{
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  "meta": {
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      "http://hl7.eu/fhir/eps/StructureDefinition/bundle-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": "88a73d10-066d-49f6-9c25-55e363e1fd9d"
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  "entry": [
    {
      "fullUrl": "urn:uuid:4a7e1dd6-0aa4-4575-ac35-d9881667a3f8",
      "resource": {
        "resourceType": "Composition",
        "id": "4a7e1dd6-0aa4-4575-ac35-d9881667a3f8",
        "meta": {
          "security": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
              "code": "HTEST"
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            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
              "code": "TRAIN"
            }
          ],
          "tag": [
            {
              "system": "https://synderai.net/fhir/CodeSystem/tags",
              "code": "synthetic",
              "display": "SYNDERAI Synthetic data"
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          ],
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/composition-eu-eps"
          ]
        },
        "identifier": {
          "assigner": {
            "display": "HL7 Europe"
          },
          "system": "urn:oid:2.16.840.1.113883.2.51.999",
          "value": "a5c35519-49b8-4c46-9fe0-e2a6a3fbd681"
        },
        "type": {
          "coding": [
            {
              "code": "60591-5",
              "system": "http://loinc.org",
              "display": "Patient summary Document"
            }
          ],
          "text": "Patient summary Document"
        },
        "author": [
          {
            "reference": "urn:uuid:0dcfa142-ac22-496e-bca3-274d7d589965"
          }
        ],
        "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>Osteoporosis</td><td><span class=\"nb\">17-Dec-2022</span></td><td>active</td></tr><tr><td>Ischemic heart disease</td><td><span class=\"nb\">01-Sep-2007</span></td><td>active</td></tr><tr><td>Hyperlipidemia</td><td><span class=\"nb\">20-Jul-1996</span></td><td>active</td></tr><tr><td>Substance dependence</td><td><span class=\"nb\">21-Apr-1996</span></td><td>active</td></tr><tr><td>Metabolic syndrome X</td><td><span class=\"nb\">09-Jul-1994</span></td><td>active</td></tr><tr><td>Anemia</td><td><span class=\"nb\">22-Jun-1991</span></td><td>active</td></tr><tr><td>Impacted molars</td><td><span class=\"nb\">25-Sep-1990</span></td><td>active</td></tr><tr><td>Chronic intractable migraine without aura</td><td><span class=\"nb\">05-Feb-1990</span></td><td>active</td></tr><tr><td>Obstructive sleep apnea syndrome</td><td><span class=\"nb\">10-Feb-1982</span></td><td>active</td></tr><tr><td>Sleep disorder</td><td><span class=\"nb\">18-Jan-1982</span></td><td>active</td></tr><tr><td>Essential hypertension</td><td><span class=\"nb\">02-Apr-1977</span></td><td>active</td></tr><tr><td><span class=\"grayedout\">Streptococcal sore throat</span></td><td><span class=\"nb\">26-May-2025 - 08-Jun-2025</span></td><td><span class=\"grayedout\">inactive</span></td></tr><tr><td><span class=\"grayedout\">Acute infective cystitis</span></td><td><span class=\"nb\">03-Jul-2023 - 05-Jul-2023</span></td><td><span class=\"grayedout\">inactive</span></td></tr><tr><td><span class=\"grayedout\">Sprain of ankle</span></td><td><span class=\"nb\">05-Dec-2022 - 26-Dec-2022</span></td><td><span class=\"grayedout\">inactive</span></td></tr><tr><td><span class=\"grayedout\">Whiplash injury to neck</span></td><td><span class=\"nb\">24-Jul-2016 - 24-Sep-2016</span></td><td><span class=\"grayedout\">inactive</span></td></tr><tr><td><span class=\"grayedout\">Injury of neck</span></td><td><span class=\"nb\">24-Jul-2016 - 24-Sep-2016</span></td><td><span class=\"grayedout\">inactive</span></td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:d5fabff8-5ed9-4a06-84a2-bf2fd2c4adf0"
              },
              {
                "reference": "urn:uuid:33c9a1f0-0b8c-4004-860c-8daafdce961a"
              },
              {
                "reference": "urn:uuid:042b7876-800a-44c2-a72a-f94d0277bc98"
              },
              {
                "reference": "urn:uuid:b904eb36-630b-439f-bf6d-70520b5aae69"
              },
              {
                "reference": "urn:uuid:7b018231-43e0-4680-a98c-2a515959dc85"
              },
              {
                "reference": "urn:uuid:0ae1245f-7068-4837-ab64-244d341ec0fe"
              },
              {
                "reference": "urn:uuid:721e801b-db25-4751-913b-f07d69539c3e"
              },
              {
                "reference": "urn:uuid:f0cec3ad-eb11-426a-bacb-1002a9c15699"
              },
              {
                "reference": "urn:uuid:5090f908-67db-4d6a-9140-8b66bd7196ac"
              },
              {
                "reference": "urn:uuid:cef02fb8-d452-4cac-8234-113b83c9e43f"
              },
              {
                "reference": "urn:uuid:c3b99730-b4d5-4f82-9d90-2f41586ea362"
              },
              {
                "reference": "urn:uuid:df1d1b50-8e2f-4289-b2e8-e85c6a68776d"
              },
              {
                "reference": "urn:uuid:26b7d360-aadb-4b96-805b-b7a2d3505f38"
              },
              {
                "reference": "urn:uuid:cd799a74-a2a3-4d8a-9d80-7fc5fa340ee6"
              },
              {
                "reference": "urn:uuid:a64b6fcc-4690-41ca-b42b-94951ba275f4"
              },
              {
                "reference": "urn:uuid:7a6f110b-dd30-4237-b74d-14c520d71278"
              }
            ],
            "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>Hydrochlorothiazide 25 mg oral tablet</td><td><span class=\"nb\">2025-06-07</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\">2025-06-07</span></td><td>-</td><td>1 tablet (10 mg) by mouth once daily</td><td>Essential hypertension (disorder)</td></tr><tr><td>Alendronic acid (as alendronate sodium) 10 mg oral tablet</td><td><span class=\"nb\">2025-06-07</span></td><td>-</td><td>1 tablet (10 mg) once daily</td><td>Osteoporosis (disorder)</td></tr><tr><td>Simvastatin 10 mg oral tablet</td><td><span class=\"nb\">2024-12-29</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\">2007-09-08</span></td><td>-</td><td>1 tablet (75 mg) by mouth once daily</td><td>-</td></tr><tr><td>Simvastatin 20 mg oral tablet</td><td><span class=\"nb\">2007-09-08</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\">2007-09-08</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\">2007-09-08</span></td><td>-</td><td>1 tablet (100 mg) once daily</td><td>-</td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:dce1d348-7726-46f1-8bd2-7b06e1bc3404"
              },
              {
                "reference": "urn:uuid:3330b666-25a0-4475-821f-f7a5636d52c0"
              },
              {
                "reference": "urn:uuid:da4c3a42-8100-4c6b-bfa4-52276582e4d2"
              },
              {
                "reference": "urn:uuid:7310a8c0-fc04-4367-b474-db0d93eb59d6"
              },
              {
                "reference": "urn:uuid:fa6e992a-4d50-44b4-932b-fbf78a3ba374"
              },
              {
                "reference": "urn:uuid:d7edd8ab-b2c9-4cf1-a6c1-9b8a528aa6d9"
              },
              {
                "reference": "urn:uuid:bea90812-180b-4977-8130-fa5eae7c97d2"
              },
              {
                "reference": "urn:uuid:a23a2aab-1ed5-4d2d-a485-371f11e4d23e"
              }
            ],
            "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\">28-Dec-2024</span></td></tr><tr><td>Clostridium tetani toxoid antigen adsorbed only vaccine product</td><td><span class=\"nb\">23-Dec-2023</span></td></tr><tr><td>SARS-CoV-2 mRNA vaccine</td><td><span class=\"nb\">01-May-2021</span></td></tr><tr><td>Streptococcus pneumoniae Danish serotype 1, 3, 4, 5, 6A, 6B, 7F, 8, 9V, 10A, 11A, 12F, 14, 15B, 18C, 19A, 19F, 22F, 23F, 33F capsular polysaccharide antigens conjugated only vaccine product</td><td><span class=\"nb\">24-Nov-2018</span></td></tr><tr><td>Streptococcus pneumoniae Danish serotype 1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F, 23F, capsular polysaccharide conjugated antigens only vaccine product</td><td><span class=\"nb\">18-Nov-2017</span></td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:81ff6ddf-e223-433d-aaac-2cfd90db5953"
              },
              {
                "reference": "urn:uuid:5f0f0cc2-86ef-47c2-b7df-fb6c664bf621"
              },
              {
                "reference": "urn:uuid:0a4b4926-7e35-4576-9102-483ef3e187a6"
              },
              {
                "reference": "urn:uuid:9472af50-2320-420b-a204-8e6df499cc3c"
              },
              {
                "reference": "urn:uuid:2370e454-46fe-4409-abfe-fa70bdb5fca9"
              }
            ],
            "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>Patient evaluation and management</td><td><span class=\"nb\">03-Jul-2023</span></td><td>-</td></tr><tr><td>Complete blood count</td><td><span class=\"nb\">03-Jul-2023</span></td><td>-</td></tr><tr><td>Urine specimen collection</td><td><span class=\"nb\">03-Jul-2023</span></td><td>-</td></tr><tr><td>Patient discharge</td><td><span class=\"nb\">03-Jul-2023</span></td><td>-</td></tr><tr><td>Taking patient vital signs</td><td><span class=\"nb\">03-Jul-2023</span></td><td>-</td></tr><tr><td>Antibiotic therapy</td><td><span class=\"nb\">03-Jul-2023</span></td><td>-</td></tr><tr><td>Triage: emergency center</td><td><span class=\"nb\">03-Jul-2023</span></td><td>-</td></tr><tr><td>Urinalysis with reflex to microscopy and culture</td><td><span class=\"nb\">03-Jul-2023</span></td><td>-</td></tr><tr><td>Serum metabolic panel</td><td><span class=\"nb\">03-Jul-2023</span></td><td>-</td></tr><tr><td>Referral to home health care service</td><td><span class=\"nb\">08-Oct-2022</span></td><td>-</td></tr><tr><td>Pre-discharge assessment</td><td><span class=\"nb\">24-Aug-2016</span></td><td>-</td></tr><tr><td>Discharge from hospital</td><td><span class=\"nb\">24-Aug-2016</span></td><td>-</td></tr><tr><td>Nursing care/supplementary surveillance</td><td><span class=\"nb\">23-Aug-2016</span></td><td>-</td></tr><tr><td>Occupational therapy</td><td><span class=\"nb\">22-Aug-2016</span></td><td>-</td></tr><tr><td>Professional / ancillary services care</td><td><span class=\"nb\">21-Aug-2016</span></td><td>-</td></tr><tr><td>Speech and language therapy regime</td><td><span class=\"nb\">19-Aug-2016</span></td><td>-</td></tr><tr><td>Physical therapy procedure</td><td><span class=\"nb\">16-Aug-2016</span></td><td>-</td></tr><tr><td>History AND physical examination</td><td><span class=\"nb\">24-Jul-2016</span></td><td>-</td></tr><tr><td>Initial patient assessment</td><td><span class=\"nb\">24-Jul-2016</span></td><td>-</td></tr><tr><td>Development of individualized plan of care</td><td><span class=\"nb\">24-Jul-2016</span></td><td>-</td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:85e82230-3303-4e58-9329-fb487881454a"
              },
              {
                "reference": "urn:uuid:0b7d7683-5b9e-492c-b1e5-8948f10e0151"
              },
              {
                "reference": "urn:uuid:bce1ee66-9ae0-4c0f-88ed-2297cce6a6a7"
              },
              {
                "reference": "urn:uuid:d70ca0a8-b902-49ea-a9c0-ce3899d1a1f3"
              },
              {
                "reference": "urn:uuid:2ed87c7d-4ba2-4609-9223-978847b940e5"
              },
              {
                "reference": "urn:uuid:638c8ece-240d-46d8-a81d-9595451daccf"
              },
              {
                "reference": "urn:uuid:99845952-6006-44c8-9a4f-7248ca9738c4"
              },
              {
                "reference": "urn:uuid:4efbcc9c-d35f-4d31-9db1-93911a9ae988"
              },
              {
                "reference": "urn:uuid:e143a40f-b7cd-41f8-bb64-41fc3d52f1b6"
              },
              {
                "reference": "urn:uuid:16ce0bf4-07ab-4f99-85e8-7eebdd32ce51"
              },
              {
                "reference": "urn:uuid:f5a24fc2-63a3-4629-bc1a-3859431c4b59"
              },
              {
                "reference": "urn:uuid:2e0b53a4-a000-41d6-9cc6-6dbe9d04d66e"
              },
              {
                "reference": "urn:uuid:262ce23f-1080-4993-9177-e73fbf4fc1df"
              },
              {
                "reference": "urn:uuid:93ea2377-8dd2-4aa4-b5f1-8e856e381d1a"
              },
              {
                "reference": "urn:uuid:2e8d8a39-8802-4ed3-be50-a942f58388c5"
              },
              {
                "reference": "urn:uuid:3cfefdae-8bdc-47ad-afdf-2ec788bd561c"
              },
              {
                "reference": "urn:uuid:9d172488-2bea-4888-8234-44ace9094419"
              },
              {
