{
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      "display": "HL7 Europe"
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    "system": "urn:oid:2.16.840.1.113883.2.51.999",
    "value": "9e4a1b3b-44a2-4ffa-9b7b-64716882088b"
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    {
      "fullUrl": "urn:uuid:97fdf19c-1300-441a-b0c4-e1d5774228ab",
      "resource": {
        "resourceType": "Composition",
        "id": "97fdf19c-1300-441a-b0c4-e1d5774228ab",
        "meta": {
          "security": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
              "code": "HTEST"
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            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
              "code": "TRAIN"
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          ],
          "tag": [
            {
              "system": "https://synderai.net/fhir/CodeSystem/tags",
              "code": "synthetic",
              "display": "SYNDERAI Synthetic data"
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          ],
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/composition-eu-eps"
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        },
        "identifier": {
          "assigner": {
            "display": "HL7 Europe"
          },
          "system": "urn:oid:2.16.840.1.113883.2.51.999",
          "value": "90e4af57-828b-4ee1-a6c8-142ae534a1f3"
        },
        "type": {
          "coding": [
            {
              "code": "60591-5",
              "system": "http://loinc.org",
              "display": "Patient summary Document"
            }
          ],
          "text": "Patient summary Document"
        },
        "author": [
          {
            "reference": "urn:uuid:28d937c1-89cc-41e3-84ea-a14dba32f2ba"
          }
        ],
        "section": [
          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><th>Condition</th><th>Onset Date / Period</th><th>Status</th></tr><tr><td>Chronic kidney disease stage 3</td><td><span class=\"nb\">09-Nov-2022</span></td><td>active</td></tr><tr><td>Proteinuria due to type 2 diabetes mellitus</td><td><span class=\"nb\">09-Nov-2022</span></td><td>active</td></tr><tr><td>Chronic kidney disease stage 2</td><td><span class=\"nb\">05-Oct-2016</span></td><td>active</td></tr><tr><td>Microalbuminuria due to type 2 diabetes mellitus</td><td><span class=\"nb\">05-Oct-2016</span></td><td>active</td></tr><tr><td>Alzheimer's disease</td><td><span class=\"nb\">16-Sep-2015</span></td><td>active</td></tr><tr><td>Acute ST segment elevation myocardial infarction</td><td><span class=\"nb\">11-Aug-2013</span></td><td>active</td></tr><tr><td>Disorder of kidney due to diabetes mellitus</td><td><span class=\"nb\">24-Sep-2008</span></td><td>active</td></tr><tr><td>Ischemic heart disease</td><td><span class=\"nb\">24-Sep-2008</span></td><td>active</td></tr><tr><td>Chronic kidney disease stage 1</td><td><span class=\"nb\">24-Sep-2008</span></td><td>active</td></tr><tr><td>Chronic sinusitis</td><td><span class=\"nb\">19-Dec-2007</span></td><td>active</td></tr><tr><td>Mitral valve stenosis</td><td><span class=\"nb\">06-Dec-2004</span></td><td>active</td></tr><tr><td>Hyperlipidemia</td><td><span class=\"nb\">14-Mar-1990</span></td><td>active</td></tr><tr><td>Metabolic syndrome X</td><td><span class=\"nb\">11-Apr-1979</span></td><td>active</td></tr><tr><td>Essential hypertension</td><td><span class=\"nb\">13-Mar-1974</span></td><td>active</td></tr><tr><td><span class=\"grayedout\">Fracture of clavicle</span></td><td><span class=\"nb\">29-Jan-2025 - 15-Apr-2025</span></td><td><span class=\"grayedout\">inactive</span></td></tr><tr><td><span class=\"grayedout\">Fracture of bone</span></td><td><span class=\"nb\">29-Jan-2025 - 15-Apr-2025</span></td><td><span class=\"grayedout\">inactive</span></td></tr><tr><td><span class=\"grayedout\">Acute bronchitis</span></td><td><span class=\"nb\">26-Sep-2022 - 05-Oct-2022</span></td><td><span class=\"grayedout\">inactive</span></td></tr><tr><td><span class=\"grayedout\">Viral sinusitis</span></td><td><span class=\"nb\">24-May-2017 - 06-Jun-2017</span></td><td><span class=\"grayedout\">inactive</span></td></tr><tr><td><span class=\"grayedout\">Acute viral pharyngitis</span></td><td><span class=\"nb\">06-Jan-2016 - 20-Jan-2016</span></td><td><span class=\"grayedout\">inactive</span></td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:f216535b-4953-4d37-99ba-e2ff9c7a99d0"
              },
              {
                "reference": "urn:uuid:8668e106-c3e5-4f7c-9b8e-9957b35c968d"
              },
              {
                "reference": "urn:uuid:2d4a1d2d-ff32-4bcf-b435-642dd51d8cb2"
              },
              {
                "reference": "urn:uuid:db81112b-43aa-4fec-a823-d9954b15e24a"
              },
              {
                "reference": "urn:uuid:e7ef4afb-95b8-4618-9c77-2897af17c9a3"
              },
              {
                "reference": "urn:uuid:b8b377f2-5b00-4a31-8510-dc5b54ffe1e4"
              },
              {
                "reference": "urn:uuid:72c54090-c991-4ff8-9842-6871526c3a50"
              },
              {
                "reference": "urn:uuid:2ba63471-3025-4fe2-bf6c-4d8e1934dc33"
              },
              {
                "reference": "urn:uuid:50908e4c-a92d-4297-a4f4-58b19d95c50d"
              },
              {
                "reference": "urn:uuid:9f2b74e1-54d6-40f5-85ea-96f24ca5651e"
              },
              {
                "reference": "urn:uuid:3dc10c43-55b8-4ab7-ae52-6728332a0b66"
              },
              {
                "reference": "urn:uuid:b5bb8e53-6624-49bf-a092-b1710532d8f2"
              },
              {
                "reference": "urn:uuid:28acfb44-877f-4f83-b13a-7fdaa7f498bf"
              },
              {
                "reference": "urn:uuid:ec4b780e-f7bc-4063-bc41-49dde12d1247"
              },
              {
                "reference": "urn:uuid:e41045e6-d1b8-45c4-9b68-110371b42a70"
              },
              {
                "reference": "urn:uuid:cd2c19e2-f9d1-4894-a441-505b6c94a530"
              },
              {
                "reference": "urn:uuid:6c3f4989-4643-4211-bac5-0e2dc58237ee"
              },
              {
                "reference": "urn:uuid:908a3002-8576-49cf-9652-eb455d509f36"
              },
              {
                "reference": "urn:uuid:5f280e02-dbf8-4c0b-a418-59d7c219da78"
              }
            ],
            "code": {
              "coding": [
                {
                  "code": "11450-4",
                  "system": "http://loinc.org",
                  "display": "Problem list - Reported"
                }
              ]
            },
            "title": "Problem list"
          },
          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><th>Medication</th><th>Since</th><th>Form</th><th>Dosage</th><th>Reason</th></tr><tr><td>Human isophane insulin 70 unit/mL and recombinant human regular insulin 30 unit/mL solution for injection</td><td><span class=\"nb\">2025-07-09</span></td><td>-</td><td>Inject 10 units (0.1 mL) subcutaneously before breakfast and before dinner</td><td>Prediabetes</td></tr><tr><td>Amlodipine (as amlodipine besylate) 2.5 mg oral tablet</td><td><span class=\"nb\">2025-07-09</span></td><td>-</td><td>1 tablet (2.5 mg) by mouth once daily</td><td>Essential hypertension (disorder)</td></tr><tr><td>Hydrochlorothiazide 25 mg oral tablet</td><td><span class=\"nb\">2025-07-09</span></td><td>-</td><td>1 tablet (25 mg) by mouth once daily</td><td>Essential hypertension (disorder)</td></tr><tr><td>Lisinopril 10 mg oral tablet</td><td><span class=\"nb\">2025-07-09</span></td><td>-</td><td>1 tablet (10 mg) by mouth once daily</td><td>Essential hypertension (disorder)</td></tr><tr><td>Simvastatin 10 mg oral tablet</td><td><span class=\"nb\">2025-05-15</span></td><td>-</td><td>1 tablet (10 mg) by mouth once daily</td><td>Hyperlipidemia</td></tr><tr><td>Galantamine (as galantamine hydrobromide) 4 mg oral tablet</td><td><span class=\"nb\">2015-09-16</span></td><td>-</td><td>1 tablet (4 mg) once daily</td><td>Alzheimer's disease (disorder)</td></tr><tr><td>Aspirin 81 mg gastro-resistant oral tablet</td><td><span class=\"nb\">2013-08-11</span></td><td>-</td><td>1 tablet (81 mg) once daily</td><td>-</td></tr><tr><td>Prasugrel (as prasugrel hydrochloride) 10 mg oral tablet</td><td><span class=\"nb\">2013-08-11</span></td><td>-</td><td>1 tablet (10 mg) once daily</td><td>-</td></tr><tr><td>Rosuvastatin (as rosuvastatin calcium) 40 mg oral tablet</td><td><span class=\"nb\">2013-08-11</span></td><td>-</td><td>1 tablet (40 mg) once daily</td><td>-</td></tr><tr><td>Labetalol hydrochloride 100 mg oral tablet</td><td><span class=\"nb\">2013-08-11</span></td><td>-</td><td>1 tablet (100 mg) by mouth twice daily</td><td>-</td></tr><tr><td>Hydrochlorothiazide 25 mg and losartan potassium 100 mg oral tablet</td><td><span class=\"nb\">2013-08-11</span></td><td>-</td><td>1 tablet (25 mg hydrochlorothiazide and 100 mg losartan potassium) by mouth once daily</td><td>-</td></tr><tr><td>Clopidogrel (as clopidogrel bisulfate) 75 mg oral tablet</td><td><span class=\"nb\">2008-10-01</span></td><td>-</td><td>1 tablet (75 mg) once daily</td><td>-</td></tr><tr><td>Simvastatin 20 mg oral tablet</td><td><span class=\"nb\">2008-10-01</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\">2008-10-01</span></td><td>-</td><td>1 spray (400 micrograms) 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\">2008-10-01</span></td><td>-</td><td>1 tablet (100 mg) once daily</td><td>-</td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:ea31c380-0a5a-457f-9791-1b76c08ceb6d"
              },
              {
                "reference": "urn:uuid:a4739ede-7b3b-4b6c-8697-0cdf95d48dd9"
              },
              {
                "reference": "urn:uuid:d6394153-a6f2-4489-bf18-830eb7ebf134"
              },
              {
                "reference": "urn:uuid:a12274a9-5a86-4b31-a85a-e74f0e2cdbb2"
              },
              {
                "reference": "urn:uuid:c4c6ab73-3a80-4c0d-8030-773734e10bda"
              },
              {
                "reference": "urn:uuid:2fbe4736-9303-45eb-9c98-f64685d60beb"
              },
              {
                "reference": "urn:uuid:523ebf9b-31e5-414a-a9c5-b8ac3f9c9cf0"
              },
              {
                "reference": "urn:uuid:3c749192-a5bf-47fc-bcaf-b41ff024124c"
              },
              {
                "reference": "urn:uuid:e28f14ef-9182-46fa-8fe6-83f669f31aef"
              },
              {
                "reference": "urn:uuid:1032bcbe-8c62-4e19-94b0-3589e0775ed5"
              },
              {
                "reference": "urn:uuid:c48a9cd6-edb4-4276-b6bc-72be1bc890b6"
              },
              {
                "reference": "urn:uuid:b5a97b13-00ad-4092-9a88-5848b4e6ef27"
              },
              {
                "reference": "urn:uuid:cd01563b-5581-42e9-9c3b-27a21782206e"
              },
              {
                "reference": "urn:uuid:88b0c828-a293-416e-b4c7-6e27f4fd1aca"
              },
              {
                "reference": "urn:uuid:05ea726d-6197-477c-a223-6731e0a9b877"
              }
            ],
            "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\">25-Jun-2025</span></td></tr><tr><td>SARS-CoV-2 mRNA vaccine</td><td><span class=\"nb\">10-Mar-2021</span></td></tr><tr><td>Clostridium tetani toxoid antigen adsorbed only vaccine product</td><td><span class=\"nb\">03-Jan-2018</span></td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:147fa511-7187-40fb-855b-af74ddf57e4f"
              },
              {
                "reference": "urn:uuid:3689b473-299e-4d47-991b-3dab5da0832c"
              },
              {
                "reference": "urn:uuid:b0275081-3db3-4932-bb92-4b2982690f22"
              }
            ],
