FHIR International Patient Summary
0.0.1-current - ci-build
FHIR International Patient Summary
0.0.1-current - ci-build
FHIR International Patient Summary, published by IHE Patient Care Coordination Committee. This guide is not an authorized publication; it is the continuous build for version 0.0.1-current built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IHE/PCC.FIIO/ and changes regularly. See the Directory of published versions
<Patient xmlns="http://hl7.org/fhir">
<id value="a367ce93-23bb-4bb8-bc6b-4730073baa93"/>
<meta>
<versionId value="1"/>
<lastUpdated value="2025-05-15T20:48:16.013+00:00"/>
<profile
value="http://hl7.org/fhir/uv/ips/StructureDefinition/Patient-uv-ips"/>
<security>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
<code value="HTEST"/>
</security>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Patient a367ce93-23bb-4bb8-bc6b-4730073baa93</b></p><a name="a367ce93-23bb-4bb8-bc6b-4730073baa93"> </a><a name="hca367ce93-23bb-4bb8-bc6b-4730073baa93"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">version: 1; Last updated: 2025-05-15 20:48:16+0000</p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/uv/ips/STU2/StructureDefinition-Patient-uv-ips.html">Patient (IPS)</a></p><p style="margin-bottom: 0px">Security Label: test health data (Details: ActReason code HTEST = 'test health data')</p></div><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Frederick Olivera DaSilva (official) Male, DoB: 1992-03-30 ( https://github.com/synthetichealth/synthea#4c875c3c-b4d6-4f6d-aabe-5ddc24892adc)</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Known Marital status of Patient">Marital Status:</td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-MaritalStatus M}">Married</span></td><td style="background-color: #f3f5da" title="Known multipleBirth status of Patient">Multiple Birth:</td><td colspan="3">false</td></tr><tr><td style="background-color: #f3f5da" title="Other Ids (see the one above)">Other Ids:</td><td colspan="3"><ul><li>Medical Record Number/4c875c3c-b4d6-4f6d-aabe-5ddc24892adc</li><li>Social Security Number/999-99-5015</li><li>Driver's License/S99970944</li><li>Passport Number/X4940908X</li></ul></td></tr><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3"><ul><li>ph: 555-856-9091(Home)</li><li><a href="mailto:Patient@example.com">Patient@example.com</a></li><li>586 Jacobs Trailer Springfield Massachusetts 01013 US </li></ul></td></tr><tr><td style="background-color: #f3f5da" title="Languages spoken">Languages:</td><td colspan="3"><ul><li><span title="Codes:{urn:ietf:bcp:47 en-US}">English</span></li><li><span title="Codes:{urn:ietf:bcp:47 pt-BR}">Portuguese (Brazil)</span> (preferred)</li></ul></td></tr><tr><td style="background-color: #f3f5da" title="Nominated Contact: Emergency Contact">Emergency Contact:</td><td colspan="3"><ul><li>Genevieve Duponte(Official) (Female)</li><li>586 Jacobs Trailer Springfield Massachusetts 01013 US </li><li>ph: 555-826-3048(Mobile)</li></ul></td></tr><tr><td style="background-color: #f3f5da" title="Patient Links">Links:</td><td colspan="3"><ul><li>General Practitioner: <a href="Practitioner/ex-ips-practitioner-pamela-watts">Practitioner/ex-ips-practitioner-pamela-watts</a></li><li>General Practitioner: <a href="Practitioner/ex-ips-practitioner-kristina-gonzalez">Practitioner/ex-ips-practitioner-kristina-gonzalez</a></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="http://terminology.hl7.org/6.5.0/CodeSystem-CDCREC.html#CDCREC-2135-2">CDC Race and Ethnicity: 2135-2</a> (Hispanic or Latino)</li><li>text: Hispanic or Latino</li></ul></td></tr><tr><td style="background-color: #f3f5da" title="Mother's maiden (unmarried) name, commonly collected to help verify patient identity."><a href="http://hl7.org/fhir/extensions/5.3.0-ballot-tc1/StructureDefinition-patient-mothersMaidenName.html">Patient Mother's Maiden Name</a></td><td colspan="3">Fleta Bergstrom</td></tr><tr><td style="background-color: #f3f5da" title="The registered place of birth of the patient. A sytem may use the address.text if they don't store the birthPlace address in discrete elements."><a href="http://hl7.org/fhir/extensions/5.3.0-ballot-tc1/StructureDefinition-patient-birthPlace.html">Patient Birth Place</a></td><td colspan="3">Boston Massachusetts US </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)."><a href="http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-birthsex.html">US Core Birth Sex Extension</a></td><td colspan="3">M</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) 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/6.5.0/CodeSystem-CDCREC.html#CDCREC-2106-3">CDC Race and Ethnicity: 2106-3</a> (White)</li><li>text: White</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="text">
