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 RelEnt Example

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">
  <relatedEntity classCode="PRS">
    <!-- relatedEntity cannot have an <id>
    <id extension="999.17" root="2.16.840.1.113883.19" /> -->
    <code code="SIS" displayName="Sister" codeSystem="2.16.840.1.113883.5.111" codeSystemName="Personal And Legal Relationship Role Type" />
    <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" />
    <relatedPerson>
      <name>
        <given>Alice</given>
        <family>Everyman</family>
      </name>
    </relatedPerson>
  </relatedEntity>
</informant>