            "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>Depression screening</td><td><span class=\"nb\">25-Jun-2025</span></td><td>-</td></tr><tr><td>Assessment of health and social care needs</td><td><span class=\"nb\">25-Jun-2025</span></td><td>-</td></tr><tr><td>Assessment of anxiety</td><td><span class=\"nb\">25-Jun-2025</span></td><td>-</td></tr><tr><td>Assessment using Morse Fall Scale</td><td><span class=\"nb\">25-Jun-2025</span></td><td>-</td></tr><tr><td>Assessment using AUDIT-C (Alcohol Use Disorders Identification Test - Consumption)</td><td><span class=\"nb\">25-Jun-2025</span></td><td>-</td></tr><tr><td>Assessment of substance use</td><td><span class=\"nb\">25-Jun-2025</span></td><td>-</td></tr><tr><td>Screening for substance abuse</td><td><span class=\"nb\">30-Apr-2025</span></td><td>-</td></tr><tr><td>Medication reconciliation</td><td><span class=\"nb\">26-Feb-2025</span></td><td>-</td></tr><tr><td>Screening for domestic abuse</td><td><span class=\"nb\">26-Feb-2025</span></td><td>-</td></tr><tr><td>Plain X-ray of clavicle</td><td><span class=\"nb\">29-Jan-2025</span></td><td>-</td></tr><tr><td>Admission to orthopedic department</td><td><span class=\"nb\">29-Jan-2025</span></td><td>Fracture of clavicle (disorder)</td></tr><tr><td>Bone density scan</td><td><span class=\"nb\">29-Jan-2025</span></td><td>Fracture of clavicle (disorder)</td></tr><tr><td>Depression screening using PHQ-9 (Patient Health Questionnaire 9) score</td><td><span class=\"nb\">15-Jun-2022</span></td><td>-</td></tr><tr><td>Patient discharge</td><td><span class=\"nb\">03-Jan-2022</span></td><td>-</td></tr><tr><td>Hospice care</td><td><span class=\"nb\">02-Jan-2022</span></td><td>-</td></tr><tr><td>Notifications</td><td><span class=\"nb\">29-Dec-2021</span></td><td>-</td></tr><tr><td>Certification procedure</td><td><span class=\"nb\">29-Dec-2021</span></td><td>-</td></tr><tr><td>Initial patient assessment</td><td><span class=\"nb\">29-Dec-2021</span></td><td>-</td></tr><tr><td>Development of individualized plan of care</td><td><span class=\"nb\">29-Dec-2021</span></td><td>-</td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:86c63d70-a0ad-4ebc-a635-19e38c5c7a6e"
              },
              {
                "reference": "urn:uuid:1f6f5e8e-2839-4314-84e4-98c86c081d19"
              },
              {
                "reference": "urn:uuid:255a5f12-3715-4b50-83ae-972787747453"
              },
              {
                "reference": "urn:uuid:6b9e4b3e-48ef-4bc4-8315-50fac8a577c2"
              },
              {
                "reference": "urn:uuid:78bc7a63-3f19-4d73-ba6b-b6dfea76218c"
              },
              {
                "reference": "urn:uuid:6166e2bd-14c0-4b2a-8d4c-e4976bc3a2e5"
              },
              {
                "reference": "urn:uuid:d36d8268-3935-4913-ba73-ceaf81a0a5df"
              },
              {
                "reference": "urn:uuid:63966671-b681-4279-aa5f-3159c917abd3"
              },
              {
                "reference": "urn:uuid:c88e51dc-4889-4b31-9b13-facf08daa7bb"
              },
              {
                "reference": "urn:uuid:3ff192d9-f9ae-4937-810b-59a6c28ffbe4"
              },
              {
                "reference": "urn:uuid:a5fa4216-73f1-4cb2-a624-6e99c5588784"
              },
              {
                "reference": "urn:uuid:1c560a9d-fc2a-4577-a497-c8e5f31f691d"
              },
              {
                "reference": "urn:uuid:9f777eb2-a60a-4c06-acdc-57c43590e0c3"
              },
              {
                "reference": "urn:uuid:a564f01f-fd0d-4b7a-a07b-adeb2603a300"
              },
              {
                "reference": "urn:uuid:1d99de82-3f5f-4a64-8a78-b840ae4107e4"
              },
              {
                "reference": "urn:uuid:f01422e7-f4e1-4b7e-8041-394a5690292b"
              },
              {
                "reference": "urn:uuid:4a800aa8-b138-4cab-a2d1-263d6038d7bd"
              },
              {
                "reference": "urn:uuid:2cadaa62-e14d-4fd8-838c-7b5e13d99649"
              },
              {
                "reference": "urn:uuid:492e14fb-9d94-4e9a-bb18-10d9f475c4f7"
              }
            ],
            "code": {
              "coding": [
                {
                  "code": "47519-4",
                  "system": "http://loinc.org",
                  "display": "History of Procedures Document"
                }
              ]
            },
            "title": "Procedure History list"
          },
          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>No known allergies or intolerances</td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:e9d16b29-2bae-4e47-88ad-5870f7e665a5"
              }
            ],
            "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>Dementia management</td><td><span class=\"nb\">16-Sep-2015</span></td><td>Alzheimer's disease (disorder)</td></tr><tr><td><ul><li>Support maintenance or slow decline of cognitive abilities in the context of Alzheimer's disease through dementia management interventions.</li><li>Promote independence in activities of daily living for as long as possible through dementia management strategies.</li><li>Reduce frequency and severity of behavioral and psychological symptoms associated with Alzheimer's disease.</li><li>Implement measures to reduce risk of harm related to cognitive impairment, such as fall prevention and medication safety.</li></ul></td><td></td><td></td></tr><tr><td>Discharge care plan</td><td><span class=\"nb\">11-Aug-2013</span></td><td>-</td></tr><tr><td>Hyperlipidemia clinical management plan</td><td><span class=\"nb\">04-Apr-1990</span></td><td>Hyperlipidemia (disorder)</td></tr><tr><td><ul><li>Achieve LDL cholesterol below 70 mg/dL to reduce cardiovascular risk.</li><li>Maintain total cholesterol below 200 mg/dL.</li><li>Maintain HDL cholesterol above 50 mg/dL.</li><li>Maintain triglycerides below 150 mg/dL.</li></ul></td><td></td><td></td></tr><tr><td>Lifestyle education regarding hypertension</td><td><span class=\"nb\">13-Mar-1974</span></td><td>Essential hypertension (disorder)</td></tr><tr><td><ul><li>Patient will implement recommended lifestyle modifications to help control blood pressure, including dietary changes, increased physical activity, and medication adherence.</li></ul></td><td></td><td></td></tr><tr><td>Diabetes self management plan</td><td><span class=\"nb\">28-Feb-1962</span></td><td>Prediabetes (finding)</td></tr><tr><td><ul><li>Maintain HbA1c at or below individualized target to reduce risk of diabetes complications.</li><li>Maintain blood pressure below 130/80 mmHg to reduce cardiovascular and renal risk.</li><li>Achieve and maintain a healthy body weight through diet and physical activity as part of diabetes self-management.</li><li>Engage in regular physical activity as tolerated to support glycemic control and overall health.</li><li>Follow a balanced diet with appropriate carbohydrate intake to support glycemic control and kidney health.</li></ul></td><td></td><td></td></tr><tr><th>Immunization Recommendation</th><th>Due Date</th><th>Reason</th></tr><tr><td>Influenza virus antigen only vaccine product</td><td><span class=\"nb\">01-Oct-2026</span></td><td>Annual seasonal influenza vaccination</td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:a3c4b3b9-84b0-4106-b5e0-b3e8e123fe62"
              },
              {
                "reference": "urn:uuid:cb2089ff-3872-481e-942e-7acd0c45e583"
              },
              {
                "reference": "urn:uuid:c7112c49-28cc-4b6f-b133-3d07effc249e"
              },
              {
                "reference": "urn:uuid:0a3f6652-ec6e-4786-83a7-6b73ad5b3637"
              },
              {
                "reference": "urn:uuid:eba750c3-7b74-422b-8d3a-399fde28a32b"
              },
              {
                "reference": "urn:uuid:980ebf65-a470-4e95-b3e9-6e594d58585f"
              }
            ],
            "code": {
              "coding": [
                {
                  "code": "18776-5",
                  "system": "http://loinc.org",
                  "display": "Plan of care note"
                }
              ]
            },
            "title": "Care Plan"
          },
          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><th>Vital Signs</th><th>2025-07-09</th><th>2025-06-25</th></tr><tr><td>Body Height</td><td>162 cm</td><td>162 cm</td></tr><tr><td>Pain severity - 0-10 verbal numeric rating [Score] - Reported</td><td>0 {score}</td><td>1 {score}</td></tr><tr><td>Body Weight</td><td>73.7 kg</td><td>73.7 kg</td></tr><tr><td>Body mass index (BMI) [Ratio]</td><td>28.1 kg/m2</td><td>28.1 kg/m2</td></tr><tr><td>Heart rate</td><td>64 /min</td><td>83 /min</td></tr><tr><td>Respiratory rate</td><td>13 /min</td><td>15 /min</td></tr><tr><td>Blood pressure panel with all children optional</td><td>66 mm[Hg]</td><td>56 mm[Hg]</td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:faf83ccc-11cd-4008-b207-1a0633e45a32"
              },
              {
                "reference": "urn:uuid:6ee37522-d89e-4f1c-bbb4-cdca53a4544c"
              },
              {
                "reference": "urn:uuid:ab08a0bd-3136-4bcd-b3fb-d54c73f513a0"
              },
              {
                "reference": "urn:uuid:bdca0f72-0770-4cbe-b66b-c6831225782b"
              },
              {
                "reference": "urn:uuid:73f7d3ce-b3cf-449e-bffb-81da388bd8c3"
              },
              {
                "reference": "urn:uuid:3ae4b28d-aebf-47cd-8ace-a571a49cb0db"
              },
              {
                "reference": "urn:uuid:2d332eb9-39fd-4518-9eaa-a605ea04f482"
              },
              {
                "reference": "urn:uuid:22917bfb-d95a-4b61-a23c-96627eed4ab5"
              },
              {
                "reference": "urn:uuid:c5307932-914a-4b43-aceb-d2a7c3e1ddf0"
              },
              {
                "reference": "urn:uuid:a5b4a0c4-b6a0-4895-b9c5-165c3f5d76fb"
              },
              {
                "reference": "urn:uuid:70d47812-19cf-4561-a3a3-383d938f676e"
              },
              {
                "reference": "urn:uuid:4c2b4d98-4a0d-496d-9bf8-3c7cb143a2a9"
              },
              {
                "reference": "urn:uuid:36750970-d079-42f3-8072-4b5f8f87d08f"
              },
              {
                "reference": "urn:uuid:d525f23c-15b4-4869-a27b-9d53ad93ff09"
              }
            ],
            "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>09-JUL-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Serum or Plasma</td><td>95.2</td><td>70 - 140</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Serum or Plasma</td><td>18.4</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Serum or Plasma</td><td><strong>1.9 H</strong></td><td>0.6 - 1.3</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Serum or Plasma</td><td>9.5</td><td>8.6 - 10.3</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Serum or Plasma</td><td>137.7</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Serum or Plasma</td><td>5.1</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Serum or Plasma</td><td>106.9</td><td>98 - 107</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Serum or Plasma</td><td><strong>21.6 L</strong></td><td>22 - 29</td><td>mmol/L</td></tr><tr><td>Appearance of Urine</td><td>Cloudy urine</td><td></td><td></td></tr><tr><td>Odor of Urine</td><td>Urine smell ammoniacal</td><td></td><td></td></tr><tr><td>Clarity of Urine</td><td>Translucent</td><td></td><td></td></tr><tr><td>Color of Urine</td><td>Brown color</td><td></td><td></td></tr><tr><td>Glucose [Mass/volume] in Urine by Test strip</td><td>1.8</td><td>0 - 5</td><td>mg/dL</td></tr><tr><td>Glucose [Presence] in Urine by Test strip</td><td>Urine glucose test = ++</td><td></td><td></td></tr><tr><td>Bilirubin.total [Mass/volume] in Urine by Test strip</td><td>1.1</td><td>0 - 4</td><td>mg/dL</td></tr><tr><td>Bilirubin.total [Presence] in Urine by Test strip</td><td>Finding of bilirubin in urine</td><td></td><td></td></tr><tr><td>Ketones [Mass/volume] in Urine by Test strip</td><td>2.6</td><td>0 - 4</td><td>mg/dL</td></tr><tr><td>Ketones [Presence] in Urine by Test strip</td><td>Urine ketone test = ++</td><td></td><td></td></tr><tr><td>Specific gravity of Urine by Test strip</td><td><strong>1.0 L</strong></td><td>1.005 - 1.030</td><td>{nominal}</td></tr><tr><td>pH of Urine by Test strip</td><td>6.0</td><td>5.0 - 8.0</td><td>pH</td></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td><strong>236.3 H</strong></td><td>0 - 20</td><td>mg/dL</td></tr><tr><td>Protein [Presence] in Urine by Test strip</td><td>Urine protein test = ++</td><td></td><td></td></tr><tr><td>Nitrite [Presence] in Urine by Test strip</td><td>Urine nitrite negative</td><td></td><td></td></tr><tr><td>Hemoglobin [Presence] in Urine by Test strip</td><td>Urine blood test = negative</td><td></td><td></td></tr><tr><td>Leukocyte esterase [Presence] in Urine by Test strip</td><td>Urine leukocyte test negative</td><td></td><td></td></tr><tr><td>Hemoglobin A1c/Hemoglobin.total in Blood</td><td><strong>3.4 L</strong></td><td>4.0 - 5.6</td><td>%</td></tr><tr><td>Glucose [Mass/volume] in Blood</td><td>95.2</td><td>70 - 140</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Blood</td><td>18.4</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Blood</td><td><strong>2.2 H</strong></td><td>0.6 - 1.3</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Blood</td><td>9.5</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Blood</td><td>137.7</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Blood</td><td>5.1</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Blood</td><td>106.9</td><td>98 - 107</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td><strong>21.6 L</strong></td><td>22 - 29</td><td>mmol/L</td></tr></tbody></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:c2a28a5e-aab2-4ce7-b9ce-0af7aafce87d"
