# Example Patient - ACP-Patient-HendrikHartman-Pat1 - Advance Care Planning (PZP) STU3 v1.0.0

## Example Patient: Example Patient - ACP-Patient-HendrikHartman-Pat1

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

Rik Male, DoB: 1961-03-21 ( http://fhir.nl/fhir/NamingSystem/bsn#Burgerservicenummer (BSN)#999998286)

-------

| | |
| :--- | :--- |
| Alt. Name: | Hendrik Hartman de Leeuw(Official) |
| Contact Detail | * ph: 06-00112233(Home)
* [test@iknl.nl](mailto:test@iknl.nl)
* Twijnstraat 24A BIS Utrecht 3511ZL Nederland (home)
 |
| Contact: | * Mirjam de Leeuw Hartman(Official)
* Relationships:Eerste relatie/contactpersoon, Wife
* Twijnstraat 24A BIS Utrecht 3511ZL Nederland (home)
* ph: 06-98765432(Home)
* [mirjam@test.nl](mailto:mirjam@test.nl)
 |



## Resource Content

```json
{
  "resourceType" : "Patient",
  "id" : "ACP-Patient-HendrikHartman-Pat1",
  "meta" : {
    "profile" : ["https://api.iknl.nl/docs/pzp/stu3/StructureDefinition/ACP-Patient"]
  },
  "identifier" : [{
    "system" : "http://fhir.nl/fhir/NamingSystem/bsn",
    "value" : "999998286"
  }],
  "name" : [{
    "extension" : [{
      "url" : "http://hl7.org/fhir/StructureDefinition/humanname-assembly-order",
      "valueCode" : "NL4"
    }],
    "use" : "official",
    "text" : "Hendrik Hartman de Leeuw",
    "family" : "Hartman",
    "_family" : {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/humanname-own-name",
        "valueString" : "Hartman"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/humanname-partner-prefix",
        "valueString" : "de"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/humanname-partner-name",
        "valueString" : "Leeuw"
      }]
    },
    "given" : ["H", "J", "Hendrik", "Johan"],
    "_given" : [{
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier",
        "valueCode" : "IN"
      }]
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier",
        "valueCode" : "IN"
      }]
    },
    {
      "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" : ["Rik"]
  }],
  "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" : "06-00112233",
    "use" : "home"
  },
  {
    "system" : "email",
    "value" : "test@iknl.nl",
    "use" : "work"
  }],
  "gender" : "male",
  "birthDate" : "1961-03-21",
  "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" : ["Twijnstraat 24A BIS"],
    "_line" : [{
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName",
        "valueString" : "Twijnstraat"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber",
        "valueString" : "24"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-buildingNumberSuffix",
        "valueString" : "A"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-unitID",
        "valueString" : "BIS"
      }]
    }],
    "city" : "Utrecht",
    "district" : "Utrecht",
    "postalCode" : "3511ZL",
    "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" : [{
    "relationship" : [{
      "coding" : [{
        "system" : "urn:oid:2.16.840.1.113883.2.4.3.11.22.472",
        "code" : "01",
        "display" : "Eerste relatie/contactpersoon"
      }]
    },
    {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
        "code" : "WIFE",
        "display" : "Wife"
      }]
    }],
    "name" : {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/humanname-assembly-order",
        "valueCode" : "NL4"
      }],
      "use" : "official",
      "text" : "Mirjam de Leeuw Hartman",
      "family" : "de Leeuw",
      "_family" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/humanname-own-prefix",
          "valueString" : "de"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/humanname-own-name",
          "valueString" : "Leeuw"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/humanname-partner-name",
          "valueString" : "Hartman"
        }]
      },
      "given" : ["M", "Mirjam"],
      "_given" : [{
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier",
          "valueCode" : "IN"
        }]
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier",
          "valueCode" : "BR"
        }]
      }]
    },
    "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" : "06-98765432",
      "use" : "home"
    },
    {
      "system" : "email",
      "value" : "mirjam@test.nl",
      "use" : "home"
    }],
    "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" : ["Twijnstraat 24A BIS"],
      "_line" : [{
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName",
          "valueString" : "Twijnstraat"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber",
          "valueString" : "24"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-buildingNumberSuffix",
          "valueString" : "A"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-unitID",
          "valueString" : "BIS"
        }]
      }],
      "city" : "Utrecht",
      "district" : "Utrecht",
      "postalCode" : "3511ZL",
      "country" : "Nederland",
      "_country" : {
        "extension" : [{
          "url" : "http://nictiz.nl/fhir/StructureDefinition/code-specification",
          "valueCodeableConcept" : {
            "coding" : [{
              "system" : "urn:oid:2.16.840.1.113883.2.4.4.16.34",
              "code" : "6030",
              "display" : "Netherlands"
            }]
          }
        }]
      }
    }
  }]
}

```
