{
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              "display": "Patient summary Document"
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        "section": [
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            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><th>Condition</th><th>Onset Date / Period</th><th>Status</th></tr><tr><td>Osteoarthritis of knee</td><td><span class=\"nb\">10-Feb-2024</span></td><td>active</td></tr><tr><td><span class=\"grayedout\">Miscarriage in first trimester</span></td><td><span class=\"nb\">11-Nov-2024 - 19-Nov-2024</span></td><td><span class=\"grayedout\">inactive</span></td></tr><tr><td><span class=\"grayedout\">Blighted ovum</span></td><td><span class=\"nb\">11-Nov-2024 - 19-Nov-2024</span></td><td><span class=\"grayedout\">inactive</span></td></tr><tr><td><span class=\"grayedout\">Viral sinusitis</span></td><td><span class=\"nb\">06-Oct-2023 - 22-Oct-2023</span></td><td><span class=\"grayedout\">inactive</span></td></tr><tr><td><span class=\"grayedout\">Miscarriage in first trimester</span></td><td><span class=\"nb\">27-Mar-2023 - 06-Apr-2023</span></td><td><span class=\"grayedout\">inactive</span></td></tr><tr><td><span class=\"grayedout\">Complete miscarriage</span></td><td><span class=\"nb\">27-Mar-2023 - 06-Apr-2023</span></td><td><span class=\"grayedout\">inactive</span></td></tr><tr><td><span class=\"grayedout\">Viral sinusitis</span></td><td><span class=\"nb\">15-Jun-2022 - 04-Jul-2022</span></td><td><span class=\"grayedout\">inactive</span></td></tr><tr><td><span class=\"grayedout\">Acute bronchitis</span></td><td><span class=\"nb\">11-Dec-2017 - 23-Dec-2017</span></td><td><span class=\"grayedout\">inactive</span></td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:26059903-c678-49f1-af8d-166c0f55392d"
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              {
                "reference": "urn:uuid:cac8a83f-6a2a-4ca1-809f-08fee7130970"
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              {
                "reference": "urn:uuid:00da67cd-5291-4c63-8f2f-fcf92d799809"
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              {
                "reference": "urn:uuid:da635aa4-084d-4451-9e5d-c7e49e3dce93"
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              {
                "reference": "urn:uuid:3fa39129-d13e-488a-a3bc-d1b09b387443"
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              {
                "reference": "urn:uuid:2abcfe86-d643-410c-9835-98b08ad89309"
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              {
                "reference": "urn:uuid:2d1b4459-0a78-46e5-b0ce-cc04fdaed3d3"
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              {
                "reference": "urn:uuid:64d338d3-5ccd-4064-b74b-7cddaf444f1d"
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            "code": {
              "coding": [
                {
                  "code": "11450-4",
                  "system": "http://loinc.org",
                  "display": "Problem list - Reported"
                }
              ]
            },
            "title": "Problem list"
          },
          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><th>Medication</th><th>Since</th><th>Form</th><th>Dosage</th><th>Reason</th></tr><tr><td>Naproxen sodium 220 mg oral capsule</td><td><span class=\"nb\">2024-02-10</span></td><td>-</td><td>1 capsule (220 mg) by mouth every 12 hours as needed</td><td>Osteoarthritis of knee</td></tr><tr><td>Diphenhydramine hydrochloride 25 mg oral tablet</td><td><span class=\"nb\">1979-11-24</span></td><td>-</td><td>1 tablet (25 mg) every 4 to 6 hours as needed</td><td>-</td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:8eb9f94c-ffa8-4b94-b017-6e87d87ba83e"
              },
              {
                "reference": "urn:uuid:d9b216ea-2837-4134-bdf3-ad14841a2fa1"
              }
            ],
            "code": {
              "coding": [
                {
                  "code": "10160-0",
                  "system": "http://loinc.org",
                  "display": "History of Medication use Narrative"
                }
              ]
            },
            "title": "Medication list"
          },
          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><th>Vaccine</th><th>Date</th></tr><tr><td>Influenza virus antigen only vaccine product</td><td><span class=\"nb\">17-Jun-2024</span></td></tr><tr><td>Hepatitis A virus antigen only vaccine product</td><td><span class=\"nb\">27-Nov-2017</span></td></tr><tr><td>Clostridium tetani toxoid antigen adsorbed only vaccine product</td><td><span class=\"nb\">27-Nov-2017</span></td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:99e47fd5-4e3e-43e0-8c17-b196fd9d9961"
              },
              {
                "reference": "urn:uuid:8c928166-192b-40b9-849f-44be3e4ea8aa"
              },
              {
                "reference": "urn:uuid:e99668b5-28a6-4206-987b-618ebbee31c7"
              }
            ],
            "code": {
              "coding": [
                {
                  "code": "11369-6",
                  "system": "http://loinc.org",
                  "display": "History of Immunization note"
                }
              ]
            },
            "title": "Immunizations list"
          },
          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><th>Procedure</th><th>Date</th><th>Reason</th></tr><tr><td>Epidural anesthesia</td><td><span class=\"nb\">29-Jul-2019</span></td><td>Normal pregnancy (finding)</td></tr><tr><td>Prematurity of infant</td><td><span class=\"nb\">29-Jul-2019</span></td><td>Normal pregnancy (finding)</td></tr><tr><td>Depression screening</td><td><span class=\"nb\">27-Nov-2017</span></td><td>-</td></tr><tr><td>Screening for substance abuse</td><td><span class=\"nb\">27-Nov-2017</span></td><td>-</td></tr><tr><td>Assessment of health and social care needs</td><td><span class=\"nb\">27-Nov-2017</span></td><td>-</td></tr><tr><td>Assessment of anxiety</td><td><span class=\"nb\">27-Nov-2017</span></td><td>-</td></tr><tr><td>Screening for domestic abuse</td><td><span class=\"nb\">27-Nov-2017</span></td><td>-</td></tr><tr><td>Assessment of substance use</td><td><span class=\"nb\">27-Nov-2017</span></td><td>-</td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:3e8e5748-cb18-4c1a-b8bf-e94053783269"