                "reference": "urn:uuid:f76627bc-4090-42cd-b221-f47f30a9ad5e"
              },
              {
                "reference": "urn:uuid:1e30f697-b8ec-4450-aa8e-f3dc5771aea0"
              },
              {
                "reference": "urn:uuid:2a79e58f-e2f7-4198-81aa-a00fb3fe998f"
              }
            ],
            "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:a6701e46-dfd2-4f98-ae8d-21743a1789b1"
              }
            ],
            "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>Hyperlipidemia clinical management plan</td><td><span class=\"nb\">10-Aug-1996</span></td><td>Hyperlipidemia (disorder)</td></tr><tr><td><ul><li>Achieve LDL cholesterol less than 1.8 mmol/L in patient with ischemic heart disease and metabolic syndrome.</li><li>Achieve total cholesterol less than 4.0 mmol/L.</li><li>Achieve triglycerides less than 1.7 mmol/L.</li><li>Achieve HDL cholesterol greater than 1.0 mmol/L.</li></ul></td><td></td><td></td></tr><tr><td>Diabetes self management plan</td><td><span class=\"nb\">22-Jun-1991</span></td><td>Prediabetes (finding)</td></tr><tr><td><ul><li>Patient will attend diabetes self-management education sessions to improve understanding of prediabetes and lifestyle modifications.</li><li>Maintain fasting plasma glucose within recommended range for prediabetes.</li><li>Maintain HbA1c below threshold for diabetes diagnosis.</li><li>Achieve and maintain weight loss as recommended for prediabetes management.</li></ul></td><td></td><td></td></tr><tr><td>Care plan</td><td><span class=\"nb\">10-Feb-1982</span></td><td>Obstructive sleep apnea syndrome (disorder)</td></tr><tr><td><ul><li>Reduce the Apnea-Hypopnea Index (AHI) to less than 5 events per hour to achieve effective control of obstructive sleep apnea.</li><li>Improve subjective sleep quality as reported by the patient, with fewer nighttime awakenings and increased feeling of restfulness upon waking.</li><li>Reduce daytime sleepiness as measured by the Epworth Sleepiness Scale to a score of less than 10.</li></ul></td><td></td><td></td></tr><tr><td>Lifestyle education regarding hypertension</td><td><span class=\"nb\">02-Apr-1977</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 changes.</li></ul></td><td></td><td></td></tr><tr><th>Immunization Recommendation</th><th>Due Date</th><th>Reason</th></tr><tr><td>Influenza virus antigen only vaccine product</td><td><span class=\"nb\">01-Oct-2026</span></td><td>Annual seasonal influenza vaccination</td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:8e01d4cc-2e08-48c1-b392-7443fa6deb6f"
              },
              {
                "reference": "urn:uuid:43e201d7-9d27-4f8b-b866-1f465e235793"
              },
              {
                "reference": "urn:uuid:080379b1-9af5-4c9e-a721-8b81c71aee04"
              },
              {
                "reference": "urn:uuid:6eef7e08-a81e-46c8-acba-30a51a815d1c"
              },
              {
                "reference": "urn:uuid:a777dd32-0b32-4c45-ac23-2ad6d60e108f"
              }
            ],
            "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>2025-06-07</th><th>2025-05-26</th></tr><tr><td>Body Height</td><td>181.6 cm</td><td>-</td></tr><tr><td>Pain severity - 0-10 verbal numeric rating [Score] - Reported</td><td>1 {score}</td><td>-</td></tr><tr><td>Body Weight</td><td>91.2 kg</td><td>-</td></tr><tr><td>Body mass index (BMI) [Ratio]</td><td>27.7 kg/m2</td><td>-</td></tr><tr><td>Heart rate</td><td>63 /min</td><td>-</td></tr><tr><td>Respiratory rate</td><td>13 /min</td><td>-</td></tr><tr><td>Blood pressure panel with all children optional</td><td>81 mm[Hg]</td><td>-</td></tr><tr><td>Body temperature</td><td>-</td><td>39.3 Cel</td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:2d42dd16-52da-4623-8562-bec01e2bbb61"
              },
              {
                "reference": "urn:uuid:cc39b1cd-7de0-45a6-8cfa-49555599e30d"
              },
              {
                "reference": "urn:uuid:936c0352-836b-4520-a450-1a3ef17e9926"
              },
              {
                "reference": "urn:uuid:4e35f3f1-b8e4-43c9-8517-8fcf0a1d3762"
              },
              {
                "reference": "urn:uuid:a736b462-fccb-47cb-aaac-4068048daa7b"
              },
              {
                "reference": "urn:uuid:72693d6d-7782-413e-9037-6804a7d44541"
              },
              {
                "reference": "urn:uuid:37fff899-6d3c-45be-aeef-9874467ff955"
              },
              {
                "reference": "urn:uuid:f090cca1-1c98-4523-9aac-2eb7fa3ace15"
              }
            ],
            "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>07-JUN-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Hemoglobin A1c/Hemoglobin.total in Blood</td><td><strong>6.2 H</strong></td><td>4.8 - 5.9</td><td>%</td></tr><tr><td>Glucose [Mass/volume] in Blood</td><td>70.1</td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Blood</td><td>15.5</td><td>7 - 18</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Blood</td><td>0.9</td><td>0.6 - 1.3</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Blood</td><td>9.1</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Blood</td><td>141.3</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Blood</td><td>3.8</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Blood</td><td><strong>110.9 H</strong></td><td>98 - 107</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td><strong>21.8 L</strong></td><td>22 - 29</td><td>mmol/L</td></tr></tbody></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:8fb3d7c3-3cf1-4a5b-8b1e-a81d27a6726f"
              },
              {
                "reference": "urn:uuid:202ef795-3663-4ba6-a812-9ca989526476"
              },
              {
                "reference": "urn:uuid:13c2b972-6a60-4996-b2c9-b65db33b2ed6"
              },
              {
                "reference": "urn:uuid:907dc691-526c-4136-9bb6-8a5c904a6e9a"
              },
              {
                "reference": "urn:uuid:e85e9fdb-9c0c-446d-8b45-358ff519cd5a"
              },
              {
                "reference": "urn:uuid:b3d8c77d-d3b1-49d7-bd74-6d66857cb2f8"
              },
              {
                "reference": "urn:uuid:890631fb-8433-4539-8083-f5c7166dc625"
              },
              {
                "reference": "urn:uuid:69da91b0-12e1-4d77-a90e-a93c56fb73ab"
              },
              {
                "reference": "urn:uuid:f8a72cba-3419-4f5c-8422-c4d801e55139"
              }
            ],
            "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>Home continuous positive airway pressure unit (physical object)</td><td><span class=\"nb\">11-Dec-2021</span></td></tr><tr><td>Respiratory humidifier (physical object)</td><td><span class=\"nb\">11-Dec-2021</span></td></tr><tr><td>Blood glucose meter (physical object)</td><td><span class=\"nb\">22-Jun-1991</span></td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:77ba26ed-a815-485c-8edf-322c0b258767"
              },
              {
                "reference": "urn:uuid:0dfa432e-9fcc-47a8-9398-024fa14ade07"
              },
              {
                "reference": "urn:uuid:4f90cc3c-32b7-4ed1-9ad9-7647288b0571"
              }
            ],
            "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:24d22c60-bc9b-41cf-aef8-ac2804e873a8",
          "display": "Rosario Varela"
        },
        "custodian": {
          "reference": "urn:uuid:d7ef1f9b-cebf-4420-8450-4a9401ffba2e"
        },
        "date": "2025-06-07T04:42:26Z",
        "confidentiality": "N"
      }
    },
    {
      "fullUrl": "urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8",
      "resource": {
        "resourceType": "Patient",
        "id": "24d22c60-bc9b-41cf-aef8-ac2804e873a8",
        "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": "8295-992682-3"
          },
          {
            "type": {
              "coding": [
                {
                  "code": "MR",
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
                }
              ]
            },
            "system": "http://local.setting.eu/identifier",
            "value": "e1ada39d-fcc0-87a3-bed2-b62ce595f14e"
          }
        ],
        "name": [
          {
            "given": [
              "Rosario"
            ],
            "family": "Varela",
            "text": "Rosario Varela"
          }
        ],
        "address": [
          {
            "line": [
              "Ronda de Graciela Llorens 62"
            ],
            "use": "home",
            "type": "physical",
            "postalCode": "46001",
            "city": "Valencia",
            "country": "Spain"
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "+34988 576 513"
          }
        ],
        "extension": [
          {
            "extension": [
              {
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "code": "ES",
                      "system": "urn:iso:std:iso:3166"
                    }
                  ],
                  "text": "Spain"
                },
                "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>Rosario Varela</td><td>male</td><td>03-May-1956</td></tr></table></div>"
        },
        "gender": "male",
        "birthDate": "1956-05-03"
      }
    },
    {
      "fullUrl": "urn:uuid:0dcfa142-ac22-496e-bca3-274d7d589965",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "0dcfa142-ac22-496e-bca3-274d7d589965",
        "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 0dcfa142-ac22-496e-bca3-274d7d589965</td></tr></table></div>"
        },
        "practitioner": {
          "reference": "urn:uuid:a446d236-4189-4343-85e2-c4dc4a46da34"
        },
        "organization": {
          "reference": "urn:uuid:d7ef1f9b-cebf-4420-8450-4a9401ffba2e"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:d7ef1f9b-cebf-4420-8450-4a9401ffba2e",
      "resource": {
        "resourceType": "Organization",
        "id": "d7ef1f9b-cebf-4420-8450-4a9401ffba2e",
        "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": "bf318908-3739-465b-ba92-bface4586c66"
          }
        ],
        "address": [
          {
            "line": [
              "Calle Alboraya 4"
            ],
            "city": "Valencia",
            "postalCode": "46010",
            "country": "Spain"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Centro Privado de Educación Especial Parálisis Cerebral Infantil</td></tr></table></div>"
        },
        "name": "Centro Privado de Educación Especial Parálisis Cerebral Infantil"
      }
    },
    {
      "fullUrl": "urn:uuid:a446d236-4189-4343-85e2-c4dc4a46da34",
      "resource": {
        "resourceType": "Practitioner",
        "id": "a446d236-4189-4343-85e2-c4dc4a46da34",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu-core"
          ]
        },
        "name": [
          {
            "prefix": [
              "dr"
            ],
            "given": [
              "Socorro"
            ],
            "family": "Dávila"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>dr Socorro Dávila</td></tr></table></div>"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:d5fabff8-5ed9-4a06-84a2-bf2fd2c4adf0",
      "resource": {
        "resourceType": "Condition",
        "id": "d5fabff8-5ed9-4a06-84a2-bf2fd2c4adf0",
        "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": "64859006",
              "system": "http://snomed.info/sct",
              "display": "Osteoporosis (disorder)"
            }
          ],
          "text": "Osteoporosis"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Osteoporosis</td><td><span class=\"nb\">17-Dec-2022</span></td><td>active</td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "active",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
          ]
        },
        "onsetDateTime": "2022-12-17",
        "subject": {
          "reference": "urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8",
          "display": "Rosario Varela"
        },
        "asserter": {
          "reference": "urn:uuid:0dcfa142-ac22-496e-bca3-274d7d589965",
          "display": "Centro Privado de Educación Especial Parálisis Cerebral Infantil"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:33c9a1f0-0b8c-4004-860c-8daafdce961a",
      "resource": {
        "resourceType": "Condition",
        "id": "33c9a1f0-0b8c-4004-860c-8daafdce961a",
        "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": "414545008",
              "system": "http://snomed.info/sct",
              "display": "Ischemic heart disease (disorder)"
            }
          ],
          "text": "Ischemic heart disease"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Ischemic heart disease</td><td><span class=\"nb\">01-Sep-2007</span></td><td>active</td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "active",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
