<Patient xmlns="http://hl7.org/fhir">
  <id value="PatientRole Instance Example" />
  <meta>
    <profile value="http://hl7.org/fhir/us/bser/StructureDefinition/PatientRole" />
  </meta>
  <identifier>
    <type>
      <coding>
        <system value="http://hl7.org/fhir/v2/0203" />
        <code value="MR" />
      </coding>
    </type>
    <system value="urn:oid:1.3.6.1.4.1.26580.190.12457709" />
    <value value="71949668" />
  </identifier>
  <name>
    <family value="Koss811" />
    <given value="Elly802" />
  </name>
  <telecom>
    <system value="phone" />
    <value value="(999) 607-2500" />
  </telecom>
  <gender value="female" />
  <birthDate value="1988-05-28" />
  <address>
    <line value="609 Lizeth Streets" />
    <city value="Bolton" />
    <state value="MA" />
    <postalCode value="01740" />
  </address>
  <communication>
    <language>
      <coding>
        <system value="urn:ietf:bcp:47" />
        <code value="en-US" />
        <display value="English (United States)" />
      </coding>
    </language>
    <preferred value="true" />
  </communication>
</Patient>