{
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      "http://hl7.eu/fhir/eps/StructureDefinition/bundle-eu-eps"
    ]
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  "identifier": {
    "assigner": {
      "display": "HL7 Europe"
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    "system": "urn:oid:2.16.840.1.113883.2.51.999",
    "value": "53c22ffa-f7d5-4bf3-9cfe-23340e1023ce"
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  "entry": [
    {
      "fullUrl": "urn:uuid:03630462-4993-4643-aead-f4e4a3c096c4",
      "resource": {
        "resourceType": "Composition",
        "id": "03630462-4993-4643-aead-f4e4a3c096c4",
        "meta": {
          "security": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
              "code": "HTEST"
            },
            {
              "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": "6294ce1e-12df-4192-8d34-f4cc9729f70b"
        },
        "type": {
          "coding": [
            {
              "code": "60591-5",
              "system": "http://loinc.org",
              "display": "Patient summary Document"
            }
          ],
          "text": "Patient summary Document"
        },
        "author": [
          {
            "reference": "urn:uuid:3a900442-d9b8-4623-a977-d379c9223002"
          }
        ],
        "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>Disorder of kidney due to diabetes mellitus</td><td><span class=\"nb\">08-Sep-2019</span></td><td>active</td></tr><tr><td>Chronic kidney disease stage 2</td><td><span class=\"nb\">08-Sep-2019</span></td><td>active</td></tr><tr><td>Microalbuminuria due to type 2 diabetes mellitus</td><td><span class=\"nb\">08-Sep-2019</span></td><td>active</td></tr><tr><td>Hyperlipidemia</td><td><span class=\"nb\">24-Jul-2011</span></td><td>active</td></tr><tr><td>Chronic sinusitis</td><td><span class=\"nb\">10-Oct-2001</span></td><td>active</td></tr><tr><td>Ischemic heart disease</td><td><span class=\"nb\">19-Mar-1989</span></td><td>active</td></tr><tr><td>Essential hypertension</td><td><span class=\"nb\">04-Jan-1976</span></td><td>active</td></tr><tr><td>Anemia</td><td><span class=\"nb\">31-Dec-1972</span></td><td>active</td></tr><tr><td><span class=\"grayedout\">Acute infective cystitis</span></td><td><span class=\"nb\">10-Jun-2025 - 13-Jun-2025</span></td><td><span class=\"grayedout\">inactive</span></td></tr><tr><td><span class=\"grayedout\">Acute viral pharyngitis</span></td><td><span class=\"nb\">16-Apr-2017 - 23-Apr-2017</span></td><td><span class=\"grayedout\">inactive</span></td></tr><tr><td><span class=\"grayedout\">Polyp of colon</span></td><td><span class=\"nb\">25-Feb-2016 - 09-May-2017</span></td><td><span class=\"grayedout\">inactive</span></td></tr><tr><td><span class=\"grayedout\">Fracture of clavicle</span></td><td><span class=\"nb\">13-Jun-2015 - 03-Oct-2015</span></td><td><span class=\"grayedout\">inactive</span></td></tr><tr><td><span class=\"grayedout\">Fracture of bone</span></td><td><span class=\"nb\">13-Jun-2015 - 03-Oct-2015</span></td><td><span class=\"grayedout\">inactive</span></td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:d613063e-ec6c-4fa2-a32e-a19badeb882e"
              },
              {
                "reference": "urn:uuid:e22d8c95-0588-4440-97d6-62ca7c1eaa44"
              },
              {
                "reference": "urn:uuid:cda437e5-101a-43e9-9555-09146d65d86e"
              },
              {
                "reference": "urn:uuid:ebdd4e54-5eb8-4fd8-ae88-bdf758d208be"
              },
              {
                "reference": "urn:uuid:2145c5c4-2cda-4c77-b220-1c2b3068fb59"
              },
              {
                "reference": "urn:uuid:6c96b4d4-547a-40e0-bd6c-7d00807b656a"
              },
              {
                "reference": "urn:uuid:0f6d2e99-bfc9-4252-bfbb-52719e497df1"
              },
              {
                "reference": "urn:uuid:4d7c8d00-009e-4023-b26d-b01c1e5bb78e"
              },
              {
                "reference": "urn:uuid:e4ac8819-8c94-4aa7-aa1e-395b663f11fb"
              },
              {
                "reference": "urn:uuid:d540fe3d-7f63-4da1-978a-033c4b4cb34b"
              },
              {
                "reference": "urn:uuid:0401bf9b-d5b0-483b-9445-9fbff0b339d8"
              },
              {
                "reference": "urn:uuid:3263e1e8-25da-444a-83a8-f7279d7b905f"
              },
              {
                "reference": "urn:uuid:5a5aa916-d4cb-4362-a4c1-9383adbc3785"
              }
            ],
            "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\">2025-05-17</span></td><td>-</td><td>Inject 10 units subcutaneously once daily</td><td>Prediabetes</td></tr><tr><td>Hydrochlorothiazide 25 mg oral tablet</td><td><span class=\"nb\">2025-05-17</span></td><td>-</td><td>1 tablet (25 mg) by mouth once daily</td><td>Essential hypertension (disorder)</td></tr><tr><td>Simvastatin 10 mg oral tablet</td><td><span class=\"nb\">2024-10-06</span></td><td>-</td><td>1 tablet (10 mg) by mouth once daily</td><td>Hyperlipidemia</td></tr><tr><td>Nitroglycerin 400 microgram/actuation sublingual spray</td><td><span class=\"nb\">1989-03-25</span></td><td>-</td><td>400 micrograms (1 spray) under the tongue as needed for chest pain, may repeat every 5 minutes as needed, up to 3 sprays in 15 minutes</td><td>-</td></tr><tr><td>Metoprolol tartrate (as metoprolol succinate) 100 mg prolonged-release oral tablet</td><td><span class=\"nb\">1989-03-25</span></td><td>-</td><td>1 tablet (100 mg) once daily</td><td>-</td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:9080a983-595a-4ba8-8572-a1d1c2796c88"
              },
              {
                "reference": "urn:uuid:e190a93c-609b-443a-950c-484cd82646ab"
              },
              {
                "reference": "urn:uuid:a66e504b-b922-4ac5-8848-69f6226489fc"
              },
              {
                "reference": "urn:uuid:25c790d7-acbb-4ed9-950b-549d6ab2f592"
              },
              {
                "reference": "urn:uuid:cbe77d1c-f50a-4d33-9d45-e92e94189733"
              }
            ],
            "code": {
              "coding": [
                {
                  "code": "10160-0",
                  "system": "http://loinc.org",
                  "display": "History of Medication use Narrative"
                }
              ]
            },
            "title": "Medication list"
          },
          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><th>Vaccine</th><th>Date</th></tr><tr><td>Influenza virus antigen only vaccine product</td><td><span class=\"nb\">17-May-2025</span></td></tr><tr><td>SARS-CoV-2 mRNA vaccine</td><td><span class=\"nb\">20-Feb-2021</span></td></tr><tr><td>Clostridium tetani toxoid antigen adsorbed only vaccine product</td><td><span class=\"nb\">20-Aug-2016</span></td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:e1ae2022-5acd-4659-bb1a-153614da94ab"
              },
              {
                "reference": "urn:uuid:3982a8a7-8b77-4c37-bf60-a02f67bb2b0f"
              },
              {
                "reference": "urn:uuid:0e9d7208-0e86-4399-81ff-e6fda7bab316"
              }
            ],
            "code": {
              "coding": [
                {
                  "code": "11369-6",
                  "system": "http://loinc.org",
                  "display": "History of Immunization note"
                }
              ]
            },
            "title": "Immunizations list"
          },
          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><th>Procedure</th><th>Date</th><th>Reason</th></tr><tr><td>Patient evaluation and management</td><td><span class=\"nb\">12-Jun-2025</span></td><td>-</td></tr><tr><td>Urine specimen collection</td><td><span class=\"nb\">12-Jun-2025</span></td><td>-</td></tr><tr><td>Patient discharge</td><td><span class=\"nb\">12-Jun-2025</span></td><td>-</td></tr><tr><td>Taking patient vital signs</td><td><span class=\"nb\">12-Jun-2025</span></td><td>-</td></tr><tr><td>Antibiotic therapy</td><td><span class=\"nb\">12-Jun-2025</span></td><td>-</td></tr><tr><td>Triage: emergency center</td><td><span class=\"nb\">12-Jun-2025</span></td><td>-</td></tr><tr><td>Urinalysis with reflex to microscopy and culture</td><td><span class=\"nb\">12-Jun-2025</span></td><td>-</td></tr><tr><td>Pre-discharge assessment</td><td><span class=\"nb\">03-Nov-2019</span></td><td>-</td></tr><tr><td>Discharge from hospital</td><td><span class=\"nb\">03-Nov-2019</span></td><td>-</td></tr><tr><td>Physical therapy procedure</td><td><span class=\"nb\">02-Nov-2019</span></td><td>-</td></tr><tr><td>Nursing care/supplementary surveillance</td><td><span class=\"nb\">02-Nov-2019</span></td><td>-</td></tr><tr><td>Speech and language therapy regime</td><td><span class=\"nb\">30-Oct-2019</span></td><td>-</td></tr><tr><td>Professional / ancillary services care</td><td><span class=\"nb\">27-Oct-2019</span></td><td>-</td></tr><tr><td>History AND physical examination</td><td><span class=\"nb\">26-Oct-2019</span></td><td>-</td></tr><tr><td>Initial patient assessment</td><td><span class=\"nb\">26-Oct-2019</span></td><td>-</td></tr><tr><td>Development of individualized plan of care</td><td><span class=\"nb\">26-Oct-2019</span></td><td>-</td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:4cce8f24-4396-4ddf-99cd-82b842ee6d99"
