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   <timestamp value="2025-06-07T04:42:26Z"/>
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                  <code value="TRAIN"/>
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               <tag>
                  <system value="https://synderai.net/fhir/CodeSystem/tags"/>
                  <code value="synthetic"/>
                  <display value="SYNDERAI Synthetic data"/>
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               <status value="empty"/>
               <div xmlns="http://www.w3.org/1999/xhtml">intentionally left empty / not meaningful</div>
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               <value value="a5c35519-49b8-4c46-9fe0-e2a6a3fbd681"/>
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                  <display value="HL7 Europe"/>
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            <status value="final"/>
            <type>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="60591-5"/>
                  <display value="Patient summary Document"/>
               </coding>
               <text value="Patient summary Document"/>
            </type>
            <subject>
               <reference value="urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8"/>
               <display value="Rosario Varela"/>
            </subject>
            <date value="2025-06-07T04:42:26Z"/>
            <author>
               <reference value="urn:uuid:0dcfa142-ac22-496e-bca3-274d7d589965"/>
            </author>
            <title value="European Patient Summary"/>
            <confidentiality value="N"/>
            <custodian>
               <reference value="urn:uuid:d7ef1f9b-cebf-4420-8450-4a9401ffba2e"/>
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            <section>
               <title value="Problem list"/>
               <code>
                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="11450-4"/>
                     <display value="Problem list - Reported"/>
                  </coding>
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               <text>
                  <status value="generated"/>
                  <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>
               </text>
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                  <reference value="urn:uuid:d5fabff8-5ed9-4a06-84a2-bf2fd2c4adf0"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:33c9a1f0-0b8c-4004-860c-8daafdce961a"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:042b7876-800a-44c2-a72a-f94d0277bc98"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:b904eb36-630b-439f-bf6d-70520b5aae69"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:7b018231-43e0-4680-a98c-2a515959dc85"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:0ae1245f-7068-4837-ab64-244d341ec0fe"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:721e801b-db25-4751-913b-f07d69539c3e"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:f0cec3ad-eb11-426a-bacb-1002a9c15699"/>
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               <entry>
                  <reference value="urn:uuid:5090f908-67db-4d6a-9140-8b66bd7196ac"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:cef02fb8-d452-4cac-8234-113b83c9e43f"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:c3b99730-b4d5-4f82-9d90-2f41586ea362"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:df1d1b50-8e2f-4289-b2e8-e85c6a68776d"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:26b7d360-aadb-4b96-805b-b7a2d3505f38"/>
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               <entry>
                  <reference value="urn:uuid:cd799a74-a2a3-4d8a-9d80-7fc5fa340ee6"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:a64b6fcc-4690-41ca-b42b-94951ba275f4"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:7a6f110b-dd30-4237-b74d-14c520d71278"/>
               </entry>
            </section>
            <section>
               <title value="Medication list"/>
               <code>
                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="10160-0"/>
                     <display value="History of Medication use Narrative"/>
                  </coding>
               </code>
               <text>
                  <status value="generated"/>
                  <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>
               </text>
               <entry>
                  <reference value="urn:uuid:dce1d348-7726-46f1-8bd2-7b06e1bc3404"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:3330b666-25a0-4475-821f-f7a5636d52c0"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:da4c3a42-8100-4c6b-bfa4-52276582e4d2"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:7310a8c0-fc04-4367-b474-db0d93eb59d6"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:fa6e992a-4d50-44b4-932b-fbf78a3ba374"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:d7edd8ab-b2c9-4cf1-a6c1-9b8a528aa6d9"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:bea90812-180b-4977-8130-fa5eae7c97d2"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:a23a2aab-1ed5-4d2d-a485-371f11e4d23e"/>
               </entry>
            </section>
            <section>
               <title value="Immunizations list"/>
               <code>
                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="11369-6"/>
                     <display value="History of Immunization note"/>
                  </coding>
               </code>
               <text>
                  <status value="generated"/>
                  <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>
               </text>
               <entry>
                  <reference value="urn:uuid:81ff6ddf-e223-433d-aaac-2cfd90db5953"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:5f0f0cc2-86ef-47c2-b7df-fb6c664bf621"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:0a4b4926-7e35-4576-9102-483ef3e187a6"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:9472af50-2320-420b-a204-8e6df499cc3c"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:2370e454-46fe-4409-abfe-fa70bdb5fca9"/>
               </entry>
            </section>
            <section>
               <title value="Procedure History list"/>
               <code>
                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="47519-4"/>
                     <display value="History of Procedures Document"/>
                  </coding>
               </code>
               <text>
                  <status value="generated"/>
                  <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>
               </text>
               <entry>
                  <reference value="urn:uuid:85e82230-3303-4e58-9329-fb487881454a"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:0b7d7683-5b9e-492c-b1e5-8948f10e0151"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:bce1ee66-9ae0-4c0f-88ed-2297cce6a6a7"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:d70ca0a8-b902-49ea-a9c0-ce3899d1a1f3"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:2ed87c7d-4ba2-4609-9223-978847b940e5"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:638c8ece-240d-46d8-a81d-9595451daccf"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:99845952-6006-44c8-9a4f-7248ca9738c4"/>
               </entry>
               <entry>
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               <entry>
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               <entry>
                  <reference value="urn:uuid:16ce0bf4-07ab-4f99-85e8-7eebdd32ce51"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:f5a24fc2-63a3-4629-bc1a-3859431c4b59"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:2e0b53a4-a000-41d6-9cc6-6dbe9d04d66e"/>
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               <entry>
                  <reference value="urn:uuid:262ce23f-1080-4993-9177-e73fbf4fc1df"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:93ea2377-8dd2-4aa4-b5f1-8e856e381d1a"/>
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               <entry>
                  <reference value="urn:uuid:2e8d8a39-8802-4ed3-be50-a942f58388c5"/>
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               <entry>
                  <reference value="urn:uuid:3cfefdae-8bdc-47ad-afdf-2ec788bd561c"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:9d172488-2bea-4888-8234-44ace9094419"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:f76627bc-4090-42cd-b221-f47f30a9ad5e"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:1e30f697-b8ec-4450-aa8e-f3dc5771aea0"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:2a79e58f-e2f7-4198-81aa-a00fb3fe998f"/>
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            </section>
            <section>
               <title value="Allergies and Intolerances"/>
               <code>
                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="48765-2"/>
                     <display value="Allergies and adverse reactions Document"/>
                  </coding>
               </code>
               <text>
                  <status value="generated"/>
                  <div xmlns="http://www.w3.org/1999/xhtml">
                     <table class="hl7__ips">
                        <tr>
                           <td>No known allergies or intolerances</td>
                        </tr>
                     </table>
                  </div>
               </text>
               <entry>
                  <reference value="urn:uuid:a6701e46-dfd2-4f98-ae8d-21743a1789b1"/>
               </entry>
            </section>
            <section>
               <title value="Care Plan"/>
               <code>
                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="18776-5"/>
                     <display value="Plan of care note"/>
                  </coding>
               </code>
               <text>
                  <status value="generated"/>
                  <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/>
                        </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/>
                        </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/>
                        </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/>
                        </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>
               </text>
               <entry>
                  <reference value="urn:uuid:8e01d4cc-2e08-48c1-b392-7443fa6deb6f"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:43e201d7-9d27-4f8b-b866-1f465e235793"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:080379b1-9af5-4c9e-a721-8b81c71aee04"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:6eef7e08-a81e-46c8-acba-30a51a815d1c"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:a777dd32-0b32-4c45-ac23-2ad6d60e108f"/>
               </entry>
            </section>
            <section>
               <title value="Vital Signs"/>
               <code>
                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="8716-3"/>
                     <display value="Vital signs note"/>
                  </coding>
               </code>
               <text>
                  <status value="generated"/>
                  <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>
               </text>
               <entry>
                  <reference value="urn:uuid:2d42dd16-52da-4623-8562-bec01e2bbb61"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:cc39b1cd-7de0-45a6-8cfa-49555599e30d"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:936c0352-836b-4520-a450-1a3ef17e9926"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:4e35f3f1-b8e4-43c9-8517-8fcf0a1d3762"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:a736b462-fccb-47cb-aaac-4068048daa7b"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:72693d6d-7782-413e-9037-6804a7d44541"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:37fff899-6d3c-45be-aeef-9874467ff955"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:f090cca1-1c98-4523-9aac-2eb7fa3ace15"/>
               </entry>
            </section>
            <section>
               <title value="Relevant diagnostic tests/laboratory data"/>
               <code>
                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="30954-2"/>
                     <display value="Relevant diagnostic tests/laboratory data note"/>
                  </coding>
               </code>
               <text>
                  <status value="generated"/>
                  <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 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>
               </text>
               <entry>
                  <reference value="urn:uuid:8fb3d7c3-3cf1-4a5b-8b1e-a81d27a6726f"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:202ef795-3663-4ba6-a812-9ca989526476"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:13c2b972-6a60-4996-b2c9-b65db33b2ed6"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:907dc691-526c-4136-9bb6-8a5c904a6e9a"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:e85e9fdb-9c0c-446d-8b45-358ff519cd5a"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:b3d8c77d-d3b1-49d7-bd74-6d66857cb2f8"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:890631fb-8433-4539-8083-f5c7166dc625"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:69da91b0-12e1-4d77-a90e-a93c56fb73ab"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:f8a72cba-3419-4f5c-8422-c4d801e55139"/>
               </entry>
            </section>
            <section>
               <title value="Device Use"/>
               <code>
                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="46264-8"/>
                     <display value="History of medical device use"/>
                  </coding>
               </code>
               <text>
                  <status value="generated"/>
                  <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>
               </text>
               <entry>
                  <reference value="urn:uuid:77ba26ed-a815-485c-8edf-322c0b258767"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:0dfa432e-9fcc-47a8-9398-024fa14ade07"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:4f90cc3c-32b7-4ed1-9ad9-7647288b0571"/>
               </entry>
            </section>
         </Composition>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8"/>
      <resource>
         <Patient>
            <id value="24d22c60-bc9b-41cf-aef8-ac2804e873a8"/>
            <meta>
               <profile value="http://hl7.eu/fhir/eps/StructureDefinition/patient-eu-eps"/>
               <security>
                  <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
                  <code value="HTEST"/>
               </security>
               <security>
                  <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
                  <code value="TRAIN"/>
               </security>
               <tag>
                  <system value="https://synderai.net/fhir/CodeSystem/tags"/>
                  <code value="synthetic"/>
                  <display value="SYNDERAI Synthetic data"/>
               </tag>
            </meta>
            <text>
               <status value="generated"/>
               <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>
            </text>
            <extension url="http://hl7.org/fhir/StructureDefinition/patient-nationality">
