{
  "resourceType" : "Patient",
  "id" : "PAS-Beneficiary-Example1",
  "meta" : {
    "lastUpdated" : "2025-12-12T01:26:33.060-06:00",
    "profile" : ["https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-pas-beneficiary-patient-profile"]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table width=\"100%\"><tbody><tr><td width=\"25%\"><span class=\"text-muted\">Cheryl L. Johnson suffix F DOB: 1976/06/30</span></td><td width=\"42%\"><span class=\"text-muted\">2590 SW Evans Portland, IL 60229 USAadd1 city2, null 567890 Vanuatu Phone: 5036179046 Phone: 5032452697 Fax: 5036179047 Email: cljohson@owl.com</span></td></tr></tbody></table></div>"
  },
  "extension" : [{
    "extension" : [{
      "url" : "ombCategory",
      "valueCoding" : {
        "system" : "urn:oid:2.16.840.1.113883.6.238",
        "code" : "2106-3",
        "display" : "White"
      }
    },
    {
      "url" : "text",
      "valueString" : "White"
    }],
    "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
  },
  {
    "extension" : [{
      "url" : "ombCategory",
      "valueCoding" : {
        "system" : "urn:oid:2.16.840.1.113883.6.238",
        "code" : "2186-5",
        "display" : "Not Hispanic or Latino"
      }
    },
    {
      "url" : "text",
      "valueString" : "Not Hispanic or Latino"
    }],
    "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
  },
  {
    "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
    "valueCode" : "F"
  },
  {
    "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-sex",
    "valueCode" : "248152002"
  },
  {
    "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity",
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "446141000124107",
        "display" : "Identifies as Female"
      }],
      "text" : "Identifies as Female"
    }
  },
  {
    "extension" : [{
      "url" : "tribalAffiliation",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/v3-TribalEntityUS",
          "code" : "345",
          "display" : "Alatna Village"
        }],
        "text" : "Alatna Village"
      }
    }],
    "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-tribal-affiliation"
  }],
  "identifier" : [{
    "type" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
        "code" : "PI",
        "display" : "Patient Internal Identifier"
      }],
      "text" : "Patient Internal Identifier"
    },
    "system" : "https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/namingsystem/PatientId/1000-4-9390",
    "value" : "670"
  },
  {
    "use" : "secondary",
    "type" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
        "code" : "SB"
      }]
    },
    "system" : "http://hl7.org/fhir/sid/us-ssn",
    "value" : "753745187"
  },
  {
    "type" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
        "code" : "MR",
        "display" : "Medical record number"
      }],
      "text" : "Medical record number"
    },
    "system" : "https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/namingsystem/MRN/1000-4-9390",
    "value" : "MR-000-090"
  }],
  "name" : [{
    "use" : "official",
    "family" : "Johnson",
    "given" : ["Cheryl",
    "L."],
    "prefix" : ["Mrs"],
    "suffix" : ["suffix"]
  }],
  "telecom" : [{
    "system" : "phone",
    "value" : "5036179046",
    "use" : "work"
  },
  {
    "system" : "phone",
    "value" : "5032452697",
    "use" : "home"
  },
  {
    "system" : "fax",
    "value" : "5036179047"
  },
  {
    "system" : "email",
    "value" : "cljohson@owl.com",
    "use" : "home"
  }],
  "gender" : "female",
  "birthDate" : "1976-06-30",
  "address" : [{
    "line" : ["2590 SW Evans"],
    "city" : "Portland",
    "district" : "county",
    "state" : "IL",
    "postalCode" : "60229",
    "country" : "USA"
  },
  {
    "use" : "old",
    "line" : ["add1"],
    "city" : "city2",
    "postalCode" : "567890",
    "country" : "Vanuatu",
    "period" : {
      "start" : "2025-08-11T00:00:00-06:00",
      "end" : "2025-12-10T00:00:00-06:00"
    }
  }],
  "multipleBirthInteger" : 1,
  "communication" : [{
    "language" : {
      "coding" : [{
        "system" : "urn:ietf:bcp:47",
        "code" : "en",
        "display" : "English"
      }],
      "text" : "English"
    },
    "preferred" : true
  }]
}