This page is part of the Healthcare Associated Infection Reports (HAI) Long Term Care Facilities (LTCF) (v0.1.0: STU 1 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 1.1.0. For a full list of available versions, see the Directory of published versions

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JSON Format: Patient-hai-ltcf-resident-1

Raw json

{
  "resourceType" : "Patient",
  "id" : "hai-ltcf-resident-1",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2019-06-25T19:23:57.000-04:00",
    "profile" : [
      "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n            <table>\n                <tbody>\n                    <tr>\n                        <td>Resident ID</td>\n                        <td>Medical Record Number: 12345</td>\n                    </tr>\n                    <tr>\n                        <td>Social Security #</td>\n                      <td>111111111</td>\n                    </tr>\n                    <tr>\n                        <td>Medicaid #</td>\n                        <td>959595</td>\n                    </tr>\n                    <tr>\n                        <td>Resident Last Name</td>\n                        <td>Nuclear</td>\n                    </tr>\n                    <tr>\n                        <td>Resident First Name</td>\n                        <td>Ned</td>\n                    </tr>\n                    <tr>\n                        <td>Gender</td>\n                        <td>Male</td>\n                    </tr>\n                    <tr>\n                        <td>Date of Birth</td>\n                        <td>1954-11-25</td>\n                    </tr>\n                    <tr>\n                        <td>Ethnicity</td>\n                        <td>Not Hispanic or Latino</td>\n                    </tr>\n                    <tr>\n                        <td>Race</td>\n                        <td>White</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"
        }
      ]
    }
  ],
  "identifier" : [
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "MA"
          }
        ]
      },
      "system" : "urn:oid:2.16.840.1.113883.19.5",
      "value" : "111111111Z"
    },
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "SS"
          }
        ]
      },
      "system" : "urn:oid:2.16.840.1.113883.4.1",
      "value" : "111111111"
    },
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "MR"
          }
        ]
      },
      "system" : "urn:oid:2.16.840.1.113883.4.338",
      "value" : "123456"
    }
  ],
  "name" : [
    {
      "use" : "official",
      "family" : "Nuclear",
      "given" : [
        "Ned"
      ]
    }
  ],
  "gender" : "male",
  "birthDate" : "1954-11-25"
}