              },
              {
                "reference": "urn:uuid:4c4c7447-4708-4d3f-910a-c5c0dcb91407"
              },
              {
                "reference": "urn:uuid:120a9071-9731-4a81-999e-2d7e1494aa23"
              },
              {
                "reference": "urn:uuid:9495dbf0-83f0-4708-a889-6da438087a52"
              },
              {
                "reference": "urn:uuid:eaabe70a-8f6f-428a-bd3e-455c0ecc2e77"
              },
              {
                "reference": "urn:uuid:83d164c8-e5ef-4024-888d-81fd54cb3885"
              },
              {
                "reference": "urn:uuid:6cb7e5fe-e078-4f65-9b60-baa5e938f3ed"
              },
              {
                "reference": "urn:uuid:0fafd628-23d5-4a6c-b213-810a82a88e19"
              },
              {
                "reference": "urn:uuid:44ab5098-328f-4944-bdb1-205567c5abf8"
              },
              {
                "reference": "urn:uuid:39c18ad8-066b-4b9c-bd7a-ddadf6ebeae1"
              },
              {
                "reference": "urn:uuid:7bf8f561-4f5e-44bb-a4f2-850f8e113391"
              },
              {
                "reference": "urn:uuid:269cd16b-885c-4e08-b7f9-9d686b4b0c91"
              },
              {
                "reference": "urn:uuid:95fc07d1-80bd-4ffd-b083-678bf8920d9d"
              },
              {
                "reference": "urn:uuid:17e7c9f6-9eab-43e0-963b-5a338e35234d"
              },
              {
                "reference": "urn:uuid:3a752b59-ff62-4886-9800-8bd866235577"
              },
              {
                "reference": "urn:uuid:fb22eb1f-4558-48e8-8af3-237a3d7f9cbe"
              }
            ],
            "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:1b610165-4695-427c-8f5d-294c92eccc8c"
              }
            ],
            "code": {
              "coding": [
                {
                  "code": "48765-2",
                  "system": "http://loinc.org",
                  "display": "Allergies and adverse reactions Document"
                }
              ]
            },
            "title": "Allergies and Intolerances"
          },
          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><th>Active Planned Care / Goals</th><th>Start Date</th><th>Reason</th></tr><tr><td>Hyperlipidemia clinical management plan</td><td><span class=\"nb\">14-Aug-2011</span></td><td>Hyperlipidemia (disorder)</td></tr><tr><td><ul><li>Achieve LDL cholesterol below 70 mg/dL in a patient with ischemic heart disease and diabetes.</li><li>Maintain total cholesterol below 150 mg/dL.</li><li>Maintain triglycerides below 150 mg/dL.</li><li>Maintain HDL cholesterol above 40 mg/dL.</li></ul></td><td></td><td></td></tr><tr><td>Lifestyle education regarding hypertension</td><td><span class=\"nb\">04-Jan-1976</span></td><td>Essential hypertension (disorder)</td></tr><tr><td><ul><li>Maintain blood pressure below 130/80 mmHg to reduce cardiovascular and renal risk.</li><li>Implement dietary changes, increase physical activity, and reduce sodium intake to support blood pressure management.</li></ul></td><td></td><td></td></tr><tr><td>Diabetes self management plan</td><td><span class=\"nb\">31-Dec-1972</span></td><td>Prediabetes (finding)</td></tr><tr><td><ul><li>Patient will engage in a diabetes self-management plan to improve glycemic control and reduce risk of diabetes progression.</li><li>Maintain or achieve HbA1c within individualized target range.</li><li>Achieve weight loss as part of diabetes risk reduction.</li><li>Maintain blood pressure within individualized target range to reduce cardiovascular risk.</li><li>Achieve LDL cholesterol within recommended range for cardiovascular risk reduction.</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:c5145663-b9e0-4e8b-8d82-ae8166fd4005"
              },
              {
                "reference": "urn:uuid:c0c5e568-377e-4e9b-8d01-5897c5fedd06"
              },
              {
                "reference": "urn:uuid:92321d77-fc3d-4cfb-9acd-67cd38230a7e"
              },
              {
                "reference": "urn:uuid:81e7994a-50cb-4b1c-8dd6-e34d6c78fe63"
              }
            ],
            "code": {
              "coding": [
                {
                  "code": "18776-5",
                  "system": "http://loinc.org",
                  "display": "Plan of care note"
                }
              ]
            },
            "title": "Care Plan"
          },
          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><th>Vital Signs</th><th>2025-06-12</th><th>2025-05-17</th></tr><tr><td>Heart rate</td><td>73.6 /min</td><td>61 /min</td></tr><tr><td>Respiratory rate</td><td>17.9 /min</td><td>14 /min</td></tr><tr><td>Oxygen saturation in Arterial blood</td><td>99.5 %</td><td>-</td></tr><tr><td>Body temperature</td><td>37.3 Cel</td><td>-</td></tr><tr><td>Blood pressure panel with all children optional</td><td>82.9 mm[Hg]</td><td>81 mm[Hg]</td></tr><tr><td>Body Height</td><td>-</td><td>180.8 cm</td></tr><tr><td>Pain severity - 0-10 verbal numeric rating [Score] - Reported</td><td>-</td><td>0 {score}</td></tr><tr><td>Body Weight</td><td>-</td><td>92 kg</td></tr><tr><td>Body mass index (BMI) [Ratio]</td><td>-</td><td>28.1 kg/m2</td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:0a489df7-4189-4c01-8797-5de3afbacbe9"
              },
              {
                "reference": "urn:uuid:c9a5df86-7649-4de5-9121-35c38f908f27"
              },
              {
                "reference": "urn:uuid:09d44838-18c4-40db-af39-bc6dcddfbba1"
              },
              {
                "reference": "urn:uuid:84302ce4-91bc-4a26-bcfc-0baff139357a"
              },
              {
                "reference": "urn:uuid:81f6b8be-3b10-4119-aad4-f9fa7a6843a3"
              },
              {
                "reference": "urn:uuid:bad53377-5954-4631-9bfc-c769f1a4a0a1"
              },
              {
                "reference": "urn:uuid:fa009716-a991-4de8-a4bd-06ccf6dc69f3"
              },
              {
                "reference": "urn:uuid:264c6b78-7ea0-4d65-843c-beebfc14e1d1"
              },
              {
                "reference": "urn:uuid:759dbd96-01fd-4520-9a27-2dcfe57324a8"
              },
              {
                "reference": "urn:uuid:afcb2f37-462a-434e-9e8c-cd659d9d0752"
              },
              {
                "reference": "urn:uuid:86512266-cbe9-4267-bd46-b588fc357410"
              },
              {
                "reference": "urn:uuid:4df090af-2e6e-4642-a8b9-9ab589811963"
              }
            ],
            "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>12-JUN-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Urine by Test strip</td><td>13.5</td><td>0 - 20</td><td>mg/dL</td></tr><tr><td>Ketones [Presence] in Urine by Test strip</td><td>Urine ketone test negative</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>6.3</td><td>5.0 - 8.0</td><td>pH</td></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td>13.4</td><td>0 - 20</td><td>mg/dL</td></tr><tr><td>Nitrite [Presence] in Urine by Test strip</td><td>Urine nitrite positive</td><td></td><td></td></tr><tr><td>Hemoglobin [Presence] in Urine by Test strip</td><td>Urine blood test = +</td><td></td><td></td></tr><tr><td>Leukocyte esterase [Presence] in Urine by Test strip</td><td>Urine leukocyte test</td><td></td><td></td></tr><tr><td>Leukocytes [#/area] in Urine sediment by Microscopy high power field</td><td><strong>47.8 H</strong></td><td>0 - 5</td><td>/[HPF]</td></tr><tr><td>Erythrocytes [#/area] in Urine sediment by Microscopy high power field</td><td>1.1</td><td>0 - 5</td><td>/[HPF]</td></tr><tr><td>Epithelial cells [#/area] in Urine sediment by Microscopy high power field</td><td>1.1</td><td>0 - 5</td><td>/[HPF]</td></tr><tr><td>Casts [Presence] in Urine sediment by Light microscopy</td><td>Urine microscopy: no casts</td><td></td><td></td></tr><tr><td>Mucus [Presence] in Urine sediment by Light microscopy</td><td>Mucus in urine</td><td></td><td></td></tr><tr><td>Bacteria [#/area] in Urine sediment by Microscopy high power field</td><td>Finding of presence of bacteria</td><td></td><td></td></tr><tr><td>Bacteria identified in Urine by Culture</td><td></td><td></td><td></td></tr></tbody></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:99ed9384-3eed-4fdf-b950-14b790da4155"
