<Patient xmlns="http://hl7.org/fhir">
  <id value="Patient1" />
  <meta>
    <lastUpdated value="2020-07-07T13:26:22.0314215+00:00" />
    <profile value="https://dxp/fhir/StructureDefinition/DXPPatientProfile" />
  </meta>
  <language value="en-US" />
  <text>
    <status value="generated" />
    <div xmlns="http://www.w3.org/1999/xhtml" xml:lang="en-US" lang="en-US">
      <p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">
        <b>Johnny Example1 </b> male, DoB: 1986-01-01 ( Member Number: 1234-234-1243-12345678901)</p>
      <hr />
      <table class="grid">
        <tr>
          <td style="background-color: #f3f5da" title="Record is active">Active:</td>
          <td>true</td>
          <td style="background-color: #f3f5da" title="Known Marital status of Patient">Marital Status:</td>
          <td colspan="3">
            <span title="Codes: {http://terminology.hl7.org/CodeSystem/v3-NullFlavor UNK}">unknown</span>
          </td>
        </tr>
        <tr>
          <td style="background-color: #f3f5da" title="Other Ids (see the one above)">Other Id:</td>
          <td colspan="3">Unique Member ID: 1234-234-1243-12345678901u</td>
        </tr>
        <tr>
          <td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Details:</td>
          <td colspan="3">
            <ul>
              <li>ph: (301)666-1212</li>
              <li>123 Main Street Pittsburgh PA 12519 </li>
            </ul>
          </td>
        </tr>
      </table>
    </div>
  </text>
  <identifier>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0203" />
        <code value="MB" />
      </coding>
    </type>
    <system value="https://www.xxxhealthplan.com/fhir/memberidentifier" />
    <value value="1234-234-1243-12345678901" />
  </identifier>
  <identifier>
    <type>
      <coding>
        <system value="http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBIdentifierType" />
        <code value="um" />
      </coding>
    </type>
    <system value="https://www.xxxhealthplan.com/fhir/iniquememberidentifier" />
    <value value="1234-234-1243-12345678901u" />
  </identifier>
  <active value="true" />
  <name>
    <family value="Example11" />
    <given value="Johnny1" />
  </name>
  <telecom>
    <system value="phone" />
    <value value="(301)666-1212" />
    <rank value="2" />
  </telecom>
  <gender value="male" />
  <birthDate value="1986-01-01" />
  <address>
    <type value="physical" />
    <line value="123 Main Street" />
    <city value="Pittsburgh" />
    <state value="PA" />
    <postalCode value="12519" />
  </address>
  <maritalStatus>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor" />
      <code value="UNK" />
    </coding>
  </maritalStatus>
</Patient>