<?xml version="1.0" encoding="UTF-8"?>

<Patient xmlns="http://hl7.org/fhir">
  <id value="Example-Smith-Johnson-Patient1"/>
  <meta>
    <lastUpdated value="2021-03-29T14:25:34.001-05:00"/>
    <profile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"/>
  </meta>
  <language value="en"/>
  <text>
    <status value="generated"/>
  </text>
  <extension url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race">
    <extension url="ombCategory">
      <valueCoding>
        <system value="urn:oid:2.16.840.1.113883.6.238"/>
        <code value="2106-3"/>
        <display value="White"/>
      </valueCoding>
    </extension>
    <extension url="text">
      <valueString value="White"/>
    </extension>
  </extension>
  <identifier>
    <use value="usual"/>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
        <code value="MR"/>
        <display value="Medical Record Number"/>
      </coding>
      <text value="Medical Record Number"/>
    </type>
    <system value="http://example.org/GoodHealthHospital"/>
    <value value="1032702"/>
  </identifier>
  <identifier>
    <system value="http://hl7.org/fhir/sid/us-medicare"/>
    <value value="1PA3D58WH16"/>
  </identifier>
  <active value="true"/>
  <name>
    <use value="usual"/>
    <text value="Smith-Johnson, Betsy"/>
    <family value="Smith-Johnson"/>
    <given value="Betsy"/>
  </name>
  <telecom>
    <system value="email"/>
    <value value="BetsySJ@example.com"/>
    <use value="home"/>
  </telecom>
  <gender value="female"/>
  <birthDate value="1950-11-15"/>
  <address>
    <use value="home"/>
    <type value="physical"/>
    <line value="111 Maple Court"/>
    <city value="San Antonio"/>
    <state value="TX"/>
    <postalCode value="78212"/>
    <country value="US"/>
  </address>
  <maritalStatus>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor"/>
      <code value="UNK"/>
    </coding>
  </maritalStatus>
  <contact>
    <relationship>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
        <code value="SONC"/>
      </coding>
    </relationship>
    <name>
      <text value="Charles Johnson"/>
    </name>
    <telecom>
      <system value="phone"/>
      <value value="(210) 222-3333"/>
    </telecom>
    <address>
      <text value="111 Maple Ct, Grand Rapids, MI 49503"/>
    </address>
  </contact>
  <contact>
    <relationship>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
        <code value="DAUC"/>
      </coding>
    </relationship>
    <name>
      <text value="Debra Johnson"/>
    </name>
    <telecom>
      <system value="phone"/>
      <value value="(410) 444-5555"/>
    </telecom>
    <address>
      <text value="333 W. Camden St., Baltimore, MD 21201"/>
    </address>
  </contact>
  <communication>
    <language>
      <coding>
        <system value="urn:ietf:bcp:47"/>
        <code value="en"/>
        <display value="English"/>
      </coding>
    </language>
    <preferred value="true"/>
  </communication>
</Patient>