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iEHR
<Patient xmlns="http://hl7.org/fhir">
<id value="example-targeted-provenance"/>
<meta>
<extension url="http://hl7.org/fhir/StructureDefinition/instance-name">
<valueString value="Targeted Provenance Patient Example"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/instance-description">
<valueMarkdown
value="This is a patient example for the *IE Core Patient Profile* to demonstrate how Provenance can be used to document the source of individual elements such as Race and Ethnicity (R/E), gender identity."/>
</extension>
<profile
value="http://iehr.ai/fhir/ie/core/StructureDefinition/ie-core-patient"/>
</meta>
<extension
url="http://iehr.ai/fhir/ie/core/StructureDefinition/ie-core-genderIdentity" id="genderIdentity">
<valueCodeableConcept>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor"/>
<code value="UNK"/>
</coding>
</valueCodeableConcept>
</extension>
<identifier>
<system value="http://hospital.smarthealthit.org"/>
<value value="1032702"/>
</identifier>
<active value="true"/>
<name>
<family value="Shaw"/>
<given value="Amy"/>
<given value="V."/>
</name>
<telecom>
<system value="phone"/>
<value value="1 234 5678"/>
</telecom>
<gender value="female">
<id value="gender"/>
</gender>
<birthDate value="1987-02-20"/>
<address>
<line value="183 MOUNTAIN VIEW ST"/>
<city value="Sandyford"/>
<state value="Galway"/>
<postalCode value="H91 CV48"/>
</address>
</Patient>