               <extension url="code">
                  <valueCodeableConcept>
                     <coding>
                        <system value="urn:iso:std:iso:3166"/>
                        <code value="ES"/>
                     </coding>
                     <text value="Spain"/>
                  </valueCodeableConcept>
               </extension>
            </extension>
            <identifier>
               <type>
                  <coding>
                     <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                     <code value="JHN"/>
                  </coding>
               </type>
               <system value="http://ec.europa.eu/identifier/eci"/>
               <value value="8295-992682-3"/>
            </identifier>
            <identifier>
               <type>
                  <coding>
                     <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                     <code value="MR"/>
                  </coding>
               </type>
               <system value="http://local.setting.eu/identifier"/>
               <value value="e1ada39d-fcc0-87a3-bed2-b62ce595f14e"/>
            </identifier>
            <name>
               <text value="Rosario Varela"/>
               <family value="Varela"/>
               <given value="Rosario"/>
            </name>
            <telecom>
               <system value="phone"/>
               <value value="+34988 576 513"/>
            </telecom>
            <gender value="male"/>
            <birthDate value="1956-05-03"/>
            <address>
               <use value="home"/>
               <type value="physical"/>
               <line value="Ronda de Graciela Llorens 62"/>
               <city value="Valencia"/>
               <postalCode value="46001"/>
               <country value="Spain"/>
            </address>
         </Patient>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:0dcfa142-ac22-496e-bca3-274d7d589965"/>
      <resource>
         <PractitionerRole>
            <id value="0dcfa142-ac22-496e-bca3-274d7d589965"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu-core"/>
            </meta>
            <text>
               <status value="generated"/>
               <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>
            </text>
            <practitioner>
               <reference value="urn:uuid:a446d236-4189-4343-85e2-c4dc4a46da34"/>
            </practitioner>
            <organization>
               <reference value="urn:uuid:d7ef1f9b-cebf-4420-8450-4a9401ffba2e"/>
            </organization>
         </PractitionerRole>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:d7ef1f9b-cebf-4420-8450-4a9401ffba2e"/>
      <resource>
         <Organization>
            <id value="d7ef1f9b-cebf-4420-8450-4a9401ffba2e"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/organization-eu-core"/>
            </meta>
            <text>
               <status value="generated"/>
               <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>
            </text>
            <identifier>
               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
               <value value="bf318908-3739-465b-ba92-bface4586c66"/>
               <assigner>
                  <display value="HL7 Europe"/>
               </assigner>
            </identifier>
            <name value="Centro Privado de Educación Especial Parálisis Cerebral Infantil"/>
            <address>
               <line value="Calle Alboraya 4"/>
               <city value="Valencia"/>
               <postalCode value="46010"/>
               <country value="Spain"/>
            </address>
         </Organization>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:a446d236-4189-4343-85e2-c4dc4a46da34"/>
      <resource>
         <Practitioner>
            <id value="a446d236-4189-4343-85e2-c4dc4a46da34"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu-core"/>
            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
                     <tr>
                        <td>dr Socorro Dávila</td>
                     </tr>
                  </table>
               </div>
            </text>
            <name>
               <family value="Dávila"/>
               <given value="Socorro"/>
               <prefix value="dr"/>
            </name>
         </Practitioner>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:d5fabff8-5ed9-4a06-84a2-bf2fd2c4adf0"/>
      <resource>
         <Condition>
            <id value="d5fabff8-5ed9-4a06-84a2-bf2fd2c4adf0"/>
            <meta>
               <profile value="http://hl7.eu/fhir/eps/StructureDefinition/condition-obl-eu-eps"/>
            </meta>
            <text>
               <status value="generated"/>
               <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>
            </text>
            <clinicalStatus>
               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
                  <code value="active"/>
               </coding>
            </clinicalStatus>
            <category>
               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/condition-category"/>
                  <code value="problem-list-item"/>
                  <display value="Problem List Item"/>
               </coding>
            </category>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="64859006"/>
                  <display value="Osteoporosis (disorder)"/>
               </coding>
               <text value="Osteoporosis"/>
            </code>
            <subject>
               <reference value="urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8"/>
               <display value="Rosario Varela"/>
            </subject>
            <onsetDateTime value="2022-12-17"/>
            <asserter>
               <reference value="urn:uuid:0dcfa142-ac22-496e-bca3-274d7d589965"/>
               <display value="Centro Privado de Educación Especial Parálisis Cerebral Infantil"/>
            </asserter>
         </Condition>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:33c9a1f0-0b8c-4004-860c-8daafdce961a"/>
      <resource>
         <Condition>
            <id value="33c9a1f0-0b8c-4004-860c-8daafdce961a"/>
            <meta>
               <profile value="http://hl7.eu/fhir/eps/StructureDefinition/condition-obl-eu-eps"/>
            </meta>
            <text>
               <status value="generated"/>
               <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>
            </text>
            <clinicalStatus>
               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
                  <code value="active"/>
               </coding>
            </clinicalStatus>
            <category>
               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/condition-category"/>
                  <code value="problem-list-item"/>
                  <display value="Problem List Item"/>
               </coding>
            </category>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="414545008"/>
                  <display value="Ischemic heart disease (disorder)"/>
               </coding>
               <text value="Ischemic heart disease"/>
            </code>
            <subject>
               <reference value="urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8"/>
               <display value="Rosario Varela"/>
            </subject>
            <onsetDateTime value="2007-09-01"/>
            <asserter>
               <reference value="urn:uuid:0dcfa142-ac22-496e-bca3-274d7d589965"/>
               <display value="Centro Privado de Educación Especial Parálisis Cerebral Infantil"/>
            </asserter>
         </Condition>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:042b7876-800a-44c2-a72a-f94d0277bc98"/>
      <resource>
         <Condition>
            <id value="042b7876-800a-44c2-a72a-f94d0277bc98"/>
            <meta>
               <profile value="http://hl7.eu/fhir/eps/StructureDefinition/condition-obl-eu-eps"/>
            </meta>
            <text>
               <status value="generated"/>
               <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>
            </text>
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               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="55822004"/>
                  <display value="Hyperlipidemia (disorder)"/>
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               <text value="Hyperlipidemia"/>
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            <subject>
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               <display value="Rosario Varela"/>
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                           <span class="nb">21-Apr-1996</span>
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                  <code value="1254812006"/>
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               <display value="Rosario Varela"/>
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                           <span class="nb">09-Jul-1994</span>
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                  <code value="237602007"/>
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               <text value="Metabolic syndrome X"/>
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               <reference value="urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8"/>
               <display value="Rosario Varela"/>
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               <display value="Centro Privado de Educación Especial Parálisis Cerebral Infantil"/>
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                           <span class="nb">22-Jun-1991</span>
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               <coding>
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                  <code value="271737000"/>
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               <display value="Rosario Varela"/>
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            <text>
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               <div xmlns="http://www.w3.org/1999/xhtml">
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                           <span class="nb">25-Sep-1990</span>
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               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="196416002"/>
                  <display value="Impacted molars (disorder)"/>
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               <text value="Impacted molars"/>
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               <display value="Rosario Varela"/>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
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                        <td>Chronic intractable migraine without aura</td>
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                           <span class="nb">05-Feb-1990</span>
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               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="124171000119105"/>
                  <display value="Chronic intractable migraine without aura (disorder)"/>
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               <text value="Chronic intractable migraine without aura"/>
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            <subject>
               <reference value="urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8"/>
               <display value="Rosario Varela"/>
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               <display value="Centro Privado de Educación Especial Parálisis Cerebral Infantil"/>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
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                        <td>Obstructive sleep apnea syndrome</td>
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                           <span class="nb">10-Feb-1982</span>
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               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="78275009"/>
                  <display value="Obstructive sleep apnea syndrome (disorder)"/>
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               <text value="Obstructive sleep apnea syndrome"/>
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            <subject>
               <reference value="urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8"/>
               <display value="Rosario Varela"/>
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               <reference value="urn:uuid:0dcfa142-ac22-496e-bca3-274d7d589965"/>
               <display value="Centro Privado de Educación Especial Parálisis Cerebral Infantil"/>
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               <profile value="http://hl7.eu/fhir/eps/StructureDefinition/condition-obl-eu-eps"/>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
                     <tr>
                        <td>Sleep disorder</td>
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                           <span class="nb">18-Jan-1982</span>
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                        <td>active</td>
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                  <system value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
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               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="39898005"/>
                  <display value="Sleep disorder (disorder)"/>
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               <text value="Sleep disorder"/>
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               <reference value="urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8"/>
               <display value="Rosario Varela"/>
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               <reference value="urn:uuid:0dcfa142-ac22-496e-bca3-274d7d589965"/>
               <display value="Centro Privado de Educación Especial Parálisis Cerebral Infantil"/>
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            <meta>
               <profile value="http://hl7.eu/fhir/eps/StructureDefinition/condition-obl-eu-eps"/>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
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                        <td>Essential hypertension</td>
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                           <span class="nb">02-Apr-1977</span>
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                        <td>active</td>
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                  <system value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
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                  <code value="problem-list-item"/>
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            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="59621000"/>
                  <display value="Essential hypertension (disorder)"/>
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               <text value="Essential hypertension"/>
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            <subject>
               <reference value="urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8"/>
               <display value="Rosario Varela"/>