              },
              {
                "reference": "urn:uuid:cf7379be-0d77-411c-8ffc-196cb1fac50b"
              },
              {
                "reference": "urn:uuid:244efbab-bb9e-4c33-b4e7-57c0f4f915c5"
              },
              {
                "reference": "urn:uuid:85b2d6f6-7d16-4db7-aebb-bbf5f3a7de26"
              },
              {
                "reference": "urn:uuid:051ce97a-8d47-4db1-bb53-5f20c52d6ffb"
              },
              {
                "reference": "urn:uuid:6037c0d5-1f2c-426f-8f39-4c61ee99cf1b"
              },
              {
                "reference": "urn:uuid:0c0594bc-8afd-4f1b-a7af-525e9c131bbe"
              },
              {
                "reference": "urn:uuid:9c42f486-4d9c-4438-a41b-a8dac50e84af"
              },
              {
                "reference": "urn:uuid:6d3bafb6-f7a2-48b7-908a-2126f8177cae"
              },
              {
                "reference": "urn:uuid:af80fa3e-80d1-44cc-9633-473682b1d80f"
              },
              {
                "reference": "urn:uuid:3d8a3cb6-b2ee-49ab-a111-084b413fd96e"
              },
              {
                "reference": "urn:uuid:56664a1d-eca5-42a4-8fee-274afcc6b8d8"
              },
              {
                "reference": "urn:uuid:57201ecb-91f3-4c1b-a44e-b05b9b8ec015"
              },
              {
                "reference": "urn:uuid:42106d06-0d9a-4bf2-98ce-149bf1b33d50"
              },
              {
                "reference": "urn:uuid:721d6c18-27b7-4eae-9479-5be05add2f51"
              }
            ],
            "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\">10-Oct-2001</span></td></tr><tr><td>Blood glucose meter (physical object)</td><td><span class=\"nb\">30-Dec-1972</span></td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:bf9b5325-240d-4066-b7e5-445b05b5c6bb"
              },
              {
                "reference": "urn:uuid:1f87f7b8-cbce-4b5d-a372-7c8d616971ce"
              }
            ],
            "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:15771fe6-290a-469e-8a8f-d889ba7bdf09",
          "display": "Ahmed Wirth"
        },
        "custodian": {
          "reference": "urn:uuid:b9f6e9a6-a928-44c9-a6fe-ab1697112485"
        },
        "date": "2025-06-12T03:38:07Z",
        "confidentiality": "N"
      }
    },
    {
      "fullUrl": "urn:uuid:15771fe6-290a-469e-8a8f-d889ba7bdf09",
      "resource": {
        "resourceType": "Patient",
        "id": "15771fe6-290a-469e-8a8f-d889ba7bdf09",
        "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": "5523-465959-1"
          },
          {
            "type": {
              "coding": [
                {
                  "code": "MR",
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
                }
              ]
            },
            "system": "http://local.setting.eu/identifier",
            "value": "c594c462-da31-9fab-0316-acdd66d1c0d5"
          }
        ],
        "name": [
          {
            "given": [
              "Ahmed"
            ],
            "family": "Wirth",
            "text": "Ahmed Wirth"
          }
        ],
        "address": [
          {
            "line": [
              "Faruk-Zobel-Weg 7090"
            ],
            "use": "home",
            "type": "physical",
            "postalCode": "96317",
            "city": "Kronach",
            "country": "Germany"
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "06478333493"
          }
        ],
        "extension": [
          {
            "extension": [
              {
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "code": "DE",
                      "system": "urn:iso:std:iso:3166"
                    }
                  ],
                  "text": "Germany"
                },
                "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>Ahmed Wirth</td><td>male</td><td>02-Oct-1948</td></tr></table></div>"
        },
        "gender": "male",
        "birthDate": "1948-10-02"
      }
    },
    {
      "fullUrl": "urn:uuid:3a900442-d9b8-4623-a977-d379c9223002",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "3a900442-d9b8-4623-a977-d379c9223002",
        "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 3a900442-d9b8-4623-a977-d379c9223002</td></tr></table></div>"
        },
        "practitioner": {
          "reference": "urn:uuid:efeff74e-4936-4571-9b0d-4531edbedf4b"
        },
        "organization": {
          "reference": "urn:uuid:b9f6e9a6-a928-44c9-a6fe-ab1697112485"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:b9f6e9a6-a928-44c9-a6fe-ab1697112485",
      "resource": {
        "resourceType": "Organization",
        "id": "b9f6e9a6-a928-44c9-a6fe-ab1697112485",
        "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": "44729ede-9368-4ff7-a306-787a62ed69d6"
          }
        ],
        "address": [
          {
            "line": [
              "Friesener Straße 41"
            ],
            "city": "Kronach",
            "postalCode": "96317",
            "country": "Germany"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Medizinisches Versorgungszentrum Kronach</td></tr></table></div>"
        },
        "name": "Medizinisches Versorgungszentrum Kronach"
      }
    },
    {
      "fullUrl": "urn:uuid:efeff74e-4936-4571-9b0d-4531edbedf4b",
      "resource": {
        "resourceType": "Practitioner",
        "id": "efeff74e-4936-4571-9b0d-4531edbedf4b",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu-core"
          ]
        },
        "name": [
          {
            "prefix": [
              "Dr. "
            ],
            "given": [
              "Alicia"
            ],
            "family": "Schmiedt"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Dr. Alicia Schmiedt</td></tr></table></div>"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:d613063e-ec6c-4fa2-a32e-a19badeb882e",
      "resource": {
        "resourceType": "Condition",
        "id": "d613063e-ec6c-4fa2-a32e-a19badeb882e",
        "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": "127013003",
              "system": "http://snomed.info/sct",
              "display": "Disorder of kidney due to diabetes mellitus (disorder)"
            }
          ],
          "text": "Disorder of kidney due to diabetes mellitus"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Disorder of kidney due to diabetes mellitus</td><td><span class=\"nb\">08-Sep-2019</span></td><td>active</td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "active",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
          ]
        },
        "onsetDateTime": "2019-09-08",
        "subject": {
          "reference": "urn:uuid:15771fe6-290a-469e-8a8f-d889ba7bdf09",
          "display": "Ahmed Wirth"
        },
        "asserter": {
          "reference": "urn:uuid:3a900442-d9b8-4623-a977-d379c9223002",
          "display": "Medizinisches Versorgungszentrum Kronach"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:e22d8c95-0588-4440-97d6-62ca7c1eaa44",
      "resource": {
        "resourceType": "Condition",
        "id": "e22d8c95-0588-4440-97d6-62ca7c1eaa44",
        "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": "431856006",
              "system": "http://snomed.info/sct",
              "display": "Chronic kidney disease stage 2 (disorder)"
            }
          ],
          "text": "Chronic kidney disease stage 2"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Chronic kidney disease stage 2</td><td><span class=\"nb\">08-Sep-2019</span></td><td>active</td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "active",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
          ]
        },
        "onsetDateTime": "2019-09-08",
        "subject": {
          "reference": "urn:uuid:15771fe6-290a-469e-8a8f-d889ba7bdf09",
          "display": "Ahmed Wirth"
        },
        "asserter": {
          "reference": "urn:uuid:3a900442-d9b8-4623-a977-d379c9223002",
          "display": "Medizinisches Versorgungszentrum Kronach"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:cda437e5-101a-43e9-9555-09146d65d86e",
      "resource": {
        "resourceType": "Condition",
        "id": "cda437e5-101a-43e9-9555-09146d65d86e",
        "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": "90781000119102",
              "system": "http://snomed.info/sct",
              "display": "Microalbuminuria due to type 2 diabetes mellitus (disorder)"
            }
          ],
