This page is part of the Vital Records Common Profile Library (v2.0.0: STU2) based on FHIR (HL7® FHIR® Standard) 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 xmlns="http://hl7.org/fhir">
<id value="patient-mother-vr-birth-date-part-absent"/>
<meta>
<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 class="res-header-id"><b>Generated Narrative: Patient patient-mother-vr-birth-date-part-absent</b></p><a name="patient-mother-vr-birth-date-part-absent"> </a><a name="hcpatient-mother-vr-birth-date-part-absent"> </a><a name="patient-mother-vr-birth-date-part-absent-en-US"> </a><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Carmen Teresa Lee (official) Female, DoB: 1986 ( 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 (Name changed for Marriage)</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="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="https://phinvads.cdc.gov/vads/ViewCodeSystem.action?id=2.16.840.1.113883.6.238#CDCREC-2135-2">CDC Race and Ethnicity</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/extensions/5.1.0/StructureDefinition-patient-birthPlace.html">Patient Birth Place</a></td><td colspan="3">PR </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">F</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="https://phinvads.cdc.gov/vads/ViewCodeSystem.action?id=2.16.840.1.113883.6.238#CDCREC-2054-5">CDC Race and Ethnicity</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"/>
<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/v2-0136"/>
<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>