{
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      "display": "HL7 Europe"
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      "fullUrl": "urn:uuid:da492d15-abb9-4c7d-9c47-25c01db38bc0",
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        "resourceType": "Composition",
        "id": "da492d15-abb9-4c7d-9c47-25c01db38bc0",
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            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
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            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
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          "profile": [
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        "identifier": {
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            "display": "HL7 Europe"
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          "value": "53c10f1c-eef9-408d-9585-63ade46b6e79"
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        "type": {
          "coding": [
            {
              "code": "60591-5",
              "system": "http://loinc.org",
              "display": "Patient summary Document"
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          ],
          "text": "Patient summary Document"
        },
        "author": [
          {
            "reference": "urn:uuid:64dade5b-e9ce-4095-8603-f9321af98e3a"
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        ],
        "section": [
          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><th>Condition</th><th>Onset Date / Period</th><th>Status</th></tr><tr><td>Chronic congestive heart failure</td><td><span class=\"nb\">28-Apr-2023</span></td><td>active</td></tr><tr><td>Essential hypertension</td><td><span class=\"nb\">15-Feb-2012</span></td><td>active</td></tr><tr><td>Recurrent urinary tract infection</td><td><span class=\"nb\">09-Aug-1996</span></td><td>active</td></tr><tr><td><span class=\"grayedout\">Viral sinusitis</span></td><td><span class=\"nb\">01-Feb-2021 - 22-Feb-2021</span></td><td><span class=\"grayedout\">inactive</span></td></tr><tr><td><span class=\"grayedout\">Acute bronchitis</span></td><td><span class=\"nb\">06-Mar-2019 - 19-Mar-2019</span></td><td><span class=\"grayedout\">inactive</span></td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:35cb289b-da6e-4aa3-8538-6fcbd96172e8"
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              {
                "reference": "urn:uuid:ed8b22d7-155f-43eb-acad-9475332c1205"
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              {
                "reference": "urn:uuid:dd1b4ce7-eabe-437f-8aac-5c119982e3d5"
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              {
                "reference": "urn:uuid:b73c514a-84e6-492e-a8d7-99162e710f50"
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              {
                "reference": "urn:uuid:15519f3b-4822-4abd-9ba2-e120da8ea4a1"
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            ],
            "code": {
              "coding": [
                {
                  "code": "11450-4",
                  "system": "http://loinc.org",
                  "display": "Problem list - Reported"
                }
              ]
            },
            "title": "Problem list"
          },
          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><th>Medication</th><th>Since</th><th>Form</th><th>Dosage</th><th>Reason</th></tr><tr><td>Furosemide 40 mg oral tablet</td><td><span class=\"nb\">2025-04-30</span></td><td>-</td><td>1 tablet (40 mg) by mouth once daily</td><td>Chronic congestive heart failure (disorder)</td></tr><tr><td>Lisinopril 10 mg oral tablet</td><td><span class=\"nb\">2025-04-30</span></td><td>-</td><td>1 tablet (10 mg) by mouth once daily</td><td>Essential hypertension (disorder)</td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:ece5bb7d-2393-49d8-8943-c8d4ec0cf224"
              },
              {
                "reference": "urn:uuid:e9592cdc-1a82-472d-9b0a-4e168876c157"
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            ],
            "code": {
              "coding": [
                {
                  "code": "10160-0",
                  "system": "http://loinc.org",
                  "display": "History of Medication use Narrative"
                }
              ]
            },
            "title": "Medication list"
          },
          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><th>Vaccine</th><th>Date</th></tr><tr><td>Influenza virus antigen only vaccine product</td><td><span class=\"nb\">30-Apr-2025</span></td></tr><tr><td>COVID-19 non-replicating viral vector vaccine</td><td><span class=\"nb\">21-Apr-2021</span></td></tr><tr><td>Clostridium tetani toxoid antigen adsorbed only vaccine product</td><td><span class=\"nb\">15-Mar-2017</span></td></tr><tr><td>Live attenuated Human alphaherpesvirus 3 only vaccine product</td><td><span class=\"nb\">15-Mar-2017</span></td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:8d1afc13-25ea-45f3-914b-71760c0627b4"
