{
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            "title": "Problem list"
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              "status": "generated",
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                  "code": "10160-0",
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                  "display": "History of Medication use Narrative"
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            "title": "Medication list"
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          {
            "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>Clostridium tetani toxoid antigen adsorbed only vaccine product</td><td><span class=\"nb\">25-Sep-2022</span></td></tr><tr><td>Influenza virus antigen only vaccine product</td><td><span class=\"nb\">25-Sep-2022</span></td></tr><tr><td>SARS-CoV-2 mRNA vaccine</td><td><span class=\"nb\">16-Jan-2022</span></td></tr></table></div>"
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                "reference": "urn:uuid:918777c4-0388-4ec1-9004-44332af38e4d"
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                {
                  "code": "11369-6",
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            "title": "Immunizations list"
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          {
            "text": {
              "status": "generated",
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                  "code": "47519-4",
                  "system": "http://loinc.org",
                  "display": "History of Procedures Document"
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            "title": "Procedure History list"
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          {
            "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>"
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              {
                "reference": "urn:uuid:c0417418-1278-4cab-bfb2-da3f9218697d"
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                {
                  "code": "48765-2",
                  "system": "http://loinc.org",
                  "display": "Allergies and adverse reactions Document"
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            "title": "Allergies and Intolerances"
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          {
            "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>Weight management program</td><td><span class=\"nb\">28-Jul-2002</span></td><td>-</td></tr></table></div>"
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                "reference": "urn:uuid:48428711-9794-4238-a78e-47d090d84739"
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              "coding": [
                {
                  "code": "18776-5",
                  "system": "http://loinc.org",
                  "display": "Plan of care note"
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            },
            "title": "Care Plan"
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          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><th>Vital Signs</th><th>2022-12-08</th><th>2022-09-25</th></tr><tr><td>Body temperature</td><td>38.1 Cel</td><td>-</td></tr><tr><td>Body Height</td><td>-</td><td>162.2 cm</td></tr><tr><td>Pain severity - 0-10 verbal numeric rating [Score] - Reported</td><td>-</td><td>0 {score}</td></tr><tr><td>Body Weight</td><td>-</td><td>76.2 kg</td></tr><tr><td>Body mass index (BMI) [Ratio]</td><td>-</td><td>29 kg/m2</td></tr><tr><td>Heart rate</td><td>-</td><td>92 /min</td></tr><tr><td>Respiratory rate</td><td>-</td><td>12 /min</td></tr><tr><td>Blood pressure panel with all children optional</td><td>-</td><td>81 mm[Hg]</td></tr></table></div>"
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                "reference": "urn:uuid:36ae011e-99c1-48f9-8fd7-8feadfe89548"
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                  "code": "8716-3",
                  "system": "http://loinc.org",
                  "display": "Vital signs note"
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            "title": "Vital Signs"
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            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><thead><tr><th>Recent Lab Observations</th><th>25-SEP-2022</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Cholesterol [Mass/volume] in Serum or Plasma</td><td>148.5</td><td>125 - 200</td><td>mg/dL</td></tr><tr><td>Triglyceride [Mass/volume] in Serum or Plasma</td><td>136.6</td><td>0 - 150</td><td>mg/dL</td></tr><tr><td>Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay</td><td>67.4</td><td>0 - 100</td><td>mg/dL</td></tr><tr><td>Cholesterol in HDL [Mass/volume] in Serum or Plasma</td><td>53.8</td><td>40 - 60</td><td>mg/dL</td></tr></tbody></table></div>"
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                "reference": "urn:uuid:0e025caa-0edf-4c2c-ae7d-13c6a6f2bb0c"
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                "reference": "urn:uuid:dac5960d-24dd-4b45-a506-499725b33120"
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                "reference": "urn:uuid:6cebd063-84bd-4993-b0d1-36bbe1324407"
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              "coding": [
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                  "code": "30954-2",
                  "system": "http://loinc.org",
                  "display": "Relevant diagnostic tests/laboratory data note"
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            "title": "Relevant diagnostic tests/laboratory data"
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              "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"
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            "title": "Device Use",
            "emptyReason": {
              "coding": [
                {
                  "code": "nilknown",
                  "system": "http://terminology.hl7.org/CodeSystem/list-empty-reason"
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          "status": "empty",
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        "title": "European Patient Summary",
        "status": "final",
        "subject": {
          "reference": "urn:uuid:a47f37b3-1e28-4596-9467-319b6afb6f1a",
          "display": "Franka Grein Groth"
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        "custodian": {
          "reference": "urn:uuid:5e93488d-1633-4cd8-8627-24a7b54e13d9"
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        "date": "2022-09-25T10:47:10Z",
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            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
              "code": "TRAIN"
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          ],
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        "identifier": [
          {
            "type": {
              "coding": [
                {
                  "code": "JHN",
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
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              ]
            },
            "system": "http://ec.europa.eu/identifier/eci",
            "value": "5851-211654-0"
          },
          {
            "type": {
              "coding": [
                {
                  "code": "MR",
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
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              ]
            },
            "system": "http://local.setting.eu/identifier",
            "value": "a2818c2e-77bd-c493-e596-14f8e5785773"
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        ],
