{
  "resourceType": "Patient",
  "meta": {
    "profile": [
      "https://example.org/fhir/StructureDefinition/Patient"
    ]
  },
  "identifier": [
    {
      "use": "official",
      "type": {
        "coding": [
          {
            "code": "BPJS",
            "display": "Nomor Kartu BPJS Kesehatan"
          }
        ]
      },
      "value": "02225969100"
    },
    {
      "use": "official",
      "type": {
        "coding": [
          {
            "code": "KK",
            "display": "Nomor Kartu Keluarga"
          }
        ]
      },
      "value": "3318125206870001"
    },
    {
      "use": "official",
      "type": {
        "coding": [
          {
            "code": "KTP",
            "display": "Nomor Kartu Tanda Penduduk"
          }
        ]
      },
      "value": "3318205210940000"
    },
    {
      "use": "official",
      "type": {
        "coding": [
          {
            "code": "RM",
            "display": "Nomor Rekam Medis"
          }
        ]
      },
      "value": "00112233"
    }
  ],
  "name": [
    {
      "use": "official",
      "text": "Rida Sita"
    }
  ],
  "address": [
    {
      "use": "home",
      "type": "both",
      "line": [
        "Jalan Anggrek No 08"
      ],
      "city": "Kulon Progo",
      "postalCode": "55653"
    },
    {
      "extension": [
        {
          "url": "http://example.org/fhir/StructureDefinition/AddressVillage",
          "valueCodeableConcept": {
            "coding": [
              {
                "code": "2001",
                "display": "Kebonharjo"
              }
            ],
            "text": "Kelurahan Kebonharjo"
          }
        },
        {
          "url": "http://example.org/fhir/StructureDefinition/District",
          "valueCodeableConcept": {
            "coding": [
              {
                "code": "11",
                "display": "Samigaluh"
              }
            ],
            "text": "Kecamatan Samigaluh"
          }
        },
        {
          "url": "http://example.org/fhir/StructureDefinition/Province",
          "valueCodeableConcept": {
            "coding": [
              {
                "code": "34",
                "display": "DIY"
              }
            ],
            "text": "Provinsi DIY"
          }
        }
      ]
    }
  ],
  "telecom": [
    {
      "system": "phone",
      "use": "home",
      "value": "(0274) 555111"
    },
    {
      "system": "phone",
      "use": "mobile",
      "value": "081123456789"
    },
    {
      "system": "email",
      "use": "work",
      "value": "ridasita@gmail.com"
    }
  ],
  "gender": "female",
  "birthDate": "1994-10-20",
  "extension": [
    {
      "url": "https://example.org/fhir/StructureDefinition/Headoffamily",
      "valueHumanName": {
        "text": "Wahyu Yulianto"
      }
    },
    {
      "url": "https://example.org/fhir/StructureDefinition/HeadFamilyRelation",
      "valueCodeableConcept": {
        "coding": [
          {
            "code": "husb",
            "display": "Husband"
          }
        ],
        "text": "Suami"
      }
    },
    {
      "url": "https://example.org/fhir/StructureDefinition/HeadOfFamilyID",
      "valueIdentifier": [
        {
          "use": "official",
          "type": {
            "coding": [
              {
                "code": "KTP",
                "display": "Nomor Kartu Tanda Penduduk"
              }
            ]
          },
          "value": "3318125206870000"
        }
      ]
    },
    {
      "url": "https://example.org/fhir/StructureDefinition/BirthPlace",
      "valueAddress": {
        "district": "Kulon Progo"
      }
    },
    {
      "url": "http://example.org/fhir/StructureDefinition/Age",
      "valueAge": {
        "value": "27"
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/patient-religion",
      "valueCodeableConcept": {
        "coding": [
          {
            "code": "1",
            "display": "Islam"
          }
        ]
      }
    },
    {
      "url": "http://example.org/fhir/StructureDefinition/Education",
      "valueCodeableConcept": {
        "coding": [
          {
            "code": "6",
            "display": "S1"
          }
        ],
        "text": "Sarjana"
      }
    },
    {
      "url": "https://example.org/fhir/StructureDefinition/Citizenship",
      "valueCodeableConcept": {
        "coding": [
          {
            "code": "1",
            "display": "WNI"
          }
        ],
        "text": "WNI"
      }
    },
    {
      "url": "http://example.org/fhir/StructureDefinition/Profession",
      "valueCodeableConcept": {
        "coding": [
          {
            "code": "12",
            "display": "Industri"
          }
        ],
        "text": "Karyawan Industri"
      }
    },
    {
      "url": "https://example.org/fhir/StructureDefinition/Extension-BloodType",
      "valueCodeableConcept": {
        "coding": [
          {
            "code": "2",
            "display": "B"
          }
        ]
      }
    }
  ],
  "maritalStatus": {
    "coding": [
      {
        "code": "M",
        "display": "Married"
      }
    ]
  },
  "photo": [
    {
      "url": "http://"
    }
  ],
  "contact": [
    {
      "relationship": [
        {
          "coding": [
            {
              "code": "N",
              "display": "Next-of-Kin"
            }
          ],
          "text": "Suami pasien"
        }
      ],
      "name": {
        "use": "official",
        "text": "Rizal Akbar"
      },
      "telecom": [
        {
          "system": "phone",
          "use": "mobile",
          "value": "081233679654"
        }
      ],
      "address": {
        "use": "home",
        "line": [
          "Jalan Anggrek No 08"
        ],
        "city": "Kulon Progo",
        "postalCode": "64416",
        "extension": [
          {
            "url": "http://example.org/fhir/StructureDefinition/ContactVillage",
            "valueCodeableCOncept": {
              "coding": [
                {
                  "code": "2001",
                  "display": "Kebonharjo"
                }
              ],
              "text": "Kelurahan Kebonharjo"
            }
          },
          {
            "url": "http://example.org/fhir/StructureDefinition/ContactDistrict",
            "valueCodeableCOncept": {
              "coding": [
                {
                  "code": "11",
                  "display": "Samigaluh"
                }
              ],
              "text": "Kecamatan Samigaluh"
            }
          },
          {
            "url": "http://example.org/fhir/StructureDefinition/ContactProvince",
            "valueCodeableCOncept": {
              "coding": [
                {
                  "code": "34",
                  "display": "DIY"
                }
              ],
              "text": "Provinsi DIY"
            }
          }
        ]
      },
      "gender": "male"
    }
  ],
  "managingOrganization": {
    "reference": "Organization/2581128",
    "identifier": [
      {
        "use": "official",
        "type": {
          "coding": [
            {
              "code": "edu",
              "display": "institusi pendidikan"
            }
          ]
        },
        "value": "SMA Negeri 1 Kalibawang"
      }
    ],
    "name": "SMA Negeri 1 Kalibawang",
    "telecom": [
      {
        "system": "phone",
        "use": "mobile",
        "value": "08887100089"
      },
      {
        "system": "phone",
        "use": "work",
        "value": "(0274) 868312"
      }
    ],
    "address": {
      "use": "home",
      "line": [
        "Jl. Dekso-Samigaluh No.KM 1, Kriyan, Banjararum, Kec. Kalibawang"
      ],
      "city": "Kulon Progo",
      "postalCode": "55672"
    }
  }
}