          ]
        },
        "onsetDateTime": "2007-09-01",
        "subject": {
          "reference": "urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8",
          "display": "Rosario Varela"
        },
        "asserter": {
          "reference": "urn:uuid:0dcfa142-ac22-496e-bca3-274d7d589965",
          "display": "Centro Privado de Educación Especial Parálisis Cerebral Infantil"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:042b7876-800a-44c2-a72a-f94d0277bc98",
      "resource": {
        "resourceType": "Condition",
        "id": "042b7876-800a-44c2-a72a-f94d0277bc98",
        "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": "55822004",
              "system": "http://snomed.info/sct",
              "display": "Hyperlipidemia (disorder)"
            }
          ],
          "text": "Hyperlipidemia"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Hyperlipidemia</td><td><span class=\"nb\">20-Jul-1996</span></td><td>active</td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "active",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
          ]
        },
        "onsetDateTime": "1996-07-20",
        "subject": {
          "reference": "urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8",
          "display": "Rosario Varela"
        },
        "asserter": {
          "reference": "urn:uuid:0dcfa142-ac22-496e-bca3-274d7d589965",
          "display": "Centro Privado de Educación Especial Parálisis Cerebral Infantil"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:b904eb36-630b-439f-bf6d-70520b5aae69",
      "resource": {
        "resourceType": "Condition",
        "id": "b904eb36-630b-439f-bf6d-70520b5aae69",
        "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": "1254812006",
              "system": "http://snomed.info/sct",
              "display": "Substance dependence (disorder)"
            }
          ],
          "text": "Substance dependence"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Substance dependence</td><td><span class=\"nb\">21-Apr-1996</span></td><td>active</td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "active",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
          ]
        },
        "onsetDateTime": "1996-04-21",
        "subject": {
          "reference": "urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8",
          "display": "Rosario Varela"
        },
        "asserter": {
          "reference": "urn:uuid:0dcfa142-ac22-496e-bca3-274d7d589965",
          "display": "Centro Privado de Educación Especial Parálisis Cerebral Infantil"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:7b018231-43e0-4680-a98c-2a515959dc85",
      "resource": {
        "resourceType": "Condition",
        "id": "7b018231-43e0-4680-a98c-2a515959dc85",
        "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": "237602007",
              "system": "http://snomed.info/sct",
              "display": "Metabolic syndrome X (disorder)"
            }
          ],
          "text": "Metabolic syndrome X"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Metabolic syndrome X</td><td><span class=\"nb\">09-Jul-1994</span></td><td>active</td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "active",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
          ]
        },
        "onsetDateTime": "1994-07-09",
        "subject": {
          "reference": "urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8",
          "display": "Rosario Varela"
        },
        "asserter": {
          "reference": "urn:uuid:0dcfa142-ac22-496e-bca3-274d7d589965",
          "display": "Centro Privado de Educación Especial Parálisis Cerebral Infantil"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:0ae1245f-7068-4837-ab64-244d341ec0fe",
      "resource": {
        "resourceType": "Condition",
        "id": "0ae1245f-7068-4837-ab64-244d341ec0fe",
        "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": "271737000",
              "system": "http://snomed.info/sct",
              "display": "Anemia (disorder)"
            }
          ],
          "text": "Anemia"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Anemia</td><td><span class=\"nb\">22-Jun-1991</span></td><td>active</td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "active",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
          ]
        },
        "onsetDateTime": "1991-06-22",
        "subject": {
          "reference": "urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8",
          "display": "Rosario Varela"
        },
        "asserter": {
          "reference": "urn:uuid:0dcfa142-ac22-496e-bca3-274d7d589965",
          "display": "Centro Privado de Educación Especial Parálisis Cerebral Infantil"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:721e801b-db25-4751-913b-f07d69539c3e",
      "resource": {
        "resourceType": "Condition",
        "id": "721e801b-db25-4751-913b-f07d69539c3e",
        "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": "196416002",
              "system": "http://snomed.info/sct",
              "display": "Impacted molars (disorder)"
            }
          ],
          "text": "Impacted molars"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Impacted molars</td><td><span class=\"nb\">25-Sep-1990</span></td><td>active</td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "active",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
          ]
        },
        "onsetDateTime": "1990-09-25",
        "subject": {
          "reference": "urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8",
          "display": "Rosario Varela"
        },
        "asserter": {
          "reference": "urn:uuid:0dcfa142-ac22-496e-bca3-274d7d589965",
          "display": "Centro Privado de Educación Especial Parálisis Cerebral Infantil"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:f0cec3ad-eb11-426a-bacb-1002a9c15699",
      "resource": {
        "resourceType": "Condition",
        "id": "f0cec3ad-eb11-426a-bacb-1002a9c15699",
        "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": "124171000119105",
              "system": "http://snomed.info/sct",
              "display": "Chronic intractable migraine without aura (disorder)"
            }
          ],
          "text": "Chronic intractable migraine without aura"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Chronic intractable migraine without aura</td><td><span class=\"nb\">05-Feb-1990</span></td><td>active</td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "active",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
          ]
        },
        "onsetDateTime": "1990-02-05",
        "subject": {
          "reference": "urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8",
          "display": "Rosario Varela"
        },
        "asserter": {
          "reference": "urn:uuid:0dcfa142-ac22-496e-bca3-274d7d589965",
          "display": "Centro Privado de Educación Especial Parálisis Cerebral Infantil"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:5090f908-67db-4d6a-9140-8b66bd7196ac",
      "resource": {
        "resourceType": "Condition",
        "id": "5090f908-67db-4d6a-9140-8b66bd7196ac",
        "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": "78275009",
              "system": "http://snomed.info/sct",
              "display": "Obstructive sleep apnea syndrome (disorder)"
            }
          ],
          "text": "Obstructive sleep apnea syndrome"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Obstructive sleep apnea syndrome</td><td><span class=\"nb\">10-Feb-1982</span></td><td>active</td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "active",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
          ]
        },
        "onsetDateTime": "1982-02-10",
        "subject": {
          "reference": "urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8",
          "display": "Rosario Varela"
        },
        "asserter": {
          "reference": "urn:uuid:0dcfa142-ac22-496e-bca3-274d7d589965",
          "display": "Centro Privado de Educación Especial Parálisis Cerebral Infantil"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:cef02fb8-d452-4cac-8234-113b83c9e43f",
      "resource": {
        "resourceType": "Condition",
        "id": "cef02fb8-d452-4cac-8234-113b83c9e43f",
        "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": "39898005",
              "system": "http://snomed.info/sct",
              "display": "Sleep disorder (disorder)"
            }
          ],
          "text": "Sleep disorder"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Sleep disorder</td><td><span class=\"nb\">18-Jan-1982</span></td><td>active</td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "active",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
          ]
        },
        "onsetDateTime": "1982-01-18",
        "subject": {
          "reference": "urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8",
          "display": "Rosario Varela"
        },
        "asserter": {
          "reference": "urn:uuid:0dcfa142-ac22-496e-bca3-274d7d589965",
          "display": "Centro Privado de Educación Especial Parálisis Cerebral Infantil"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:c3b99730-b4d5-4f82-9d90-2f41586ea362",
      "resource": {
        "resourceType": "Condition",
        "id": "c3b99730-b4d5-4f82-9d90-2f41586ea362",
        "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": "59621000",
              "system": "http://snomed.info/sct",
              "display": "Essential hypertension (disorder)"
            }
          ],
          "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\">02-Apr-1977</span></td><td>active</td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "active",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
          ]
        },
        "onsetDateTime": "1977-04-02",
        "subject": {
          "reference": "urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8",
          "display": "Rosario Varela"
        },
        "asserter": {
          "reference": "urn:uuid:0dcfa142-ac22-496e-bca3-274d7d589965",
          "display": "Centro Privado de Educación Especial Parálisis Cerebral Infantil"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:df1d1b50-8e2f-4289-b2e8-e85c6a68776d",
      "resource": {
        "resourceType": "Condition",
        "id": "df1d1b50-8e2f-4289-b2e8-e85c6a68776d",
        "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": "43878008",
              "system": "http://snomed.info/sct",
              "display": "Streptococcal sore throat (disorder)"
            }
          ],
          "text": "Streptococcal sore throat"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td><span class=\"grayedout\">Streptococcal sore throat</span></td><td><span class=\"nb\">26-May-2025 - 08-Jun-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": "2025-05-26",
        "abatementDateTime": "2025-06-08",
        "subject": {
          "reference": "urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8",
          "display": "Rosario Varela"
        },
        "asserter": {
          "reference": "urn:uuid:0dcfa142-ac22-496e-bca3-274d7d589965",
          "display": "Centro Privado de Educación Especial Parálisis Cerebral Infantil"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:26b7d360-aadb-4b96-805b-b7a2d3505f38",
      "resource": {
        "resourceType": "Condition",
        "id": "26b7d360-aadb-4b96-805b-b7a2d3505f38",
        "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"
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            ]
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        ],
        "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\">03-Jul-2023 - 05-Jul-2023</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": "2023-07-03",
        "abatementDateTime": "2023-07-05",
        "subject": {
          "reference": "urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8",
          "display": "Rosario Varela"
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        "asserter": {
          "reference": "urn:uuid:0dcfa142-ac22-496e-bca3-274d7d589965",
          "display": "Centro Privado de Educación Especial Parálisis Cerebral Infantil"
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    {
      "fullUrl": "urn:uuid:cd799a74-a2a3-4d8a-9d80-7fc5fa340ee6",
      "resource": {
        "resourceType": "Condition",
        "id": "cd799a74-a2a3-4d8a-9d80-7fc5fa340ee6",
        "meta": {
          "profile": [
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        },
        "category": [
          {
            "coding": [
              {
                "code": "problem-list-item",