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              {
                "reference": "urn:uuid:9004bee4-1147-47fb-adf8-1ebf7038dc8f"
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              {
                "reference": "urn:uuid:a270d06a-1f2b-4f44-ac13-f944ce613dfa"
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              {
                "reference": "urn:uuid:5a89e674-919d-47e4-8082-84b88d84f349"
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              {
                "reference": "urn:uuid:5a0febce-894c-4f1b-b820-954fbad71412"
              },
              {
                "reference": "urn:uuid:25f73f05-883a-4fed-839a-254e82cdcf93"
              },
              {
                "reference": "urn:uuid:7a854184-6f30-46a6-8311-af4f4538db56"
              },
              {
                "reference": "urn:uuid:a3adb77c-8c7d-439d-9752-b648a15693d4"
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            ],
            "code": {
              "coding": [
                {
                  "code": "47519-4",
                  "system": "http://loinc.org",
                  "display": "History of Procedures Document"
                }
              ]
            },
            "title": "Procedure History list"
          },
          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><th>Allergy/Intolerance</th><th>Onset Date</th><th>Status</th><th>Type</th><th>Reaction</th></tr><tr><td>Lisinopril</td><td><span class=\"nb\">1979-11-30</span></td><td>active</td><td>medication</td><td></td></tr><tr><td>Allergy to drug</td><td><span class=\"nb\">1979-11-30</span></td><td>active</td><td>environment</td><td></td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:5b9cb48e-494a-448b-9ba9-cd6bb9489655"
              },
              {
                "reference": "urn:uuid:c50e57bb-3638-47b5-8eda-61e63288fe9e"
              }
            ],
            "code": {
              "coding": [
                {
                  "code": "48765-2",
                  "system": "http://loinc.org",
                  "display": "Allergies and adverse reactions Document"
                }
              ]
            },
            "title": "Allergies and Intolerances"
          },
          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><th>Active Planned Care / Goals</th><th>Start Date</th><th>Reason</th></tr><tr><td>Musculoskeletal care</td><td><span class=\"nb\">10-Feb-2024</span></td><td>Osteoarthritis of knee (disorder)</td></tr><tr><td><ul><li>Reduce the severity of knee pain to improve function and quality of life.</li><li>Increase ability to perform daily activities such as walking and climbing stairs.</li><li>Engage in at least 30 minutes of moderate physical activity most days of the week.</li></ul></td><td></td><td></td></tr><tr><td>Self-care interventions</td><td><span class=\"nb\">30-Nov-1979</span></td><td>-</td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:05f9eeb1-f675-4d95-aa66-ef1c882f746c"
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              {
                "reference": "urn:uuid:62d39c5a-68d4-4083-90d2-e4cd0f495bba"
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            ],
            "code": {
              "coding": [
                {
                  "code": "18776-5",
                  "system": "http://loinc.org",
                  "display": "Plan of care note"
                }
              ]
            },
            "title": "Care Plan"
          },
          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><th>Vital Signs</th><th>2024-06-17</th><th>2024-02-10</th></tr><tr><td>Body Height</td><td>158.8 cm</td><td>-</td></tr><tr><td>Pain severity - 0-10 verbal numeric rating [Score] - Reported</td><td>1 {score}</td><td>6 {score}</td></tr><tr><td>Body Weight</td><td>75.9 kg</td><td>-</td></tr><tr><td>Body mass index (BMI) [Ratio]</td><td>30.1 kg/m2</td><td>-</td></tr><tr><td>Heart rate</td><td>78 /min</td><td>-</td></tr><tr><td>Respiratory rate</td><td>15 /min</td><td>-</td></tr><tr><td>Blood pressure panel with all children optional</td><td>93 mm[Hg]</td><td>-</td></tr></table></div>"
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            "entry": [
              {
                "reference": "urn:uuid:e1cc2dc9-d7e7-4fc0-a813-fce8cca129a5"
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                "reference": "urn:uuid:386f2715-1a06-4d18-bbe8-c5411fab6be4"
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              {
                "reference": "urn:uuid:f08b4090-760e-40e1-ba5d-0f9fb70b082d"
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              {
                "reference": "urn:uuid:fbc26b94-79b6-41f6-9bd4-d4929aabf394"
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              {
                "reference": "urn:uuid:d5975acf-7e8f-4811-9322-e1a8bb4f6b3e"
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              {
                "reference": "urn:uuid:8adc6e8d-f331-4289-ad9a-7264c71609cb"
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              {
                "reference": "urn:uuid:0a51e1b8-5b69-4df5-8154-e95e81759848"
              },
              {
                "reference": "urn:uuid:49cd02e3-5ff7-4d32-a31a-c4046d7f26b2"
              }
            ],
            "code": {
              "coding": [
                {
                  "code": "8716-3",
                  "system": "http://loinc.org",
                  "display": "Vital signs note"
                }
              ]
            },
            "title": "Vital Signs"
          },
