CDC FHIR® Implementation Guide: Anonymized Electronic Initial Case Reporting (eICR), published by APHL. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/lantanagroup/FHIR-us-eicr-anonymized/ and changes regularly. See the Directory of published versions

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: eICR NOT Anonymized Patient Example: NOT Anonymized - JSON Representation

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{
  "resourceType" : "Patient",
  "id" : "patient-anon-not",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-patient"
    ]
  },
  "text" : {
    "extension" : [
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
        "valueCode" : "masked"
      }
    ],
    "status" : "empty",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
  },
  "extension" : [
    {
      "extension" : [
        {
          "url" : "text",
          "valueString" : "White"
        },
        {
          "url" : "ombCategory",
          "valueCoding" : {
            "system" : "urn:oid:2.16.840.1.113883.6.238",
            "code" : "2106-3",
            "display" : "White"
          }
        }
      ],
      "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
    },
    {
      "extension" : [
        {
          "url" : "text",
          "valueString" : "Not Hispanic or Latino"
        },
        {
          "url" : "ombCategory",
          "valueCoding" : {
            "system" : "urn:oid:2.16.840.1.113883.6.238",
            "code" : "2186-5",
            "display" : "Not Hispanic or Latino"
          }
        }
      ],
      "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
    },
    {
      "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
      "valueCode" : "F"
    },
    {
      "extension" : [
        {
          "url" : "value",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
                "code" : "ASKU",
                "display" : "asked but unknown"
              }
            ],
            "text" : "asked but unknown"
          }
        }
      ],
      "url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-genderidentity-extension"
    },
    {
      "extension" : [
        {
          "url" : "TribeName",
          "valueCoding" : {
            "system" : "http://terminology.hl7.org/CodeSystem/v3-TribalEntityUS",
            "code" : "91",
            "display" : "Fort Mojave Indian Tribe of Arizona, California & Nevada"
          }
        },
        {
          "url" : "EnrolledTribeMember",
          "valueBoolean" : true
        }
      ],
      "url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-tribal-affiliation-extension"
    }
  ],
  "identifier" : [
    {
      "use" : "usual",
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "MR",
            "display" : "Medical Record Number"
          }
        ]
      },
      "system" : "http://hospital.smarthealthit.org",
      "value" : "1032702"
    }
  ],
  "active" : true,
  "name" : [
    {
      "family" : "Everywoman",
      "given" : [
        "Eve",
        "L"
      ]
    }
  ],
  "telecom" : [
    {
      "system" : "phone",
      "value" : "1-(404)555-1212",
      "use" : "home"
    },
    {
      "system" : "email",
      "value" : "eve.everywoman@example.com"
    }
  ],
  "gender" : "female",
  "_birthDate" : {
    "extension" : [
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
        "valueCode" : "masked"
      }
    ]
  },
  "deceasedBoolean" : false,
  "address" : [
    {
      "line" : [
        "5101 Peachtree St NE"
      ],
      "city" : "Atlanta",
      "state" : "GA",
      "postalCode" : "30302",
      "country" : "US"
    }
  ],
  "contact" : [
    {
      "relationship" : [
        {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleClass",
              "code" : "GUARD"
            }
          ]
        }
      ],
      "name" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
            "valueCode" : "masked"
          }
        ]
      },
      "telecom" : [
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
              "valueCode" : "masked"
            }
          ]
        }
      ],
      "address" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
            "valueCode" : "masked"
          }
        ]
      }
    }
  ],
  "communication" : [
    {
      "language" : {
        "coding" : [
          {
            "system" : "urn:ietf:bcp:47",
            "code" : "en",
            "display" : "English"
          }
        ]
      }
    }
  ]
}