              },
              {
                "reference": "urn:uuid:1b3f39d4-11e3-4094-96ab-029688b7469c"
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              {
                "reference": "urn:uuid:ec90d1f3-c13d-46ff-b108-d80c29dc7648"
              },
              {
                "reference": "urn:uuid:a9b21131-341f-44b6-b422-bd836c7965bf"
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            ],
            "code": {
              "coding": [
                {
                  "code": "11369-6",
                  "system": "http://loinc.org",
                  "display": "History of Immunization note"
                }
              ]
            },
            "title": "Immunizations list"
          },
          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><th>Procedure</th><th>Date</th><th>Reason</th></tr><tr><td>Heart failure education</td><td><span class=\"nb\">14-Nov-2024</span></td><td>Chronic congestive heart failure (disorder)</td></tr><tr><td>Oxygen administration by mask</td><td><span class=\"nb\">13-Nov-2024</span></td><td>-</td></tr><tr><td>Placing subject in prone position</td><td><span class=\"nb\">13-Nov-2024</span></td><td>-</td></tr><tr><td>Electrocardiographic procedure</td><td><span class=\"nb\">07-Nov-2024</span></td><td>Chronic congestive heart failure (disorder)</td></tr><tr><td>Plain X-ray of chest</td><td><span class=\"nb\">07-Nov-2024</span></td><td>-</td></tr><tr><td>Medication reconciliation</td><td><span class=\"nb\">07-Nov-2024</span></td><td>-</td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:a94d54ec-a638-4ae6-aef4-2aec60f4a329"
              },
              {
                "reference": "urn:uuid:28739b1f-9391-4d23-a717-df054b824fe2"
              },
              {
                "reference": "urn:uuid:723be360-4790-4067-961a-65a291020284"
              },
              {
                "reference": "urn:uuid:a791f325-801a-4d1d-b08c-1a20f37c79db"
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              {
                "reference": "urn:uuid:09d8db51-3e4e-4e3e-9e16-16ff48b986d8"
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              {
                "reference": "urn:uuid:edf9cab2-0f21-47f0-8071-133661c6bf79"
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            ],
            "code": {
              "coding": [
                {
                  "code": "47519-4",
                  "system": "http://loinc.org",
                  "display": "History of Procedures Document"
                }
              ]
            },
            "title": "Procedure History list"
          },
          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>No known allergies or intolerances</td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:893da948-4d2d-42c1-b956-330ed8dd97a6"
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            ],
            "code": {
              "coding": [
                {
                  "code": "48765-2",
                  "system": "http://loinc.org",
                  "display": "Allergies and adverse reactions Document"
                }
              ]
            },
            "title": "Allergies and Intolerances"
          },
          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><th>Active Planned Care / Goals</th><th>Start Date</th><th>Reason</th></tr><tr><td>Heart failure self management plan</td><td><span class=\"nb\">14-May-2023</span></td><td>Chronic congestive heart failure (disorder)</td></tr><tr><td><ul><li>Patient will monitor and record weight daily to detect early signs of fluid retention.</li><li>Patient will limit daily sodium intake as recommended to reduce fluid overload.</li><li>Patient will restrict daily fluid intake as advised to prevent worsening heart failure.</li><li>Patient will monitor and record blood pressure regularly to manage heart failure and hypertension.</li><li>Patient will take prescribed heart failure medications as directed without missed doses.</li><li>Patient will recognize and promptly report symptoms such as increased shortness of breath, swelling, or rapid weight gain.</li></ul></td><td></td><td></td></tr><tr><td>Lifestyle education regarding hypertension</td><td><span class=\"nb\">15-Feb-2012</span></td><td>Essential hypertension (disorder)</td></tr><tr><td><ul><li>Increase patient understanding of hypertension and promote lifestyle modifications to support blood pressure control</li></ul></td><td></td><td></td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:349080f6-e22b-4ecb-99f0-d076c53b60e4"
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              {
                "reference": "urn:uuid:80a17fba-1bc1-4f5a-b183-688b42a05a00"
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            ],
            "code": {
              "coding": [
                {
                  "code": "18776-5",
                  "system": "http://loinc.org",
                  "display": "Plan of care note"
                }
              ]
            },
            "title": "Care Plan"