              },
              {
                "reference": "urn:uuid:a72129cc-4a5c-407b-8517-91e39150b20a"
              },
              {
                "reference": "urn:uuid:920079ce-9d03-4860-817e-73b550b7d1fa"
              },
              {
                "reference": "urn:uuid:5c81ab5c-fa77-43d5-a275-d87118d1ff50"
              },
              {
                "reference": "urn:uuid:aff9094a-50b8-46f4-9d5e-217c4d8c5307"
              },
              {
                "reference": "urn:uuid:c304fa0a-bd93-452e-880b-ad7d7aabdc12"
              },
              {
                "reference": "urn:uuid:ee4a7a2b-0732-4c2d-8f4b-ff1b10389338"
              },
              {
                "reference": "urn:uuid:ebc6c6d8-08d4-4d54-b17c-533b41698f4c"
              },
              {
                "reference": "urn:uuid:2476ea31-bee3-461a-b299-61597e57b847"
              },
              {
                "reference": "urn:uuid:85e3dbe9-94bb-42fb-8377-f0df198c4895"
              },
              {
                "reference": "urn:uuid:6283b4d9-3a5b-452b-8560-ad3701efd00c"
              },
              {
                "reference": "urn:uuid:51c72ba0-2b85-4ca1-874a-d7bd3f98655c"
              },
              {
                "reference": "urn:uuid:a7ba67aa-903d-4f07-ae33-4ec220eb00b2"
              },
              {
                "reference": "urn:uuid:5b1aec2a-68ef-4da6-922c-dc3a7a0a89f9"
              },
              {
                "reference": "urn:uuid:78f646ee-672f-420b-bc19-9085e3f1fe00"
              },
              {
                "reference": "urn:uuid:e8ae582e-5877-400a-b348-951eff3c15ca"
              },
              {
                "reference": "urn:uuid:fe0fce8f-95c4-4251-8027-de86fe113da2"
              },
              {
                "reference": "urn:uuid:ee168459-884e-4f91-9cdf-dbb1ac36dc97"
              },
              {
                "reference": "urn:uuid:e75ebdef-671b-4df3-a5e6-6083eff025f1"
              },
              {
                "reference": "urn:uuid:4b1222e4-ee8c-408b-b443-6ea9403ade31"
              },
              {
                "reference": "urn:uuid:f29c030a-7565-49a4-98ce-e2e54e346678"
              },
              {
                "reference": "urn:uuid:2d9e175f-e2f8-48d0-8bfe-49a7b97ba43b"
              },
              {
                "reference": "urn:uuid:9a679ee7-650e-4b80-ac45-16ca47117bad"
              },
              {
                "reference": "urn:uuid:3f375ed4-b34b-4f23-82d0-8724824e6a1b"
              },
              {
                "reference": "urn:uuid:5b2ae680-d19e-4245-8aee-0c2422f3d3ef"
              },
              {
                "reference": "urn:uuid:b37d5d27-701f-457c-b9ae-c16e0c6b438d"
              },
              {
                "reference": "urn:uuid:0b12bec4-0990-4dee-9bb2-0c822db44d48"
              },
              {
                "reference": "urn:uuid:e2708914-ab6c-491e-88e7-9a58ea6f0557"
              },
              {
                "reference": "urn:uuid:b725d31a-0516-4e0d-99b5-665dc0d0b7f3"
              },
              {
                "reference": "urn:uuid:72f99739-1a3e-432b-a227-c44933ec3b23"
              },
              {
                "reference": "urn:uuid:8c3b1bfa-4ba9-411a-a725-986746ef9b8e"
              },
              {
                "reference": "urn:uuid:a02e813f-5656-44ff-a16e-12df1c5ba55d"
              },
              {
                "reference": "urn:uuid:ddcc476a-1ebe-472d-8350-74b331853f66"
              },
              {
                "reference": "urn:uuid:d39f8adf-25b4-4e29-b56a-59a0fc832121"
              }
            ],
            "code": {
              "coding": [
                {
                  "code": "30954-2",
                  "system": "http://loinc.org",
                  "display": "Relevant diagnostic tests/laboratory data note"
                }
              ]
            },
            "title": "Relevant diagnostic tests/laboratory data"
          },
          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><th>Device</th><th>Date (since)</th></tr><tr><td>Home nebulizer (physical object)</td><td><span class=\"nb\">19-Dec-2007</span></td></tr><tr><td>Blood glucose meter (physical object)</td><td><span class=\"nb\">28-Feb-1962</span></td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:95951a0d-01c0-4d40-a514-ad3e985f78bd"
              },
              {
                "reference": "urn:uuid:6fb008f3-1b26-4b82-b85d-186e5b627fc5"
              }
            ],
            "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:6564360a-7de9-43ac-88aa-0aecfc3f9e8b",
          "display": "Patricia Joubert"
        },
        "custodian": {
          "reference": "urn:uuid:0c316243-98ba-47ae-a80e-a11f321a3849"
        },
        "date": "2025-07-09T08:42:07Z",
        "confidentiality": "N"
      }
    },
    {
      "fullUrl": "urn:uuid:6564360a-7de9-43ac-88aa-0aecfc3f9e8b",
      "resource": {
        "resourceType": "Patient",
        "id": "6564360a-7de9-43ac-88aa-0aecfc3f9e8b",
        "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": "7843-162355-8"
          },
          {
            "type": {
              "coding": [
                {
                  "code": "MR",
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
                }
              ]
            },
            "system": "http://local.setting.eu/identifier",
            "value": "ba17a51d-e5e2-2da2-b64f-9361f1a480e6"
          }
        ],
        "name": [
          {
            "given": [
              "Patricia"
            ],
            "family": "Joubert",
            "text": "Patricia Joubert"
          }
        ],
        "address": [
          {
            "line": [
              "7, chemin Lenoir"
            ],
            "use": "home",
            "type": "physical",
            "postalCode": "50570",
            "city": "Delahaye-la-Forêt",
            "country": "France"
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "0760047035"
          }
        ],
        "extension": [
          {
            "extension": [
              {
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "code": "FR",
                      "system": "urn:iso:std:iso:3166"
                    }
                  ],
                  "text": "France"
                },
                "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>Patricia Joubert</td><td>female</td><td>10-Sep-1939</td></tr></table></div>"
        },
        "gender": "female",
        "birthDate": "1939-09-10"
      }
    },
    {
      "fullUrl": "urn:uuid:28d937c1-89cc-41e3-84ea-a14dba32f2ba",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "28d937c1-89cc-41e3-84ea-a14dba32f2ba",
        "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 28d937c1-89cc-41e3-84ea-a14dba32f2ba</td></tr></table></div>"
        },
        "practitioner": {
          "reference": "urn:uuid:f638ad16-c66a-416f-969f-0bfd94a00bbc"
        },
        "organization": {
          "reference": "urn:uuid:0c316243-98ba-47ae-a80e-a11f321a3849"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:0c316243-98ba-47ae-a80e-a11f321a3849",
      "resource": {
        "resourceType": "Organization",
        "id": "0c316243-98ba-47ae-a80e-a11f321a3849",
        "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": "866d7521-df31-4d34-adba-b642898bee78"
          }
        ],
        "address": [
          {
            "country": "France"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Maison Médical</td></tr></table></div>"
        },
        "name": "Maison Médical"
      }
    },
    {
      "fullUrl": "urn:uuid:f638ad16-c66a-416f-969f-0bfd94a00bbc",
      "resource": {
        "resourceType": "Practitioner",
        "id": "f638ad16-c66a-416f-969f-0bfd94a00bbc",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu-core"
          ]
        },
        "name": [
          {
            "given": [
              "Sabine"
            ],
            "family": "Legendre"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Sabine Legendre</td></tr></table></div>"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:f216535b-4953-4d37-99ba-e2ff9c7a99d0",
      "resource": {
        "resourceType": "Condition",
        "id": "f216535b-4953-4d37-99ba-e2ff9c7a99d0",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/condition-obl-eu-eps"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "code": "problem-list-item",
                "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                "display": "Problem List Item"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "code": "433144002",
              "system": "http://snomed.info/sct",
              "display": "Chronic kidney disease stage 3 (disorder)"
            }
          ],
          "text": "Chronic kidney disease stage 3"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Chronic kidney disease stage 3</td><td><span class=\"nb\">09-Nov-2022</span></td><td>active</td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "active",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
          ]
        },
        "onsetDateTime": "2022-11-09",
        "subject": {
          "reference": "urn:uuid:6564360a-7de9-43ac-88aa-0aecfc3f9e8b",
          "display": "Patricia Joubert"
        },
        "asserter": {
          "reference": "urn:uuid:28d937c1-89cc-41e3-84ea-a14dba32f2ba",
          "display": "Maison Médical"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:8668e106-c3e5-4f7c-9b8e-9957b35c968d",
      "resource": {
        "resourceType": "Condition",
        "id": "8668e106-c3e5-4f7c-9b8e-9957b35c968d",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/condition-obl-eu-eps"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "code": "problem-list-item",
                "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                "display": "Problem List Item"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "code": "157141000119108",
              "system": "http://snomed.info/sct",
              "display": "Proteinuria due to type 2 diabetes mellitus (disorder)"
            }
          ],
          "text": "Proteinuria due to type 2 diabetes mellitus"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Proteinuria due to type 2 diabetes mellitus</td><td><span class=\"nb\">09-Nov-2022</span></td><td>active</td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "active",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
          ]
        },
        "onsetDateTime": "2022-11-09",
        "subject": {
          "reference": "urn:uuid:6564360a-7de9-43ac-88aa-0aecfc3f9e8b",
          "display": "Patricia Joubert"
        },
        "asserter": {
          "reference": "urn:uuid:28d937c1-89cc-41e3-84ea-a14dba32f2ba",
          "display": "Maison Médical"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:2d4a1d2d-ff32-4bcf-b435-642dd51d8cb2",
      "resource": {
        "resourceType": "Condition",
        "id": "2d4a1d2d-ff32-4bcf-b435-642dd51d8cb2",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/condition-obl-eu-eps"
          ]
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              "code": "431856006",
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          "coding": [
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              "code": "90781000119102",
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          "text": "Microalbuminuria due to type 2 diabetes mellitus"
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          "coding": [
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              "code": "26929004",
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              "display": "Alzheimer's disease (disorder)"
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          ],
          "text": "Alzheimer's disease"
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          "coding": [
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              "code": "401303003",
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          "text": "Acute ST segment elevation myocardial infarction"
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      "fullUrl": "urn:uuid:72c54090-c991-4ff8-9842-6871526c3a50",
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        "code": {
          "coding": [
            {
              "code": "127013003",
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          "text": "Disorder of kidney due to diabetes mellitus"
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        "text": {
