Allergy (Patient Dossier)
1.2.0 - STU1
Allergy (Patient Dossier)
1.2.0 - STU1
This page is part of the HL7 Belgium FHIR Implementation Guide - Allergy profiles (v1.2.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
<Patient xmlns="http://hl7.org/fhir">
<id value="example"/>
<meta>
<versionId value="1"/>
<lastUpdated value="2019-07-01T13:30:55.864+00:00"/>
<profile
value="https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;"><b>Josephine Nessa La Paradisio (OFFICIAL)</b> female, DoB: 1979-12-11 ( Medical record number: 45XXP0PA-4 (use: USUAL))</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Record is active">Active:</td><td>true</td><td style="background-color: #f3f5da" title="Known Marital status of Patient">Marital Status:</td><td colspan="3"><span title="Codes: {http://terminology.hl7.org/CodeSystem/v3-MaritalStatus D}, {https://www.ehealth.fgov.be/standards/fhir/core/CodeSystem/cd-civilstate 41}">Divorced</span></td></tr><tr><td style="background-color: #f3f5da" title="Other Ids (see the one above)">Other Id:</td><td colspan="3">Social Beneficiary Identifier: BeSSINNamingSystem#79121137740 (use: OFFICIAL)</td></tr><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Details:</td><td colspan="3"><ul><li><a href="mailto:nessa.laparadisio@belgium.be">nessa.laparadisio@belgium.be</a></li><li><a href="tel:+322476792979">+322476792979</a></li><li><a href="tel:+3226718655">+3226718655</a></li><li><a href="tel:+322476799">+322476799</a></li><li>Sloordelle 42, 1160 Oudergem(HOME)</li><li>42, Allee des Colzas, 1160 Auderghem(HOME)</li><li>377, Avenue Prince d'Orange, 1420 Braine-lʼAlleud(WORK)</li></ul></td></tr><tr><td style="background-color: #f3f5da" title="Nominated Contact: Next-of-Kin">Next-of-Kin:</td><td colspan="3"><ul><li>Leia Vogels </li><li><a href="tel:+31201234567">+31201234567</a></li></ul></td></tr><tr><td style="background-color: #f3f5da" title="Patient Links">Links:</td><td colspan="3"><ul><li>General Practitioner: <a href="Practitioner-practitioner.html">Practitioner/practitioner</a> " PULASKI"</li></ul></td></tr><tr><td style="background-color: #f3f5da" title="The nationality of the patient.">nationality:</td><td colspan="3"><ul><li>code: <span title="Codes: {https://www.ehealth.fgov.be/standards/fhir/core/CodeSystem/cd-fed-country BE}">Belgium</span></li></ul></td></tr><tr><td style="background-color: #f3f5da" title="The registered place of birth of the patient. A sytem may use the address.text if they don't store the birthPlace address in discrete elements."><a href="http://hl7.org/fhir/R4/extension-patient-birthplace.html">Birth Place:</a></td><td colspan="3"><ul><li>Namen BE </li></ul></td></tr></table></div>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/patient-birthPlace">
<valueAddress>
<extension url="http://hl7.org/fhir/StructureDefinition/language">
<valueCode value="nl"/>
</extension>
<city value="Namen"/>
<country value="BE"/>
</valueAddress>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/patient-nationality">
<extension url="code">
<valueCodeableConcept>
<coding>
<system
value="https://www.ehealth.fgov.be/standards/fhir/core/CodeSystem/cd-fed-country"/>
<code value="BE"/>
<display value="Belgium"/>
</coding>
</valueCodeableConcept>
</extension>
</extension>
<identifier>
<use value="official"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="SB"/>
<display value="Social Beneficiary Identifier"/>
</coding>
</type>
<system
value="https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/ssin"/>
<value value="79121137740"/>
</identifier>
<identifier>
<use value="usual"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MR"/>
<display value="Medical record number"/>
</coding>
</type>
<system
value="https://www.goodhealthhospital.be/standards/fhir/NamingSystem/patientrecord"/>
<value value="45XXP0PA-4"/>
</identifier>
<active value="true"/>
<name>
<use value="official"/>
<family value="La Paradisio"/>
<given value="Josephine"/>
<given value="Nessa"/>
</name>
<telecom>
<system value="email"/>
<value value="nessa.laparadisio@belgium.be"/>
</telecom>
<telecom>
<system value="phone"/>
<value value="+322476792979"/>
<use value="mobile"/>
</telecom>
<telecom>
<system value="phone"/>
<value value="+3226718655"/>
<use value="home"/>
</telecom>
<telecom>
<system value="phone"/>
<value value="+322476799"/>
<use value="work"/>
</telecom>
<gender value="female"/>
<birthDate value="1979-12-11">
<extension
url="http://hl7.org/fhir/StructureDefinition/patient-birthTime">
<valueDateTime value="1979-12-11T13:28:17-05:00"/>
</extension>
</birthDate>
<address>
<extension url="http://hl7.org/fhir/StructureDefinition/language">
<valueCode value="nl"/>
</extension>
<use value="home"/>
<type value="both"/>
<text value="Sloordelle 42, 1160 Oudergem"/>
<line value="Sloordelle 42">
<extension
url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName">
<valueString value="Sloordelle"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber">
<valueString value="42"/>
</extension>
</line>
<city value="Oudergem"/>
<postalCode value="1160"/>
<country value="BE"/>
</address>
<address>
<extension url="http://hl7.org/fhir/StructureDefinition/language">
<valueCode value="fr"/>
</extension>
<use value="home"/>
<type value="both"/>
<text value="42, Allee des Colzas, 1160 Auderghem"/>
<line value="42, Allee des Colzas">
<extension
url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName">
<valueString value="Allee des Colzas"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber">
<valueString value="42"/>
</extension>
</line>
<city value="Auderghem"/>
<postalCode value="1160"/>
<country value="BE"/>
</address>
<address>
<use value="work"/>
<type value="both"/>
<text value="377, Avenue Prince d'Orange, 1420 Braine-lʼAlleud"/>
<line value="377, Avenue Prince d'Orange">
<extension
url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName">
<valueString value="Avenue Prince d'Orange"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber">
<valueString value="377"/>
</extension>
</line>
<city value="Braine-lʼAlleud"/>
<postalCode value="1420"/>
<country value="BE"/>
</address>
<maritalStatus>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-MaritalStatus"/>
<code value="D"/>
<display value="Divorced"/>
</coding>
<coding>
<system
value="https://www.ehealth.fgov.be/standards/fhir/core/CodeSystem/cd-civilstate"/>
<code value="41"/>
<display value="Divorced since 1/10/1994"/>
</coding>
</maritalStatus>
<contact>
<relationship>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0131"/>
<code value="N"/>
<display value="Next-of-Kin"/>
</coding>
<coding>
<system
value="https://www.ehealth.fgov.be/standards/fhir/core/CodeSystem/cd-contact-person"/>
<code value="mother"/>
</coding>
</relationship>
<name>
<family value="Vogels"/>
<given value="Leia"/>
</name>
<telecom>
<system value="phone"/>
<value value="+31201234567"/>
<use value="mobile"/>
</telecom>
</contact>
<generalPractitioner>🔗
<reference value="Practitioner/practitioner"/>
</generalPractitioner>
</Patient>
IG © 2021+ eHealth Platform. Package hl7.fhir.be.allergy#1.2.0 based on FHIR 4.0.1. Generated 2023-12-18
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