                "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                "display": "Problem List Item"
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            ]
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        ],
        "code": {
          "coding": [
            {
              "code": "44465007",
              "system": "http://snomed.info/sct",
              "display": "Sprain of ankle (disorder)"
            }
          ],
          "text": "Sprain of ankle"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td><span class=\"grayedout\">Sprain of ankle</span></td><td><span class=\"nb\">05-Dec-2022 - 26-Dec-2022</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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        "onsetDateTime": "2022-12-05",
        "abatementDateTime": "2022-12-26",
        "subject": {
          "reference": "urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8",
          "display": "Rosario Varela"
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        "asserter": {
          "reference": "urn:uuid:0dcfa142-ac22-496e-bca3-274d7d589965",
          "display": "Centro Privado de Educación Especial Parálisis Cerebral Infantil"
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    {
      "fullUrl": "urn:uuid:a64b6fcc-4690-41ca-b42b-94951ba275f4",
      "resource": {
        "resourceType": "Condition",
        "id": "a64b6fcc-4690-41ca-b42b-94951ba275f4",
        "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": "39848009",
              "system": "http://snomed.info/sct",
              "display": "Whiplash injury to neck (disorder)"
            }
          ],
          "text": "Whiplash injury to neck"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td><span class=\"grayedout\">Whiplash injury to neck</span></td><td><span class=\"nb\">24-Jul-2016 - 24-Sep-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": "2016-07-24",
        "abatementDateTime": "2016-09-24",
        "subject": {
          "reference": "urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8",
          "display": "Rosario Varela"
        },
        "asserter": {
          "reference": "urn:uuid:0dcfa142-ac22-496e-bca3-274d7d589965",
          "display": "Centro Privado de Educación Especial Parálisis Cerebral Infantil"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:7a6f110b-dd30-4237-b74d-14c520d71278",
      "resource": {
        "resourceType": "Condition",
        "id": "7a6f110b-dd30-4237-b74d-14c520d71278",
        "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": "90460009",
              "system": "http://snomed.info/sct",
              "display": "Injury of neck (disorder)"
            }
          ],
          "text": "Injury of neck"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td><span class=\"grayedout\">Injury of neck</span></td><td><span class=\"nb\">24-Jul-2016 - 24-Sep-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"
            }
          ]
        },
        "onsetDateTime": "2016-07-24",
        "abatementDateTime": "2016-09-24",
        "subject": {
          "reference": "urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8",
          "display": "Rosario Varela"
        },
        "asserter": {
          "reference": "urn:uuid:0dcfa142-ac22-496e-bca3-274d7d589965",
          "display": "Centro Privado de Educación Especial Parálisis Cerebral Infantil"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:e1dabb75-98ed-493e-92c7-ac20d5a1337a",
      "resource": {
        "resourceType": "Medication",
        "id": "e1dabb75-98ed-493e-92c7-ac20d5a1337a",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/medication-eu-core"
          ]
        },
        "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:dce1d348-7726-46f1-8bd2-7b06e1bc3404",
      "resource": {
        "resourceType": "MedicationStatement",
        "id": "dce1d348-7726-46f1-8bd2-7b06e1bc3404",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/MedicationStatement-eu-eps"
          ]
        },
        "effectivePeriod": {
          "start": "2025-06-07"
        },
        "dosage": [
          {
            "doseAndRate": [
              {
                "doseQuantity": {
                  "value": 1,
                  "unit": "{tbl}",
                  "system": "http://unitsofmeasure.org",
                  "code": "{tbl}"
                }
              }
            ],
            "timing": {
              "repeat": {
                "frequency": 1,
                "period": 1,
                "periodUnit": "d"
              }
            },
            "text": "1 tablet (25 mg) by mouth once daily",
            "asNeededBoolean": false
          }
        ],
        "reasonCode": [
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            "coding": [
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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\">2025-06-07</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:e1dabb75-98ed-493e-92c7-ac20d5a1337a",
          "display": "Hydrochlorothiazide 25 mg oral tablet"
        },
        "subject": {
          "reference": "urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8",
          "display": "Rosario Varela"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:6d9309c3-5587-4996-969a-16585da0f679",
      "resource": {
        "resourceType": "Medication",
        "id": "6d9309c3-5587-4996-969a-16585da0f679",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/medication-eu-core"
          ]
        },
        "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:3330b666-25a0-4475-821f-f7a5636d52c0",
      "resource": {
        "resourceType": "MedicationStatement",
        "id": "3330b666-25a0-4475-821f-f7a5636d52c0",
        "meta": {
          "profile": [
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        },
        "effectivePeriod": {
          "start": "2025-06-07"
        },
        "dosage": [
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            "doseAndRate": [
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                "doseQuantity": {
                  "value": 1,
                  "unit": "{tbl}",
                  "system": "http://unitsofmeasure.org",
                  "code": "{tbl}"
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              }
            ],
            "timing": {
              "repeat": {
                "frequency": 1,
                "period": 1,
                "periodUnit": "d"
              }
            },
            "text": "1 tablet (10 mg) by mouth once daily",
            "asNeededBoolean": false
          }
        ],
        "reasonCode": [
          {
            "coding": [
              {
                "code": "59621000",
                "system": "http://snomed.info/sct",
                "display": "Essential hypertension (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>Lisinopril 10 mg oral tablet</td><td><span class=\"nb\">2025-06-07</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:6d9309c3-5587-4996-969a-16585da0f679",
          "display": "Lisinopril 10 mg oral tablet"
        },
        "subject": {
          "reference": "urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8",
          "display": "Rosario Varela"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:7c10ca43-9c4d-433b-b5f1-2c3db6f113d9",
      "resource": {
        "resourceType": "Medication",
        "id": "7c10ca43-9c4d-433b-b5f1-2c3db6f113d9",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/medication-eu-core"
          ]
        },
        "code": {
          "coding": [
            {
              "code": "783144007",
              "system": "http://snomed.info/sct",
              "display": "Alendronic acid (as alendronate sodium) 10 mg oral tablet"
            }
          ],
          "text": "Alendronic acid (as alendronate sodium) 10 mg oral tablet"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Alendronic acid (as alendronate sodium) 10 mg oral tablet</div>"
        }
      }
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            {
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          "text": "Streptococcus pneumoniae Danish serotype 1, 3, 4, 5, 6A, 6B, 7F, 8, 9V, 10A, 11A, 12F, 14, 15B, 18C, 19A, 19F, 22F, 23F, 33F capsular polysaccharide antigens conjugated only vaccine product"
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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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          "coding": [
            {
              "code": "78421000",
              "system": "http://snomed.info/sct",
              "display": "Intramuscular route"
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          ],
          "text": "Intramuscular route"
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Streptococcus pneumoniae Danish serotype 1, 3, 4, 5, 6A, 6B, 7F, 8, 9V, 10A, 11A, 12F, 14, 15B, 18C, 19A, 19F, 22F, 23F, 33F capsular polysaccharide antigens conjugated only vaccine product</td><td><span class=\"nb\">24-Nov-2018</span></td></tr></table></div>"
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      "fullUrl": "urn:uuid:2370e454-46fe-4409-abfe-fa70bdb5fca9",
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            "http://hl7.eu/fhir/base/StructureDefinition/immunization-eu-core"
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        "vaccineCode": {
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            {
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          "text": "Streptococcus pneumoniae Danish serotype 1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F, 23F, capsular polysaccharide conjugated antigens only vaccine product"
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            {
              "code": "244979005",
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              "display": "Entire muscle of upper arm"
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          "text": "Entire muscle of upper arm"
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            {
              "code": "78421000",
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              "display": "Intramuscular route"
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    {
      "fullUrl": "urn:uuid:0b7d7683-5b9e-492c-b1e5-8948f10e0151",
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          "coding": [
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              "display": "Urine specimen collection (procedure)"
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      "fullUrl": "urn:uuid:d70ca0a8-b902-49ea-a9c0-ce3899d1a1f3",
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          "coding": [
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              "code": "58000006",
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              "display": "Patient discharge (procedure)"
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          "coding": [
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              "display": "Taking patient vital signs (procedure)"
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    {
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      "fullUrl": "urn:uuid:99845952-6006-44c8-9a4f-7248ca9738c4",
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          "coding": [
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        "code": {
          "coding": [
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              "display": "Urinalysis with reflex to microscopy and culture (procedure)"
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    {
      "fullUrl": "urn:uuid:e143a40f-b7cd-41f8-bb64-41fc3d52f1b6",
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        "code": {
          "coding": [
            {
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              "display": "Serum metabolic panel (procedure)"
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    {
      "fullUrl": "urn:uuid:16ce0bf4-07ab-4f99-85e8-7eebdd32ce51",
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        "code": {
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              "display": "Referral to home health care service (procedure)"
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          "text": "Referral to home health care service"
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    {
      "fullUrl": "urn:uuid:f5a24fc2-63a3-4629-bc1a-3859431c4b59",
      "resource": {
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        "id": "f5a24fc2-63a3-4629-bc1a-3859431c4b59",
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          "profile": [
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        "code": {
          "coding": [
