This page is part of the Vital Records Birth and Fetal Death Reporting (v2.0.0-ballot: STU 2 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 1.1.0. For a full list of available versions, see the Directory of published versions
{
"resourceType" : "Patient",
"id" : "patient-mother-jada-ann-quinn-w-edit",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-mother-vr"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\"><b>Jada Ann Quinn (OFFICIAL)</b> female, DoB: 1985-01-15 ( Social Security number:\u00a0<a href=\"http://terminology.hl7.org/5.0.0/NamingSystem-ssn.html\">#</a>132225986\u00a0(use:\u00a0USUAL))</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Other Ids (see the one above)\">Other Id:</td><td colspan=\"3\">Medical Record Number:\u00a01032702\u00a0(use:\u00a0USUAL)</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Alternate names (see the one above)\">Alt. Name:</td><td colspan=\"3\">Jada Ann King (MAIDEN)</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Details:</td><td colspan=\"3\"><ul><li>ph: 1-(404)555-1212(HOME)</li><li><a href=\"mailto:jadaann.quinn@example.com\">jadaann.quinn@example.com</a></li><li>1875 West Morton Avenue Salt Lake City UT 84116 US (HOME)</li><li>1848 South 1300 East Salt Lake City UT 84401 US (BILLING)</li></ul></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=\"http://terminology.hl7.org/5.0.0/CodeSystem-CDCREC.html#CDCREC-2186-5\">CDC Race and Ethnicity</a> 2186-5: Not Hispanic or Latino</li><li>text: Not 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/R4/extension-patient-birthplace.html\">Birth Place:</a></td><td colspan=\"3\"><ul><li>UT </li></ul></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\"><ul><li>F</li></ul></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:\n\n - American Indian or Alaska Native\n - Asian\n - Black or African American\n - Native Hawaiian or Other Pacific Islander\n - White.\">US Core Race Extension:</td><td colspan=\"3\"><ul><li>ombCategory: <a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-CDCREC.html#CDCREC-1002-5\">CDC Race and Ethnicity</a> 1002-5: American Indian or Alaska Native</li><li>text: White, American Indian or Alaska Native</li></ul></td></tr></table></div>"
},
"extension" : [
{
"extension" : [
{
"url" : "ombCategory",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "1002-5",
"display" : "American Indian or Alaska Native"
}
},
{
"url" : "text",
"valueString" : "White, American Indian or Alaska Native"
}
],
"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" : "2186-5",
"display" : "Not Hispanic or Latino"
}
},
{
"url" : "text",
"valueString" : "Not Hispanic or Latino"
}
],
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
},
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
"valueCode" : "F"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/patient-birthPlace",
"valueAddress" : {
"state" : "UT"
}
}
],
"identifier" : [
{
"use" : "usual",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "SS",
"display" : "Social Security number"
}
]
},
"system" : "http://hl7.org/fhir/sid/us-ssn",
"value" : "132225986"
},
{
"use" : "usual",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "MR",
"display" : "Medical Record Number"
}
]
},
"system" : "http://hospital.smarthealthit.org",
"value" : "1032702"
}
],
"name" : [
{
"use" : "official",
"family" : "Quinn",
"given" : [
"Jada",
"Ann"
]
},
{
"use" : "maiden",
"family" : "King",
"given" : [
"Jada",
"Ann"
]
}
],
"telecom" : [
{
"system" : "phone",
"value" : "1-(404)555-1212",
"use" : "home"
},
{
"system" : "email",
"value" : "jadaann.quinn@example.com"
}
],
"gender" : "female",
"birthDate" : "1985-01-15",
"_birthDate" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/BypassEditFlag",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-vr-edit-flags",
"code" : "editBypass0",
"display" : "Edit Passed"
}
]
}
}
]
},
"address" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-within-city-limits-indicator-vr",
"valueCoding" : {
"system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
"code" : "Y",
"display" : "Yes"
}
}
],
"use" : "home",
"line" : [
"1875 West Morton Avenue"
],
"city" : "Salt Lake City",
"district" : "Salt Lake",
"state" : "UT",
"postalCode" : "84116",
"country" : "US"
},
{
"use" : "billing",
"line" : [
"1848 South 1300 East"
],
"city" : "Salt Lake City",
"state" : "UT",
"postalCode" : "84401",
"country" : "US"
}
]
}
IG © 2023+ HL7 International / Public Health. Package hl7.fhir.us.bfdr#2.0.0-ballot based on FHIR 4.0.1. Generated 2023-12-18
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