{
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      "display": "HL7 Europe"
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        "resourceType": "Composition",
        "id": "99f89f60-2e76-442e-bf2d-27b9cbdef1ee",
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          "security": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
              "code": "HTEST"
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            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
              "code": "TRAIN"
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              "system": "https://synderai.net/fhir/CodeSystem/tags",
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              "display": "SYNDERAI Synthetic data"
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          ],
          "profile": [
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        "identifier": {
          "assigner": {
            "display": "HL7 Europe"
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          "coding": [
            {
              "code": "60591-5",
              "system": "http://loinc.org",
              "display": "Patient summary Document"
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          "text": "Patient summary Document"
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            "reference": "urn:uuid:6f68ba23-b2fd-4742-bdd7-b0d6bb3099c0"
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          {
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              "status": "generated",
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              {
                "reference": "urn:uuid:e5bdab09-ff82-451f-8521-5e826eda5ed3"
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              "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><td>No known medications</td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:6ab50cc1-16a1-46f7-a428-a16ab2527e5e"
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            "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>Hepatitis B virus antigen only vaccine product</td><td><span class=\"nb\">16-Aug-2023</span></td></tr><tr><td>Influenza virus antigen only vaccine product</td><td><span class=\"nb\">16-Aug-2023</span></td></tr><tr><td>Clostridium tetani toxoid antigen adsorbed only vaccine product</td><td><span class=\"nb\">21-Sep-2022</span></td></tr><tr><td>Neisseria meningitidis antigen-containing vaccine product</td><td><span class=\"nb\">21-Sep-2022</span></td></tr><tr><td>COVID-19 non-replicating viral vector vaccine</td><td><span class=\"nb\">14-Apr-2021</span></td></tr></table></div>"
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            "entry": [
              {
                "reference": "urn:uuid:8bc636b3-8917-4d18-898a-3d5fb5f1b2ec"
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              {
                "reference": "urn:uuid:0638e404-4a19-4ebc-97e4-a36dcde3b2b6"
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              {
                "reference": "urn:uuid:095a244c-e748-4a8a-ae11-ad90ed8b35e0"
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              {
                "reference": "urn:uuid:9081bcfe-0fa0-41f4-b9f2-cfc1e1c5a34e"
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              {
                "reference": "urn:uuid:d13915d6-dd02-459f-aea7-0fb7a43d0f16"
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            "code": {
              "coding": [
                {
                  "code": "11369-6",
                  "system": "http://loinc.org",
                  "display": "History of Immunization note"
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              ]
            },
            "title": "Immunizations list"
          },
          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>No known procedures</td></tr></table></div>"
            },
            "code": {
              "coding": [
                {
                  "code": "47519-4",
                  "system": "http://loinc.org",
                  "display": "History of Procedures Document"
                }
              ]
            },
            "title": "Procedure History list",
            "emptyReason": {
              "coding": [
                {
                  "code": "nilknown",
                  "system": "http://terminology.hl7.org/CodeSystem/list-empty-reason"
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              ]
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          },
          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>No known allergies or intolerances</td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:f700ea21-8679-4c37-8ee1-61c79c3cd967"
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            ],
            "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>Vital Signs</th><th>2023-08-16</th><th>2022-09-21</th></tr><tr><td>Body Height</td><td>183.9 cm</td><td>183.9 cm</td></tr><tr><td>Pain severity - 0-10 verbal numeric rating [Score] - Reported</td><td>1 {score}</td><td>2 {score}</td></tr><tr><td>Body Weight</td><td>81.8 kg</td><td>80 kg</td></tr><tr><td>Body mass index (BMI) [Ratio]</td><td>24.2 kg/m2</td><td>23.7 kg/m2</td></tr><tr><td>Heart rate</td><td>77 /min</td><td>73 /min</td></tr><tr><td>Respiratory rate</td><td>15 /min</td><td>12 /min</td></tr><tr><td>Blood pressure panel with all children optional</td><td>74 mm[Hg]</td><td>77 mm[Hg]</td></tr></table></div>"
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                "reference": "urn:uuid:ac746d36-588f-4347-8414-0ec34a33c266"
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              {
                "reference": "urn:uuid:084aabe9-f421-4b63-9f70-34e188a4581b"
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              {
                "reference": "urn:uuid:29e8ac3f-3aea-4afd-a0ea-6102d0151cb4"
              },
              {
