<Patient xmlns="http://hl7.org/fhir">
  <id value="43427" />
  <meta>
    <profile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient" />
  </meta>
  <extension url="http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName">
    <valueString value="Vivian, Ona" />
  </extension>
  <extension url="https://westcare.com/fhir/StructureDefinition/birthdate-missing">
    <valueCode value="N" />
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/patient-birthPlace">
    <valueAddress>
      <city value="UNKNOWN" />
      <district value="UNKNOWN" />
      <state value="ZZ" />
    </valueAddress>
  </extension>
  <extension url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-tribal-affiliation">
    <valueCodeableConcept>
      <text value="UNKNOWN" />
    </valueCodeableConcept>
  </extension>
  <extension url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race">
    <extension url="text">
      <valueString value="White/Caucasian" />
    </extension>
  </extension>
  <extension url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity">
    <extension url="text">
      <valueString value="Not Hispanic or Latino" />
    </extension>
  </extension>
  <extension url="https://westcare.com/fhir/StructureDefinition/ethnicity-ctc">
    <valueString value="White" />
  </extension>
  <extension url="https://westcare.com/fhir/StructureDefinition/idoc-race">
    <valueInteger value="0" />
  </extension>
  <extension url="https://westcare.com/fhir/StructureDefinition/csatrace">
    <valueCodeableConcept>
      <coding>
        <system value="https://westcare.com/fhir/CodeSystem/csatrace" />
        <code value="6" />
        <display value="White/Caucasian" />
      </coding>
      <text value="White/Caucasian" />
    </valueCodeableConcept>
  </extension>
  <extension url="https://westcare.com/fhir/StructureDefinition/csatethnicity">
    <valueCodeableConcept>
      <coding>
        <system value="https://westcare.com/fhir/CodeSystem/csatethnicity" />
        <code value="7" />
        <display value="Not Hispanic or Latino" />
      </coding>
      <text value="Not Hispanic or Latino" />
    </valueCodeableConcept>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/patient-citizenship">
    <extension url="code">
      <valueCodeableConcept>
        <coding>
          <system value="urn:iso:std:iso:3166" />
          <code value="US" />
          <display value="United States" />
        </coding>
        <text value="United States" />
      </valueCodeableConcept>
    </extension>
    <extension url="status">
      <valueCode value="Y" />
    </extension>
    <extension url="text">
      <valueString value="Yes" />
    </extension>
  </extension>
  <extension url="https://westcare.com/fhir/StructureDefinition/household-head">
    <valueBoolean value="false" />
  </extension>
  <extension url="http://hl7.org/fhir/us/military-service/StructureDefinition/military-service-veteran-status">
    <valueBoolean value="true" />
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/individual-pronouns">
    <valueCodeableConcept>
      <coding>
        <system value="https://westcare.com/fhir/CodeSystem/pronoun" />
        <code value="0" />
        <display value="UNKNOWN" />
      </coding>
      <text value="UNKNOWN" />
    </valueCodeableConcept>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender">
    <valueCodeableConcept>
      <text value="UNKNOWN" />
    </valueCodeableConcept>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/individual-genderIdentity">
    <valueCodeableConcept>
      <text value="UNKNOWN" />
    </valueCodeableConcept>
  </extension>
  <extension url="https://westcare.com/fhir/StructureDefinition/orientation">
    <valueCodeableConcept>
      <coding>
        <system value="https://westcare.com/fhir/CodeSystem/orientation" />
        <code value="0" />
        <display value="UNKNOWN" />
      </coding>
      <text value="UNKNOWN" />
    </valueCodeableConcept>
  </extension>
  <extension url="https://westcare.com/fhir/StructureDefinition/name-other-spelling">
    <valueString value="UNKNOWN" />
  </extension>
  <extension url="https://westcare.com/fhir/StructureDefinition/county-other">
    <valueString value="UNKNOWN" />
  </extension>
  <extension url="https://westcare.com/fhir/StructureDefinition/city-other">
    <valueString value="UNKNOWN" />
  </extension>