          },
          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><th>Vital Signs</th><th>2025-04-30</th><th>2024-11-13</th></tr><tr><td>Body Height</td><td>164.5 cm</td><td>-</td></tr><tr><td>Pain severity - 0-10 verbal numeric rating [Score] - Reported</td><td>3 {score}</td><td>-</td></tr><tr><td>Body Weight</td><td>74.8 kg</td><td>74.8 kg</td></tr><tr><td>Body mass index (BMI) [Ratio]</td><td>27.6 kg/m2</td><td>-</td></tr><tr><td>Heart rate</td><td>92 /min</td><td>-</td></tr><tr><td>Respiratory rate</td><td>15 /min</td><td>-</td></tr><tr><td>Blood pressure panel with all children optional</td><td>72 mm[Hg]</td><td>-</td></tr><tr><td>Oxygen saturation in Arterial blood</td><td>-</td><td>77 %</td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:63bf0c52-2b7e-4b78-a222-dafdc4bda364"
              },
              {
                "reference": "urn:uuid:415f6535-b817-4950-9af3-e1852367a3ca"
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              {
                "reference": "urn:uuid:93ffb2cc-7424-4377-8bed-b16736e56439"
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              {
                "reference": "urn:uuid:6d6da7ac-5673-43dc-ab7d-47d52c3d34b9"
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              {
                "reference": "urn:uuid:2c415ae8-326c-491f-8f50-b2eabd741a1c"
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              {
                "reference": "urn:uuid:b6656ce4-7c9e-4b84-a758-919920a8df00"
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              {
                "reference": "urn:uuid:dd891f69-1965-4fe5-b660-3d20995edacd"
              },
              {
                "reference": "urn:uuid:54eeb171-1b7f-4a87-bf17-8682c079199d"
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              {
                "reference": "urn:uuid:42ba9c70-bd25-4ff4-af9e-31a2c8e69f21"
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            ],
            "code": {
              "coding": [
                {
                  "code": "8716-3",
                  "system": "http://loinc.org",
                  "display": "Vital signs note"
                }
              ]
            },
            "title": "Vital Signs"
          },
          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><thead><tr><th>Recent Lab Observations</th><th>13-MAY-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Blood</td><td><strong>69.0 L</strong></td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Blood</td><td>8.6</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Blood</td><td>0.7</td><td>0.5 - 1.1</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Blood</td><td>10.2</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Blood</td><td>136.5</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Blood</td><td>4.2</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Blood</td><td><strong>110.4 H</strong></td><td>98 - 107</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td><strong>20.0 L</strong></td><td>22 - 29</td><td>mmol/L</td></tr></tbody></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:78b5a4bf-3512-4dd6-a1d4-9eff8ff5305f"
              },
              {
                "reference": "urn:uuid:0bdcebb0-4285-4b4b-b7bd-a2a2993ea53b"
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              {
                "reference": "urn:uuid:d115b07b-3190-4ffb-9e3c-bb239d1902c5"
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              {
                "reference": "urn:uuid:03a880d3-29c0-4cd6-9317-79fa51627a46"
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              {
                "reference": "urn:uuid:73f86093-ad42-4800-b5ee-3c83a4ea2eae"
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              {
                "reference": "urn:uuid:7a22ba1c-6e16-4413-9701-8d12e363f0c9"
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              {
                "reference": "urn:uuid:3a6f9b16-8b64-4168-aa2a-9d880c9e2a27"
              },
              {
                "reference": "urn:uuid:3f879f6b-6e08-4f29-a041-68b25881e815"
              }
            ],
            "code": {
              "coding": [
                {
                  "code": "30954-2",
                  "system": "http://loinc.org",
                  "display": "Relevant diagnostic tests/laboratory data note"
                }
              ]
            },
            "title": "Relevant diagnostic tests/laboratory data"
          },
          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>No known devices</td></tr></table></div>"
            },
            "code": {
              "coding": [
                {
                  "code": "46264-8",
                  "system": "http://loinc.org",
                  "display": "History of medical device use"
                }
              ]
            },
            "title": "Device Use",
            "emptyReason": {
              "coding": [
                {
                  "code": "nilknown",
                  "system": "http://terminology.hl7.org/CodeSystem/list-empty-reason"
