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Source1

{
  "resourceType": "Patient",
  "id": "Example-patient-address-de-basis",
  "identifier": [
    {
      "type": {
        "coding": [
          {
            "code": "KVZ10",
            "system": "http://fhir.de/CodeSystem/identifier-type-de-basis"
          }
        ]
      },
      "system": "http://fhir.de/sid/gkv/kvid-10",
      "value": "X234567890"
    }
  ],
  "name": [
    {
      "use": "official",
      "family": "Musterman Test",
      "_family": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/humanname-own-name",
            "valueString": "Test"
          }
        ]
      },
      "given": [
        "Martina"
      ]
    }
  ],
  "birthDate": "1935-06-22",
  "address": [
    {
      "type": "physical",
      "line": [
        "Musterstr. 1"
      ],
      "_line": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber",
              "valueString": "1"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName",
              "valueString": "Musterstr."
            }
          ]
        }
      ],
      "city": "Köln",
      "postalCode": "50823",
      "country": "Deutschland",
      "_country": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/iso21090-codedString",
            "valueCoding": {
              "code": "DE",
              "system": "urn:iso:std:iso:3166",
              "display": "Deutschland"
            }
          }
        ]
      }
    }
  ]
}