{
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  "id": "aaec3e5f-f6fe-499b-b945-36f87dad65f8",
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    "profile": [
      "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": "0c230c90-1fdf-406d-814b-d93f01f5a5af"
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  "entry": [
    {
      "fullUrl": "urn:uuid:cc7abf5e-b08f-453c-b925-e585a0ee049b",
      "resource": {
        "resourceType": "Composition",
        "id": "cc7abf5e-b08f-453c-b925-e585a0ee049b",
        "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"
            }
          ],
          "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"
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          "system": "urn:oid:2.16.840.1.113883.2.51.999",
          "value": "f34e6a29-f70d-43a5-b1be-3f0d8618807c"
        },
        "type": {
          "coding": [
            {
              "code": "60591-5",
              "system": "http://loinc.org",
              "display": "Patient summary Document"
            }
          ],
          "text": "Patient summary Document"
        },
        "author": [
          {
            "reference": "urn:uuid:d2a8f157-344b-4f6d-a0cd-927355c4f96d"
          }
        ],
        "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>Essential hypertension</td><td><span class=\"nb\">01-Oct-2024</span></td><td>active</td></tr><tr><td>Metabolic syndrome X</td><td><span class=\"nb\">01-Oct-2024</span></td><td>active</td></tr><tr><td>Ischemic heart disease</td><td><span class=\"nb\">01-Oct-2024</span></td><td>active</td></tr><tr><td>Chronic sinusitis</td><td><span class=\"nb\">28-May-2018</span></td><td>active</td></tr><tr><td><span class=\"grayedout\">Acute infective cystitis</span></td><td><span class=\"nb\">20-Jan-2025 - 22-Jan-2025</span></td><td><span class=\"grayedout\">inactive</span></td></tr><tr><td><span class=\"grayedout\">Sinusitis</span></td><td><span class=\"nb\">02-May-2018 - 06-Aug-2018</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-2016 - 06-Jun-2016</span></td><td><span class=\"grayedout\">inactive</span></td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:7de25c1c-8ece-4b3b-a38e-fe573f95278b"
              },
              {
                "reference": "urn:uuid:99246a71-c090-419f-9641-419ae897acdb"
              },
              {
                "reference": "urn:uuid:fc49b4a9-fea3-4e68-9e43-81603376ca30"
              },
              {
                "reference": "urn:uuid:785dae39-e7e8-42f3-bced-6c98a941d62d"
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              {
                "reference": "urn:uuid:d84d3751-496b-4c01-a512-48c16ccfbaf6"
              },
              {
                "reference": "urn:uuid:97e36917-d80c-4af6-be50-d0ba4400ea91"
              },
              {
                "reference": "urn:uuid:663b5124-5517-450e-9442-df1d05752d49"
              }
            ],
            "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>Clopidogrel (as clopidogrel bisulfate) 75 mg oral tablet</td><td><span class=\"nb\">2024-10-08</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\">2024-10-08</span></td><td>-</td><td>1 tablet (20 mg) once daily</td><td>-</td></tr><tr><td>Nitroglycerin 400 microgram/actuation sublingual spray</td><td><span class=\"nb\">2024-10-08</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\">2024-10-08</span></td><td>-</td><td>1 tablet (100 mg) once daily</td><td>-</td></tr><tr><td>Lisinopril 10 mg oral tablet</td><td><span class=\"nb\">2024-10-01</span></td><td>-</td><td>1 tablet (10 mg) by mouth once daily</td><td>Essential hypertension (disorder)</td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:78bd5c42-9501-4d66-acf9-c215e2c0c13a"
              },
              {
                "reference": "urn:uuid:565236af-c7fe-4f9c-9db5-79a333b83471"
              },
              {
                "reference": "urn:uuid:0061032d-0cf2-4901-b426-aec9ff17f02b"
              },
              {
                "reference": "urn:uuid:e8518205-960f-401e-9361-6e435e9465b6"
              },
              {
                "reference": "urn:uuid:d3eac466-db52-4d86-8928-58ced5f3850f"
              }
            ],
            "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\">01-Oct-2024</span></td></tr><tr><td>Streptococcus pneumoniae Danish serotype 1, 3, 4, 5, 6A, 6B, 7F, 8, 9V, 10A, 11A, 12F, 14, 15B, 18C, 19A, 19F, 22F, 23F, 33F capsular polysaccharide antigens conjugated only vaccine product</td><td><span class=\"nb\">26-Sep-2023</span></td></tr><tr><td>Streptococcus pneumoniae Danish serotype 1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F, 23F, capsular polysaccharide conjugated antigens only vaccine product</td><td><span class=\"nb\">20-Sep-2022</span></td></tr><tr><td>SARS-CoV-2 mRNA vaccine</td><td><span class=\"nb\">13-Apr-2021</span></td></tr><tr><td>Clostridium tetani toxoid antigen adsorbed only vaccine product</td><td><span class=\"nb\">10-Jul-2018</span></td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:a6a84fd0-6239-4df7-b750-73fd1988f686"
              },
              {
