name: Robert Chen
date_of_birth: 1968-11-03
mrn: MRN003
gender: M
phone: 555-0789
email: robert.chen@email.com
address: 789 Oak Street, Springfield, IL 62703
marital_status: Married
occupation: Financial Advisor
emergency_contact:
name: Linda Chen (spouse)
relationship: Wife
phone: 555-0790
insurance:
provider: Blue Cross Blue Shield
policy_number: BCBS-56789-IL
group_number: GRP-4567
primary_care_physician: Dr. Patricia Williams
primary_language: English
race: Asian
ethnicity: Not Hispanic or Latino