Vital Records Common Profiles Library
1.1.0 - STU 1.1 United States of America flag

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

Example Patient: Patient - Mother - Jada Ann Quinn

Jada Ann Quinn (OFFICIAL) female, DoB: 1985-01-15 ( Social Security number: 132225986 (use: USUAL))

Other Id:Medical Record Number: 1032702 (use: USUAL)
Alt. Name:Jada Ann King (MAIDEN)
Contact Details:
  • ph: 1-(404)555-1212(HOME)
  • jadaann.quinn@example.com
  • 1875 West Morton Avenue Salt Lake City UT 84116 US (HOME)
  • 1848 South 1300 East Salt Lake City UT 84401 US (BILLING)
US Core Ethnicity Extension:
Birth Place:
  • UT
US Core Birth Sex Extension:
  • F
US Core Race Extension: