{
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      "display": "HL7 Europe"
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    "system": "urn:oid:2.16.840.1.113883.2.51.999",
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    {
      "fullUrl": "urn:uuid:7e72355f-a4e3-452e-b66a-26fa156b9d42",
      "resource": {
        "resourceType": "Composition",
        "id": "7e72355f-a4e3-452e-b66a-26fa156b9d42",
        "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"
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          "tag": [
            {
              "system": "https://synderai.net/fhir/CodeSystem/tags",
              "code": "synthetic",
              "display": "SYNDERAI Synthetic data"
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          ],
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/composition-eu-eps"
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        },
        "identifier": {
          "assigner": {
            "display": "HL7 Europe"
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          "system": "urn:oid:2.16.840.1.113883.2.51.999",
          "value": "26eba227-8211-42f2-bc32-4fcbc57c5c26"
        },
        "type": {
          "coding": [
            {
              "code": "60591-5",
              "system": "http://loinc.org",
              "display": "Patient summary Document"
            }
          ],
          "text": "Patient summary Document"
        },
        "author": [
          {
            "reference": "urn:uuid:67061abe-3bd9-4128-8a10-968debf995c3"
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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 kidney disease stage 4</td><td><span class=\"nb\">22-Dec-2022</span></td><td>active</td></tr><tr><td>Chronic kidney disease stage 3</td><td><span class=\"nb\">16-Jul-2020</span></td><td>active</td></tr><tr><td>Proteinuria due to type 2 diabetes mellitus</td><td><span class=\"nb\">16-Jul-2020</span></td><td>active</td></tr><tr><td>Ischemic heart disease</td><td><span class=\"nb\">17-Jan-2019</span></td><td>active</td></tr><tr><td>Hyperlipidemia</td><td><span class=\"nb\">23-Nov-2017</span></td><td>active</td></tr><tr><td>Chronic kidney disease stage 2</td><td><span class=\"nb\">09-Jul-2009</span></td><td>active</td></tr><tr><td>Microalbuminuria due to type 2 diabetes mellitus</td><td><span class=\"nb\">09-Jul-2009</span></td><td>active</td></tr><tr><td>Disorder of kidney due to diabetes mellitus</td><td><span class=\"nb\">25-Jan-2007</span></td><td>active</td></tr><tr><td>Chronic kidney disease stage 1</td><td><span class=\"nb\">25-Jan-2007</span></td><td>active</td></tr><tr><td>Nonproliferative retinopathy due to type 2 diabetes mellitus</td><td><span class=\"nb\">29-Dec-2005</span></td><td>active</td></tr><tr><td>Retinopathy due to type 2 diabetes mellitus</td><td><span class=\"nb\">18-Dec-2003</span></td><td>active</td></tr><tr><td>Anemia</td><td><span class=\"nb\">06-Dec-2001</span></td><td>active</td></tr><tr><td>Hyperglycemia</td><td><span class=\"nb\">30-Nov-2000</span></td><td>active</td></tr><tr><td>Metabolic syndrome X</td><td><span class=\"nb\">30-Nov-2000</span></td><td>active</td></tr><tr><td>Hypertriglyceridemia</td><td><span class=\"nb\">30-Nov-2000</span></td><td>active</td></tr><tr><td>Type 2 diabetes mellitus</td><td><span class=\"nb\">25-Nov-1999</span></td><td>active</td></tr><tr><td>Essential hypertension</td><td><span class=\"nb\">25-Nov-1999</span></td><td>active</td></tr><tr><td><span class=\"grayedout\">Acute infective cystitis</span></td><td><span class=\"nb\">25-Jun-2025 - 05-Jul-2025</span></td><td><span class=\"grayedout\">inactive</span></td></tr><tr><td><span class=\"grayedout\">Acute viral pharyngitis</span></td><td><span class=\"nb\">04-Jan-2024 - 13-Jan-2024</span></td><td><span class=\"grayedout\">inactive</span></td></tr><tr><td><span class=\"grayedout\">Acute viral pharyngitis</span></td><td><span class=\"nb\">19-Apr-2016 - 29-Apr-2016</span></td><td><span class=\"grayedout\">inactive</span></td></tr><tr><td><span class=\"grayedout\">Concussion with no loss of consciousness</span></td><td><span class=\"nb\">10-Mar-2016 - 12-May-2016</span></td><td><span class=\"grayedout\">inactive</span></td></tr><tr><td><span class=\"grayedout\">Concussion injury of brain</span></td><td><span class=\"nb\">10-Mar-2016 - 12-May-2016</span></td><td><span class=\"grayedout\">inactive</span></td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:57b4e419-6757-4be5-ab4e-e6a92321f253"
              },
              {
                "reference": "urn:uuid:8d16a199-5e98-421d-8422-0780accccbdc"
              },
              {
                "reference": "urn:uuid:efed7212-3c9e-4ce4-b662-035485fa3aa6"
              },
              {
                "reference": "urn:uuid:66dbc67a-1946-4aac-8e75-1f61a4df91aa"
              },
              {
                "reference": "urn:uuid:dd89cae5-d567-44b0-9033-7c131d209d11"
              },
              {
                "reference": "urn:uuid:eca27e93-7667-4ebd-b407-31bde368fe00"
              },
              {
                "reference": "urn:uuid:ffe4bd87-84da-4ba8-ba14-8e8f7d180b3d"
              },
              {
                "reference": "urn:uuid:43fab739-af77-4159-825e-7ab06ea515ce"
              },
              {
                "reference": "urn:uuid:8f5ae300-0735-4b94-9e15-ee71f30321a5"
              },
              {
                "reference": "urn:uuid:dfe7aecb-4c91-4bec-a731-89ff307ccc8f"
              },
              {
                "reference": "urn:uuid:004b5c2a-c58b-43ea-879f-70cc5ba0a0ba"
              },
              {
                "reference": "urn:uuid:d35ba3c5-2dd4-4ba2-90d4-deeef0e4c6ca"
              },
              {
                "reference": "urn:uuid:70e0428b-5309-4264-8ef3-806ee62413c2"
              },
              {
                "reference": "urn:uuid:82f45317-32f5-4791-9746-4a27f45064a6"
              },
              {
                "reference": "urn:uuid:fcbfc665-08b5-4f49-88e6-6add36da68b3"
              },
              {
                "reference": "urn:uuid:2489aaa3-f943-48c4-b841-5b11bde4e082"
              },
              {
                "reference": "urn:uuid:1a1e0f5d-1b31-4da1-aef8-c3b7d093cf5d"
              },
              {
                "reference": "urn:uuid:a6c036b7-0fb1-49eb-8442-04be847dce05"
              },
              {
                "reference": "urn:uuid:40e56dfe-65d7-461c-a2c4-977278a56adb"
              },
              {
                "reference": "urn:uuid:c41ec28b-3bb6-4593-8c31-949eb5b896be"
              },
              {
                "reference": "urn:uuid:45a1dccb-bd8e-4e6f-b691-0572e555c5c6"
              },
              {
                "reference": "urn:uuid:45d407a8-fe9a-414d-9ea7-5dc48f83836d"
              }
            ],
            "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>Human isophane insulin 70 unit/mL and recombinant human regular insulin 30 unit/mL solution for injection</td><td><span class=\"nb\">2025-07-17</span></td><td>-</td><td>Inject 10 units subcutaneously before breakfast and 10 units before dinner (strength: 70 units/mL isophane insulin and 30 units/mL regular insulin)</td><td>Diabetes mellitus type 2 (disorder)</td></tr><tr><td>Hydrochlorothiazide 25 mg oral tablet</td><td><span class=\"nb\">2025-07-17</span></td><td>-</td><td>1 tablet (25 mg) by mouth once daily</td><td>Essential hypertension (disorder)</td></tr><tr><td>Lisinopril 10 mg oral tablet</td><td><span class=\"nb\">2025-07-17</span></td><td>-</td><td>1 tablet (10 mg) by mouth once daily</td><td>Essential hypertension (disorder)</td></tr><tr><td>Metformin hydrochloride 500 mg prolonged-release oral tablet</td><td><span class=\"nb\">2025-07-17</span></td><td>-</td><td>1 tablet (500 mg) once daily</td><td>Diabetes mellitus type 2 (disorder)</td></tr><tr><td>Simvastatin 10 mg oral tablet</td><td><span class=\"nb\">2025-01-30</span></td><td>-</td><td>1 tablet (10 mg) by mouth once daily</td><td>Hyperlipidemia</td></tr><tr><td>Clopidogrel (as clopidogrel bisulfate) 75 mg oral tablet</td><td><span class=\"nb\">2019-01-24</span></td><td>-</td><td>1 tablet (75 mg) once daily</td><td>-</td></tr><tr><td>Simvastatin 20 mg oral tablet</td><td><span class=\"nb\">2019-01-24</span></td><td>-</td><td>1 tablet (20 mg) by mouth once daily</td><td>-</td></tr><tr><td>Nitroglycerin 400 microgram/actuation sublingual spray</td><td><span class=\"nb\">2019-01-24</span></td><td>-</td><td>400 micrograms (1 spray) under the tongue as needed for chest pain, may repeat every 5 minutes as needed, up to 3 sprays in 15 minutes</td><td>-</td></tr><tr><td>Metoprolol tartrate (as metoprolol succinate) 100 mg prolonged-release oral tablet</td><td><span class=\"nb\">2019-01-24</span></td><td>-</td><td>1 tablet (100 mg) once daily</td><td>-</td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:3ed7b15b-2f5c-4b07-991d-598acd69c7a5"
              },
              {
                "reference": "urn:uuid:a725e37d-336b-4f64-9957-8bd68ac85fdf"
              },
              {
                "reference": "urn:uuid:84bc838f-53f3-4127-81c5-8ea69536d057"
              },
              {
                "reference": "urn:uuid:69996949-500f-4502-97f2-98bb61350575"
              },
              {
                "reference": "urn:uuid:6e6ac2c3-0efd-4d0b-a097-a94d7b18191f"
              },
              {
                "reference": "urn:uuid:f2d530f6-b172-4a33-b02e-b40b036ba508"
              },
              {
                "reference": "urn:uuid:135965ef-2872-4e53-94b2-e5dad1c80ac2"
              },
              {
                "reference": "urn:uuid:7860e7f6-bda5-47bc-9349-8a09ebd361ac"
              },
              {
                "reference": "urn:uuid:64e18947-5002-4a75-bb80-f215e942e8da"
              }
            ],
            "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\">20-Mar-2025</span></td></tr><tr><td>Clostridium tetani toxoid antigen adsorbed only vaccine product</td><td><span class=\"nb\">22-Sep-2022</span></td></tr><tr><td>Live attenuated Human alphaherpesvirus 3 only vaccine product</td><td><span class=\"nb\">31-Mar-2022</span></td></tr><tr><td>SARS-CoV-2 mRNA vaccine</td><td><span class=\"nb\">14-Oct-2021</span></td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:aae3db42-2f61-40e4-891a-92b454cf414b"
              },
              {
                "reference": "urn:uuid:7c4e4b18-5877-4828-b536-8c9dd33a1947"
              },
              {
                "reference": "urn:uuid:6618ffdb-5d0c-405e-9370-029e31c3f024"
              },
              {
                "reference": "urn:uuid:d0958faa-c6e5-4aa7-9b0d-7c66eb363d30"
              }
            ],
            "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>Screening for substance abuse</td><td><span class=\"nb\">17-Jul-2025</span></td><td>-</td></tr><tr><td>Assessment of health and social care needs</td><td><span class=\"nb\">17-Jul-2025</span></td><td>-</td></tr><tr><td>Assessment of substance use</td><td><span class=\"nb\">17-Jul-2025</span></td><td>-</td></tr><tr><td>Depression screening</td><td><span class=\"nb\">15-May-2025</span></td><td>-</td></tr><tr><td>Assessment of anxiety</td><td><span class=\"nb\">15-May-2025</span></td><td>-</td></tr><tr><td>Depression screening using PHQ-9 (Patient Health Questionnaire 9) score</td><td><span class=\"nb\">15-May-2025</span></td><td>-</td></tr><tr><td>Screening for domestic abuse</td><td><span class=\"nb\">15-May-2025</span></td><td>-</td></tr><tr><td>Assessment using AUDIT-C (Alcohol Use Disorders Identification Test - Consumption)</td><td><span class=\"nb\">10-Oct-2024</span></td><td>-</td></tr><tr><td>Medication reconciliation</td><td><span class=\"nb\">20-Jun-2024</span></td><td>-</td></tr><tr><td>Postoperative procedure education</td><td><span class=\"nb\">14-May-2019</span></td><td>History of coronary artery bypass grafting (situation)</td></tr><tr><td>Stair-climbing test</td><td><span class=\"nb\">14-May-2019</span></td><td>History of coronary artery bypass grafting (situation)</td></tr><tr><td>Walking exercise test</td><td><span class=\"nb\">14-May-2019</span></td><td>History of coronary artery bypass grafting (situation)</td></tr><tr><td>Discharge to ward</td><td><span class=\"nb\">14-May-2019</span></td><td>-</td></tr><tr><td>Discharge from hospital</td><td><span class=\"nb\">14-May-2019</span></td><td>History of coronary artery bypass grafting (situation)</td></tr><tr><td>Electrocardiographic procedure</td><td><span class=\"nb\">13-May-2019</span></td><td>-</td></tr><tr><td>Transfusion of packed red blood cells</td><td><span class=\"nb\">13-May-2019</span></td><td>-</td></tr><tr><td>Plain X-ray of chest</td><td><span class=\"nb\">13-May-2019</span></td><td>-</td></tr><tr><td>Removal of endotracheal tube</td><td><span class=\"nb\">10-May-2019</span></td><td>-</td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:0403eb79-e427-4924-97a0-3b276a25e81b"
              },
              {
                "reference": "urn:uuid:26b3988f-5f95-4926-b3ff-3eaed39897b2"
              },
              {
                "reference": "urn:uuid:9c070568-9598-4ce2-8958-7b26e6765a49"
              },
              {
                "reference": "urn:uuid:700a4e71-e010-4985-900a-c89f0d16d4ba"
              },
              {
                "reference": "urn:uuid:f6dfe520-5178-434a-90df-4f1e74d8a3ab"
              },
              {
                "reference": "urn:uuid:f56819fe-f960-46d2-b4ea-5814c4933a18"
              },
              {
                "reference": "urn:uuid:d565a3ba-a0ae-4430-89b3-99dc24e62db9"
              },
              {
                "reference": "urn:uuid:6add1e0a-13a1-461f-8148-cb5664e42362"
              },
              {
                "reference": "urn:uuid:26ecb753-c0d8-4830-9767-3d941399579a"
              },
              {
                "reference": "urn:uuid:4b7acb5f-d8b7-4032-b60b-4cb7a1116e99"
              },
              {
                "reference": "urn:uuid:6c23abd3-8efa-4fd8-8dd9-692956cfdace"
              },
              {
                "reference": "urn:uuid:a081a7df-e5c3-43d2-8d47-a819f9616654"
              },
              {
                "reference": "urn:uuid:791c5d9e-c76e-4b8a-bf2d-e020abd609be"
              },
              {
                "reference": "urn:uuid:676fa891-192d-4148-a400-949681c7829a"
              },
              {
                "reference": "urn:uuid:6f7738c4-3a41-4a72-94d8-56814ab37d09"
              },
              {
                "reference": "urn:uuid:56018f6d-dc94-45f9-9943-29722c96e836"
              },
              {
                "reference": "urn:uuid:3b457182-1a51-4b8a-9567-53dc82c8005c"
              },
              {
                "reference": "urn:uuid:ca3bc4f3-fa5b-402c-89cd-e2d809596736"
              }
            ],
            "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:af9cb95c-a335-4e6f-bf74-238bafc6f72b"
              }
            ],
            "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>Dialysis care plan</td><td><span class=\"nb\">21-Dec-2023</span></td><td>-</td></tr><tr><td>Hyperlipidemia clinical management plan</td><td><span class=\"nb\">14-Dec-2017</span></td><td>Hyperlipidemia (disorder)</td></tr><tr><td><ul><li>Achieve LDL cholesterol below 1.8 mmol/L in patient with ischemic heart disease and diabetes.</li><li>Achieve fasting triglycerides below 1.7 mmol/L.</li><li>Maintain HDL cholesterol above 1.0 mmol/L.</li><li>Achieve total cholesterol below 4.0 mmol/L.</li></ul></td><td></td><td></td></tr><tr><td>Lifestyle education regarding hypertension</td><td><span class=\"nb\">25-Nov-1999</span></td><td>Essential hypertension (disorder)</td></tr><tr><td><ul><li>Patient will achieve and maintain blood pressure below 130/80 mmHg through lifestyle modifications.</li><li>Patient will implement recommended lifestyle changes (diet, exercise, sodium reduction, weight management) to support blood pressure control.</li></ul></td><td></td><td></td></tr><tr><td>Diabetes self management plan</td><td><span class=\"nb\">25-Nov-1999</span></td><td>Diabetes mellitus type 2 (disorder)</td></tr><tr><td><ul><li>Maintain HbA1c at or below individualized target to reduce risk of microvascular and macrovascular complications.</li><li>Maintain blood pressure below 130/80 mmHg to reduce risk of cardiovascular and renal complications.</li><li>Maintain LDL cholesterol below 70 mg/dL to reduce risk of atherosclerotic cardiovascular disease.</li><li>Perform self-monitoring of blood glucose as recommended to optimize glycemic control and detect hypoglycemia or hyperglycemia.</li><li>Implement dietary modifications, increase physical activity, and achieve weight management goals to improve glycemic control and overall health.</li></ul></td><td></td><td></td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:64812b20-60af-477b-99fe-176c1d2774e7"
              },
              {
                "reference": "urn:uuid:17da4ad9-a9a5-42a9-89c5-8d0f9c32e41f"
              },
              {
                "reference": "urn:uuid:6ce69cb4-4342-4d04-bfa0-4a237b9e72c1"
              },
              {
                "reference": "urn:uuid:371b0df0-e614-4785-9e8d-a655d837875c"
              }
            ],
            "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>2025-07-17</th><th>2025-07-02</th></tr><tr><td>Body Height</td><td>164.3 cm</td><td>-</td></tr><tr><td>Pain severity - 0-10 verbal numeric rating [Score] - Reported</td><td>3 {score}</td><td>2 {score}</td></tr><tr><td>Body Weight</td><td>84.5 kg</td><td>-</td></tr><tr><td>Body mass index (BMI) [Ratio]</td><td>31.3 kg/m2</td><td>-</td></tr><tr><td>Heart rate</td><td>64 /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>85 mm[Hg]</td><td>-</td></tr><tr><td>Weight difference [Mass difference] --pre dialysis - post dialysis</td><td>-</td><td>1 kg</td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:96cd5cee-abdf-4aca-a100-0e2ae6727642"
              },
              {
                "reference": "urn:uuid:3033af68-45f3-403f-84eb-7a43ec6d482a"
              },
              {
                "reference": "urn:uuid:8583c9fc-95e1-4ec1-8648-8e7ec1aa4752"
              },
              {
                "reference": "urn:uuid:42b7d824-1221-47cd-8c4d-71e02a051ddf"
              },
              {
                "reference": "urn:uuid:76247689-8e25-4c46-baf1-6466ce00ceb9"
              },
              {
                "reference": "urn:uuid:ebaa6225-19a9-4ead-8f06-ab105b4d5547"
              },
              {
                "reference": "urn:uuid:7c74396f-c2ba-4de1-a228-ae65bb3ed58e"
              },
              {
                "reference": "urn:uuid:e5fa8b0f-7360-4add-b359-2e66a6951202"
              },
              {
                "reference": "urn:uuid:3b1e891c-0aab-4b77-8932-92e8445f75ee"
              }
            ],
            "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>17-JUL-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Serum or Plasma</td><td><strong>67.8 L</strong></td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Serum or Plasma</td><td>19.8</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Serum or Plasma</td><td><strong>2.4 H</strong></td><td>0.6 - 1.2</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Serum or Plasma</td><td>9.2</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Serum or Plasma</td><td>142.2</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Serum or Plasma</td><td>4.5</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Serum or Plasma</td><td>106.4</td><td>98 - 107</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Serum or Plasma</td><td>26.0</td><td>22 - 32</td><td>mmol/L</td></tr><tr><td>Appearance of Urine</td><td>Cloudy urine</td><td></td><td></td></tr><tr><td>Odor of Urine</td><td>Urine smell ammoniacal</td><td></td><td></td></tr><tr><td>Clarity of Urine</td><td>Translucent</td><td></td><td></td></tr><tr><td>Color of Urine</td><td>Brown color</td><td></td><td></td></tr><tr><td>Glucose [Mass/volume] in Urine by Test strip</td><td>1.3</td><td>0 - 5</td><td>mg/dL</td></tr><tr><td>Glucose [Presence] in Urine by Test strip</td><td>Urine glucose test = ++</td><td></td><td></td></tr><tr><td>Bilirubin.total [Mass/volume] in Urine by Test strip</td><td>0.3</td><td>0 - 1</td><td>mg/dL</td></tr><tr><td>Bilirubin.total [Presence] in Urine by Test strip</td><td>Finding of bilirubin in urine</td><td></td><td></td></tr><tr><td>Ketones [Mass/volume] in Urine by Test strip</td><td>14.9</td><td>0 - 20</td><td>mg/dL</td></tr><tr><td>Ketones [Presence] in Urine by Test strip</td><td>Urine ketone test negative</td><td></td><td></td></tr><tr><td>Specific gravity of Urine by Test strip</td><td><strong>1.0 L</strong></td><td>1.005 - 1.030</td><td>{nominal}</td></tr><tr><td>pH of Urine by Test strip</td><td>6.0</td><td>5.0 - 8.0</td><td>pH</td></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td><strong>289.8 H</strong></td><td>0 - 20</td><td>mg/dL</td></tr><tr><td>Protein [Presence] in Urine by Test strip</td><td>Urine protein test = +++</td><td></td><td></td></tr><tr><td>Nitrite [Presence] in Urine by Test strip</td><td>Urine nitrite negative</td><td></td><td></td></tr><tr><td>Hemoglobin [Presence] in Urine by Test strip</td><td>Urine blood test = negative</td><td></td><td></td></tr><tr><td>Leukocyte esterase [Presence] in Urine by Test strip</td><td>Urine leukocyte test negative</td><td></td><td></td></tr><tr><td>Hemoglobin A1c/Hemoglobin.total in Blood</td><td><strong>3.3 L</strong></td><td>4.0 - 5.6</td><td>%</td></tr><tr><td>Glucose [Mass/volume] in Blood</td><td><strong>67.8 L</strong></td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Blood</td><td>19.8</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Blood</td><td><strong>20.5 H</strong></td><td>0.6 - 1.2</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Blood</td><td>9.2</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Blood</td><td>142.2</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Blood</td><td>4.5</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Blood</td><td>106.4</td><td>98 - 107</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td>26.0</td><td>22 - 29</td><td>mmol/L</td></tr><tr><td>Cholesterol [Mass/volume] in Serum or Plasma</td><td>142.6</td><td>125 - 200</td><td>mg/dL</td></tr><tr><td>Triglyceride [Mass/volume] in Serum or Plasma</td><td>145.0</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>52.6</td><td>0 - 100</td><td>mg/dL</td></tr><tr><td>Cholesterol in HDL [Mass/volume] in Serum or Plasma</td><td><strong>61.1 H</strong></td><td>40 - 60</td><td>mg/dL</td></tr><tr><td>Microalbumin/Creatinine [Mass Ratio] in Urine</td><td><strong>378.7 H</strong></td><td>0 - 30</td><td>mg/g</td></tr></tbody></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:2eaa7a06-ec64-49fe-a9e0-d5eae6020f15"
              },
              {
                "reference": "urn:uuid:c75b93ee-17b6-4055-8d64-ecc81fb66ce2"
              },
              {
                "reference": "urn:uuid:2d61dcfe-c6bb-410b-a67b-31e340afb63f"
              },
              {
                "reference": "urn:uuid:ae6de1a8-13f1-4c2c-89be-3213dd782999"
              },
              {
                "reference": "urn:uuid:3cd404c9-a8db-4cae-80ae-255a8a1bfba9"
              },
              {
                "reference": "urn:uuid:3af25165-35c4-4665-9662-7883ce24595d"
              },
              {
                "reference": "urn:uuid:6b8732c9-a694-44a0-a8b0-bdfb7583ea06"
              },
              {
                "reference": "urn:uuid:638db2e7-aab8-4ab9-a271-058a6d1a68b6"
              },
              {
                "reference": "urn:uuid:0550255f-a113-4916-872f-93163a52ec22"
              },
              {
                "reference": "urn:uuid:b10a0da9-d737-4feb-83e3-99456ca2123d"
              },
              {
                "reference": "urn:uuid:13c52b89-3874-421b-aea3-8162b9f32682"
              },
              {
                "reference": "urn:uuid:f9807cc7-f973-4f88-a455-b447efe03787"
              },
              {
                "reference": "urn:uuid:1e25a33e-9136-4441-b7b0-703197ab2dc9"
              },
              {
                "reference": "urn:uuid:30c5aa62-8cfd-4312-978d-c7d067fddbf3"
              },
              {
                "reference": "urn:uuid:0cf8071b-c524-4305-b960-c3ead235d12a"
              },
              {
                "reference": "urn:uuid:c6b1ecf0-f48d-4915-8661-ecd5707f5e8a"
              },
              {
                "reference": "urn:uuid:9a70f392-53bc-41b1-8962-5490e37ea9c4"
              },
              {
                "reference": "urn:uuid:121bbf56-7efb-47e8-8120-147020ec71ff"
              },
              {
                "reference": "urn:uuid:93a98948-28e5-4bc2-83f5-43a7d3e70e03"
              },
              {
                "reference": "urn:uuid:7b016add-912d-4fcc-9e5c-40c713edb199"
              },
              {
                "reference": "urn:uuid:66abe027-88b4-4efb-98cf-73b0143c073f"
              },
              {
                "reference": "urn:uuid:8f684383-683e-43fb-a0b2-93d88b134828"
              },
              {
                "reference": "urn:uuid:c7df36bc-34c1-4774-8393-5c7e5cad0823"
              },
              {
                "reference": "urn:uuid:318730f9-52a0-4d2b-9601-7532d39eb76b"
              },
              {
                "reference": "urn:uuid:c7b56d29-285b-4447-8b0e-d6c13fd1cc57"
              },
              {
                "reference": "urn:uuid:a5219046-9d18-49db-929f-a23b17aa45b1"
              },
              {
                "reference": "urn:uuid:38db3be7-a15e-4950-ae19-d2e486b45c52"
              },
              {
                "reference": "urn:uuid:d974289b-8b38-47f4-b8f0-a271652cfc94"
              },
              {
                "reference": "urn:uuid:6083d4d9-1902-41f4-945e-83d1e0c10f81"
              },
              {
                "reference": "urn:uuid:7656b96e-8b88-4a84-9dcc-d830e9f829c8"
              },
              {
                "reference": "urn:uuid:460f7d43-3744-4ffc-8bf1-885d8f7fffc0"
              },
              {
                "reference": "urn:uuid:b996cf74-abb1-4301-ad73-94ecad9d24f1"
              },
              {
                "reference": "urn:uuid:a487320d-aed6-4bb8-9170-083ce910bb33"
              },
              {
                "reference": "urn:uuid:362c7c42-f61a-44a6-96c9-bc84d106c999"
              },
              {
                "reference": "urn:uuid:f2abfe66-110b-476e-a443-443833f8d736"
              },
              {
                "reference": "urn:uuid:0c7d35b3-8fa6-4845-a163-ce2fdd0d3501"
              },
              {
                "reference": "urn:uuid:22d961a0-d639-4c9c-a905-b18fc20f9ef1"
