Vital Records Common Library (VRCL) STU2-ballot
2.0.0-ballot - ballot United States of America flag

This page is part of the Vital Records Common Profile Library (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

Example Patient: Patient - Mother example [Jada Ann Quinn]

Jada Ann Quinn (OFFICIAL) female, DoB: 1985-01-15 ( Social Security number: #132225986 (use: USUAL))


Other Id:Medical Record Number: 1032702 (use: USUAL)
Alt. Name:Jada Ann King (MAIDEN)
Contact Details:
  • ph: 1-(404)555-1212(HOME)
  • jadaann.quinn@example.com
  • 1875 West Morton Avenue Salt Lake City UT 84116 US (HOME)
  • 1848 South 1300 East Salt Lake City UT 84401 US (BILLING)
US Core Ethnicity Extension:
Birth Place:
  • UT
US Core Birth Sex Extension:
  • F
US Core Race Extension:
  • ombCategory: CDC Race and Ethnicity 1002-5: American Indian or Alaska Native
  • text: White, American Indian or Alaska Native