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 R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

: Patient - Mother Date Part Absent - XML Representation

Raw xml | Download



<Patient xmlns="http://hl7.org/fhir">
  <id value="patient-mother-birth-date-part-absent-common"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2021-07-23T01:31:51.537+00:00"/>
    <source value="#SgNiS77PjW6IJ7R5"/>
    <profile
             value="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-mother"/>
  </meta>
  <text>
    <status value="extensions"/>
    <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>
  </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">
    <extension
               url="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-date-part-absent-reason">
      <extension url="date-part">
        <valueCodeableConcept>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="258706009"/>
            <display value="month (qualifier value)"/>
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension url="absent-reason">
        <valueCode value="asked-unknown"/>
      </extension>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-date-part-absent-reason">
      <extension url="date-part">
        <valueCodeableConcept>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="258703001"/>
            <display value="day (qualifier value)"/>
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension url="absent-reason">
        <valueCode value="asked-unknown"/>
      </extension>
    </extension>
  </birthDate>
  <address>
    <extension
               url="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-within-city-limits-indicator">
      <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>
</Patient>