          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><thead><tr><th>Recent Lab Observations</th><th>13-JUN-2022</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Cholesterol [Mass/volume] in Serum or Plasma</td><td><strong>266.9 H</strong></td><td>125 - 200</td><td>mg/dL</td></tr><tr><td>Triglyceride [Mass/volume] in Serum or Plasma</td><td>131.5</td><td>0 - 150</td><td>mg/dL</td></tr><tr><td>Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay</td><td><strong>186.0 H</strong></td><td>0 - 100</td><td>mg/dL</td></tr><tr><td>Cholesterol in HDL [Mass/volume] in Serum or Plasma</td><td>54.6</td><td>40 - 60</td><td>mg/dL</td></tr><tr><td>Leukocytes [#/volume] in Blood by Automated count</td><td>10.1</td><td>4.0 - 11.0</td><td>10*3/uL</td></tr><tr><td>Erythrocytes [#/volume] in Blood by Automated count</td><td><strong>4.0 L</strong></td><td>4.2 - 5.4</td><td>10*6/uL</td></tr><tr><td>Hemoglobin [Mass/volume] in Blood</td><td><strong>16.8 H</strong></td><td>12 - 16</td><td>g/dL</td></tr><tr><td>Hematocrit [Volume Fraction] of Blood by Automated count</td><td>44.1</td><td>36 - 46</td><td>%</td></tr><tr><td>MCV [Entitic mean volume] in Red Blood Cells by Automated count</td><td>81.4</td><td>80 - 100</td><td>fL</td></tr><tr><td>MCH [Entitic mass] by Automated count</td><td>28.1</td><td>27 - 33</td><td>pg</td></tr><tr><td>MCHC [Entitic Mass/volume] in Red Blood Cells by Automated count</td><td>34.6</td><td>32 - 36</td><td>g/dL</td></tr><tr><td>Erythrocyte distribution width [Entitic volume] by Automated count</td><td>45.4</td><td>36 - 46</td><td>fL</td></tr><tr><td>Platelets [#/volume] in Blood by Automated count</td><td>278.7</td><td>150 - 450</td><td>10*3/uL</td></tr><tr><td>Platelet distribution width [Entitic volume] in Blood by Automated count</td><td><strong>379.5 H</strong></td><td>9.4 - 12.3</td><td>fL</td></tr><tr><td>Platelet [Entitic mean volume] in Blood by Automated count</td><td><strong>12.2 H</strong></td><td>7.2 - 11.5</td><td>fL</td></tr></tbody></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:261ab8da-3c7e-4262-ab6e-865e7c5f8f07"
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              {
                "reference": "urn:uuid:219eb423-17f4-410d-8e22-791dfe96bd6b"
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              {
                "reference": "urn:uuid:7ea79391-89ba-494d-8f1c-572a15fd5cba"
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              {
                "reference": "urn:uuid:5b2cffef-ee37-4e6a-b0ff-b46ab32faa1e"
              },
              {
                "reference": "urn:uuid:16f11ce2-69f5-4683-88ef-464f1ee42554"
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                "reference": "urn:uuid:6c527997-c091-489a-abe4-ed1b9ab62202"
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                "reference": "urn:uuid:3805f738-267d-478f-95c2-0fa29652a283"
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              {
                "reference": "urn:uuid:b10e4eb4-870b-4b86-b257-4c9c22ed832b"
              },
              {
                "reference": "urn:uuid:07f64d9e-af17-4a57-ad65-41bc5ad2b508"
              }
            ],
            "code": {
              "coding": [
                {
                  "code": "30954-2",
                  "system": "http://loinc.org",
                  "display": "Relevant diagnostic tests/laboratory data note"
                }
              ]
            },
            "title": "Relevant diagnostic tests/laboratory data"
          },
          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><th>Device</th><th>Date (since)</th></tr><tr><td>Manual wheelchair (physical object)</td><td><span class=\"nb\">10-Feb-2024</span></td></tr><tr><td>Wheelchair accessory (physical object)</td><td><span class=\"nb\">10-Feb-2024</span></td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:88358e5d-6c7b-40e7-a931-63b08a70643f"
              },
              {
                "reference": "urn:uuid:c16a3c06-24fc-465d-9b45-76b27afaf52b"
              }
            ],
            "code": {
              "coding": [
                {
                  "code": "46264-8",
                  "system": "http://loinc.org",
                  "display": "History of medical device use"
                }
              ]
            },
            "title": "Device Use"
          }
        ],
        "text": {
          "status": "empty",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">intentionally left empty / not meaningful</div>"
        },
        "title": "European Patient Summary",
        "status": "final",
        "subject": {
          "reference": "urn:uuid:2f947acd-b63f-4025-9af0-be2146b6fda0",
          "display": "Maria Giusti"
        },
        "custodian": {
          "reference": "urn:uuid:b94da0eb-8716-4824-a924-216ac8739985"
        },
        "date": "2022-06-13T06:16:47Z",
        "confidentiality": "N"
      }
    },
    {
      "fullUrl": "urn:uuid:2f947acd-b63f-4025-9af0-be2146b6fda0",
      "resource": {
        "resourceType": "Patient",
        "id": "2f947acd-b63f-4025-9af0-be2146b6fda0",
        "meta": {
          "security": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
              "code": "HTEST"
            },
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
              "code": "TRAIN"
            }
          ],
          "tag": [
            {
              "system": "https://synderai.net/fhir/CodeSystem/tags",
              "code": "synthetic",
              "display": "SYNDERAI Synthetic data"
            }
          ],
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/patient-eu-eps"
          ]
        },
        "identifier": [
          {
            "type": {
              "coding": [
                {
                  "code": "JHN",
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
                }
              ]
            },
            "system": "http://ec.europa.eu/identifier/eci",
            "value": "1703-886854-7"
          },
          {
            "type": {
              "coding": [
                {
                  "code": "MR",
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
                }
              ]
            },
            "system": "http://local.setting.eu/identifier",
            "value": "69d0da19-6ff3-0a91-67c1-671bdb976ffe"
          }
        ],
        "name": [
          {
            "given": [
              "Maria"
            ],
            "family": "Giusti",
            "text": "Maria Giusti"
          }
        ],
        "address": [
          {
            "line": [
              "Contrada Pisaroni, 533 Appartamento 6"
            ],
            "use": "home",