          "text": "Microalbuminuria due to type 2 diabetes mellitus"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Microalbuminuria due to type 2 diabetes mellitus</td><td><span class=\"nb\">08-Sep-2019</span></td><td>active</td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "active",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
          ]
        },
        "onsetDateTime": "2019-09-08",
        "subject": {
          "reference": "urn:uuid:15771fe6-290a-469e-8a8f-d889ba7bdf09",
          "display": "Ahmed Wirth"
        },
        "asserter": {
          "reference": "urn:uuid:3a900442-d9b8-4623-a977-d379c9223002",
          "display": "Medizinisches Versorgungszentrum Kronach"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:ebdd4e54-5eb8-4fd8-ae88-bdf758d208be",
      "resource": {
        "resourceType": "Condition",
        "id": "ebdd4e54-5eb8-4fd8-ae88-bdf758d208be",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/condition-obl-eu-eps"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "code": "problem-list-item",
                "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                "display": "Problem List Item"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "code": "55822004",
              "system": "http://snomed.info/sct",
              "display": "Hyperlipidemia (disorder)"
            }
          ],
          "text": "Hyperlipidemia"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Hyperlipidemia</td><td><span class=\"nb\">24-Jul-2011</span></td><td>active</td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "active",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
          ]
        },
        "onsetDateTime": "2011-07-24",
        "subject": {
          "reference": "urn:uuid:15771fe6-290a-469e-8a8f-d889ba7bdf09",
          "display": "Ahmed Wirth"
        },
        "asserter": {
          "reference": "urn:uuid:3a900442-d9b8-4623-a977-d379c9223002",
          "display": "Medizinisches Versorgungszentrum Kronach"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:2145c5c4-2cda-4c77-b220-1c2b3068fb59",
      "resource": {
        "resourceType": "Condition",
        "id": "2145c5c4-2cda-4c77-b220-1c2b3068fb59",
        "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": "40055000",
              "system": "http://snomed.info/sct",
              "display": "Chronic sinusitis (disorder)"
            }
          ],
          "text": "Chronic sinusitis"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Chronic sinusitis</td><td><span class=\"nb\">10-Oct-2001</span></td><td>active</td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "active",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
          ]
        },
        "onsetDateTime": "2001-10-10",
        "subject": {
          "reference": "urn:uuid:15771fe6-290a-469e-8a8f-d889ba7bdf09",
          "display": "Ahmed Wirth"
        },
        "asserter": {
          "reference": "urn:uuid:3a900442-d9b8-4623-a977-d379c9223002",
          "display": "Medizinisches Versorgungszentrum Kronach"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:6c96b4d4-547a-40e0-bd6c-7d00807b656a",
      "resource": {
        "resourceType": "Condition",
        "id": "6c96b4d4-547a-40e0-bd6c-7d00807b656a",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/condition-obl-eu-eps"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "code": "problem-list-item",
                "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                "display": "Problem List Item"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "code": "414545008",
              "system": "http://snomed.info/sct",
              "display": "Ischemic heart disease (disorder)"
            }
          ],
          "text": "Ischemic heart disease"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Ischemic heart disease</td><td><span class=\"nb\">19-Mar-1989</span></td><td>active</td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "active",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
          ]
        },
        "onsetDateTime": "1989-03-19",
        "subject": {
          "reference": "urn:uuid:15771fe6-290a-469e-8a8f-d889ba7bdf09",
          "display": "Ahmed Wirth"
        },
        "asserter": {
          "reference": "urn:uuid:3a900442-d9b8-4623-a977-d379c9223002",
          "display": "Medizinisches Versorgungszentrum Kronach"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:0f6d2e99-bfc9-4252-bfbb-52719e497df1",
      "resource": {
        "resourceType": "Condition",
        "id": "0f6d2e99-bfc9-4252-bfbb-52719e497df1",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/condition-obl-eu-eps"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "code": "problem-list-item",
                "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                "display": "Problem List Item"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "code": "59621000",
              "system": "http://snomed.info/sct",
              "display": "Essential hypertension (disorder)"
            }
          ],
          "text": "Essential hypertension"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Essential hypertension</td><td><span class=\"nb\">04-Jan-1976</span></td><td>active</td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "active",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
          ]
        },
        "onsetDateTime": "1976-01-04",
        "subject": {
          "reference": "urn:uuid:15771fe6-290a-469e-8a8f-d889ba7bdf09",
          "display": "Ahmed Wirth"
        },
        "asserter": {
          "reference": "urn:uuid:3a900442-d9b8-4623-a977-d379c9223002",
          "display": "Medizinisches Versorgungszentrum Kronach"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:4d7c8d00-009e-4023-b26d-b01c1e5bb78e",
      "resource": {
        "resourceType": "Condition",
        "id": "4d7c8d00-009e-4023-b26d-b01c1e5bb78e",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/condition-obl-eu-eps"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "code": "problem-list-item",
                "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                "display": "Problem List Item"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "code": "271737000",
              "system": "http://snomed.info/sct",
              "display": "Anemia (disorder)"
            }
          ],
          "text": "Anemia"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Anemia</td><td><span class=\"nb\">31-Dec-1972</span></td><td>active</td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "active",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
          ]
        },
        "onsetDateTime": "1972-12-31",
        "subject": {
          "reference": "urn:uuid:15771fe6-290a-469e-8a8f-d889ba7bdf09",
          "display": "Ahmed Wirth"
        },
        "asserter": {
          "reference": "urn:uuid:3a900442-d9b8-4623-a977-d379c9223002",
          "display": "Medizinisches Versorgungszentrum Kronach"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:e4ac8819-8c94-4aa7-aa1e-395b663f11fb",
      "resource": {
        "resourceType": "Condition",
        "id": "e4ac8819-8c94-4aa7-aa1e-395b663f11fb",
        "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": "307426000",
              "system": "http://snomed.info/sct",
              "display": "Acute infective cystitis (disorder)"
            }
          ],
          "text": "Acute infective cystitis"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td><span class=\"grayedout\">Acute infective cystitis</span></td><td><span class=\"nb\">10-Jun-2025 - 13-Jun-2025</span></td><td><span class=\"grayedout\">inactive</span></td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "inactive",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
          ]
        },
        "onsetDateTime": "2025-06-10",
        "abatementDateTime": "2025-06-13",
        "subject": {
          "reference": "urn:uuid:15771fe6-290a-469e-8a8f-d889ba7bdf09",
          "display": "Ahmed Wirth"
        },
        "asserter": {
          "reference": "urn:uuid:3a900442-d9b8-4623-a977-d379c9223002",
          "display": "Medizinisches Versorgungszentrum Kronach"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:d540fe3d-7f63-4da1-978a-033c4b4cb34b",
      "resource": {
        "resourceType": "Condition",
        "id": "d540fe3d-7f63-4da1-978a-033c4b4cb34b",
        "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": "195662009",
              "system": "http://snomed.info/sct",
              "display": "Acute viral pharyngitis (disorder)"
            }
          ],
          "text": "Acute viral pharyngitis"
