NHSN Healthcare Associated Infection (HAI) Reports Long Term Care Facilities (HAI-LTCF-FHIR), Release 1 - US Realm
1.0.0 - STU 1 United States of America flag

This page is part of the Healthcare Associated Infection Reports (HAI) Long Term Care Facilities (LTCF) (v1.0.0: STU 1) based on FHIR 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

: Long Term Care Facility Resident example - XML Representation

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<Patient xmlns="http://hl7.org/fhir">
  <id value="hai-ltcf-resident-1"/>
  <meta>
    <versionId value="4"/>
    <lastUpdated value="2022-02-10T21:51:55.801+00:00"/>
    <source value="#0lSvofcnAKe0mTGf"/>
    <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>