                "reference": "urn:uuid:67a02314-2cbc-40b6-9901-be16e86cf7c8"
              },
              {
                "reference": "urn:uuid:fe3f3268-c8f5-44eb-8291-4871ff972f0f"
              },
              {
                "reference": "urn:uuid:efa1d103-8904-4723-ad79-3bd98e39d624"
              },
              {
                "reference": "urn:uuid:9251fc7d-d153-4efc-9f61-cb0fda540f51"
              }
            ],
            "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><td>No known procedures</td></tr></table></div>"
            },
            "code": {
              "coding": [
                {
                  "code": "47519-4",
                  "system": "http://loinc.org",
                  "display": "History of Procedures Document"
                }
              ]
            },
            "title": "Procedure History list",
            "emptyReason": {
              "coding": [
                {
                  "code": "nilknown",
                  "system": "http://terminology.hl7.org/CodeSystem/list-empty-reason"
                }
              ]
            }
          },
          {
            "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:d73eb4a2-623a-432a-88f0-b2993e4e6a26"
              }
            ],
            "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>Lifestyle education regarding hypertension</td><td><span class=\"nb\">01-Oct-2024</span></td><td>Essential hypertension (disorder)</td></tr><tr><td><ul><li>Patient will demonstrate understanding of lifestyle modifications to manage blood pressure, including diet, exercise, and medication adherence.</li></ul></td><td></td><td></td></tr><tr><td>Diabetes self management plan</td><td><span class=\"nb\">01-Jul-1997</span></td><td>Prediabetes (finding)</td></tr><tr><td><ul><li>Patient will verbalize understanding of prediabetes and demonstrate ability to monitor blood glucose, follow dietary recommendations, and engage in regular physical activity.</li><li>Maintain or reduce HbA1c to below 5.7% to prevent progression to diabetes.</li><li>Patient will achieve a 5% reduction in body weight to improve metabolic parameters.</li><li>Maintain blood pressure below 130/80 mmHg as part of diabetes 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:255688f0-c934-4682-b78a-9ca5b9a54d7d"
              },
              {
                "reference": "urn:uuid:df8e3b01-3988-43ee-91cf-4156547a5458"
              },
              {
                "reference": "urn:uuid:663f1085-c541-43f7-9217-a5ea17c07049"
              }
            ],
            "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>2025-02-28</th><th>2024-12-30</th></tr><tr><td>Blood pressure panel with all children optional</td><td>82 mm[Hg]</td><td>85 mm[Hg]</td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:57bd7540-5228-4401-94cc-4db480f89d54"
              },
              {
                "reference": "urn:uuid:ee0eb83a-0f3e-4a6d-baa6-fd824f2840d2"
              }
            ],
            "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>20-JAN-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>10.8</td><td>0 - 15</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>7.0</td><td>4.5 - 8.0</td><td>pH</td></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td>7.4</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>34.0 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>2.4</td><td>0 - 5</td><td>/[HPF]</td></tr><tr><td>Epithelial cells [#/area] in Urine sediment by Microscopy high power field</td><td>2.0</td><td>0 - 10</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:c03632a4-9ef7-44cf-9670-ab6530902e29"
              },
              {
                "reference": "urn:uuid:e10ebee8-536e-4a73-b17e-2c4abee1fca1"
              },
              {
                "reference": "urn:uuid:fadce4f7-f10c-4c6d-9b64-e36f298cd3a7"
              },
              {
                "reference": "urn:uuid:1186ac09-2e43-491b-9486-48a83d9d2bb3"
              },
              {
                "reference": "urn:uuid:89c476cd-8284-4c27-962e-617f6a2b4603"
              },
              {
                "reference": "urn:uuid:5dc3f684-6472-4d08-a579-d7da3c87e78d"
              },
              {
                "reference": "urn:uuid:7a47f5bb-5cc9-472d-990b-e81a4ff5211b"
              },
              {
                "reference": "urn:uuid:8381cde6-19ea-4993-8fa7-5186ac5ced88"
              },
              {
                "reference": "urn:uuid:6ba01a5e-23ec-4091-8c91-136799c5d4a8"
              },
              {
                "reference": "urn:uuid:89405b2f-8880-40e0-bf28-255d959e41fe"
              },
              {
                "reference": "urn:uuid:20686e3d-000b-4bb9-95cb-81b2d47821fd"
              },
              {
                "reference": "urn:uuid:e0968032-d2b2-48f3-b17c-b0a30aac811c"
              },
              {
                "reference": "urn:uuid:7347dfc9-0e8a-43f7-b7a2-1b97d574dab2"
              },
              {
                "reference": "urn:uuid:1359fe46-29da-44df-8411-87dd8332f2f8"
              },
              {
                "reference": "urn:uuid:02a8ef8d-979a-4fa8-9cc3-c651a276f6e0"
