Implementation Guide
23.1.0 - R4 APIs

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: General Patient Example - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Patient ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "Example1"] ; # 
  fhir:meta [
fhir:lastUpdated [ fhir:v "2020-06-24T12:09:22.780-06:00"^^xsd:dateTime ] ;
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient>     ] [
fhir:v "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-patient-profile"^^xsd:anyURI ;
fhir:link <https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-patient-profile>     ] ) ;
    ( fhir:security [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-Confidentiality"^^xsd:anyURI ] ;
fhir:code [ fhir:v "N" ] ;
fhir:display [ fhir:v "Normal" ]     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Patient Example1</b></p><a name=\"Example1\"> </a><a name=\"hcExample1\"> </a><a name=\"Example1-en-US\"> </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: 2020-06-24 12:09:22-0600</p><p style=\"margin-bottom: 0px\">Profiles: <a href=\"http://hl7.org/fhir/us/core/STU3.1/StructureDefinition-us-core-patient.html\">US Core Patient Profile</a>, <a href=\"StructureDefinition-athena-patient-profile.html\">AthenaPatient</a></p><p style=\"margin-bottom: 0px\">Security Label: Normal (Details: Confidentiality code N  = ' normal ', stated as ' Normal ')</p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Robert S Benson (official) Male, DoB: 1974-05-21 ( Medical record number)</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 status of Patient\">Deceased:</td><td>false</td></tr><tr><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-MaritalStatus M}\">Married</span></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Other Ids (see the one above)\">Other Ids:</td><td colspan=\"3\"><ul><li>Patient internal identifier/H2</li><li>Social Beneficiary Identifier/379001472 (use: secondary, )</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: 11111111111111(Work)</li><li>ph: 33333333333333(Home)</li><li>ph: 22222222222222(Mobile)</li><li><a href=\"mailto:Benson@hedge.com\">Benson@hedge.com</a></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=\"Patient Links\">Links:</td><td colspan=\"3\"><ul><li>General Practitioner: <a href=\"Practitioner-Example1.html\">Practitioner Harry S. Winston </a></li><li>Managing Organization: <a href=\"Organization-Example1.html\">Organization Main Health System</a></li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Responsible Provider ID.\"><a href=\"StructureDefinition-athena-patient-extension-RESPPROVID.html\">RESPPROVID</a></td><td colspan=\"3\"><a href=\"Practitioner-Example1.html\">Practitioner Harry S. Winston </a></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Guarantor Id.\"><a href=\"StructureDefinition-athena-patient-extension-guarantorDetails.html\">guarantorDetails</a></td><td colspan=\"3\"><a href=\"RelatedPerson/G-2_1442678380050620\">RelatedPerson/G-2_1442678380050620</a></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"patient as guarantor.\"><a href=\"StructureDefinition-athena-patient-extension-patientAsGuarantor.html\">patientAsGuarantor</a></td><td colspan=\"3\">true</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 ethnicity codes used to represent these concepts are based upon the [CDC ethnicity and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 43 reference ethnicity.  The ethnicity concepts are grouped by and pre-mapped to the 2 OMB ethnicity categories: - Hispanic or Latino - Not Hispanic or Latino.\">US Core Ethnicity Extension:</td><td colspan=\"3\"><ul><li>ombCategory: <a href=\"http://hl7.org/fhir/us/core/STU3.1/CodeSystem-cdcrec.html#cdcrec-2135-2\">Race &amp; Ethnicity - CDC</a> 2135-2: Hispanic or Latino</li><li>detailed: <a href=\"http://hl7.org/fhir/us/core/STU3.1/CodeSystem-cdcrec.html#cdcrec-2139-4\">Race &amp; Ethnicity - CDC</a> 2139-4: Asturian</li><li>text: Hispanic or Latino</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Mother's maiden (unmarried) name, commonly collected to help verify patient identity.\"><a href=\"http://hl7.org/fhir/extensions/5.1.0/StructureDefinition-patient-mothersMaidenName.html\">Patient Mother's Maiden Name</a></td><td colspan=\"3\">joy</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Preferred Contact of the Patient.\"><a href=\"StructureDefinition-athena-patient-extension-preferredContact.html\">prefferedContact</a></td><td colspan=\"3\">Home Phone</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Sexual Orientation.