HRSA 2024 Uniform Data System (UDS) Patient Level Submission (PLS) (UDS+) FHIR IG
2.0.0 - STU2 Release 1 - Standard for Trial-Use

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## : US Core Patient Example - JSON Representation

Page standards status: Informative

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    {
      "resourceType" : "Patient",
      "id" : "example",
      "meta" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/instance-name",
            "valueString" : "Patient Example"
          },
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/instance-description",
            "valueMarkdown" : "This is a patient example for the *US Core Patient Profile*."
          }
        ],
        "profile" : [
          🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"
        ]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Amy V. Baxter </b> female, DoB: 1987-02-20 ( Medical Record Number: 1032702 (USUAL))</p></div>"
      },
      "extension" : [
        {
          "extension" : [
            {
              "url" : "ombCategory",
              "valueCoding" : {
                "system" : "urn:oid:2.16.840.1.113883.6.238",
                "code" : "2106-3",
                "display" : "White"
              }
            },
            {
              "url" : "ombCategory",
              "valueCoding" : {
                "system" : "urn:oid:2.16.840.1.113883.6.238",
                "code" : "1002-5",
                "display" : "American Indian or Alaska Native"
              }
            },
            {
              "url" : "ombCategory",
              "valueCoding" : {
                "system" : "urn:oid:2.16.840.1.113883.6.238",
                "code" : "2028-9",
                "display" : "Asian"
              }
            },
            {
              "url" : "detailed",
              "valueCoding" : {
                "system" : "urn:oid:2.16.840.1.113883.6.238",
                "code" : "1586-7",
                "display" : "Shoshone"
              }
            },
            {
              "url" : "detailed",
              "valueCoding" : {
                "system" : "urn:oid:2.16.840.1.113883.6.238",
                "code" : "2036-2",
                "display" : "Filipino"
              }
            },
            {
              "url" : "text",
              "valueString" : "Mixed"
            }
          ],
          "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
        },
        {
          "extension" : [
            {
              "url" : "ombCategory",
              "valueCoding" : {
                "system" : "urn:oid:2.16.840.1.113883.6.238",
                "code" : "2135-2",
                "display" : "Hispanic or Latino"
              }
            },
            {
              "url" : "detailed",
              "valueCoding" : {
                "system" : "urn:oid:2.16.840.1.113883.6.238",
                "code" : "2184-0",
                "display" : "Dominican"
              }
            },
            {
              "url" : "detailed",
              "valueCoding" : {
                "system" : "urn:oid:2.16.840.1.113883.6.238",
                "code" : "2148-5",
                "display" : "Mexican"
              }
            },
            {
              "url" : "text",
              "valueString" : "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"
        },
        {
          "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
                "code" : "ASKU",
                "display" : "asked but unknown"
              }
            ],
            "text" : "asked but unknown"
          }
        }
      ],
      "identifier" : [
        {
          "use" : "usual",
          "type" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                "code" : "MR",
                "display" : "Medical Record Number"
              }
            ],
            "text" : "Medical Record Number"
          },
          "system" : "http://hospital.smarthealthit.org",
          "value" : "1032702"
        }
      ],
      "active" : true,
      "name" : [
        {
          "use" : "old",
          "family" : "Shaw",
          "given" : [
            "Amy",
            "V."
          ],
          "period" : {
            "start" : "2016-12-06",
            "end" : "2020-07-22"
          }
        },
        {
          "family" : "Baxter",
          "given" : [
            "Amy",
            "V."
          ],
          "suffix" : [
            "PharmD"
          ],
          "period" : {
            "start" : "2020-07-22"
          }
        }
      ],
      "telecom" : [
        {
          "system" : "phone",
          "value" : "555-555-5555",
          "use" : "home"
        },
        {
          "system" : "email",
          "value" : "amy.shaw@example.com"
        }
      ],
      "gender" : "female",
      "birthDate" : "1987-02-20",
      "address" : [
        {
          "use" : "old",
          "line" : [
            "49 Meadow St"
          ],
          "city" : "Alstead",
          "state" : "NH",
          "postalCode" : "03602",
          "country" : "US",
          "period" : {
            "start" : "2016-12-06",
            "end" : "2020-07-22"
          }
        },
        {
          "line" : [
            "183 Mountain View St"
          ],
          "city" : "Alstead",
          "state" : "NH",
          "postalCode" : "03602",
          "country" : "US",
          "period" : {
            "start" : "2020-07-22"
          }
        }
      ]
    }