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            <onsetDateTime value="1977-04-02"/>
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               <reference value="urn:uuid:0dcfa142-ac22-496e-bca3-274d7d589965"/>
               <display value="Centro Privado de Educación Especial Parálisis Cerebral Infantil"/>
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               <profile value="http://hl7.eu/fhir/eps/StructureDefinition/condition-obl-eu-eps"/>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
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                        <td>
                           <span class="grayedout">Streptococcal sore throat</span>
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                           <span class="nb">26-May-2025 - 08-Jun-2025</span>
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                        <td>
                           <span class="grayedout">inactive</span>
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                  <code value="problem-list-item"/>
                  <display value="Problem List Item"/>
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               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="43878008"/>
                  <display value="Streptococcal sore throat (disorder)"/>
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               <text value="Streptococcal sore throat"/>
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            <subject>
               <reference value="urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8"/>
               <display value="Rosario Varela"/>
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            <onsetDateTime value="2025-05-26"/>
            <abatementDateTime value="2025-06-08"/>
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               <reference value="urn:uuid:0dcfa142-ac22-496e-bca3-274d7d589965"/>
               <display value="Centro Privado de Educación Especial Parálisis Cerebral Infantil"/>
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                           <span class="grayedout">Acute infective cystitis</span>
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                           <span class="nb">03-Jul-2023 - 05-Jul-2023</span>
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                        <td>
                           <span class="grayedout">inactive</span>
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               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="307426000"/>
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               <text value="Acute infective cystitis"/>
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            <subject>
               <reference value="urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8"/>
               <display value="Rosario Varela"/>
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            <onsetDateTime value="2023-07-03"/>
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               <reference value="urn:uuid:0dcfa142-ac22-496e-bca3-274d7d589965"/>
               <display value="Centro Privado de Educación Especial Parálisis Cerebral Infantil"/>
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   <entry>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
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                        <td>
                           <span class="grayedout">Sprain of ankle</span>
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                           <span class="nb">05-Dec-2022 - 26-Dec-2022</span>
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                        <td>
                           <span class="grayedout">inactive</span>
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               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="44465007"/>
                  <display value="Sprain of ankle (disorder)"/>
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               <text value="Sprain of ankle"/>
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            <subject>
               <reference value="urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8"/>
               <display value="Rosario Varela"/>
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            <onsetDateTime value="2022-12-05"/>
            <abatementDateTime value="2022-12-26"/>
            <asserter>
               <reference value="urn:uuid:0dcfa142-ac22-496e-bca3-274d7d589965"/>
               <display value="Centro Privado de Educación Especial Parálisis Cerebral Infantil"/>
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               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
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                        <td>
                           <span class="grayedout">Whiplash injury to neck</span>
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                           <span class="nb">24-Jul-2016 - 24-Sep-2016</span>
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                        <td>
                           <span class="grayedout">inactive</span>
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               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="39848009"/>
                  <display value="Whiplash injury to neck (disorder)"/>
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               <text value="Whiplash injury to neck"/>
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            <subject>
               <reference value="urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8"/>
               <display value="Rosario Varela"/>
            </subject>
            <onsetDateTime value="2016-07-24"/>
            <abatementDateTime value="2016-09-24"/>
            <asserter>
               <reference value="urn:uuid:0dcfa142-ac22-496e-bca3-274d7d589965"/>
               <display value="Centro Privado de Educación Especial Parálisis Cerebral Infantil"/>
            </asserter>
         </Condition>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:7a6f110b-dd30-4237-b74d-14c520d71278"/>
      <resource>
         <Condition>
            <id value="7a6f110b-dd30-4237-b74d-14c520d71278"/>
            <meta>
               <profile value="http://hl7.eu/fhir/eps/StructureDefinition/condition-obl-eu-eps"/>
            </meta>
            <text>
               <status value="generated"/>
               <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>
            </text>
            <clinicalStatus>
               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
                  <code value="inactive"/>
               </coding>
            </clinicalStatus>
            <category>
               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/condition-category"/>
                  <code value="problem-list-item"/>
                  <display value="Problem List Item"/>
               </coding>
            </category>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="90460009"/>
                  <display value="Injury of neck (disorder)"/>
               </coding>
               <text value="Injury of neck"/>
            </code>
            <subject>
               <reference value="urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8"/>
               <display value="Rosario Varela"/>
            </subject>
            <onsetDateTime value="2016-07-24"/>
            <abatementDateTime value="2016-09-24"/>
            <asserter>
               <reference value="urn:uuid:0dcfa142-ac22-496e-bca3-274d7d589965"/>
               <display value="Centro Privado de Educación Especial Parálisis Cerebral Infantil"/>
            </asserter>
         </Condition>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:e1dabb75-98ed-493e-92c7-ac20d5a1337a"/>
      <resource>
         <Medication>
            <id value="e1dabb75-98ed-493e-92c7-ac20d5a1337a"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/medication-eu-core"/>
            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Hydrochlorothiazide 25 mg oral tablet</div>
            </text>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="376209006"/>
                  <display value="Hydrochlorothiazide 25 mg oral tablet"/>
               </coding>
               <text value="Hydrochlorothiazide 25 mg oral tablet"/>
            </code>
         </Medication>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:dce1d348-7726-46f1-8bd2-7b06e1bc3404"/>
      <resource>
         <MedicationStatement>
            <id value="dce1d348-7726-46f1-8bd2-7b06e1bc3404"/>
            <meta>
               <profile value="http://hl7.eu/fhir/eps/StructureDefinition/MedicationStatement-eu-eps"/>
            </meta>
            <text>
               <status value="generated"/>
               <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>
            </text>
            <status value="active"/>
            <medicationReference>
               <reference value="urn:uuid:e1dabb75-98ed-493e-92c7-ac20d5a1337a"/>
               <display value="Hydrochlorothiazide 25 mg oral tablet"/>
            </medicationReference>
            <subject>
               <reference value="urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8"/>
               <display value="Rosario Varela"/>
            </subject>
            <effectivePeriod>
               <start value="2025-06-07"/>
            </effectivePeriod>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="59621000"/>
                  <display value="Essential hypertension (disorder)"/>
               </coding>
            </reasonCode>
            <dosage>
               <text value="1 tablet (25 mg) by mouth once daily"/>
               <timing>
                  <repeat>
                     <frequency value="1"/>
                     <period value="1"/>
                     <periodUnit value="d"/>
                  </repeat>
               </timing>
               <asNeededBoolean value="false"/>
               <doseAndRate>
                  <doseQuantity>
                     <value value="1"/>
                     <unit value="{tbl}"/>
                     <system value="http://unitsofmeasure.org"/>
                     <code value="{tbl}"/>
                  </doseQuantity>
               </doseAndRate>
            </dosage>
         </MedicationStatement>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:6d9309c3-5587-4996-969a-16585da0f679"/>
      <resource>
         <Medication>
            <id value="6d9309c3-5587-4996-969a-16585da0f679"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/medication-eu-core"/>
            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Lisinopril 10 mg oral tablet</div>
            </text>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="318859000"/>
                  <display value="Lisinopril 10 mg oral tablet"/>
               </coding>
               <text value="Lisinopril 10 mg oral tablet"/>
            </code>
         </Medication>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:3330b666-25a0-4475-821f-f7a5636d52c0"/>
      <resource>
         <MedicationStatement>
            <id value="3330b666-25a0-4475-821f-f7a5636d52c0"/>
            <meta>
               <profile value="http://hl7.eu/fhir/eps/StructureDefinition/MedicationStatement-eu-eps"/>
            </meta>
            <text>
               <status value="generated"/>
               <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>
            </text>
            <status value="active"/>
            <medicationReference>
               <reference value="urn:uuid:6d9309c3-5587-4996-969a-16585da0f679"/>
               <display value="Lisinopril 10 mg oral tablet"/>
            </medicationReference>
            <subject>
               <reference value="urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8"/>
               <display value="Rosario Varela"/>
            </subject>
            <effectivePeriod>
               <start value="2025-06-07"/>
            </effectivePeriod>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="59621000"/>
                  <display value="Essential hypertension (disorder)"/>
               </coding>
            </reasonCode>
            <dosage>
               <text value="1 tablet (10 mg) by mouth once daily"/>
               <timing>
                  <repeat>
                     <frequency value="1"/>
                     <period value="1"/>
                     <periodUnit value="d"/>
                  </repeat>
               </timing>
               <asNeededBoolean value="false"/>
               <doseAndRate>
                  <doseQuantity>
                     <value value="1"/>
                     <unit value="{tbl}"/>
                     <system value="http://unitsofmeasure.org"/>
                     <code value="{tbl}"/>
                  </doseQuantity>
               </doseAndRate>
            </dosage>
         </MedicationStatement>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:7c10ca43-9c4d-433b-b5f1-2c3db6f113d9"/>
      <resource>
         <Medication>
            <id value="7c10ca43-9c4d-433b-b5f1-2c3db6f113d9"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/medication-eu-core"/>
            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Alendronic acid (as alendronate sodium) 10 mg oral tablet</div>
            </text>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="783144007"/>
                  <display value="Alendronic acid (as alendronate sodium) 10 mg oral tablet"/>
               </coding>
               <text value="Alendronic acid (as alendronate sodium) 10 mg oral tablet"/>
            </code>
         </Medication>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:da4c3a42-8100-4c6b-bfa4-52276582e4d2"/>
      <resource>
         <MedicationStatement>
            <id value="da4c3a42-8100-4c6b-bfa4-52276582e4d2"/>
            <meta>
               <profile value="http://hl7.eu/fhir/eps/StructureDefinition/MedicationStatement-eu-eps"/>
            </meta>
            <text>
               <status value="generated"/>
               <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>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>
                  </table>
               </div>
            </text>
            <status value="active"/>
            <medicationReference>
               <reference value="urn:uuid:7c10ca43-9c4d-433b-b5f1-2c3db6f113d9"/>
               <display value="Alendronic acid (as alendronate sodium) 10 mg oral tablet"/>
            </medicationReference>
            <subject>
               <reference value="urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8"/>
               <display value="Rosario Varela"/>
            </subject>
            <effectivePeriod>
               <start value="2025-06-07"/>
            </effectivePeriod>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="64859006"/>
                  <display value="Osteoporosis (disorder)"/>
               </coding>
            </reasonCode>
            <dosage>
               <text value="1 tablet (10 mg) once daily"/>
               <timing>
                  <repeat>
                     <frequency value="1"/>
                     <period value="1"/>
                     <periodUnit value="d"/>