            {
              "code": "225386006",
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              "display": "Pre-discharge assessment (procedure)"
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    {
      "fullUrl": "urn:uuid:2e0b53a4-a000-41d6-9cc6-6dbe9d04d66e",
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          "profile": [
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        "code": {
          "coding": [
            {
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              "display": "Discharge from hospital (procedure)"
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    {
      "fullUrl": "urn:uuid:262ce23f-1080-4993-9177-e73fbf4fc1df",
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    {
      "fullUrl": "urn:uuid:93ea2377-8dd2-4aa4-b5f1-8e856e381d1a",
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          "profile": [
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          "coding": [
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              "code": "84478008",
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    {
      "fullUrl": "urn:uuid:2e8d8a39-8802-4ed3-be50-a942f58388c5",
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    {
      "fullUrl": "urn:uuid:3cfefdae-8bdc-47ad-afdf-2ec788bd561c",
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        "code": {
          "coding": [
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              "display": "Speech and language therapy regime (regime/therapy)"
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          "text": "Speech and language therapy regime"
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Speech and language therapy regime</td><td><span class=\"nb\">19-Aug-2016</span></td><td>-</td></tr></table></div>"
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        "performedDateTime": "2016-08-19",
        "subject": {
          "reference": "urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8",
          "display": "Rosario Varela"
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      }
    },
    {
      "fullUrl": "urn:uuid:9d172488-2bea-4888-8234-44ace9094419",
      "resource": {
        "resourceType": "Procedure",
        "id": "9d172488-2bea-4888-8234-44ace9094419",
        "meta": {
          "profile": [
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        "code": {
          "coding": [
            {
              "code": "91251008",
              "system": "http://snomed.info/sct",
              "display": "Physical therapy procedure (regime/therapy)"
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          "text": "Physical therapy procedure"
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Physical therapy procedure</td><td><span class=\"nb\">16-Aug-2016</span></td><td>-</td></tr></table></div>"
        },
        "status": "completed",
        "performedDateTime": "2016-08-16",
        "subject": {
          "reference": "urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8",
          "display": "Rosario Varela"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:f76627bc-4090-42cd-b221-f47f30a9ad5e",
      "resource": {
        "resourceType": "Procedure",
        "id": "f76627bc-4090-42cd-b221-f47f30a9ad5e",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/uv/ips/StructureDefinition/Procedure-uv-ips"
          ]
        },
        "code": {
          "coding": [
            {
              "code": "63332003",
              "system": "http://snomed.info/sct",
              "display": "History AND physical examination (procedure)"
            }
          ],
          "text": "History AND physical examination"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>History AND physical examination</td><td><span class=\"nb\">24-Jul-2016</span></td><td>-</td></tr></table></div>"
        },
        "status": "completed",
        "performedDateTime": "2016-07-24",
        "subject": {
          "reference": "urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8",
          "display": "Rosario Varela"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:1e30f697-b8ec-4450-aa8e-f3dc5771aea0",
      "resource": {
        "resourceType": "Procedure",
        "id": "1e30f697-b8ec-4450-aa8e-f3dc5771aea0",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/uv/ips/StructureDefinition/Procedure-uv-ips"
          ]
        },
        "code": {
          "coding": [
            {
              "code": "315639002",
              "system": "http://snomed.info/sct",
              "display": "Initial patient assessment (procedure)"
            }
          ],
          "text": "Initial patient assessment"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Initial patient assessment</td><td><span class=\"nb\">24-Jul-2016</span></td><td>-</td></tr></table></div>"
        },
        "status": "completed",
        "performedDateTime": "2016-07-24",
        "subject": {
          "reference": "urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8",
          "display": "Rosario Varela"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:2a79e58f-e2f7-4198-81aa-a00fb3fe998f",
      "resource": {
        "resourceType": "Procedure",
        "id": "2a79e58f-e2f7-4198-81aa-a00fb3fe998f",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/uv/ips/StructureDefinition/Procedure-uv-ips"
          ]
        },
        "code": {
          "coding": [
            {
              "code": "370789001",
              "system": "http://snomed.info/sct",
              "display": "Development of individualized plan of care (procedure)"
            }
          ],
          "text": "Development of individualized plan of care"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Development of individualized plan of care</td><td><span class=\"nb\">24-Jul-2016</span></td><td>-</td></tr></table></div>"
        },
        "status": "completed",
        "performedDateTime": "2016-07-24",
        "subject": {
          "reference": "urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8",
          "display": "Rosario Varela"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:a6701e46-dfd2-4f98-ae8d-21743a1789b1",
      "resource": {
        "resourceType": "AllergyIntolerance",
        "id": "a6701e46-dfd2-4f98-ae8d-21743a1789b1",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/allergyIntolerance-eu-core"
          ]
        },
        "code": {
          "coding": [
            {
              "code": "716186003",
              "system": "http://snomed.info/sct",
              "display": "No known allergy (situation)"
            }
          ]
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "active",
              "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"
            }
          ]
        },
        "patient": {
          "reference": "urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8",
          "display": "Rosario Varela"
        },
        "verificationStatus": {
          "coding": [
            {
              "code": "confirmed",
              "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"
            }
          ]
        },
        "_onsetDateTime": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
              "valueCode": "unknown"
            }
          ]
        }
      }
    },
    {
      "fullUrl": "urn:uuid:8e01d4cc-2e08-48c1-b392-7443fa6deb6f",
      "resource": {
        "resourceType": "CarePlan",
        "id": "8e01d4cc-2e08-48c1-b392-7443fa6deb6f",
        "category": [
          {
            "coding": [
              {
                "code": "734163000",
                "system": "http://snomed.info/sct",
                "display": "Care plan (record artifact)"
              }
            ]
          }
        ],
        "activity": [
          {
            "detail": {
              "code": {
                "coding": [
                  {
                    "code": "736285004",
                    "system": "http://snomed.info/sct",
                    "display": "Hyperlipidemia clinical management plan (record artifact)"
                  }
                ]
              },
              "reasonCode": [
                {
                  "coding": [
                    {
                      "code": "55822004",
                      "system": "http://snomed.info/sct",
                      "display": "Hyperlipidemia (disorder)"
                    }
                  ]
                }
              ],
              "status": "unknown",
              "description": "Hyperlipidemia clinical management plan",
              "kind": "Appointment"
            }
          }
        ],
        "period": {
          "start": "1996-08-10"
        },
        "goal": [
          {
            "reference": "urn:uuid:9f39187b-837f-4ede-b411-0fc03880fbfc"
          },
          {
            "reference": "urn:uuid:ea64cffd-3d5e-4cac-8b18-293264972e05"
          },
          {
            "reference": "urn:uuid:ad7b9726-84aa-496c-9a82-4b59ca26894a"
          },
          {
            "reference": "urn:uuid:f49374a0-2825-4603-ac0f-251b3fbd63fe"
          }
        ],
        "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\">10-Aug-1996</span></td><td>Hyperlipidemia (disorder)</td></tr><tr><td><ul><li>Achieve LDL cholesterol less than 1.8 mmol/L in patient with ischemic heart disease and metabolic syndrome.</li><li>Achieve total cholesterol less than 4.0 mmol/L.</li><li>Achieve triglycerides less than 1.7 mmol/L.</li><li>Achieve HDL cholesterol greater than 1.0 mmol/L.</li></ul></td><td></td><td></td></tr></table></div>"
        },
        "status": "active",
        "intent": "plan",
        "subject": {
          "reference": "urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8",
          "display": "Rosario Varela"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:43e201d7-9d27-4f8b-b866-1f465e235793",
      "resource": {
        "resourceType": "CarePlan",
        "id": "43e201d7-9d27-4f8b-b866-1f465e235793",
        "category": [
          {
            "coding": [
              {
                "code": "734163000",
                "system": "http://snomed.info/sct",
                "display": "Care plan (record artifact)"
              }
            ]
          }
        ],
        "activity": [
          {
            "detail": {
              "code": {
                "coding": [
                  {
                    "code": "735985000",
                    "system": "http://snomed.info/sct",
                    "display": "Diabetes self management plan (record artifact)"
                  }
                ]
              },
              "reasonCode": [
                {
                  "coding": [
                    {
                      "code": "714628002",
                      "system": "http://snomed.info/sct",
                      "display": "Prediabetes (finding)"
                    }
                  ]
                }
              ],
              "status": "unknown",
              "description": "Diabetes self management plan",
              "kind": "Appointment"
            }
          }
        ],
        "period": {
          "start": "1991-06-22"
        },
        "goal": [
          {
            "reference": "urn:uuid:ed94e845-f545-4365-9f94-a84567d838a7"
          },
          {
            "reference": "urn:uuid:5ea77e89-6d6e-4548-83e7-ae5671db01ba"
          },
          {
            "reference": "urn:uuid:84841371-e5fa-4856-ae9c-a033cc66876f"
          },
          {
            "reference": "urn:uuid:7f5edfd9-575b-4f2e-a6e6-0fd8c4415092"
          }
        ],
        "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\">22-Jun-1991</span></td><td>Prediabetes (finding)</td></tr><tr><td><ul><li>Patient will attend diabetes self-management education sessions to improve understanding of prediabetes and lifestyle modifications.</li><li>Maintain fasting plasma glucose within recommended range for prediabetes.</li><li>Maintain HbA1c below threshold for diabetes diagnosis.</li><li>Achieve and maintain weight loss as recommended for prediabetes management.</li></ul></td><td></td><td></td></tr></table></div>"
        },
        "status": "active",
        "intent": "plan",
        "subject": {
          "reference": "urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8",
          "display": "Rosario Varela"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:080379b1-9af5-4c9e-a721-8b81c71aee04",
      "resource": {
        "resourceType": "CarePlan",
        "id": "080379b1-9af5-4c9e-a721-8b81c71aee04",
        "category": [
          {
            "coding": [
              {
                "code": "734163000",
                "system": "http://snomed.info/sct",
                "display": "Care plan (record artifact)"