              },
              {
                "reference": "urn:uuid:078e74c4-1961-4721-842e-ecf09d1180a0"
              },
              {
                "reference": "urn:uuid:f53fbdb3-d02f-45b1-811b-6d7a56c0ea6a"
              }
            ],
            "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><th>Device</th><th>Date (since)</th></tr><tr><td>Blood glucose meter (physical object)</td><td><span class=\"nb\">25-Nov-1999</span></td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:4246a883-bb3e-4936-b15d-990c1a7da706"
              }
            ],
            "code": {
              "coding": [
                {
                  "code": "46264-8",
                  "system": "http://loinc.org",
                  "display": "History of medical device use"
                }
              ]
            },
            "title": "Device Use"
          }
        ],
        "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:e93f1ad0-b910-4c53-937f-256b4c764d21",
          "display": "Tom Hayward"
        },
        "custodian": {
          "reference": "urn:uuid:97b65604-86af-4c83-8915-69c0fe9794b2"
        },
        "date": "2025-07-17T08:17:44Z",
        "confidentiality": "N"
      }
    },
    {
      "fullUrl": "urn:uuid:e93f1ad0-b910-4c53-937f-256b4c764d21",
      "resource": {
        "resourceType": "Patient",
        "id": "e93f1ad0-b910-4c53-937f-256b4c764d21",
        "meta": {
          "security": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
              "code": "HTEST"
            },
            {
              "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"
          ]
        },
        "identifier": [
          {
            "type": {
              "coding": [
                {
                  "code": "JHN",
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
                }
              ]
            },
            "system": "http://ec.europa.eu/identifier/eci",
            "value": "3376-612163-7"
          },
          {
            "type": {
              "coding": [
                {
                  "code": "MR",
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
                }
              ]
            },
            "system": "http://local.setting.eu/identifier",
            "value": "8e2c4509-b594-9ec4-42db-847eccf28678"
          }
        ],
        "name": [
          {
            "given": [
              "Tom"
            ],
            "family": "Hayward",
            "text": "Tom Hayward"
          }
        ],
        "address": [
          {
            "line": [
              "391 Dean locks"
            ],
            "use": "home",
            "type": "physical",
            "postalCode": "M1",
            "city": "Manchester",
            "country": "United Kingdom"
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "+44(0)808 1570544"
          }
        ],
        "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>Tom Hayward</td><td>male</td><td>07-Apr-1975</td></tr></table></div>"
        },
        "gender": "male",
        "birthDate": "1975-04-07"
      }
    },
    {
      "fullUrl": "urn:uuid:67061abe-3bd9-4128-8a10-968debf995c3",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "67061abe-3bd9-4128-8a10-968debf995c3",
        "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 67061abe-3bd9-4128-8a10-968debf995c3</td></tr></table></div>"
        },
        "practitioner": {
          "reference": "urn:uuid:1f60553b-f95a-42b1-ba3b-4273b8eaa8a4"
        },
        "organization": {
          "reference": "urn:uuid:97b65604-86af-4c83-8915-69c0fe9794b2"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:97b65604-86af-4c83-8915-69c0fe9794b2",
      "resource": {
        "resourceType": "Organization",
        "id": "97b65604-86af-4c83-8915-69c0fe9794b2",
        "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": "83ef6bc0-85a1-44a0-b695-4e1a85699005"
          }
        ],
        "address": [
          {
            "line": [
              "City Road 204"
            ],
            "city": "Manchester",
            "postalCode": "M3 3",
            "country": "United Kingdom"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Cornbrook Medical Practice</td></tr></table></div>"
        },
        "name": "Cornbrook Medical Practice"
      }
    },
    {
      "fullUrl": "urn:uuid:1f60553b-f95a-42b1-ba3b-4273b8eaa8a4",
      "resource": {
        "resourceType": "Practitioner",
        "id": "1f60553b-f95a-42b1-ba3b-4273b8eaa8a4",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu-core"
          ]
        },
        "name": [
          {
            "given": [
              "Anthony"
            ],
            "family": "Evans"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Anthony Evans</td></tr></table></div>"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:57b4e419-6757-4be5-ab4e-e6a92321f253",
      "resource": {
        "resourceType": "Condition",
        "id": "57b4e419-6757-4be5-ab4e-e6a92321f253",
        "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": "431857002",
              "system": "http://snomed.info/sct",
              "display": "Chronic kidney disease stage 4 (disorder)"
            }
          ],
          "text": "Chronic kidney disease stage 4"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Chronic kidney disease stage 4</td><td><span class=\"nb\">22-Dec-2022</span></td><td>active</td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "active",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
          ]
        },
        "onsetDateTime": "2022-12-22",
        "subject": {
          "reference": "urn:uuid:e93f1ad0-b910-4c53-937f-256b4c764d21",
          "display": "Tom Hayward"
        },
        "asserter": {
          "reference": "urn:uuid:67061abe-3bd9-4128-8a10-968debf995c3",
          "display": "Cornbrook Medical Practice"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:8d16a199-5e98-421d-8422-0780accccbdc",
      "resource": {
        "resourceType": "Condition",
        "id": "8d16a199-5e98-421d-8422-0780accccbdc",
        "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": "433144002",
              "system": "http://snomed.info/sct",
              "display": "Chronic kidney disease stage 3 (disorder)"
            }
          ],
          "text": "Chronic kidney disease stage 3"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Chronic kidney disease stage 3</td><td><span class=\"nb\">16-Jul-2020</span></td><td>active</td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "active",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
          ]
        },
        "onsetDateTime": "2020-07-16",
        "subject": {
          "reference": "urn:uuid:e93f1ad0-b910-4c53-937f-256b4c764d21",
          "display": "Tom Hayward"
        },
        "asserter": {
          "reference": "urn:uuid:67061abe-3bd9-4128-8a10-968debf995c3",
          "display": "Cornbrook Medical Practice"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:efed7212-3c9e-4ce4-b662-035485fa3aa6",
      "resource": {
        "resourceType": "Condition",
        "id": "efed7212-3c9e-4ce4-b662-035485fa3aa6",
        "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": "157141000119108",
              "system": "http://snomed.info/sct",
              "display": "Proteinuria due to type 2 diabetes mellitus (disorder)"
            }
          ],
          "text": "Proteinuria due to type 2 diabetes mellitus"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Proteinuria due to type 2 diabetes mellitus</td><td><span class=\"nb\">16-Jul-2020</span></td><td>active</td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "active",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
          ]
        },
        "onsetDateTime": "2020-07-16",
        "subject": {
          "reference": "urn:uuid:e93f1ad0-b910-4c53-937f-256b4c764d21",
          "display": "Tom Hayward"
        },
        "asserter": {
          "reference": "urn:uuid:67061abe-3bd9-4128-8a10-968debf995c3",
          "display": "Cornbrook Medical Practice"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:66dbc67a-1946-4aac-8e75-1f61a4df91aa",
      "resource": {
        "resourceType": "Condition",
        "id": "66dbc67a-1946-4aac-8e75-1f61a4df91aa",
        "meta": {
          "profile": [
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                "code": "problem-list-item",
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            {
              "code": "414545008",
              "system": "http://snomed.info/sct",
              "display": "Ischemic heart disease (disorder)"
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          ],
          "text": "Ischemic heart disease"
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                "code": "problem-list-item",
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        "code": {
          "coding": [
            {
              "code": "55822004",
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              "display": "Hyperlipidemia (disorder)"
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          ],
          "text": "Hyperlipidemia"
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        "text": {
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Hyperlipidemia</td><td><span class=\"nb\">23-Nov-2017</span></td><td>active</td></tr></table></div>"
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        "category": [
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        "code": {
          "coding": [
            {
              "code": "431856006",
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              "display": "Chronic kidney disease stage 2 (disorder)"
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          "text": "Chronic kidney disease stage 2"
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        "code": {
          "coding": [
            {
              "code": "90781000119102",
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          ],
          "text": "Microalbuminuria due to type 2 diabetes mellitus"
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        "text": {
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        "asserter": {
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    {
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        "code": {
          "coding": [
            {
              "code": "127013003",
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              "display": "Disorder of kidney due to diabetes mellitus (disorder)"
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          "text": "Disorder of kidney due to diabetes mellitus"
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          "display": "Tom Hayward"
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    {
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        "category": [
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            {
              "code": "431855005",
              "system": "http://snomed.info/sct",
              "display": "Chronic kidney disease stage 1 (disorder)"
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          ],
          "text": "Chronic kidney disease stage 1"
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        },
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          "display": "Tom Hayward"
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    {
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        "code": {
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            {
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              "display": "Nonproliferative retinopathy due to type 2 diabetes mellitus (disorder)"
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          ],
          "text": "Nonproliferative retinopathy due to type 2 diabetes mellitus"
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        "text": {
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          "display": "Tom Hayward"
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    {
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        "category": [
          {
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                "code": "problem-list-item",
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        "code": {
          "coding": [
            {
              "code": "422034002",
              "system": "http://snomed.info/sct",
              "display": "Retinopathy due to type 2 diabetes mellitus (disorder)"
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          ],
          "text": "Retinopathy due to type 2 diabetes mellitus"
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        },
        "clinicalStatus": {
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        "subject": {
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          "display": "Tom Hayward"
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        "asserter": {
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    {
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      "resource": {
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        "category": [
          {
            "coding": [
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                "code": "problem-list-item",
