PAS-Beneficiary-Example1
type: Patient
node role: treeRoot
id:
  v: PAS-Beneficiary-Example1
meta:
  last updated:
    v: 2025-12-12T01:26:33.060-06:00
  profile:
    v: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-pas-beneficiary-patient-profile
    link: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-pas-beneficiary-patient-profile
text:
  status:
    v: generated
  div: Cheryl L. Johnson suffix F DOB: 1976/06/30 2590 SW Evans Portland, IL 60229 USAadd1 city2, null 567890 Vanuatu Phone: 5036179046 Phone: 5032452697 Fax: 5036179047 Email: cljohson@owl.com
extension:
  extension:
    url:
      v: ombCategory
    value: Coding
      system:
        v: urn:oid:2.16.840.1.113883.6.238
      code:
        v: 2106-3
      display:
        v: White
  extension:
    url:
      v: text
    value: string
      v: White
  url:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race
extension:
  extension:
    url:
      v: ombCategory
    value: Coding
      system:
        v: urn:oid:2.16.840.1.113883.6.238
      code:
        v: 2186-5
      display:
        v: Not Hispanic or Latino
  extension:
    url:
      v: text
    value: string
      v: Not Hispanic or Latino
  url:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity
extension:
  url:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex
  value: code
    v: F
extension:
  url:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-sex
  value: code
    v: 248152002
extension:
  url:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity
  value: CodeableConcept
    coding: http://snomed.info/id/446141000124107
      system:
        v: http://snomed.info/sct
      code:
        v: 446141000124107
      display:
        v: Identifies as Female
    text:
      v: Identifies as Female
extension:
  extension:
    url:
      v: tribalAffiliation
    value: CodeableConcept
      text:
        v: Alatna Village
  url:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-tribal-affiliation
identifier:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
      code:
        v: PI
      display:
        v: Patient Internal Identifier
    text:
      v: Patient Internal Identifier
  system:
    v: https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/namingsystem/PatientId/1000-4-9390
  value:
    v: 670
identifier:
  use:
    v: secondary
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
      code:
        v: SB
  system:
    v: http://hl7.org/fhir/sid/us-ssn
  value:
    v: 753745187
identifier:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
      code:
        v: MR
      display:
        v: Medical record number
    text:
      v: Medical record number
  system:
    v: https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/namingsystem/MRN/1000-4-9390
  value:
    v: MR-000-090
name:
  use:
    v: official
  family:
    v: Johnson
  given:
    v: Cheryl
  given:
    v: L.
  prefix:
    v: Mrs
  suffix:
    v: suffix
telecom:
  system:
    v: phone
  value:
    v: 5036179046
  use:
    v: work
telecom:
  system:
    v: phone
  value:
    v: 5032452697
  use:
    v: home
telecom:
  system:
    v: fax
  value:
    v: 5036179047
telecom:
  system:
    v: email
  use:
    v: home
gender:
  v: female
birth date:
  v: 1976-06-30
address:
  line:
    v: 2590 SW Evans
  city:
    v: Portland
  district:
    v: county
  state:
    v: IL
  postal code:
    v: 60229
  country:
    v: USA
address:
  use:
    v: old
  line:
    v: add1
  city:
    v: city2
  postal code:
    v: 567890
  country:
    v: Vanuatu
  period:
    start:
      v: 2025-08-11T00:00:00-06:00
    end:
      v: 2025-12-10T00:00:00-06:00
multiple birth: integer
  v: 1
communication:
  language:
    coding:
      system:
        v: urn:ietf:bcp:47
      code:
        v: en

v: 345

v: Alatna Village

v: English

v: English

v: true