<?xml version="1.0" encoding="UTF-8"?>

<Patient xmlns="http://hl7.org/fhir">
  <id value="BHAClientExampleSouth"/>
  <meta>
    <lastUpdated value="2025-05-10T08:00:00Z"/>
    <profile value="http://bha.colorado.gov/fhir/bha-ig/StructureDefinition/bha-client"/>
  </meta>
  <language value="en"/>
  <text>
    <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Patient BHAClientExampleSouth</b></p><a name="BHAClientExampleSouth"> </a><a name="hcBHAClientExampleSouth"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Last updated: 2025-05-10 08:00:00+0000</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-bha-client.html">BHA Client Profile</a></p></div><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Gabriela Mar Torres (official) Female, DoB: 1991-12-05 ( Social Security number)</p><hr/><table class="grid"><tr><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-MaritalStatus D}">Divorced</span></td></tr><tr><td style="background-color: #f3f5da" title="Other Id (see the one above)">Other Id:</td><td colspan="3">State Identifier/1234567894</td></tr><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3">1720 West 7th St Pueblo CO 81003 (home)</td></tr><tr><td style="background-color: #f3f5da" title="Language spoken">Language:</td><td colspan="3"><span title="Codes:{urn:ietf:bcp:47 es}">Spanish</span> (preferred)</td></tr><tr><td style="background-color: #f3f5da" title="us-veteran-status is a boolean extension used to specify whether a patient was confirmed or verified to have Veteran status. Veteran status is not limited to Combat Status but reflects the status of yes/no they had indeed served in a military organization"><a href="http://hl7.org/fhir/us/military-service/STU1/StructureDefinition-military-service-veteran-status.html">us-veteran-status</a></td><td colspan="3">false</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>text: Hispanic or Latino</li><li>ombCategory: <a href="http://hl7.org/fhir/us/core/STU3.1.1/CodeSystem-cdcrec.html#cdcrec-2135-2">Race &amp; Ethnicity - CDC: 2135-2</a> (Hispanic or Latino)</li></ul></td></tr><tr><td style="background-color: #f3f5da" title="A code classifying the person's sex assigned at birth  as specified by the [Office of the National Coordinator for Health IT (ONC)](https://www.healthit.gov/newsroom/about-onc). This extension aligns with the C-CDA Birth Sex Observation (LOINC 76689-9). After version 6.0.0, this extension is no longer a *USCDI Requirement*."><a href="http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-birthsex.html">US Core Birth Sex Extension</a></td><td colspan="3">F</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>text: Black or African American</li><li>ombCategory: <a href="http://hl7.org/fhir/us/core/STU3.1.1/CodeSystem-cdcrec.html#cdcrec-2054-5">Race &amp; Ethnicity - CDC: 2054-5</a> (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="text">
      <valueString value="Black or African American"/>
    </extension>
    <extension url="ombCategory">
      <valueCoding>
        <system value="urn:oid:2.16.840.1.113883.6.238"/>
        <code value="2054-5"/>
      </valueCoding>
    </extension>
  </extension>
  <extension url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity">
    <extension url="text">
      <valueString value="Hispanic or Latino"/>
    </extension>
    <extension url="ombCategory">
      <valueCoding>
        <system value="urn:oid:2.16.840.1.113883.6.238"/>
        <code value="2135-2"/>
      </valueCoding>
    </extension>
  </extension>
  <extension url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex">
    <valueCode value="F"/>
  </extension>
  <extension url="http://hl7.org/fhir/us/military-service/StructureDefinition/military-service-veteran-status">
    <valueBoolean value="false"/>
  </extension>
  <identifier>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
        <code value="SS"/>
      </coding>
    </type>
    <system value="http://hl7.org/fhir/sid/us-ssn"/>
    <value value="444-44-4444"/>
  </identifier>
  <identifier>
    <type>
      <coding>
        <system value="http://bha.colorado.gov/fhir/bha-ig/CodeSystem/bha-client-identifier-type-cs"/>
        <code value="STATE_IDENTIFIER"/>
      </coding>
    </type>
    <system value="urn:oid:2.16.840.1.113883.4.3.8"/>
    <value value="1234567894"/>
  </identifier>
  <name>
    <use value="official"/>
    <family value="Torres"/>
    <given value="Gabriela"/>
    <given value="Mar"/>
  </name>
  <gender value="female"/>
  <birthDate value="1991-12-05"/>
  <address>
    <use value="home"/>
    <line value="1720 West 7th St"/>
    <city value="Pueblo"/>
    <district value="52"/>
    <state value="CO"/>
    <postalCode value="81003"/>
    <period>
      <start value="2021-11-01"/>
    </period>
  </address>
  <maritalStatus>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/v3-MaritalStatus"/>
      <code value="D"/>
    </coding>
  </maritalStatus>
  <communication>
    <language>
      <coding>
        <system value="urn:ietf:bcp:47"/>
        <code value="es"/>
        <display value="Spanish"/>
      </coding>
      <text value="Spanish"/>
    </language>
    <preferred value="true"/>
  </communication>
</Patient>