{
  "resourceType": "Patient",
  "contained": [
    {
      "resourceType": "Patient",
      "managingOrganization": {
        "reference": "Organization/hl7"
      }
    }
  ],
  "identifier": [
    {}
  ],
  "active": "",
  "gender": "male",
  "_gender": {
    "extension": [
      {
        "url": "http://example.org/StructureDefinition/real-gender",
        "valueCode": "metrosexual"
      }
    ]
  },
  "contact": [
    {
      "relationship": [
        {
          "coding": [
            {}
          ]
        }
      ]
    }
  ]
}