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
{
"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"
}
]
}