<valueString value="White"/>
</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="text">
<valueString value="Hispanic or Latino"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName">
<valueString value="Fleta Bergstrom"/>
</extension>
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex">
<valueCode value="M"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/patient-birthPlace">
<valueAddress>
<city value="Boston"/>
<state value="Massachusetts"/>
<country value="US"/>
</valueAddress>
</extension>
<extension
url="http://synthetichealth.github.io/synthea/disability-adjusted-life-years">
<valueDecimal value="9.195822017359179"/>
</extension>
<extension
url="http://synthetichealth.github.io/synthea/quality-adjusted-life-years">
<valueDecimal value="18.804177982640823"/>
</extension>
<identifier>
<system value="https://github.com/synthetichealth/synthea"/>
<value value="4c875c3c-b4d6-4f6d-aabe-5ddc24892adc"/>
</identifier>
<identifier>
<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="4c875c3c-b4d6-4f6d-aabe-5ddc24892adc"/>
</identifier>
<identifier>
<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="999-99-5015"/>
</identifier>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="DL"/>
<display value="Driver's License"/>
</coding>
<text value="Driver's License"/>
</type>
<system value="urn:oid:2.16.840.1.113883.4.3.25"/>
<value value="S99970944"/>
</identifier>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PPN"/>
<display value="Passport Number"/>
</coding>
<text value="Passport Number"/>
</type>
<system
value="http://standardhealthrecord.org/fhir/StructureDefinition/passportNumber"/>
<value value="X4940908X"/>
</identifier>
<name>
<use value="official"/>
<family value="Olivera DaSilva"/>
<given value="Frederick"/>
</name>
<telecom>
<system value="phone"/>
<value value="555-856-9091"/>
<use value="home"/>
</telecom>
<telecom>
<system value="email"/>
<value value="Patient@example.com"/>
</telecom>
<gender value="male"/>
<birthDate value="1992-03-30"/>
<address>
<extension url="http://hl7.org/fhir/StructureDefinition/geolocation">
<extension url="latitude">
<valueDecimal value="42.115454"/>
</extension>
<extension url="longitude">
<valueDecimal value="-72.539978"/>
</extension>
</extension>
<line value="586 Jacobs Trailer"/>
<city value="Springfield"/>
<state value="Massachusetts"/>
<postalCode value="01013"/>
<country value="US"/>
</address>
<maritalStatus>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-MaritalStatus"/>
<code value="M"/>
<display value="Married"/>
</coding>
<text value="Married"/>
</maritalStatus>
<multipleBirthBoolean value="false"/>
<contact>
<relationship>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0131"/>
<code value="C"/>
</coding>
</relationship>
<name>
<use value="official"/>
<text value="Genevieve Duponte"/>
<family value="Genevieve"/>
<given value="Duponte"/>
</name>
<telecom>
<system value="phone"/>
<value value="555-826-3048"/>
<use value="mobile"/>
</telecom>
<address>
<extension url="http://hl7.org/fhir/StructureDefinition/geolocation">
<extension url="latitude">
<valueDecimal value="42.115454"/>
</extension>
<extension url="longitude">
<valueDecimal value="-72.539978"/>
</extension>
</extension>
<line value="586 Jacobs Trailer"/>
<city value="Springfield"/>
<state value="Massachusetts"/>
<postalCode value="01013"/>
<country value="US"/>
</address>
<gender value="female"/>
</contact>
<communication>
<language>
<coding>
<system value="urn:ietf:bcp:47"/>
<code value="en-US"/>
<display value="English"/>
</coding>
<text value="English"/>
</language>
</communication>
<communication>
<language>
<coding>
<system value="urn:ietf:bcp:47"/>
<code value="pt-BR"/>
<display value="Portuguese (Brazil)"/>
</coding>
<text value="Portuguese (Brazil)"/>
</language>
<preferred value="true"/>
</communication>
<generalPractitioner>
<reference value="Practitioner/ex-ips-practitioner-pamela-watts"/>
</generalPractitioner>
<generalPractitioner>
<reference value="Practitioner/ex-ips-practitioner-kristina-gonzalez"/>
</generalPractitioner>
</Patient>
IG © 2021+ IHE Patient Care Coordination Committee. Package ihe.pcc.fiio#0.0.1-current based on FHIR 4.0.1. Generated 2026-02-04
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