At-Home In-Vitro Test Report
1.1.0 - STU 1.1 United States of America flag

This page is part of the At-Home In-Vitro Test Report (v1.1.0: STU 1) 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

: Patient - At-Home In-Vitro Test - Stacy Trevor - JSON Representation

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{
  "resourceType" : "Patient",
  "id" : "patient-at-home-in-vitro-test-stacy-trevor",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/us/home-lab-report/StructureDefinition/Patient-at-home-in-vitro-test"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Patient patient-at-home-in-vitro-test-stacy-trevor</b></p><a name=\"patient-at-home-in-vitro-test-stacy-trevor\"> </a><a name=\"hcpatient-at-home-in-vitro-test-stacy-trevor\"> </a><a name=\"patient-at-home-in-vitro-test-stacy-trevor-en-US\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Stacy Trevor  Female, DoB: 1988-01-21 ( Medical Record Number:\u00a0P21-0000105078\u00a0(use:\u00a0usual,\u00a0))</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Record is active\">Active:</td><td colspan=\"3\">true</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\"><ul><li>ph: 947-226-0356(Home)</li><li>11 Norman Drive Palatine IL 60067 US </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/6.0.2/CodeSystem-v3-NullFlavor.html#v3-NullFlavor-UNK\">NullFlavor</a> UNK: Unknown</li><li>text: Unknown</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:\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=\"https://phinvads.cdc.gov/vads/ViewCodeSystem.action?id=2.16.840.1.113883.6.238#CDCREC-2054-5\">CDC Race and Ethnicity</a> 2054-5: Black or African American</li><li>text: Black or African American</li></ul></td></tr></table></div>"
  },
  "extension" : [
    {
      "extension" : [
        {
          "url" : "ombCategory",
          "valueCoding" : {
            "system" : "urn:oid:2.16.840.1.113883.6.238",
            "code" : "2054-5",
            "display" : "Black or African American"
          }
        },
        {
          "url" : "text",
          "valueString" : "Black or African American"
        }
      ],
      "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
    },
    {
      "extension" : [
        {
          "url" : "ombCategory",
          "valueCoding" : {
            "system" : "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
            "code" : "UNK",
            "display" : "Unknown"
          }
        },
        {
          "url" : "text",
          "valueString" : "Unknown"
        }
      ],
      "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"
          }
        ],
        "text" : "Medical Record Number"
      },
      "system" : "http://hospital.reliableorg.org",
      "value" : "P21-0000105078"
    }
  ],
  "active" : true,
  "name" : [
    {
      "family" : "Trevor",
      "given" : [
        "Stacy"
      ]
    }
  ],
  "telecom" : [
    {
      "system" : "phone",
      "value" : "947-226-0356",
      "use" : "home"
    }
  ],
  "gender" : "female",
  "birthDate" : "1988-01-21",
  "address" : [
    {
      "line" : [
        "11 Norman Drive"
      ],
      "city" : "Palatine",
      "district" : "Cook",
      "state" : "IL",
      "postalCode" : "60067",
      "country" : "US"
    }
  ]
}