                "reference": "urn:uuid:bacee4e1-6f29-4640-9ae9-43393a198511"
              },
              {
                "reference": "urn:uuid:0d5d4633-b32f-4fc0-8ea0-86dbc06adb8d"
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              {
                "reference": "urn:uuid:f1293d01-f4ab-4b4d-862f-56c44d2710e5"
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              {
                "reference": "urn:uuid:1414960e-28e6-4647-8ec2-f8600841d98f"
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              {
                "reference": "urn:uuid:b45f6948-5130-445f-80df-b0b0d54f07b0"
              },
              {
                "reference": "urn:uuid:74f2caa8-cb8d-4133-b90b-afd91cc29f30"
              },
              {
                "reference": "urn:uuid:e3d5de0b-52d9-4c99-ad74-baeb7648b356"
              },
              {
                "reference": "urn:uuid:db54b7e2-89c0-41b6-8096-bd86981fc979"
              },
              {
                "reference": "urn:uuid:cd522c0a-c5a2-48a5-a331-011ccd2fe849"
              },
              {
                "reference": "urn:uuid:fbb8d25e-a1e0-49b2-99b6-857a3fb0f5b7"
              },
              {
                "reference": "urn:uuid:4a408d42-7d63-4348-af27-c8548fb017ca"
              }
            ],
            "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>21-SEP-2022</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Leukocytes [#/volume] in Blood by Automated count</td><td>7.2</td><td>4.5 - 11.0</td><td>10*3/uL</td></tr><tr><td>Erythrocytes [#/volume] in Blood by Automated count</td><td>4.3</td><td>4.2 - 5.9</td><td>10*6/uL</td></tr><tr><td>Hemoglobin [Mass/volume] in Blood</td><td>15.4</td><td>13.5 - 17.5</td><td>g/dL</td></tr><tr><td>Hematocrit [Volume Fraction] of Blood by Automated count</td><td>45.7</td><td>39 - 50</td><td>%</td></tr><tr><td>MCV [Entitic mean volume] in Red Blood Cells by Automated count</td><td>82.8</td><td>80 - 100</td><td>fL</td></tr><tr><td>MCH [Entitic mass] by Automated count</td><td>30.9</td><td>27 - 33</td><td>pg</td></tr><tr><td>MCHC [Entitic Mass/volume] in Red Blood Cells by Automated count</td><td>34.7</td><td>32 - 36</td><td>g/dL</td></tr><tr><td>Erythrocyte distribution width [Entitic volume] by Automated count</td><td>44.0</td><td>36 - 48</td><td>fL</td></tr><tr><td>Platelets [#/volume] in Blood by Automated count</td><td>368.5</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>254.5 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>10.4</td><td>7.2 - 11.5</td><td>fL</td></tr></tbody></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:83bb6645-98a7-4f7f-ab4a-c3a6de1f0890"
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              {
                "reference": "urn:uuid:86c7f062-dfb8-452c-af54-a24a1c039f09"
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              {
                "reference": "urn:uuid:c9b9b18a-7feb-473b-9456-ceecf2bcb812"
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                "reference": "urn:uuid:8b318eaf-2a45-470d-907d-0cf8f2f993de"
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                "reference": "urn:uuid:34c818e7-2eb9-4658-94e3-3081758d6423"
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              {
                "reference": "urn:uuid:da38d14f-2225-4f16-b8dc-4426534ec1e1"
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              {
                "reference": "urn:uuid:ca31aaee-a1a3-4318-a77f-3e530a3e6745"
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              {
                "reference": "urn:uuid:4147b80c-45a3-4244-95c9-ba9308c93a02"
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              {
                "reference": "urn:uuid:7b2c058b-8f2b-4a64-b7ab-6d0142e7c2d3"
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              {
                "reference": "urn:uuid:c992fa6e-09bb-4b88-8da1-96b97c1432ba"
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              {
                "reference": "urn:uuid:3b2858c2-cd73-43f2-99dd-0affcb7a5723"
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            ],
            "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><td>No known devices</td></tr></table></div>"
            },
            "code": {
              "coding": [
                {
                  "code": "46264-8",
                  "system": "http://loinc.org",
                  "display": "History of medical device use"
                }
              ]
            },
            "title": "Device Use",
            "emptyReason": {
              "coding": [
                {
                  "code": "nilknown",
                  "system": "http://terminology.hl7.org/CodeSystem/list-empty-reason"
                }
              ]
            }
          }
        ],
        "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:2a33d21f-eff7-465a-a4ca-1ddce01493d4",
          "display": "Kieran Watts"
        },
        "custodian": {
          "reference": "urn:uuid:af042bec-7756-4f86-9fbd-07273d6f3583"
        },
        "date": "2022-09-21T17:06:38Z",
        "confidentiality": "N"
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    },
    {
      "fullUrl": "urn:uuid:2a33d21f-eff7-465a-a4ca-1ddce01493d4",
      "resource": {
        "resourceType": "Patient",
        "id": "2a33d21f-eff7-465a-a4ca-1ddce01493d4",
        "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": "3710-243027-1"
          },
          {
            "type": {
              "coding": [
                {
                  "code": "MR",
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
                }
              ]
            },
            "system": "http://local.setting.eu/identifier",
            "value": "3bc9dce0-94d2-2cf3-ec04-483f10c19336"
          }
        ],
        "name": [
          {
            "given": [
              "Kieran"
            ],
            "family": "Watts",
