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Source1

{
  "resourceType": "Patient",
  "id": "Patient-example-2",
  "meta": {
    "lastUpdated": "2021-05-19T17:50:23.000+02:00",
    "profile": [
      "https://ths-greifswald.de/fhir/StructureDefinition/epix/Patient"
    ]
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/patient-birthPlace",
      "valueAddress": {
        "city": "Musterhausen"
      }
    },
    {
      "extension": [
        {
          "url": "code",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "urn:iso:std:iso:3166",
                "code": "DE"
              }
            ]
          }
        }
      ],
      "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality"
    },
    {
      "url": "https://ths-greifswald.de/fhir/StructureDefinition/epix/CustomIdatValues",
      "extension": [
        {
          "url": "value1",
          "valueString": "A38"
        },
        {
          "url": "value2",
          "valueBoolean": true
        }
      ]
    }
  ],
  "telecom": [
    {
      "system": "email",
      "value": "manfred.mustermann@example.org"
    },
    {
      "system": "phone",
      "value": "012345/5555567"
    }
  ],
  "identifier": [
    {
      "system": "https://ths-greifswald.de/fhir/epix/identifier/SystemXY",
      "value": "ABC_12345"
    }
  ],
  "name": [
    {
      "family": "Mustermann",
      "given": [
        "Manfred"
      ]
    }
  ],
  "gender": "male",
  "birthDate": "1953-12-11",
  "address": [
    {
      "line": [
        "Musterweg 22"
      ],
      "city": "Musterstadt",
      "postalCode": "12345"
    }
  ]
}