US Core Implementation Guide
7.0.0 - STU7 United States of America flag

US Core Implementation Guide, published by HL7 International / Cross-Group Projects. This guide is not an authorized publication; it is the continuous build for version 7.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/US-Core/ and changes regularly. See the Directory of published versions

: Patient Example - XML Representation

Page standards status: Informative

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<Patient xmlns="http://hl7.org/fhir">
  <id value="example"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|7.0.0"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;"><b>Amy V. Baxter </b> female, DoB: 1987-02-20 ( Medical Record Number/1032702 (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="Alternate names (see the one above)">Alt. Name:</td><td colspan="3">Amy V. Shaw (Old)</td></tr><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3"><ul><li>ph: 555-555-5555(HOME)</li><li><a href="mailto:amy.shaw@example.com">amy.shaw@example.com</a></li><li>49 MEADOW ST MOUNDS OK 74047 US (old)</li><li>183 MOUNTAIN VIEW ST MOUNDS OK 74048 US </li></ul></td></tr><tr><td style="background-color: #f3f5da" title="The Sex Extension is used to reflect the documentation of a person's sex. Systems choosing to record sources of information should use the [Provenance resource](basic-provenance.html#element-level-provenance).
 
USCDI includes a data element for sex, intended to support the exchange of a sex value that is not characterized as sex assigned at birth or birth sex. This Sex extension supports USCDI. Sex assigned at birth or birth sex can be recorded using the more specific [US Core Birth Sex Extension](StructureDefinition-us-core-birthsex.html).
Future versions of this extension may be informed by the content of the HL7 Cross Paradigm IG: Gender Harmony - Sex and Gender Representation, which may include additional guidance on its relationship to administrative gender ([Patient.gender](StructureDefinition-us-core-patient-definitions.html#Patient.gender))."><a href="StructureDefinition-us-core-sex.html">US Core Sex Extension:</a></td><td colspan="3"><ul><li>248152002</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="https://phinvads.cdc.gov/vads/ViewCodeSystem.action?id=2.16.840.1.113883.6.238#CDCREC-2135-2">CDC Race and Ethnicity</a> 2135-2: Hispanic or Latino</li><li>detailed: <a href="https://phinvads.cdc.gov/vads/ViewCodeSystem.action?id=2.16.840.1.113883.6.238#CDCREC-2184-0">CDC Race and Ethnicity</a> 2184-0: Dominican</li><li>detailed: <a href="https://phinvads.cdc.gov/vads/ViewCodeSystem.action?id=2.16.840.1.113883.6.238#CDCREC-2148-5">CDC Race and Ethnicity</a> 2148-5: Mexican</li><li>text: 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="StructureDefinition-us-core-birthsex.html">US Core Birth Sex Extension:</a></td><td colspan="3"><ul><li>F</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-2106-3">CDC Race and Ethnicity</a> 2106-3: White</li><li>ombCategory: <a href="https://phinvads.cdc.gov/vads/ViewCodeSystem.action?id=2.16.840.1.113883.6.238#CDCREC-1002-5">CDC Race and Ethnicity</a> 1002-5: American Indian or Alaska Native</li><li>ombCategory: <a href="https://phinvads.cdc.gov/vads/ViewCodeSystem.action?id=2.16.840.1.113883.6.238#CDCREC-2028-9">CDC Race and Ethnicity</a> 2028-9: Asian</li><li>detailed: <a href="https://phinvads.cdc.gov/vads/ViewCodeSystem.action?id=2.16.840.1.113883.6.238#CDCREC-1586-7">CDC Race and Ethnicity</a> 1586-7: Shoshone</li><li>detailed: <a href="https://phinvads.cdc.gov/vads/ViewCodeSystem.action?id=2.16.840.1.113883.6.238#CDCREC-2036-2">CDC Race and Ethnicity</a> 2036-2: Filipino</li><li>text: Mixed</li></ul></td></tr><tr><td style="background-color: #f3f5da" title="This Extension profile represents a tribe or band with which a person associates and, optionally, whether they are enrolled.">US Core Tribal Affiliation Extension:</td><td colspan="3"><ul><li>tribalAffiliation: <span title="Codes: {http://terminology.hl7.org/CodeSystem/v3-TribalEntityUS 187}">Shoshone</span></li><li>isEnrolled: false</li></ul></td></tr><tr><td style="background-color: #f3f5da" title="This extension represents an individual's sense of being a man, woman, boy, girl, nonbinary, or something else, ascertained by asking them what that identity is. Systems requiring multiple gender identities and associated dates **SHOULD** use the FHIR R5 [genderIdentity extension](http://hl7.org/fhir/extensions/StructureDefinition-individual-genderIdentity.html). When future versions of US Core are based on FHIR R5, the FHIR R5 extension will supersede this extension."><a href="StructureDefinition-us-core-genderIdentity.html">US Core Gender Identity Extension:</a></td><td colspan="3"><ul><li><span title="Codes: {http://terminology.hl7.org/CodeSystem/v3-NullFlavor UNK}">Unknown</span></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="ombCategory">