            "type": "physical",
            "postalCode": "40050",
            "city": "Gallignano",
            "country": "Italy"
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "+39 3791345767"
          }
        ],
        "extension": [
          {
            "extension": [
              {
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "code": "IT",
                      "system": "urn:iso:std:iso:3166"
                    }
                  ],
                  "text": "Italy"
                },
                "url": "code"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Maria Giusti</td><td>female</td><td>28-Jan-1977</td></tr></table></div>"
        },
        "gender": "female",
        "birthDate": "1977-01-28"
      }
    },
    {
      "fullUrl": "urn:uuid:f9e308a0-f889-481a-9fec-a8474752a28f",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "f9e308a0-f889-481a-9fec-a8474752a28f",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu-core"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Provider Role Id f9e308a0-f889-481a-9fec-a8474752a28f</td></tr></table></div>"
        },
        "practitioner": {
          "reference": "urn:uuid:c92ad114-a59a-408f-9e02-685ebe65306b"
        },
        "organization": {
          "reference": "urn:uuid:b94da0eb-8716-4824-a924-216ac8739985"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:b94da0eb-8716-4824-a924-216ac8739985",
      "resource": {
        "resourceType": "Organization",
        "id": "b94da0eb-8716-4824-a924-216ac8739985",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/organization-eu-core"
          ]
        },
        "identifier": [
          {
            "assigner": {
              "display": "HL7 Europe"
            },
            "system": "urn:oid:2.16.840.1.113883.2.51.999",
            "value": "5e4354ab-97f5-440e-9d3e-1ba2bc09db19"
          }
        ],
        "address": [
          {
            "city": "Bologna",
            "postalCode": "40138",
            "country": "Italy"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Istituto Sant'Anna</td></tr></table></div>"
        },
        "name": "Istituto Sant'Anna"
      }
    },
    {
      "fullUrl": "urn:uuid:c92ad114-a59a-408f-9e02-685ebe65306b",
      "resource": {
        "resourceType": "Practitioner",
        "id": "c92ad114-a59a-408f-9e02-685ebe65306b",
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          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu-core"
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        },
        "name": [
          {
            "prefix": [
              "dr"
            ],
            "given": [
              "Aurora"
            ],
            "family": "Coppola"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>dr Aurora Coppola</td></tr></table></div>"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:26059903-c678-49f1-af8d-166c0f55392d",
      "resource": {
        "resourceType": "Condition",
        "id": "26059903-c678-49f1-af8d-166c0f55392d",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/condition-obl-eu-eps"
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        },
        "category": [
          {
            "coding": [
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                "code": "problem-list-item",
                "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                "display": "Problem List Item"
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        ],
        "code": {
          "coding": [
            {
              "code": "239873007",
              "system": "http://snomed.info/sct",
              "display": "Osteoarthritis of knee (disorder)"
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          ],
          "text": "Osteoarthritis of knee"
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Osteoarthritis of knee</td><td><span class=\"nb\">10-Feb-2024</span></td><td>active</td></tr></table></div>"
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        "clinicalStatus": {
          "coding": [
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              "code": "active",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
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        "onsetDateTime": "2024-02-10",
        "subject": {
          "reference": "urn:uuid:2f947acd-b63f-4025-9af0-be2146b6fda0",
          "display": "Maria Giusti"
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        "asserter": {
          "reference": "urn:uuid:f9e308a0-f889-481a-9fec-a8474752a28f",
          "display": "Istituto Sant'Anna"
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    {
      "fullUrl": "urn:uuid:cac8a83f-6a2a-4ca1-809f-08fee7130970",
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        "resourceType": "Condition",
        "id": "cac8a83f-6a2a-4ca1-809f-08fee7130970",
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          "profile": [
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        "category": [
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            "coding": [
              {
                "code": "problem-list-item",
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        ],
        "code": {
          "coding": [
            {
              "code": "19169002",
              "system": "http://snomed.info/sct",
              "display": "Miscarriage in first trimester (disorder)"
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          ],
          "text": "Miscarriage in first trimester"
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td><span class=\"grayedout\">Miscarriage in first trimester</span></td><td><span class=\"nb\">11-Nov-2024 - 19-Nov-2024</span></td><td><span class=\"grayedout\">inactive</span></td></tr></table></div>"
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        "clinicalStatus": {
          "coding": [
            {
              "code": "inactive",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
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        "onsetDateTime": "2024-11-11",
        "abatementDateTime": "2024-11-19",
        "subject": {
          "reference": "urn:uuid:2f947acd-b63f-4025-9af0-be2146b6fda0",
