Allergy (Patient Dossier)
1.2.0 - STU1 Belgium flag

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. For a full list of available versions, see the Directory of published versions

: example - JSON Representation

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{
  "resourceType" : "Patient",
  "id" : "example",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2019-07-01T13:30:55.864+00:00",
    "profile" : [
      🔗 "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<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:\u00a045XXP0PA-4\u00a0(use:\u00a0USUAL))</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:\u00a0BeSSINNamingSystem#79121137740\u00a0(use:\u00a0OFFICIAL)</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> &quot; PULASKI&quot;</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>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/patient-birthPlace",
      "valueAddress" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/language",
            "valueCode" : "nl"
          }
        ],
        "city" : "Namen",
        "country" : "BE"
      }
    },
    {
      "extension" : [
        {
          "url" : "code",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "https://www.ehealth.fgov.be/standards/fhir/core/CodeSystem/cd-fed-country",
                "code" : "BE",
                "display" : "Belgium"
              }
            ]
          }
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/patient-nationality"
    }
  ],
  "identifier" : [
    {
      "use" : "official",
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "SB",
            "display" : "Social Beneficiary Identifier"
          }
        ]
      },
      "system" : "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/ssin",
      "value" : "79121137740"
    },
    {
      "use" : "usual",
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "MR",
            "display" : "Medical record number"
          }
        ]
      },
      "system" : "https://www.goodhealthhospital.be/standards/fhir/NamingSystem/patientrecord",
      "value" : "45XXP0PA-4"
    }
  ],
  "active" : true,
  "name" : [
    {
      "use" : "official",
      "family" : "La Paradisio",
      "given" : [
        "Josephine",
        "Nessa"
      ]
    }
  ],
  "telecom" : [
    {
      "system" : "email",
      "value" : "nessa.laparadisio@belgium.be"
    },
    {
      "system" : "phone",
      "value" : "+322476792979",
      "use" : "mobile"
    },
    {
      "system" : "phone",
      "value" : "+3226718655",
      "use" : "home"
    },
    {
      "system" : "phone",
      "value" : "+322476799",
      "use" : "work"
    }
  ],
  "gender" : "female",
  "birthDate" : "1979-12-11",
  "_birthDate" : {
    "extension" : [
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/patient-birthTime",
        "valueDateTime" : "1979-12-11T13:28:17-05:00"
      }
    ]
  },
  "address" : [
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/language",
          "valueCode" : "nl"
        }
      ],
      "use" : "home",
      "type" : "both",
      "text" : "Sloordelle 42, 1160 Oudergem",
      "line" : [
        "Sloordelle 42"
      ],
      "_line" : [
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName",
              "valueString" : "Sloordelle"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber",
              "valueString" : "42"
            }
          ]
        }
      ],
      "city" : "Oudergem",
      "postalCode" : "1160",
      "country" : "BE"
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/language",
          "valueCode" : "fr"
        }
      ],
      "use" : "home",
      "type" : "both",
      "text" : "42, Allee des Colzas, 1160 Auderghem",
      "line" : [
        "42, Allee des Colzas"
      ],
      "_line" : [
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName",
              "valueString" : "Allee des Colzas"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber",
              "valueString" : "42"
            }
          ]
        }
      ],
      "city" : "Auderghem",
      "postalCode" : "1160",
      "country" : "BE"
    },
    {
      "use" : "work",
      "type" : "both",
      "text" : "377, Avenue Prince d'Orange, 1420 Braine-lʼAlleud",
      "line" : [
        "377, Avenue Prince d'Orange"
      ],
      "_line" : [
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName",
              "valueString" : "Avenue Prince d'Orange"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber",
              "valueString" : "377"
            }
          ]
        }
      ],
      "city" : "Braine-lʼAlleud",
      "postalCode" : "1420",
      "country" : "BE"
    }
  ],
  "maritalStatus" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus",
        "code" : "D",
        "display" : "Divorced"
      },
      {
        "system" : "https://www.ehealth.fgov.be/standards/fhir/core/CodeSystem/cd-civilstate",
        "code" : "41",
        "display" : "Divorced since 1/10/1994"
      }
    ]
  },
  "contact" : [
    {
      "relationship" : [
        {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v2-0131",
              "code" : "N",
              "display" : "Next-of-Kin"
            },
            {
              "system" : "https://www.ehealth.fgov.be/standards/fhir/core/CodeSystem/cd-contact-person",
              "code" : "mother"
            }
          ]
        }
      ],
      "name" : {
        "family" : "Vogels",
        "given" : [
          "Leia"
        ]
      },
      "telecom" : [
        {
          "system" : "phone",
          "value" : "+31201234567",
          "use" : "mobile"
        }
      ]
    }
  ],
  "generalPractitioner" : [
    {
      🔗 "reference" : "Practitioner/practitioner"
    }
  ]
}