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Packagehl7.fhir.us.icsr-ae-reporting
Resource TypePatient
IdPatient-SampleICSRPatient.json
FHIR VersionR4

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Narrative

Note: links and images are rebased to the (stated) source

Irma Black female, DoB: 1998-08-31 ( id: 123456789)


Contact Details:
null:
  • C114854

Source1

{
  "resourceType": "Patient",
  "id": "SampleICSRPatient",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/us/icsr-ae-reporting/StructureDefinition/icsr-patient"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/us/icsr-ae-reporting/StructureDefinition/icsr-ext-militarystatus",
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl",
            "code": "C114854"
          }
        ]
      }
    }
  ],
  "identifier": [
    {
      "system": "http://hl7.org/fhir/sid/us-ssn",
      "value": "123456789"
    }
  ],
  "name": [
    {
      "family": "Black",
      "given": [
        "Irma"
      ]
    }
  ],
  "telecom": [
    {
      "system": "phone",
      "value": "+ 1-234-653-6558"
    }
  ],
  "gender": "female",
  "birthDate": "1998-08-31",
  "address": [
    {
      "line": [
        "50878 Coleman Ferry"
      ],
      "city": "Montague",
      "state": "MA",
      "country": "US"
    }
  ]
}