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 - XML Representation

Page standards status: Informative

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    <Patient xmlns="http://hl7.org/fhir">
      <id value="example"/>
      <meta>
        <extension url="http://hl7.org/fhir/StructureDefinition/instance-name">
          <valueString value="Patient Example"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/instance-description">
          <valueMarkdown
                         value="This is a patient example for the *US Core Patient Profile*."/>
        </extension>
        <profile
                 value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"/>
      </meta>
      <text>
        <status value="generated"/>
        <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>
      </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="ombCategory">
          <valueCoding>
            <system value="urn:oid:2.16.840.1.113883.6.238"/>
            <code value="1002-5"/>
            <display value="American Indian or Alaska Native"/>
          </valueCoding>
        </extension>
        <extension url="ombCategory">
          <valueCoding>
            <system value="urn:oid:2.16.840.1.113883.6.238"/>
            <code value="2028-9"/>
            <display value="Asian"/>
          </valueCoding>
        </extension>
        <extension url="detailed">
          <valueCoding>
            <system value="urn:oid:2.16.840.1.113883.6.238"/>
            <code value="1586-7"/>
            <display value="Shoshone"/>
          </valueCoding>
        </extension>
        <extension url="detailed">
          <valueCoding>
            <system value="urn:oid:2.16.840.1.113883.6.238"/>
            <code value="2036-2"/>
            <display value="Filipino"/>
          </valueCoding>
        </extension>
        <extension url="text">
          <valueString value="Mixed"/>
        </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="detailed">
          <valueCoding>
            <system value="urn:oid:2.16.840.1.113883.6.238"/>
            <code value="2184-0"/>
            <display value="Dominican"/>
          </valueCoding>
        </extension>
        <extension url="detailed">
          <valueCoding>
            <system value="urn:oid:2.16.840.1.113883.6.238"/>
            <code value="2148-5"/>
            <display value="Mexican"/>
          </valueCoding>
        </extension>
        <extension url="text">
          <valueString value="Hispanic or Latino"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex">
        <valueCode value="F"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity">
        <valueCodeableConcept>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor"/>
            <code value="ASKU"/>
            <display value="asked but unknown"/>
          </coding>
          <text value="asked but unknown"/>
        </valueCodeableConcept>
      </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>
      <active value="true"/>
      <name>
        <use value="old"/>
        <family value="Shaw"/>
        <given value="Amy"/>
        <given value="V."/>
        <period>
          <start value="2016-12-06"/>
          <end value="2020-07-22"/>
        </period>
      </name>
      <name>
        <family value="Baxter"/>
        <given value="Amy"/>
        <given value="V."/>
        <suffix value="PharmD"/>
        <period>
          <start value="2020-07-22"/>
        </period>
      </name>
      <telecom>
        <system value="phone"/>
        <value value="555-555-5555"/>
        <use value="home"/>
      </telecom>
      <telecom>
        <system value="email"/>
        <value value="amy.shaw@example.com"/>
      </telecom>
      <gender value="female"/>
      <birthDate value="1987-02-20"/>
      <address>
        <use value="old"/>
        <line value="49 Meadow St"/>
        <city value="Alstead"/>
        <state value="NH"/>
        <postalCode value="03602"/>
        <country value="US"/>
        <period>
          <start value="2016-12-06"/>
          <end value="2020-07-22"/>
        </period>
      </address>
      <address>
        <line value="183 Mountain View St"/>
        <city value="Alstead"/>
        <state value="NH"/>
        <postalCode value="03602"/>
        <country value="US"/>
        <period>
          <start value="2020-07-22"/>
        </period>
      </address>
    </Patient>