CDC MME CQL Calculator
3.0.0 - release

This page is part of the CDC Opioid MME Calculator (v3.0.0: Release) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

: Conversion Factors Clinical Tests - Patient - XML Representation

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<Patient xmlns="http://hl7.org/fhir">
  <id value="cfct-example"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><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">Resource "cfct-example" </p></div><p><b>identifier</b>: Medical record number: 12345 (USUAL)</p><p><b>active</b>: true</p><p><b>name</b>: Peter James Chalmers (OFFICIAL), Jim Chalmers , Peter James Windsor (MAIDEN)</p><p><b>telecom</b>: ph: (03) 5555 6473(WORK), ph: (03) 3410 5613(MOBILE), ph: (03) 5555 8834(OLD)</p><p><b>gender</b>: male</p><p><b>birthDate</b>: 1974-12-25</p><p><b>deceased</b>: false</p><p><b>address</b>: 534 Erewhon St PeasantVille, Utah 84414(HOME)</p><p><b>maritalStatus</b>: Married <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/2.1.0/CodeSystem-v3-MaritalStatus.html">MaritalStatus</a>#M)</span></p><h3>Contacts</h3><table class="grid"><tr><td>-</td><td><b>Relationship</b></td><td><b>Name</b></td><td><b>Telecom</b></td><td><b>Address</b></td><td><b>Gender</b></td><td><b>Period</b></td></tr><tr><td>*</td><td>Next-of-Kin <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/2.1.0/CodeSystem-v2-0131.html">contactRole2</a>#N)</span></td><td>Bénédicte du Marché </td><td><a href="tel:+33(237)998327">+33 (237) 998327</a></td><td>534 Erewhon St PleasantVille VT 3999 (HOME)</td><td>female</td><td>2012-01-01 --&gt; (ongoing)</td></tr></table></div>
  </text>
  <identifier>
    <use value="usual"/>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
        <code value="MR"/>
      </coding>
    </type>
    <system value="urn:oid:1.2.36.146.595.217.0.1"/>
    <value value="12345"/>
    <period>
      <start value="2001-05-06"/>
    </period>
    <assigner>
      <display value="Acme Healthcare"/>
    </assigner>
  </identifier>
  <active value="true"/>
  <name>
    <use value="official"/>
    <family value="Chalmers"/>
    <given value="Peter"/>
    <given value="James"/>
  </name>
  <name>
    <use value="usual"/>
    <family value="Chalmers"/>
    <given value="Jim"/>
  </name>
  <name>
    <use value="maiden"/>
    <family value="Windsor"/>
    <given value="Peter"/>
    <given value="James"/>
    <period>
      <end value="2002"/>
    </period>
  </name>
  <telecom>
    <system value="phone"/>
    <value value="(03) 5555 6473"/>
    <use value="work"/>
    <rank value="1"/>
  </telecom>
  <telecom>
    <system value="phone"/>
    <value value="(03) 3410 5613"/>
    <use value="mobile"/>
    <rank value="2"/>
  </telecom>
  <telecom>
    <system value="phone"/>
    <value value="(03) 5555 8834"/>
    <use value="old"/>
    <period>
      <end value="2014"/>
    </period>
  </telecom>
  <gender value="male"/>
  <birthDate value="1974-12-25">
    <extension url="http://hl7.org/fhir/StructureDefinition/patient-birthTime">
      <valueDateTime value="1974-12-25T14:35:45-05:00"/>
    </extension>
  </birthDate>
  <deceasedBoolean value="false"/>
  <address>
    <use value="home"/>
    <type value="both"/>
    <text value="534 Erewhon St PeasantVille, Utah 84414"/>
    <line value="534 Erewhon St"/>
    <city value="PleasantVille"/>
    <district value="Rainbow"/>
    <state value="UT"/>
    <postalCode value="84414"/>
    <period>
      <start value="1974-12-25"/>
    </period>
  </address>
  <maritalStatus>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/v3-MaritalStatus"/>
      <code value="M"/>
    </coding>
  </maritalStatus>
  <contact>
    <relationship>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0131"/>
        <code value="N"/>
      </coding>
    </relationship>
    <name>
      <family value="du Marché">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/humanname-own-prefix">
          <valueString value="VV"/>
        </extension>
      </family>
      <given value="Bénédicte"/>
    </name>
    <telecom>
      <system value="phone"/>
      <value value="+33 (237) 998327"/>
    </telecom>
    <address>
      <use value="home"/>
      <type value="both"/>
      <line value="534 Erewhon St"/>
      <city value="PleasantVille"/>
      <district value="Rainbow"/>
      <state value="VT"/>
      <postalCode value="3999"/>
      <period>
        <start value="1974-12-25"/>
      </period>
    </address>
    <gender value="female"/>
    <period>
      <start value="2012"/>
    </period>
  </contact>
</Patient>