Vital Records Common Profiles Library
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This page is part of the Vital Records Common Profile Library (v1.1.0: STU 1) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

: Patient - Mother - 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="8"/>
    <lastUpdated value="2023-07-07T02:42:21.953Z"/>
    <profile
             value="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-mother-vr"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;"><b>Carmen Teresa Lee (OFFICIAL)</b> female, DoB: 1986-02-15 ( Medical Record Number: 9992702 (use: USUAL))</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Alternate names (see the one above)">Alt. Name:</td><td colspan="3">Carmen Teresa Santos (MAIDEN)</td></tr><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail:</td><td colspan="3">3670 Miller Road Ann Arbor MI 48103 US (HOME)</td></tr><tr><td style="background-color: #f3f5da" title="Patient Links">Links:</td><td colspan="3"><ul><li>Also see: <a href="RelatedPerson-relatedperson-mother-gestational-carmen-teresa-lee-common.html">RelatedPerson/relatedperson-mother-gestational-carmen-teresa-lee-common</a> &quot; LEE&quot;</li></ul></td></tr><tr><td style="background-color: #f3f5da" title="Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality.  The ethnicity codes used to represent these concepts are based upon the [CDC ethnicity and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 43 reference ethnicity.  The ethnicity concepts are grouped by and pre-mapped to the 2 OMB ethnicity categories: - Hispanic or Latino - Not Hispanic or Latino.">US Core Ethnicity Extension:</td><td colspan="3"><ul><li>ombCategory: <a href="http://hl7.org/fhir/us/core/STU3.1.1/CodeSystem-cdcrec.html#cdcrec-2135-2">Race &amp; Ethnicity - CDC</a> 2135-2: Hispanic or Latino</li><li>text: Hispanic or Latino</li></ul></td></tr><tr><td style="background-color: #f3f5da" title="The registered place of birth of the patient. A sytem may use the address.text if they don't store the birthPlace address in discrete elements."><a href="http://hl7.org/fhir/R4/extension-patient-birthplace.html">Birth Place:</a></td><td colspan="3"><ul><li>PR </li></ul></td></tr><tr><td style="background-color: #f3f5da" title="A code classifying the person's sex assigned at birth  as specified by the [Office of the National Coordinator for Health IT (ONC)](https://www.healthit.gov/newsroom/about-onc). This extension aligns with the C-CDA Birth Sex Observation (LOINC 76689-9)."><a href="http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-birthsex.html">US Core Birth Sex Extension:</a></td><td colspan="3"><ul><li>F</li></ul></td></tr><tr><td style="background-color: #f3f5da" title="Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality.  The race codes used to represent these concepts are based upon the [CDC Race and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 921 reference race.  The race concepts are grouped by and pre-mapped to the 5 OMB race categories:

 - American Indian or Alaska Native
 - Asian
 - Black or African American
 - Native Hawaiian or Other Pacific Islander
 - White.">US Core Race Extension:</td><td colspan="3"><ul><li>ombCategory: <a href="http://hl7.org/fhir/us/core/STU3.1.1/CodeSystem-cdcrec.html#cdcrec-2054-5">Race &amp; Ethnicity - CDC</a> 2054-5: Black or African American</li><li>text: Black or African America</li></ul></td></tr></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-vr">
      <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>
  <link>
    <other>
      <reference
                 value="RelatedPerson/relatedperson-mother-gestational-carmen-teresa-lee-common"/>
    </other>
    <type value="seealso"/>
  </link>
</Patient>