                  </repeat>
               </timing>
               <asNeededBoolean value="false"/>
               <doseAndRate>
                  <doseQuantity>
                     <value value="1"/>
                     <unit value="{tbl}"/>
                     <system value="http://unitsofmeasure.org"/>
                     <code value="{tbl}"/>
                  </doseQuantity>
               </doseAndRate>
            </dosage>
         </MedicationStatement>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:3fca0b12-6f34-4a08-af2c-a251c05d4b74"/>
      <resource>
         <Medication>
            <id value="3fca0b12-6f34-4a08-af2c-a251c05d4b74"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/medication-eu-core"/>
            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Simvastatin 10 mg oral tablet</div>
            </text>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="319996000"/>
                  <display value="Simvastatin 10 mg oral tablet"/>
               </coding>
               <text value="Simvastatin 10 mg oral tablet"/>
            </code>
         </Medication>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:7310a8c0-fc04-4367-b474-db0d93eb59d6"/>
      <resource>
         <MedicationStatement>
            <id value="7310a8c0-fc04-4367-b474-db0d93eb59d6"/>
            <meta>
               <profile value="http://hl7.eu/fhir/eps/StructureDefinition/MedicationStatement-eu-eps"/>
            </meta>
            <text>
               <status value="generated"/>
               <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>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>
                  </table>
               </div>
            </text>
            <status value="active"/>
            <medicationReference>
               <reference value="urn:uuid:3fca0b12-6f34-4a08-af2c-a251c05d4b74"/>
               <display value="Simvastatin 10 mg oral tablet"/>
            </medicationReference>
            <subject>
               <reference value="urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8"/>
               <display value="Rosario Varela"/>
            </subject>
            <effectivePeriod>
               <start value="2024-12-29"/>
            </effectivePeriod>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="55822004"/>
                  <display value="Hyperlipidemia"/>
               </coding>
            </reasonCode>
            <dosage>
               <text value="1 tablet (10 mg) by mouth once daily"/>
               <timing>
                  <repeat>
                     <frequency value="1"/>
                     <period value="1"/>
                     <periodUnit value="d"/>
                  </repeat>
               </timing>
               <asNeededBoolean value="false"/>
               <doseAndRate>
                  <doseQuantity>
                     <value value="1"/>
                     <unit value="{tbl}"/>
                     <system value="http://unitsofmeasure.org"/>
                     <code value="{tbl}"/>
                  </doseQuantity>
               </doseAndRate>
            </dosage>
         </MedicationStatement>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:406b0a46-704b-4d91-8d67-4c438da43ca3"/>
      <resource>
         <Medication>
            <id value="406b0a46-704b-4d91-8d67-4c438da43ca3"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/medication-eu-core"/>
            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Clopidogrel (as clopidogrel bisulfate) 75 mg oral tablet</div>
            </text>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="783586007"/>
                  <display value="Clopidogrel (as clopidogrel bisulfate) 75 mg oral tablet"/>
               </coding>
               <text value="Clopidogrel (as clopidogrel bisulfate) 75 mg oral tablet"/>
            </code>
         </Medication>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:fa6e992a-4d50-44b4-932b-fbf78a3ba374"/>
      <resource>
         <MedicationStatement>
            <id value="fa6e992a-4d50-44b4-932b-fbf78a3ba374"/>
            <meta>
               <profile value="http://hl7.eu/fhir/eps/StructureDefinition/MedicationStatement-eu-eps"/>
            </meta>
            <text>
               <status value="generated"/>
               <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>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>
                  </table>
               </div>
            </text>
            <status value="active"/>
            <medicationReference>
               <reference value="urn:uuid:406b0a46-704b-4d91-8d67-4c438da43ca3"/>
               <display value="Clopidogrel (as clopidogrel bisulfate) 75 mg oral tablet"/>
            </medicationReference>
            <subject>
               <reference value="urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8"/>
               <display value="Rosario Varela"/>
            </subject>
            <effectivePeriod>
               <start value="2007-09-08"/>
            </effectivePeriod>
            <dosage>
               <text value="1 tablet (75 mg) by mouth once daily"/>
               <timing>
                  <repeat>
                     <frequency value="1"/>
                     <period value="1"/>
                     <periodUnit value="d"/>
                  </repeat>
               </timing>
               <asNeededBoolean value="false"/>
               <doseAndRate>
                  <doseQuantity>
                     <value value="1"/>
                     <unit value="{tbl}"/>
                     <system value="http://unitsofmeasure.org"/>
                     <code value="{tbl}"/>
                  </doseQuantity>
               </doseAndRate>
            </dosage>
         </MedicationStatement>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:398ec034-53e9-4482-9f8f-1f1ffe62759f"/>
      <resource>
         <Medication>
            <id value="398ec034-53e9-4482-9f8f-1f1ffe62759f"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/medication-eu-core"/>
            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Simvastatin 20 mg oral tablet</div>
            </text>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="319997009"/>
                  <display value="Simvastatin 20 mg oral tablet"/>
               </coding>
               <text value="Simvastatin 20 mg oral tablet"/>
            </code>
         </Medication>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:d7edd8ab-b2c9-4cf1-a6c1-9b8a528aa6d9"/>
      <resource>
         <MedicationStatement>
            <id value="d7edd8ab-b2c9-4cf1-a6c1-9b8a528aa6d9"/>
            <meta>
               <profile value="http://hl7.eu/fhir/eps/StructureDefinition/MedicationStatement-eu-eps"/>
            </meta>
            <text>
               <status value="generated"/>
               <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>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>
                  </table>
               </div>
            </text>
            <status value="active"/>
            <medicationReference>
               <reference value="urn:uuid:398ec034-53e9-4482-9f8f-1f1ffe62759f"/>
               <display value="Simvastatin 20 mg oral tablet"/>
            </medicationReference>
            <subject>
               <reference value="urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8"/>
               <display value="Rosario Varela"/>
            </subject>
            <effectivePeriod>
               <start value="2007-09-08"/>
            </effectivePeriod>
            <dosage>
               <text value="1 tablet (20 mg) by mouth once daily"/>
               <timing>
                  <repeat>
                     <frequency value="1"/>
                     <period value="1"/>
                     <periodUnit value="d"/>
                  </repeat>
               </timing>
               <asNeededBoolean value="false"/>
               <doseAndRate>
                  <doseQuantity>
                     <value value="1"/>
                     <unit value="{tbl}"/>
                     <system value="http://unitsofmeasure.org"/>
                     <code value="{tbl}"/>
                  </doseQuantity>
               </doseAndRate>
            </dosage>
         </MedicationStatement>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:46dd87dd-51c1-4ead-9741-24b7af731edf"/>
      <resource>
         <Medication>
            <id value="46dd87dd-51c1-4ead-9741-24b7af731edf"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/medication-eu-core"/>
            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Nitroglycerin 400 microgram/actuation sublingual spray</div>
            </text>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="425176000"/>
                  <display value="Nitroglycerin 400 microgram/actuation sublingual spray"/>
               </coding>
               <text value="Nitroglycerin 400 microgram/actuation sublingual spray"/>
            </code>
         </Medication>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:bea90812-180b-4977-8130-fa5eae7c97d2"/>
      <resource>
         <MedicationStatement>
            <id value="bea90812-180b-4977-8130-fa5eae7c97d2"/>
            <meta>
               <profile value="http://hl7.eu/fhir/eps/StructureDefinition/MedicationStatement-eu-eps"/>
            </meta>
            <text>
               <status value="generated"/>
               <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>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>
                  </table>
               </div>
            </text>
            <status value="active"/>
            <medicationReference>
               <reference value="urn:uuid:46dd87dd-51c1-4ead-9741-24b7af731edf"/>
               <display value="Nitroglycerin 400 microgram/actuation sublingual spray"/>
            </medicationReference>
            <subject>
               <reference value="urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8"/>
               <display value="Rosario Varela"/>
            </subject>
            <effectivePeriod>
               <start value="2007-09-08"/>
            </effectivePeriod>
            <dosage>
               <text value="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"/>
               <timing>
                  <repeat>
                     <frequency value="3"/>
                     <period value="15"/>
                     <periodUnit value="min"/>
                  </repeat>
               </timing>
               <asNeededBoolean value="true"/>
               <doseAndRate>
                  <doseQuantity>
                     <value value="400"/>
                     <unit value="microgram"/>
                     <system value="http://unitsofmeasure.org"/>
                     <code value="ug"/>
                  </doseQuantity>
               </doseAndRate>
            </dosage>
         </MedicationStatement>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:eba2ada8-244a-4b7c-bca0-f58d7e707b77"/>
      <resource>
         <Medication>
            <id value="eba2ada8-244a-4b7c-bca0-f58d7e707b77"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/medication-eu-core"/>
            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Metoprolol tartrate (as metoprolol succinate) 100 mg prolonged-release oral tablet</div>
            </text>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="879980009"/>
                  <display value="Metoprolol tartrate (as metoprolol succinate) 100 mg prolonged-release oral tablet"/>
               </coding>
               <text value="Metoprolol tartrate (as metoprolol succinate) 100 mg prolonged-release oral tablet"/>
            </code>
         </Medication>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:a23a2aab-1ed5-4d2d-a485-371f11e4d23e"/>
      <resource>
         <MedicationStatement>
            <id value="a23a2aab-1ed5-4d2d-a485-371f11e4d23e"/>
            <meta>
               <profile value="http://hl7.eu/fhir/eps/StructureDefinition/MedicationStatement-eu-eps"/>
            </meta>
            <text>
               <status value="generated"/>
               <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>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>
            </text>
            <status value="active"/>
            <medicationReference>
               <reference value="urn:uuid:eba2ada8-244a-4b7c-bca0-f58d7e707b77"/>
               <display value="Metoprolol tartrate (as metoprolol succinate) 100 mg prolonged-release oral tablet"/>
            </medicationReference>
            <subject>
               <reference value="urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8"/>
               <display value="Rosario Varela"/>
            </subject>
            <effectivePeriod>
               <start value="2007-09-08"/>
            </effectivePeriod>
            <dosage>
               <text value="1 tablet (100 mg) once daily"/>
               <timing>
                  <repeat>
                     <frequency value="1"/>
                     <period value="1"/>
                     <periodUnit value="d"/>
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               </timing>
               <asNeededBoolean value="false"/>
               <doseAndRate>
                  <doseQuantity>
                     <value value="1"/>
                     <unit value="{tbl}"/>
                     <system value="http://unitsofmeasure.org"/>
                     <code value="{tbl}"/>
                  </doseQuantity>
               </doseAndRate>
            </dosage>
         </MedicationStatement>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:81ff6ddf-e223-433d-aaac-2cfd90db5953"/>
      <resource>
         <Immunization>
            <id value="81ff6ddf-e223-433d-aaac-2cfd90db5953"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/immunization-eu-core"/>
            </meta>
            <text>
               <status value="generated"/>
               <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">28-Dec-2024</span>
                        </td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="completed"/>
            <vaccineCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="1181000221105"/>
                  <display value="Influenza virus antigen only vaccine product"/>
               </coding>
               <coding>
                  <system value="http://www.whocc.no/atc"/>
                  <code value="J07BB02"/>
                  <display value="influenza, inactivated, split virus or surface antigen"/>
               </coding>
               <text value="Influenza virus antigen only vaccine product"/>
            </vaccineCode>
            <patient>
               <reference value="urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8"/>
               <display value="Rosario Varela"/>
            </patient>
            <occurrenceDateTime value="2024-12-28"/>
            <lotNumber value="YK-VUmgBaer"/>
            <expirationDate value="2025-08-13"/>
            <site>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="244979005"/>
                  <display value="Entire muscle of upper arm"/>
               </coding>
               <text value="Entire muscle of upper arm"/>
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            <route>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="78421000"/>
