Consolidated CDA (C-CDA)
3.0.0 - STU3 United States of America flag

This page is part of the CCDA: Consolidated CDA Release (v3.0.0: CCDA 3.0) generated with FHIR (HL7® FHIR® Standard) v5.0.0. 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

Example Binary: Patient Generated Document informant Example informant

This content is an example of the US Realm Header for Patient Generated Document Logical Model and is not a FHIR Resource

    
<informant xmlns="urn:hl7-org:v3">
  <assignedEntity>
    <!-- id using HL7 example OID. -->
    <id extension="999.1" root="2.16.840.1.113883.19" />
    <code code="ONESELF" displayName="Self" codeSystem="2.16.840.1.113883.5.111" codeSystemName="HL7 Role code" />
    <addr use="HP">
      <!-- HP is "primary home" from codeSystem 2.16.840.1.113883.5.1119 -->
      <streetAddressLine>2222 Home Street</streetAddressLine>
      <city>Boston</city>
      <state>MA</state>
      <postalCode>02368</postalCode>
      <!-- US is "United States" from ISO 3166-1 Country Codes: 1.0.3166.1 -->
      <country>US</country>
    </addr>
    <!-- HP is "primary home" from HL7 AddressUse 2.16.840.1.113883.5.1119 -->
    <telecom value="tel:(555)555-2004" use="HP" />
    <assignedPerson>
      <name>
        <given>Adam</given>
        <family>Everyman</family>
      </name>
    </assignedPerson>
  </assignedEntity>
</informant>