                }
              ]
            }
          }
        ],
        "text": {
          "status": "empty",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">intentionally left empty / not meaningful</div>"
        },
        "title": "European Patient Summary",
        "status": "final",
        "subject": {
          "reference": "urn:uuid:6f1a9991-7f25-4e70-8ea5-528652710a25",
          "display": "Carly Roberts"
        },
        "custodian": {
          "reference": "urn:uuid:7ff48e2c-3ecb-4fa4-8c74-eba1adac0b02"
        },
        "date": "2025-05-13T09:43:22Z",
        "confidentiality": "N"
      }
    },
    {
      "fullUrl": "urn:uuid:6f1a9991-7f25-4e70-8ea5-528652710a25",
      "resource": {
        "resourceType": "Patient",
        "id": "6f1a9991-7f25-4e70-8ea5-528652710a25",
        "meta": {
          "security": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
              "code": "HTEST"
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            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
              "code": "TRAIN"
            }
          ],
          "tag": [
            {
              "system": "https://synderai.net/fhir/CodeSystem/tags",
              "code": "synthetic",
              "display": "SYNDERAI Synthetic data"
            }
          ],
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/patient-eu-eps"
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        },
        "identifier": [
          {
            "type": {
              "coding": [
                {
                  "code": "JHN",
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
                }
              ]
            },
            "system": "http://ec.europa.eu/identifier/eci",
            "value": "9384-259853-9"
          },
          {
            "type": {
              "coding": [
                {
                  "code": "MR",
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
                }
              ]
            },
            "system": "http://local.setting.eu/identifier",
            "value": "2d771604-faf8-4358-6df7-a76fb9999d05"
          }
        ],
        "name": [
          {
            "given": [
              "Carly"
            ],
            "family": "Roberts",
            "text": "Carly Roberts"
          }
        ],
        "address": [
          {
            "line": [
              "2 Price meadow"
            ],
            "use": "home",
            "type": "physical",
            "postalCode": "LE4",
            "city": "Mitchellborough",
            "country": "United Kingdom"
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "01514960614"
          }
        ],
        "extension": [
          {
            "extension": [
              {
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "code": "GB",
                      "system": "urn:iso:std:iso:3166"
                    }
                  ],
                  "text": "United Kingdom"
                },
                "url": "code"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Carly Roberts</td><td>female</td><td>10-Dec-1969</td></tr></table></div>"
        },
        "gender": "female",
        "birthDate": "1969-12-10"
      }
    },
    {
      "fullUrl": "urn:uuid:64dade5b-e9ce-4095-8603-f9321af98e3a",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "64dade5b-e9ce-4095-8603-f9321af98e3a",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu-core"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Provider Role Id 64dade5b-e9ce-4095-8603-f9321af98e3a</td></tr></table></div>"
        },
        "practitioner": {
          "reference": "urn:uuid:1d25ffcb-da5d-4be2-bd1e-a787e990d173"
        },
        "organization": {
          "reference": "urn:uuid:7ff48e2c-3ecb-4fa4-8c74-eba1adac0b02"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:7ff48e2c-3ecb-4fa4-8c74-eba1adac0b02",
      "resource": {
        "resourceType": "Organization",
        "id": "7ff48e2c-3ecb-4fa4-8c74-eba1adac0b02",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/organization-eu-core"
          ]
        },
        "identifier": [
          {
            "assigner": {
              "display": "HL7 Europe"
            },
            "system": "urn:oid:2.16.840.1.113883.2.51.999",
            "value": "ca9aecf0-435b-45e8-b5da-28f75fbe5f99"
          }
        ],
        "address": [
          {
            "line": [
              "Malabar Road 62-66"
            ],
            "city": "Leicester",
            "postalCode": "LE1 4",
            "country": "United Kingdom"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>St Matthews Health &amp; Community Centre</td></tr></table></div>"
        },
        "name": "St Matthews Health &amp; Community Centre"
      }
    },
    {
      "fullUrl": "urn:uuid:1d25ffcb-da5d-4be2-bd1e-a787e990d173",
      "resource": {
        "resourceType": "Practitioner",
        "id": "1d25ffcb-da5d-4be2-bd1e-a787e990d173",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu-core"