        "name": [
          {
            "given": [
              "Franka"
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            "family": "Grein Groth",
            "text": "Franka Grein Groth"
          }
        ],
        "address": [
          {
            "line": [
              "Luciano-Martin-Platz 50-92"
            ],
            "use": "home",
            "type": "physical",
            "postalCode": "17373",
            "city": "Ueckermünde",
            "country": "Germany"
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        ],
        "telecom": [
          {
            "system": "phone",
            "value": "01381893585"
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        "extension": [
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            "extension": [
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                "valueCodeableConcept": {
                  "coding": [
                    {
                      "code": "DE",
                      "system": "urn:iso:std:iso:3166"
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                  ],
                  "text": "Germany"
                },
                "url": "code"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality"
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        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Franka Grein Groth</td><td>female</td><td>15-Oct-1992</td></tr></table></div>"
        },
        "gender": "female",
        "birthDate": "1992-10-15"
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      "fullUrl": "urn:uuid:3163acf4-dd23-4ff0-b5b4-b25cc96db046",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "3163acf4-dd23-4ff0-b5b4-b25cc96db046",
        "meta": {
          "profile": [
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        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Provider Role Id 3163acf4-dd23-4ff0-b5b4-b25cc96db046</td></tr></table></div>"
        },
        "practitioner": {
          "reference": "urn:uuid:630c2583-ba83-4467-ae70-663e66fa08a5"
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        "organization": {
          "reference": "urn:uuid:5e93488d-1633-4cd8-8627-24a7b54e13d9"
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      }
    },
    {
      "fullUrl": "urn:uuid:5e93488d-1633-4cd8-8627-24a7b54e13d9",
      "resource": {
        "resourceType": "Organization",
        "id": "5e93488d-1633-4cd8-8627-24a7b54e13d9",
        "meta": {
          "profile": [
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        },
        "identifier": [
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            "assigner": {
              "display": "HL7 Europe"
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            "system": "urn:oid:2.16.840.1.113883.2.51.999",
            "value": "f8bae34a-c526-487a-90d7-7fbf95863ad8"
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        ],
        "address": [
          {
            "line": [
              "Am Hafen 36"
            ],
            "city": "Mönkebude",
            "postalCode": "17375",
            "country": "Germany"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Praxis Dipl.-Med. Vinzenz Kühnl</td></tr></table></div>"
        },
        "name": "Praxis Dipl.-Med. Vinzenz Kühnl"
      }
    },
    {
      "fullUrl": "urn:uuid:630c2583-ba83-4467-ae70-663e66fa08a5",
      "resource": {
        "resourceType": "Practitioner",
        "id": "630c2583-ba83-4467-ae70-663e66fa08a5",
        "meta": {
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        },
        "name": [
          {
            "given": [
              "Hansjürgen"
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            "family": "Putz"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Hansjürgen Putz</td></tr></table></div>"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:57636d00-7050-42e4-b3c4-b25531f022ef",
      "resource": {
        "resourceType": "Condition",
        "id": "57636d00-7050-42e4-b3c4-b25531f022ef",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/condition-obl-eu-eps"
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        },
        "category": [
          {
            "coding": [
              {
                "code": "problem-list-item",
                "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                "display": "Problem List Item"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "code": "196416002",
              "system": "http://snomed.info/sct",
              "display": "Impacted molars (disorder)"
            }
          ],
          "text": "Impacted molars"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Impacted molars</td><td><span class=\"nb\">13-Apr-2006</span></td><td>active</td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "active",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
          ]
        },
        "onsetDateTime": "2006-04-13",
        "subject": {
          "reference": "urn:uuid:a47f37b3-1e28-4596-9467-319b6afb6f1a",
          "display": "Franka Grein Groth"
        },
        "asserter": {
          "reference": "urn:uuid:3163acf4-dd23-4ff0-b5b4-b25cc96db046",
          "display": "Praxis Dipl.-Med. Vinzenz Kühnl"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:8bce80b5-12dc-49d4-9b5c-ea33ce016d18",
      "resource": {
        "resourceType": "Condition",
        "id": "8bce80b5-12dc-49d4-9b5c-ea33ce016d18",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/condition-obl-eu-eps"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "code": "problem-list-item",
                "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                "display": "Problem List Item"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "code": "43878008",
              "system": "http://snomed.info/sct",
              "display": "Streptococcal sore throat (disorder)"
            }
          ],
          "text": "Streptococcal sore throat"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td><span class=\"grayedout\">Streptococcal sore throat</span></td><td><span class=\"nb\">08-Dec-2022 - 17-Dec-2022</span></td><td><span class=\"grayedout\">inactive</span></td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "inactive",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
          ]
        },
        "onsetDateTime": "2022-12-08",
        "abatementDateTime": "2022-12-17",
        "subject": {
          "reference": "urn:uuid:a47f37b3-1e28-4596-9467-319b6afb6f1a",
          "display": "Franka Grein Groth"
        },
        "asserter": {
          "reference": "urn:uuid:3163acf4-dd23-4ff0-b5b4-b25cc96db046",
          "display": "Praxis Dipl.-Med. Vinzenz Kühnl"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:a2860730-b1b0-4f93-9b59-d18dcec323c6",
      "resource": {
        "resourceType": "Condition",
        "id": "a2860730-b1b0-4f93-9b59-d18dcec323c6",
        "meta": {
          "profile": [
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        },
        "category": [
          {
            "coding": [
              {
                "code": "problem-list-item",
                "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                "display": "Problem List Item"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "code": "444814009",
              "system": "http://snomed.info/sct",
              "display": "Viral sinusitis (disorder)"
            }
          ],
          "text": "Viral sinusitis"
        },
        "text": {
          "status": "generated",
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}
