<Patient xmlns="http://hl7.org/fhir">
  <id value="cc-pat-betsy" />
  <meta>
    <profile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient" />
  </meta>
  <text>
    <status value="generated" />
    <div xmlns="http://www.w3.org/1999/xhtml">Betsy Johnson</div>
  </text>
  <extension url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race">
    <valueCodeableConcept>
      <coding>
        <system value="http://hl7.org/fhir/v3/Race" />
        <code value="2106-3" />
        <display value="White" />
      </coding>
      <text value="race" />
    </valueCodeableConcept>
  </extension>
  <extension url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity">
    <valueCodeableConcept>
      <coding>
        <system value="http://hl7.org/fhir/v3/Ethnicity" />
        <code value="2186-5" />
        <display value="Nonhispanic" />
      </coding>
      <text value="ethnicity" />
    </valueCodeableConcept>
  </extension>
  <extension url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex">
    <valueCode value="F" />
  </extension>
  <identifier>
    <type>
      <coding>
        <system value="http://hl7.org/fhir/v2/0203" />
        <code value="MR" />
        <display value="Medical Record Number" />
      </coding>
      <text value="Medical Record Number" />
    </type>
    <system value="http://sample.agency.gov/fhir/NamingSystem/identifier" />
    <value value="345100" />
  </identifier>
  <name>
    <use value="official" />
    <text value="Betsy Johnson" />
    <family value="Johnson" />
    <given value="Betsy" />
  </name>
  <telecom>
    <system value="phone" />
    <value value="555-555-2001" />
    <use value="mobile" />
  </telecom>
  <telecom>
    <system value="email" />
    <value value="betsy.johnson@woohoo.com" />
  </telecom>
  <gender value="female" />
  <birthDate value="1957-11-07" />
  <address>
    <use value="home" />
    <line value="7247 Breen St." />
    <city value="Springfield" />
    <state value="IL" />
    <postalCode value="62707" />
    <country value="USA" />
  </address>
  <generalPractitioner>
    <reference value="Practitioner/cc-prac-carlson-john" />
    <display value="Dr. John Carlson, MD" />
  </generalPractitioner>
</Patient>