              }
            ]
          }
        ],
        "activity": [
          {
            "detail": {
              "code": {
                "coding": [
                  {
                    "code": "734163000",
                    "system": "http://snomed.info/sct",
                    "display": "Care plan (record artifact)"
                  }
                ]
              },
              "reasonCode": [
                {
                  "coding": [
                    {
                      "code": "78275009",
                      "system": "http://snomed.info/sct",
                      "display": "Obstructive sleep apnea syndrome (disorder)"
                    }
                  ]
                }
              ],
              "status": "unknown",
              "description": "Care plan",
              "kind": "Appointment"
            }
          }
        ],
        "period": {
          "start": "1982-02-10"
        },
        "goal": [
          {
            "reference": "urn:uuid:8f9b0781-bb3c-4f15-83d3-fbefde4d0384"
          },
          {
            "reference": "urn:uuid:b60cea8e-4e04-4abe-9f67-44884c7a9ded"
          },
          {
            "reference": "urn:uuid:71d839e4-66f7-4a7d-ad88-5632d5998a76"
          }
        ],
        "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>Care plan</td><td><span class=\"nb\">10-Feb-1982</span></td><td>Obstructive sleep apnea syndrome (disorder)</td></tr><tr><td><ul><li>Reduce the Apnea-Hypopnea Index (AHI) to less than 5 events per hour to achieve effective control of obstructive sleep apnea.</li><li>Improve subjective sleep quality as reported by the patient, with fewer nighttime awakenings and increased feeling of restfulness upon waking.</li><li>Reduce daytime sleepiness as measured by the Epworth Sleepiness Scale to a score of less than 10.</li></ul></td><td></td><td></td></tr></table></div>"
        },
        "status": "active",
        "intent": "plan",
        "subject": {
          "reference": "urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8",
          "display": "Rosario Varela"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:6eef7e08-a81e-46c8-acba-30a51a815d1c",
      "resource": {
        "resourceType": "CarePlan",
        "id": "6eef7e08-a81e-46c8-acba-30a51a815d1c",
        "category": [
          {
            "coding": [
              {
                "code": "734163000",
                "system": "http://snomed.info/sct",
                "display": "Care plan (record artifact)"
              }
            ]
          }
        ],
        "activity": [
          {
            "detail": {
              "code": {
                "coding": [
                  {
                    "code": "443402002",
                    "system": "http://snomed.info/sct",
                    "display": "Lifestyle education regarding hypertension (procedure)"
                  }
                ]
              },
              "reasonCode": [
                {
                  "coding": [
                    {
                      "code": "59621000",
                      "system": "http://snomed.info/sct",
                      "display": "Essential hypertension (disorder)"
                    }
                  ]
                }
              ],
              "status": "unknown",
              "description": "Lifestyle education regarding hypertension",
              "kind": "Appointment"
            }
          }
        ],
        "period": {
          "start": "1977-04-02"
        },
        "goal": [
          {
            "reference": "urn:uuid:e90fd944-eb1c-4a9f-94f2-73b9668f6977"
          }
        ],
        "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>Lifestyle education regarding hypertension</td><td><span class=\"nb\">02-Apr-1977</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 changes.</li></ul></td><td></td><td></td></tr></table></div>"
        },
        "status": "active",
        "intent": "plan",
        "subject": {
          "reference": "urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8",
          "display": "Rosario Varela"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:a777dd32-0b32-4c45-ac23-2ad6d60e108f",
      "resource": {
        "resourceType": "ImmunizationRecommendation",
        "id": "a777dd32-0b32-4c45-ac23-2ad6d60e108f",
        "recommendation": [
          {
            "vaccineCode": [
              {
                "coding": [
                  {
                    "code": "1181000221105",
                    "system": "http://snomed.info/sct",
                    "display": "Influenza virus antigen only vaccine product"
                  }
                ]
              }
            ],
            "dateCriterion": [
              {
                "code": {
                  "coding": [
                    {
                      "code": "30980-7",
                      "system": "http://loinc.org",
                      "display": "Date vaccine due"
                    }
                  ]
                },
                "value": "2026-10-01"
              }
            ],
            "targetDisease": {
              "coding": [
                {
                  "code": "6142004",
                  "system": "http://snomed.info/sct",
                  "display": "Influenza (disorder)"
                }
              ]
            },
            "series": "Annual seasonal influenza vaccination",
            "forecastStatus": {
              "coding": [
                {
                  "code": "due",
                  "system": "http://terminology.hl7.org/CodeSystem/immunization-recommendation-status",
                  "display": "Due"
                }
              ]
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Influenza virus antigen only vaccine product</td><td><span class=\"nb\">01-Oct-2026</span></td><td>Annual seasonal influenza vaccination</td></tr></table></div>"
        },
        "date": "2026-03-14",
        "patient": {
          "reference": "urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8",
          "display": "Rosario Varela"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:9f39187b-837f-4ede-b411-0fc03880fbfc",
      "resource": {
        "resourceType": "Goal",
        "id": "9f39187b-837f-4ede-b411-0fc03880fbfc",
        "description": {
          "text": "Achieve LDL cholesterol less than 1.8 mmol/L in patient with ischemic heart disease and metabolic syndrome."
        },
        "target": [
          {
            "detailQuantity": {
              "value": 1.8,
              "unit": "mmol/L",
              "system": "http://unitsofmeasure.org",
              "code": "mmol/L"
            },
            "measure": {
              "coding": [
                {
                  "code": "18262-6",
                  "system": "http://loinc.org",
                  "display": "Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay"
                }
              ]
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Achieve LDL cholesterol less than 1.8 mmol/L in patient with ischemic heart disease and metabolic syndrome.</div>"
        },
        "lifecycleStatus": "active",
        "subject": {
          "reference": "urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8",
          "display": "Rosario Varela"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:ea64cffd-3d5e-4cac-8b18-293264972e05",
      "resource": {
        "resourceType": "Goal",
        "id": "ea64cffd-3d5e-4cac-8b18-293264972e05",
        "description": {
          "text": "Achieve total cholesterol less than 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": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Achieve total cholesterol less than 4.0 mmol/L.</div>"
        },
        "lifecycleStatus": "active",
        "subject": {
          "reference": "urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8",
          "display": "Rosario Varela"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:ad7b9726-84aa-496c-9a82-4b59ca26894a",
      "resource": {
        "resourceType": "Goal",
        "id": "ad7b9726-84aa-496c-9a82-4b59ca26894a",
        "description": {
          "text": "Achieve triglycerides less than 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"
                }
              ]
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Achieve triglycerides less than 1.7 mmol/L.</div>"
        },
        "lifecycleStatus": "active",
        "subject": {
          "reference": "urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8",
          "display": "Rosario Varela"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:f49374a0-2825-4603-ac0f-251b3fbd63fe",
      "resource": {
        "resourceType": "Goal",
        "id": "f49374a0-2825-4603-ac0f-251b3fbd63fe",
        "description": {
          "text": "Achieve HDL cholesterol greater than 1.0 mmol/L."
        },
        "target": [
          {
            "detailQuantity": {
              "value": 1,
              "unit": "mmol/L",
              "system": "http://unitsofmeasure.org",
              "code": "mmol/L"
            },
            "measure": {
              "coding": [
                {
                  "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\">Achieve HDL cholesterol greater than 1.0 mmol/L.</div>"
        },
        "lifecycleStatus": "active",
        "subject": {
          "reference": "urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8",
          "display": "Rosario Varela"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:ed94e845-f545-4365-9f94-a84567d838a7",
      "resource": {
        "resourceType": "Goal",
        "id": "ed94e845-f545-4365-9f94-a84567d838a7",
        "description": {
          "text": "Patient will attend diabetes self-management education sessions to improve understanding of prediabetes and lifestyle modifications."
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Patient will attend diabetes self-management education sessions to improve understanding of prediabetes and lifestyle modifications.</div>"
        },
        "lifecycleStatus": "active",
        "subject": {
          "reference": "urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8",
          "display": "Rosario Varela"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:5ea77e89-6d6e-4548-83e7-ae5671db01ba",
      "resource": {
        "resourceType": "Goal",
        "id": "5ea77e89-6d6e-4548-83e7-ae5671db01ba",
        "description": {
          "text": "Maintain fasting plasma glucose within recommended range for prediabetes."
        },
        "target": [
          {
            "detailQuantity": {
              "value": 5.6,
              "unit": "mmol/L",
              "system": "http://unitsofmeasure.org",
              "code": "mmol/L"
            },
            "measure": {
              "coding": [
                {
                  "code": "1558-6",
                  "system": "http://loinc.org",
                  "display": "Fasting glucose [Mass/volume] in Serum or Plasma"
                }
              ]
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Maintain fasting plasma glucose within recommended range for prediabetes.</div>"
        },
        "lifecycleStatus": "active",
        "subject": {
          "reference": "urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8",
          "display": "Rosario Varela"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:84841371-e5fa-4856-ae9c-a033cc66876f",
      "resource": {
        "resourceType": "Goal",
        "id": "84841371-e5fa-4856-ae9c-a033cc66876f",
        "description": {
          "text": "Maintain HbA1c below threshold for diabetes diagnosis."
        },
        "target": [
          {
            "detailQuantity": {
              "value": 6.4,
              "unit": "%",
              "system": "http://unitsofmeasure.org",
              "code": "%"
            },
            "measure": {
              "coding": [
                {
                  "code": "4548-4",
                  "system": "http://loinc.org",
                  "display": "Hemoglobin A1c/Hemoglobin.total in Blood"
                }
              ]
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Maintain HbA1c below threshold for diabetes diagnosis.</div>"
        },
        "lifecycleStatus": "active",
        "subject": {
          "reference": "urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8",
          "display": "Rosario Varela"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:7f5edfd9-575b-4f2e-a6e6-0fd8c4415092",
      "resource": {
        "resourceType": "Goal",
        "id": "7f5edfd9-575b-4f2e-a6e6-0fd8c4415092",
        "description": {
          "text": "Achieve and maintain weight loss as recommended for prediabetes management."
