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Packagefhir.test.data.r4
Resource TypePatient
IdPatient-6558.json
FHIR Version

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Source1

{
  "resourceType": "Patient",
  "id": "Patient-6558",
  "extension": [
    {
      "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race",
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/v3/Race",
            "code": "2106-3",
            "display": "White"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/us-core-ethnicity",
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/v3/Ethnicity",
            "code": "2186-5",
            "display": "Not Hispanic or Latino"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/us-core-religion",
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/v3/ReligiousAffiliation",
            "code": "1077",
            "display": "Protestant"
          }
        ]
      }
    }
  ],
  "identifier": [
    {
      "use": "official",
      "type": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/identifier-type",
            "code": "SB",
            "display": "Social Beneficiary Identifier"
          }
        ],
        "text": "US Social Security Number"
      },
      "system": "http://hl7.org/fhir/sid/us-ssn",
      "value": "000006558"
    }
  ],
  "active": true,
  "name": [
    {
      "family": "Sanford",
      "given": [
        "Ellen",
        "Sandoval"
      ]
    }
  ],
  "telecom": [
    {
      "system": "phone",
      "value": "269-555-1126",
      "use": "home"
    },
    {
      "system": "phone",
      "value": "269-555-7456",
      "use": "mobile"
    }
  ],
  "gender": "male",
  "birthDate": "1950-12-07",
  "address": [
    {
      "use": "home",
      "type": "postal",
      "line": [
        "596 Elm Road",
        "#4"
      ],
      "city": "Battle Creek",
      "district": "Calhoun County",
      "state": "MI",
      "postalCode": "49015"
    }
  ]
}