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: Targeted Provenance Patient Example - JSON Representation

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{
  "resourceType" : "Patient",
  "id" : "example-targeted-provenance",
  "meta" : {
    "extension" : [
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/instance-name",
        "valueString" : "Targeted Provenance Patient Example"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/instance-description",
        "valueMarkdown" : "This is a patient example for the *US Core Patient Profile* to demonstrate how Provenance can be used to document the source of individual elements such as Race and Ethnicity (R/E), gender identity."
      }
    ],
    "profile" : [
      "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|0.1.0"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n\n  <p>\n    <strong>resourceType:</strong>\n    </p>\n  <p>\n    <strong>id:</strong>\n    example-targeted-provenance</p>\n\n</div>"
  },
  "extension" : [
    {
      "id" : "race",
      "extension" : [
        {
          "url" : "ombCategory",
          "valueCoding" : {
            "system" : "urn:oid:2.16.840.1.113883.6.238",
            "code" : "2106-3",
            "display" : "White"
          }
        },
        {
          "url" : "text",
          "valueString" : "Mixed"
        }
      ],
      "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
    },
    {
      "id" : "ethnicity",
      "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"
    },
    {
      "id" : "birthsex",
      "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
      "valueCode" : "F"
    },
    {
      "id" : "genderIdentity",
      "extension" : [
        {
          "url" : "value",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
                "code" : "UNK"
              }
            ]
          }
        }
      ],
      "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity"
    }
  ],
  "identifier" : [
    {
      "system" : "http://hospital.smarthealthit.org",
      "value" : "1032702"
    }
  ],
  "active" : true,
  "name" : [
    {
      "family" : "Shaw",
      "given" : [
        "Amy",
        "V."
      ]
    }
  ],
  "telecom" : [
    {
      "system" : "phone",
      "value" : "555-555-5555"
    }
  ],
  "gender" : "female",
  "_gender" : {
    "id" : "gender"
  },
  "birthDate" : "1987-02-20",
  "address" : [
    {
      "line" : [
        "183 Mountain View St"
      ],
      "city" : "Mounds",
      "state" : "OK"
    }
  ]
}