        },
        "text": {
          "status": "generated",
          "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\">16-Apr-2017 - 23-Apr-2017</span></td><td><span class=\"grayedout\">inactive</span></td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "inactive",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
          ]
        },
        "onsetDateTime": "2017-04-16",
        "abatementDateTime": "2017-04-23",
        "subject": {
          "reference": "urn:uuid:15771fe6-290a-469e-8a8f-d889ba7bdf09",
          "display": "Ahmed Wirth"
        },
        "asserter": {
          "reference": "urn:uuid:3a900442-d9b8-4623-a977-d379c9223002",
          "display": "Medizinisches Versorgungszentrum Kronach"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:0401bf9b-d5b0-483b-9445-9fbff0b339d8",
      "resource": {
        "resourceType": "Condition",
        "id": "0401bf9b-d5b0-483b-9445-9fbff0b339d8",
        "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": "68496003",
              "system": "http://snomed.info/sct",
              "display": "Polyp of colon (disorder)"
            }
          ],
          "text": "Polyp of colon"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td><span class=\"grayedout\">Polyp of colon</span></td><td><span class=\"nb\">25-Feb-2016 - 09-May-2017</span></td><td><span class=\"grayedout\">inactive</span></td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "inactive",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
          ]
        },
        "onsetDateTime": "2016-02-25",
        "abatementDateTime": "2017-05-09",
        "subject": {
          "reference": "urn:uuid:15771fe6-290a-469e-8a8f-d889ba7bdf09",
          "display": "Ahmed Wirth"
        },
        "asserter": {
          "reference": "urn:uuid:3a900442-d9b8-4623-a977-d379c9223002",
          "display": "Medizinisches Versorgungszentrum Kronach"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:3263e1e8-25da-444a-83a8-f7279d7b905f",
      "resource": {
        "resourceType": "Condition",
        "id": "3263e1e8-25da-444a-83a8-f7279d7b905f",
        "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": "58150001",
              "system": "http://snomed.info/sct",
              "display": "Fracture of clavicle (disorder)"
            }
          ],
          "text": "Fracture of clavicle"
        },
        "text": {
          "status": "generated",
          "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\">13-Jun-2015 - 03-Oct-2015</span></td><td><span class=\"grayedout\">inactive</span></td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "inactive",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
          ]
        },
        "onsetDateTime": "2015-06-13",
        "abatementDateTime": "2015-10-03",
        "subject": {
          "reference": "urn:uuid:15771fe6-290a-469e-8a8f-d889ba7bdf09",
          "display": "Ahmed Wirth"
        },
        "asserter": {
          "reference": "urn:uuid:3a900442-d9b8-4623-a977-d379c9223002",
          "display": "Medizinisches Versorgungszentrum Kronach"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:5a5aa916-d4cb-4362-a4c1-9383adbc3785",
      "resource": {
        "resourceType": "Condition",
        "id": "5a5aa916-d4cb-4362-a4c1-9383adbc3785",
        "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": "125605004",
              "system": "http://snomed.info/sct",
              "display": "Fracture of bone (disorder)"
            }
          ],
          "text": "Fracture of bone"
        },
        "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\">13-Jun-2015 - 03-Oct-2015</span></td><td><span class=\"grayedout\">inactive</span></td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "inactive",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
          ]
        },
        "onsetDateTime": "2015-06-13",
        "abatementDateTime": "2015-10-03",
        "subject": {
          "reference": "urn:uuid:15771fe6-290a-469e-8a8f-d889ba7bdf09",
          "display": "Ahmed Wirth"
        },
        "asserter": {
          "reference": "urn:uuid:3a900442-d9b8-4623-a977-d379c9223002",
          "display": "Medizinisches Versorgungszentrum Kronach"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:2bf41123-6526-4025-b499-46b7c1eab28c",
      "resource": {
        "resourceType": "Medication",
        "id": "2bf41123-6526-4025-b499-46b7c1eab28c",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/medication-eu-core"
          ]
        },
        "code": {
          "coding": [
            {
              "code": "784510001",
              "system": "http://snomed.info/sct",
              "display": "Human isophane insulin 70 unit/mL and recombinant human regular insulin 30 unit/mL solution for injection"
            }
          ],
          "text": "Human isophane insulin 70 unit/mL and recombinant human regular insulin 30 unit/mL solution for injection"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Human isophane insulin 70 unit/mL and recombinant human regular insulin 30 unit/mL solution for injection</div>"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:9080a983-595a-4ba8-8572-a1d1c2796c88",
      "resource": {
        "resourceType": "MedicationStatement",
        "id": "9080a983-595a-4ba8-8572-a1d1c2796c88",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/MedicationStatement-eu-eps"
          ]
        },
        "effectivePeriod": {
          "start": "2025-05-17"
        },
        "dosage": [
          {
            "doseAndRate": [
              {
                "doseQuantity": {
                  "value": 10,
                  "unit": "unit",
                  "system": "http://unitsofmeasure.org",
                  "code": "U"
                }
              }
            ],
            "timing": {
              "repeat": {
                "frequency": 1,
                "period": 1,
                "periodUnit": "d"
              }
            },
            "text": "Inject 10 units subcutaneously once daily",
            "asNeededBoolean": false
          }
        ],
        "reasonCode": [
          {
            "coding": [
              {
                "code": "15777000",
                "system": "http://snomed.info/sct",
                "display": "Prediabetes"
              }
            ]
          }
        ],
        "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>Human isophane insulin 70 unit/mL and recombinant human regular insulin 30 unit/mL solution for injection</td><td><span class=\"nb\">2025-05-17</span></td><td>-</td><td>Inject 10 units subcutaneously once daily</td><td>Prediabetes</td></tr></table></div>"
        },
        "status": "active",
        "medicationReference": {
          "reference": "urn:uuid:2bf41123-6526-4025-b499-46b7c1eab28c",
          "display": "Human isophane insulin 70 unit/mL and recombinant human regular insulin 30 unit/mL solution for injection"
        },
        "subject": {
          "reference": "urn:uuid:15771fe6-290a-469e-8a8f-d889ba7bdf09",
          "display": "Ahmed Wirth"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:67c3f9a0-9058-49a5-84a3-d510f6a93ddf",
      "resource": {
        "resourceType": "Medication",
        "id": "67c3f9a0-9058-49a5-84a3-d510f6a93ddf",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/medication-eu-core"
          ]
        },
        "code": {
          "coding": [
            {
              "code": "376209006",
              "system": "http://snomed.info/sct",
              "display": "Hydrochlorothiazide 25 mg oral tablet"
            }
          ],
          "text": "Hydrochlorothiazide 25 mg oral tablet"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Hydrochlorothiazide 25 mg oral tablet</div>"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:e190a93c-609b-443a-950c-484cd82646ab",
      "resource": {
        "resourceType": "MedicationStatement",
        "id": "e190a93c-609b-443a-950c-484cd82646ab",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/MedicationStatement-eu-eps"
          ]
        },
        "effectivePeriod": {
          "start": "2025-05-17"
        },
        "dosage": [
          {
            "doseAndRate": [
              {
                "doseQuantity": {
                  "value": 1,
                  "unit": "{tbl}",
                  "system": "http://unitsofmeasure.org",
                  "code": "{tbl}"
                }
              }
            ],
            "timing": {
              "repeat": {
                "frequency": 1,
                "period": 1,
                "periodUnit": "d"
              }
            },
            "text": "1 tablet (25 mg) by mouth once daily",