                "system": "http://terminology.hl7.org/CodeSystem/condition-category",
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        "code": {
          "coding": [
            {
              "code": "271737000",
              "system": "http://snomed.info/sct",
              "display": "Anemia (disorder)"
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          ],
          "text": "Anemia"
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        "text": {
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Anemia</td><td><span class=\"nb\">06-Dec-2001</span></td><td>active</td></tr></table></div>"
        },
        "clinicalStatus": {
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          "display": "Tom Hayward"
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        "asserter": {
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    {
      "fullUrl": "urn:uuid:70e0428b-5309-4264-8ef3-806ee62413c2",
      "resource": {
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        "category": [
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            "coding": [
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                "code": "problem-list-item",
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        "code": {
          "coding": [
            {
              "code": "80394007",
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              "display": "Hyperglycemia (disorder)"
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          ],
          "text": "Hyperglycemia"
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        "text": {
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              "code": "237602007",
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              "display": "Metabolic syndrome X (disorder)"
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          "text": "Metabolic syndrome X"
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    {
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            {
              "code": "302870006",
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    {
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        ],
        "code": {
          "coding": [
            {
              "code": "44054006",
              "system": "http://snomed.info/sct",
              "display": "Diabetes mellitus type 2 (disorder)"
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          ],
          "text": "Type 2 diabetes mellitus"
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        "text": {
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Type 2 diabetes mellitus</td><td><span class=\"nb\">25-Nov-1999</span></td><td>active</td></tr></table></div>"
        },
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              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
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        "onsetDateTime": "1999-11-25",
        "subject": {
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          "display": "Tom Hayward"
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      }
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    {
      "fullUrl": "urn:uuid:1a1e0f5d-1b31-4da1-aef8-c3b7d093cf5d",
      "resource": {
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        "category": [
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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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          ],
          "text": "Essential hypertension"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Essential hypertension</td><td><span class=\"nb\">25-Nov-1999</span></td><td>active</td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "active",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
          ]
        },
        "onsetDateTime": "1999-11-25",
        "subject": {
          "reference": "urn:uuid:e93f1ad0-b910-4c53-937f-256b4c764d21",
          "display": "Tom Hayward"
        },
        "asserter": {
          "reference": "urn:uuid:67061abe-3bd9-4128-8a10-968debf995c3",
          "display": "Cornbrook Medical Practice"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:a6c036b7-0fb1-49eb-8442-04be847dce05",
      "resource": {
        "resourceType": "Condition",
        "id": "a6c036b7-0fb1-49eb-8442-04be847dce05",
        "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": "307426000",
              "system": "http://snomed.info/sct",
              "display": "Acute infective cystitis (disorder)"
            }
          ],
          "text": "Acute infective cystitis"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td><span class=\"grayedout\">Acute infective cystitis</span></td><td><span class=\"nb\">25-Jun-2025 - 05-Jul-2025</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": "2025-06-25",
        "abatementDateTime": "2025-07-05",
        "subject": {
          "reference": "urn:uuid:e93f1ad0-b910-4c53-937f-256b4c764d21",
          "display": "Tom Hayward"
        },
        "asserter": {
          "reference": "urn:uuid:67061abe-3bd9-4128-8a10-968debf995c3",
          "display": "Cornbrook Medical Practice"
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      }
    },
    {
      "fullUrl": "urn:uuid:40e56dfe-65d7-461c-a2c4-977278a56adb",
      "resource": {
        "resourceType": "Condition",
        "id": "40e56dfe-65d7-461c-a2c4-977278a56adb",
        "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": "195662009",
              "system": "http://snomed.info/sct",
              "display": "Acute viral pharyngitis (disorder)"
            }
          ],
          "text": "Acute viral pharyngitis"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td><span class=\"grayedout\">Acute viral pharyngitis</span></td><td><span class=\"nb\">04-Jan-2024 - 13-Jan-2024</span></td><td><span class=\"grayedout\">inactive</span></td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "inactive",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
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          ]
        },
        "onsetDateTime": "2024-01-04",
        "abatementDateTime": "2024-01-13",
        "subject": {
          "reference": "urn:uuid:e93f1ad0-b910-4c53-937f-256b4c764d21",
          "display": "Tom Hayward"
        },
        "asserter": {
          "reference": "urn:uuid:67061abe-3bd9-4128-8a10-968debf995c3",
          "display": "Cornbrook Medical Practice"
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      }
    },
    {
      "fullUrl": "urn:uuid:c41ec28b-3bb6-4593-8c31-949eb5b896be",
      "resource": {
        "resourceType": "Condition",
        "id": "c41ec28b-3bb6-4593-8c31-949eb5b896be",
        "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": "195662009",
              "system": "http://snomed.info/sct",
              "display": "Acute viral pharyngitis (disorder)"
            }
          ],
          "text": "Acute viral pharyngitis"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td><span class=\"grayedout\">Acute viral pharyngitis</span></td><td><span class=\"nb\">19-Apr-2016 - 29-Apr-2016</span></td><td><span class=\"grayedout\">inactive</span></td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "inactive",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
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          ]
        },
        "onsetDateTime": "2016-04-19",
        "abatementDateTime": "2016-04-29",
        "subject": {
          "reference": "urn:uuid:e93f1ad0-b910-4c53-937f-256b4c764d21",
          "display": "Tom Hayward"
        },
        "asserter": {
          "reference": "urn:uuid:67061abe-3bd9-4128-8a10-968debf995c3",
          "display": "Cornbrook Medical Practice"
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      }
    },
    {
      "fullUrl": "urn:uuid:45a1dccb-bd8e-4e6f-b691-0572e555c5c6",
      "resource": {
        "resourceType": "Condition",
        "id": "45a1dccb-bd8e-4e6f-b691-0572e555c5c6",
        "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": "62106007",
              "system": "http://snomed.info/sct",
              "display": "Concussion with no loss of consciousness (disorder)"
            }
          ],
          "text": "Concussion with no loss of consciousness"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td><span class=\"grayedout\">Concussion with no loss of consciousness</span></td><td><span class=\"nb\">10-Mar-2016 - 12-May-2016</span></td><td><span class=\"grayedout\">inactive</span></td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "inactive",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
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          ]
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        "onsetDateTime": "2016-03-10",
        "abatementDateTime": "2016-05-12",
        "subject": {
          "reference": "urn:uuid:e93f1ad0-b910-4c53-937f-256b4c764d21",
          "display": "Tom Hayward"
        },
        "asserter": {
          "reference": "urn:uuid:67061abe-3bd9-4128-8a10-968debf995c3",
          "display": "Cornbrook Medical Practice"
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      }
    },
    {
      "fullUrl": "urn:uuid:45d407a8-fe9a-414d-9ea7-5dc48f83836d",
      "resource": {
        "resourceType": "Condition",
        "id": "45d407a8-fe9a-414d-9ea7-5dc48f83836d",
        "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": "110030002",
              "system": "http://snomed.info/sct",
              "display": "Concussion injury of brain (disorder)"
            }
          ],
          "text": "Concussion injury of brain"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td><span class=\"grayedout\">Concussion injury of brain</span></td><td><span class=\"nb\">10-Mar-2016 - 12-May-2016</span></td><td><span class=\"grayedout\">inactive</span></td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
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              "code": "inactive",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
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          ]
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        "onsetDateTime": "2016-03-10",
        "abatementDateTime": "2016-05-12",
        "subject": {
          "reference": "urn:uuid:e93f1ad0-b910-4c53-937f-256b4c764d21",
          "display": "Tom Hayward"
        },
        "asserter": {
          "reference": "urn:uuid:67061abe-3bd9-4128-8a10-968debf995c3",
          "display": "Cornbrook Medical Practice"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:a2d5de29-ed6b-41be-9e33-95e23181c4de",
      "resource": {
        "resourceType": "Medication",
        "id": "a2d5de29-ed6b-41be-9e33-95e23181c4de",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/medication-eu-core"
          ]
        },
        "code": {
          "coding": [
            {
              "code": "784510001",
              "system": "http://snomed.info/sct",
              "display": "Human isophane insulin 70 unit/mL and recombinant human regular insulin 30 unit/mL solution for injection"
            }
          ],
          "text": "Human isophane insulin 70 unit/mL and recombinant human regular insulin 30 unit/mL solution for injection"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Human isophane insulin 70 unit/mL and recombinant human regular insulin 30 unit/mL solution for injection</div>"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:3ed7b15b-2f5c-4b07-991d-598acd69c7a5",
      "resource": {
        "resourceType": "MedicationStatement",
        "id": "3ed7b15b-2f5c-4b07-991d-598acd69c7a5",
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          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/MedicationStatement-eu-eps"
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        },
        "effectivePeriod": {
          "start": "2025-07-17"
        },
        "dosage": [
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            "doseAndRate": [
              {
                "doseQuantity": {
                  "value": 10,
                  "unit": "unit",
                  "system": "http://unitsofmeasure.org",
                  "code": "U"
                }
              }
            ],
            "timing": {
              "repeat": {
                "frequency": 2,
                "period": 1,
                "periodUnit": "d"
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            },
            "text": "Inject 10 units subcutaneously before breakfast and 10 units before dinner (strength: 70 units/mL isophane insulin and 30 units/mL regular insulin)",
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        ],
        "reasonCode": [
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            "coding": [
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                "code": "44054006",
                "system": "http://snomed.info/sct",
                "display": "Diabetes mellitus type 2 (disorder)"
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            ]