              }
            ],
            "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\">28-May-2018</span></td></tr><tr><td>Blood glucose meter (physical object)</td><td><span class=\"nb\">01-Jul-1997</span></td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:2c1be555-f69b-4c5d-b296-42eddfeb68ba"
              },
              {
                "reference": "urn:uuid:4e8a95c2-e72c-44f7-ac43-a32974c5a5f1"
              }
            ],
            "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:bd385b3f-90d2-4ec2-b89a-1737f92d3b84",
          "display": "Alexandria Julien"
        },
        "custodian": {
          "reference": "urn:uuid:37575e6e-acd9-4464-a9b6-a23f844d1ff1"
        },
        "date": "2025-01-20T06:57:34Z",
        "confidentiality": "N"
      }
    },
    {
      "fullUrl": "urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84",
      "resource": {
        "resourceType": "Patient",
        "id": "bd385b3f-90d2-4ec2-b89a-1737f92d3b84",
        "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": "1074-205969-3"
          },
          {
            "type": {
              "coding": [
                {
                  "code": "MR",
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
                }
              ]
            },
            "system": "http://local.setting.eu/identifier",
            "value": "31b22bcf-cd4f-fdee-7d3b-9b5ae44266b0"
          }
        ],
        "name": [
          {
            "given": [
              "Alexandria"
            ],
            "family": "Julien",
            "text": "Alexandria Julien"
          }
        ],
        "address": [
          {
            "line": [
              "253, rue de Clément"
            ],
            "use": "home",
            "type": "physical",
            "postalCode": "69590",
            "city": "Sainte Catherine",
            "country": "France"
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "+33 (0)1 46 99 14 09"
          }
        ],
        "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>Alexandria Julien</td><td>female</td><td>22-Mar-1959</td></tr></table></div>"
        },
        "gender": "female",
        "birthDate": "1959-03-22"
      }
    },
    {
      "fullUrl": "urn:uuid:d2a8f157-344b-4f6d-a0cd-927355c4f96d",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "d2a8f157-344b-4f6d-a0cd-927355c4f96d",
        "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 d2a8f157-344b-4f6d-a0cd-927355c4f96d</td></tr></table></div>"
        },
        "practitioner": {
          "reference": "urn:uuid:5e185ce6-89d5-4ddb-bb74-3ab395b5d134"
        },
        "organization": {
          "reference": "urn:uuid:37575e6e-acd9-4464-a9b6-a23f844d1ff1"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:37575e6e-acd9-4464-a9b6-a23f844d1ff1",
      "resource": {
        "resourceType": "Organization",
        "id": "37575e6e-acd9-4464-a9b6-a23f844d1ff1",
        "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": "eff8ea75-d172-4fd3-b7d8-aaaff14716de"
          }
        ],
        "address": [
          {
            "line": [
              "Rue Pasteur 5"
            ],
            "country": "France"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Centre Médical et Pédagogique Jacques Arnaud</td></tr></table></div>"
        },
        "name": "Centre Médical et Pédagogique Jacques Arnaud"
      }
    },
    {
      "fullUrl": "urn:uuid:5e185ce6-89d5-4ddb-bb74-3ab395b5d134",
      "resource": {
        "resourceType": "Practitioner",
        "id": "5e185ce6-89d5-4ddb-bb74-3ab395b5d134",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu-core"
          ]
        },
        "name": [
          {
            "given": [
              "Margot"
            ],
            "family": "Maillard"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Margot Maillard</td></tr></table></div>"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:7de25c1c-8ece-4b3b-a38e-fe573f95278b",
      "resource": {
        "resourceType": "Condition",
        "id": "7de25c1c-8ece-4b3b-a38e-fe573f95278b",
        "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\">01-Oct-2024</span></td><td>active</td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "active",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
          ]
        },
        "onsetDateTime": "2024-10-01",
        "subject": {
          "reference": "urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84",
          "display": "Alexandria Julien"
        },
        "asserter": {
          "reference": "urn:uuid:d2a8f157-344b-4f6d-a0cd-927355c4f96d",
          "display": "Centre Médical et Pédagogique Jacques Arnaud"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:99246a71-c090-419f-9641-419ae897acdb",
      "resource": {
        "resourceType": "Condition",
        "id": "99246a71-c090-419f-9641-419ae897acdb",
        "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": "237602007",
              "system": "http://snomed.info/sct",
              "display": "Metabolic syndrome X (disorder)"
            }
          ],
          "text": "Metabolic syndrome X"
        },
