QI-Core Implementation Guide
5.0.0-ballot - STU Ballot
US
This page is part of the Quality Improvement Core Framework (v5.0.0-ballot: STU 5 Ballot 1) based on FHIR R4. The current version which supercedes this version is 4.1.1. For a full list of available versions, see the Directory of published versions
<Patient xmlns="http://hl7.org/fhir">
<id value="example"/>
<meta>
<profile
value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Jim Chalmers </b> male, DoB: 1974-12-25 ( Medical record number: 12345 (USUAL))</p></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://terminology.hl7.org/CodeSystem/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"/>
<family value="Chalmers"/>
<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, Utah 84414"/>
<line value="534 Erewhon St"/>
<city value="PleasantVille"/>
<district value="Rainbow"/>
<state value="UT"/>
<postalCode value="84414"/>
<period>
<start value="1974-12-25"/>
</period>
</address>
<contact>
<relationship>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/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="VT"/>
<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/example"/>
</managingOrganization>
</Patient>