{
  "resourceType": "Patient",
  "id": "pat2",
  "identifier": [
    {
      "use": "usual",
      "type": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code": "MR"
          }
        ]
      },
      "system": "urn:oid:0.1.2.3.4.5.6.7",
      "value": "123456"
    }
  ],
  "active": true,
  "name": [
    {
      "use": "official",
      "family": "Donald",
      "given": [
        "Duck",
        "D"
      ]
    }
  ],
  "gender": "other",
  "_gender": {
    "extension": [
      {
        "url": "http://example.org/Profile/administrative-status",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v2-0001",
              "code": "A",
              "display": "Ambiguous"
            }
          ]
        }
      }
    ]
  },
  "photo": [
    {
      "contentType": "image/gif",
      "data": "[encoded data, 99912 characters]"
    }
  ],
  "managingOrganization": {
    "reference": "Organization/1",
    "display": "ACME Healthcare, Inc"
  },
  "link": [
    {
      "other": {
        "reference": "Patient/pat1"
      },
      "type": "seealso"
    }
  ],
  "meta": {
    "tag": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code": "HTEST",
        "display": "test health data"
      }
    ]
  }
}