Central Cancer Registry Reporting Content IG
2.0.0-ballot - STU 2 -Ballot United States of America flag

Central Cancer Registry Reporting Content IG, published by HL7 International / Public Health. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-central-cancer-registry-reporting-ig/ and changes regularly. See the Directory of published versions

: Central Cancer Registry Reporting 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/central-cancer-registry-reporting/StructureDefinition/central-cancer-registry-reporting-patient"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
  <p><b>Profile:</b> <a href="StructureDefinition-central-cancer-registry-reporting-patient.html">Central Cancer Registry Reporting Patient</a></p>
  <p><b>Patient:</b> Amy V. Baxter (formerly Amy V. Shaw)</p>
    <p><b>Identifiers:</b></p>
  <ul>
    <li>Medical Record Number: 1032702 (system: http://CancerOrg.smarthealthit.org)</li>
    <li>Social Security Number: 11-222-3333</li>
  </ul>
  <p><b>Active:</b> true</p>
  <p><b>Gender:</b> female</p>
  <p><b>Birth Date:</b> 1987-02-20</p>
  <p><b>Marital Status:</b> Never Married</p>
  <p><b>Race:</b> White, American Indian or Alaska Native (Shoshone), Asian (Filipino)</p>
  <p><b>Ethnicity:</b> Hispanic or Latino (Mexican, Dominican)</p>
  <p><b>Birthplace:</b> Georgia, US</p>
  <p><b>Addresses:</b></p>
  <ul>
    <li>49 Meadow St, Mounds, OK 74047, US (2016-12-06 to 2020-07-22)</li>
    <li>183 Mountain View St, Mounds, OK 74048, US (2020-07-22 to present)</li>
  </ul>
  <p><b>Telecom:</b></p>
  <ul>
    <li>Phone: 555-555-5555 (home)</li>
    <li>Email: amy.shaw@example.com</li>
  </ul>
  <p><b>Languages:</b> English</p>
  <p><b>Managing Organization:</b> Cancer Organization (Organization/example-cancer-org)</p>
</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/StructureDefinition/patient-birthPlace">
    <extension
               url="http://hl7.org/fhir/StructureDefinition/patient-birthPlace">
      <valueAddress>
        <state value="GA"/>
        <country value="US"/>
      </valueAddress>
    </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://CancerOrg.smarthealthit.org"/>
    <value value="1032702"/>
  </identifier>
  <identifier>
    <use value="usual"/>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
        <code value="SS"/>
        <display value="Social Security Number"/>
      </coding>
      <text value="Social Security Number"/>
    </type>
    <system value="http://hl7.org/fhir/sid/us-ssn"/>
    <value value="11-222-3333"/>
  </identifier>
  <active value="true"/>
  <name>
    <use value="maiden"/>
    <family value="Shaw"/>
    <given value="Amy"/>
    <given value="V."/>
    <period>
      <start value="1987-02-20"/>
      <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"/>
  <deceasedBoolean value="false"/>
  <address>
    <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>
  <maritalStatus>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/v3-MaritalStatus"/>
      <code value="S"/>
      <display value="Never Married"/>
    </coding>
  </maritalStatus>
  <communication>
    <language>
      <coding>
        <system value="urn:ietf:bcp:47"/>
        <code value="en"/>
        <display value="English"/>
      </coding>
    </language>
  </communication>
  <managingOrganization>🔗 
    <reference value="Organization/example-cancer-org"/>
    <display value="Cancer Organization"/>
  </managingOrganization>
</Patient>