**Describe the bug** [A clear and concise description of what the bug is.](https://github.com/microsoft/fhir-server/blob/main/docs/rest/Inferno/V3.1.1_USCoreCompliantResources.json) provides a sample for STU3, however, the FHIR server also supports R4 and we need a 4 compliant, otherwise Inferno will not pass. **FHIR Version?** R4 **Data provider** CosmosDB **To Reproduce** Steps to reproduce the behavior: 1. Start Info 2. Run Single Patient test (Step 5) 3. Fails **Expected behavior** Should pass the inferno test using the sample data **Actual behavior** 