\"><a href=\"StructureDefinition-athena-patient-extension-sexualOrientation.html\">sexualOrientation</a></td><td colspan=\"3\"><span title=\"Codes:{https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/sexualOrientation 38628009}\">Lesbian, gay or homosexual</span></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"A code classifying the person's sex assigned at birth  as specified by the [Office of the National Coordinator for Health IT (ONC)](https://www.healthit.gov/newsroom/about-onc). This extension aligns with the C-CDA Birth Sex Observation (LOINC 76689-9).\"><a href=\"http://hl7.org/fhir/us/core/STU3.1/StructureDefinition-us-core-birthsex.html\">US Core Birth Sex Extension</a></td><td colspan=\"3\">M</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) 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:\n\n - American Indian or Alaska Native\n - Asian\n - Black or African American\n - Native Hawaiian or Other Pacific Islander\n - White.\">US Core Race Extension:</td><td colspan=\"3\"><ul><li>ombCategory: <a href=\"http://hl7.org/fhir/us/core/STU3.1/CodeSystem-cdcrec.html#cdcrec-2028-9\">Race &amp; Ethnicity - CDC</a> 2028-9: Asian</li><li>detailed: <a href=\"http://hl7.org/fhir/us/core/STU3.1/CodeSystem-cdcrec.html#cdcrec-1006-6\">Race &amp; Ethnicity - CDC</a> 1006-6: Abenaki</li><li>text: Asian</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Gender Identity.\"><a href=\"StructureDefinition-athena-patient-extension-genderIdentity.html\">genderIdentity</a></td><td colspan=\"3\"><span title=\"Codes:{https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/genderIdentity 446151000124109}\">Identifies as Male</span></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Reference Doctor ID.\"><a href=\"StructureDefinition-athena-patient-extension-REFDOCID.html\">REFDOCID</a></td><td colspan=\"3\"><a href=\"Practitioner-Example1.html\">Practitioner Harry S. Winston </a></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"The time of day that the Patient was born. This includes the date to ensure that the timezone information can be communicated effectively.\"><a href=\"http://hl7.org/fhir/extensions/5.1.0/StructureDefinition-patient-birthTime.html\">Patient Birth Time</a></td><td colspan=\"3\">1974-05-21 10:10:00-0600</td></tr></table></div>"
  ] ; # 
  fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName"^^xsd:anyURI ] ;
fhir:value [ fhir:v "joy" ]
  ] [
fhir:url [ fhir:v "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-patient-extension-RESPPROVID"^^xsd:anyURI ] ;
fhir:value [
a fhir:Reference ;
fhir:reference [ fhir:v "Practitioner/Example1" ]     ]
  ] [
fhir:url [ fhir:v "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-patient-extension-REFDOCID"^^xsd:anyURI ] ;
fhir:value [
a fhir:Reference ;
fhir:reference [ fhir:v "Practitioner/Example1" ]     ]
  ] [
fhir:url [ fhir:v "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-patient-extension-preferredContact"^^xsd:anyURI ] ;
fhir:value [ fhir:v "Home Phone" ]
  ] [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/patient-birthTime"^^xsd:anyURI ] ;
fhir:value [ fhir:v "1974-05-21T10:10:00-06:00"^^xsd:dateTime ]
  ] [
fhir:url [ fhir:v "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-patient-extension-patientAsGuarantor"^^xsd:anyURI ] ;
fhir:value [ fhir:v "true"^^xsd:boolean ]
  ] [
fhir:url [ fhir:v "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-patient-extension-genderIdentity"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
      ( fhir:coding [
fhir:system [ fhir:v "https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/genderIdentity"^^xsd:anyURI ] ;
fhir:code [ fhir:v "446151000124109" ] ;
fhir:display [ fhir:v "Identifies as Male" ]       ] ) ;
fhir:text [ fhir:v "Identifies as Male" ]     ]
  ] [
fhir:url [ fhir:v "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-patient-extension-sexualOrientation"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
      ( fhir:coding [
fhir:system [ fhir:v "https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/sexualOrientation"^^xsd:anyURI ] ;
fhir:code [ fhir:v "38628009" ] ;
fhir:display [ fhir:v "Lesbian, gay or homosexual" ]       ] ) ;
fhir:text [ fhir:v "Lesbian, gay or homosexual" ]     ]
  ] [
fhir:url [ fhir:v "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-patient-extension-guarantorDetails"^^xsd:anyURI ] ;
fhir:value [
a fhir:Reference ;
fhir:reference [ fhir:v "RelatedPerson/G-2_1442678380050620" ]     ]
  ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"^^xsd:anyURI ] ;
    ( fhir:extension [
fhir:url [ fhir:v "ombCategory"^^xsd:anyURI ] ;
fhir:value [
a fhir:Coding ;
fhir:system [ fhir:v "urn:oid:2.16.840.1.113883.6.238"^^xsd:anyURI ] ;
fhir:code [ fhir:v "2028-9" ] ;
fhir:display [ fhir:v "Asian" ]       ]     ] [
fhir:url [ fhir:v "detailed"^^xsd:anyURI ] ;
fhir:value [
a fhir:Coding ;
fhir:system [ fhir:v "urn:oid:2.16.840.1.113883.6.238"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1006-6" ] ;
fhir:display [ fhir:v "Abenaki" ]       ]     ] [
fhir:url [ fhir:v "text"^^xsd:anyURI ] ;
fhir:value [ fhir:v "Asian" ]     ] )
  ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"^^xsd:anyURI ] ;
    ( fhir:extension [
fhir:url [ fhir:v "ombCategory"^^xsd:anyURI ] ;
fhir:value [
a fhir:Coding ;
fhir:system [ fhir:v "urn:oid:2.16.840.1.113883.6.238"^^xsd:anyURI ] ;
fhir:code [ fhir:v "2135-2" ] ;
fhir:display [ fhir:v "Hispanic or Latino" ]       ]     ] [
fhir:url [ fhir:v "detailed"^^xsd:anyURI ] ;
fhir:value [
a fhir:Coding ;
fhir:system [ fhir:v "urn:oid:2.16.840.1.113883.6.238"^^xsd:anyURI ] ;
fhir:code [ fhir:v "2139-4" ] ;
fhir:display [ fhir:v "Asturian" ]       ]     ] [
fhir:url [ fhir:v "text"^^xsd:anyURI ] ;
fhir:value [ fhir:v "Hispanic or Latino" ]     ] )
  ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex"^^xsd:anyURI ] ;
fhir:value [ fhir:v "M" ]
  ] ) ; # 
  fhir:identifier ( [
fhir:type [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
fhir:code [ fhir:v "PI" ]       ] )     ] ;
fhir:system [ fhir:v "https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/namingsystem/PatientId/1000-4-9390042"^^xsd:anyURI ] ;
fhir:value [ fhir:v "H2" ]
  ] [
fhir:use [ fhir:v "secondary" ] ;
fhir:type [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
fhir:code [ fhir:v "SB" ]       ] )     ] ;
fhir:system [ fhir:v "http://hl7.org/fhir/sid/us-ssn"^^xsd:anyURI ] ;
fhir:value [ fhir:v "379001472" ]
  ] [
fhir:type [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
fhir:code [ fhir:v "MR" ]       ] )     ] ;
fhir:system [ fhir:v "https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/namingsystem/MRN/1000-4-9390042"^^xsd:anyURI ] ;
fhir:value [ fhir:v "123456" ]
  ] ) ; # 
  fhir:active [ fhir:v "true"^^xsd:boolean] ; # 
  fhir:name ( [
fhir:use [ fhir:v "official" ] ;
fhir:family [ fhir:v "Benson" ] ;
    ( fhir:given [ fhir:v "Robert" ] [ fhir:v "S" ] ) ;
    ( fhir:prefix [ fhir:v "MD" ] ) ;
    ( fhir:suffix [ fhir:v "Jr" ] )
  ] [
fhir:use [ fhir:v "nickname" ] ;
    ( fhir:given [ fhir:v "Robert" ] )
  ] [
fhir:use [ fhir:v "old" ] ;
fhir:family [ fhir:v "Benson" ] ;
    ( fhir:given [ fhir:v "James" ] [ fhir:v "S" ] ) ;
    ( fhir:suffix [ fhir:v "Jr" ] ) ;
fhir:period [
fhir:start [ fhir:v "2018-01-19T00:00:00+00:00"^^xsd:dateTime ] ;
fhir:end [ fhir:v "2021-01-19T00:00:00+00:00"^^xsd:dateTime ]     ]
  ] ) ; # 
  fhir:telecom ( [
fhir:system [ fhir:v "phone" ] ;
fhir:value [ fhir:v "11111111111111" ] ;
fhir:use [ fhir:v "work" ]
  ] [
fhir:system [ fhir:v "phone" ] ;
fhir:value [ fhir:v "33333333333333" ] ;
fhir:use [ fhir:v "home" ]
  ] [
fhir:system [ fhir:v "phone" ] ;
fhir:value [ fhir:v "22222222222222" ] ;
fhir:use [ fhir:v "mobile" ]
  ] [
fhir:system [ fhir:v "email" ] ;
fhir:value [ fhir:v "Benson@hedge.com" ]
  ] ) ; # 
  fhir:gender [
fhir:v "male" ;
    ( fhir:extension [
fhir:url [ fhir:v "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-originalCode"^^xsd:anyURI ] ;
fhir:value [
a fhir:Coding ;
fhir:system [ fhir:v "https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/codesystem/gender"^^xsd:anyURI ] ;
fhir:code [ fhir:v "M" ] ;
fhir:display [ fhir:v "Male" ]       ]     ] )
  ] ; # 
  fhir:birthDate [ fhir:v "1974-05-21"^^xsd:date] ; # 
  fhir:deceased [ fhir:v "false"^^xsd:boolean] ; # 
  fhir:maritalStatus [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus"^^xsd:anyURI ] ;
fhir:code [ fhir:v "M" ] ;
fhir:display [ fhir:v "Married" ]     ] ) ;
fhir:text [ fhir:v "Married" ]
  ] ; # 
  fhir:communication ( [
fhir:language [
      ( fhir:coding [
fhir:system [ fhir:v "urn:ietf:bcp:47"^^xsd:anyURI ] ;
fhir:code [ fhir:v "en" ] ;
fhir:display [ fhir:v "English" ]       ] ) ;
fhir:text [ fhir:v "English" ]     ] ;
fhir:preferred [ fhir:v "true"^^xsd:boolean ]
  ] ) ; # 
  fhir:generalPractitioner ( [
fhir:reference [ fhir:v "Practitioner/Example1" ]
  ] ) ; # 
  fhir:managingOrganization [
fhir:reference [ fhir:v "Organization/Example1" ]
  ] . #