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

• Content
• XML
• JSON

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

Raw xml

<Patient xmlns="http://hl7.org/fhir">
  <id value="hai-ltcf-resident-1"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2019-06-25T19:23:57.000-04:00"/>
    <profile
             value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
            <table>
                <tbody>
                    <tr>
                        <td>Resident ID</td>
                        <td>Medical Record Number: 12345</td>
                    </tr>
                    <tr>
                        <td>Social Security #</td>
                      <td>111111111</td>
                    </tr>
                    <tr>
                        <td>Medicaid #</td>
                        <td>959595</td>
                    </tr>
                    <tr>
                        <td>Resident Last Name</td>
                        <td>Nuclear</td>
                    </tr>
                    <tr>
                        <td>Resident First Name</td>
                        <td>Ned</td>
                    </tr>
                    <tr>
                        <td>Gender</td>
                        <td>Male</td>
                    </tr>
                    <tr>
                        <td>Date of Birth</td>
                        <td>1954-11-25</td>
                    </tr>
                    <tr>
                        <td>Ethnicity</td>
                        <td>Not Hispanic or Latino</td>
                    </tr>
                    <tr>
                        <td>Race</td>
                        <td>White</td>
                    </tr>
                </tbody>
            </table>
        </div>
  </text>
  <extension url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race">
    <extension url="ombCategory">
      <valueCoding>
        <system value="urn:oid:2.16.840.1.113883.6.238"/>
        <code value="2106-3"/>
        <display value="White"/>
      </valueCoding>
    </extension>
    <extension url="text">
      <valueString value="White"/>
    </extension>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity">
    <extension url="ombCategory">
      <valueCoding>
        <system value="urn:oid:2.16.840.1.113883.6.238"/>
        <code value="2186-5"/>
        <display value="Not Hispanic or Latino"/>
      </valueCoding>
    </extension>
    <extension url="text">
      <valueString value="Not Hispanic or Latino"/>
    </extension>
  </extension>
  <identifier>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
        <code value="MA"/>
      </coding>
    </type>
    <system value="urn:oid:2.16.840.1.113883.19.5"/>
    <value value="111111111Z"/>
  </identifier>
  <identifier>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
        <code value="SS"/>
      </coding>
    </type>
    <system value="urn:oid:2.16.840.1.113883.4.1"/>
    <value value="111111111"/>
  </identifier>
  <identifier>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
        <code value="MR"/>
      </coding>
    </type>
    <system value="urn:oid:2.16.840.1.113883.4.338"/>
    <value value="123456"/>
  </identifier>
  <name>
    <use value="official"/>
    <family value="Nuclear"/>
    <given value="Ned"/>
  </name>
  <gender value="male"/>
  <birthDate value="1954-11-25"/>
</Patient>