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        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips first25\"><tr><th>Medication</th><th>Since</th><th>Form</th><th>Dosage</th><th>Reason</th></tr><tr><td>Human isophane insulin 70 unit/mL and recombinant human regular insulin 30 unit/mL solution for injection</td><td><span class=\"nb\">2025-07-17</span></td><td>-</td><td>Inject 10 units subcutaneously before breakfast and 10 units before dinner (strength: 70 units/mL isophane insulin and 30 units/mL regular insulin)</td><td>Diabetes mellitus type 2 (disorder)</td></tr></table></div>"
        },
        "status": "active",
        "medicationReference": {
          "reference": "urn:uuid:a2d5de29-ed6b-41be-9e33-95e23181c4de",
          "display": "Human isophane insulin 70 unit/mL and recombinant human regular insulin 30 unit/mL solution for injection"
        },
        "subject": {
          "reference": "urn:uuid:e93f1ad0-b910-4c53-937f-256b4c764d21",
          "display": "Tom Hayward"
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      }
    },
    {
      "fullUrl": "urn:uuid:61715b7f-e5e8-4625-8d8e-94d6caa8b3bb",
      "resource": {
        "resourceType": "Medication",
        "id": "61715b7f-e5e8-4625-8d8e-94d6caa8b3bb",
        "meta": {
          "profile": [
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        },
        "code": {
          "coding": [
            {
              "code": "376209006",
              "system": "http://snomed.info/sct",
              "display": "Hydrochlorothiazide 25 mg oral tablet"
            }
          ],
          "text": "Hydrochlorothiazide 25 mg oral tablet"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Hydrochlorothiazide 25 mg oral tablet</div>"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:a725e37d-336b-4f64-9957-8bd68ac85fdf",
      "resource": {
        "resourceType": "MedicationStatement",
        "id": "a725e37d-336b-4f64-9957-8bd68ac85fdf",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/MedicationStatement-eu-eps"
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        },
        "effectivePeriod": {
          "start": "2025-07-17"
        },
        "dosage": [
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            "doseAndRate": [
              {
                "doseQuantity": {
                  "value": 1,
                  "unit": "{tbl}",
                  "system": "http://unitsofmeasure.org",
                  "code": "{tbl}"
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              }
            ],
            "timing": {
              "repeat": {
                "frequency": 1,
                "period": 1,
                "periodUnit": "d"
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            },
            "text": "1 tablet (25 mg) by mouth once daily",
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        "reasonCode": [
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                "code": "59621000",
                "system": "http://snomed.info/sct",
                "display": "Essential hypertension (disorder)"
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            ]
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips first25\"><tr><th>Medication</th><th>Since</th><th>Form</th><th>Dosage</th><th>Reason</th></tr><tr><td>Hydrochlorothiazide 25 mg oral tablet</td><td><span class=\"nb\">2025-07-17</span></td><td>-</td><td>1 tablet (25 mg) by mouth once daily</td><td>Essential hypertension (disorder)</td></tr></table></div>"
        },
        "status": "active",
        "medicationReference": {
          "reference": "urn:uuid:61715b7f-e5e8-4625-8d8e-94d6caa8b3bb",
          "display": "Hydrochlorothiazide 25 mg oral tablet"
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        "subject": {
          "reference": "urn:uuid:e93f1ad0-b910-4c53-937f-256b4c764d21",
          "display": "Tom Hayward"
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      }
    },
    {
      "fullUrl": "urn:uuid:f4e2a9d5-f470-42cb-bfa1-a6b7a92ae6ef",
      "resource": {
        "resourceType": "Medication",
        "id": "f4e2a9d5-f470-42cb-bfa1-a6b7a92ae6ef",
        "meta": {
          "profile": [
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        },
        "code": {
          "coding": [
            {
              "code": "318859000",
              "system": "http://snomed.info/sct",
              "display": "Lisinopril 10 mg oral tablet"
            }
          ],
          "text": "Lisinopril 10 mg oral tablet"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Lisinopril 10 mg oral tablet</div>"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:84bc838f-53f3-4127-81c5-8ea69536d057",
      "resource": {
        "resourceType": "MedicationStatement",
        "id": "84bc838f-53f3-4127-81c5-8ea69536d057",
        "meta": {
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        },
        "effectivePeriod": {
          "start": "2025-07-17"
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        "dosage": [
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            "doseAndRate": [
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                "doseQuantity": {
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                  "unit": "{tbl}",
                  "system": "http://unitsofmeasure.org",
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            "timing": {
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                "period": 1,
                "periodUnit": "d"
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            "text": "1 tablet (10 mg) by mouth once daily",
            "asNeededBoolean": false
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                "code": "59621000",
                "system": "http://snomed.info/sct",
                "display": "Essential hypertension (disorder)"
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        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips first25\"><tr><th>Medication</th><th>Since</th><th>Form</th><th>Dosage</th><th>Reason</th></tr><tr><td>Lisinopril 10 mg oral tablet</td><td><span class=\"nb\">2025-07-17</span></td><td>-</td><td>1 tablet (10 mg) by mouth once daily</td><td>Essential hypertension (disorder)</td></tr></table></div>"
        },
        "status": "active",
        "medicationReference": {
          "reference": "urn:uuid:f4e2a9d5-f470-42cb-bfa1-a6b7a92ae6ef",
          "display": "Lisinopril 10 mg oral tablet"
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        "subject": {
          "reference": "urn:uuid:e93f1ad0-b910-4c53-937f-256b4c764d21",
          "display": "Tom Hayward"
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      }
    },
    {
      "fullUrl": "urn:uuid:6cb2885b-7508-4ac0-afff-4983ce43b64d",
      "resource": {
        "resourceType": "Medication",
        "id": "6cb2885b-7508-4ac0-afff-4983ce43b64d",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/medication-eu-core"
          ]
        },
        "code": {
          "coding": [
            {
              "code": "765507008",
              "system": "http://snomed.info/sct",
              "display": "Metformin hydrochloride 500 mg prolonged-release oral tablet"
            }
          ],
          "text": "Metformin hydrochloride 500 mg prolonged-release oral tablet"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Metformin hydrochloride 500 mg prolonged-release oral tablet</div>"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:69996949-500f-4502-97f2-98bb61350575",
      "resource": {
        "resourceType": "MedicationStatement",
        "id": "69996949-500f-4502-97f2-98bb61350575",
        "meta": {
          "profile": [
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        },
        "effectivePeriod": {
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        "dosage": [
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            "doseAndRate": [
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                "doseQuantity": {
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                  "unit": "{tbl}",
                  "system": "http://unitsofmeasure.org",
                  "code": "{tbl}"
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            ],
            "timing": {
              "repeat": {
                "frequency": 1,
                "period": 1,
                "periodUnit": "d"
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            },
            "text": "1 tablet (500 mg) once daily",
            "asNeededBoolean": false
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        "reasonCode": [
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            "coding": [
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                "code": "44054006",
                "system": "http://snomed.info/sct",
                "display": "Diabetes mellitus type 2 (disorder)"
              }
            ]
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips first25\"><tr><th>Medication</th><th>Since</th><th>Form</th><th>Dosage</th><th>Reason</th></tr><tr><td>Metformin hydrochloride 500 mg prolonged-release oral tablet</td><td><span class=\"nb\">2025-07-17</span></td><td>-</td><td>1 tablet (500 mg) once daily</td><td>Diabetes mellitus type 2 (disorder)</td></tr></table></div>"
        },
        "status": "active",
        "medicationReference": {
          "reference": "urn:uuid:6cb2885b-7508-4ac0-afff-4983ce43b64d",
          "display": "Metformin hydrochloride 500 mg prolonged-release oral tablet"
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        "subject": {
          "reference": "urn:uuid:e93f1ad0-b910-4c53-937f-256b4c764d21",
          "display": "Tom Hayward"
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      }
    },
    {
      "fullUrl": "urn:uuid:68db5301-00b7-49ed-afbb-ce8b715cb9a9",
      "resource": {
        "resourceType": "Medication",
        "id": "68db5301-00b7-49ed-afbb-ce8b715cb9a9",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/medication-eu-core"
          ]
        },
        "code": {
          "coding": [
            {
              "code": "319996000",
              "system": "http://snomed.info/sct",
              "display": "Simvastatin 10 mg oral tablet"
            }
          ],
          "text": "Simvastatin 10 mg oral tablet"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Simvastatin 10 mg oral tablet</div>"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:6e6ac2c3-0efd-4d0b-a097-a94d7b18191f",
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              "display": "Entire muscle of upper arm"
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          "text": "Entire muscle of upper arm"
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              "display": "Clostridium tetani toxoid antigen adsorbed only vaccine product"
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              "system": "http://www.whocc.no/atc",
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          "text": "Clostridium tetani toxoid antigen adsorbed only vaccine product"
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          "text": "Entire muscle of upper arm"
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              "display": "Live attenuated Human alphaherpesvirus 3 only vaccine product"
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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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              "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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              "system": "http://snomed.info/sct",
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            {
              "code": "J07BN01",
              "system": "http://www.whocc.no/atc",
              "display": "covid-19, RNA-based vaccine"
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          ],
          "text": "SARS-CoV-2 mRNA vaccine"
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            {
              "code": "244979005",
              "system": "http://snomed.info/sct",
              "display": "Entire muscle of upper arm"
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          "text": "Entire muscle of upper arm"
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          "text": "Screening for substance abuse"
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          "text": "Assessment of health and social care needs"
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            {
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    {
      "fullUrl": "urn:uuid:4b7acb5f-d8b7-4032-b60b-4cb7a1116e99",
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            "coding": [
              {
                "code": "734163000",
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                "display": "Care plan (record artifact)"
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        ],
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          {
            "detail": {
              "code": {
                "coding": [
                  {
                    "code": "736285004",
                    "system": "http://snomed.info/sct",
                    "display": "Hyperlipidemia clinical management plan (record artifact)"
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                ]
              },
              "reasonCode": [
                {
                  "coding": [
                    {
                      "code": "55822004",
