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 Jada Ann Quinn - JSON Representation

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{
  "resourceType" : "Patient",
  "id" : "patient-mother-jada-ann-quinn-common",
  "meta" : {
    "versionId" : "2",
    "lastUpdated" : "2020-11-19T04:03:48.961+00:00",
    "source" : "#BYV0Gt5jx6DxbgWZ",
    "profile" : [
      "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-mother"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n            <div class=\"hapiHeaderText\">Jada Ann \n                \n                <b>QUINN </b>\n            </div>\n            <table class=\"hapiPropertyTable\">\n                <tbody>\n                    <tr>\n                        <td>Identifier</td>\n                        <td>132225986</td>\n                    </tr>\n                    <tr>\n                        <td>Address</td>\n                        <td>\n                            <span>1875 West Morton Avenue </span>\n                            <br/>\n                            <span>Salt Lake City </span>\n                            <span>UT </span>\n                            <span>US </span>\n                        </td>\n                    </tr>\n                    <tr>\n                        <td>Date of birth</td>\n                        <td>\n                            <span>15 January 1985</span>\n                        </td>\n                    </tr>\n                </tbody>\n            </table>\n        </div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race",
      "extension" : [
        {
          "url" : "ombCategory",
          "valueCoding" : {
            "system" : "urn:oid:2.16.840.1.113883.6.238",
            "code" : "2106-3",
            "display" : "White"
          }
        },
        {
          "url" : "ombCategory",
          "valueCoding" : {
            "system" : "urn:oid:2.16.840.1.113883.6.238",
            "code" : "1002-5",
            "display" : "American Indian or Alaska Native"
          }
        },
        {
          "url" : "text",
          "valueString" : "White, American Indian or Alaska Native"
        }
      ]
    },
    {
      "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity",
      "extension" : [
        {
          "url" : "ombCategory",
          "valueCoding" : {
            "system" : "urn:oid:2.16.840.1.113883.6.238",
            "code" : "2186-5",
            "display" : "Not Hispanic or Latino"
          }
        },
        {
          "url" : "text",
          "valueString" : "Not Hispanic or Latino"
        }
      ]
    },
    {
      "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
      "valueCode" : "F"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/patient-birthPlace",
      "valueAddress" : {
        "state" : "UT"
      }
    }
  ],
  "identifier" : [
    {
      "use" : "usual",
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "SS",
            "display" : "Social Security number"
          }
        ]
      },
      "system" : "http://hl7.org/fhir/sid/us-ssn",
      "value" : "132225986"
    },
    {
      "use" : "usual",
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "MR",
            "display" : "Medical Record Number"
          }
        ]
      },
      "system" : "http://hospital.smarthealthit.org",
      "value" : "1032702"
    }
  ],
  "name" : [
    {
      "use" : "official",
      "family" : "Quinn",
      "given" : [
        "Jada",
        "Ann"
      ]
    },
    {
      "use" : "maiden",
      "family" : "King",
      "given" : [
        "Jada",
        "Ann"
      ]
    }
  ],
  "telecom" : [
    {
      "system" : "phone",
      "value" : "1-(404)555-1212",
      "use" : "home"
    },
    {
      "system" : "email",
      "value" : "jadaann.quinn@example.com"
    }
  ],
  "gender" : "female",
  "birthDate" : "1985-01-15",
  "address" : [
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-within-city-limits-indicator",
          "valueCoding" : {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0532",
            "code" : "Y",
            "display" : "Yes"
          }
        }
      ],
      "use" : "home",
      "line" : [
        "1875 West Morton Avenue"
      ],
      "city" : "Salt Lake City",
      "district" : "Salt Lake",
      "state" : "UT",
      "postalCode" : "84116",
      "country" : "US"
    },
    {
      "use" : "billing",
      "line" : [
        "1848 South 1300 East"
      ],
      "city" : "Salt Lake City",
      "state" : "UT",
      "postalCode" : "84401",
      "country" : "US"
    }
  ]
}