This page is part of the Quality Improvement Core Framework (v2.1.0: STU 3 Ballot 1) based on FHIR R3. The current version which supercedes this version is 4.1.1. For a full list of available versions, see the Directory of published versions

Example: Patient-qicore-patient-example

Formats: XML, JSON, Turtle

<Patient xmlns="http://hl7.org/fhir">
  <id value="qicore-patient-example"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <table>
        <tbody>
          <tr>
            <td> Name</td>
            <td> Peter James
              <strong> Chalmers</strong>  (&quot;Jim&quot;)
            </td>
          </tr>
          <tr>
            <td> Address</td>
            <td> 534 Erewhon, Pleasantville, Vic, 3999</td>
          </tr>
          <tr>
            <td> Contacts</td>
            <td> Home: unknown. Work: (03) 5555 6473</td>
          </tr>
          <tr>
            <td> Id</td>
            <td> MRN: 12345 (Acme Healthcare)</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="ombCategory">
      <valueCoding>
        <system value="urn:oid:2.16.840.1.113883.6.238"/>
        <code value="1002-5"/>
        <display value="American Indian or Alaska Native"/>
      </valueCoding>
    </extension>
    <extension url="ombCategory">
      <valueCoding>
        <system value="urn:oid:2.16.840.1.113883.6.238"/>
        <code value="2028-9"/>
        <display value="Asian"/>
      </valueCoding>
    </extension>
    <extension url="detailed">
      <valueCoding>
        <system value="urn:oid:2.16.840.1.113883.6.238"/>
        <code value="1586-7"/>
        <display value="Shoshone"/>
      </valueCoding>
    </extension>
    <extension url="detailed">
      <valueCoding>
        <system value="urn:oid:2.16.840.1.113883.6.238"/>
        <code value="2036-2"/>
        <display value="Filipino"/>
      </valueCoding>
    </extension>
    <extension url="text">
      <valueString value="Mixed"/>
    </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="2135-2"/>
        <display value="Hispanic or Latino"/>
      </valueCoding>
    </extension>
    <extension url="detailed">
      <valueCoding>
        <system value="urn:oid:2.16.840.1.113883.6.238"/>
        <code value="2184-0"/>
        <display value="Dominican"/>
      </valueCoding>
    </extension>
    <extension url="detailed">
      <valueCoding>
        <system value="urn:oid:2.16.840.1.113883.6.238"/>
        <code value="2148-5"/>
        <display value="Mexican"/>
      </valueCoding>
    </extension>
    <extension url="text">
      <valueString value="Hispanic or Latino"/>
    </extension>
  </extension>
<!--     MRN assigned by ACME healthcare on 6-May 2001     -->
  <identifier>
    <use value="usual"/>
    <type>
      <coding>
        <system value="http://hl7.org/fhir/v2/0203"/>
        <code value="MR"/>
      </coding>
    </type>
    <system value="urn:oid:1.2.36.146.595.217.0.1"/>
    <value value="12345"/>
    <period>
      <start value="2001-05-06"/>
    </period>
    <assigner>
      <display value="Acme Healthcare"/>
    </assigner>
  </identifier>
  <active value="true"/>
<!--     Peter James Chalmers, but called "Jim"     -->
  <name>
    <use value="official"/>
    <family value="Chalmers"/>
    <given value="Peter"/>
    <given value="James"/>
  </name>
  <name>
    <use value="usual"/>
    <given value="Jim"/>
  </name>
  <name>
  <!--    Maiden names apply for anyone whose name changes as a result of marriage - irrespective
     of gender    -->
    <use value="maiden"/>
    <family value="Windsor"/>
    <given value="Peter"/>
    <given value="James"/>
    <period>
      <end value="2002"/>
    </period>
  </name>
<!--     home communication details aren't known     -->
  <telecom>
    <use value="home"/>
  </telecom>
  <telecom>
    <system value="phone"/>
    <value value="(03) 5555 6473"/>
    <use value="work"/>
    <rank value="1"/>
  </telecom>
  <telecom>
    <system value="phone"/>
    <value value="(03) 3410 5613"/>
    <use value="mobile"/>
    <rank value="2"/>
  </telecom>
  <telecom>
    <system value="phone"/>
    <value value="(03) 5555 8834"/>
    <use value="old"/>
    <period>
      <end value="2014"/>
    </period>
  </telecom>
<!--     use FHIR code system for male / female     -->
  <gender value="male"/>
  <birthDate value="1974-12-25">
    <extension url="http://hl7.org/fhir/StructureDefinition/patient-birthTime">
      <valueDateTime value="1974-12-25T14:35:45-05:00"/>
    </extension>
  </birthDate>
  <deceasedBoolean value="false"/>
  <address>
    <use value="home"/>
    <type value="both"/>
    <text value="534 Erewhon St PeasantVille, Rainbow, Vic  3999"/>
    <line value="534 Erewhon St"/>
    <city value="PleasantVille"/>
    <district value="Rainbow"/>
    <state value="Vic"/>
    <postalCode value="3999"/>
    <period>
      <start value="1974-12-25"/>
    </period>
  </address>
  <contact>
    <relationship>
      <coding>
        <system value="http://hl7.org/fhir/v2/0131"/>
        <code value="N"/>
      </coding>
    </relationship>
    <name>
      <family value="du Marché">
      <!--     the "du" part is a family name prefix (VV in iso 21090)     -->
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/humanname-own-prefix">
          <valueString value="VV"/>
        </extension>
      </family>
      <given value="Bénédicte"/>
    </name>
    <telecom>
      <system value="phone"/>
      <value value="+33 (237) 998327"/>
    </telecom>
    <address>
      <use value="home"/>
      <type value="both"/>
      <line value="534 Erewhon St"/>
      <city value="PleasantVille"/>
      <district value="Rainbow"/>
      <state value="Vic"/>
      <postalCode value="3999"/>
      <period>
        <start value="1974-12-25"/>
      </period>
    </address>
    <gender value="female"/>
    <period>
    <!--     The contact relationship started in 2012     -->
      <start value="2012"/>
    </period>
  </contact>
  <communication>
    <language>
      <coding>
        <system value="urn:ietf:bcp:47"/>
        <code value="fr"/>
        <display value="French"/>
      </coding>
    </language>
  </communication>
  <managingOrganization>
    <reference value="Organization/qicore-organization-example"/>
  </managingOrganization>
</Patient>