                      "system": "http://snomed.info/sct",
                      "display": "Hyperlipidemia (disorder)"
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                  ]
                }
              ],
              "status": "unknown",
              "description": "Hyperlipidemia clinical management plan",
              "kind": "Appointment"
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          }
        ],
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          "start": "2017-12-14"
        },
        "goal": [
          {
            "reference": "urn:uuid:0ed299e8-fe6b-4f31-b9d3-1bd042a6cd68"
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          {
            "reference": "urn:uuid:9bf74bfc-c1f9-4163-aca8-274848bc5572"
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          {
            "reference": "urn:uuid:89d72d38-65a8-4a1e-9082-903fb789e15c"
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          {
            "reference": "urn:uuid:a50cb960-8b53-4354-87d5-44ffbfa99088"
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        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips first25\"><tr><th>Active Planned Care / Goals</th><th>Start Date</th><th>Reason</th></tr><tr><td>Hyperlipidemia clinical management plan</td><td><span class=\"nb\">14-Dec-2017</span></td><td>Hyperlipidemia (disorder)</td></tr><tr><td><ul><li>Achieve LDL cholesterol below 1.8 mmol/L in patient with ischemic heart disease and diabetes.</li><li>Achieve fasting triglycerides below 1.7 mmol/L.</li><li>Maintain HDL cholesterol above 1.0 mmol/L.</li><li>Achieve total cholesterol below 4.0 mmol/L.</li></ul></td><td></td><td></td></tr></table></div>"
        },
        "status": "active",
        "intent": "plan",
        "subject": {
          "reference": "urn:uuid:e93f1ad0-b910-4c53-937f-256b4c764d21",
          "display": "Tom Hayward"
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      }
    },
    {
      "fullUrl": "urn:uuid:6ce69cb4-4342-4d04-bfa0-4a237b9e72c1",
      "resource": {
        "resourceType": "CarePlan",
        "id": "6ce69cb4-4342-4d04-bfa0-4a237b9e72c1",
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          {
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              {
                "code": "734163000",
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                "display": "Care plan (record artifact)"
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        "activity": [
          {
            "detail": {
              "code": {
                "coding": [
                  {
                    "code": "443402002",
                    "system": "http://snomed.info/sct",
                    "display": "Lifestyle education regarding hypertension (procedure)"
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              "reasonCode": [
                {
                  "coding": [
                    {
                      "code": "59621000",
                      "system": "http://snomed.info/sct",
                      "display": "Essential hypertension (disorder)"
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          {
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          {
            "reference": "urn:uuid:3ec0e0f9-5988-451a-b6c3-47c735bcd8d2"
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          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips first25\"><tr><th>Active Planned Care / Goals</th><th>Start Date</th><th>Reason</th></tr><tr><td>Lifestyle education regarding hypertension</td><td><span class=\"nb\">25-Nov-1999</span></td><td>Essential hypertension (disorder)</td></tr><tr><td><ul><li>Patient will achieve and maintain blood pressure below 130/80 mmHg through lifestyle modifications.</li><li>Patient will implement recommended lifestyle changes (diet, exercise, sodium reduction, weight management) to support blood pressure control.</li></ul></td><td></td><td></td></tr></table></div>"
        },
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        "subject": {
          "reference": "urn:uuid:e93f1ad0-b910-4c53-937f-256b4c764d21",
          "display": "Tom Hayward"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:371b0df0-e614-4785-9e8d-a655d837875c",
      "resource": {
        "resourceType": "CarePlan",
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          {
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              {
                "code": "734163000",
                "system": "http://snomed.info/sct",
                "display": "Care plan (record artifact)"
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        "activity": [
          {
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                "coding": [
                  {
                    "code": "735985000",
                    "system": "http://snomed.info/sct",
                    "display": "Diabetes self management plan (record artifact)"
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                {
                  "coding": [
                    {
                      "code": "44054006",
                      "system": "http://snomed.info/sct",
                      "display": "Diabetes mellitus type 2 (disorder)"
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              ],
              "status": "unknown",
              "description": "Diabetes self management plan",
              "kind": "Appointment"
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          {
            "reference": "urn:uuid:50ad86ec-ae15-40be-a5b8-15547ab9f5db"
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          {
            "reference": "urn:uuid:a7fb495b-89b2-48fe-a428-7592519cc3f7"
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          {
            "reference": "urn:uuid:da7d9f66-abe0-4ac6-96a6-0faf7fc44cf7"
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          {
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        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips first25\"><tr><th>Active Planned Care / Goals</th><th>Start Date</th><th>Reason</th></tr><tr><td>Diabetes self management plan</td><td><span class=\"nb\">25-Nov-1999</span></td><td>Diabetes mellitus type 2 (disorder)</td></tr><tr><td><ul><li>Maintain HbA1c at or below individualized target to reduce risk of microvascular and macrovascular complications.</li><li>Maintain blood pressure below 130/80 mmHg to reduce risk of cardiovascular and renal complications.</li><li>Maintain LDL cholesterol below 70 mg/dL to reduce risk of atherosclerotic cardiovascular disease.</li><li>Perform self-monitoring of blood glucose as recommended to optimize glycemic control and detect hypoglycemia or hyperglycemia.</li><li>Implement dietary modifications, increase physical activity, and achieve weight management goals to improve glycemic control and overall health.</li></ul></td><td></td><td></td></tr></table></div>"
        },
        "status": "active",
        "intent": "plan",
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    {
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      "resource": {
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        "id": "0ed299e8-fe6b-4f31-b9d3-1bd042a6cd68",
        "description": {
          "text": "Achieve LDL cholesterol below 1.8 mmol/L in patient with ischemic heart disease and diabetes."
        },
        "target": [
          {
            "detailQuantity": {
              "value": 1.8,
              "unit": "mmol/L",
              "system": "http://unitsofmeasure.org",
              "code": "mmol/L"
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                  "code": "18262-6",
                  "system": "http://loinc.org",
                  "display": "Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay"
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              ]
            }
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        ],
        "text": {
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Achieve LDL cholesterol below 1.8 mmol/L in patient with ischemic heart disease and diabetes.</div>"
        },
        "lifecycleStatus": "active",
        "subject": {
          "reference": "urn:uuid:e93f1ad0-b910-4c53-937f-256b4c764d21",
          "display": "Tom Hayward"
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      }
    },
    {
      "fullUrl": "urn:uuid:9bf74bfc-c1f9-4163-aca8-274848bc5572",
      "resource": {
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        "id": "9bf74bfc-c1f9-4163-aca8-274848bc5572",
        "description": {
          "text": "Achieve fasting triglycerides below 1.7 mmol/L."
        },
        "target": [
          {
            "detailQuantity": {
              "value": 1.7,
              "unit": "mmol/L",
              "system": "http://unitsofmeasure.org",
              "code": "mmol/L"
            },
            "measure": {
              "coding": [
                {
                  "code": "2571-8",
                  "system": "http://loinc.org",
                  "display": "Triglyceride [Mass/volume] in Serum or Plasma"
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              ]
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Achieve fasting triglycerides below 1.7 mmol/L.</div>"
        },
        "lifecycleStatus": "active",
        "subject": {
          "reference": "urn:uuid:e93f1ad0-b910-4c53-937f-256b4c764d21",
          "display": "Tom Hayward"
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      }
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    {
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      "resource": {
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        "description": {
          "text": "Maintain HDL cholesterol above 1.0 mmol/L."
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        "target": [
          {
            "detailQuantity": {
              "value": 1,
              "unit": "mmol/L",
              "system": "http://unitsofmeasure.org",
              "code": "mmol/L"
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                {
                  "code": "2085-9",
                  "system": "http://loinc.org",
                  "display": "Cholesterol in HDL [Mass/volume] in Serum or Plasma"
                }
              ]
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Maintain HDL cholesterol above 1.0 mmol/L.</div>"
        },
        "lifecycleStatus": "active",
        "subject": {
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          "display": "Tom Hayward"
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    {
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      "resource": {
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        "description": {
          "text": "Achieve total cholesterol below 4.0 mmol/L."
        },
        "target": [
          {
            "detailQuantity": {
              "value": 4,
              "unit": "mmol/L",
              "system": "http://unitsofmeasure.org",
              "code": "mmol/L"
            },
            "measure": {
              "coding": [
                {
                  "code": "2093-3",
                  "system": "http://loinc.org",
                  "display": "Cholesterol [Mass/volume] in Serum or Plasma"
                }
              ]
            }
          }
        ],
        "text": {
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        },
        "lifecycleStatus": "active",
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          "reference": "urn:uuid:e93f1ad0-b910-4c53-937f-256b4c764d21",
          "display": "Tom Hayward"
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      }
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      "resource": {
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        "description": {
          "text": "Patient will achieve and maintain blood pressure below 130/80 mmHg through lifestyle modifications."
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          {
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              "code": "mm[Hg]"
            },
            "measure": {
              "coding": [
                {
                  "code": "85354-9",
                  "system": "http://loinc.org",
                  "display": "Blood pressure panel with all children optional"
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              ]
            }
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        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Patient will achieve and maintain blood pressure below 130/80 mmHg through lifestyle modifications.</div>"
        },
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        "description": {
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Patient will implement recommended lifestyle changes (diet, exercise, sodium reduction, weight management) to support blood pressure control.</div>"
        },
        "lifecycleStatus": "active",
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    {
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      "resource": {
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        "description": {
          "text": "Maintain HbA1c at or below individualized target to reduce risk of microvascular and macrovascular complications."