                  <display value="Intramuscular route"/>
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               <text value="Intramuscular route"/>
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   </entry>
   <entry>
      <fullUrl value="urn:uuid:5f0f0cc2-86ef-47c2-b7df-fb6c664bf621"/>
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         <Immunization>
            <id value="5f0f0cc2-86ef-47c2-b7df-fb6c664bf621"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/immunization-eu-core"/>
            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
                     <tr>
                        <td>Clostridium tetani toxoid antigen adsorbed only vaccine product</td>
                        <td>
                           <span class="nb">23-Dec-2023</span>
                        </td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="completed"/>
            <vaccineCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="777725002"/>
                  <display value="Clostridium tetani toxoid antigen adsorbed only vaccine product"/>
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               <coding>
                  <system value="http://www.whocc.no/atc"/>
                  <code value="J07AM51"/>
                  <display value="tetanus toxoid, combinations with diphtheria toxoid"/>
               </coding>
               <text value="Clostridium tetani toxoid antigen adsorbed only vaccine product"/>
            </vaccineCode>
            <patient>
               <reference value="urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8"/>
               <display value="Rosario Varela"/>
            </patient>
            <occurrenceDateTime value="2023-12-23"/>
            <lotNumber value="PV-GslO8M0K"/>
            <expirationDate value="2024-04-01"/>
            <site>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="244979005"/>
                  <display value="Entire muscle of upper arm"/>
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               <text value="Entire muscle of upper arm"/>
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            <route>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="78421000"/>
                  <display value="Intramuscular route"/>
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               <text value="Intramuscular route"/>
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   </entry>
   <entry>
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         <Immunization>
            <id value="0a4b4926-7e35-4576-9102-483ef3e187a6"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/immunization-eu-core"/>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
                     <tr>
                        <td>SARS-CoV-2 mRNA vaccine</td>
                        <td>
                           <span class="nb">01-May-2021</span>
                        </td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="completed"/>
            <vaccineCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="1119349007"/>
                  <display value="SARS-CoV-2 mRNA vaccine"/>
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               <coding>
                  <system value="http://www.whocc.no/atc"/>
                  <code value="J07BN01"/>
                  <display value="covid-19, RNA-based vaccine"/>
               </coding>
               <text value="SARS-CoV-2 mRNA vaccine"/>
            </vaccineCode>
            <patient>
               <reference value="urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8"/>
               <display value="Rosario Varela"/>
            </patient>
            <occurrenceDateTime value="2021-05-01"/>
            <lotNumber value="XB-vGRuuJx"/>
            <expirationDate value="2022-02-16"/>
            <site>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="244979005"/>
                  <display value="Entire muscle of upper arm"/>
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               <text value="Entire muscle of upper arm"/>
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            <route>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="78421000"/>
                  <display value="Intramuscular route"/>
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               <text value="Intramuscular route"/>
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      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:9472af50-2320-420b-a204-8e6df499cc3c"/>
      <resource>
         <Immunization>
            <id value="9472af50-2320-420b-a204-8e6df499cc3c"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/immunization-eu-core"/>
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            <text>
               <status value="generated"/>
               <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>
            </text>
            <status value="completed"/>
            <vaccineCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="1252709000"/>
                  <display value="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"/>
               </coding>
               <coding>
                  <system value="http://www.whocc.no/atc"/>
                  <code value="J07AL01"/>
                  <display value="pneumococcus, purified polysaccharides antigen"/>
               </coding>
               <text value="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"/>
            </vaccineCode>
            <patient>
               <reference value="urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8"/>
               <display value="Rosario Varela"/>
            </patient>
            <occurrenceDateTime value="2018-11-24"/>
            <lotNumber value="WP-J8YNkh"/>
            <expirationDate value="2019-04-21"/>
            <site>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="244979005"/>
                  <display value="Entire muscle of upper arm"/>
               </coding>
               <text value="Entire muscle of upper arm"/>
            </site>
            <route>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="78421000"/>
                  <display value="Intramuscular route"/>
               </coding>
               <text value="Intramuscular route"/>
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         </Immunization>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:2370e454-46fe-4409-abfe-fa70bdb5fca9"/>
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         <Immunization>
            <id value="2370e454-46fe-4409-abfe-fa70bdb5fca9"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/immunization-eu-core"/>
            </meta>
            <text>
               <status value="generated"/>
               <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, 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>
            </text>
            <status value="completed"/>
            <vaccineCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="51451000087105"/>
                  <display value="Streptococcus pneumoniae Danish serotype 1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F, 23F, capsular polysaccharide conjugated antigens only vaccine product"/>
               </coding>
               <coding>
                  <system value="http://www.whocc.no/atc"/>
                  <code value="J07AL02"/>
                  <display value="pneumococcus, purified polysaccharides antigen conjugated"/>
               </coding>
               <text value="Streptococcus pneumoniae Danish serotype 1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F, 23F, capsular polysaccharide conjugated antigens only vaccine product"/>
            </vaccineCode>
            <patient>
               <reference value="urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8"/>
               <display value="Rosario Varela"/>
            </patient>
            <occurrenceDateTime value="2017-11-18"/>
            <lotNumber value="OG-vnbTAsCM"/>
            <expirationDate value="2018-02-05"/>
            <site>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="244979005"/>
                  <display value="Entire muscle of upper arm"/>
               </coding>
               <text value="Entire muscle of upper arm"/>
            </site>
            <route>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="78421000"/>
                  <display value="Intramuscular route"/>
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               <text value="Intramuscular route"/>
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   </entry>
   <entry>
      <fullUrl value="urn:uuid:85e82230-3303-4e58-9329-fb487881454a"/>
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         <Procedure>
            <id value="85e82230-3303-4e58-9329-fb487881454a"/>
            <meta>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
                     <tr>
                        <td>Patient evaluation and management</td>
                        <td>
                           <span class="nb">03-Jul-2023</span>
                        </td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
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               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="14736009"/>
                  <display value="History and physical examination with evaluation and management of patient (procedure)"/>
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               <text value="Patient evaluation and management"/>
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            <subject>
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               <display value="Rosario Varela"/>
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            <performedDateTime value="2023-07-03"/>
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   <entry>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
                     <tr>
                        <td>Complete blood count</td>
                        <td>
                           <span class="nb">03-Jul-2023</span>
                        </td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
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            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="26604007"/>
                  <display value="Complete blood count (procedure)"/>
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               <text value="Complete blood count"/>
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   <entry>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
                     <tr>
                        <td>Urine specimen collection</td>
                        <td>
                           <span class="nb">03-Jul-2023</span>
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                     </tr>
                  </table>
               </div>
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               <coding>
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            <subject>
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            <performedDateTime value="2023-07-03"/>
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   <entry>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
                     <tr>
                        <td>Patient discharge</td>
                        <td>
                           <span class="nb">03-Jul-2023</span>
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               <coding>
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   <entry>
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            <text>
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               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
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                        <td>Taking patient vital signs</td>
                        <td>
                           <span class="nb">03-Jul-2023</span>
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            <performedDateTime value="2023-07-03"/>
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   <entry>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
                     <tr>
                        <td>Antibiotic therapy</td>
                        <td>
                           <span class="nb">03-Jul-2023</span>
                        </td>
                        <td>-</td>
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                  </table>
               </div>
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            <status value="completed"/>
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               <coding>
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                  <code value="281789004"/>
                  <display value="Antibiotic therapy (procedure)"/>
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               <reference value="urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8"/>
               <display value="Rosario Varela"/>
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            <performedDateTime value="2023-07-03"/>
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   <entry>
      <fullUrl value="urn:uuid:99845952-6006-44c8-9a4f-7248ca9738c4"/>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
                     <tr>
                        <td>Triage: emergency center</td>
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                           <span class="nb">03-Jul-2023</span>
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                        <td>-</td>
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                  </table>
               </div>
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            <subject>
               <reference value="urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8"/>
               <display value="Rosario Varela"/>
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                           <span class="nb">03-Jul-2023</span>
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                           <span class="nb">03-Jul-2023</span>
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                           <span class="nb">08-Oct-2022</span>
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                           <span class="nb">24-Aug-2016</span>
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                           <span class="nb">24-Aug-2016</span>
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                           <span class="nb">23-Aug-2016</span>
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                           <span class="nb">22-Aug-2016</span>
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                           <span class="nb">21-Aug-2016</span>
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            <subject>
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            <performedDateTime value="2016-08-21"/>
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                           <span class="nb">19-Aug-2016</span>
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                           <span class="nb">16-Aug-2016</span>
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                           <span class="nb">24-Jul-2016</span>