          "display": "Maria Giusti"
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        "asserter": {
          "reference": "urn:uuid:f9e308a0-f889-481a-9fec-a8474752a28f",
          "display": "Istituto Sant'Anna"
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    {
      "fullUrl": "urn:uuid:00da67cd-5291-4c63-8f2f-fcf92d799809",
      "resource": {
        "resourceType": "Condition",
        "id": "00da67cd-5291-4c63-8f2f-fcf92d799809",
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          "profile": [
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        "category": [
          {
            "coding": [
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                "code": "problem-list-item",
                "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                "display": "Problem List Item"
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        "code": {
          "coding": [
            {
              "code": "35999006",
              "system": "http://snomed.info/sct",
              "display": "Blighted ovum (disorder)"
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          ],
          "text": "Blighted ovum"
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        "text": {
          "status": "generated",
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        "clinicalStatus": {
          "coding": [
            {
              "code": "inactive",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
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        "onsetDateTime": "2024-11-11",
        "abatementDateTime": "2024-11-19",
        "subject": {
          "reference": "urn:uuid:2f947acd-b63f-4025-9af0-be2146b6fda0",
          "display": "Maria Giusti"
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        "asserter": {
          "reference": "urn:uuid:f9e308a0-f889-481a-9fec-a8474752a28f",
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    {
      "fullUrl": "urn:uuid:da635aa4-084d-4451-9e5d-c7e49e3dce93",
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        "resourceType": "Condition",
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        "category": [
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            "coding": [
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                "code": "problem-list-item",
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        "code": {
          "coding": [
            {
              "code": "444814009",
              "system": "http://snomed.info/sct",
              "display": "Viral sinusitis (disorder)"
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          ],
          "text": "Viral sinusitis"
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td><span class=\"grayedout\">Viral sinusitis</span></td><td><span class=\"nb\">06-Oct-2023 - 22-Oct-2023</span></td><td><span class=\"grayedout\">inactive</span></td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "inactive",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
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        "onsetDateTime": "2023-10-06",
        "abatementDateTime": "2023-10-22",
        "subject": {
          "reference": "urn:uuid:2f947acd-b63f-4025-9af0-be2146b6fda0",
          "display": "Maria Giusti"
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        "asserter": {
          "reference": "urn:uuid:f9e308a0-f889-481a-9fec-a8474752a28f",
          "display": "Istituto Sant'Anna"
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    {
      "fullUrl": "urn:uuid:3fa39129-d13e-488a-a3bc-d1b09b387443",
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        "resourceType": "Condition",
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        "category": [
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            "coding": [
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                "code": "problem-list-item",
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        ],
        "code": {
          "coding": [
            {
              "code": "19169002",
              "system": "http://snomed.info/sct",
              "display": "Miscarriage in first trimester (disorder)"
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          ],
          "text": "Miscarriage in first trimester"
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td><span class=\"grayedout\">Miscarriage in first trimester</span></td><td><span class=\"nb\">27-Mar-2023 - 06-Apr-2023</span></td><td><span class=\"grayedout\">inactive</span></td></tr></table></div>"
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        "clinicalStatus": {
          "coding": [
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        "onsetDateTime": "2023-03-27",
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          "reference": "urn:uuid:2f947acd-b63f-4025-9af0-be2146b6fda0",
          "display": "Maria Giusti"
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        "asserter": {
          "reference": "urn:uuid:f9e308a0-f889-481a-9fec-a8474752a28f",
          "display": "Istituto Sant'Anna"
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    {
      "fullUrl": "urn:uuid:2abcfe86-d643-410c-9835-98b08ad89309",
      "resource": {
        "resourceType": "Condition",
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        "meta": {
          "profile": [
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        "category": [
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            "coding": [
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                "code": "problem-list-item",
                "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                "display": "Problem List Item"
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        ],
        "code": {
          "coding": [
            {
              "code": "156073000",
              "system": "http://snomed.info/sct",
              "display": "Complete miscarriage (disorder)"
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          ],
