HL7 FHIR® Implementation Guide: Electronic Case Reporting (eCR) - US Realm
2.0.0 - STU 2

This page is part of the electronic Case Reporting (eCR) (v2.0.0: STU 2 on FHIR R4) based on FHIR R4. The current version which supercedes this version is 2.1.0. For a full list of available versions, see the Directory of published versions

: US PH Patient Example: Eve Everywoman - XML Representation

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<Patient xmlns="http://hl7.org/fhir">
  <id value="patient-ecr-eve-everywoman"/>
  <meta>
    <versionId value="10"/>
    <lastUpdated value="2021-08-17T08:00:32.356+00:00"/>
    <source value="#zjFlzHDvZIYVyMAB"/>
    <profile
             value="http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-patient"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
            <div class="hapiHeaderText">Eve L 
                <b>EVERYWOMAN </b>
            </div>
            <table class="hapiPropertyTable">
                <tbody>
                    <tr>
                        <td>Identifier</td>
                        <td>1032702</td>
                    </tr>
                    <tr>
                        <td>Address</td>
                        <td>
                            <span>5101 Peachtree St NE </span>
                            <br/>
                            <span>Atlanta </span>
                            <span>GA </span>
                            <span>US </span>
                        </td>
                    </tr>
                    <tr>
                        <td>Date of birth</td>
                        <td>
                            <span>24 November 1974</span>
                        </td>
                    </tr>
                </tbody>
            </table>
        </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="text">
      <valueString value="White"/>
    </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="2186-5"/>
        <display value="Not Hispanic or Latino"/>
      </valueCoding>
    </extension>
    <extension url="text">
      <valueString value="Not Hispanic or Latino"/>
    </extension>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex">
    <valueCode value="F"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/patient-genderIdentity">
    <valueCodeableConcept>
      <coding>
        <system value="http://hl7.org/fhir/gender-identity"/>
        <code value="female"/>
        <display value="female"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-tribal-affiliation-extension">
    <extension url="TribeName">
      <valueCoding>
        <system value="http://terminology.hl7.org/CodeSystem/v3-TribalEntityUS"/>
        <code value="91"/>
        <display value="Fort Mojave Indian Tribe of Arizona, California"/>
      </valueCoding>
    </extension>
    <extension url="EnrolledTribeMember">
      <valueBoolean value="true"/>
    </extension>
  </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>
    </type>
    <system value="http://hospital.smarthealthit.org"/>
    <value value="1032702"/>
  </identifier>
  <active value="true"/>
  <name>
    <family value="Everywoman"/>
    <given value="Eve"/>
    <given value="L"/>
  </name>
  <telecom>
    <system value="phone"/>
    <value value="1-(404)555-1212"/>
    <use value="home"/>
  </telecom>
  <telecom>
    <system value="email"/>
    <value value="eve.everywoman@example.com"/>
  </telecom>
  <gender value="female"/>
  <birthDate value="1974-11-24"/>
  <address>
    <line value="5101 Peachtree St NE"/>
    <city value="Atlanta"/>
    <state value="GA"/>
    <postalCode value="30302"/>
    <country value="US"/>
  </address>
</Patient>