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        "target": [
          {
            "detailQuantity": {
              "value": 7,
              "unit": "%",
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            "measure": {
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                  "system": "http://loinc.org",
                  "display": "Hemoglobin A1c/Hemoglobin.total in Blood"
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              ]
            }
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        ],
        "text": {
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        },
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        },
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><th>Vital Sign</th><th>Date</th><th>Measurement</th></tr><tr><td>Pain severity - 0-10 verbal numeric rating [Score] - Reported</td><td>17-Jul-2025</td><td>3 {score}</td></tr></table></div>"
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          "text": "Ketones [Presence] in Urine by Test strip"
        },
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>17-Jul-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Ketones [Presence] in Urine by Test strip</td><td>Urine ketone test negative</td></tr></table></div>"
        },
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        "valueCodeableConcept": {
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              "code": "167287002",
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              "display": "Urine ketone test negative"
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        "code": {
          "coding": [
            {
              "code": "5811-5",
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              "display": "Specific gravity of Urine by Test strip"
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          ],
          "text": "Specific gravity of Urine by Test strip"
        },
        "valueQuantity": {
          "value": 1,
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              "value": 1.03,
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          "coding": [
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              "code": "5803-2",
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              "display": "pH of Urine by Test strip"
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        "valueQuantity": {
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              "value": 8,
              "code": "pH",
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        ],
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          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>17-Jul-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>pH of Urine by Test strip</td><td>6.0</td><td>5.0 - 8.0</td><td></td><td>pH</td></tr></table></div>"
        },
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      "fullUrl": "urn:uuid:66abe027-88b4-4efb-98cf-73b0143c073f",
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        "code": {
          "coding": [
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              "code": "5804-0",
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              "display": "Protein [Mass/volume] in Urine by Test strip"
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          ],
          "text": "Protein [Mass/volume] in Urine by Test strip"
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        "valueQuantity": {
          "value": 289.8,
          "unit": "mg/dL",
          "code": "mg/dL",
          "system": "http://unitsofmeasure.org"
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        "referenceRange": [
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                "code": "H",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "display": "High"
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          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>17-Jul-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td>289.8</td><td>0 - 20</td><td>H</td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
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        "effectiveDateTime": "2025-07-17T06:17:44Z"
      }
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    {
      "fullUrl": "urn:uuid:8f684383-683e-43fb-a0b2-93d88b134828",
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        "category": [
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        ],
        "code": {
          "coding": [
            {
              "code": "20454-5",
              "system": "http://loinc.org",
              "display": "Protein [Presence] in Urine by Test strip"
            }
          ],
          "text": "Protein [Presence] in Urine by Test strip"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>17-Jul-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Protein [Presence] in Urine by Test strip</td><td>Urine protein test = +++</td></tr></table></div>"
        },
        "status": "final",
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        "valueCodeableConcept": {
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              "code": "167277001",
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              "display": "Urine protein test = +++"
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        "code": {
          "coding": [
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              "code": "5802-4",
              "system": "http://loinc.org",
              "display": "Nitrite [Presence] in Urine by Test strip"
            }
          ],
          "text": "Nitrite [Presence] in Urine by Test strip"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>17-Jul-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Nitrite [Presence] in Urine by Test strip</td><td>Urine nitrite negative</td></tr></table></div>"
        },
        "status": "final",
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        "valueCodeableConcept": {
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              "display": "Urine nitrite negative"
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      "fullUrl": "urn:uuid:318730f9-52a0-4d2b-9601-7532d39eb76b",
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        "id": "318730f9-52a0-4d2b-9601-7532d39eb76b",
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        },
        "category": [
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                "code": "laboratory",
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        ],
        "code": {
          "coding": [
            {
              "code": "5794-3",
              "system": "http://loinc.org",
              "display": "Hemoglobin [Presence] in Urine by Test strip"
            }
          ],
          "text": "Hemoglobin [Presence] in Urine by Test strip"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>17-Jul-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Hemoglobin [Presence] in Urine by Test strip</td><td>Urine blood test = negative</td></tr></table></div>"
        },
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        "valueCodeableConcept": {
          "coding": [
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              "code": "167297006",
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              "display": "Urine blood test = negative"
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      "fullUrl": "urn:uuid:c7b56d29-285b-4447-8b0e-d6c13fd1cc57",
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        ],
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        ],
        "code": {
          "coding": [
            {
              "code": "5799-2",
              "system": "http://loinc.org",
              "display": "Leukocyte esterase [Presence] in Urine by Test strip"
            }
          ],
          "text": "Leukocyte esterase [Presence] in Urine by Test strip"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>17-Jul-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Leukocyte esterase [Presence] in Urine by Test strip</td><td>Urine leukocyte test negative</td></tr></table></div>"
        },
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        "subject": {
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          "display": "Tom Hayward"
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        "effectiveDateTime": "2025-07-17T06:17:44Z",
        "valueCodeableConcept": {
          "coding": [
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              "code": "394717006",
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              "display": "Urine leukocyte test negative"
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          ]
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        "id": "a5219046-9d18-49db-929f-a23b17aa45b1",
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        "code": {
          "coding": [
            {
              "code": "4548-4",
              "system": "http://loinc.org",
              "display": "Hemoglobin A1c/Hemoglobin.total in Blood"
            }
          ],
          "text": "Hemoglobin A1c/Hemoglobin.total in Blood"
        },
        "valueQuantity": {
          "value": 3.3,
          "unit": "%",
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          "system": "http://unitsofmeasure.org"
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        "referenceRange": [
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              "value": 5.6,
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                "code": "L",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "display": "Low"
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            ]
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>17-Jul-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Hemoglobin A1c/Hemoglobin.total in Blood</td><td>3.3</td><td>4.0 - 5.6</td><td>L</td><td>%</td></tr></table></div>"
        },
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        ],
        "code": {
          "coding": [
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              "code": "2339-0",
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              "display": "Glucose [Mass/volume] in Blood"
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          ],
          "text": "Glucose [Mass/volume] in Blood"
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        "valueQuantity": {
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            ]
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        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>17-Jul-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Glucose [Mass/volume] in Blood</td><td>67.8</td><td>70 - 100</td><td>L</td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
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    },
    {
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        },
        "category": [
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        "code": {
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              "code": "6299-2",
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              "display": "Urea nitrogen [Mass/volume] in Blood"
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          ],
          "text": "Urea nitrogen [Mass/volume] in Blood"
        },
        "valueQuantity": {
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        },
        "referenceRange": [
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            "low": {
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            },
            "high": {
              "value": 20,
              "code": "mg/dL",
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            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>17-Jul-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Urea nitrogen [Mass/volume] in Blood</td><td>19.8</td><td>7 - 20</td><td></td><td>mg/dL</td></tr></table></div>"
        },
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        ],
        "code": {
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              "display": "Creatinine [Mass/volume] in Blood"
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          ],
          "text": "Creatinine [Mass/volume] in Blood"
        },
        "valueQuantity": {
          "value": 20.5,
          "unit": "mg/dL",
          "code": "mg/dL",
          "system": "http://unitsofmeasure.org"
        },
        "referenceRange": [
          {
            "low": {
              "value": 0.6,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 1.2,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
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        ],
        "interpretation": [
          {
            "coding": [
              {
                "code": "H",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "display": "High"
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            ]
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>17-Jul-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Creatinine [Mass/volume] in Blood</td><td>20.5</td><td>0.6 - 1.2</td><td>H</td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:e93f1ad0-b910-4c53-937f-256b4c764d21",
          "display": "Tom Hayward"
        },
        "effectiveDateTime": "2025-07-17T06:17:44Z"
      }
    },
    {
      "fullUrl": "urn:uuid:7656b96e-8b88-4a84-9dcc-d830e9f829c8",
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        "id": "7656b96e-8b88-4a84-9dcc-d830e9f829c8",
        "meta": {
          "profile": [
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        },
        "category": [
          {
            "coding": [
              {
                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
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        ],
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          {
            "display": "The Central European Lab"
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        ],
        "code": {
          "coding": [
            {
              "code": "49765-1",
              "system": "http://loinc.org",
              "display": "Calcium [Mass/volume] in Blood"
            }
          ],
          "text": "Calcium [Mass/volume] in Blood"
        },
        "valueQuantity": {
          "value": 9.2,
          "unit": "mg/dL",
          "code": "mg/dL",
          "system": "http://unitsofmeasure.org"
        },
        "referenceRange": [
          {
            "low": {
              "value": 8.5,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 10.5,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>17-Jul-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Calcium [Mass/volume] in Blood</td><td>9.2</td><td>8.5 - 10.5</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
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          "display": "Tom Hayward"
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        "effectiveDateTime": "2025-07-17T06:17:44Z"
      }
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    {
      "fullUrl": "urn:uuid:460f7d43-3744-4ffc-8bf1-885d8f7fffc0",
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        },
        "category": [
          {
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                "code": "laboratory",
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        ],
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            "display": "The Central European Lab"
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        ],
        "code": {
          "coding": [
            {
              "code": "2947-0",
              "system": "http://loinc.org",
              "display": "Sodium [Moles/volume] in Blood"
            }
          ],
          "text": "Sodium [Moles/volume] in Blood"
        },
        "valueQuantity": {
          "value": 142.2,
          "unit": "mmol/L",
          "code": "mmol/L",
          "system": "http://unitsofmeasure.org"
        },
        "referenceRange": [
          {
            "low": {
              "value": 135,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 145,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>17-Jul-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Sodium [Moles/volume] in Blood</td><td>142.2</td><td>135 - 145</td><td></td><td>mmol/L</td></tr></table></div>"
        },
        "status": "final",
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          "display": "Tom Hayward"
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        "effectiveDateTime": "2025-07-17T06:17:44Z"
      }
    },
    {
      "fullUrl": "urn:uuid:b996cf74-abb1-4301-ad73-94ecad9d24f1",
      "resource": {
        "resourceType": "Observation",
        "id": "b996cf74-abb1-4301-ad73-94ecad9d24f1",
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          "profile": [
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        },
        "category": [
          {
            "coding": [
              {
                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
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          {
            "display": "The Central European Lab"
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        ],
        "code": {
          "coding": [
            {
              "code": "6298-4",
              "system": "http://loinc.org",