      <valueCoding>
        <system value="urn:oid:2.16.840.1.113883.6.238"/>
        <code value="1002-5"/>
        <display value="American Indian or Alaska Native"/>
      </valueCoding>
    </extension>
    <extension url="ombCategory">
      <valueCoding>
        <system value="urn:oid:2.16.840.1.113883.6.238"/>
        <code value="2028-9"/>
        <display value="Asian"/>
      </valueCoding>
    </extension>
    <extension url="detailed">
      <valueCoding>
        <system value="urn:oid:2.16.840.1.113883.6.238"/>
        <code value="1586-7"/>
        <display value="Shoshone"/>
      </valueCoding>
    </extension>
    <extension url="detailed">
      <valueCoding>
        <system value="urn:oid:2.16.840.1.113883.6.238"/>
        <code value="2036-2"/>
        <display value="Filipino"/>
      </valueCoding>
    </extension>
    <extension url="text">
      <valueString value="Mixed"/>
    </extension>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity">
    <extension url="ombCategory">
      <valueCoding>
        <system value="urn:oid:2.16.840.1.113883.6.238"/>
        <code value="2135-2"/>
        <display value="Hispanic or Latino"/>
      </valueCoding>
    </extension>
    <extension url="detailed">
      <valueCoding>
        <system value="urn:oid:2.16.840.1.113883.6.238"/>
        <code value="2184-0"/>
        <display value="Dominican"/>
      </valueCoding>
    </extension>
    <extension url="detailed">
      <valueCoding>
        <system value="urn:oid:2.16.840.1.113883.6.238"/>
        <code value="2148-5"/>
        <display value="Mexican"/>
      </valueCoding>
    </extension>
    <extension url="text">
      <valueString value="Hispanic or Latino"/>
    </extension>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-tribal-affiliation">
    <extension url="tribalAffiliation">
      <valueCodeableConcept>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/v3-TribalEntityUS"/>
          <code value="187"/>
          <display
                   value="Paiute-Shoshone Tribe of the Fallon Reservation and Colony, Nevada"/>
        </coding>
        <text value="Shoshone"/>
      </valueCodeableConcept>
    </extension>
    <extension url="isEnrolled">
      <valueBoolean value="false"/>
    </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/core/StructureDefinition/us-core-sex">
    <valueCode value="248152002"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity">
    <valueCodeableConcept>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor"/>
        <code value="UNK"/>
        <display value="Unknown"/>
      </coding>
      <text value="Unknown"/>
    </valueCodeableConcept>
  </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>
  <active value="true"/>
  <name>
    <use value="old"/>
    <family value="Shaw"/>
    <given value="Amy"/>
    <given value="V."/>
    <period>
      <start value="2016-12-06"/>
      <end value="2020-07-22"/>
    </period>
  </name>
  <name>
    <family value="Baxter"/>
    <given value="Amy"/>
    <given value="V."/>
    <suffix value="PharmD"/>
    <period>
      <start value="2020-07-22"/>
    </period>
  </name>
  <telecom>
    <system value="phone"/>
    <value value="555-555-5555"/>
    <use value="home"/>
  </telecom>
  <telecom>
    <system value="email"/>
    <value value="amy.shaw@example.com"/>
  </telecom>
  <gender value="female"/>
  <birthDate value="1987-02-20"/>
  <address>
    <use value="old"/>
    <line value="49 MEADOW ST"/>
    <city value="MOUNDS"/>
    <state value="OK"/>
    <postalCode value="74047"/>
    <country value="US"/>
    <period>
      <start value="2016-12-06"/>
      <end value="2020-07-22"/>
    </period>
  </address>
  <address>
    <line value="183 MOUNTAIN VIEW ST"/>
    <city value="MOUNDS"/>
    <state value="OK"/>
    <postalCode value="74048"/>
    <country value="US"/>
    <period>
      <start value="2020-07-22"/>
    </period>
  </address>
</Patient>