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                           <span class="nb">24-Jul-2016</span>
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               <coding>
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   <entry>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
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                        <td>Development of individualized plan of care</td>
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                           <span class="nb">24-Jul-2016</span>
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            </text>
            <status value="completed"/>
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               <coding>
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                  <code value="370789001"/>
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               <reference value="urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8"/>
               <display value="Rosario Varela"/>
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            <performedDateTime value="2016-07-24"/>
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               <coding>
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               <coding>
                  <system value="http://snomed.info/sct"/>
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                        <th>Reason</th>
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                     <tr>
                        <td>Hyperlipidemia clinical management plan</td>
                        <td>
                           <span class="nb">10-Aug-1996</span>
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                        <td>Hyperlipidemia (disorder)</td>
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                     <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>
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                        <td/>
                        <td/>
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            <status value="active"/>
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                  <code value="734163000"/>
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            <subject>
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               <display value="Rosario Varela"/>
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               <start value="1996-08-10"/>
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            <goal>
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            <goal>
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                     <coding>
                        <system value="http://snomed.info/sct"/>
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                        <system value="http://snomed.info/sct"/>
                        <code value="55822004"/>
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                  <status value="unknown"/>
                  <description value="Hyperlipidemia clinical management plan"/>
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   <entry>
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            <text>
               <status value="generated"/>
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                        <th>Start Date</th>
                        <th>Reason</th>
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                     <tr>
                        <td>Diabetes self management plan</td>
                        <td>
                           <span class="nb">22-Jun-1991</span>
                        </td>
                        <td>Prediabetes (finding)</td>
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                     <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/>
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            </text>
            <status value="active"/>
            <intent value="plan"/>
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               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="734163000"/>
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            <subject>
               <reference value="urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8"/>
               <display value="Rosario Varela"/>
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            <period>
               <start value="1991-06-22"/>
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            <goal>
               <reference value="urn:uuid:ed94e845-f545-4365-9f94-a84567d838a7"/>
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            <goal>
               <reference value="urn:uuid:5ea77e89-6d6e-4548-83e7-ae5671db01ba"/>
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            <goal>
               <reference value="urn:uuid:84841371-e5fa-4856-ae9c-a033cc66876f"/>
            </goal>
            <goal>
               <reference value="urn:uuid:7f5edfd9-575b-4f2e-a6e6-0fd8c4415092"/>
            </goal>
            <activity>
               <detail>
                  <kind value="Appointment"/>
                  <code>
                     <coding>
                        <system value="http://snomed.info/sct"/>
                        <code value="735985000"/>
                        <display value="Diabetes self management plan (record artifact)"/>
                     </coding>
                  </code>
                  <reasonCode>
                     <coding>
                        <system value="http://snomed.info/sct"/>
                        <code value="714628002"/>
                        <display value="Prediabetes (finding)"/>
                     </coding>
                  </reasonCode>
                  <status value="unknown"/>
                  <description value="Diabetes self management plan"/>
               </detail>
            </activity>
         </CarePlan>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:080379b1-9af5-4c9e-a721-8b81c71aee04"/>
      <resource>
         <CarePlan>
            <id value="080379b1-9af5-4c9e-a721-8b81c71aee04"/>
            <text>
               <status value="generated"/>
               <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/>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="active"/>
            <intent value="plan"/>
            <category>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="734163000"/>
                  <display value="Care plan (record artifact)"/>
               </coding>
            </category>
            <subject>
               <reference value="urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8"/>
               <display value="Rosario Varela"/>
            </subject>
            <period>
               <start value="1982-02-10"/>
            </period>
            <goal>
               <reference value="urn:uuid:8f9b0781-bb3c-4f15-83d3-fbefde4d0384"/>
            </goal>
            <goal>
               <reference value="urn:uuid:b60cea8e-4e04-4abe-9f67-44884c7a9ded"/>
            </goal>
            <goal>
               <reference value="urn:uuid:71d839e4-66f7-4a7d-ad88-5632d5998a76"/>
            </goal>
            <activity>
               <detail>
                  <kind value="Appointment"/>
                  <code>
                     <coding>
                        <system value="http://snomed.info/sct"/>
                        <code value="734163000"/>
                        <display value="Care plan (record artifact)"/>
                     </coding>
                  </code>
                  <reasonCode>
                     <coding>
                        <system value="http://snomed.info/sct"/>
                        <code value="78275009"/>
                        <display value="Obstructive sleep apnea syndrome (disorder)"/>
                     </coding>
                  </reasonCode>
                  <status value="unknown"/>
                  <description value="Care plan"/>
               </detail>
            </activity>
         </CarePlan>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:6eef7e08-a81e-46c8-acba-30a51a815d1c"/>
      <resource>
         <CarePlan>
            <id value="6eef7e08-a81e-46c8-acba-30a51a815d1c"/>
            <text>
               <status value="generated"/>
               <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/>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="active"/>
            <intent value="plan"/>
            <category>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="734163000"/>
                  <display value="Care plan (record artifact)"/>
               </coding>
            </category>
            <subject>
               <reference value="urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8"/>
               <display value="Rosario Varela"/>
            </subject>
            <period>
               <start value="1977-04-02"/>
            </period>
            <goal>
               <reference value="urn:uuid:e90fd944-eb1c-4a9f-94f2-73b9668f6977"/>
            </goal>
            <activity>
               <detail>
                  <kind value="Appointment"/>
                  <code>
                     <coding>
                        <system value="http://snomed.info/sct"/>
                        <code value="443402002"/>
                        <display value="Lifestyle education regarding hypertension (procedure)"/>
                     </coding>
                  </code>
                  <reasonCode>
                     <coding>
                        <system value="http://snomed.info/sct"/>
                        <code value="59621000"/>
                        <display value="Essential hypertension (disorder)"/>
                     </coding>
                  </reasonCode>
                  <status value="unknown"/>
                  <description value="Lifestyle education regarding hypertension"/>
               </detail>
            </activity>
         </CarePlan>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:a777dd32-0b32-4c45-ac23-2ad6d60e108f"/>
      <resource>
         <ImmunizationRecommendation>
            <id value="a777dd32-0b32-4c45-ac23-2ad6d60e108f"/>
            <text>
               <status value="generated"/>
               <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>
            </text>
            <patient>
               <reference value="urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8"/>
               <display value="Rosario Varela"/>
            </patient>
            <date value="2026-03-14"/>
            <recommendation>
               <vaccineCode>
                  <coding>
                     <system value="http://snomed.info/sct"/>
                     <code value="1181000221105"/>
                     <display value="Influenza virus antigen only vaccine product"/>
                  </coding>
               </vaccineCode>
               <targetDisease>
                  <coding>
                     <system value="http://snomed.info/sct"/>
                     <code value="6142004"/>
                     <display value="Influenza (disorder)"/>
                  </coding>
               </targetDisease>
               <forecastStatus>
                  <coding>
                     <system value="http://terminology.hl7.org/CodeSystem/immunization-recommendation-status"/>
                     <code value="due"/>
                     <display value="Due"/>
                  </coding>
               </forecastStatus>
               <dateCriterion>
                  <code>
                     <coding>
                        <system value="http://loinc.org"/>
                        <code value="30980-7"/>
                        <display value="Date vaccine due"/>
                     </coding>
                  </code>
                  <value value="2026-10-01"/>
               </dateCriterion>
               <series value="Annual seasonal influenza vaccination"/>
            </recommendation>
         </ImmunizationRecommendation>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:9f39187b-837f-4ede-b411-0fc03880fbfc"/>
      <resource>
         <Goal>
            <id value="9f39187b-837f-4ede-b411-0fc03880fbfc"/>
            <text>
               <status value="generated"/>
               <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>
            </text>
            <lifecycleStatus value="active"/>
            <description>
               <text value="Achieve LDL cholesterol less than 1.8 mmol/L in patient with ischemic heart disease and metabolic syndrome."/>
            </description>
            <subject>
               <reference value="urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8"/>
               <display value="Rosario Varela"/>
            </subject>
            <target>
               <measure>
                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="18262-6"/>
                     <display value="Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay"/>
                  </coding>
               </measure>
               <detailQuantity>
                  <value value="1.8"/>
                  <unit value="mmol/L"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="mmol/L"/>
               </detailQuantity>
            </target>
         </Goal>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:ea64cffd-3d5e-4cac-8b18-293264972e05"/>
      <resource>
         <Goal>
            <id value="ea64cffd-3d5e-4cac-8b18-293264972e05"/>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Achieve total cholesterol less than 4.0 mmol/L.</div>
            </text>
            <lifecycleStatus value="active"/>
            <description>
               <text value="Achieve total cholesterol less than 4.0 mmol/L."/>
            </description>
            <subject>
               <reference value="urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8"/>
               <display value="Rosario Varela"/>
            </subject>
            <target>
               <measure>
                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="2093-3"/>
                     <display value="Cholesterol [Mass/volume] in Serum or Plasma"/>
                  </coding>
               </measure>
               <detailQuantity>
                  <value value="4"/>
                  <unit value="mmol/L"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="mmol/L"/>
               </detailQuantity>
            </target>
         </Goal>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:ad7b9726-84aa-496c-9a82-4b59ca26894a"/>
      <resource>
         <Goal>
            <id value="ad7b9726-84aa-496c-9a82-4b59ca26894a"/>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Achieve triglycerides less than 1.7 mmol/L.</div>
            </text>
            <lifecycleStatus value="active"/>
            <description>
               <text value="Achieve triglycerides less than 1.7 mmol/L."/>
            </description>
            <subject>
               <reference value="urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8"/>
               <display value="Rosario Varela"/>
            </subject>
            <target>
               <measure>
                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="2571-8"/>
