{
  "resourceType": "Patient",
  "id": "patient-01",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Patient patient-01</b></p><a name=\"patient-01\"> </a><a name=\"hcpatient-01\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Sarah Jane Smith(official) Female, DoB: 1985-08-15 ( Jurisdictional Health Number: 9876543210)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Record is active\">Active:</td><td colspan=\"3\">true</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Other Id (see the one above)\">Other Id:</td><td colspan=\"3\">Medical Record Number/1032702</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\"><ul><li>ph: 604-555-1234(Home)</li><li><a href=\"mailto:sarah.smith@example.com\">sarah.smith@example.com</a></li><li>456 Oak Street Halifax NS B3H 0A5 CAN (home)</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Language spoken\">Language:</td><td colspan=\"3\"><span title=\"Codes:{urn:ietf:bcp:47 en-CA}\">English (Canada)</span> (preferred)</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Patient Links\">Links:</td><td colspan=\"3\"><ul><li>General Practitioner: <a href=\"PractitionerRole-practitioner-role-01.html\">Dr. Riley Okoro(official) (http://example.org/NamingSystem/Practitioner#PR789013): General pathologist (occupation) at Vancouver General Hospital (Healthcare Provider) (http://hlth.gov.bc.ca/fhir/NamingSystem/bc-phi#VGH123456) (http://example.org/NamingSystem/PractitionerRole#PR789012)</a></li><li>Managing Organization: <a href=\"Organization-organization-01.html\">Vancouver General Hospital (Healthcare Provider) (http://hlth.gov.bc.ca/fhir/NamingSystem/bc-phi#VGH123456)</a></li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"The pronouns to use when referring to an individual in verbal or written communication.\">Individual Pronouns:</td><td colspan=\"3\"><ul><li>value: <span title=\"Codes:{http://loinc.org LA29519-8}\">she/her/her/hers/herself</span></li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"A code classifying the person's sex assigned at birth. Replicates the birthsex extension in US-Core-R4 for interoperability.\"><a href=\"https://simplifier.net/resolve?scope=ca.infoway.io.core@1.2.1-dft&amp;canonical=http://fhir.infoway-inforoute.ca/ca-ext/StructureDefinition/patient-birthSex\">Extension: Birth Sex</a></td><td colspan=\"3\"><a href=\"http://snomed.info/id/248152002\">SNOMED CT: 248152002</a> (Female)</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Recorded sex or gender (RSG) information includes the various sex and gender concepts that are often used in existing systems but are known NOT to represent a gender identity, sex parameter for clinical use, or attributes related to sexuality, such as sexual orientation, sexual activity, or sexual attraction. Examples of recorded sex or gender concepts include administrative gender, administrative sex, and sex assigned at birth.  When exchanging this concept, refer to the guidance in the [Gender Harmony Implementation Guide](http://hl7.org/xprod/ig/uv/gender-harmony/).\">Person Recorded Sex Or Gender:</td><td colspan=\"3\"><ul><li>type: <span title=\"Codes:{http://loinc.org 99502-7}\">Recorded sex or gender</span></li><li>value: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0001 F}\">Female</span></li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"A code classifying a person's self-identification as either First Nations, Inuk/Inuit and/or Métis.\"><a href=\"https://simplifier.net/resolve?scope=ca.infoway.io.core@1.2.1-dft&amp;canonical=http://fhir.infoway-inforoute.ca/ca-ext/StructureDefinition/patient-indigenousIdentity\">Indigenous Identity</a></td><td colspan=\"3\"><span title=\"Codes:{http://snomed.info/sct 33801000087109}\">Identifies as Two-Spirit gender (finding)</span></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"An individual's personal sense of being a man, woman, boy, girl, nonbinary, or something else. This represents an individual’s identity, ascertained by asking them what that identity is. \n In the case where the gender identity is communicated by a third party, for example, if a spouse indicates the gender identity of their partner on an intake form, a Provenance resource can be used with a Provenance.target referring to the Patient, with a targetElement extension identifying the gender identity extension as the target element within the Patient resource.  When exchanging this concept, refer to the guidance in the [Gender Harmony Implementation Guide](http://hl7.org/xprod/ig/uv/gender-harmony/).\">Individual Gender Identity:</td><td colspan=\"3\"><ul><li>value: <span title=\"Codes:{http://snomed.info/sct 446141000124107}\">Identifies as female gender</span></li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"The extension is required to identify if the patient speaks/understands an offical language (english/french), or if an interpretor is required.\"><a href=\"https://simplifier.net/resolve?scope=ca.infoway.io.core@1.2.1-dft&amp;canonical=http://fhir.infoway-inforoute.ca/ca-ext/StructureDefinition/patient-communicationBarrier\">Communication Barrier</a></td><td colspan=\"3\"><span title=\"Codes:{https://fhir.infoway-inforoute.ca/CodeSystem/communication-barrier NO}\">Interpreter Not Needed</span></td></tr></table></div>"
