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 - XML Representation

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<Patient xmlns="http://hl7.org/fhir">
  <id value="Example-Smith-Johnson-Patient1"/>
  <meta>
    <lastUpdated value="2021-03-29T14:25:34.001-05:00"/>
    <profile
             value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"/>
  </meta>
  <language value="en-US"/>
  <text>
    <status value="generated"/>
    <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 (use: usual)</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:

 - 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="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>
  </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>
  <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>
  <identifier>
    <system value="http://hl7.org/fhir/sid/us-medicare"/>
    <value value="10A3D58WH1600"/>
  </identifier>
  <active value="true"/>
  <name>
    <use value="usual"/>
    <text value="Smith-Johnson, Betsy"/>
    <family value="Smith-Johnson"/>
    <given value="Betsy"/>
  </name>
  <telecom>
    <system value="email"/>
    <value value="BetsySJ@example.com"/>
    <use value="home"/>
  </telecom>
  <gender value="female"/>
  <birthDate value="1950-11-15"/>
  <address>
    <use value="home"/>
    <type value="physical"/>
    <line value="111 Maple Court"/>
    <city value="San Antonio"/>
    <state value="TX"/>
    <postalCode value="78212"/>
    <country value="US"/>
  </address>
  <maritalStatus>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor"/>
      <code value="UNK"/>
    </coding>
  </maritalStatus>
  <contact>
    <relationship>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
        <code value="SONC"/>
      </coding>
    </relationship>
    <name>
      <text value="Charles Johnson"/>
    </name>
    <telecom>
      <system value="phone"/>
      <value value="(210) 222-3333"/>
    </telecom>
    <address>
      <text value="111 Maple Ct, Grand Rapids, MI 49503"/>
    </address>
  </contact>
  <contact>
    <relationship>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
        <code value="DAUC"/>
      </coding>
    </relationship>
    <name>
      <text value="Debra Johnson"/>
    </name>
    <telecom>
      <system value="phone"/>
      <value value="(410) 444-5555"/>
    </telecom>
    <address>
      <text value="333 W. Camden St., Baltimore, MD 21201"/>
    </address>
  </contact>
  <communication>
    <language>
      <coding>
        <system value="urn:ietf:bcp:47"/>
        <code value="en"/>
        <display value="English"/>
      </coding>
    </language>
    <preferred value="true"/>
  </communication>
</Patient>