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Achieve and maintain weight loss as recommended for prediabetes management.</div>"
        },
        "lifecycleStatus": "active",
        "subject": {
          "reference": "urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8",
          "display": "Rosario Varela"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:8f9b0781-bb3c-4f15-83d3-fbefde4d0384",
      "resource": {
        "resourceType": "Goal",
        "id": "8f9b0781-bb3c-4f15-83d3-fbefde4d0384",
        "description": {
          "text": "Reduce the Apnea-Hypopnea Index (AHI) to less than 5 events per hour to achieve effective control of obstructive sleep apnea."
        },
        "lifecycleStatus": "active",
        "subject": {
          "reference": "urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8",
          "display": "Rosario Varela"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:b60cea8e-4e04-4abe-9f67-44884c7a9ded",
      "resource": {
        "resourceType": "Goal",
        "id": "b60cea8e-4e04-4abe-9f67-44884c7a9ded",
        "description": {
          "text": "Improve subjective sleep quality as reported by the patient, with fewer nighttime awakenings and increased feeling of restfulness upon waking."
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Improve subjective sleep quality as reported by the patient, with fewer nighttime awakenings and increased feeling of restfulness upon waking.</div>"
        },
        "lifecycleStatus": "active",
        "subject": {
          "reference": "urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8",
          "display": "Rosario Varela"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:71d839e4-66f7-4a7d-ad88-5632d5998a76",
      "resource": {
        "resourceType": "Goal",
        "id": "71d839e4-66f7-4a7d-ad88-5632d5998a76",
        "description": {
          "text": "Reduce daytime sleepiness as measured by the Epworth Sleepiness Scale to a score of less than 10."
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Reduce daytime sleepiness as measured by the Epworth Sleepiness Scale to a score of less than 10.</div>"
        },
        "lifecycleStatus": "active",
        "subject": {
          "reference": "urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8",
          "display": "Rosario Varela"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:e90fd944-eb1c-4a9f-94f2-73b9668f6977",
      "resource": {
        "resourceType": "Goal",
        "id": "e90fd944-eb1c-4a9f-94f2-73b9668f6977",
        "description": {
          "text": "Patient will achieve and maintain blood pressure below 130/80 mmHg through lifestyle changes."
        },
        "target": [
          {
            "detailRange": {
              "low": {
                "value": 0,
                "unit": "mm[Hg]",
                "system": "http://unitsofmeasure.org",
                "code": "mm[Hg]"
              },
              "high": {
                "value": 130,
                "unit": "mm[Hg]",
                "system": "http://unitsofmeasure.org",
                "code": "mm[Hg]"
              }
            },
            "measure": {
              "coding": [
                {
                  "code": "8480-6",
                  "system": "http://loinc.org",
                  "display": "Systolic blood pressure"
                }
              ]
            }
          }
        ],
        "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 changes.</div>"
        },
        "lifecycleStatus": "active",
        "subject": {
          "reference": "urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8",
          "display": "Rosario Varela"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:2d42dd16-52da-4623-8562-bec01e2bbb61",
      "resource": {
        "resourceType": "Observation",
        "id": "2d42dd16-52da-4623-8562-bec01e2bbb61",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/StructureDefinition/vitalsigns"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "valueQuantity": {
          "value": 181.6,
          "code": "cm",
          "system": "http://unitsofmeasure.org",
          "unit": "cm"
        },
        "text": {
          "status": "generated",
          "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>Body Height</td><td>07-Jun-2025</td><td>181.6 cm</td></tr></table></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "code": "8302-2",
              "system": "http://loinc.org",
              "display": "Body Height"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8",
          "display": "Rosario Varela"
        },
        "effectiveDateTime": "2025-06-07"
      }
    },
    {
      "fullUrl": "urn:uuid:cc39b1cd-7de0-45a6-8cfa-49555599e30d",
      "resource": {
        "resourceType": "Observation",
        "id": "cc39b1cd-7de0-45a6-8cfa-49555599e30d",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/StructureDefinition/vitalsigns"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "valueQuantity": {
          "value": 1,
          "code": "1",
          "system": "http://unitsofmeasure.org",
          "unit": "{score}"
        },
        "text": {
          "status": "generated",
          "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>07-Jun-2025</td><td>1 {score}</td></tr></table></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "code": "72514-3",
              "system": "http://loinc.org",
              "display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8",
          "display": "Rosario Varela"
        },
        "effectiveDateTime": "2025-06-07"
      }
    },
    {
      "fullUrl": "urn:uuid:936c0352-836b-4520-a450-1a3ef17e9926",
      "resource": {
        "resourceType": "Observation",
        "id": "936c0352-836b-4520-a450-1a3ef17e9926",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/StructureDefinition/vitalsigns"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "valueQuantity": {
          "value": 91.2,
          "code": "kg",
          "system": "http://unitsofmeasure.org",
          "unit": "kg"
        },
        "text": {
          "status": "generated",
          "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>Body Weight</td><td>07-Jun-2025</td><td>91.2 kg</td></tr></table></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "code": "29463-7",
              "system": "http://loinc.org",
              "display": "Body Weight"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8",
          "display": "Rosario Varela"
        },
        "effectiveDateTime": "2025-06-07"
      }
    },
    {
      "fullUrl": "urn:uuid:4e35f3f1-b8e4-43c9-8517-8fcf0a1d3762",
      "resource": {
        "resourceType": "Observation",
        "id": "4e35f3f1-b8e4-43c9-8517-8fcf0a1d3762",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/StructureDefinition/vitalsigns"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "valueQuantity": {
          "value": 27.7,
          "code": "kg/m2",
          "system": "http://unitsofmeasure.org",
          "unit": "kg/m2"
        },
        "text": {
          "status": "generated",
          "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>Body mass index (BMI) [Ratio]</td><td>07-Jun-2025</td><td>27.7 kg/m2</td></tr></table></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "code": "39156-5",
              "system": "http://loinc.org",
              "display": "Body mass index (BMI) [Ratio]"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8",
          "display": "Rosario Varela"
        },
        "effectiveDateTime": "2025-06-07"
      }
    },
    {
      "fullUrl": "urn:uuid:a736b462-fccb-47cb-aaac-4068048daa7b",
      "resource": {
        "resourceType": "Observation",
        "id": "a736b462-fccb-47cb-aaac-4068048daa7b",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/StructureDefinition/vitalsigns"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "valueQuantity": {
          "value": 63,
          "code": "/min",
          "system": "http://unitsofmeasure.org",
          "unit": "/min"
        },
        "text": {
          "status": "generated",
          "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>Heart rate</td><td>07-Jun-2025</td><td>63 /min</td></tr></table></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "code": "8867-4",
              "system": "http://loinc.org",
              "display": "Heart rate"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8",
          "display": "Rosario Varela"
        },
        "effectiveDateTime": "2025-06-07"
      }
    },
    {
      "fullUrl": "urn:uuid:72693d6d-7782-413e-9037-6804a7d44541",
      "resource": {
        "resourceType": "Observation",
        "id": "72693d6d-7782-413e-9037-6804a7d44541",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/StructureDefinition/vitalsigns"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "valueQuantity": {
          "value": 13,
          "code": "/min",
          "system": "http://unitsofmeasure.org",
          "unit": "/min"
        },
        "text": {
          "status": "generated",
          "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>Respiratory rate</td><td>07-Jun-2025</td><td>13 /min</td></tr></table></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "code": "9279-1",
              "system": "http://loinc.org",
              "display": "Respiratory rate"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8",
          "display": "Rosario Varela"
        },
        "effectiveDateTime": "2025-06-07"
      }
    },
    {
      "fullUrl": "urn:uuid:37fff899-6d3c-45be-aeef-9874467ff955",
      "resource": {
        "resourceType": "Observation",
        "id": "37fff899-6d3c-45be-aeef-9874467ff955",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/StructureDefinition/vitalsigns"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "component": [
          {
            "valueQuantity": {
              "value": 110,
              "code": "mm[Hg]",
              "system": "http://unitsofmeasure.org",
              "unit": "mm[Hg]"
            },
            "code": {
              "coding": [
                {
                  "code": "8480-6",
                  "system": "http://loinc.org",
                  "display": "Systolic blood pressure"
                }
              ]
            }
          },
          {
            "valueQuantity": {
              "value": 81,
              "code": "mm[Hg]",
              "system": "http://unitsofmeasure.org",
              "unit": "mm[Hg]"
            },
            "code": {
              "coding": [
                {
                  "code": "8462-4",
                  "system": "http://loinc.org",
                  "display": "Diastolic blood pressure"
                }
              ]
            }
          }
        ],
        "text": {
          "status": "generated",
          "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>Blood pressure panel with all children optional</td><td>07-Jun-2025</td><td>81 mm[Hg]</td></tr></table></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "code": "85354-9",
              "system": "http://loinc.org",
              "display": "Blood pressure panel with all children optional"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8",
          "display": "Rosario Varela"
        },
        "effectiveDateTime": "2025-06-07"
      }
    },
    {
      "fullUrl": "urn:uuid:f090cca1-1c98-4523-9aac-2eb7fa3ace15",
      "resource": {
        "resourceType": "Observation",
        "id": "f090cca1-1c98-4523-9aac-2eb7fa3ace15",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/StructureDefinition/vitalsigns"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "valueQuantity": {
          "value": 39.3,
          "code": "Cel",
          "system": "http://unitsofmeasure.org",
          "unit": "Cel"
        },
        "text": {
          "status": "generated",
          "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>Body temperature</td><td>26-May-2025</td><td>39.3 Cel</td></tr></table></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "code": "8310-5",
              "system": "http://loinc.org",
              "display": "Body temperature"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8",
          "display": "Rosario Varela"
        },
        "effectiveDateTime": "2025-05-26"
      }
    },
    {
      "fullUrl": "urn:uuid:8fb3d7c3-3cf1-4a5b-8b1e-a81d27a6726f",
      "resource": {
        "resourceType": "Observation",
        "id": "8fb3d7c3-3cf1-4a5b-8b1e-a81d27a6726f",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/medicalTestResult-eu-core"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
              }
            ]
          }
        ],
        "performer": [
          {
            "display": "The Central European Lab"
          }
        ],
        "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": 6.2,
          "unit": "%",
          "code": "%",
          "system": "http://unitsofmeasure.org"
        },
        "referenceRange": [
          {
            "low": {
              "value": 4.8,
              "code": "%",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 5.9,
              "code": "%",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "interpretation": [
          {
            "coding": [
              {
                "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>07-Jun-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Hemoglobin A1c/Hemoglobin.total in Blood</td><td>6.2</td><td>4.8 - 5.9</td><td>H</td><td>%</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8",
          "display": "Rosario Varela"
        },
        "effectiveDateTime": "2025-06-07T02:42:26Z"
      }
    },
    {
      "fullUrl": "urn:uuid:202ef795-3663-4ba6-a812-9ca989526476",
      "resource": {
        "resourceType": "Observation",
        "id": "202ef795-3663-4ba6-a812-9ca989526476",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/medicalTestResult-eu-core"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
              }
            ]
          }
        ],
        "performer": [
          {
            "display": "The Central European Lab"
          }
        ],
        "code": {
          "coding": [
            {
              "code": "2339-0",
              "system": "http://loinc.org",
              "display": "Glucose [Mass/volume] in Blood"
            }
          ],
          "text": "Glucose [Mass/volume] in Blood"
        },
        "valueQuantity": {
          "value": 70.1,
          "unit": "mg/dL",
          "code": "mg/dL",