            "text": "Kieran Watts"
          }
        ],
        "address": [
          {
            "line": [
              "600 Campbell court"
            ],
            "use": "home",
            "type": "physical",
            "postalCode": "NW6",
            "city": "London",
            "country": "United Kingdom"
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "+44121 496 0410"
          }
        ],
        "extension": [
          {
            "extension": [
              {
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "code": "GB",
                      "system": "urn:iso:std:iso:3166"
                    }
                  ],
                  "text": "United Kingdom"
                },
                "url": "code"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Kieran Watts</td><td>male</td><td>30-Apr-2002</td></tr></table></div>"
        },
        "gender": "male",
        "birthDate": "2002-04-30"
      }
    },
    {
      "fullUrl": "urn:uuid:6f68ba23-b2fd-4742-bdd7-b0d6bb3099c0",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "6f68ba23-b2fd-4742-bdd7-b0d6bb3099c0",
        "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 6f68ba23-b2fd-4742-bdd7-b0d6bb3099c0</td></tr></table></div>"
        },
        "practitioner": {
          "reference": "urn:uuid:59ac6b51-5268-4d6c-a5ef-5b9df78534e6"
        },
        "organization": {
          "reference": "urn:uuid:af042bec-7756-4f86-9fbd-07273d6f3583"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:af042bec-7756-4f86-9fbd-07273d6f3583",
      "resource": {
        "resourceType": "Organization",
        "id": "af042bec-7756-4f86-9fbd-07273d6f3583",
        "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": "6cc6110c-1ab9-48d9-ae7d-a1190da59e97"
          }
        ],
        "address": [
          {
            "city": "London",
            "postalCode": "SE1 7",
            "country": "United Kingdom"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Evelina Children's Hospital</td></tr></table></div>"
        },
        "name": "Evelina Children's Hospital"
      }
    },
    {
      "fullUrl": "urn:uuid:59ac6b51-5268-4d6c-a5ef-5b9df78534e6",
      "resource": {
        "resourceType": "Practitioner",
        "id": "59ac6b51-5268-4d6c-a5ef-5b9df78534e6",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu-core"
          ]
        },
        "name": [
          {
            "given": [
              "Adrian"
            ],
            "family": "Gray"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Adrian Gray</td></tr></table></div>"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:e5bdab09-ff82-451f-8521-5e826eda5ed3",
      "resource": {
        "resourceType": "Condition",
        "id": "e5bdab09-ff82-451f-8521-5e826eda5ed3",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/condition-obl-eu-eps"
          ]
        },
        "code": {
          "coding": [
            {
              "code": "160245001",
              "system": "http://snomed.info/sct",
              "display": "No current problems or disability (situation)"
            }
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>No known problems or disabilities</td></tr></table></div>"
        },
        "subject": {
          "reference": "urn:uuid:2a33d21f-eff7-465a-a4ca-1ddce01493d4",
          "display": "Kieran Watts"
        },
        "_onsetDateTime": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
              "valueCode": "unknown"
            }
          ]
        }
      }
    },
    {
      "fullUrl": "urn:uuid:6ab50cc1-16a1-46f7-a428-a16ab2527e5e",
      "resource": {
        "resourceType": "MedicationStatement",
        "id": "6ab50cc1-16a1-46f7-a428-a16ab2527e5e",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/MedicationStatement-eu-eps"
          ]
        },
        "effectivePeriod": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
              "valueCode": "unknown"
            }
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips first25\"><tr><td>No known medications</td></tr></table></div>"
        },
        "status": "active",
        "medicationCodeableConcept": {
          "coding": [
            {
              "code": "787481004",
              "system": "http://snomed.info/sct",
              "display": "No known medications (situation)"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:2a33d21f-eff7-465a-a4ca-1ddce01493d4",
          "display": "Kieran Watts"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:8bc636b3-8917-4d18-898a-3d5fb5f1b2ec",
      "resource": {
        "resourceType": "Immunization",
        "id": "8bc636b3-8917-4d18-898a-3d5fb5f1b2ec",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/immunization-eu-core"
          ]
        },
        "vaccineCode": {
          "coding": [
            {
              "code": "871822003",
              "system": "http://snomed.info/sct",
              "display": "Hepatitis B virus antigen only vaccine product"
            },
            {
              "code": "J07BC01",
              "system": "http://www.whocc.no/atc",
              "display": "hepatitis B, purified antigen"
            }
          ],
          "text": "Hepatitis B virus antigen only vaccine product"
        },
        "site": {
          "coding": [
            {
              "code": "244979005",
              "system": "http://snomed.info/sct",
              "display": "Entire muscle of upper arm"
            }
          ],
          "text": "Entire muscle of upper arm"
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              "display": "Platelets [#/volume] in Blood by Automated count"
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              "display": "Platelet [Entitic mean volume] in Blood by Automated count"
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          "text": "Platelet [Entitic mean volume] in Blood by Automated count"
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}