              "display": "Potassium [Moles/volume] in Blood"
            }
          ],
          "text": "Potassium [Moles/volume] in Blood"
        },
        "valueQuantity": {
          "value": 4.5,
          "unit": "mmol/L",
          "code": "mmol/L",
          "system": "http://unitsofmeasure.org"
        },
        "referenceRange": [
          {
            "low": {
              "value": 3.5,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 5.1,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>17-Jul-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Potassium [Moles/volume] in Blood</td><td>4.5</td><td>3.5 - 5.1</td><td></td><td>mmol/L</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:e93f1ad0-b910-4c53-937f-256b4c764d21",
          "display": "Tom Hayward"
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        "effectiveDateTime": "2025-07-17T06:17:44Z"
      }
    },
    {
      "fullUrl": "urn:uuid:a487320d-aed6-4bb8-9170-083ce910bb33",
      "resource": {
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        "id": "a487320d-aed6-4bb8-9170-083ce910bb33",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/medicalTestResult-eu-core"
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        },
        "category": [
          {
            "coding": [
              {
                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
              }
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        ],
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            "display": "The Central European Lab"
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        ],
        "code": {
          "coding": [
            {
              "code": "2069-3",
              "system": "http://loinc.org",
              "display": "Chloride [Moles/volume] in Blood"
            }
          ],
          "text": "Chloride [Moles/volume] in Blood"
        },
        "valueQuantity": {
          "value": 106.4,
          "unit": "mmol/L",
          "code": "mmol/L",
          "system": "http://unitsofmeasure.org"
        },
        "referenceRange": [
          {
            "low": {
              "value": 98,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 107,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>17-Jul-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Chloride [Moles/volume] in Blood</td><td>106.4</td><td>98 - 107</td><td></td><td>mmol/L</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:e93f1ad0-b910-4c53-937f-256b4c764d21",
          "display": "Tom Hayward"
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        "effectiveDateTime": "2025-07-17T06:17:44Z"
      }
    },
    {
      "fullUrl": "urn:uuid:362c7c42-f61a-44a6-96c9-bc84d106c999",
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        "id": "362c7c42-f61a-44a6-96c9-bc84d106c999",
        "meta": {
          "profile": [
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        },
        "category": [
          {
            "coding": [
              {
                "code": "laboratory",
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        "code": {
          "coding": [
            {
              "code": "20565-8",
              "system": "http://loinc.org",
              "display": "Carbon dioxide, total [Moles/volume] in Blood"
            }
          ],
          "text": "Carbon dioxide, total [Moles/volume] in Blood"
        },
        "valueQuantity": {
          "value": 26,
          "unit": "mmol/L",
          "code": "mmol/L",
          "system": "http://unitsofmeasure.org"
        },
        "referenceRange": [
          {
            "low": {
              "value": 22,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 29,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>17-Jul-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td>26.0</td><td>22 - 29</td><td></td><td>mmol/L</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:e93f1ad0-b910-4c53-937f-256b4c764d21",
          "display": "Tom Hayward"
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        "effectiveDateTime": "2025-07-17T06:17:44Z"
      }
    },
    {
      "fullUrl": "urn:uuid:f2abfe66-110b-476e-a443-443833f8d736",
      "resource": {
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        "id": "f2abfe66-110b-476e-a443-443833f8d736",
        "meta": {
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        },
        "category": [
          {
            "coding": [
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                "code": "laboratory",
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            ]
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        ],
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        ],
        "code": {
          "coding": [
            {
              "code": "2093-3",
              "system": "http://loinc.org",
              "display": "Cholesterol [Mass/volume] in Serum or Plasma"
            }
          ],
          "text": "Cholesterol [Mass/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "value": 142.6,
          "unit": "mg/dL",
          "code": "mg/dL",
          "system": "http://unitsofmeasure.org"
        },
        "referenceRange": [
          {
            "low": {
              "value": 125,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 200,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>17-Jul-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Cholesterol [Mass/volume] in Serum or Plasma</td><td>142.6</td><td>125 - 200</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
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          "display": "Tom Hayward"
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        "effectiveDateTime": "2025-07-17T06:17:44Z"
      }
    },
    {
      "fullUrl": "urn:uuid:0c7d35b3-8fa6-4845-a163-ce2fdd0d3501",
      "resource": {
        "resourceType": "Observation",
        "id": "0c7d35b3-8fa6-4845-a163-ce2fdd0d3501",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/medicalTestResult-eu-core"
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        },
        "category": [
          {
            "coding": [
              {
                "code": "laboratory",
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            ]
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        ],
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        ],
        "code": {
          "coding": [
            {
              "code": "2571-8",
              "system": "http://loinc.org",
              "display": "Triglyceride [Mass/volume] in Serum or Plasma"
            }
          ],
          "text": "Triglyceride [Mass/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "value": 145,
          "unit": "mg/dL",
          "code": "mg/dL",
          "system": "http://unitsofmeasure.org"
        },
        "referenceRange": [
          {
            "low": {
              "value": 0,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 150,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>17-Jul-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Triglyceride [Mass/volume] in Serum or Plasma</td><td>145.0</td><td>0 - 150</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
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          "display": "Tom Hayward"
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        "effectiveDateTime": "2025-07-17T06:17:44Z"
      }
    },
    {
      "fullUrl": "urn:uuid:22d961a0-d639-4c9c-a905-b18fc20f9ef1",
      "resource": {
        "resourceType": "Observation",
        "id": "22d961a0-d639-4c9c-a905-b18fc20f9ef1",
        "meta": {
          "profile": [
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        },
        "category": [
          {
            "coding": [
              {
                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
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            ]
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        ],
        "performer": [
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        ],
        "code": {
          "coding": [
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              "code": "18262-6",
              "system": "http://loinc.org",
              "display": "Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay"
            }
          ],
          "text": "Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay"
        },
        "valueQuantity": {
          "value": 52.6,
          "unit": "mg/dL",
          "code": "mg/dL",
          "system": "http://unitsofmeasure.org"
        },
        "referenceRange": [
          {
            "low": {
              "value": 0,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 100,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>17-Jul-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay</td><td>52.6</td><td>0 - 100</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
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          "display": "Tom Hayward"
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        "effectiveDateTime": "2025-07-17T06:17:44Z"
      }
    },
    {
      "fullUrl": "urn:uuid:078e74c4-1961-4721-842e-ecf09d1180a0",
      "resource": {
        "resourceType": "Observation",
        "id": "078e74c4-1961-4721-842e-ecf09d1180a0",
        "meta": {
          "profile": [
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        },
        "category": [
          {
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                "code": "laboratory",
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            ]
          }
        ],
        "performer": [
          {
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        ],
        "code": {
          "coding": [
            {
              "code": "2085-9",
              "system": "http://loinc.org",
              "display": "Cholesterol in HDL [Mass/volume] in Serum or Plasma"
            }
          ],
          "text": "Cholesterol in HDL [Mass/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "value": 61.1,
          "unit": "mg/dL",
          "code": "mg/dL",
          "system": "http://unitsofmeasure.org"
        },
        "referenceRange": [
          {
            "low": {
              "value": 40,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 60,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "interpretation": [
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                "code": "H",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "display": "High"
              }
            ]
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>17-Jul-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Cholesterol in HDL [Mass/volume] in Serum or Plasma</td><td>61.1</td><td>40 - 60</td><td>H</td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
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          "display": "Tom Hayward"
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        "effectiveDateTime": "2025-07-17T06:17:44Z"
      }
    },
    {
      "fullUrl": "urn:uuid:f53fbdb3-d02f-45b1-811b-6d7a56c0ea6a",
      "resource": {
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        },
        "category": [
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            ]
          }
        ],
        "performer": [
          {
            "display": "The Central European Lab"
          }
        ],
        "code": {
          "coding": [
            {
              "code": "14959-1",
              "system": "http://loinc.org",
              "display": "Microalbumin/Creatinine [Mass Ratio] in Urine"
            }
          ],
          "text": "Microalbumin/Creatinine [Mass Ratio] in Urine"
        },
        "valueQuantity": {
          "value": 378.7,
          "unit": "mg/g",
          "code": "mg/g",
          "system": "http://unitsofmeasure.org"
        },
        "referenceRange": [
          {
            "low": {
              "value": 0,
              "code": "mg/g",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 30,
              "code": "mg/g",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "interpretation": [
          {
            "coding": [
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                "code": "H",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "display": "High"
              }
            ]
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>17-Jul-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Microalbumin/Creatinine [Mass Ratio] in Urine</td><td>378.7</td><td>0 - 30</td><td>H</td><td>mg/g</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:e93f1ad0-b910-4c53-937f-256b4c764d21",
          "display": "Tom Hayward"
        },
        "effectiveDateTime": "2025-07-17T06:17:44Z"
      }
    },
    {
      "fullUrl": "urn:uuid:4246a883-bb3e-4936-b15d-990c1a7da706",
      "resource": {
        "resourceType": "DeviceUseStatement",
        "id": "4246a883-bb3e-4936-b15d-990c1a7da706",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/deviceUseStatement-eu-eps"
          ]
        },
        "timingPeriod": {
          "start": "1999-11-25"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Blood glucose meter (physical object)</td><td><span class=\"nb\">25-Nov-1999</span></td></tr></table></div>"
        },
        "status": "active",
        "device": {
          "reference": "urn:uuid:e8d7bd59-7e3c-4a68-9a4c-46cc80cd5a4b",
          "display": "Blood glucose meter (physical object)"
        },
        "subject": {
          "reference": "urn:uuid:e93f1ad0-b910-4c53-937f-256b4c764d21",
          "display": "Tom Hayward"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:e8d7bd59-7e3c-4a68-9a4c-46cc80cd5a4b",
      "resource": {
        "resourceType": "Device",
        "id": "e8d7bd59-7e3c-4a68-9a4c-46cc80cd5a4b",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/device-eu-eps"
          ]
        },
        "udiCarrier": [
          {
            "deviceIdentifier": "28101704176818",
            "issuer": "https://www.gs1.org/",
            "entryType": "barcode",
            "carrierHRF": "(01)28101704176818(11)991104(17)241118(10)328176(21)42090829"
            
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Blood glucose meter (physical object) ((01)28101704176818(11)991104(17)241118(10)328176(21)42090829)</div>"
        },
        "status": "active",
        "patient": {
          "reference": "urn:uuid:e93f1ad0-b910-4c53-937f-256b4c764d21",
          "display": "Tom Hayward"
        },
        "type": {
          "coding": [
            {
              "code": "337414009",
              "system": "http://snomed.info/sct",
              "display": "Blood glucose meter (physical object)"
            }
          ]
        }
      }
    },
    {
      "fullUrl": "urn:uuid:a31dd139-753a-40b5-8a2b-3a0b9a4d54d6",
      "resource": {
        "resourceType": "Device",
        "id": "a31dd139-753a-40b5-8a2b-3a0b9a4d54d6",
        "deviceName": [
          {
            "name": "SYNDERAI Synthetic Generator",
            "type": "manufacturer-name"
          }
        ],
        "version": [
          {
            "value": "5.0"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">SYNDERAI Synthetic Generator v5.0</div>"
        },
        "status": "active",
        "distinctIdentifier": "synderai-generator-50",
        "manufacturer": "SYNDERAI Project"
      }
    },
    {
      "fullUrl": "urn:uuid:4485a24c-210d-4634-a375-30ec76ed7a73",
      "resource": {
        "resourceType": "Provenance",
        "id": "4485a24c-210d-4634-a375-30ec76ed7a73",
        "target": [
          {
            "reference": "urn:uuid:e93f1ad0-b910-4c53-937f-256b4c764d21"
          },
          {
            "reference": "urn:uuid:7e72355f-a4e3-452e-b66a-26fa156b9d42"
          },
          {
            "reference": "urn:uuid:67061abe-3bd9-4128-8a10-968debf995c3"
          },
          {
            "reference": "urn:uuid:97b65604-86af-4c83-8915-69c0fe9794b2"
          },
          {
            "reference": "urn:uuid:1f60553b-f95a-42b1-ba3b-4273b8eaa8a4"
          }
        ],
        "activity": {
          "coding": [
            {
              "code": "CREATE",
              "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation",
              "display": "create"
            }
          ],
          "text": "Synthetic Example Data Generation"
        },
        "policy": [
          "https://synderai.net/synderai-synthetic-data-policy"
        ],
        "agent": [
          {
            "type": {
              "coding": [
                {
                  "code": "author",
                  "system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
                  "display": "Author"
                }
              ],
              "text": "author"
            },
            "who": {
              "reference": "urn:uuid:a31dd139-753a-40b5-8a2b-3a0b9a4d54d6"
            }
          }
        ],
        "reason": [
          {
            "coding": [
              {
                "code": "TRAIN",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
                "display": "training"
              }
            ],
            "text": "Interoperability Testing and Training (non-clinical use)"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provenance for SYNDERAI Synthetic Example Data Resource</div>"
        },
        "recorded": "2025-07-17T06:17:44Z"
      }
    }
  ],
  "type": "document",
  "timestamp": "2025-07-17T08:17:44Z"
}