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Packageacme.base.r4
Resource TypePatient
IdACMEbasePatient.example.INVALID.json
FHIR VersionR4

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Narrative

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Source1

{
  "resourceType": "Patient",
  "id": "ACME-base-patient-INVALID-Test",
  "meta": {
    "profile": [
      "https://fake-acme.org/fhir/StructureDefinition/ACME-base-patient"
    ]
  },
  "extension": [
    {
      "extension": [
        {
          "url": "ombCategory",
          "valueCoding": {
            "system": "urn:oid:2.16.840.1.113883.6.238",
            "code": "2106-3",
            "display": "White"
          }
        },
        {
          "url": "ombCategory",
          "valueCoding": {
            "system": "urn:oid:2.16.840.1.113883.6.238",
            "code": "1002-5",
            "display": "American Indian or Alaska Native"
          }
        },
        {
          "url": "ombCategory",
          "valueCoding": {
            "system": "urn:oid:2.16.840.1.113883.6.238",
            "code": "2028-9",
            "display": "Asian"
          }
        },
        {
          "url": "detailed",
          "valueCoding": {
            "system": "urn:oid:2.16.840.1.113883.6.238",
            "code": "1586-7",
            "display": "Shoshone"
          }
        },
        {
          "url": "detailed",
          "valueCoding": {
            "system": "urn:oid:2.16.840.1.113883.6.238",
            "code": "2036-2",
            "display": "Filipino"
          }
        },
        {
          "url": "text",
          "valueString": "Mixed"
        }
      ],
      "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
    },
    {
      "extension": [
        {
          "url": "ombCategory",
          "valueCoding": {
            "system": "urn:oid:2.16.840.1.113883.6.238",
            "code": "2135-2",
            "display": "Hispanic or Latino"
          }
        },
        {
          "url": "detailed",
          "valueCoding": {
            "system": "urn:oid:2.16.840.1.113883.6.238",
            "code": "2184-0",
            "display": "Dominican"
          }
        },
        {
          "url": "detailed",
          "valueCoding": {
            "system": "urn:oid:2.16.840.1.113883.6.238",
            "code": "2148-5",
            "display": "Mexican"
          }
        },
        {
          "url": "text",
          "valueString": "Hispanic or Latino"
        }
      ],
      "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
    },
    {
      "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
      "valueCode": "F"
    }
  ],
  "identifier": [
    {
      "use": "usual",
      "type": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code": "MR",
            "display": "Medical Record Number"
          }
        ],
        "text": "Medical Record Number"
      },
      "system": "http://hospital.smarthealthit.org",
      "value": "1032702"
    }
  ],
  "active": true,
  "name": [
    {
      "family": "Shaw",
      "given": [
        "Noamy",
        "V."
      ]
    }
  ],
  "telecom": [
    {
      "system": "phone",
      "value": "555-555-5555",
      "use": "home"
    },
    {
      "system": "email",
      "value": "amy.shaw@example.com"
    }
  ],
  "gender": "female",
  "birthDate": "2007-02-20",
  "address": [
    {
      "line": [
        "49 Meadow St"
      ],
      "city": "Mounds",
      "state": "OK",
      "postalCode": "74047",
      "country": "US"
    }
  ]
}