                     <display value="Triglyceride [Mass/volume] in Serum or Plasma"/>
                  </coding>
               </measure>
               <detailQuantity>
                  <value value="1.7"/>
                  <unit value="mmol/L"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="mmol/L"/>
               </detailQuantity>
            </target>
         </Goal>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:f49374a0-2825-4603-ac0f-251b3fbd63fe"/>
      <resource>
         <Goal>
            <id value="f49374a0-2825-4603-ac0f-251b3fbd63fe"/>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Achieve HDL cholesterol greater than 1.0 mmol/L.</div>
            </text>
            <lifecycleStatus value="active"/>
            <description>
               <text value="Achieve HDL cholesterol greater than 1.0 mmol/L."/>
            </description>
            <subject>
               <reference value="urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8"/>
               <display value="Rosario Varela"/>
            </subject>
            <target>
               <measure>
                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="2085-9"/>
                     <display value="Cholesterol in HDL [Mass/volume] in Serum or Plasma"/>
                  </coding>
               </measure>
               <detailQuantity>
                  <value value="1"/>
                  <unit value="mmol/L"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="mmol/L"/>
               </detailQuantity>
            </target>
         </Goal>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:ed94e845-f545-4365-9f94-a84567d838a7"/>
      <resource>
         <Goal>
            <id value="ed94e845-f545-4365-9f94-a84567d838a7"/>
            <text>
               <status value="generated"/>
               <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>
            </text>
            <lifecycleStatus value="active"/>
            <description>
               <text value="Patient will attend diabetes self-management education sessions to improve understanding of prediabetes and lifestyle modifications."/>
            </description>
            <subject>
               <reference value="urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8"/>
               <display value="Rosario Varela"/>
            </subject>
         </Goal>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:5ea77e89-6d6e-4548-83e7-ae5671db01ba"/>
      <resource>
         <Goal>
            <id value="5ea77e89-6d6e-4548-83e7-ae5671db01ba"/>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Maintain fasting plasma glucose within recommended range for prediabetes.</div>
            </text>
            <lifecycleStatus value="active"/>
            <description>
               <text value="Maintain fasting plasma glucose within recommended range for prediabetes."/>
            </description>
            <subject>
               <reference value="urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8"/>
               <display value="Rosario Varela"/>
            </subject>
            <target>
               <measure>
                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="1558-6"/>
                     <display value="Fasting glucose [Mass/volume] in Serum or Plasma"/>
                  </coding>
               </measure>
               <detailQuantity>
                  <value value="5.6"/>
                  <unit value="mmol/L"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="mmol/L"/>
               </detailQuantity>
            </target>
         </Goal>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:84841371-e5fa-4856-ae9c-a033cc66876f"/>
      <resource>
         <Goal>
            <id value="84841371-e5fa-4856-ae9c-a033cc66876f"/>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Maintain HbA1c below threshold for diabetes diagnosis.</div>
            </text>
            <lifecycleStatus value="active"/>
            <description>
               <text value="Maintain HbA1c below threshold for diabetes diagnosis."/>
            </description>
            <subject>
               <reference value="urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8"/>
               <display value="Rosario Varela"/>
            </subject>
            <target>
               <measure>
                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="4548-4"/>
                     <display value="Hemoglobin A1c/Hemoglobin.total in Blood"/>
                  </coding>
               </measure>
               <detailQuantity>
                  <value value="6.4"/>
                  <unit value="%"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="%"/>
               </detailQuantity>
            </target>
         </Goal>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:7f5edfd9-575b-4f2e-a6e6-0fd8c4415092"/>
      <resource>
         <Goal>
            <id value="7f5edfd9-575b-4f2e-a6e6-0fd8c4415092"/>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Achieve and maintain weight loss as recommended for prediabetes management.</div>
            </text>
            <lifecycleStatus value="active"/>
            <description>
               <text value="Achieve and maintain weight loss as recommended for prediabetes management."/>
            </description>
            <subject>
               <reference value="urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8"/>
               <display value="Rosario Varela"/>
            </subject>
         </Goal>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:8f9b0781-bb3c-4f15-83d3-fbefde4d0384"/>
      <resource>
         <Goal>
            <id value="8f9b0781-bb3c-4f15-83d3-fbefde4d0384"/>
            <lifecycleStatus value="active"/>
            <description>
               <text value="Reduce the Apnea-Hypopnea Index (AHI) to less than 5 events per hour to achieve effective control of obstructive sleep apnea."/>
            </description>
            <subject>
               <reference value="urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8"/>
               <display value="Rosario Varela"/>
            </subject>
         </Goal>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:b60cea8e-4e04-4abe-9f67-44884c7a9ded"/>
      <resource>
         <Goal>
            <id value="b60cea8e-4e04-4abe-9f67-44884c7a9ded"/>
            <text>
               <status value="generated"/>
               <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>
            </text>
            <lifecycleStatus value="active"/>
            <description>
               <text value="Improve subjective sleep quality as reported by the patient, with fewer nighttime awakenings and increased feeling of restfulness upon waking."/>
            </description>
            <subject>
               <reference value="urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8"/>
               <display value="Rosario Varela"/>
            </subject>
         </Goal>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:71d839e4-66f7-4a7d-ad88-5632d5998a76"/>
      <resource>
         <Goal>
            <id value="71d839e4-66f7-4a7d-ad88-5632d5998a76"/>
            <text>
               <status value="generated"/>
               <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>
            </text>
            <lifecycleStatus value="active"/>
            <description>
               <text value="Reduce daytime sleepiness as measured by the Epworth Sleepiness Scale to a score of less than 10."/>
            </description>
            <subject>
               <reference value="urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8"/>
               <display value="Rosario Varela"/>
            </subject>
         </Goal>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:e90fd944-eb1c-4a9f-94f2-73b9668f6977"/>
      <resource>
         <Goal>
            <id value="e90fd944-eb1c-4a9f-94f2-73b9668f6977"/>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Patient will achieve and maintain blood pressure below 130/80 mmHg through lifestyle changes.</div>
            </text>
            <lifecycleStatus value="active"/>
            <description>
               <text value="Patient will achieve and maintain blood pressure below 130/80 mmHg through lifestyle changes."/>
            </description>
            <subject>
               <reference value="urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8"/>
               <display value="Rosario Varela"/>
            </subject>
            <target>
               <measure>
                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="8480-6"/>
                     <display value="Systolic blood pressure"/>
                  </coding>
               </measure>
               <detailRange>
                  <low>
                     <value value="0"/>
                     <unit value="mm[Hg]"/>
                     <system value="http://unitsofmeasure.org"/>
                     <code value="mm[Hg]"/>
                  </low>
                  <high>
                     <value value="130"/>
                     <unit value="mm[Hg]"/>
                     <system value="http://unitsofmeasure.org"/>
                     <code value="mm[Hg]"/>
                  </high>
               </detailRange>
            </target>
         </Goal>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:2d42dd16-52da-4623-8562-bec01e2bbb61"/>
      <resource>
         <Observation>
            <id value="2d42dd16-52da-4623-8562-bec01e2bbb61"/>
            <meta>
               <profile value="http://hl7.org/fhir/StructureDefinition/vitalsigns"/>
            </meta>
            <text>
               <status value="generated"/>
               <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>
            </text>
            <status value="final"/>
            <category>
               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                  <code value="vital-signs"/>
                  <display value="Vital Signs"/>
               </coding>
            </category>
            <code>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="8302-2"/>
                  <display value="Body Height"/>
               </coding>
            </code>
            <subject>
               <reference value="urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8"/>
               <display value="Rosario Varela"/>
            </subject>
            <effectiveDateTime value="2025-06-07"/>
            <valueQuantity>
               <value value="181.6"/>
               <unit value="cm"/>
               <system value="http://unitsofmeasure.org"/>
               <code value="cm"/>
            </valueQuantity>
         </Observation>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:cc39b1cd-7de0-45a6-8cfa-49555599e30d"/>
      <resource>
         <Observation>
            <id value="cc39b1cd-7de0-45a6-8cfa-49555599e30d"/>
            <meta>
               <profile value="http://hl7.org/fhir/StructureDefinition/vitalsigns"/>
            </meta>
            <text>
               <status value="generated"/>
               <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>
            </text>
            <status value="final"/>
            <category>
               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                  <code value="vital-signs"/>
                  <display value="Vital Signs"/>
               </coding>
            </category>
            <code>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="72514-3"/>
                  <display value="Pain severity - 0-10 verbal numeric rating [Score] - Reported"/>
               </coding>
            </code>
            <subject>
               <reference value="urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8"/>
               <display value="Rosario Varela"/>
            </subject>
            <effectiveDateTime value="2025-06-07"/>
            <valueQuantity>
               <value value="1"/>
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                  </table>
               </div>
            </text>
            <status value="final"/>
            <category>
               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                  <code value="laboratory"/>
               </coding>
            </category>
            <code>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="2947-0"/>
                  <display value="Sodium [Moles/volume] in Blood"/>
               </coding>
               <text value="Sodium [Moles/volume] in Blood"/>
            </code>
            <subject>
               <reference value="urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8"/>
               <display value="Rosario Varela"/>
            </subject>
            <effectiveDateTime value="2025-06-07T02:42:26Z"/>
            <performer>
               <display value="The Central European Lab"/>
            </performer>
            <valueQuantity>
               <value value="141.3"/>
               <unit value="mmol/L"/>
               <system value="http://unitsofmeasure.org"/>
               <code value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
               <low>
                  <value value="135"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="mmol/L"/>
               </low>
               <high>
                  <value value="145"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="mmol/L"/>
               </high>
            </referenceRange>
         </Observation>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:890631fb-8433-4539-8083-f5c7166dc625"/>
      <resource>
         <Observation>
            <id value="890631fb-8433-4539-8083-f5c7166dc625"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/medicalTestResult-eu-core"/>
            </meta>
            <text>
               <status value="generated"/>
               <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 Range</th>
                        <th>Unit</th>
                     </tr>
                     <tr>
                        <td>Potassium [Moles/volume] in Blood</td>
                        <td>3.8</td>
                        <td>3.5 - 5.1</td>
                        <td/>
                        <td>mmol/L</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="final"/>
            <category>
               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                  <code value="laboratory"/>
               </coding>
            </category>
            <code>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="6298-4"/>
                  <display value="Potassium [Moles/volume] in Blood"/>
               </coding>
               <text value="Potassium [Moles/volume] in Blood"/>
            </code>
            <subject>
               <reference value="urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8"/>
               <display value="Rosario Varela"/>
            </subject>
            <effectiveDateTime value="2025-06-07T02:42:26Z"/>
            <performer>
               <display value="The Central European Lab"/>
            </performer>
            <valueQuantity>
               <value value="3.8"/>
               <unit value="mmol/L"/>
               <system value="http://unitsofmeasure.org"/>
               <code value="mmol/L"/>
            </valueQuantity>