            "asNeededBoolean": false
          }
        ],
        "reasonCode": [
          {
            "coding": [
              {
                "code": "59621000",
                "system": "http://snomed.info/sct",
                "display": "Essential hypertension (disorder)"
              }
            ]
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips first25\"><tr><th>Medication</th><th>Since</th><th>Form</th><th>Dosage</th><th>Reason</th></tr><tr><td>Hydrochlorothiazide 25 mg oral tablet</td><td><span class=\"nb\">2025-05-17</span></td><td>-</td><td>1 tablet (25 mg) by mouth once daily</td><td>Essential hypertension (disorder)</td></tr></table></div>"
        },
        "status": "active",
        "medicationReference": {
          "reference": "urn:uuid:67c3f9a0-9058-49a5-84a3-d510f6a93ddf",
          "display": "Hydrochlorothiazide 25 mg oral tablet"
        },
        "subject": {
          "reference": "urn:uuid:15771fe6-290a-469e-8a8f-d889ba7bdf09",
          "display": "Ahmed Wirth"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:2db37fb2-e6fc-498d-b3d1-248ee1622c75",
      "resource": {
        "resourceType": "Medication",
        "id": "2db37fb2-e6fc-498d-b3d1-248ee1622c75",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/medication-eu-core"
          ]
        },
        "code": {
          "coding": [
            {
              "code": "319996000",
              "system": "http://snomed.info/sct",
              "display": "Simvastatin 10 mg oral tablet"
            }
          ],
          "text": "Simvastatin 10 mg oral tablet"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Simvastatin 10 mg oral tablet</div>"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:a66e504b-b922-4ac5-8848-69f6226489fc",
      "resource": {
        "resourceType": "MedicationStatement",
        "id": "a66e504b-b922-4ac5-8848-69f6226489fc",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/MedicationStatement-eu-eps"
          ]
        },
        "effectivePeriod": {
          "start": "2024-10-06"
        },
        "dosage": [
          {
            "doseAndRate": [
              {
                "doseQuantity": {
                  "value": 1,
                  "unit": "{tbl}",
                  "system": "http://unitsofmeasure.org",
                  "code": "{tbl}"
                }
              }
            ],
            "timing": {
              "repeat": {
                "frequency": 1,
                "period": 1,
                "periodUnit": "d"
              }
            },
            "text": "1 tablet (10 mg) by mouth once daily",
            "asNeededBoolean": false
          }
        ],
        "reasonCode": [
          {
            "coding": [
              {
                "code": "55822004",
                "system": "http://snomed.info/sct",
                "display": "Hyperlipidemia"
              }
            ]
          }
        ],
        "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>Simvastatin 10 mg oral tablet</td><td><span class=\"nb\">2024-10-06</span></td><td>-</td><td>1 tablet (10 mg) by mouth once daily</td><td>Hyperlipidemia</td></tr></table></div>"
        },
        "status": "active",
        "medicationReference": {
          "reference": "urn:uuid:2db37fb2-e6fc-498d-b3d1-248ee1622c75",
          "display": "Simvastatin 10 mg oral tablet"
        },
        "subject": {
          "reference": "urn:uuid:15771fe6-290a-469e-8a8f-d889ba7bdf09",
          "display": "Ahmed Wirth"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:d93f3ead-889f-466c-8fb2-40fbcd1bc48f",
      "resource": {
        "resourceType": "Medication",
        "id": "d93f3ead-889f-466c-8fb2-40fbcd1bc48f",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/medication-eu-core"
          ]
        },
        "code": {
          "coding": [
            {
              "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:25c790d7-acbb-4ed9-950b-549d6ab2f592",
      "resource": {
        "resourceType": "MedicationStatement",
        "id": "25c790d7-acbb-4ed9-950b-549d6ab2f592",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/MedicationStatement-eu-eps"
          ]
        },
        "effectivePeriod": {
          "start": "1989-03-25"
        },
        "dosage": [
          {
            "doseAndRate": [
              {
                "doseQuantity": {
                  "value": 400,
                  "unit": "microgram",
                  "system": "http://unitsofmeasure.org",
                  "code": "ug"
                }
              }
            ],
            "timing": {
              "repeat": {
                "frequency": 1,
                "period": 5,
                "periodUnit": "min"
              }
            },
            "text": "400 micrograms (1 spray) under the tongue as needed for chest pain, may repeat every 5 minutes as needed, up to 3 sprays in 15 minutes",
            "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\">1989-03-25</span></td><td>-</td><td>400 micrograms (1 spray) under the tongue as needed for chest pain, may repeat every 5 minutes as needed, up to 3 sprays in 15 minutes</td><td>-</td></tr></table></div>"
        },
        "status": "active",
        "medicationReference": {
          "reference": "urn:uuid:d93f3ead-889f-466c-8fb2-40fbcd1bc48f",
          "display": "Nitroglycerin 400 microgram/actuation sublingual spray"
        },
        "subject": {
          "reference": "urn:uuid:15771fe6-290a-469e-8a8f-d889ba7bdf09",
          "display": "Ahmed Wirth"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:20d0a66f-a1c4-4770-9ed5-50815de01a75",
      "resource": {
        "resourceType": "Medication",
        "id": "20d0a66f-a1c4-4770-9ed5-50815de01a75",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/medication-eu-core"
          ]
        },
        "code": {
          "coding": [
            {
              "code": "879980009",
              "system": "http://snomed.info/sct",
              "display": "Metoprolol tartrate (as metoprolol succinate) 100 mg prolonged-release oral tablet"
            }
          ],
          "text": "Metoprolol tartrate (as metoprolol succinate) 100 mg prolonged-release oral tablet"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Metoprolol tartrate (as metoprolol succinate) 100 mg prolonged-release oral tablet</div>"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:cbe77d1c-f50a-4d33-9d45-e92e94189733",
      "resource": {
        "resourceType": "MedicationStatement",
        "id": "cbe77d1c-f50a-4d33-9d45-e92e94189733",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/MedicationStatement-eu-eps"
          ]
        },
        "effectivePeriod": {
          "start": "1989-03-25"
        },
        "dosage": [
          {
            "doseAndRate": [
              {
                "doseQuantity": {
                  "value": 1,
                  "unit": "{tbl}",
                  "system": "http://unitsofmeasure.org",
                  "code": "{tbl}"
                }
              }
            ],
            "timing": {
              "repeat": {
                "frequency": 1,
                "period": 1,
                "periodUnit": "d"
              }
            },
            "text": "1 tablet (100 mg) once daily",
            "asNeededBoolean": false
          }
        ],
        "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>Metoprolol tartrate (as metoprolol succinate) 100 mg prolonged-release oral tablet</td><td><span class=\"nb\">1989-03-25</span></td><td>-</td><td>1 tablet (100 mg) once daily</td><td>-</td></tr></table></div>"
        },
        "status": "active",
        "medicationReference": {
          "reference": "urn:uuid:20d0a66f-a1c4-4770-9ed5-50815de01a75",
          "display": "Metoprolol tartrate (as metoprolol succinate) 100 mg prolonged-release oral tablet"
        },
        "subject": {
          "reference": "urn:uuid:15771fe6-290a-469e-8a8f-d889ba7bdf09",
          "display": "Ahmed Wirth"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:e1ae2022-5acd-4659-bb1a-153614da94ab",
      "resource": {
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              "code": "J07AM51",
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          "text": "Clostridium tetani toxoid antigen adsorbed only vaccine product"
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            {
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          "coding": [
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              "code": "58000006",
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          "coding": [
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          "coding": [