          "system": "http://unitsofmeasure.org"
        },
        "referenceRange": [
          {
            "low": {
              "value": 70,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 100,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
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          }
        ],
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        "code": {
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            {
              "code": "6299-2",
              "system": "http://loinc.org",
              "display": "Urea nitrogen [Mass/volume] in Blood"
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          ],
          "text": "Urea nitrogen [Mass/volume] in Blood"
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        "valueQuantity": {
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          "unit": "mg/dL",
          "code": "mg/dL",
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            {
              "code": "38483-4",
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              "display": "Creatinine [Mass/volume] in Blood"
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          ],
          "text": "Creatinine [Mass/volume] in Blood"
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        "valueQuantity": {
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        "code": {
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            {
              "code": "49765-1",
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              "display": "Calcium [Mass/volume] in Blood"
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          ],
          "text": "Calcium [Mass/volume] in Blood"
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        "valueQuantity": {
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          "unit": "mg/dL",
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        "code": {
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            {
              "code": "2947-0",
              "system": "http://loinc.org",
              "display": "Sodium [Moles/volume] in Blood"
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          ],
          "text": "Sodium [Moles/volume] in Blood"
        },
        "valueQuantity": {
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          "unit": "mmol/L",
          "code": "mmol/L",
          "system": "http://unitsofmeasure.org"
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            "high": {
              "value": 145,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
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          }
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        },
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        "category": [
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        "code": {
          "coding": [
            {
              "code": "6298-4",
              "system": "http://loinc.org",
              "display": "Potassium [Moles/volume] in Blood"
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          ],
          "text": "Potassium [Moles/volume] in Blood"
        },
        "valueQuantity": {
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          "unit": "mmol/L",
          "code": "mmol/L",
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            "high": {
              "value": 5.1,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
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          }
        ],
        "text": {
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        },
        "status": "final",
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        "effectiveDateTime": "2025-06-07T02:42:26Z"
      }
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    {
      "fullUrl": "urn:uuid:69da91b0-12e1-4d77-a90e-a93c56fb73ab",
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        "code": {
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            {
              "code": "2069-3",
              "system": "http://loinc.org",
              "display": "Chloride [Moles/volume] in Blood"
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          ],
          "text": "Chloride [Moles/volume] in Blood"
        },
        "valueQuantity": {
          "value": 110.9,
          "unit": "mmol/L",
          "code": "mmol/L",
          "system": "http://unitsofmeasure.org"
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        "referenceRange": [
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            "low": {
              "value": 98,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
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            "high": {
              "value": 107,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
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                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "display": "High"
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            ]
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        ],
        "text": {
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        },
        "status": "final",
        "subject": {
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          "display": "Rosario Varela"
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        "effectiveDateTime": "2025-06-07T02:42:26Z"
      }
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    {
      "fullUrl": "urn:uuid:f8a72cba-3419-4f5c-8422-c4d801e55139",
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        ],
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        "code": {
          "coding": [
            {
              "code": "20565-8",
              "system": "http://loinc.org",
              "display": "Carbon dioxide, total [Moles/volume] in Blood"
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          ],
          "text": "Carbon dioxide, total [Moles/volume] in Blood"
        },
        "valueQuantity": {
          "value": 21.8,
          "unit": "mmol/L",
          "code": "mmol/L",
          "system": "http://unitsofmeasure.org"
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        "referenceRange": [
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            "low": {
              "value": 22,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
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            "high": {
              "value": 29,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
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                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
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            ]
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        ],
        "text": {
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        },
        "status": "final",
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          "display": "Rosario Varela"
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        "effectiveDateTime": "2025-06-07T02:42:26Z"
      }
    },
    {
      "fullUrl": "urn:uuid:77ba26ed-a815-485c-8edf-322c0b258767",
      "resource": {
        "resourceType": "DeviceUseStatement",
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        },
        "timingPeriod": {
          "start": "2021-12-11"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Home continuous positive airway pressure unit (physical object)</td><td><span class=\"nb\">11-Dec-2021</span></td></tr></table></div>"
        },
        "status": "active",
        "device": {
          "reference": "urn:uuid:6665e8b9-10fc-435e-ac1f-de2c607cf3ab",
          "display": "Home continuous positive airway pressure unit (physical object)"
        },
        "subject": {
          "reference": "urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8",
          "display": "Rosario Varela"
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    {
      "fullUrl": "urn:uuid:6665e8b9-10fc-435e-ac1f-de2c607cf3ab",
      "resource": {
        "resourceType": "Device",
        "id": "6665e8b9-10fc-435e-ac1f-de2c607cf3ab",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/device-eu-eps"
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        },
        "udiCarrier": [
          {
            "deviceIdentifier": "16373215904180",
            "issuer": "https://www.gs1.org/",
            "entryType": "barcode",
            "carrierHRF": "(01)16373215904180(11)211120(17)461205(10)22445189209624998(21)1835651"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Home continuous positive airway pressure unit (physical object) ((01)16373215904180(11)211120(17)461205(10)22445189209624998(21)1835651)</div>"
        },
        "status": "active",
        "patient": {
          "reference": "urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8",
          "display": "Rosario Varela"
        },
        "type": {
          "coding": [
            {
              "code": "702172008",
              "system": "http://snomed.info/sct",
              "display": "Home continuous positive airway pressure unit (physical object)"
            }
          ]
        }
      }
    },
    {
      "fullUrl": "urn:uuid:0dfa432e-9fcc-47a8-9398-024fa14ade07",
      "resource": {
        "resourceType": "DeviceUseStatement",
        "id": "0dfa432e-9fcc-47a8-9398-024fa14ade07",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/deviceUseStatement-eu-eps"
          ]
        },
        "timingPeriod": {
          "start": "2021-12-11"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Respiratory humidifier (physical object)</td><td><span class=\"nb\">11-Dec-2021</span></td></tr></table></div>"
        },
        "status": "active",
        "device": {
          "reference": "urn:uuid:c4424ac1-f516-42ac-bc1f-be549200b3ec",
          "display": "Respiratory humidifier (physical object)"
        },
        "subject": {
          "reference": "urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8",
          "display": "Rosario Varela"
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      }
    },
    {
      "fullUrl": "urn:uuid:c4424ac1-f516-42ac-bc1f-be549200b3ec",
      "resource": {
        "resourceType": "Device",
        "id": "c4424ac1-f516-42ac-bc1f-be549200b3ec",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/device-eu-eps"
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        },
        "udiCarrier": [
          {
            "deviceIdentifier": "72567533028618",
            "issuer": "https://www.gs1.org/",
            "entryType": "barcode",
            "carrierHRF": "(01)72567533028618(11)211120(17)461205(10)8781510491534121995(21)26500826016785344"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Respiratory humidifier (physical object) ((01)72567533028618(11)211120(17)461205(10)8781510491534121995(21)26500826016785344)</div>"
        },
        "status": "active",
        "patient": {
          "reference": "urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8",
          "display": "Rosario Varela"
        },
        "type": {
          "coding": [
            {
              "code": "706180003",
              "system": "http://snomed.info/sct",
              "display": "Respiratory humidifier (physical object)"
            }
          ]
        }
      }
    },
    {
      "fullUrl": "urn:uuid:4f90cc3c-32b7-4ed1-9ad9-7647288b0571",
      "resource": {
        "resourceType": "DeviceUseStatement",
        "id": "4f90cc3c-32b7-4ed1-9ad9-7647288b0571",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/deviceUseStatement-eu-eps"
          ]
        },
        "timingPeriod": {
          "start": "1991-06-22"
        },
        "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\">22-Jun-1991</span></td></tr></table></div>"
        },
        "status": "active",
        "device": {
          "reference": "urn:uuid:62a99a98-9298-4b6a-9e37-43d9b0b3ca44",
          "display": "Blood glucose meter (physical object)"
        },
        "subject": {
          "reference": "urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8",
          "display": "Rosario Varela"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:62a99a98-9298-4b6a-9e37-43d9b0b3ca44",
      "resource": {
        "resourceType": "Device",
        "id": "62a99a98-9298-4b6a-9e37-43d9b0b3ca44",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/device-eu-eps"
          ]
        },
        "udiCarrier": [
          {
            "deviceIdentifier": "46440442341349",
            "issuer": "https://www.gs1.org/",
            "entryType": "barcode",
            "carrierHRF": "(01)46440442341349(11)910601(17)160615(10)38596192964(21)682658693161"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Blood glucose meter (physical object) ((01)46440442341349(11)910601(17)160615(10)38596192964(21)682658693161)</div>"
        },
        "status": "active",
        "patient": {
          "reference": "urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8",
          "display": "Rosario Varela"
        },
        "type": {
          "coding": [
            {
              "code": "337414009",
              "system": "http://snomed.info/sct",
              "display": "Blood glucose meter (physical object)"
            }
          ]
        }
      }
    },
    {
      "fullUrl": "urn:uuid:01c28279-8cb1-457c-9769-d593c7d4ebc5",
      "resource": {
        "resourceType": "Device",
        "id": "01c28279-8cb1-457c-9769-d593c7d4ebc5",
        "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:3874d62f-6b2a-414d-8e75-53d5a269eb3b",
      "resource": {
        "resourceType": "Provenance",
        "id": "3874d62f-6b2a-414d-8e75-53d5a269eb3b",
        "target": [
          {
            "reference": "urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8"
          },
          {
            "reference": "urn:uuid:4a7e1dd6-0aa4-4575-ac35-d9881667a3f8"
          },
          {
            "reference": "urn:uuid:0dcfa142-ac22-496e-bca3-274d7d589965"
          },
          {
            "reference": "urn:uuid:d7ef1f9b-cebf-4420-8450-4a9401ffba2e"
          },
          {
            "reference": "urn:uuid:a446d236-4189-4343-85e2-c4dc4a46da34"
          }
        ],
        "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:01c28279-8cb1-457c-9769-d593c7d4ebc5"
            }
          }
        ],
        "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": "2025-06-07T02:42:26Z"
      }
    }
  ],
  "type": "document",
  "timestamp": "2025-06-07T04:42:26Z"
}