Vital Records Common Profiles Library
0.1.0 - STU 1 Ballot

This page is part of the Vital Records Common Profile Library (v0.1.0: STU 1 on FHIR R4 Ballot 1) based on FHIR R4. The current version which supercedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions

: Patient - Mother example [Carmen Teresa Lee] - XML Representation

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<Patient xmlns="http://hl7.org/fhir">
  <id value="patient-mother-carmen-teresa-lee-common"/>
  <meta>
    <versionId value="2"/>
    <lastUpdated value="2020-11-19T04:03:48.933+00:00"/>
    <source value="#a7FtdhNL042QPVHL"/>
    <profile
             value="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-mother"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
            <div class="hapiHeaderText">Carmen Teresa 
        
        
        
        
                
                <b>LEE </b>
            </div>
            <table class="hapiPropertyTable">
                <tbody>
                    <tr>
                        <td>Identifier</td>
                        <td>9992702</td>
                    </tr>
                    <tr>
                        <td>Address</td>
                        <td>
                            <span>3670 Miller Road </span>
                            <br/>
                            <span>Ann Arbor </span>
                            <span>MI </span>
                            <span>US </span>
                        </td>
                    </tr>
                    <tr>
                        <td>Date of birth</td>
                        <td>
                            <span>15 February 1986</span>
                        </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="2054-5"/>
        <display value="Black or African American"/>
      </valueCoding>
    </extension>
    <extension url="text">
      <valueString value="Black or African America"/>
    </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="text">
      <valueString value="Hispanic or Latino"/>
    </extension>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex">
    <valueCode value="F"/>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/patient-birthPlace">
    <valueAddress>
      <state value="PR"/>
    </valueAddress>
  </extension>
  <identifier>
    <use value="usual"/>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
        <code value="MR"/>
        <display value="Medical Record Number"/>
      </coding>
    </type>
    <system value="http://hospital.smarthealthit.org"/>
    <value value="9992702"/>
  </identifier>
  <name>
    <use value="official"/>
    <family value="Lee"/>
    <given value="Carmen"/>
    <given value="Teresa"/>
  </name>
  <name>
    <use value="maiden"/>
    <family value="Santos"/>
    <given value="Carmen"/>
    <given value="Teresa"/>
  </name>
  <gender value="female"/>
  <birthDate value="1986-02-15"/>
  <address>
    <extension
               url="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-within-city-limits-indicator">
      <valueCoding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0532"/>
        <code value="N"/>
        <display value="No"/>
      </valueCoding>
    </extension>
    <use value="home"/>
    <line value="3670 Miller Road"/>
    <city value="Ann Arbor"/>
    <state value="MI"/>
    <postalCode value="48103"/>
    <country value="US"/>
  </address>
</Patient>