PACIO Advance Healthcare Directive Interoperability Implementation Guide
2.0.0-ballot - STU 2 – Ballot United States of America flag

PACIO Advance Healthcare Directive Interoperability Implementation Guide, published by HL7 International / Patient Empowerment. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-pacio-adi/ and changes regularly. See the Directory of published versions

: Example-Smith-Johnson-Patient1

Page standards status: Informative

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{
  "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",
  "text" : {
    "status" : "generated"
  },
  "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://example.org/GoodHealthHospital",
      "value" : "1032702"
    },
    {
      "system" : "http://hl7.org/fhir/sid/us-medicare",
      "value" : "1PA3D58WH16"
    }
  ],
  "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
    }
  ]
}