This page is part of the US Prescription Drug Monitoring Program (PDMP) (v1.0.0-ballot: STU1 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. . For a full list of available versions, see the Directory of published versions
<Patient xmlns="http://hl7.org/fhir">
<id value="pdmp-patient-1"/>
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value="http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-patient"/>
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<text>
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<div xmlns="http://www.w3.org/1999/xhtml"><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;"><b>August Samuels </b> male, DoB: 1989-03-12 ( Social Security number/120-35-2435)</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3">10023 Oakways Ln MA 01742 </td></tr></table></div>
</text>
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<display value="Social Security number"/>
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<system value="http://hl7.org/fhir/sid/us-ssn"/>
<value value="120-35-2435"/>
</identifier>
<name>
<family value="Samuels"/>
<given value="August"/>
</name>
<gender value="male"/>
<birthDate value="1989-03-12"/>
<address>
<line value="10023 Oakways Ln"/>
<state value="MA"/>
<postalCode value="01742"/>
</address>
</Patient>