Implementation Guide
25.0.0 - R4 APIs

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Example Patient: General Patient Example

Last updated: 2020-06-24 12:09:22-0600

Profiles: US Core Patient Profile, AthenaPatient

Security Label: Normal (Details: Confidentiality code N = 'Normal')

Robert S Benson (official) Male, DoB: 1974-05-21 ( Medical record number)

Active:trueDeceased:false
Marital Status:Married
Other Ids:
  • Patient internal identifier/H2
  • Social Beneficiary Identifier/379001472 (use: secondary, )
Contact Detail
  • ph: 11111111111111(Work)
  • ph: 33333333333333(Home)
  • ph: 22222222222222(Mobile)
  • Benson@hedge.com
Language:English (preferred)
Guardian:
  • francesca averitt
  • 4241 francesca Street el paso NM
  • ph: 54636336353635(Home)
  • ph: 54635728282782(Work)
  • ph: 54635327278282(Mobile)
  • testf@test.com
Emergency Contact:
  • ramiro able
  • 4242 ramiro Street nashville OK 73176
  • ph: 2081701128(Home)
  • ph: 4121800100(Work)
  • ph: 32442422424242(Mobile)
  • test@test.com
Links:
US Core Sex for Clinical Use Extension (Custom IG)248153007
US Core Ethnicity Extension:
sexualOrientationLesbian, gay or homosexual
US Core Birth Sex ExtensionM
REFDOCIDPractitioner Harry S. Winston
RESPPROVIDPractitioner Harry S. Winston
guarantorDetailsRelatedPerson/G-2_1442678380050620
patientAsGuarantortrue
Patient Mother's Maiden Namejoy
occupationAdvertising and promotions managers
prefferedContactHome Phone
occupationIndustryFishing, hunting and trapping
US Core Race Extension:
US Core Tribal Affiliation Extension (Custom IG):
  • tribalAffiliation: NativeEntityAlaska
Patient/Person/RelatedPerson/Practitioner Birth Time1974-05-21 10:10:00-0600