# Ex-Patient-1-for-secondaryUse-pandemnicIPS-stage-1 - De-Identification Profile v0.0.1-current

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **Ex-Patient-1-for-secondaryUse-pandemnicIPS-stage-1**

## Example Patient: Ex-Patient-1-for-secondaryUse-pandemnicIPS-stage-1

Profiles: [Patient (IPS)](http://hl7.org/fhir/uv/ips/STU2/StructureDefinition-Patient-uv-ips.html), [Decedent](http://hl7.org/fhir/us/vrdr/STU3/StructureDefinition-vrdr-decedent.html)

Jordana Patricia (official) Female, DoB: 1996-08-16 ( Social Beneficiary Identifier: SSN#123456789)

-------

| | |
| :--- | :--- |
| Marital Status: | Never Married |
| Contact Detail | 5590 Lockwood Drive Danville VA US |
| Unknown: | * Joe Smith
 |
| [NVSS SexAtDeath](http://hl7.org/fhir/us/vrdr/STU3/StructureDefinition-NVSS-SexAtDeath.html) | Female |
| [Spouse Is Alive](http://hl7.org/fhir/us/vrdr/STU3/StructureDefinition-SpouseAlive.html) | Yes |
| [Patient Birth Place](http://hl7.org/fhir/extensions/5.2.0/StructureDefinition-patient-birthPlace.html) | Roanoke VA US |



## Resource Content

```json
{
  "resourceType" : "Patient",
  "id" : "39c9964c-96b7-442d-afc1-2702106a9e57",
  "meta" : {
    "profile" : [
      "http://hl7.org/fhir/uv/ips/StructureDefinition/Patient-uv-ips",
      "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent"
    ]
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/SpouseAlive",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
            "code" : "Y"
          }
        ]
      }
    },
    {
      "url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/NVSS-SexAtDeath",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/administrative-gender",
            "code" : "F",
            "display" : "Female"
          }
        ]
      }
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/patient-birthPlace",
      "valueAddress" : {
        "city" : "Roanoke",
        "state" : "VA",
        "country" : "US"
      }
    }
  ],
  "identifier" : [
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "SB",
            "display" : "Social Beneficiary Identifier"
          }
        ]
      },
      "system" : "http://hl7.org/fhir/sid/us-ssn",
      "value" : "123456789"
    }
  ],
  "name" : [
    {
      "use" : "official",
      "family" : "Patricia",
      "given" : ["Jordana"]
    }
  ],
  "gender" : "female",
  "birthDate" : "1996-08-16",
  "address" : [
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-within-city-limits-indicator-vr",
          "valueCoding" : {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
            "code" : "Y",
            "display" : "Yes"
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/StreetName",
          "valueString" : "Lockwood"
        }
      ],
      "line" : ["5590 Lockwood Drive"],
      "city" : "Danville",
      "_city" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/CityCode",
            "valuePositiveInt" : 1234
          }
        ]
      },
      "district" : "Fairfax",
      "_district" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/DistrictCode",
            "valuePositiveInt" : 321
          }
        ]
      },
      "state" : "VA",
      "country" : "US"
    }
  ],
  "maritalStatus" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus",
        "code" : "S",
        "display" : "Never Married"
      }
    ]
  },
  "contact" : [
    {
      "relationship" : [
        {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v2-0131",
              "code" : "U"
            }
          ],
          "text" : "Friend of family"
        }
      ],
      "name" : {
        "text" : "Joe Smith"
      }
    }
  ]
}

```