          ]
        },
        "name": [
          {
            "prefix": [
              "dr"
            ],
            "given": [
              "Mitchell"
            ],
            "family": "Simpson"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>dr Mitchell Simpson</td></tr></table></div>"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:35cb289b-da6e-4aa3-8538-6fcbd96172e8",
      "resource": {
        "resourceType": "Condition",
        "id": "35cb289b-da6e-4aa3-8538-6fcbd96172e8",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/condition-obl-eu-eps"
          ]
        },
        "category": [
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            "coding": [
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            {
              "code": "88805009",
              "system": "http://snomed.info/sct",
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        "category": [
          {
            "coding": [
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                "code": "problem-list-item",
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        "code": {
          "coding": [
            {
              "code": "59621000",
              "system": "http://snomed.info/sct",
              "display": "Essential hypertension (disorder)"
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          ],
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                "code": "problem-list-item",
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            {
              "code": "197927001",
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              "display": "Recurrent urinary tract infection (disorder)"
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          ],
          "text": "Recurrent urinary tract infection"
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        "asserter": {
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              {
                "code": "problem-list-item",
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        "code": {
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            {
              "code": "444814009",
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              "display": "Viral sinusitis (disorder)"
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          "text": "Viral sinusitis"
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            {
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              "display": "Furosemide 40 mg oral tablet"
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          "text": "Furosemide 40 mg oral tablet"
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              "system": "http://snomed.info/sct",
              "display": "Lisinopril 10 mg oral tablet"
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          "text": "Lisinopril 10 mg oral tablet"
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              "display": "tetanus toxoid, combinations with diphtheria toxoid"
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          ],
          "text": "Clostridium tetani toxoid antigen adsorbed only vaccine product"
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            {
              "code": "244979005",
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              "display": "Entire muscle of upper arm"
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          "text": "Entire muscle of upper arm"
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              "code": "78421000",
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              "display": "Live attenuated Human alphaherpesvirus 3 only vaccine product"
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            {
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              "display": "zoster, live attenuated"
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          ],
          "text": "Live attenuated Human alphaherpesvirus 3 only vaccine product"
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          "coding": [
            {
              "code": "368208006",
              "system": "http://snomed.info/sct",
              "display": "Left upper arm structure"
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          ],
          "text": "Left upper arm structure"
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          "coding": [
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              "code": "34206005",
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              "display": "Subcutaneous route"
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          ],
          "text": "Subcutaneous route"
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              "code": "423475008",
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          ],
          "text": "Heart failure education"
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                "code": "88805009",
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}