile"/>
</telecom>
<gender value="female"/>
<birthDate value="1950-11-01"/>
<address>
<text value="111 Maple Ct, San Antonio, TX 78212"/>
<line value="111 Maple Ct"/>
<city value="San Antonio"/>
<district value="Bexar"/>
<state value="TX"/>
<postalCode value="78212"/>
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<maritalStatus>
<coding>
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<code value="U"/>
<display value="unmarried"/>
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<text value="Not married"/>
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<relationship>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
<code value="SONC"/>
<display value="Son"/>
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<relationship>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0131"/>
<code value="C"/>
<display value="Emergency Contact"/>
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<relationship>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
<code value="GUARD"/>
<display value="Guardian"/>
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<name>
<text value="Charles Johnson"/>
<family value="Johnson"/>
<given value="Charles"/>
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<telecom>
<system value="phone"/>
<value value="(210) 222-3333"/>
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<address>
<text value="100 Montana St., San Antonio, TX 78203"/>
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<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
<code value="DAUC"/>
<display value="Daughter"/>
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<name>
<text value="Debra Johnson"/>
<family value="Johnson"/>
<given value="Debra"/>
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<telecom>
<system value="phone"/>
<value value="(410) 444-5555"/>
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<address>
<text value="333 W. Camden St., Baltimore, MD 21201"/>
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</contact>
<communication>
<language>
<coding>
<system value="urn:ietf:bcp:47"/>
<code value="en"/>
<display value="English"/>
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<text value="US"/>
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<preferred value="true"/>
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</Patient>