C-CDA on FHIR
1.2.0-ballot - CI Build United States of America flag

This page is part of the C-CDA on FHIR Implementation Guide (v1.2.0-ballot: STU 1 Ballot 4) based on FHIR R4. The current version which supercedes this version is 1.1.0. For a full list of available versions, see the Directory of published versions

Binary: CF-patient

    
<recordTarget>
  <patientRole>
    <id extension="160920144139807" root="1.3.6.1.4.1.22812.3.2009316.3" />
    <addr use="H">
      <streetAddressLine>1357 Amber Drive</streetAddressLine>
      <city>Beaverton</city>
      <state>OR</state>
      <postalCode>97006</postalCode>
    </addr>
    <telecom nullFlavor="NI" />
    <patient>
      <name use="L">
        <family>Jones</family>
        <given>Myra</given>
      </name>
      <administrativeGenderCode code="F" codeSystem="2.16.840.1.113883.5.1" />
      <birthTime value="19470501" />
      <raceCode code="2106-3" codeSystem="2.16.840.1.113883.6.238" displayName="White" />
      <ethnicGroupCode code="2135-2" codeSystem="2.16.840.1.113883.6.238" displayName="Hispanic or Latino" />
      <languageCommunication>
        <languageCode code="en" />
        <preferenceInd value="true" />
      </languageCommunication>
    </patient>
    <providerOrganization>
      <id extension="3" root="1.3.6.1.4.1.22812.3.2009316.3" />
      <name>Primary Care's Partners Test</name>
      <telecom use="WP" value="tel:+1-(676)857-6769" />
      <addr use="H">
        <streetAddressLine>123 main street</streetAddressLine>
        <city>Chicago</city>
        <state>IL</state>
        <postalCode>60629</postalCode>
      </addr>
    </providerOrganization>
  </patientRole>
</recordTarget>