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          "display": "Patricia Joubert"
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                "code": "problem-list-item",
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        "code": {
          "coding": [
            {
              "code": "414545008",
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              "display": "Ischemic heart disease (disorder)"
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          ],
          "text": "Ischemic heart disease"
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        "clinicalStatus": {
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          "display": "Patricia Joubert"
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        "category": [
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                "code": "problem-list-item",
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        "code": {
          "coding": [
            {
              "code": "431855005",
              "system": "http://snomed.info/sct",
              "display": "Chronic kidney disease stage 1 (disorder)"
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          ],
          "text": "Chronic kidney disease stage 1"
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        "text": {
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        "subject": {
          "reference": "urn:uuid:6564360a-7de9-43ac-88aa-0aecfc3f9e8b",
          "display": "Patricia Joubert"
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        "asserter": {
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      "fullUrl": "urn:uuid:9f2b74e1-54d6-40f5-85ea-96f24ca5651e",
      "resource": {
        "resourceType": "Condition",
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          "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",
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        ],
        "code": {
          "coding": [
            {
              "code": "40055000",
              "system": "http://snomed.info/sct",
              "display": "Chronic sinusitis (disorder)"
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          ],
          "text": "Chronic sinusitis"
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        "text": {
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Chronic sinusitis</td><td><span class=\"nb\">19-Dec-2007</span></td><td>active</td></tr></table></div>"
        },
        "clinicalStatus": {
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        "subject": {
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          "display": "Patricia Joubert"
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        "asserter": {
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    {
      "fullUrl": "urn:uuid:3dc10c43-55b8-4ab7-ae52-6728332a0b66",
      "resource": {
        "resourceType": "Condition",
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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": "79619009",
              "system": "http://snomed.info/sct",
              "display": "Mitral valve stenosis (disorder)"
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          ],
          "text": "Mitral valve stenosis"
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Mitral valve stenosis</td><td><span class=\"nb\">06-Dec-2004</span></td><td>active</td></tr></table></div>"
        },
        "clinicalStatus": {
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              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
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        "onsetDateTime": "2004-12-06",
        "subject": {
          "reference": "urn:uuid:6564360a-7de9-43ac-88aa-0aecfc3f9e8b",
          "display": "Patricia Joubert"
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        "asserter": {
          "reference": "urn:uuid:28d937c1-89cc-41e3-84ea-a14dba32f2ba",
          "display": "Maison Médical"
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      }
    },
    {
      "fullUrl": "urn:uuid:b5bb8e53-6624-49bf-a092-b1710532d8f2",
      "resource": {
        "resourceType": "Condition",
        "id": "b5bb8e53-6624-49bf-a092-b1710532d8f2",
        "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": "55822004",
              "system": "http://snomed.info/sct",
              "display": "Hyperlipidemia (disorder)"
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          ],
          "text": "Hyperlipidemia"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Hyperlipidemia</td><td><span class=\"nb\">14-Mar-1990</span></td><td>active</td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "active",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
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          ]
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        "onsetDateTime": "1990-03-14",
        "subject": {
          "reference": "urn:uuid:6564360a-7de9-43ac-88aa-0aecfc3f9e8b",
          "display": "Patricia Joubert"
        },
        "asserter": {
          "reference": "urn:uuid:28d937c1-89cc-41e3-84ea-a14dba32f2ba",
          "display": "Maison Médical"
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      }
    },
    {
      "fullUrl": "urn:uuid:28acfb44-877f-4f83-b13a-7fdaa7f498bf",
      "resource": {
        "resourceType": "Condition",
        "id": "28acfb44-877f-4f83-b13a-7fdaa7f498bf",
        "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": "237602007",
              "system": "http://snomed.info/sct",
              "display": "Metabolic syndrome X (disorder)"
            }
          ],
          "text": "Metabolic syndrome X"
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Metabolic syndrome X</td><td><span class=\"nb\">11-Apr-1979</span></td><td>active</td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "active",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
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        "onsetDateTime": "1979-04-11",
        "subject": {
          "reference": "urn:uuid:6564360a-7de9-43ac-88aa-0aecfc3f9e8b",
          "display": "Patricia Joubert"
        },
        "asserter": {
          "reference": "urn:uuid:28d937c1-89cc-41e3-84ea-a14dba32f2ba",
          "display": "Maison Médical"
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      }
    },
    {
      "fullUrl": "urn:uuid:ec4b780e-f7bc-4063-bc41-49dde12d1247",
      "resource": {
        "resourceType": "Condition",
        "id": "ec4b780e-f7bc-4063-bc41-49dde12d1247",
        "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": "59621000",
              "system": "http://snomed.info/sct",
              "display": "Essential hypertension (disorder)"
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          ],
          "text": "Essential hypertension"
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        "text": {
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Essential hypertension</td><td><span class=\"nb\">13-Mar-1974</span></td><td>active</td></tr></table></div>"
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          "coding": [
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              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
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        "subject": {
          "reference": "urn:uuid:6564360a-7de9-43ac-88aa-0aecfc3f9e8b",
          "display": "Patricia Joubert"
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        "asserter": {
          "reference": "urn:uuid:28d937c1-89cc-41e3-84ea-a14dba32f2ba",
          "display": "Maison Médical"
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      }
    },
    {
      "fullUrl": "urn:uuid:e41045e6-d1b8-45c4-9b68-110371b42a70",
      "resource": {
        "resourceType": "Condition",
        "id": "e41045e6-d1b8-45c4-9b68-110371b42a70",
        "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": "58150001",
              "system": "http://snomed.info/sct",
              "display": "Fracture of clavicle (disorder)"
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          ],
          "text": "Fracture of clavicle"
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        "text": {
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td><span class=\"grayedout\">Fracture of clavicle</span></td><td><span class=\"nb\">29-Jan-2025 - 15-Apr-2025</span></td><td><span class=\"grayedout\">inactive</span></td></tr></table></div>"
        },
        "clinicalStatus": {
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          ]
        },
        "onsetDateTime": "2025-01-29",
        "abatementDateTime": "2025-04-15",
        "subject": {
          "reference": "urn:uuid:6564360a-7de9-43ac-88aa-0aecfc3f9e8b",
          "display": "Patricia Joubert"
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        "asserter": {
          "reference": "urn:uuid:28d937c1-89cc-41e3-84ea-a14dba32f2ba",
          "display": "Maison Médical"
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      }
    },
    {
      "fullUrl": "urn:uuid:cd2c19e2-f9d1-4894-a441-505b6c94a530",
      "resource": {
        "resourceType": "Condition",
        "id": "cd2c19e2-f9d1-4894-a441-505b6c94a530",
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        "category": [
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                "code": "problem-list-item",
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              "code": "125605004",
              "system": "http://snomed.info/sct",
              "display": "Fracture of bone (disorder)"
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          ],
          "text": "Fracture of bone"
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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\">Fracture of bone</span></td><td><span class=\"nb\">29-Jan-2025 - 15-Apr-2025</span></td><td><span class=\"grayedout\">inactive</span></td></tr></table></div>"
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        "onsetDateTime": "2025-01-29",
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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\">26-Sep-2022 - 05-Oct-2022</span></td><td><span class=\"grayedout\">inactive</span></td></tr></table></div>"
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        },
        "category": [
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                "code": "problem-list-item",
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                "display": "Problem List Item"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "code": "444814009",
              "system": "http://snomed.info/sct",
              "display": "Viral sinusitis (disorder)"
            }
          ],
          "text": "Viral sinusitis"
        },
        "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\">24-May-2017 - 06-Jun-2017</span></td><td><span class=\"grayedout\">inactive</span></td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
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        "category": [
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          "coding": [
            {
              "code": "195662009",
              "system": "http://snomed.info/sct",
              "display": "Acute viral pharyngitis (disorder)"
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          "text": "Acute viral pharyngitis"
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        "text": {
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td><span class=\"grayedout\">Acute viral pharyngitis</span></td><td><span class=\"nb\">06-Jan-2016 - 20-Jan-2016</span></td><td><span class=\"grayedout\">inactive</span></td></tr></table></div>"
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        "onsetDateTime": "2016-01-06",
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    },
    {
      "fullUrl": "urn:uuid:b3c4d78b-4dbe-4ddc-9c0d-571547957607",
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        "resourceType": "Medication",
        "id": "b3c4d78b-4dbe-4ddc-9c0d-571547957607",
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          "profile": [
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              "display": "Human isophane insulin 70 unit/mL and recombinant human regular insulin 30 unit/mL solution for injection"
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          ],
          "text": "Human isophane insulin 70 unit/mL and recombinant human regular insulin 30 unit/mL solution for injection"
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        "text": {
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      }
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            ],
