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 - Jada Ann Quinn - JSON Representation

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{
  "resourceType" : "Patient",
  "id" : "patient-mother-jada-ann-quinn-common",
  "meta" : {
    "versionId" : "6",
    "lastUpdated" : "2023-06-23T05:09:45.308Z",
    "profile" : [
      "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-mother-vr"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\"><b>Jada Ann Quinn (OFFICIAL)</b> female, DoB: 1985-01-15 ( Social Security number: 132225986\u00a0(use:\u00a0USUAL))</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Other Ids (see the one above)\">Other Id:</td><td colspan=\"3\">Medical Record Number: 1032702\u00a0(use:\u00a0USUAL)</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Alternate names (see the one above)\">Alt. Name:</td><td colspan=\"3\">Jada Ann King (MAIDEN)</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Details:</td><td colspan=\"3\"><ul><li>ph: 1-(404)555-1212(HOME)</li><li><a href=\"mailto:jadaann.quinn@example.com\">jadaann.quinn@example.com</a></li><li>1875 West Morton Avenue Salt Lake City UT 84116 US (HOME)</li><li>1848 South 1300 East Salt Lake City UT 84401 US (BILLING)</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-2186-5\">Race &amp; Ethnicity - CDC</a> 2186-5: Not Hispanic or Latino</li><li>text: Not 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>UT </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:\n\n - American Indian or Alaska Native\n - Asian\n - Black or African American\n - Native Hawaiian or Other Pacific Islander\n - 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-2106-3\">Race &amp; Ethnicity - CDC</a> 2106-3: White</li><li>ombCategory: <a href=\"http://hl7.org/fhir/us/core/STU3.1.1/CodeSystem-cdcrec.html#cdcrec-1002-5\">Race &amp; Ethnicity - CDC</a> 1002-5: American Indian or Alaska Native</li><li>text: White, American Indian or Alaska Native</li></ul></td></tr></table></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-vr",
          "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"
    }
  ]
}