        "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\">01-Oct-2024</span></td><td>active</td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "active",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
          ]
        },
        "onsetDateTime": "2024-10-01",
        "subject": {
          "reference": "urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84",
          "display": "Alexandria Julien"
        },
        "asserter": {
          "reference": "urn:uuid:d2a8f157-344b-4f6d-a0cd-927355c4f96d",
          "display": "Centre Médical et Pédagogique Jacques Arnaud"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:fc49b4a9-fea3-4e68-9e43-81603376ca30",
      "resource": {
        "resourceType": "Condition",
        "id": "fc49b4a9-fea3-4e68-9e43-81603376ca30",
        "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\">01-Oct-2024</span></td><td>active</td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "active",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
          ]
        },
        "onsetDateTime": "2024-10-01",
        "subject": {
          "reference": "urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84",
          "display": "Alexandria Julien"
        },
        "asserter": {
          "reference": "urn:uuid:d2a8f157-344b-4f6d-a0cd-927355c4f96d",
          "display": "Centre Médical et Pédagogique Jacques Arnaud"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:785dae39-e7e8-42f3-bced-6c98a941d62d",
      "resource": {
        "resourceType": "Condition",
        "id": "785dae39-e7e8-42f3-bced-6c98a941d62d",
        "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\">28-May-2018</span></td><td>active</td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "active",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
          ]
        },
        "onsetDateTime": "2018-05-28",
        "subject": {
          "reference": "urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84",
          "display": "Alexandria Julien"
        },
        "asserter": {
          "reference": "urn:uuid:d2a8f157-344b-4f6d-a0cd-927355c4f96d",
          "display": "Centre Médical et Pédagogique Jacques Arnaud"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:d84d3751-496b-4c01-a512-48c16ccfbaf6",
      "resource": {
        "resourceType": "Condition",
        "id": "d84d3751-496b-4c01-a512-48c16ccfbaf6",
        "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\">20-Jan-2025 - 22-Jan-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": "2025-01-20",
        "abatementDateTime": "2025-01-22",
        "subject": {
          "reference": "urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84",
          "display": "Alexandria Julien"
        },
        "asserter": {
          "reference": "urn:uuid:d2a8f157-344b-4f6d-a0cd-927355c4f96d",
          "display": "Centre Médical et Pédagogique Jacques Arnaud"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:97e36917-d80c-4af6-be50-d0ba4400ea91",
      "resource": {
        "resourceType": "Condition",
        "id": "97e36917-d80c-4af6-be50-d0ba4400ea91",
        "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": "36971009",
              "system": "http://snomed.info/sct",
              "display": "Sinusitis (disorder)"
            }
          ],
          "text": "Sinusitis"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td><span class=\"grayedout\">Sinusitis</span></td><td><span class=\"nb\">02-May-2018 - 06-Aug-2018</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": "2018-05-02",
        "abatementDateTime": "2018-08-06",
        "subject": {
          "reference": "urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84",
          "display": "Alexandria Julien"
        },
        "asserter": {
          "reference": "urn:uuid:d2a8f157-344b-4f6d-a0cd-927355c4f96d",
          "display": "Centre Médical et Pédagogique Jacques Arnaud"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:663b5124-5517-450e-9442-df1d05752d49",
      "resource": {
        "resourceType": "Condition",
        "id": "663b5124-5517-450e-9442-df1d05752d49",
        "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": "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-2016 - 06-Jun-2016</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": "2016-05-24",
        "abatementDateTime": "2016-06-06",
        "subject": {
          "reference": "urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84",
          "display": "Alexandria Julien"
        },
        "asserter": {
          "reference": "urn:uuid:d2a8f157-344b-4f6d-a0cd-927355c4f96d",
          "display": "Centre Médical et Pédagogique Jacques Arnaud"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:5e27d71a-2e38-4a51-8e61-b6b600fa3174",
      "resource": {
        "resourceType": "Medication",
        "id": "5e27d71a-2e38-4a51-8e61-b6b600fa3174",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/medication-eu-core"
          ]
        },
        "code": {
          "coding": [
            {
              "code": "783586007",
              "system": "http://snomed.info/sct",
