<Patient xmlns="http://hl7.org/fhir">
  <id value="patient-contribution-example" />
  <meta>
    <profile value="http://ontariohealth.ca/fhir/pcr/StructureDefinition/profile-patient-contribution" />
  </meta>
  <identifier>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0203" />
        <code value="MR" />
      </coding>
    </type>
    <system value="https://hospital.example.ca/mrn" />
    <value value="MRN123456" />
  </identifier>
  <active value="true" />
  <name>
    <use value="official" />
    <family value="Smith" />
    <given value="Michael">
      <extension url="http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier">
        <valueCode value="MID" />
      </extension>
    </given>
    <given value="John" />
  </name>
  <gender value="male" />
  <birthDate value="1985-06-15" />
  <address>
    <use value="home" />
    <type value="postal" />
    <line value="100 Main Street" />
    <city value="Toronto" />
    <state value="ON" />
    <postalCode value="M5V2T6" />
    <country value="CAN" />
  </address>
</Patient>