PACIO Advance Directive Interoperability Implementation Guide
1.0.0 - STU 1 United States of America flag

This page is part of the PACIO Advance Directive Information Implementation Guide (v1.0.0: STU 1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

: Example-McBee-Patient1 - JSON Representation

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{
  "resourceType" : "Patient",
  "id" : "Example-McBee-Patient1",
  "meta" : {
    "lastUpdated" : "2021-04-07T19:55:22+00:00",
    "profile" : [
      🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"
    ]
  },
  "language" : "en-US",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en-US\" lang=\"en-US\"><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\"><b>McBee, Roger Rienman</b> male, DoB: 1945-04-01 ( Social Beneficiary Identifier:\u00a0<a href=\"http://terminology.hl7.org/5.4.0/NamingSystem-ssn.html\">#</a>555-12-1246)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Record is active\">Active:</td><td>true</td><td style=\"background-color: #f3f5da\" title=\"Known Marital status of Patient\">Marital Status:</td><td colspan=\"3\"><span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-NullFlavor NI}\">NoInformation</span></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Other Ids (see the one above)\">Other Id:</td><td colspan=\"3\">Driver's License Number:\u00a0<a href=\"http://terminology.hl7.org/5.4.0/NamingSystem-FloridaDLN.html\">#</a>33487</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Details:</td><td colspan=\"3\"><ul><li><a href=\"tel:+1(469)238-2858\">+1(469)238-2858</a></li><li><a href=\"tel:+1(214)497-9529\">+1(214)497-9529</a></li><li><a href=\"mailto:rogerb@example.com\">rogerb@example.com</a></li><li>12345 Main Street Orlando FL 75219 US </li></ul></td></tr></table></div>"
  },
  "identifier" : [
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "SB",
            "display" : "Social Beneficiary Identifier"
          }
        ]
      },
      "system" : "http://hl7.org/fhir/sid/us-ssn",
      "value" : "555-12-1246"
    },
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "DL",
            "display" : "Driver's License Number"
          }
        ]
      },
      "system" : "urn:oid:2.16.840.1.113883.4.3.12",
      "value" : "33487"
    }
  ],
  "active" : true,
  "name" : [
    {
      "text" : "McBee, Roger Rienman",
      "family" : "McBee",
      "given" : [
        "Roger",
        "Rienman"
      ]
    }
  ],
  "telecom" : [
    {
      "system" : "phone",
      "value" : "+1(469)238-2858",
      "use" : "home",
      "rank" : 1
    },
    {
      "system" : "phone",
      "value" : "+1(214)497-9529",
      "use" : "mobile",
      "rank" : 2
    },
    {
      "system" : "email",
      "value" : "rogerb@example.com",
      "use" : "mobile",
      "rank" : 3
    }
  ],
  "gender" : "male",
  "birthDate" : "1945-04-01",
  "address" : [
    {
      "type" : "physical",
      "line" : [
        "12345 Main Street"
      ],
      "city" : "Orlando",
      "state" : "FL",
      "postalCode" : "75219",
      "country" : "US"
    }
  ],
  "maritalStatus" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
        "code" : "NI"
      }
    ]
  }
}