public function toFhirValues()
{
$values = parent::toFhirValues();
if (!in_array($values['gender'], array(null, 'F', 'M'))) {
$values['gender'] = 'UN';
}
$values['care_providers'] = array_filter(array_merge(array($values['gp_ref'], $values['prac_ref']), $values['cb_refs']));
return $values;
}