US Behavioral Health Profiles Implementation Guide
0.1.0 - CI Build
US Behavioral Health Profiles Implementation Guide
0.1.0 - CI Build
US Behavioral Health Profiles Implementation Guide, published by . This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/us-behavioral-health-profiles/ and changes regularly. See the Directory of published versions
<Patient xmlns="http://hl7.org/fhir">
<id value="bh-patient-example"/>
<meta>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Patient bh-patient-example</b></p><a name="bh-patient-example"> </a><a name="hcbh-patient-example"> </a><a name="bh-patient-example-en-US"> </a><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">James Wolff Male, DoB: 1961-07-16 ( Medical Record Number: 1032702 (use: usual, ))</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 status of Patient">Deceased:</td><td colspan="3">false</td></tr><tr><td style="background-color: #f3f5da" title="Alternate names (see the one above)">Alt. Name:</td><td colspan="3">Jennifer Wolff (Official)</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:james.wolff@example.com">james.wolff@example.com</a></li><li>49 MEADOW ST MIAMI FL 74047 US (old)</li><li>183 MOUNTAIN VIEW ST MIAMI FL 74048 US </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="The pronouns to use when referring to an individual in verbal or written communication.">Individual Pronouns:</td><td colspan="3"><ul><li>value: <span title="Codes:{http://loinc.org LA29518-0}">he/him/his/his/himself</span></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 v3 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 v3. Sex assigned at birth or birth sex can be recorded using the more specific [US Core Birth Sex Extension](http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex).
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="http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-sex.html">US Core Sex Extension</a></td><td colspan="3">248152002</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="http://terminology.hl7.org/5.0.0/CodeSystem-CDCREC.html#CDCREC-2186-5">CDC Race and Ethnicity</a> 2186-5: Not Hispanic or Latino</li><li>text: Not 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>ombCategory: <a href="http://terminology.hl7.org/5.0.0/CodeSystem-CDCREC.html#CDCREC-2054-5">CDC Race and Ethnicity</a> 2054-5: Black or African American</li><li>text: Black or African American</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."><a href="http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-tribal-affiliation.html">US Core Tribal Affiliation Extension</a></td><td colspan="3">false</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="http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-genderIdentity.html">US Core Gender Identity Extension</a></td><td colspan="3"><span title="Codes:{http://snomed.info/sct 446151000124109}">Identifies as Male</span></td></tr></table></div>
</text>
<!-- Race -->
<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="2054-5"/>
<display value="Black or African American"/>
</valueCoding>
</extension>
<extension url="text">
<valueString value="Black or African American"/>
</extension>
</extension>
<!-- Ethnicity -->
<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="2186-5"/>
<display value="Not Hispanic or Latino"/>
</valueCoding>
</extension>
<extension url="text">
<valueString value="Not Hispanic or Latino"/>
</extension>
</extension>
<!-- Sex assigned at birth -->
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex">
<valueCode value="F"/>
</extension>
<!-- USCDI (Snomed) Sex -->
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-sex">
<valueCode value="248152002"/>
</extension>
<!-- Veteran Status -->
<extension
url="http://hl7.org/fhir/us/military-service/StructureDefinition/military-service-veteran-status">
<valueBoolean value="true"/>
</extension>
<!-- Tribal Affiliation -->
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-tribal-affiliation">
<valueBoolean value="false"/>
</extension>
<!-- Gender Identity -->
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity">
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="446151000124109"/>
<display value="Identifies as male gender (finding)"/>
</coding>
<text value="Identifies as Male"/>
</valueCodeableConcept>
</extension>
<!-- Individual Pronouns Extension -->
<!-- TODO: Profile? -->
<extension
url="http://hl7.org/fhir/StructureDefinition/individual-pronouns">
<extension url="value">
<valueCodeableConcept>
<coding>
<system value="http://loinc.org"/>
<code value="LA29518-0"/>
<display value="he/him/his/his/himself"/>
</coding>
</valueCodeableConcept>
</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>
<active value="true"/>
<!-- Legal name -->
<name>
<use value="official"/>
<family value="Wolff"/>
<given value="Jennifer"/>
</name>
<!-- Preferred name -->
<name>
<use value="usual"/>
<family value="Wolff"/>
<given value="James"/>
<period>
<start value="2016-07-22"/>
</period>
</name>
<telecom>
<system value="phone"/>
<value value="555-555-5555"/>
<use value="home"/>
</telecom>
<telecom>
<system value="email"/>
<value value="james.wolff@example.com"/>
</telecom>
<!-- Administrative Gender, used for administrative purposes -->
<gender value="male"/>
<birthDate value="1961-07-16"/>
<deceasedBoolean value="false"/>
<address>
<use value="old"/>
<line value="49 MEADOW ST"/>
<city value="MIAMI"/>
<state value="FL"/>
<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="MIAMI"/>
<state value="FL"/>
<postalCode value="74048"/>
<country value="US"/>
<period>
<start value="2020-07-22"/>
</period>
</address>
<communication>
<language>
<coding>
<system value="urn:ietf:bcp:47"/>
<code value="en"/>
<display value="English"/>
</coding>
<text value="English"/>
</language>
<preferred value="true"/>
</communication>
</Patient>