          "text": "Complete miscarriage"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td><span class=\"grayedout\">Complete miscarriage</span></td><td><span class=\"nb\">27-Mar-2023 - 06-Apr-2023</span></td><td><span class=\"grayedout\">inactive</span></td></tr></table></div>"
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        "clinicalStatus": {
          "coding": [
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          "reference": "urn:uuid:2f947acd-b63f-4025-9af0-be2146b6fda0",
          "display": "Maria Giusti"
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        "asserter": {
          "reference": "urn:uuid:f9e308a0-f889-481a-9fec-a8474752a28f",
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    {
      "fullUrl": "urn:uuid:2d1b4459-0a78-46e5-b0ce-cc04fdaed3d3",
      "resource": {
        "resourceType": "Condition",
        "id": "2d1b4459-0a78-46e5-b0ce-cc04fdaed3d3",
        "meta": {
          "profile": [
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        },
        "category": [
          {
            "coding": [
              {
                "code": "problem-list-item",
                "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                "display": "Problem List Item"
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          }
        ],
        "code": {
          "coding": [
            {
              "code": "444814009",
              "system": "http://snomed.info/sct",
              "display": "Viral sinusitis (disorder)"
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          ],
          "text": "Viral sinusitis"
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td><span class=\"grayedout\">Viral sinusitis</span></td><td><span class=\"nb\">15-Jun-2022 - 04-Jul-2022</span></td><td><span class=\"grayedout\">inactive</span></td></tr></table></div>"
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        "clinicalStatus": {
          "coding": [
            {
              "code": "inactive",
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        "onsetDateTime": "2022-06-15",
        "abatementDateTime": "2022-07-04",
        "subject": {
          "reference": "urn:uuid:2f947acd-b63f-4025-9af0-be2146b6fda0",
          "display": "Maria Giusti"
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        "asserter": {
          "reference": "urn:uuid:f9e308a0-f889-481a-9fec-a8474752a28f",
          "display": "Istituto Sant'Anna"
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    {
      "fullUrl": "urn:uuid:64d338d3-5ccd-4064-b74b-7cddaf444f1d",
      "resource": {
        "resourceType": "Condition",
        "id": "64d338d3-5ccd-4064-b74b-7cddaf444f1d",
        "meta": {
          "profile": [
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        },
        "category": [
          {
            "coding": [
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                "code": "problem-list-item",
                "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                "display": "Problem List Item"
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        ],
        "code": {
          "coding": [
            {
              "code": "10509002",
              "system": "http://snomed.info/sct",
              "display": "Acute bronchitis (disorder)"
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          ],
          "text": "Acute bronchitis"
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td><span class=\"grayedout\">Acute bronchitis</span></td><td><span class=\"nb\">11-Dec-2017 - 23-Dec-2017</span></td><td><span class=\"grayedout\">inactive</span></td></tr></table></div>"
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        "clinicalStatus": {
          "coding": [
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              "code": "inactive",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
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        "onsetDateTime": "2017-12-11",
        "abatementDateTime": "2017-12-23",
        "subject": {
          "reference": "urn:uuid:2f947acd-b63f-4025-9af0-be2146b6fda0",
          "display": "Maria Giusti"
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        "asserter": {
          "reference": "urn:uuid:f9e308a0-f889-481a-9fec-a8474752a28f",
          "display": "Istituto Sant'Anna"
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      }
    },
    {
      "fullUrl": "urn:uuid:b4f2f309-b015-4f99-a260-00b4d35d06b5",
      "resource": {
        "resourceType": "Medication",
        "id": "b4f2f309-b015-4f99-a260-00b4d35d06b5",
        "meta": {
          "profile": [
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        },
        "code": {
          "coding": [
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              "code": "420276008",
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              "display": "Naproxen sodium 220 mg oral capsule"
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          ],
          "text": "Naproxen sodium 220 mg oral capsule"
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Naproxen sodium 220 mg oral capsule</div>"
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      }
    },
    {
      "fullUrl": "urn:uuid:8eb9f94c-ffa8-4b94-b017-6e87d87ba83e",
      "resource": {
        "resourceType": "MedicationStatement",
        "id": "8eb9f94c-ffa8-4b94-b017-6e87d87ba83e",
        "meta": {
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        "effectivePeriod": {
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        "dosage": [
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                "doseQuantity": {
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                  "unit": "{cap}",
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                  "code": "{cap}"
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            "timing": {
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                "frequency": 2,
                "period": 1,
                "periodUnit": "d"
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            },
            "text": "1 capsule (220 mg) by mouth every 12 hours as needed",
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        "reasonCode": [
