Implementation Guide
23.1.0 - R4 APIs
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<Patient xmlns="http://hl7.org/fhir">
<id value="Example1"/>
<meta>
<lastUpdated value="2020-06-24T12:09:22.780-06:00"/>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"/>
<profile
value="https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-patient-profile"/>
<security>
<system
value="http://terminology.hl7.org/CodeSystem/v3-Confidentiality"/>
<code value="N"/>
<display value="Normal"/>
</security>
</meta>
<text>
<status value="generated"/>
<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 & 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 & 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:
- 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/STU3.1/CodeSystem-cdcrec.html#cdcrec-2028-9">Race & 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 & 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>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName">
<valueString value="joy"/>
</extension>
<extension
url="https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-patient-extension-RESPPROVID">
<valueReference>🔗
<reference value="Practitioner/Example1"/>
</valueReference>
</extension>
<extension
url="https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-patient-extension-REFDOCID">
<valueReference>🔗
<reference value="Practitioner/Example1"/>
</valueReference>
</extension>
<extension
url="https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-patient-extension-preferredContact">
<valueString value="Home Phone"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/patient-birthTime">
<valueDateTime value="1974-05-21T10:10:00-06:00"/>
</extension>
<extension
url="https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-patient-extension-patientAsGuarantor">
<valueBoolean value="true"/>
</extension>
<extension
url="https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-patient-extension-genderIdentity">
<valueCodeableConcept>
<coding>
<system
value="https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/genderIdentity"/>
<code value="446151000124109"/>
<display value="Identifies as Male"/>
</coding>
<text value="Identifies as Male"/>
</valueCodeableConcept>
</extension>
<extension
url="https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-patient-extension-sexualOrientation">
<valueCodeableConcept>
<coding>
<system
value="https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/sexualOrientation"/>
<code value="38628009"/>
<display value="Lesbian, gay or homosexual"/>
</coding>
<text value="Lesbian, gay or homosexual"/>
</valueCodeableConcept>
</extension>
<extension
url="https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-patient-extension-guarantorDetails">
<valueReference>
<reference value="RelatedPerson/G-2_1442678380050620"/>
</valueReference>
</extension>
<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="2028-9"/>
<display value="Asian"/>
</valueCoding>
</extension>
<extension url="detailed">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="1006-6"/>
<display value="Abenaki"/>
</valueCoding>
</extension>
<extension url="text">
<valueString value="Asian"/>
</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="2139-4"/>
<display value="Asturian"/>
</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="M"/>
</extension>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PI"/>
</coding>
</type>
<system
value="https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/namingsystem/PatientId/1000-4-9390042"/>
<value value="H2"/>
</identifier>
<identifier>
<use value="secondary"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="SB"/>
</coding>
</type>
<system value="http://hl7.org/fhir/sid/us-ssn"/>
<value value="379001472"/>
</identifier>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MR"/>
</coding>
</type>
<system
value="https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/namingsystem/MRN/1000-4-9390042"/>
<value value="123456"/>
</identifier>
<active value="true"/>
<name>
<use value="official"/>
<family value="Benson"/>
<given value="Robert"/>
<given value="S"/>
<prefix value="MD"/>
<suffix value="Jr"/>
</name>
<name>
<use value="nickname"/>
<given value="Robert"/>
</name>
<name>
<use value="old"/>
<family value="Benson"/>
<given value="James"/>
<given value="S"/>
<suffix value="Jr"/>
<period>
<start value="2018-01-19T00:00:00+00:00"/>
<end value="2021-01-19T00:00:00+00:00"/>
</period>
</name>
<telecom>
<system value="phone"/>
<value value="11111111111111"/>
<use value="work"/>
</telecom>
<telecom>
<system value="phone"/>
<value value="33333333333333"/>
<use value="home"/>
</telecom>
<telecom>
<system value="phone"/>
<value value="22222222222222"/>
<use value="mobile"/>
</telecom>
<telecom>
<system value="email"/>
<value value="Benson@hedge.com"/>
</telecom>
<gender value="male">
<extension
url="https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-originalCode">
<valueCoding>
<system
value="https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/codesystem/gender"/>
<code value="M"/>
<display value="Male"/>
</valueCoding>
</extension>
</gender>
<birthDate value="1974-05-21"/>
<deceasedBoolean value="false"/>
<maritalStatus>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-MaritalStatus"/>
<code value="M"/>
<display value="Married"/>
</coding>
<text value="Married"/>
</maritalStatus>
<communication>
<language>
<coding>
<system value="urn:ietf:bcp:47"/>
<code value="en"/>
<display value="English"/>
</coding>
<text value="English"/>
</language>
<preferred value="true"/>
</communication>
<generalPractitioner>🔗
<reference value="Practitioner/Example1"/>
</generalPractitioner>
<managingOrganization>🔗
<reference value="Organization/Example1"/>
</managingOrganization>
</Patient>