            {
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              "display": "Triage: emergency center (procedure)"
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              "display": "Discharge from hospital (procedure)"
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              "display": "Nursing care/supplementary surveillance (regime/therapy)"
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          "coding": [
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              ]
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Achieve weight loss as part of diabetes risk reduction.</div>"
        },
        "lifecycleStatus": "active",
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                  "code": "85354-9",
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                  "display": "Blood pressure panel with all children optional"
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              ]
            }
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        ],
        "text": {
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Maintain blood pressure within individualized target range to reduce cardiovascular risk.</div>"
        },
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        "valueQuantity": {
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          "code": "Cel",
          "system": "http://unitsofmeasure.org",
          "unit": "Cel"
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><th>Vital Sign</th><th>Date</th><th>Measurement</th></tr><tr><td>Body temperature</td><td>12-Jun-2025</td><td>37.3 Cel</td></tr></table></div>"
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        "component": [
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              "unit": "mm[Hg]"
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        "valueQuantity": {
          "value": 180.8,
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        "text": {
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        "status": "final",
        "code": {
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              "code": "8302-2",
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              "display": "Body Height"
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        "effectiveDateTime": "2025-05-17"
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        "category": [
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        "status": "final",
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              "code": "72514-3",
              "system": "http://loinc.org",
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          ]
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    },
    {
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          "code": "kg",
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          "unit": "kg"
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        "text": {
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          "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>17-May-2025</td><td>92 kg</td></tr></table></div>"
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        "status": "final",
        "code": {
          "coding": [
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              "code": "29463-7",
              "system": "http://loinc.org",
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          ]
        },
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    },
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        "valueQuantity": {
          "value": 28.1,
          "code": "kg/m2",
          "system": "http://unitsofmeasure.org",
          "unit": "kg/m2"
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          "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>17-May-2025</td><td>28.1 kg/m2</td></tr></table></div>"
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        "status": "final",
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              "code": "39156-5",
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    {
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        "valueQuantity": {
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          "code": "/min",
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          "unit": "/min"
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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>Heart rate</td><td>17-May-2025</td><td>61 /min</td></tr></table></div>"
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        "status": "final",
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        "valueQuantity": {
          "value": 14,
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          "unit": "/min"
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          "status": "generated",
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        "status": "final",
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    },
    {
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        "category": [
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        ],
        "component": [
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            "valueQuantity": {
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              "unit": "mm[Hg]"
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              "unit": "mm[Hg]"
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                  "code": "8462-4",
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                  "display": "Diastolic blood pressure"
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              ]
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        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><th>Vital Sign</th><th>Date</th><th>Measurement</th></tr><tr><td>Blood pressure panel with all children optional</td><td>17-May-2025</td><td>81 mm[Hg]</td></tr></table></div>"
        },
        "status": "final",
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        "effectiveDateTime": "2025-05-17"
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        "category": [
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            "coding": [
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                "code": "laboratory",
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        ],
        "performer": [
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            "display": "The Central European Lab"
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        ],
        "code": {
          "coding": [
            {
              "code": "5792-7",
              "system": "http://loinc.org",
              "display": "Glucose [Mass/volume] in Urine by Test strip"
            }
          ],
          "text": "Glucose [Mass/volume] in Urine by Test strip"
        },
        "valueQuantity": {
          "value": 13.5,
          "unit": "mg/dL",
          "code": "mg/dL",
          "system": "http://unitsofmeasure.org"
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        "referenceRange": [
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            "low": {
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              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 20,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
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          }
        ],
        "text": {
          "status": "generated",
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        ],
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            {
              "code": "2514-8",
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              "display": "Ketones [Presence] in Urine by Test strip"
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          ],
          "text": "Ketones [Presence] in Urine by Test strip"
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              "code": "5811-5",
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        ],
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        ],
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              "code": "5803-2",
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              "display": "pH of Urine by Test strip"
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          ],
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        ],
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        },
        "status": "final",
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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"
