PACIO Advance Directive Interoperability Implementation Guide
2.1.0 - STU 2 United States of America flag

PACIO Advance Directive Interoperability Implementation Guide, published by HL7 International / Patient Empowerment. This guide is not an authorized publication; it is the continuous build for version 2.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-pacio-adi/ and changes regularly. See the Directory of published versions

: Example-Smith-Johnson-Patient1 - JSON Representation

Raw json | Download


{
  "resourceType" : "Patient",
  "id" : "Example-Smith-Johnson-Patient1",
  "meta" : {
    "lastUpdated" : "2021-03-29T14:25:34.001-05:00",
    "profile" : [
      🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"
    ]
  },
  "language" : "en-US",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en-US\" lang=\"en-US\"><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\"><b>Smith-Johnson, Betsy</b> female, DoB: 1950-11-15 ( <a href=\"http://terminology.hl7.org/5.4.0/NamingSystem-medicareHIC.html\" title=\"Medicare Health Insurance Claim # (HIC) is a unique identifier of a beneficiary used for Medicare entitlement and billing purposes. Medicare Numbers (HIC or HICN) are represented without any spaces or dashes.\">United States Medicare Number</a>/10A3D58WH1600)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Record is active\">Active:</td><td>true</td><td style=\"background-color: #f3f5da\" title=\"Known Marital status of Patient\">Marital Status:</td><td colspan=\"3\"><span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-NullFlavor UNK}\">unknown</span></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Other Id (see the one above)\">Other Id:</td><td colspan=\"3\">Medical Record Number/1032702\u00a0(use:\u00a0usual)</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\"><ul><li><a href=\"mailto:BetsySJ@example.com\">BetsySJ@example.com</a></li><li>111 Maple Court San Antonio TX 78212 US (home)</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Language spoken\">Language:</td><td colspan=\"3\"><span title=\"Codes: {urn:ietf:bcp:47 en}\">English</span> (preferred)</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Nominated Contact: son\">son:</td><td colspan=\"3\"><ul><li>Charles Johnson</li><li>111 Maple Ct, Grand Rapids, MI 49503</li><li>ph: (210) 222-3333</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Nominated Contact: daughter\">daughter:</td><td colspan=\"3\"><ul><li>Debra Johnson</li><li>333 W. Camden St., Baltimore, MD 21201</li><li>ph: (410) 444-5555</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:\n\n - American Indian or Alaska Native\n - Asian\n - Black or African American\n - Native Hawaiian or Other Pacific Islander\n - White.\">US Core Race Extension:</td><td colspan=\"3\"><ul><li>ombCategory: <a href=\"urn:oid:2.16.840.1.113883.6.238#CDCREC-2106-3\">CDC Race and Ethnicity</a> 2106-3: White</li><li>text: White</li></ul></td></tr></table></div>"
  },
  "extension" : [
    {
      "extension" : [
        {
          "url" : "ombCategory",
          "valueCoding" : {
            "system" : "urn:oid:2.16.840.1.113883.6.238",
            "code" : "2106-3",
            "display" : "White"
          }
        },
        {
          "url" : "text",
          "valueString" : "White"
        }
      ],
      "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
    }
  ],
  "identifier" : [
    {
      "use" : "usual",
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "MR",
            "display" : "Medical Record Number"
          }
        ],
        "text" : "Medical Record Number"
      },
      "system" : "http://hospital.smarthealthit.org",
      "value" : "1032702"
    },
    {
      "system" : "http://hl7.org/fhir/sid/us-medicare",
      "value" : "10A3D58WH1600"
    }
  ],
  "active" : true,
  "name" : [
    {
      "use" : "usual",
      "text" : "Smith-Johnson, Betsy",
      "family" : "Smith-Johnson",
      "given" : [
        "Betsy"
      ]
    }
  ],
  "telecom" : [
    {
      "system" : "email",
      "value" : "BetsySJ@example.com",
      "use" : "home"
    }
  ],
  "gender" : "female",
  "birthDate" : "1950-11-15",
  "address" : [
    {
      "use" : "home",
      "type" : "physical",
      "line" : [
        "111 Maple Court"
      ],
      "city" : "San Antonio",
      "state" : "TX",
      "postalCode" : "78212",
      "country" : "US"
    }
  ],
  "maritalStatus" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
        "code" : "UNK"
      }
    ]
  },
  "contact" : [
    {
      "relationship" : [
        {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
              "code" : "SONC"
            }
          ]
        }
      ],
      "name" : {
        "text" : "Charles Johnson"
      },
      "telecom" : [
        {
          "system" : "phone",
          "value" : "(210) 222-3333"
        }
      ],
      "address" : {
        "text" : "111 Maple Ct, Grand Rapids, MI 49503"
      }
    },
    {
      "relationship" : [
        {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
              "code" : "DAUC"
            }
          ]
        }
      ],
      "name" : {
        "text" : "Debra Johnson"
      },
      "telecom" : [
        {
          "system" : "phone",
          "value" : "(410) 444-5555"
        }
      ],
      "address" : {
        "text" : "333 W. Camden St., Baltimore, MD 21201"
      }
    }
  ],
  "communication" : [
    {
      "language" : {
        "coding" : [
          {
            "system" : "urn:ietf:bcp:47",
            "code" : "en",
            "display" : "English"
          }
        ]
      },
      "preferred" : true
    }
  ]
}