PAS-Subscriber-Example1
type: Patient
node role: treeRoot
id:
  v: PAS-Subscriber-Example1
meta:
  last updated:
    v: 2025-12-23T23:25:47.290-08:00
  profile:
    v: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-pas-subscriber-patient-profile
    link: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-pas-subscriber-patient-profile
text:
  status:
    v: generated
  div: Generated Narrative: Patient PAS-Subscriber-Example1 Last updated: 2025-12-23 23:25:47-0800 Profile: PAS Subscriber Patient Lisa S Chamberlain (official) Female, DoB: 1972-06-07 ( Member Number: 237129812 (use: official, )) Contact Detail ph: 2146690123123(Work) ph: 2147236512(Home) alicenewman866@gmail.com 6790 Oak St Plano IL 60448 USA (home) Nzbd Hyd 502345 Andorra (old) Language: French (preferred) US Core Sex for Clinical Use Extension (Custom IG) 248152002 <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: ombCategory: Race & Ethnicity - CDC 2186-5: Not Hispanic or Latino text: Not Hispanic or Latino US Core Birth Sex Extension F <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:#xA;#xA; - American Indian or Alaska Native#xA; - Asian#xA; - Black or African American#xA; - Native Hawaiian or Other Pacific Islander#xA; - White.">US Core Race Extension: ombCategory: Race & Ethnicity - CDC 2106-3: White text: White US Core Tribal Affiliatio…
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:
  extension:
    url:
      v: tribalAffiliation
    value: CodeableConcept
      text:
        v: Agdaagux Tribe of King Cove
  url:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-tribal-affiliation
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
identifier:
  use:
    v: official
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
      code:
        v: MB
      display:
        v: Member Number
  system:
    v: https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/namingsystem/MemberNumber/0
  value:
    v: 237129812
name:
  use:
    v: official
  family:
    v: Chamberlain
  given:
    v: Lisa
  given:
    v: S
  prefix:
    v: Jr
  suffix:
    v: Ms
telecom:
  system:
    v: phone
  value:
    v: 2146690123123
  use:
    v: work
telecom:
  system:
    v: phone
  value:
    v: 2147236512
  use:
    v: home
telecom:
  system:
    v: email
  use:
    v: home
gender:
  v: female
birth date:
  v: 1972-06-07
address:
  use:
    v: home
  line:
    v: 6790 Oak St
  city:
    v: Plano
  district:
    v: collin
  state:
    v: IL
  postal code:
    v: 60448
  country:
    v: USA
address:
  use:
    v: old
  line:
    v: Nzbd
  city:
    v: Hyd
  postal code:
    v: 502345
  country:
    v: Andorra
  period:
    start:
      v: 2025-12-02T00:00:00-08:00
    end:
      v: 2025-12-04T00:00:00-08:00
communication:
  language:
    coding:
      system:
        v: urn:ietf:bcp:47
      code:
        v: fr
      display:
        v: French
    text:
      v: French
  preferred:
    v: true

v: 339

v: Agdaagux Tribe of King Cove