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 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

: Example-McBee-Patient1 - XML Representation

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<Patient xmlns="http://hl7.org/fhir">
  <id value="Example-McBee-Patient1"/>
  <meta>
    <lastUpdated value="2021-04-07T19:55:22+00:00"/>
    <profile
             value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"/>
  </meta>
  <language value="en-US"/>
  <text>
    <status value="generated"/>
    <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: <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: <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>
  </text>
  <identifier>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
        <code value="SB"/>
        <display value="Social Beneficiary Identifier"/>
      </coding>
    </type>
    <system value="http://hl7.org/fhir/sid/us-ssn"/>
    <value value="555-12-1246"/>
  </identifier>
  <identifier>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
        <code value="DL"/>
        <display value="Driver's License Number"/>
      </coding>
    </type>
    <system value="urn:oid:2.16.840.1.113883.4.3.12"/>
    <value value="33487"/>
  </identifier>
  <active value="true"/>
  <name>
    <text value="McBee, Roger Rienman"/>
    <family value="McBee"/>
    <given value="Roger"/>
    <given value="Rienman"/>
  </name>
  <telecom>
    <system value="phone"/>
    <value value="+1(469)238-2858"/>
    <use value="home"/>
    <rank value="1"/>
  </telecom>
  <telecom>
    <system value="phone"/>
    <value value="+1(214)497-9529"/>
    <use value="mobile"/>
    <rank value="2"/>
  </telecom>
  <telecom>
    <system value="email"/>
    <value value="rogerb@example.com"/>
    <use value="mobile"/>
    <rank value="3"/>
  </telecom>
  <gender value="male"/>
  <birthDate value="1945-04-01"/>
  <address>
    <type value="physical"/>
    <line value="12345 Main Street"/>
    <city value="Orlando"/>
    <state value="FL"/>
    <postalCode value="75219"/>
    <country value="US"/>
  </address>
  <maritalStatus>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor"/>
      <code value="NI"/>
    </coding>
  </maritalStatus>
</Patient>