PACIO Sample Data Depot
0.1.0 - draft

PACIO Sample Data Depot, published by MITRE. 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/paciowg/sample-data-fsh/ and changes regularly. See the Directory of published versions

## : patient-betsysmith-johnson01 - XML Representation

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    <Patient xmlns="http://hl7.org/fhir">
      <id value="patient-betsysmith-johnson01"/>
      <meta>
        <lastUpdated value="2021-03-29T14:25:34.001-05:00"/>
        <profile
                 value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"/>
      </meta>
      <language value="en-US"/>
      <text>
        <status value="generated"/>
        <div xmlns="http://www.w3.org/1999/xhtml" xml:lang="en-US" lang="en-US"><p class="res-header-id"><b>Generated Narrative: Patient patient-betsysmith-johnson01</b></p><a name="patient-betsysmith-johnson01"> </a><a name="hcpatient-betsysmith-johnson01"> </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">Last updated: 2021-03-29 14:25:34-0500; Language: en-US</p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-patient.html">US Core Patient Profile</a></p></div><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Smith-Johnson, Betsy Female, DoB: 1950-11-15 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1PA3D58WH16)</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 Marital status of Patient">Marital Status:</td><td colspan="3"><span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-NullFlavor UNK}">unknown</span></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/1032702 (use: usual, )</li><li><a href="http://terminology.hl7.org/6.1.0/NamingSystem-ssn.html" title="United States Social Security Number (SSN).  Assigned by the U.S. Social Security Administration.  Note: IRS assigned ITINs are often used as drop-ins for social security numbers.  The SSN is represented in resources with dashes removed. See http://www.ssa.gov/.">United States Social Security Number</a>/SS</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: 555-555-1111(Mobile)</li><li><a href="mailto:mmoen+betsysmithjohnson@mydirectives.com">mmoen+betsysmithjohnson@mydirectives.com</a></li><li>17040 E Warren Avenue, Detroit, MI 48224</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="Nominated Contact: son">son:</td><td colspan="3"><ul><li>Charles Johnson</li><li>17040 E Warren Avenue, Detroit, MI 48224</li><li>ph: (555) 555-2222</li></ul></td></tr><tr><td style="background-color: #f3f5da" title="Nominated Contact: daughter in-law">daughter in-law:</td><td colspan="3"><ul><li>Lisa Johnson</li><li>17040 E Warren Avenue, Detroit, MI 48224</li><li>ph: (555) 555-3333</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 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://hl7.org/fhir/us/core/STU4/CodeSystem-cdcrec.html#cdcrec-2106-3">Race &amp; Ethnicity - CDC: 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>
      <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>
      <identifier>
        <system value="http://hl7.org/fhir/sid/us-medicare"/>
        <value value="1PA3D58WH16"/>
        <assigner>
          <display value="Medicare"/>
        </assigner>
      </identifier>
      <identifier>
        <system value="http://hl7.org/fhir/sid/us-ssn"/>
        <value value="SS"/>
      </identifier>
      <active value="true"/>
      <name>
        <use value="usual"/>
        <text value="Smith-Johnson, Betsy"/>
        <family value="Smith-Johnson"/>
        <given value="Betsy"/>
      </name>
      <telecom>
        <system value="phone"/>
        <value value="555-555-1111"/>
        <use value="mobile"/>
      </telecom>
      <telecom>
        <system value="email"/>
        <value value="mmoen+betsysmithjohnson@mydirectives.com"/>
        <use value="mobile"/>
      </telecom>
      <gender value="female"/>
      <birthDate value="1950-11-15"/>
      <address>
        <text value="17040 E Warren Avenue, Detroit, MI 48224"/>
        <line value="17040 E Warren Avenue"/>
        <city value="Detroit"/>
        <state value="MI"/>
        <postalCode value="48224"/>
        <country value="US"/>
        <period>
          <start value="2016-12-06"/>
        </period>
      </address>
      <maritalStatus>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor"/>
          <code value="UNK"/>
        </coding>
      </maritalStatus>
      <contact>
        <relationship>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
            <code value="SONC"/>
          </coding>
        </relationship>
        <name>
          <text value="Charles Johnson"/>
        </name>
        <telecom>
          <system value="phone"/>
          <value value="(555) 555-2222"/>
        </telecom>
        <address>
          <text value="17040 E Warren Avenue, Detroit, MI 48224"/>
        </address>
      </contact>
      <contact>
        <relationship>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
            <code value="DAUINLAW"/>
          </coding>
        </relationship>
        <name>
          <text value="Lisa Johnson"/>
        </name>
        <telecom>
          <system value="phone"/>
          <value value="(555) 555-3333"/>
        </telecom>
        <address>
          <text value="17040 E Warren Avenue, Detroit, MI 48224"/>
        </address>
      </contact>
      <communication>
        <language>
          <coding>
            <system value="urn:ietf:bcp:47"/>
            <code value="en"/>
            <display value="English"/>
          </coding>
        </language>
        <preferred value="true"/>
      </communication>
    </Patient>