              "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:78bd5c42-9501-4d66-acf9-c215e2c0c13a",
      "resource": {
        "resourceType": "MedicationStatement",
        "id": "78bd5c42-9501-4d66-acf9-c215e2c0c13a",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/MedicationStatement-eu-eps"
          ]
        },
        "effectivePeriod": {
          "start": "2024-10-08"
        },
        "dosage": [
          {
            "doseAndRate": [
              {
                "doseQuantity": {
                  "value": 1,
                  "unit": "{tbl}",
                  "system": "http://unitsofmeasure.org",
                  "code": "{tbl}"
                }
              }
            ],
            "timing": {
              "repeat": {
                "frequency": 1,
                "period": 1,
                "periodUnit": "d"
              }
            },
            "text": "1 tablet (75 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>Clopidogrel (as clopidogrel bisulfate) 75 mg oral tablet</td><td><span class=\"nb\">2024-10-08</span></td><td>-</td><td>1 tablet (75 mg) once daily</td><td>-</td></tr></table></div>"
        },
        "status": "active",
        "medicationReference": {
          "reference": "urn:uuid:5e27d71a-2e38-4a51-8e61-b6b600fa3174",
          "display": "Clopidogrel (as clopidogrel bisulfate) 75 mg oral tablet"
        },
        "subject": {
          "reference": "urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84",
          "display": "Alexandria Julien"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:4c2de73e-6a86-4686-b3a7-a15fa4367c5b",
      "resource": {
        "resourceType": "Medication",
        "id": "4c2de73e-6a86-4686-b3a7-a15fa4367c5b",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/medication-eu-core"
          ]
        },
        "code": {
          "coding": [
            {
              "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:565236af-c7fe-4f9c-9db5-79a333b83471",
      "resource": {
        "resourceType": "MedicationStatement",
        "id": "565236af-c7fe-4f9c-9db5-79a333b83471",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/MedicationStatement-eu-eps"
          ]
        },
        "effectivePeriod": {
          "start": "2024-10-08"
        },
        "dosage": [
          {
            "doseAndRate": [
              {
                "doseQuantity": {
                  "value": 1,
                  "unit": "{tbl}",
                  "system": "http://unitsofmeasure.org",
                  "code": "{tbl}"
                }
              }
            ],
            "timing": {
              "repeat": {
                "frequency": 1,
                "period": 1,
                "periodUnit": "d"
              }
            },
            "text": "1 tablet (20 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>Simvastatin 20 mg oral tablet</td><td><span class=\"nb\">2024-10-08</span></td><td>-</td><td>1 tablet (20 mg) once daily</td><td>-</td></tr></table></div>"
        },
        "status": "active",
        "medicationReference": {
          "reference": "urn:uuid:4c2de73e-6a86-4686-b3a7-a15fa4367c5b",
          "display": "Simvastatin 20 mg oral tablet"
        },
        "subject": {
          "reference": "urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84",
          "display": "Alexandria Julien"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:81686658-9541-4460-af51-b070f777f0f7",
      "resource": {
        "resourceType": "Medication",
        "id": "81686658-9541-4460-af51-b070f777f0f7",
        "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:0061032d-0cf2-4901-b426-aec9ff17f02b",
      "resource": {
        "resourceType": "MedicationStatement",
        "id": "0061032d-0cf2-4901-b426-aec9ff17f02b",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/MedicationStatement-eu-eps"
          ]
        },
        "effectivePeriod": {
          "start": "2024-10-08"
        },
        "dosage": [
          {
            "doseAndRate": [
              {
                "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\">2024-10-08</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:81686658-9541-4460-af51-b070f777f0f7",
          "display": "Nitroglycerin 400 microgram/actuation sublingual spray"
        },
        "subject": {
          "reference": "urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84",
          "display": "Alexandria Julien"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:5c434d68-c690-4a2c-b184-c0c641087e80",
      "resource": {
        "resourceType": "Medication",
        "id": "5c434d68-c690-4a2c-b184-c0c641087e80",
        "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:e8518205-960f-401e-9361-6e435e9465b6",
      "resource": {
        "resourceType": "MedicationStatement",
        "id": "e8518205-960f-401e-9361-6e435e9465b6",
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          "profile": [
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        },
        "effectivePeriod": {
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        "dosage": [
          {
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              {