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            "coding": [
              {
                "code": "239873007",
                "system": "http://snomed.info/sct",
                "display": "Osteoarthritis of knee"
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        ],
        "text": {
          "status": "generated",
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        },
        "status": "active",
        "medicationReference": {
          "reference": "urn:uuid:b4f2f309-b015-4f99-a260-00b4d35d06b5",
          "display": "Naproxen sodium 220 mg oral capsule"
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        "subject": {
          "reference": "urn:uuid:2f947acd-b63f-4025-9af0-be2146b6fda0",
          "display": "Maria Giusti"
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      }
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    {
      "fullUrl": "urn:uuid:49b42922-2904-4848-9312-b79a6e917e3e",
      "resource": {
        "resourceType": "Medication",
        "id": "49b42922-2904-4848-9312-b79a6e917e3e",
        "meta": {
          "profile": [
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        },
        "code": {
          "coding": [
            {
              "code": "320726008",
              "system": "http://snomed.info/sct",
              "display": "Diphenhydramine hydrochloride 25 mg oral tablet"
            }
          ],
          "text": "Diphenhydramine hydrochloride 25 mg oral tablet"
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Diphenhydramine hydrochloride 25 mg oral tablet</div>"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:d9b216ea-2837-4134-bdf3-ad14841a2fa1",
      "resource": {
        "resourceType": "MedicationStatement",
        "id": "d9b216ea-2837-4134-bdf3-ad14841a2fa1",
        "meta": {
          "profile": [
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        },
        "effectivePeriod": {
          "start": "1979-11-24"
        },
        "dosage": [
          {
            "doseAndRate": [
              {
                "doseQuantity": {
                  "value": 1,
                  "unit": "{tbl}",
                  "system": "http://unitsofmeasure.org",
                  "code": "{tbl}"
                }
              }
            ],
            "timing": {
              "repeat": {
                "frequency": 1,
                "period": 4,
                "periodUnit": "h"
              }
            },
            "text": "1 tablet (25 mg) every 4 to 6 hours as needed",
            "asNeededBoolean": true
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips first25\"><tr><th>Medication</th><th>Since</th><th>Form</th><th>Dosage</th><th>Reason</th></tr><tr><td>Diphenhydramine hydrochloride 25 mg oral tablet</td><td><span class=\"nb\">1979-11-24</span></td><td>-</td><td>1 tablet (25 mg) every 4 to 6 hours as needed</td><td>-</td></tr></table></div>"
        },
        "status": "active",
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        "component": [
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              "display": "Platelets [#/volume] in Blood by Automated count"
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          ],
          "text": "Platelets [#/volume] in Blood by Automated count"
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                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
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        ],
        "code": {
          "coding": [
            {
              "code": "32207-3",
              "system": "http://loinc.org",
              "display": "Platelet distribution width [Entitic volume] in Blood by Automated count"
            }
          ],
          "text": "Platelet distribution width [Entitic volume] in Blood by Automated count"
        },
        "valueQuantity": {
          "value": 379.5,
          "unit": "fL",
          "code": "fL",
          "system": "http://unitsofmeasure.org"
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            "low": {
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              "value": 12.3,
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          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>13-Jun-2022</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Platelet distribution width [Entitic volume] in Blood by Automated count</td><td>379.5</td><td>9.4 - 12.3</td><td>H</td><td>fL</td></tr></table></div>"
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          "display": "Maria Giusti"
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      "fullUrl": "urn:uuid:07f64d9e-af17-4a57-ad65-41bc5ad2b508",
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          "coding": [
            {
              "code": "32623-1",
              "system": "http://loinc.org",
              "display": "Platelet [Entitic mean volume] in Blood by Automated count"
            }
          ],
          "text": "Platelet [Entitic mean volume] in Blood by Automated count"
        },
        "valueQuantity": {
          "value": 12.2,
          "unit": "fL",
          "code": "fL",
          "system": "http://unitsofmeasure.org"
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        "referenceRange": [
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              "value": 11.5,
              "code": "fL",
              "system": "http://unitsofmeasure.org"
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                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "display": "High"
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>13-Jun-2022</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Platelet [Entitic mean volume] in Blood by Automated count</td><td>12.2</td><td>7.2 - 11.5</td><td>H</td><td>fL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
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          "display": "Maria Giusti"
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      "fullUrl": "urn:uuid:88358e5d-6c7b-40e7-a931-63b08a70643f",
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          ]