            <referenceRange>
               <low>
                  <value value="3.5"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="mmol/L"/>
               </low>
               <high>
                  <value value="5.1"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="mmol/L"/>
               </high>
            </referenceRange>
         </Observation>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:69da91b0-12e1-4d77-a90e-a93c56fb73ab"/>
      <resource>
         <Observation>
            <id value="69da91b0-12e1-4d77-a90e-a93c56fb73ab"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/medicalTestResult-eu-core"/>
            </meta>
            <text>
               <status value="generated"/>
               <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 Range</th>
                        <th>Unit</th>
                     </tr>
                     <tr>
                        <td>Chloride [Moles/volume] in Blood</td>
                        <td>110.9</td>
                        <td>98 - 107</td>
                        <td>H</td>
                        <td>mmol/L</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="final"/>
            <category>
               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                  <code value="laboratory"/>
               </coding>
            </category>
            <code>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="2069-3"/>
                  <display value="Chloride [Moles/volume] in Blood"/>
               </coding>
               <text value="Chloride [Moles/volume] in Blood"/>
            </code>
            <subject>
               <reference value="urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8"/>
               <display value="Rosario Varela"/>
            </subject>
            <effectiveDateTime value="2025-06-07T02:42:26Z"/>
            <performer>
               <display value="The Central European Lab"/>
            </performer>
            <valueQuantity>
               <value value="110.9"/>
               <unit value="mmol/L"/>
               <system value="http://unitsofmeasure.org"/>
               <code value="mmol/L"/>
            </valueQuantity>
            <interpretation>
               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
                  <code value="H"/>
                  <display value="High"/>
               </coding>
            </interpretation>
            <referenceRange>
               <low>
                  <value value="98"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="mmol/L"/>
               </low>
               <high>
                  <value value="107"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="mmol/L"/>
               </high>
            </referenceRange>
         </Observation>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:f8a72cba-3419-4f5c-8422-c4d801e55139"/>
      <resource>
         <Observation>
            <id value="f8a72cba-3419-4f5c-8422-c4d801e55139"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/medicalTestResult-eu-core"/>
            </meta>
            <text>
               <status value="generated"/>
               <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 Range</th>
                        <th>Unit</th>
                     </tr>
                     <tr>
                        <td>Carbon dioxide, total [Moles/volume] in Blood</td>
                        <td>21.8</td>
                        <td>22 - 29</td>
                        <td>L</td>
                        <td>mmol/L</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="final"/>
            <category>
               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                  <code value="laboratory"/>
               </coding>
            </category>
            <code>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="20565-8"/>
                  <display value="Carbon dioxide, total [Moles/volume] in Blood"/>
               </coding>
               <text value="Carbon dioxide, total [Moles/volume] in Blood"/>
            </code>
            <subject>
               <reference value="urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8"/>
               <display value="Rosario Varela"/>
            </subject>
            <effectiveDateTime value="2025-06-07T02:42:26Z"/>
            <performer>
               <display value="The Central European Lab"/>
            </performer>
            <valueQuantity>
               <value value="21.8"/>
               <unit value="mmol/L"/>
               <system value="http://unitsofmeasure.org"/>
               <code value="mmol/L"/>
            </valueQuantity>
            <interpretation>
               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
                  <code value="L"/>
                  <display value="Low"/>
               </coding>
            </interpretation>
            <referenceRange>
               <low>
                  <value value="22"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="mmol/L"/>
               </low>
               <high>
                  <value value="29"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="mmol/L"/>
               </high>
            </referenceRange>
         </Observation>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:77ba26ed-a815-485c-8edf-322c0b258767"/>
      <resource>
         <DeviceUseStatement>
            <id value="77ba26ed-a815-485c-8edf-322c0b258767"/>
            <meta>
               <profile value="http://hl7.eu/fhir/eps/StructureDefinition/deviceUseStatement-eu-eps"/>
            </meta>
            <text>
               <status value="generated"/>
               <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>
            </text>
            <status value="active"/>
            <subject>
               <reference value="urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8"/>
               <display value="Rosario Varela"/>
            </subject>
            <timingPeriod>
               <start value="2021-12-11"/>
            </timingPeriod>
            <device>
               <reference value="urn:uuid:6665e8b9-10fc-435e-ac1f-de2c607cf3ab"/>
               <display value="Home continuous positive airway pressure unit (physical object)"/>
            </device>
         </DeviceUseStatement>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:6665e8b9-10fc-435e-ac1f-de2c607cf3ab"/>
      <resource>
         <Device>
            <id value="6665e8b9-10fc-435e-ac1f-de2c607cf3ab"/>
            <meta>
               <profile value="http://hl7.eu/fhir/eps/StructureDefinition/device-eu-eps"/>
            </meta>
            <text>
               <status value="generated"/>
               <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>
            </text>
            <udiCarrier>
               <deviceIdentifier value="16373215904180"/>
               <issuer value="https://www.gs1.org/"/>
               <carrierHRF value="(01)16373215904180(11)211120(17)461205(10)22445189209624998(21)1835651"/>
               <entryType value="barcode"/>
            </udiCarrier>
            <status value="active"/>
            <type>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="702172008"/>
                  <display value="Home continuous positive airway pressure unit (physical object)"/>
               </coding>
            </type>
            <patient>
               <reference value="urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8"/>
               <display value="Rosario Varela"/>
            </patient>
         </Device>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:0dfa432e-9fcc-47a8-9398-024fa14ade07"/>
      <resource>
         <DeviceUseStatement>
            <id value="0dfa432e-9fcc-47a8-9398-024fa14ade07"/>
            <meta>
               <profile value="http://hl7.eu/fhir/eps/StructureDefinition/deviceUseStatement-eu-eps"/>
            </meta>
            <text>
               <status value="generated"/>
               <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>
            </text>
            <status value="active"/>
            <subject>
               <reference value="urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8"/>
               <display value="Rosario Varela"/>
            </subject>
            <timingPeriod>
               <start value="2021-12-11"/>
            </timingPeriod>
            <device>
               <reference value="urn:uuid:c4424ac1-f516-42ac-bc1f-be549200b3ec"/>
               <display value="Respiratory humidifier (physical object)"/>
            </device>
         </DeviceUseStatement>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:c4424ac1-f516-42ac-bc1f-be549200b3ec"/>
      <resource>
         <Device>
            <id value="c4424ac1-f516-42ac-bc1f-be549200b3ec"/>
            <meta>
               <profile value="http://hl7.eu/fhir/eps/StructureDefinition/device-eu-eps"/>
            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Respiratory humidifier (physical object) ((01)72567533028618(11)211120(17)461205(10)8781510491534121995(21)26500826016785344)</div>
            </text>
            <udiCarrier>
               <deviceIdentifier value="72567533028618"/>
               <issuer value="https://www.gs1.org/"/>
               <carrierHRF value="(01)72567533028618(11)211120(17)461205(10)8781510491534121995(21)26500826016785344"/>
               <entryType value="barcode"/>
            </udiCarrier>
            <status value="active"/>
            <type>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="706180003"/>
                  <display value="Respiratory humidifier (physical object)"/>
               </coding>
            </type>
            <patient>
               <reference value="urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8"/>
               <display value="Rosario Varela"/>
            </patient>
         </Device>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:4f90cc3c-32b7-4ed1-9ad9-7647288b0571"/>
      <resource>
         <DeviceUseStatement>
            <id value="4f90cc3c-32b7-4ed1-9ad9-7647288b0571"/>
            <meta>
               <profile value="http://hl7.eu/fhir/eps/StructureDefinition/deviceUseStatement-eu-eps"/>
            </meta>
            <text>
               <status value="generated"/>
               <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>
            </text>
            <status value="active"/>
            <subject>
               <reference value="urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8"/>
               <display value="Rosario Varela"/>
            </subject>
            <timingPeriod>
               <start value="1991-06-22"/>
            </timingPeriod>
            <device>
               <reference value="urn:uuid:62a99a98-9298-4b6a-9e37-43d9b0b3ca44"/>
               <display value="Blood glucose meter (physical object)"/>
            </device>
         </DeviceUseStatement>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:62a99a98-9298-4b6a-9e37-43d9b0b3ca44"/>
      <resource>
         <Device>
            <id value="62a99a98-9298-4b6a-9e37-43d9b0b3ca44"/>
            <meta>
               <profile value="http://hl7.eu/fhir/eps/StructureDefinition/device-eu-eps"/>
            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Blood glucose meter (physical object) ((01)46440442341349(11)910601(17)160615(10)38596192964(21)682658693161)</div>
            </text>
            <udiCarrier>
               <deviceIdentifier value="46440442341349"/>
               <issuer value="https://www.gs1.org/"/>
               <carrierHRF value="(01)46440442341349(11)910601(17)160615(10)38596192964(21)682658693161"/>
               <entryType value="barcode"/>
            </udiCarrier>
            <status value="active"/>
            <type>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="337414009"/>
                  <display value="Blood glucose meter (physical object)"/>
               </coding>
            </type>
            <patient>
               <reference value="urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8"/>
               <display value="Rosario Varela"/>
            </patient>
         </Device>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:01c28279-8cb1-457c-9769-d593c7d4ebc5"/>
      <resource>
         <Device>
            <id value="01c28279-8cb1-457c-9769-d593c7d4ebc5"/>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">SYNDERAI Synthetic Generator v5.0</div>
            </text>
            <status value="active"/>
            <distinctIdentifier value="synderai-generator-50"/>
            <manufacturer value="SYNDERAI Project"/>
            <deviceName>
               <name value="SYNDERAI Synthetic Generator"/>
               <type value="manufacturer-name"/>
            </deviceName>
            <version>
               <value value="5.0"/>
            </version>
         </Device>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:3874d62f-6b2a-414d-8e75-53d5a269eb3b"/>
      <resource>
         <Provenance>
            <id value="3874d62f-6b2a-414d-8e75-53d5a269eb3b"/>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Provenance for SYNDERAI Synthetic Example Data Resource</div>
            </text>
            <target>
               <reference value="urn:uuid:24d22c60-bc9b-41cf-aef8-ac2804e873a8"/>
            </target>
            <target>
               <reference value="urn:uuid:4a7e1dd6-0aa4-4575-ac35-d9881667a3f8"/>
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            <target>
               <reference value="urn:uuid:0dcfa142-ac22-496e-bca3-274d7d589965"/>
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            <target>
               <reference value="urn:uuid:d7ef1f9b-cebf-4420-8450-4a9401ffba2e"/>
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            <target>
               <reference value="urn:uuid:a446d236-4189-4343-85e2-c4dc4a46da34"/>
            </target>
            <recorded value="2025-06-07T02:42:26Z"/>
            <policy value="https://synderai.net/synderai-synthetic-data-policy"/>
            <reason>
               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
                  <code value="TRAIN"/>
                  <display value="training"/>
               </coding>
               <text value="Interoperability Testing and Training (non-clinical use)"/>
            </reason>
            <activity>
               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/v3-DataOperation"/>
                  <code value="CREATE"/>
                  <display value="create"/>
               </coding>
               <text value="Synthetic Example Data Generation"/>
            </activity>
            <agent>
               <type>
                  <coding>
                     <system value="http://terminology.hl7.org/CodeSystem/provenance-participant-type"/>
                     <code value="author"/>
                     <display value="Author"/>
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                  <text value="author"/>
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               <who>
                  <reference value="urn:uuid:01c28279-8cb1-457c-9769-d593c7d4ebc5"/>
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         </Provenance>
      </resource>
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</Bundle>