NHSN Reporting: Adverse Drug Events - Hypoglycemia
1.0.0 - STU 1

This page is part of the NHSN Reporting of Adverse Drug Events - Hypoglycemia (v1.0.0: STU 1 on FHIR R4) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

: US Core Patient [Harry Hypoglycemic] - JSON Representation

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{
  "resourceType" : "Patient",
  "id" : "patient-harry-hypoglycemic-example",
  "meta" : {
    "versionId" : "2",
    "lastUpdated" : "2021-03-30T01:37:24.710+00:00",
    "source" : "#NNccy4B9zEObY7xE",
    "profile" : [
      "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n            <div class=\"hapiHeaderText\">Harry \n                \n                <b>HYPOGLYCEMIC </b>\n            </div>\n            <table class=\"hapiPropertyTable\">\n                <tbody>\n                    <tr>\n                        <td>Identifier</td>\n                        <td>1032702</td>\n                    </tr>\n                    <tr>\n                        <td>Address</td>\n                        <td>\n                            <span>123 Main St. </span>\n                            <br/>\n                            <span>Denver </span>\n                            <span>CO </span>\n                            <span>US </span>\n                        </td>\n                    </tr>\n                    <tr>\n                        <td>Date of birth</td>\n                        <td>\n                            <span>09 June 1990</span>\n                        </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" : "ombCategory",
          "valueCoding" : {
            "system" : "urn:oid:2.16.840.1.113883.6.238",
            "code" : "1002-5",
            "display" : "American Indian or Alaska Native"
          }
        },
        {
          "url" : "ombCategory",
          "valueCoding" : {
            "system" : "urn:oid:2.16.840.1.113883.6.238",
            "code" : "2028-9",
            "display" : "Asian"
          }
        },
        {
          "url" : "detailed",
          "valueCoding" : {
            "system" : "urn:oid:2.16.840.1.113883.6.238",
            "code" : "1586-7",
            "display" : "Shoshone"
          }
        },
        {
          "url" : "detailed",
          "valueCoding" : {
            "system" : "urn:oid:2.16.840.1.113883.6.238",
            "code" : "2036-2",
            "display" : "Filipino"
          }
        },
        {
          "url" : "text",
          "valueString" : "Mixed"
        }
      ]
    },
    {
      "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" : "2135-2",
            "display" : "Hispanic or Latino"
          }
        },
        {
          "url" : "detailed",
          "valueCoding" : {
            "system" : "urn:oid:2.16.840.1.113883.6.238",
            "code" : "2184-0",
            "display" : "Dominican"
          }
        },
        {
          "url" : "detailed",
          "valueCoding" : {
            "system" : "urn:oid:2.16.840.1.113883.6.238",
            "code" : "2148-5",
            "display" : "Mexican"
          }
        },
        {
          "url" : "text",
          "valueString" : "Hispanic or Latino"
        }
      ]
    },
    {
      "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
      "valueCode" : "F"
    }
  ],
  "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.smarthealthit.org",
      "value" : "1032702"
    }
  ],
  "active" : true,
  "name" : [
    {
      "family" : "Hypoglycemic",
      "given" : [
        "Harry"
      ],
      "period" : {
        "start" : "1990-06-09"
      }
    }
  ],
  "telecom" : [
    {
      "system" : "phone",
      "value" : "555-555-5555",
      "use" : "home"
    },
    {
      "system" : "email",
      "value" : "harry.hypoglycemic@example.com"
    }
  ],
  "gender" : "male",
  "birthDate" : "1990-06-09",
  "address" : [
    {
      "line" : [
        "123 Main St."
      ],
      "city" : "Denver",
      "state" : "CO",
      "postalCode" : "80204",
      "country" : "US",
      "period" : {
        "start" : "1990-06-09"
      }
    }
  ]
}