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          ],
          "text": "Protein [Mass/volume] in Urine by Test strip"
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        "valueQuantity": {
          "value": 13.4,
          "unit": "mg/dL",
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              "system": "http://unitsofmeasure.org"
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          }
        ],
        "text": {
          "status": "generated",
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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>12-Jun-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Nitrite [Presence] in Urine by Test strip</td><td>Urine nitrite positive</td></tr></table></div>"
        },
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              "display": "Urine nitrite positive"
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        ],
        "code": {
          "coding": [
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              "code": "5794-3",
              "system": "http://loinc.org",
              "display": "Hemoglobin [Presence] in Urine by Test strip"
            }
          ],
          "text": "Hemoglobin [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>12-Jun-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 = +</td></tr></table></div>"
        },
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        "valueCodeableConcept": {
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              "display": "Urine blood test = +"
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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>12-Jun-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</td></tr></table></div>"
        },
        "status": "final",
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          "display": "Ahmed Wirth"
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        "effectiveDateTime": "2025-06-12T01:38:07Z",
        "valueCodeableConcept": {
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              "display": "Urine leukocyte test"
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        "category": [
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        ],
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        ],
        "code": {
          "coding": [
            {
              "code": "5821-4",
              "system": "http://loinc.org",
              "display": "Leukocytes [#/area] in Urine sediment by Microscopy high power field"
            }
          ],
          "text": "Leukocytes [#/area] in Urine sediment by Microscopy high power field"
        },
        "valueQuantity": {
          "value": 47.8,
          "unit": "/[HPF]",
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        "referenceRange": [
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            "low": {
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        ],
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        },
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        ],
        "code": {
          "coding": [
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              "code": "13945-1",
              "system": "http://loinc.org",
              "display": "Erythrocytes [#/area] in Urine sediment by Microscopy high power field"
            }
          ],
          "text": "Erythrocytes [#/area] in Urine sediment by Microscopy high power field"
        },
        "valueQuantity": {
          "value": 1.1,
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        "referenceRange": [
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            },
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              "code": "{#/area}",
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          }
        ],
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        },
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        "effectiveDateTime": "2025-06-12T01:38:07Z"
      }
    },
    {
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        "code": {
          "coding": [
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              "code": "5787-7",
              "system": "http://loinc.org",
              "display": "Epithelial cells [#/area] in Urine sediment by Microscopy high power field"
            }
          ],
          "text": "Epithelial cells [#/area] in Urine sediment by Microscopy high power field"
        },
        "valueQuantity": {
          "value": 1.1,
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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>12-Jun-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Epithelial cells [#/area] in Urine sediment by Microscopy high power field</td><td>1.1</td><td>0 - 5</td><td></td><td>/[HPF]</td></tr></table></div>"
        },
        "status": "final",
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        "effectiveDateTime": "2025-06-12T01:38:07Z"
      }
    },
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      "fullUrl": "urn:uuid:56664a1d-eca5-42a4-8fee-274afcc6b8d8",
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        "category": [
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        ],
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        ],
        "code": {
          "coding": [
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              "code": "24124-0",
              "system": "http://loinc.org",
              "display": "Casts [Presence] in Urine sediment by Light microscopy"
            }
          ],
          "text": "Casts [Presence] in Urine sediment by Light microscopy"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>12-Jun-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Casts [Presence] in Urine sediment by Light microscopy</td><td>Urine microscopy: no casts</td></tr></table></div>"
        },
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        "effectiveDateTime": "2025-06-12T01:38:07Z",
        "valueCodeableConcept": {
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              "display": "Urine microscopy: no casts"
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          "text": "Mucus [Presence] in Urine sediment by Light microscopy"
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              "display": "Bacteria [#/area] in Urine sediment by Microscopy high power field"
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          "text": "Bacteria [#/area] in Urine sediment by Microscopy high power field"
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          "coding": [
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              "code": "630-4",
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              "display": "Bacteria identified in Urine by Culture"
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          "text": "Bacteria identified in Urine by Culture"
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        },
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Home nebulizer (physical object) ((01)47069333933482(11)010919(17)261004(10)8448(21)3440262418928)</div>"
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        "patient": {
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        "timingPeriod": {
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        "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\">30-Dec-1972</span></td></tr></table></div>"
        },
        "status": "active",
        "device": {
          "reference": "urn:uuid:06f24710-780b-4991-88b1-954c31b3ac44",
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            "carrierHRF": "(01)41537493183419(11)721210(17)971225(10)67184966(21)318948331365099"
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        "text": {
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Blood glucose meter (physical object) ((01)41537493183419(11)721210(17)971225(10)67184966(21)318948331365099)</div>"
        },
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          "text": "Synthetic Example Data Generation"
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                "display": "training"
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            "text": "Interoperability Testing and Training (non-clinical use)"
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provenance for SYNDERAI Synthetic Example Data Resource</div>"
        },
        "recorded": "2025-06-12T01:38:07Z"
      }
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  ],
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  "timestamp": "2025-06-12T03:38:07Z"
}