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              "display": "Amlodipine (as amlodipine besylate) 2.5 mg oral tablet"
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          ],
          "text": "Amlodipine (as amlodipine besylate) 2.5 mg oral tablet"
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Amlodipine (as amlodipine besylate) 2.5 mg oral tablet</div>"
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              "display": "Hydrochlorothiazide 25 mg oral tablet"
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          ],
          "text": "Hydrochlorothiazide 25 mg oral tablet"
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      }
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            "text": "1 tablet (25 mg) by mouth once daily",
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          "display": "Patricia Joubert"
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      "fullUrl": "urn:uuid:6d8fef55-eb34-4cbc-bf36-320b92ccbc48",
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        "code": {
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              "system": "http://snomed.info/sct",
              "display": "Lisinopril 10 mg oral tablet"
            }
          ],
          "text": "Lisinopril 10 mg oral tablet"
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Lisinopril 10 mg oral tablet</div>"
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      }
    },
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      "fullUrl": "urn:uuid:a12274a9-5a86-4b31-a85a-e74f0e2cdbb2",
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          "display": "Patricia Joubert"
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        "code": {
          "coding": [
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              "code": "319996000",
              "system": "http://snomed.info/sct",
              "display": "Simvastatin 10 mg oral tablet"
            }
          ],
          "text": "Simvastatin 10 mg oral tablet"
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Simvastatin 10 mg oral tablet</div>"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:c4c6ab73-3a80-4c0d-8030-773734e10bda",
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            "text": "1 tablet (10 mg) by mouth once daily",
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                "code": "55822004",
                "system": "http://snomed.info/sct",
                "display": "Hyperlipidemia"
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            ]
          }
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        },
        "status": "active",
        "medicationReference": {
          "reference": "urn:uuid:f7b8930b-9385-4e78-a402-662de5edaded",
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          "display": "Patricia Joubert"
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        "meta": {
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        "code": {
          "coding": [
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              "code": "323381002",
              "system": "http://snomed.info/sct",
              "display": "Galantamine (as galantamine hydrobromide) 4 mg oral tablet"
            }
          ],
          "text": "Galantamine (as galantamine hydrobromide) 4 mg oral tablet"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Galantamine (as galantamine hydrobromide) 4 mg oral tablet</div>"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:2fbe4736-9303-45eb-9c98-f64685d60beb",
      "resource": {
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        },
        "effectivePeriod": {
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            },
            "text": "1 tablet (4 mg) once daily",
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                "code": "26929004",
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              "display": "Aspirin 81 mg gastro-resistant oral tablet"
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          ],
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              "display": "Prasugrel (as prasugrel hydrochloride) 10 mg oral tablet"
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      }
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              "display": "Rosuvastatin (as rosuvastatin calcium) 40 mg oral tablet"
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          "text": "Rosuvastatin (as rosuvastatin calcium) 40 mg oral tablet"
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        }
      }
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              "display": "Labetalol hydrochloride 100 mg oral tablet"
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          ],
          "text": "Labetalol hydrochloride 100 mg oral tablet"
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        }
      }
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            },
            "text": "1 tablet (100 mg) by mouth twice daily",
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              "display": "Hydrochlorothiazide 25 mg and losartan potassium 100 mg oral tablet"
            }
          ],
          "text": "Hydrochlorothiazide 25 mg and losartan potassium 100 mg oral tablet"
        },
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Hydrochlorothiazide 25 mg and losartan potassium 100 mg oral tablet</div>"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:c48a9cd6-edb4-4276-b6bc-72be1bc890b6",
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            ],
            "timing": {
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            },
            "text": "1 tablet (25 mg hydrochlorothiazide and 100 mg losartan potassium) by mouth once daily",
            "asNeededBoolean": false
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        ],
        "text": {
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips first25\"><tr><th>Medication</th><th>Since</th><th>Form</th><th>Dosage</th><th>Reason</th></tr><tr><td>Hydrochlorothiazide 25 mg and losartan potassium 100 mg oral tablet</td><td><span class=\"nb\">2013-08-11</span></td><td>-</td><td>1 tablet (25 mg hydrochlorothiazide and 100 mg losartan potassium) by mouth once daily</td><td>-</td></tr></table></div>"
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              "display": "Clopidogrel (as clopidogrel bisulfate) 75 mg oral tablet"
            }
          ],
          "text": "Clopidogrel (as clopidogrel bisulfate) 75 mg oral tablet"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Clopidogrel (as clopidogrel bisulfate) 75 mg oral tablet</div>"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:b5a97b13-00ad-4092-9a88-5848b4e6ef27",
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            ],
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            },
            "text": "1 tablet (75 mg) once daily",
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          }
        ],
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        },
        "status": "active",
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          "reference": "urn:uuid:557dbd4c-4c08-4a57-92b4-3675b02c1713",
          "display": "Clopidogrel (as clopidogrel bisulfate) 75 mg oral tablet"
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          "display": "Patricia Joubert"
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      }
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    {
      "fullUrl": "urn:uuid:7ca910be-8045-441f-8e6b-0608daae4a65",
      "resource": {
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        "meta": {
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        "code": {
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              "code": "319997009",
              "system": "http://snomed.info/sct",
              "display": "Simvastatin 20 mg oral tablet"
            }
          ],
          "text": "Simvastatin 20 mg oral tablet"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Simvastatin 20 mg oral tablet</div>"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:cd01563b-5581-42e9-9c3b-27a21782206e",
      "resource": {
        "resourceType": "MedicationStatement",
        "id": "cd01563b-5581-42e9-9c3b-27a21782206e",
        "meta": {
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        },
        "effectivePeriod": {
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        "dosage": [
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            "timing": {
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            },
            "text": "1 tablet (20 mg) by mouth once daily",
            "asNeededBoolean": false
          }
        ],
        "text": {
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          "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>Simvastatin 20 mg oral tablet</td><td><span class=\"nb\">2008-10-01</span></td><td>-</td><td>1 tablet (20 mg) by mouth once daily</td><td>-</td></tr></table></div>"
        },
        "status": "active",
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          "reference": "urn:uuid:7ca910be-8045-441f-8e6b-0608daae4a65",
          "display": "Simvastatin 20 mg oral tablet"
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        "subject": {
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          "display": "Patricia Joubert"
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      }
    },
    {
      "fullUrl": "urn:uuid:7a4f1a72-af0d-4174-80b0-7706bf15132e",
      "resource": {
        "resourceType": "Medication",
        "id": "7a4f1a72-af0d-4174-80b0-7706bf15132e",
        "meta": {
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        },
        "code": {
          "coding": [
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              "code": "425176000",
              "system": "http://snomed.info/sct",
              "display": "Nitroglycerin 400 microgram/actuation sublingual spray"
            }
          ],
          "text": "Nitroglycerin 400 microgram/actuation sublingual spray"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Nitroglycerin 400 microgram/actuation sublingual spray</div>"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:88b0c828-a293-416e-b4c7-6e27f4fd1aca",
      "resource": {
        "resourceType": "MedicationStatement",
        "id": "88b0c828-a293-416e-b4c7-6e27f4fd1aca",
        "meta": {
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        },
        "effectivePeriod": {
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        },
        "dosage": [
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            "doseAndRate": [
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                "doseQuantity": {
                  "value": 400,
                  "unit": "microgram",
                  "system": "http://unitsofmeasure.org",
                  "code": "ug"
                }
              }
            ],
            "timing": {
              "repeat": {
                "frequency": 1,
                "period": 5,
                "periodUnit": "min"
              }
            },
            "text": "1 spray (400 micrograms) under the tongue as needed for chest pain, may repeat every 5 minutes as needed, up to 3 sprays in 15 minutes",
            "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>Nitroglycerin 400 microgram/actuation sublingual spray</td><td><span class=\"nb\">2008-10-01</span></td><td>-</td><td>1 spray (400 micrograms) 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>"
        },
        "status": "active",
        "medicationReference": {
          "reference": "urn:uuid:7a4f1a72-af0d-4174-80b0-7706bf15132e",
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                  "system": "http://terminology.hl7.org/CodeSystem/immunization-recommendation-status",
                  "display": "Due"
                }
              ]
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Influenza virus antigen only vaccine product</td><td><span class=\"nb\">01-Oct-2026</span></td><td>Annual seasonal influenza vaccination</td></tr></table></div>"
        },
        "date": "2026-03-14",
        "patient": {
          "reference": "urn:uuid:6564360a-7de9-43ac-88aa-0aecfc3f9e8b",
          "display": "Patricia Joubert"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:4e8c6cc3-66bd-49b0-ba40-90c35bc513c3",
      "resource": {
        "resourceType": "Goal",
        "id": "4e8c6cc3-66bd-49b0-ba40-90c35bc513c3",
        "description": {
          "text": "Support maintenance or slow decline of cognitive abilities in the context of Alzheimer's disease through dementia management interventions."
