Implementation Guide
25.0.0 - R4 APIs

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: PAS Subscriber Patient Example - XML Representation

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<Patient xmlns="http://hl7.org/fhir">
  <id value="PAS-Subscriber-Example1"/>
  <meta>
    <lastUpdated value="2025-12-23T23:25:47.290-08:00"/>
    <profile
             value="https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-pas-subscriber-patient-profile"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Patient PAS-Subscriber-Example1</b></p><a name="PAS-Subscriber-Example1"> </a><a name="hcPAS-Subscriber-Example1"> </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: 2025-12-23 23:25:47-0800</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-athena-pas-subscriber-patient-profile.html">PAS Subscriber Patient</a></p></div><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Lisa S Chamberlain (official) Female, DoB: 1972-06-07 ( Member Number: 237129812 (use: official, ))</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3"><ul><li>ph: 2146690123123(Work)</li><li>ph: 2147236512(Home)</li><li><a href="mailto:alicenewman866@gmail.com">alicenewman866@gmail.com</a></li><li>6790 Oak St Plano IL 60448 USA (home)</li><li>Nzbd Hyd 502345 Andorra (old)</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 fr}">French</span> (preferred)</td></tr><tr><td style="background-color: #f3f5da" title="US Core Sex for Clinical Use (SFCU). This extension aligns with the US Core Profile for Sex for Clinical Use."><a href="StructureDefinition-us-core-sex.html">US Core Sex for Clinical Use Extension (Custom IG)</a></td><td colspan="3">248152002</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-2186-5">Race &amp; Ethnicity - CDC 2186-5</a>: Not Hispanic or Latino</li><li>text: Not Hispanic or Latino</li></ul></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">F</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-2106-3">Race &amp; Ethnicity - CDC 2106-3</a>: White</li><li>text: White</li></ul></td></tr><tr><td style="background-color: #f3f5da" title="A US Core extension to represent a patient's tribal affiliation. This is a complex extension.">US Core Tribal Affiliation Extension (Custom IG):</td><td colspan="3"><ul><li>tribalAffiliation: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-TribalEntityUS 339}">Agdaagux Tribe of King Cove</span></li></ul></td></tr></table></div>
  </text>
  <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="2106-3"/>
        <display value="White"/>
      </valueCoding>
    </extension>
    <extension url="text">
      <valueString value="White"/>
    </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="2186-5"/>
        <display value="Not Hispanic or Latino"/>
      </valueCoding>
    </extension>
    <extension url="text">
      <valueString value="Not Hispanic or Latino"/>
    </extension>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-tribal-affiliation">
    <extension url="tribalAffiliation">
      <valueCodeableConcept>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/v3-TribalEntityUS"/>
          <code value="339"/>
          <display value="Agdaagux Tribe of King Cove"/>
        </coding>
        <text value="Agdaagux Tribe of King Cove"/>
      </valueCodeableConcept>
    </extension>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex">
    <valueCode value="F"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-sex">
    <valueCode value="248152002"/>
  </extension>
  <identifier>
    <use value="official"/>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
        <code value="MB"/>
        <display value="Member Number"/>
      </coding>
    </type>
    <system
            value="https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/namingsystem/MemberNumber/0"/>
    <value value="237129812"/>
  </identifier>
  <name>
    <use value="official"/>
    <family value="Chamberlain"/>
    <given value="Lisa"/>
    <given value="S"/>
    <prefix value="Jr"/>
    <suffix value="Ms"/>
  </name>
  <telecom>
    <system value="phone"/>
    <value value="2146690123123"/>
    <use value="work"/>
  </telecom>
  <telecom>
    <system value="phone"/>
    <value value="2147236512"/>
    <use value="home"/>
  </telecom>
  <telecom>
    <system value="email"/>
    <value value="alicenewman866@gmail.com"/>
    <use value="home"/>
  </telecom>
  <gender value="female"/>
  <birthDate value="1972-06-07"/>
  <address>
    <use value="home"/>
    <line value="6790 Oak St"/>
    <city value="Plano"/>
    <district value="collin"/>
    <state value="IL"/>
    <postalCode value="60448"/>
    <country value="USA"/>
  </address>
  <address>
    <use value="old"/>
    <line value="Nzbd"/>
    <city value="Hyd"/>
    <postalCode value="502345"/>
    <country value="Andorra"/>
    <period>
      <start value="2025-12-02T00:00:00-08:00"/>
      <end value="2025-12-04T00:00:00-08:00"/>
    </period>
  </address>
  <communication>
    <language>
      <coding>
        <system value="urn:ietf:bcp:47"/>
        <code value="fr"/>
        <display value="French"/>
      </coding>
      <text value="French"/>
    </language>
    <preferred value="true"/>
  </communication>
</Patient>