  <extension url="https://westcare.com/fhir/StructureDefinition/comments">
    <valueString value="Ct. info updated 09/25/12. (L.C.)" />
  </extension>
  <extension url="https://westcare.com/fhir/StructureDefinition/county-number">
    <valueString value="UNKNOWN" />
  </extension>
  <extension url="https://westcare.com/fhir/StructureDefinition/county-number-2">
    <valueString value="UNKNOWN" />
  </extension>
  <extension url="https://westcare.com/fhir/StructureDefinition/public-assistance">
    <valueCodeableConcept>
      <coding>
        <system value="https://westcare.com/fhir/CodeSystem/public-assistance" />
        <code value="7" />
        <display value="Unknown" />
      </coding>
      <text value="Unknown" />
    </valueCodeableConcept>
  </extension>
  <extension url="https://westcare.com/fhir/StructureDefinition/military-background">
    <valueCodeableConcept>
      <coding>
        <system value="https://westcare.com/fhir/CodeSystem/military-background" />
        <code value="2" />
        <display value="Honorably Discharged" />
      </coding>
      <text value="Honorably Discharged" />
    </valueCodeableConcept>
  </extension>
  <extension url="https://westcare.com/fhir/StructureDefinition/military-branch">
    <valueCodeableConcept>
      <coding>
        <system value="https://westcare.com/fhir/CodeSystem/military-branch" />
        <code value="1" />
        <display value="Army" />
      </coding>
      <text value="Army" />
    </valueCodeableConcept>
  </extension>
  <extension url="https://westcare.com/fhir/StructureDefinition/selective-service">
    <valueCodeableConcept>
      <coding>
        <system value="https://westcare.com/fhir/CodeSystem/selective-service" />
        <code value="0" />
        <display value="UNKNOWN" />
      </coding>
      <text value="UNKNOWN" />
    </valueCodeableConcept>
  </extension>
  <extension url="https://westcare.com/fhir/StructureDefinition/accommodations">
    <valueString value="UNKNOWN" />
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/patient-religion">
    <valueCodeableConcept>
      <coding>
        <system value="https://westcare.com/fhir/CodeSystem/religionid" />
        <code value="6" />
        <display value="None" />
      </coding>
      <text value="None" />
    </valueCodeableConcept>
  </extension>
  <extension url="https://westcare.com/fhir/StructureDefinition/religion-other">
    <valueString value="UNKNOWN" />
  </extension>
  <extension url="https://westcare.com/fhir/StructureDefinition/status-type">
    <valueString value="IC" />
  </extension>
  <identifier>
    <use value="usual" />
    <system value="https://westcare.com/fhir/identifier/client-id" />
    <value value="43427" />
  </identifier>
  <identifier>
    <use value="secondary" />
    <system value="https://westcare.com/fhir/identifier/archive-client-id" />
    <value value="0" />
  </identifier>
  <identifier>
    <use value="secondary" />
    <system value="https://westcare.com/fhir/identifier/original-client-id" />
    <value value="10043427" />
  </identifier>
  <identifier>
    <use value="official" />
    <system value="https://westcare.com/fhir/identifier/gpra-id" />
    <value value="UNKNOWN" />
  </identifier>
  <identifier>
    <use value="secondary" />
    <system value="https://westcare.com/fhir/identifier/reference-number" />
    <value value="120188613" />
  </identifier>
  <identifier>
    <use value="secondary" />
    <system value="https://westcare.com/fhir/identifier/reference-number-2" />
    <value value="UNKNOWN" />
  </identifier>
  <identifier>
    <extension url="https://westcare.com/fhir/StructureDefinition/ssn-missing">
      <valueCode value="Y" />
    </extension>
    <use value="official" />
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0203" />
        <code value="SS" />
        <display value="Social Security Number" />
      </coding>
      <text value="Social Security Number" />
    </type>
    <system value="http://hl7.org/fhir/sid/us-ssn" />
    <value value="000000000" />
  </identifier>
  <identifier>
    <extension url="https://westcare.com/fhir/StructureDefinition/license-status">
      <valueCodeableConcept>
        <coding>
          <system value="https://westcare.com/fhir/CodeSystem/driver-license-status" />
          <code value="0" />
          <display value="UNKNOWN" />
        </coding>