                "doseQuantity": {
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                  "system": "http://unitsofmeasure.org",
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              }
            ],
            "timing": {
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                "periodUnit": "d"
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            },
            "text": "1 tablet (100 mg) once daily",
            "asNeededBoolean": false
          }
        ],
        "text": {
          "status": "generated",
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        },
        "status": "active",
        "medicationReference": {
          "reference": "urn:uuid:5c434d68-c690-4a2c-b184-c0c641087e80",
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        },
        "subject": {
          "reference": "urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84",
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      }
    },
    {
      "fullUrl": "urn:uuid:b60e1a6b-5483-4268-9c29-cd4337e143ee",
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        "resourceType": "Medication",
        "id": "b60e1a6b-5483-4268-9c29-cd4337e143ee",
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            "http://hl7.eu/fhir/base/StructureDefinition/medication-eu-core"
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        },
        "code": {
          "coding": [
            {
              "code": "318859000",
              "system": "http://snomed.info/sct",
              "display": "Lisinopril 10 mg oral tablet"
            }
          ],
          "text": "Lisinopril 10 mg oral tablet"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Lisinopril 10 mg oral tablet</div>"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:d3eac466-db52-4d86-8928-58ced5f3850f",
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        "effectivePeriod": {
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          {
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              }
            ],
            "timing": {
              "repeat": {
                "frequency": 1,
                "period": 1,
                "periodUnit": "d"
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            },
            "text": "1 tablet (10 mg) by mouth once daily",
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          }
        ],
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              {
                "code": "59621000",
                "system": "http://snomed.info/sct",
                "display": "Essential hypertension (disorder)"
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            ]
          }
        ],
        "text": {
          "status": "generated",
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        },
        "status": "active",
        "medicationReference": {
          "reference": "urn:uuid:b60e1a6b-5483-4268-9c29-cd4337e143ee",
          "display": "Lisinopril 10 mg oral tablet"
        },
        "subject": {
          "reference": "urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84",
          "display": "Alexandria Julien"
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      }
    },
    {
      "fullUrl": "urn:uuid:a6a84fd0-6239-4df7-b750-73fd1988f686",
      "resource": {
        "resourceType": "Immunization",
        "id": "a6a84fd0-6239-4df7-b750-73fd1988f686",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/immunization-eu-core"
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        },
        "vaccineCode": {
          "coding": [
            {
              "code": "1181000221105",
              "system": "http://snomed.info/sct",
              "display": "Influenza virus antigen only vaccine product"
            },
            {
              "code": "J07BB02",
              "system": "http://www.whocc.no/atc",
              "display": "influenza, inactivated, split virus or surface antigen"
            }
          ],
          "text": "Influenza virus antigen only vaccine product"
        },
        "site": {
          "coding": [
            {
              "code": "244979005",
              "system": "http://snomed.info/sct",
              "display": "Entire muscle of upper arm"
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          ],
          "text": "Entire muscle of upper arm"
        },
        "route": {
          "coding": [
            {
              "code": "78421000",
              "system": "http://snomed.info/sct",
              "display": "Intramuscular route"
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          ],
          "text": "Intramuscular route"
        },
        "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-2024</span></td></tr></table></div>"
        },
        "status": "completed",
        "patient": {
          "reference": "urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84",
          "display": "Alexandria Julien"
        },
        "occurrenceDateTime": "2024-10-01",
        "lotNumber": "GS-xpE2jBV",
        "expirationDate": "2025-01-13"
      }
    },
    {