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Support maintenance or slow decline of cognitive abilities in the context of Alzheimer's disease through dementia management interventions.</div>"
        },
        "lifecycleStatus": "active",
        "subject": {
          "reference": "urn:uuid:6564360a-7de9-43ac-88aa-0aecfc3f9e8b",
          "display": "Patricia Joubert"
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      }
    },
    {
      "fullUrl": "urn:uuid:ddfb944c-c231-41e3-8f58-5b782a316a35",
      "resource": {
        "resourceType": "Goal",
        "id": "ddfb944c-c231-41e3-8f58-5b782a316a35",
        "description": {
          "text": "Promote independence in activities of daily living for as long as possible through dementia management strategies."
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Promote independence in activities of daily living for as long as possible through dementia management strategies.</div>"
        },
        "lifecycleStatus": "active",
        "subject": {
          "reference": "urn:uuid:6564360a-7de9-43ac-88aa-0aecfc3f9e8b",
          "display": "Patricia Joubert"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:7f30b929-bbb9-4723-b289-a4480c0e74a9",
      "resource": {
        "resourceType": "Goal",
        "id": "7f30b929-bbb9-4723-b289-a4480c0e74a9",
        "description": {
          "text": "Reduce frequency and severity of behavioral and psychological symptoms associated with Alzheimer's disease."
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Reduce frequency and severity of behavioral and psychological symptoms associated with Alzheimer's disease.</div>"
        },
        "lifecycleStatus": "active",
        "subject": {
          "reference": "urn:uuid:6564360a-7de9-43ac-88aa-0aecfc3f9e8b",
          "display": "Patricia Joubert"
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      }
    },
    {
      "fullUrl": "urn:uuid:d405da8b-d8b6-410e-b1e9-c6d88cb9d8d0",
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        "resourceType": "Goal",
        "id": "d405da8b-d8b6-410e-b1e9-c6d88cb9d8d0",
        "description": {
          "text": "Implement measures to reduce risk of harm related to cognitive impairment, such as fall prevention and medication safety."
        },
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          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Implement measures to reduce risk of harm related to cognitive impairment, such as fall prevention and medication safety.</div>"
        },
        "lifecycleStatus": "active",
        "subject": {
          "reference": "urn:uuid:6564360a-7de9-43ac-88aa-0aecfc3f9e8b",
          "display": "Patricia Joubert"
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    {
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      "resource": {
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        "id": "b1ebc2eb-9c4d-418c-a52e-8fd447802e66",
        "description": {
          "text": "Achieve LDL cholesterol below 70 mg/dL to reduce cardiovascular risk."
        },
        "target": [
          {
            "detailQuantity": {
              "value": 70,
              "unit": "mg/dL",
              "system": "http://unitsofmeasure.org",
              "code": "mg/dL"
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            "measure": {
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                  "code": "18262-6",
                  "system": "http://loinc.org",
                  "display": "Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay"
                }
              ]
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Achieve LDL cholesterol below 70 mg/dL to reduce cardiovascular risk.</div>"
        },
        "lifecycleStatus": "active",
        "subject": {
          "reference": "urn:uuid:6564360a-7de9-43ac-88aa-0aecfc3f9e8b",
          "display": "Patricia Joubert"
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      }
    },
    {
      "fullUrl": "urn:uuid:3d50641f-0d9c-45e6-b1dd-acff1727df55",
      "resource": {
        "resourceType": "Goal",
        "id": "3d50641f-0d9c-45e6-b1dd-acff1727df55",
        "description": {
          "text": "Maintain total cholesterol below 200 mg/dL."
        },
        "target": [
          {
            "detailQuantity": {
              "value": 200,
              "unit": "mg/dL",
              "system": "http://unitsofmeasure.org",
              "code": "mg/dL"
            },
            "measure": {
              "coding": [
                {
                  "code": "2093-3",
                  "system": "http://loinc.org",
                  "display": "Cholesterol [Mass/volume] in Serum or Plasma"
                }
              ]
            }
          }
        ],
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          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Maintain total cholesterol below 200 mg/dL.</div>"
        },
        "lifecycleStatus": "active",
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          "reference": "urn:uuid:6564360a-7de9-43ac-88aa-0aecfc3f9e8b",
          "display": "Patricia Joubert"
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      }
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    {
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      "resource": {
        "resourceType": "Goal",
        "id": "fa7ace8b-646d-4d83-a4fd-e639f5261206",
        "description": {
          "text": "Maintain HDL cholesterol above 50 mg/dL."
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        "target": [
          {
            "detailQuantity": {
              "value": 50,
              "unit": "mg/dL",
              "system": "http://unitsofmeasure.org",
              "code": "mg/dL"
            },
            "measure": {
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                {
                  "code": "2085-9",
                  "system": "http://loinc.org",
                  "display": "Cholesterol in HDL [Mass/volume] in Serum or Plasma"
                }
              ]
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Maintain HDL cholesterol above 50 mg/dL.</div>"
        },
        "lifecycleStatus": "active",
        "subject": {
          "reference": "urn:uuid:6564360a-7de9-43ac-88aa-0aecfc3f9e8b",
          "display": "Patricia Joubert"
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      }
    },
    {
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      "resource": {
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        "id": "abe70696-2f2e-4625-9a4c-5c6a610fc1e0",
        "description": {
          "text": "Maintain triglycerides below 150 mg/dL."
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            "detailQuantity": {
              "value": 150,
              "unit": "mg/dL",
              "system": "http://unitsofmeasure.org",
              "code": "mg/dL"
            },
            "measure": {
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                {
                  "code": "2571-8",
                  "system": "http://loinc.org",
                  "display": "Triglyceride [Mass/volume] in Serum or Plasma"
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              ]
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Maintain triglycerides below 150 mg/dL.</div>"
        },
        "lifecycleStatus": "active",
        "subject": {
          "reference": "urn:uuid:6564360a-7de9-43ac-88aa-0aecfc3f9e8b",
          "display": "Patricia Joubert"
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      }
    },
    {
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      "resource": {
        "resourceType": "Goal",
        "id": "0351c844-04c4-48a8-bfcd-0d306d033957",
        "description": {
          "text": "Patient will implement recommended lifestyle modifications to help control blood pressure, including dietary changes, increased physical activity, and medication adherence."
        },
        "target": [
          {
            "detailQuantity": {
              "value": 130,
              "unit": "mm[Hg]",
              "system": "http://unitsofmeasure.org",
              "code": "mm[Hg]"
            },
            "measure": {
              "coding": [
                {
                  "code": "85354-9",
                  "system": "http://loinc.org",
                  "display": "Blood pressure panel with all children optional"
                }
              ]
            }
          },
          {
            "detailQuantity": {
              "value": 80,
              "unit": "mm[Hg]",
              "system": "http://unitsofmeasure.org",
              "code": "mm[Hg]"
            },
            "measure": {
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                {
                  "code": "85354-9",
                  "system": "http://loinc.org",
                  "display": "Blood pressure panel with all children optional"
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              ]
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Patient will implement recommended lifestyle modifications to help control blood pressure, including dietary changes, increased physical activity, and medication adherence.</div>"
        },
        "lifecycleStatus": "active",
        "subject": {
          "reference": "urn:uuid:6564360a-7de9-43ac-88aa-0aecfc3f9e8b",
          "display": "Patricia Joubert"
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      }
    },
    {
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      "resource": {
        "resourceType": "Goal",
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        "description": {
          "text": "Maintain HbA1c at or below individualized target to reduce risk of diabetes complications."
        },
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          {
            "detailQuantity": {
              "value": 7,
              "unit": "%",
              "system": "http://unitsofmeasure.org",
              "code": "%"
            },
            "measure": {
              "coding": [
                {
                  "code": "4548-4",
                  "system": "http://loinc.org",
                  "display": "Hemoglobin A1c/Hemoglobin.total in Blood"
                }
              ]
            }
          }
        ],
        "text": {
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Maintain HbA1c at or below individualized target to reduce risk of diabetes complications.</div>"
        },
        "lifecycleStatus": "active",
        "subject": {
          "reference": "urn:uuid:6564360a-7de9-43ac-88aa-0aecfc3f9e8b",
          "display": "Patricia Joubert"
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      }
    },
    {
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      "resource": {
        "resourceType": "Goal",
        "id": "0ff6e19c-f64f-423c-b9a9-3bea26be57b7",
        "description": {
          "text": "Maintain blood pressure below 130/80 mmHg to reduce cardiovascular and renal risk."
        },
        "target": [
          {
            "detailRange": {
              "high": {
                "value": 130,
                "unit": "mm[Hg]",
                "system": "http://unitsofmeasure.org",
                "code": "mm[Hg]"
              }
            },
            "measure": {
              "coding": [
                {
                  "code": "85354-9",
                  "system": "http://loinc.org",
                  "display": "Blood pressure panel with all children optional"
                }
              ]
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Maintain blood pressure below 130/80 mmHg to reduce cardiovascular and renal risk.</div>"
        },
        "lifecycleStatus": "active",
        "subject": {
          "reference": "urn:uuid:6564360a-7de9-43ac-88aa-0aecfc3f9e8b",
          "display": "Patricia Joubert"
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      }
    },
    {
      "fullUrl": "urn:uuid:e5054110-04a8-4db8-9b65-2b07af2dd2a5",
      "resource": {
        "resourceType": "Goal",
        "id": "e5054110-04a8-4db8-9b65-2b07af2dd2a5",
        "description": {
          "text": "Achieve and maintain a healthy body weight through diet and physical activity as part of diabetes self-management."
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Achieve and maintain a healthy body weight through diet and physical activity as part of diabetes self-management.</div>"
        },
        "lifecycleStatus": "active",
        "subject": {
          "reference": "urn:uuid:6564360a-7de9-43ac-88aa-0aecfc3f9e8b",
          "display": "Patricia Joubert"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:095a0dea-ac9c-4d42-bf5c-6496d0e1f1e7",
      "resource": {
        "resourceType": "Goal",
        "id": "095a0dea-ac9c-4d42-bf5c-6496d0e1f1e7",
        "description": {
          "text": "Engage in regular physical activity as tolerated to support glycemic control and overall health."
