This page is part of the US Core (v4.0.0: STU4) based on FHIR R4. The current version which supercedes this version is 5.0.1. For a full list of available versions, see the Directory of published versions
<Patient xmlns="http://hl7.org/fhir">
<id value="example"/>
<meta>
<extension url="http://hl7.org/fhir/StructureDefinition/instance-name">
<valueString value="Patient Example"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/instance-description">
<valueMarkdown
value="This is a patient example for the *US Core Patient Profile*."/>
</extension>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><blockquote><p><b>US Core Race Extension</b></p><p><b>value</b>: <span title="{urn:oid:2.16.840.1.113883.6.238 2106-3}">White</span></p><p><b>value</b>: <span title="{urn:oid:2.16.840.1.113883.6.238 1002-5}">American Indian or Alaska Native</span></p><p><b>value</b>: <span title="{urn:oid:2.16.840.1.113883.6.238 2028-9}">Asian</span></p><p><b>value</b>: <span title="{urn:oid:2.16.840.1.113883.6.238 1586-7}">Shoshone</span></p><p><b>value</b>: <span title="{urn:oid:2.16.840.1.113883.6.238 2036-2}">Filipino</span></p><p><b>value</b>: Mixed</p></blockquote><blockquote><p><b>US Core Ethnicity Extension</b></p><p><b>value</b>: <span title="{urn:oid:2.16.840.1.113883.6.238 2135-2}">Hispanic or Latino</span></p><p><b>value</b>: <span title="{urn:oid:2.16.840.1.113883.6.238 2184-0}">Dominican</span></p><p><b>value</b>: <span title="{urn:oid:2.16.840.1.113883.6.238 2148-5}">Mexican</span></p><p><b>value</b>: Hispanic or Latino</p></blockquote><p><b>US Core Birth Sex Extension</b>: F</p><p><b>identifier</b>: Medical Record Number: 1032702 (USUAL)</p><p><b>active</b>: true</p><p><b>name</b>: Amy V. Shaw , Amy V. Baxter </p><p><b>telecom</b>: ph: 555-555-5555(HOME), <a href="mailto:amy.shaw@example.com">amy.shaw@example.com</a></p><p><b>gender</b>: female</p><p><b>birthDate</b>: 1987-02-20</p><p><b>address</b>: </p><ul><li>49 Meadow St Mounds OK 74047 US </li><li>183 Mountain View St Mounds OK 74048 US </li></ul></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="2106-3"/>
<display value="White"/>
</valueCoding>
</extension>
<extension url="ombCategory">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="1002-5"/>
<display value="American Indian or Alaska Native"/>
</valueCoding>
</extension>
<extension url="ombCategory">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="2028-9"/>
<display value="Asian"/>
</valueCoding>
</extension>
<extension url="detailed">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="1586-7"/>
<display value="Shoshone"/>
</valueCoding>
</extension>
<extension url="detailed">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="2036-2"/>
<display value="Filipino"/>
</valueCoding>
</extension>
<extension url="text">
<valueString value="Mixed"/>
</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="detailed">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="2184-0"/>
<display value="Dominican"/>
</valueCoding>
</extension>
<extension url="detailed">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="2148-5"/>
<display value="Mexican"/>
</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>
<identifier>
<use value="usual"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MR"/>
<display value="Medical Record Number"/>
</coding>
<text value="Medical Record Number"/>
</type>
<system value="http://hospital.smarthealthit.org"/>
<value value="1032702"/>
</identifier>
<active value="true"/>
<name>
<family value="Shaw"/>
<given value="Amy"/>
<given value="V."/>
<period>
<start value="2016-12-06"/>
<end value="2020-07-22"/>
</period>
</name>
<name>
<family value="Baxter"/>
<given value="Amy"/>
<given value="V."/>
<suffix value="PharmD"/>
<period>
<start value="2020-07-22"/>
</period>
</name>
<telecom>
<system value="phone"/>
<value value="555-555-5555"/>
<use value="home"/>
</telecom>
<telecom>
<system value="email"/>
<value value="amy.shaw@example.com"/>
</telecom>
<gender value="female"/>
<birthDate value="1987-02-20"/>
<address>
<line value="49 Meadow St"/>
<city value="Mounds"/>
<state value="OK"/>
<postalCode value="74047"/>
<country value="US"/>
<period>
<start value="2016-12-06"/>
<end value="2020-07-22"/>
</period>
</address>
<address>
<line value="183 Mountain View St"/>
<city value="Mounds"/>
<state value="OK"/>
<postalCode value="74048"/>
<country value="US"/>
<period>
<start value="2020-07-22"/>
</period>
</address>
</Patient>