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 - XML Representation

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<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> &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>
  </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>