{
  "name": [
    {
      "family": "Doe",
      "given": [
        "Jane",
        "X"
      ],
      "use": "usual"
    }
  ],
  "address": [
    {
      "postalCode": "99999",
      "state": "22",
      "district": "999"
    }
  ],
  "extension": [
    {
      "valueCoding": {
        "display": "White",
        "system": "https://bluebutton.cms.gov/resources/variables/race",
        "code": "1"
      },
      "url": "https://bluebutton.cms.gov/resources/variables/race"
    }
  ],
  "resourceType": "Patient",
  "gender": "unknown",
  "birthDate": "2014-06-01",
  "id": "20140000000001",
  "identifier": [
    {
      "value": "20140000000001",
      "system": "https://bluebutton.cms.gov/resources/variables/bene_id"
    },
    {
      "value": "03849e7a2c2e2fe7a046b330e50cc9a68af0c1229ab996592e30a60da89986ed",
      "system": "https://bluebutton.cms.gov/resources/identifier/hicn-hash"
    }
  ]
}