At-Home In-Vitro Test Report
1.1.0 - STU 1.1 United States of America flag

This page is part of the At-Home In-Vitro Test Report (v1.1.0: STU 1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

: Patient - At-Home In-Vitro Test - Stacy Trevor - XML Representation

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<Patient xmlns="http://hl7.org/fhir">
  <id value="patient-at-home-in-vitro-test-stacy-trevor"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/home-lab-report/StructureDefinition/Patient-at-home-in-vitro-test"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Patient patient-at-home-in-vitro-test-stacy-trevor</b></p><a name="patient-at-home-in-vitro-test-stacy-trevor"> </a><a name="hcpatient-at-home-in-vitro-test-stacy-trevor"> </a><a name="patient-at-home-in-vitro-test-stacy-trevor-en-US"> </a><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Stacy Trevor  Female, DoB: 1988-01-21 ( Medical Record Number: P21-0000105078 (use: usual, ))</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Record is active">Active:</td><td colspan="3">true</td></tr><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3"><ul><li>ph: 947-226-0356(Home)</li><li>11 Norman Drive Palatine IL 60067 US </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/6.0.2/CodeSystem-v3-NullFlavor.html#v3-NullFlavor-UNK">NullFlavor</a> UNK: Unknown</li><li>text: Unknown</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#3) 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:

 - American Indian or Alaska Native
 - Asian
 - Black or African American
 - Native Hawaiian or Other Pacific Islander
 - White.">US Core Race Extension:</td><td colspan="3"><ul><li>ombCategory: <a href="https://phinvads.cdc.gov/vads/ViewCodeSystem.action?id=2.16.840.1.113883.6.238#CDCREC-2054-5">CDC Race and Ethnicity</a> 2054-5: Black or African American</li><li>text: Black or African American</li></ul></td></tr></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="2054-5"/>
        <display value="Black or African American"/>
      </valueCoding>
    </extension>
    <extension url="text">
      <valueString value="Black or African American"/>
    </extension>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity">
    <extension url="ombCategory">
      <valueCoding>
        <system value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor"/>
        <code value="UNK"/>
        <display value="Unknown"/>
      </valueCoding>
    </extension>
    <extension url="text">
      <valueString value="Unknown"/>
    </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>
      <text value="Medical Record Number"/>
    </type>
    <system value="http://hospital.reliableorg.org"/>
    <value value="P21-0000105078"/>
  </identifier>
  <active value="true"/>
  <name>
    <family value="Trevor"/>
    <given value="Stacy"/>
  </name>
  <telecom>
    <system value="phone"/>
    <value value="947-226-0356"/>
    <use value="home"/>
  </telecom>
  <gender value="female"/>
  <birthDate value="1988-01-21"/>
  <address>
    <line value="11 Norman Drive"/>
    <city value="Palatine"/>
    <district value="Cook"/>
    <state value="IL"/>
    <postalCode value="60067"/>
    <country value="US"/>
  </address>
</Patient>