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Engage in regular physical activity as tolerated to support glycemic control and overall health.</div>"
        },
        "lifecycleStatus": "active",
        "subject": {
          "reference": "urn:uuid:6564360a-7de9-43ac-88aa-0aecfc3f9e8b",
          "display": "Patricia Joubert"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:0d450983-85c9-43ba-93ca-6c14cfbc5c4c",
      "resource": {
        "resourceType": "Goal",
        "id": "0d450983-85c9-43ba-93ca-6c14cfbc5c4c",
        "description": {
          "text": "Follow a balanced diet with appropriate carbohydrate intake to support glycemic control and kidney health."
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Follow a balanced diet with appropriate carbohydrate intake to support glycemic control and kidney health.</div>"
        },
        "lifecycleStatus": "active",
        "subject": {
          "reference": "urn:uuid:6564360a-7de9-43ac-88aa-0aecfc3f9e8b",
          "display": "Patricia Joubert"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:faf83ccc-11cd-4008-b207-1a0633e45a32",
      "resource": {
        "resourceType": "Observation",
        "id": "faf83ccc-11cd-4008-b207-1a0633e45a32",
        "meta": {
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        },
        "category": [
          {
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                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
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            ]
          }
        ],
        "valueQuantity": {
          "value": 162,
          "code": "cm",
          "system": "http://unitsofmeasure.org",
          "unit": "cm"
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><th>Vital Sign</th><th>Date</th><th>Measurement</th></tr><tr><td>Body Height</td><td>09-Jul-2025</td><td>162 cm</td></tr></table></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "code": "8302-2",
              "system": "http://loinc.org",
              "display": "Body Height"
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          ]
        },
        "subject": {
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          "display": "Patricia Joubert"
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    },
    {
      "fullUrl": "urn:uuid:6ee37522-d89e-4f1c-bbb4-cdca53a4544c",
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        "id": "6ee37522-d89e-4f1c-bbb4-cdca53a4544c",
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        "category": [
          {
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              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
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            ]
          }
        ],
        "valueQuantity": {
          "value": 0,
          "code": "1",
          "system": "http://unitsofmeasure.org",
          "unit": "{score}"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><th>Vital Sign</th><th>Date</th><th>Measurement</th></tr><tr><td>Pain severity - 0-10 verbal numeric rating [Score] - Reported</td><td>09-Jul-2025</td><td>0 {score}</td></tr></table></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "code": "72514-3",
              "system": "http://loinc.org",
              "display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
            }
          ]
        },
        "subject": {
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          "display": "Patricia Joubert"
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        "effectiveDateTime": "2025-07-09"
      }
    },
    {
      "fullUrl": "urn:uuid:ab08a0bd-3136-4bcd-b3fb-d54c73f513a0",
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        "meta": {
          "profile": [
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        },
        "category": [
          {
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                "code": "vital-signs",
                "display": "Vital Signs"
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            ]
          }
        ],
        "valueQuantity": {
          "value": 73.7,
          "code": "kg",
          "system": "http://unitsofmeasure.org",
          "unit": "kg"
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><th>Vital Sign</th><th>Date</th><th>Measurement</th></tr><tr><td>Body Weight</td><td>09-Jul-2025</td><td>73.7 kg</td></tr></table></div>"
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        "status": "final",
        "code": {
          "coding": [
            {
              "code": "29463-7",
              "system": "http://loinc.org",
              "display": "Body Weight"
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          ]
        },
        "subject": {
          "reference": "urn:uuid:6564360a-7de9-43ac-88aa-0aecfc3f9e8b",
          "display": "Patricia Joubert"
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        "effectiveDateTime": "2025-07-09"
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    },
    {
      "fullUrl": "urn:uuid:bdca0f72-0770-4cbe-b66b-c6831225782b",
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        },
        "category": [
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            "coding": [
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                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
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            ]
          }
        ],
        "valueQuantity": {
          "value": 28.1,
          "code": "kg/m2",
          "system": "http://unitsofmeasure.org",
          "unit": "kg/m2"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><th>Vital Sign</th><th>Date</th><th>Measurement</th></tr><tr><td>Body mass index (BMI) [Ratio]</td><td>09-Jul-2025</td><td>28.1 kg/m2</td></tr></table></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "code": "39156-5",
              "system": "http://loinc.org",
              "display": "Body mass index (BMI) [Ratio]"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:6564360a-7de9-43ac-88aa-0aecfc3f9e8b",
          "display": "Patricia Joubert"
        },
        "effectiveDateTime": "2025-07-09"
      }
    },
    {
      "fullUrl": "urn:uuid:73f7d3ce-b3cf-449e-bffb-81da388bd8c3",
      "resource": {
        "resourceType": "Observation",
        "id": "73f7d3ce-b3cf-449e-bffb-81da388bd8c3",
        "meta": {
          "profile": [
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          ]
        },
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
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            ]
          }
        ],
        "valueQuantity": {
          "value": 64,
          "code": "/min",
          "system": "http://unitsofmeasure.org",
          "unit": "/min"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><th>Vital Sign</th><th>Date</th><th>Measurement</th></tr><tr><td>Heart rate</td><td>09-Jul-2025</td><td>64 /min</td></tr></table></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "code": "8867-4",
              "system": "http://loinc.org",
              "display": "Heart rate"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:6564360a-7de9-43ac-88aa-0aecfc3f9e8b",
          "display": "Patricia Joubert"
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        "effectiveDateTime": "2025-07-09"
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    },
    {
      "fullUrl": "urn:uuid:3ae4b28d-aebf-47cd-8ace-a571a49cb0db",
      "resource": {
        "resourceType": "Observation",
        "id": "3ae4b28d-aebf-47cd-8ace-a571a49cb0db",
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              "display": "Chloride [Moles/volume] in Serum or Plasma"
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          ],
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              "display": "Carbon dioxide, total [Moles/volume] in Serum or Plasma"
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          "coding": [
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              "code": "5767-9",
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              "display": "Appearance of Urine"
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          ],
          "text": "Appearance of Urine"
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              "code": "34533-0",
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          ],
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              "display": "Clarity of Urine"
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          ],
          "text": "Clarity of Urine"
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              "code": "5778-6",
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              "display": "Color of Urine"
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          ],
          "text": "Color of Urine"
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        },
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              "display": "Glucose [Mass/volume] in Urine by Test strip"
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          "text": "Glucose [Mass/volume] in Urine by Test strip"
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          ],
          "text": "Glucose [Presence] in Urine by Test strip"
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              "display": "Bilirubin.total [Mass/volume] in Urine by Test strip"
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          ],
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        "valueQuantity": {
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        },
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        ],
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              "code": "5770-3",
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              "display": "Bilirubin.total [Presence] in Urine by Test strip"
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          "text": "Bilirubin.total [Presence] in Urine by Test strip"
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        ],
        "code": {
          "coding": [
            {
              "code": "5797-6",
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              "display": "Ketones [Mass/volume] in Urine by Test strip"
            }
          ],
          "text": "Ketones [Mass/volume] in Urine by Test strip"
        },
        "valueQuantity": {
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        ],
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        ],
        "code": {
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            {
              "code": "2514-8",
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              "display": "Ketones [Presence] in Urine by Test strip"
            }
          ],
          "text": "Ketones [Presence] in Urine by Test strip"
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>09-Jul-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Ketones [Presence] in Urine by Test strip</td><td>Urine ketone test = ++</td></tr></table></div>"
        },
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              "display": "Urine ketone test = ++"
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        "code": {
          "coding": [
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              "code": "5811-5",
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              "display": "Specific gravity of Urine by Test strip"
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          ],
          "text": "Specific gravity of Urine by Test strip"
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        ],
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        ],
        "code": {
          "coding": [
            {
              "code": "5803-2",
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              "display": "pH of Urine by Test strip"
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          ],
          "text": "pH of Urine by Test strip"
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        "valueQuantity": {
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        ],
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        },
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      }
    },
    {
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        "category": [
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        ],
        "code": {
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              "code": "5804-0",
              "system": "http://loinc.org",
              "display": "Protein [Mass/volume] in Urine by Test strip"
            }
          ],
          "text": "Protein [Mass/volume] in Urine by Test strip"
        },
        "valueQuantity": {
          "value": 236.3,
          "unit": "mg/dL",
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        "referenceRange": [
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                "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>09-Jul-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td>236.3</td><td>0 - 20</td><td>H</td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
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        "effectiveDateTime": "2025-07-09T06:42:07Z"
      }
    },
    {
      "fullUrl": "urn:uuid:2d9e175f-e2f8-48d0-8bfe-49a7b97ba43b",
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        "category": [
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            ]
          }
        ],
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        ],
        "code": {
          "coding": [
            {
              "code": "20454-5",
              "system": "http://loinc.org",
              "display": "Protein [Presence] in Urine by Test strip"
            }
          ],
          "text": "Protein [Presence] in Urine by Test strip"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>09-Jul-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Protein [Presence] in Urine by Test strip</td><td>Urine protein test = ++</td></tr></table></div>"
        },
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        "valueCodeableConcept": {
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              "display": "Urine protein test = ++"
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        ],
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        ],
        "code": {
          "coding": [
            {
              "code": "5802-4",
              "system": "http://loinc.org",
              "display": "Nitrite [Presence] in Urine by Test strip"
            }
          ],
          "text": "Nitrite [Presence] in Urine by Test strip"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>09-Jul-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Nitrite [Presence] in Urine by Test strip</td><td>Urine nitrite negative</td></tr></table></div>"
        },
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              "display": "Urine nitrite negative"
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      }
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        "category": [
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            ]
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        ],
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        ],
        "code": {
          "coding": [
            {
              "code": "5794-3",
              "system": "http://loinc.org",
              "display": "Hemoglobin [Presence] in Urine by Test strip"
            }
          ],
          "text": "Hemoglobin [Presence] in Urine by Test strip"
        },
        "text": {
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>09-Jul-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Hemoglobin [Presence] in Urine by Test strip</td><td>Urine blood test = negative</td></tr></table></div>"
        },
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        "valueCodeableConcept": {