        <text value="UNKNOWN" />
      </valueCodeableConcept>
    </extension>
    <use value="official" />
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0203" />
        <code value="DL" />
        <display value="Driver’s license number" />
      </coding>
      <text value="Driver’s license number" />
    </type>
    <system value="https://westcare.com/fhir/identifier/driver-license" />
    <value value="UNKNOWN" />
    <period>
      <end value="9999-12-31" />
    </period>
    <assigner>
      <display value="ZZ" />
    </assigner>
  </identifier>
  <identifier>
    <extension url="https://westcare.com/fhir/StructureDefinition/license-status">
      <valueCodeableConcept>
        <coding>
          <system value="https://westcare.com/fhir/CodeSystem/other-license-status" />
          <code value="1" />
          <display value="Valid" />
        </coding>
        <text value="Valid" />
      </valueCodeableConcept>
    </extension>
    <use value="official" />
    <type>
      <coding>
        <system value="https://westcare.com/fhir/CodeSystem/other-license-type" />
        <code value="4" />
        <display value="State ID" />
      </coding>
      <text value="State ID" />
    </type>
    <system value="https://westcare.com/fhir/identifier/other-license" />
    <value value="2100893813" />
    <period>
      <end value="2000-01-01" />
    </period>
  </identifier>
  <identifier>
    <use value="official" />
    <system value="https://westcare.com/fhir/identifier/medicaid" />
    <value value="UNKNOWN" />
  </identifier>
  <identifier>
    <use value="secondary" />
    <system value="https://westcare.com/fhir/identifier/case-number" />
    <value value="UNKNOWN" />
  </identifier>
  <name>
    <use value="usual" />
    <given value="UNKNOWN" />
  </name>
  <name>
    <use value="official" />
    <family value="1a6eb226" />
    <given value="B9bb" />
    <given value="UNKNOWN" />
    <suffix value="UNKNOWN" />
  </name>
  <name>
    <use value="maiden" />
    <family value="Norman" />
    <given value="James" />
    <given value="UNKNOWN" />
  </name>
  <name>
    <use value="nickname" />
    <given value="UNKNOWN" />
  </name>
  <name>
    <use value="nickname" />
    <given value="UNKNOWN" />
  </name>
  <telecom>
    <system value="phone" />
    <value value="0000000000" />
    <use value="home" />
    <rank value="1" />
  </telecom>
  <telecom>
    <system value="phone" />
    <value value="0000000000" />
    <use value="mobile" />
    <rank value="2" />
  </telecom>
  <telecom>
    <system value="email" />
    <value value="unknown@gmail.com" />
    <use value="home" />
    <rank value="3" />
  </telecom>
  <telecom>
    <system value="phone" />
    <value value="0000000000" />
    <use value="other" />
    <rank value="4" />
  </telecom>
  <gender value="male" />
  <birthDate value="1990-01-01" />
  <address>
    <use value="home" />
    <line value="UNKNOWN" />
    <line value="UNKNOWN" />
    <city value="UNKNOWN" />
    <district value="UNKNOWN" />
    <state value="ZZ" />
    <postalCode value="00000-0000" />
  </address>
  <address>
    <use value="mailing" />
    <line value="UNKNOWN" />
    <city value="UNKNOWN" />
    <state value="ZZ" />
    <postalCode value="00000-0000" />
  </address>
  <maritalStatus>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/v3-MaritalStatus" />
      <code value="D" />
      <display value="Divorced" />
    </coding>
    <coding>
      <system value="https://westcare.com/fhir/CodeSystem/maritalstatusid" />
      <code value="4" />
      <display value="Divorced" />
    </coding>
    <text value="Divorced" />
  </maritalStatus>
  <contact>
    <name>
      <text value="UNKNOWN" />
    </name>
    <telecom>
      <system value="phone" />
      <value value="0000000000" />
      <use value="mobile" />
      <rank value="1" />
    </telecom>
  </contact>
  <communication>
    <language>
      <coding>
        <system value="urn:ietf:bcp:47" />
        <code value="en" />
        <display value="English" />
      </coding>
      <text value="English" />
    </language>
  </communication>
  <communication>
    <language>
      <coding>
        <system value="https://westcare.com/fhir/CodeSystem/languageid" />
        <code value="5" />
        <display value="English" />
      </coding>
      <text value="English" />
    </language>
  </communication>
</Patient>