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          "start": "2024-02-10"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Manual wheelchair (physical object)</td><td><span class=\"nb\">10-Feb-2024</span></td></tr></table></div>"
        },
        "status": "active",
        "device": {
          "reference": "urn:uuid:6ce94b35-3a98-4884-990f-e78a6593be8d",
          "display": "Manual wheelchair (physical object)"
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          "reference": "urn:uuid:2f947acd-b63f-4025-9af0-be2146b6fda0",
          "display": "Maria Giusti"
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    {
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      "resource": {
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        "id": "6ce94b35-3a98-4884-990f-e78a6593be8d",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/device-eu-eps"
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        "udiCarrier": [
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            "deviceIdentifier": "43548006268487",
            "issuer": "https://www.gs1.org/",
            "entryType": "barcode",
            "carrierHRF": "(01)43548006268487(11)240120(17)490203(10)560673877754013603(21)204391"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Manual wheelchair (physical object) ((01)43548006268487(11)240120(17)490203(10)560673877754013603(21)204391)</div>"
        },
        "status": "active",
        "patient": {
          "reference": "urn:uuid:2f947acd-b63f-4025-9af0-be2146b6fda0",
          "display": "Maria Giusti"
        },
        "type": {
          "coding": [
            {
              "code": "228869008",
              "system": "http://snomed.info/sct",
              "display": "Manual wheelchair (physical object)"
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          ]
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    {
      "fullUrl": "urn:uuid:c16a3c06-24fc-465d-9b45-76b27afaf52b",
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        "id": "c16a3c06-24fc-465d-9b45-76b27afaf52b",
        "meta": {
          "profile": [
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          ]
        },
        "timingPeriod": {
          "start": "2024-02-10"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Wheelchair accessory (physical object)</td><td><span class=\"nb\">10-Feb-2024</span></td></tr></table></div>"
        },
        "status": "active",
        "device": {
          "reference": "urn:uuid:3fe290ff-fe9f-4675-a3a4-c4cf3711029a",
          "display": "Wheelchair accessory (physical object)"
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        "subject": {
          "reference": "urn:uuid:2f947acd-b63f-4025-9af0-be2146b6fda0",
          "display": "Maria Giusti"
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    {
      "fullUrl": "urn:uuid:3fe290ff-fe9f-4675-a3a4-c4cf3711029a",
      "resource": {
        "resourceType": "Device",
        "id": "3fe290ff-fe9f-4675-a3a4-c4cf3711029a",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/device-eu-eps"
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        },
        "udiCarrier": [
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            "deviceIdentifier": "32815027763627",
            "issuer": "https://www.gs1.org/",
            "entryType": "barcode",
            "carrierHRF": "(01)32815027763627(11)240120(17)490203(10)816534898197395515(21)43018192703204511"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Wheelchair accessory (physical object) ((01)32815027763627(11)240120(17)490203(10)816534898197395515(21)43018192703204511)</div>"
        },
        "status": "active",
        "patient": {
          "reference": "urn:uuid:2f947acd-b63f-4025-9af0-be2146b6fda0",
          "display": "Maria Giusti"
        },
        "type": {
          "coding": [
            {
              "code": "705417005",
              "system": "http://snomed.info/sct",
              "display": "Wheelchair accessory (physical object)"
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          ]
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    {
      "fullUrl": "urn:uuid:2d9e5c47-0b5c-46a1-8b61-4145a7a603b7",
      "resource": {
        "resourceType": "Device",
        "id": "2d9e5c47-0b5c-46a1-8b61-4145a7a603b7",
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            "name": "SYNDERAI Synthetic Generator",
            "type": "manufacturer-name"
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        "version": [
          {
            "value": "5.0"
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">SYNDERAI Synthetic Generator v5.0</div>"
        },
        "status": "active",
        "distinctIdentifier": "synderai-generator-50",
        "manufacturer": "SYNDERAI Project"
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      "resource": {
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              "code": "CREATE",
              "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation",
              "display": "create"
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          ],
          "text": "Synthetic Example Data Generation"
        },
        "policy": [
          "https://synderai.net/synderai-synthetic-data-policy"
        ],
        "agent": [
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            "type": {
              "coding": [
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                  "code": "author",
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                  "display": "Author"
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              "text": "author"
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                "code": "TRAIN",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
                "display": "training"
              }
            ],
            "text": "Interoperability Testing and Training (non-clinical use)"
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        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provenance for SYNDERAI Synthetic Example Data Resource</div>"
        },
        "recorded": "2022-06-13T04:16:47Z"
      }
    }
  ],
  "type": "document",
  "timestamp": "2022-06-13T06:16:47Z"
}