  },
  "extension": [
    {
      "url": "http://fhir.infoway-inforoute.ca/ca-ext/StructureDefinition/patient-indigenousIdentity",
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "version": "http://snomed.info/sct/20611000087101",
            "code": "33801000087109",
            "display": "Identifies as Two-Spirit gender (finding)"
          }
        ]
      }
    },
    {
      "extension": [
        {
          "url": "type",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://loinc.org",
                "code": "99502-7",
                "display": "Recorded sex or gender"
              }
            ]
          }
        },
        {
          "url": "value",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v2-0001",
                "code": "F",
                "display": "Female"
              }
            ]
          }
        }
      ],
      "url": "http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender"
    },
    {
      "extension": [
        {
          "url": "value",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "446141000124107",
                "display": "Identifies as female gender"
              }
            ]
          }
        }
      ],
      "url": "http://hl7.org/fhir/StructureDefinition/individual-genderIdentity"
    },
    {
      "extension": [
        {
          "url": "value",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://loinc.org",
                "code": "LA29519-8",
                "display": "she/her/her/hers/herself"
              }
            ]
          }
        }
      ],
      "url": "http://hl7.org/fhir/StructureDefinition/individual-pronouns"
    },
    {
      "url": "http://fhir.infoway-inforoute.ca/ca-ext/StructureDefinition/patient-birthSex",
      "valueCoding": {
        "system": "http://snomed.info/sct",
        "code": "248152002",
        "display": "Female"
      }
    },
    {
      "url": "http://fhir.infoway-inforoute.ca/ca-ext/StructureDefinition/patient-communicationBarrier",
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "https://fhir.infoway-inforoute.ca/CodeSystem/communication-barrier",
            "code": "NO",
            "display": "Interpreter Not Needed"
          }
        ]
      }
    }
  ],
  "identifier": [
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/ca/baseline/StructureDefinition/ext-identifierversion",
          "valueString": "01"
        }
      ],
      "type": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code": "JHN",
            "display": "Jurisdictional Health Number"
          }
        ]
      },
      "system": "https://fhir.infoway-inforoute.ca/NamingSystem/ca-ab-patient-healthcare-id",
      "value": "9876543210"
    },
    {
      "type": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code": "MR",
            "display": "Medical Record Number"
          }
        ]
      },
      "system": "http://example.org/somejurisdiction/NamingSystem/hospitalIds",
      "value": "1032702"
    }
  ],
  "active": true,
  "name": [
    {
      "use": "official",
      "text": "Sarah Jane Smith",
      "family": "Smith",
      "given": [
        "Sarah",
        "Jane"
      ]
    }
  ],
  "telecom": [
    {
      "system": "phone",
      "value": "604-555-1234",
      "use": "home"
    },
    {
      "system": "email",
      "value": "sarah.smith@example.com"
    }
  ],
  "gender": "female",
  "birthDate": "1985-08-15",
  "_birthDate": {
    "extension": [
      {
        "url": "http://hl7.org/fhir/StructureDefinition/patient-birthTime",
        "valueDateTime": "1985-08-15T21:35:00+00:00"
      }
    ]
  },
  "address": [
    {
      "use": "home",
      "type": "physical",
      "line": [
        "456 Oak Street"
      ],
      "city": "Halifax",
      "state": "NS",
      "postalCode": "B3H 0A5",
      "country": "CAN"
    }
  ],
  "communication": [
    {
      "language": {
        "coding": [
          {
            "system": "urn:ietf:bcp:47",
            "code": "en-CA",
            "display": "English (Canada)"
          }
        ]
      },
      "preferred": true
    }
  ],
  "generalPractitioner": [
    {
      "reference": "PractitionerRole/practitioner-role-01"
    }
  ],
  "managingOrganization": {
    "reference": "Organization/organization-01"
  }
}