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              "display": "Urine blood test = negative"
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        ],
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        ],
        "code": {
          "coding": [
            {
              "code": "5799-2",
              "system": "http://loinc.org",
              "display": "Leukocyte esterase [Presence] in Urine by Test strip"
            }
          ],
          "text": "Leukocyte esterase [Presence] in Urine by Test strip"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>09-Jul-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Leukocyte esterase [Presence] in Urine by Test strip</td><td>Urine leukocyte test negative</td></tr></table></div>"
        },
        "status": "final",
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        "valueCodeableConcept": {
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              "display": "Urine leukocyte test negative"
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        }
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        ],
        "code": {
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              "code": "4548-4",
              "system": "http://loinc.org",
              "display": "Hemoglobin A1c/Hemoglobin.total in Blood"
            }
          ],
          "text": "Hemoglobin A1c/Hemoglobin.total in Blood"
        },
        "valueQuantity": {
          "value": 3.4,
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            },
            "high": {
              "value": 5.6,
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                "code": "L",
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                "display": "Low"
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            ]
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>09-Jul-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Hemoglobin A1c/Hemoglobin.total in Blood</td><td>3.4</td><td>4.0 - 5.6</td><td>L</td><td>%</td></tr></table></div>"
        },
        "status": "final",
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      }
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    {
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              "code": "2339-0",
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          "text": "Glucose [Mass/volume] in Blood"
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        "valueQuantity": {
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            "high": {
              "value": 140,
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        "code": {
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              "code": "6299-2",
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              "display": "Urea nitrogen [Mass/volume] in Blood"
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          ],
          "text": "Urea nitrogen [Mass/volume] in Blood"
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        "valueQuantity": {
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          "unit": "mg/dL",
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        ],
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        "code": {
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              "code": "38483-4",
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              "display": "Creatinine [Mass/volume] in Blood"
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          ],
          "text": "Creatinine [Mass/volume] in Blood"
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        "valueQuantity": {
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        ],
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    {
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        "category": [
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        "code": {
          "coding": [
            {
              "code": "49765-1",
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              "display": "Calcium [Mass/volume] in Blood"
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          ],
          "text": "Calcium [Mass/volume] in Blood"
        },
        "valueQuantity": {
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          "unit": "mg/dL",
          "code": "mg/dL",
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            "high": {
              "value": 10.5,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
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          }
        ],
        "text": {
          "status": "generated",
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        "effectiveDateTime": "2025-07-09T06:42:07Z"
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      "fullUrl": "urn:uuid:8c3b1bfa-4ba9-411a-a725-986746ef9b8e",
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        "category": [
          {
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        ],
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        ],
        "code": {
          "coding": [
            {
              "code": "2947-0",
              "system": "http://loinc.org",
              "display": "Sodium [Moles/volume] in Blood"
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          ],
          "text": "Sodium [Moles/volume] in Blood"
        },
        "valueQuantity": {
          "value": 137.7,
          "unit": "mmol/L",
          "code": "mmol/L",
          "system": "http://unitsofmeasure.org"
        },
        "referenceRange": [
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            "low": {
              "value": 135,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 145,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>09-Jul-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Sodium [Moles/volume] in Blood</td><td>137.7</td><td>135 - 145</td><td></td><td>mmol/L</td></tr></table></div>"
        },
        "status": "final",
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        "effectiveDateTime": "2025-07-09T06:42:07Z"
      }
    },
    {
      "fullUrl": "urn:uuid:a02e813f-5656-44ff-a16e-12df1c5ba55d",
      "resource": {
        "resourceType": "Observation",
        "id": "a02e813f-5656-44ff-a16e-12df1c5ba55d",
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        "category": [
          {
            "coding": [
              {
                "code": "laboratory",
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        ],
        "performer": [
          {
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        ],
        "code": {
          "coding": [
            {
              "code": "6298-4",
              "system": "http://loinc.org",
              "display": "Potassium [Moles/volume] in Blood"
            }
          ],
          "text": "Potassium [Moles/volume] in Blood"
        },
        "valueQuantity": {
          "value": 5.1,
          "unit": "mmol/L",
          "code": "mmol/L",
          "system": "http://unitsofmeasure.org"
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        "referenceRange": [
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            "low": {
              "value": 3.5,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 5.1,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>09-Jul-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Potassium [Moles/volume] in Blood</td><td>5.1</td><td>3.5 - 5.1</td><td></td><td>mmol/L</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
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          "display": "Patricia Joubert"
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        "effectiveDateTime": "2025-07-09T06:42:07Z"
      }
    },
    {
      "fullUrl": "urn:uuid:ddcc476a-1ebe-472d-8350-74b331853f66",
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        "id": "ddcc476a-1ebe-472d-8350-74b331853f66",
        "meta": {
          "profile": [
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        },
        "category": [
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                "code": "laboratory",
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        ],
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          {
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        ],
        "code": {
          "coding": [
            {
              "code": "2069-3",
              "system": "http://loinc.org",
              "display": "Chloride [Moles/volume] in Blood"
            }
          ],
          "text": "Chloride [Moles/volume] in Blood"
        },
        "valueQuantity": {
          "value": 106.9,
          "unit": "mmol/L",
          "code": "mmol/L",
          "system": "http://unitsofmeasure.org"
        },
        "referenceRange": [
          {
            "low": {
              "value": 98,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 107,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>09-Jul-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Chloride [Moles/volume] in Blood</td><td>106.9</td><td>98 - 107</td><td></td><td>mmol/L</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:6564360a-7de9-43ac-88aa-0aecfc3f9e8b",
          "display": "Patricia Joubert"
        },
        "effectiveDateTime": "2025-07-09T06:42:07Z"
      }
    },
    {
      "fullUrl": "urn:uuid:d39f8adf-25b4-4e29-b56a-59a0fc832121",
      "resource": {
        "resourceType": "Observation",
        "id": "d39f8adf-25b4-4e29-b56a-59a0fc832121",
        "meta": {
          "profile": [
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        },
        "category": [
          {
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                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
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            ]
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        ],
        "performer": [
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            "display": "The Central European Lab"
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        ],
        "code": {
          "coding": [
            {
              "code": "20565-8",
              "system": "http://loinc.org",
              "display": "Carbon dioxide, total [Moles/volume] in Blood"
            }
          ],
          "text": "Carbon dioxide, total [Moles/volume] in Blood"
        },
        "valueQuantity": {
          "value": 21.6,
          "unit": "mmol/L",
          "code": "mmol/L",
          "system": "http://unitsofmeasure.org"
        },
        "referenceRange": [
          {
            "low": {
              "value": 22,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 29,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
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        ],
        "interpretation": [
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                "code": "L",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "display": "Low"
              }
            ]
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>09-Jul-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td>21.6</td><td>22 - 29</td><td>L</td><td>mmol/L</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:6564360a-7de9-43ac-88aa-0aecfc3f9e8b",
          "display": "Patricia Joubert"
        },
        "effectiveDateTime": "2025-07-09T06:42:07Z"
      }
    },
    {
      "fullUrl": "urn:uuid:95951a0d-01c0-4d40-a514-ad3e985f78bd",
      "resource": {
        "resourceType": "DeviceUseStatement",
        "id": "95951a0d-01c0-4d40-a514-ad3e985f78bd",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/deviceUseStatement-eu-eps"
          ]
        },
        "timingPeriod": {
          "start": "2007-12-19"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Home nebulizer (physical object)</td><td><span class=\"nb\">19-Dec-2007</span></td></tr></table></div>"
        },
        "status": "active",
        "device": {
          "reference": "urn:uuid:3b51c93f-d570-47c3-9592-b4ce616838ba",
          "display": "Home nebulizer (physical object)"
        },
        "subject": {
          "reference": "urn:uuid:6564360a-7de9-43ac-88aa-0aecfc3f9e8b",
          "display": "Patricia Joubert"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:3b51c93f-d570-47c3-9592-b4ce616838ba",
      "resource": {
        "resourceType": "Device",
        "id": "3b51c93f-d570-47c3-9592-b4ce616838ba",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/device-eu-eps"
          ]
        },
        "udiCarrier": [
          {
            "deviceIdentifier": "15654075886599",
            "issuer": "https://www.gs1.org/",
            "entryType": "barcode",
            "carrierHRF": "(01)15654075886599(11)071128(17)321212(10)84082930132352815(21)37537"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Home nebulizer (physical object) ((01)15654075886599(11)071128(17)321212(10)84082930132352815(21)37537)</div>"
        },
        "status": "active",
        "patient": {
          "reference": "urn:uuid:6564360a-7de9-43ac-88aa-0aecfc3f9e8b",
          "display": "Patricia Joubert"
        },
        "type": {
          "coding": [
            {
              "code": "170615005",
              "system": "http://snomed.info/sct",
              "display": "Home nebulizer (physical object)"
            }
          ]
        }
      }
    },
    {
      "fullUrl": "urn:uuid:6fb008f3-1b26-4b82-b85d-186e5b627fc5",
      "resource": {
        "resourceType": "DeviceUseStatement",
        "id": "6fb008f3-1b26-4b82-b85d-186e5b627fc5",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/deviceUseStatement-eu-eps"
          ]
        },
        "timingPeriod": {
          "start": "1962-02-28"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Blood glucose meter (physical object)</td><td><span class=\"nb\">28-Feb-1962</span></td></tr></table></div>"
        },
        "status": "active",
        "device": {
          "reference": "urn:uuid:292f6e05-41d8-42f2-89b2-735504ea1c11",
          "display": "Blood glucose meter (physical object)"
        },
        "subject": {
          "reference": "urn:uuid:6564360a-7de9-43ac-88aa-0aecfc3f9e8b",
          "display": "Patricia Joubert"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:292f6e05-41d8-42f2-89b2-735504ea1c11",
      "resource": {
        "resourceType": "Device",
        "id": "292f6e05-41d8-42f2-89b2-735504ea1c11",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/device-eu-eps"
          ]
        },
        "udiCarrier": [
          {
            "deviceIdentifier": "15899900013877",
            "issuer": "https://www.gs1.org/",
            "entryType": "barcode",
            "carrierHRF": "(01)15899900013877(11)620207(17)870222(10)3513(21)5637033858242082"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Blood glucose meter (physical object) ((01)15899900013877(11)620207(17)870222(10)3513(21)5637033858242082)</div>"
        },
        "status": "active",
        "patient": {
          "reference": "urn:uuid:6564360a-7de9-43ac-88aa-0aecfc3f9e8b",
          "display": "Patricia Joubert"
        },
        "type": {
          "coding": [
            {
              "code": "337414009",
              "system": "http://snomed.info/sct",
              "display": "Blood glucose meter (physical object)"
            }
          ]
        }
      }
    },
    {
      "fullUrl": "urn:uuid:0b082c52-2f84-43c2-88db-35664eac8cbb",
      "resource": {
        "resourceType": "Device",
        "id": "0b082c52-2f84-43c2-88db-35664eac8cbb",
        "deviceName": [
          {
            "name": "SYNDERAI Synthetic Generator",
            "type": "manufacturer-name"
          }
        ],
        "version": [
          {
            "value": "5.0"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">SYNDERAI Synthetic Generator v5.0</div>"
        },
        "status": "active",
        "distinctIdentifier": "synderai-generator-50",
        "manufacturer": "SYNDERAI Project"
      }
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}