<?xml version="1.0" encoding="UTF-8"?>

<mmlPi:PatientModule
  xmlns:mmlPi= "http://www.medxml.net/MML/v4/ContentModule/PatientInfo/1.0"
  xmlns:mmlCm="http://www.medxml.net/MML/v4/SharedComponent/Common/1.0"
  xmlns:mmlNm="http://www.medxml.net/MML/v4/SharedComponent/Name/1.0"
  xmlns:mmlAd="http://www.medxml.net/MML/v4/SharedComponent/Address/1.0"
  xmlns:mmlPh="http://www.medxml.net/MML/v4/SharedComponent/Phone/1.0"
  xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"
  xsi:schemaLocation="http://www.medxml.net/MML/v4/ContentModule/PatientInfo/1.0/patientinfo.xsd">

  <mmlPi:uniqueInfo>
    <mmlPi:masterId>
      <mmlCm:Id mmlCm:type = "facility" mmlCm:checkDigitSchema = "M10"
        mmlCm:checkDigit = "5" mmlCm:tableId = "MML0024">12345</mmlCm:Id>
    </mmlPi:masterId>
    <mmlPi:otherId mmlPi:type="otherPatientId">
      <mmlCm:Id mmlCm:type = "facility" mmlCm:checkDigitSchema = "M10" mmlCm:checkDigit = "5"
        mmlCm:tableId = "JPN452015100001">678910</mmlCm:Id>
    </mmlPi:otherId>
  </mmlPi:uniqueInfo>
  <mmlPi:personName>
    <mmlNm:Name mmlNm:repCode = "A" mmlNm:tableId = "MML0025">
      <mmlNm:family>Araki</mmlNm:family>
      <mmlNm:given>Kenji</mmlNm:given>
      <mmlNm:degree>M.D.</mmlNm:degree>
    </mmlNm:Name>      
  </mmlPi:personName>
  <mmlPi:birthday>1958-10-21</mmlPi:birthday>
  <mmlPi:sex>male</mmlPi:sex>
  <mmlPi:nationality mmlPi:subtype = "USA">JPN</mmlPi:nationality>
  <mmlPi:marital>married</mmlPi:marital>
  <mmlPi:addresses>
    <mmlAd:Address mmlAd:repCode = "A" mmlAd:addressClass = "business" mmlAd:tableId = "MML0025">
      <mmlAd:prefecture>Miyazaki</mmlAd:prefecture>
      <mmlAd:city>Miyazaki</mmlAd:city>
      <mmlAd:town>Kiyotake</mmlAd:town>
      <mmlAd:homeNumber>5200 Kihara</mmlAd:homeNumber>
      <mmlAd:zip>889-1692</mmlAd:zip>
      <mmlAd:countryCode>JPN</mmlAd:countryCode>
    </mmlAd:Address>
  </mmlPi:addresses>
  <mmlPi:emailAddresses>
    <mmlCm:email>aaaaa@bbb.com</mmlCm:email>
  </mmlPi:emailAddresses>
  <mmlPi:phones>
    <mmlPh:Phone mmlPh:telEquipType = "PH">
      <mmlPh:area>0985</mmlPh:area>
      <mmlPh:city>85</mmlPh:city>
      <mmlPh:number>1500</mmlPh:number>
      <mmlPh:extension>2067</mmlPh:extension>
      <mmlPh:country>81</mmlPh:country>
      <mmlPh:memo>daytime</mmlPh:memo>
    </mmlPh:Phone>
  </mmlPi:phones>
  <mmlPi:accountNumber>35</mmlPi:accountNumber>
  <mmlPi:death mmlPi:date="1999-09-01">true</mmlPi:death>
</mmlPi:PatientModule>