Pass1 ACH(official) Female, DoB: 2024-02-01 ( MRN:\u00a01601191901010308\u00a0(use:\u00a0usual,\u00a0))
| Active: | true | Deceased: | false |
| Contact Detail | - ph: 999-999-9999(Home)
- 456 Alphabet Street Lansing MI 48864 US (home)
|
| Language: | English (United States) |
| Next-of-Kin: | - Mom Parent
- 456 Alphabet Street Lansing MI 48864
|
| US Core Ethnicity Extension: | |
| US Core Birth Sex Extension | M |
| US Core Race Extension: | |
"
},
"extension" : [{
"extension" : [{
"url" : "ombCategory",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2054-5",
"display" : "Black or African American"
}
},
{
"url" : "text",
"valueString" : "Black or African American"
}],
"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" : "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" : "M"
}],
"identifier" : [{
"use" : "usual",
"type" : {
"coding" : [{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "MR",
"display" : "Medical record number"
}],
"text" : "MRN"
},
"system" : "urn:oid:1.2.5.8.2.7",
"value" : "1601191901010308"
}],
"active" : true,
"name" : [{
"use" : "official",
"text" : "Pass1 ACH",
"family" : "ACH",
"given" : ["Pass1"]
}],
"telecom" : [{
"system" : "phone",
"value" : "999-999-9999",
"use" : "home"
}],
"gender" : "female",
"birthDate" : "2024-02-01",
"deceasedBoolean" : false,
"address" : [{
"use" : "home",
"type" : "both",
"line" : ["456 Alphabet Street"],
"city" : "Lansing",
"district" : "Ingham County",
"state" : "MI",
"postalCode" : "48864",
"country" : "US"
}],
"contact" : [{
"relationship" : [{
"coding" : [{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0131",
"code" : "N",
"display" : "Next-of-Kin"
}]
}],
"name" : {
"text" : "Mom Parent",
"family" : "Parent",
"given" : ["Mom"]
},
"address" : {
"line" : ["456 Alphabet Street"],
"city" : "Lansing",
"state" : "MI",
"postalCode" : "48864"
}
}],
"communication" : [{
"language" : {
"coding" : [{
"system" : "urn:ietf:bcp:47",
"code" : "en-US",
"display" : "English (United States)"
}]
}
}]
}