# Example Patient - ACP-Patient-SamiraVanDerSluijs-Pat2 - Advance Care Planning (PZP) STU3 v1.0.0

## Example Patient: Example Patient - ACP-Patient-SamiraVanDerSluijs-Pat2

Profile: [ACP Patient](StructureDefinition-ACP-Patient.md)

Samira Female, DoB: 1959-07-31 ( http://fhir.nl/fhir/NamingSystem/bsn#Burgerservicenummer (BSN)#999998298)

-------

| | |
| :--- | :--- |
| Alt. Name: | Samira van der Sluijs(Official) |
| Contact Detail | * ph: 0688877788(Home)
* [samira.test@iknl.nl](mailto:samira.test@iknl.nl)
* Vasteland 78 Rotterdam 3011BN Nederland (home)
 |
| Contact: | * Gert-Jan de Jong(Official)
 |
| Contact: | * Maya van der Sluijs-Mulder(Official)
 |



## Resource Content

```json
{
  "resourceType" : "Patient",
  "id" : "ACP-Patient-SamiraVanDerSluijs-Pat2",
  "meta" : {
    "profile" : ["https://api.iknl.nl/docs/pzp/stu3/StructureDefinition/ACP-Patient"]
  },
  "identifier" : [{
    "system" : "http://fhir.nl/fhir/NamingSystem/bsn",
    "value" : "999998298"
  }],
  "name" : [{
    "use" : "official",
    "text" : "Samira van der Sluijs",
    "family" : "van der Sluijs",
    "_family" : {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/humanname-own-name",
        "valueString" : "Sluijs"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/humanname-own-prefix",
        "valueString" : "van der"
      }]
    },
    "given" : ["Samira", "Louise"],
    "_given" : [{
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier",
        "valueCode" : "BR"
      }]
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier",
        "valueCode" : "BR"
      }]
    }]
  },
  {
    "use" : "usual",
    "given" : ["Samira"]
  }],
  "telecom" : [{
    "system" : "phone",
    "_system" : {
      "extension" : [{
        "url" : "http://nictiz.nl/fhir/StructureDefinition/code-specification",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v3-AddressUse",
            "code" : "MC",
            "display" : "mobile contact"
          }]
        }
      }]
    },
    "value" : "0688877788",
    "use" : "home"
  },
  {
    "system" : "email",
    "value" : "samira.test@iknl.nl",
    "use" : "work"
  }],
  "gender" : "female",
  "birthDate" : "1959-07-31",
  "address" : [{
    "extension" : [{
      "url" : "http://nictiz.nl/fhir/StructureDefinition/zib-AddressInformation-AddressType",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/v3-AddressUse",
          "code" : "HP",
          "display" : "Primary Home"
        }]
      }
    }],
    "use" : "home",
    "type" : "both",
    "line" : ["Vasteland 78"],
    "_line" : [{
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName",
        "valueString" : "Vasteland"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber",
        "valueString" : "78"
      }]
    }],
    "city" : "Rotterdam",
    "district" : "Rotterdam",
    "postalCode" : "3011BN",
    "country" : "Nederland",
    "_country" : {
      "extension" : [{
        "url" : "http://nictiz.nl/fhir/StructureDefinition/code-specification",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "urn:iso:std:iso:3166",
            "code" : "NL",
            "display" : "Netherlands"
          }]
        }
      }]
    }
  }],
  "contact" : [{
    "name" : {
      "use" : "official",
      "text" : "Gert-Jan de Jong"
    }
  },
  {
    "name" : {
      "use" : "official",
      "text" : "Maya van der Sluijs-Mulder"
    }
  }]
}

```
