Vital Records Common Profiles Library
1.0.0 - STU 1

This page is part of the Vital Records Common Profile Library (v1.0.0: STU 1 on FHIR R4) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions

: Patient - Mother Date Part Absent - JSON Representation

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{
  "resourceType" : "Patient",
  "id" : "patient-mother-birth-date-part-absent-common",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2021-07-23T01:31:51.537+00:00",
    "source" : "#SgNiS77PjW6IJ7R5",
    "profile" : [
      "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-mother"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><blockquote><p><b>US Core Race Extension</b></p><p><b>value</b>: <span title=\"{urn:oid:2.16.840.1.113883.6.238 2054-5}\">Black or African American</span></p><p><b>value</b>: Black or African America</p></blockquote><blockquote><p><b>US Core Ethnicity Extension</b></p><p><b>value</b>: <span title=\"{urn:oid:2.16.840.1.113883.6.238 2135-2}\">Hispanic or Latino</span></p><p><b>value</b>: Hispanic or Latino</p></blockquote><p><b>US Core Birth Sex Extension</b>: F</p><p><b>Birth Place</b>: PR </p><p><b>identifier</b>: Medical Record Number: 9992702 (USUAL)</p><p><b>name</b>: Carmen Teresa Lee (OFFICIAL), Carmen Teresa Santos (MAIDEN)</p><p><b>gender</b>: female</p><p><b>birthDate</b>: 1986-01-01</p><p><b>address</b>: 3670 Miller Road Ann Arbor MI 48103 US (HOME)</p></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" : "2054-5",
            "display" : "Black or African American"
          }
        },
        {
          "url" : "text",
          "valueString" : "Black or African America"
        }
      ]
    },
    {
      "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" : "2135-2",
            "display" : "Hispanic or Latino"
          }
        },
        {
          "url" : "text",
          "valueString" : "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" : "PR"
      }
    }
  ],
  "identifier" : [
    {
      "use" : "usual",
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "MR",
            "display" : "Medical Record Number"
          }
        ]
      },
      "system" : "http://hospital.smarthealthit.org",
      "value" : "9992702"
    }
  ],
  "name" : [
    {
      "use" : "official",
      "family" : "Lee",
      "given" : [
        "Carmen",
        "Teresa"
      ]
    },
    {
      "use" : "maiden",
      "family" : "Santos",
      "given" : [
        "Carmen",
        "Teresa"
      ]
    }
  ],
  "gender" : "female",
  "birthDate" : "1986",
  "_birthDate" : {
    "extension" : [
      {
        "url" : "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-date-part-absent-reason",
        "extension" : [
          {
            "url" : "date-part",
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "258706009",
                  "display" : "month (qualifier value)"
                }
              ]
            }
          },
          {
            "url" : "absent-reason",
            "valueCode" : "asked-unknown"
          }
        ]
      },
      {
        "url" : "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-date-part-absent-reason",
        "extension" : [
          {
            "url" : "date-part",
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "258703001",
                  "display" : "day (qualifier value)"
                }
              ]
            }
          },
          {
            "url" : "absent-reason",
            "valueCode" : "asked-unknown"
          }
        ]
      }
    ]
  },
  "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" : "N",
            "display" : "No"
          }
        }
      ],
      "use" : "home",
      "line" : [
        "3670 Miller Road"
      ],
      "city" : "Ann Arbor",
      "state" : "MI",
      "postalCode" : "48103",
      "country" : "US"
    }
  ]
}