      "fullUrl": "urn:uuid:67a02314-2cbc-40b6-9901-be16e86cf7c8",
      "resource": {
        "resourceType": "Immunization",
        "id": "67a02314-2cbc-40b6-9901-be16e86cf7c8",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/immunization-eu-core"
          ]
        },
        "vaccineCode": {
          "coding": [
            {
              "code": "1252709000",
              "system": "http://snomed.info/sct",
              "display": "Streptococcus pneumoniae Danish serotype 1, 3, 4, 5, 6A, 6B, 7F, 8, 9V, 10A, 11A, 12F, 14, 15B, 18C, 19A, 19F, 22F, 23F, 33F capsular polysaccharide antigens conjugated only vaccine product"
            },
            {
              "code": "J07AL01",
              "system": "http://www.whocc.no/atc",
              "display": "pneumococcus, purified polysaccharides antigen"
            }
          ],
          "text": "Streptococcus pneumoniae Danish serotype 1, 3, 4, 5, 6A, 6B, 7F, 8, 9V, 10A, 11A, 12F, 14, 15B, 18C, 19A, 19F, 22F, 23F, 33F capsular polysaccharide antigens conjugated only vaccine product"
        },
        "site": {
          "coding": [
            {
              "code": "244979005",
              "system": "http://snomed.info/sct",
              "display": "Entire muscle of upper arm"
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          ],
          "text": "Entire muscle of upper arm"
        },
        "route": {
          "coding": [
            {
              "code": "78421000",
              "system": "http://snomed.info/sct",
              "display": "Intramuscular route"
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          ],
          "text": "Intramuscular route"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Streptococcus pneumoniae Danish serotype 1, 3, 4, 5, 6A, 6B, 7F, 8, 9V, 10A, 11A, 12F, 14, 15B, 18C, 19A, 19F, 22F, 23F, 33F capsular polysaccharide antigens conjugated only vaccine product</td><td><span class=\"nb\">26-Sep-2023</span></td></tr></table></div>"
        },
        "status": "completed",
        "patient": {
          "reference": "urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84",
          "display": "Alexandria Julien"
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        "occurrenceDateTime": "2023-09-26",
        "lotNumber": "GJ-4YWNKXQ4",
        "expirationDate": "2024-05-13"
      }
    },
    {
      "fullUrl": "urn:uuid:fe3f3268-c8f5-44eb-8291-4871ff972f0f",
      "resource": {
        "resourceType": "Immunization",
        "id": "fe3f3268-c8f5-44eb-8291-4871ff972f0f",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/immunization-eu-core"
          ]
        },
        "vaccineCode": {
          "coding": [
            {
              "code": "51451000087105",
              "system": "http://snomed.info/sct",
              "display": "Streptococcus pneumoniae Danish serotype 1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F, 23F, capsular polysaccharide conjugated antigens only vaccine product"
            },
            {
              "code": "J07AL02",
              "system": "http://www.whocc.no/atc",
              "display": "pneumococcus, purified polysaccharides antigen conjugated"
            }
          ],
          "text": "Streptococcus pneumoniae Danish serotype 1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F, 23F, capsular polysaccharide conjugated antigens only vaccine product"
        },
        "site": {
          "coding": [
            {
              "code": "244979005",
              "system": "http://snomed.info/sct",
              "display": "Entire muscle of upper arm"
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          ],
          "text": "Entire muscle of upper arm"
        },
        "route": {
          "coding": [
            {
              "code": "78421000",
              "system": "http://snomed.info/sct",
              "display": "Intramuscular route"
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          ],
          "text": "Intramuscular route"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Streptococcus pneumoniae Danish serotype 1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F, 23F, capsular polysaccharide conjugated antigens only vaccine product</td><td><span class=\"nb\">20-Sep-2022</span></td></tr></table></div>"
        },
        "status": "completed",
        "patient": {
          "reference": "urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84",
          "display": "Alexandria Julien"
        },
        "occurrenceDateTime": "2022-09-20",
        "lotNumber": "PP-GuHlPQ",
        "expirationDate": "2023-06-02"
      }
    },
    {
      "fullUrl": "urn:uuid:efa1d103-8904-4723-ad79-3bd98e39d624",
      "resource": {
        "resourceType": "Immunization",
        "id": "efa1d103-8904-4723-ad79-3bd98e39d624",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/immunization-eu-core"
          ]
        },
        "vaccineCode": {
          "coding": [
            {
              "code": "1119349007",
              "system": "http://snomed.info/sct",
              "display": "SARS-CoV-2 mRNA vaccine"
            },
            {
              "code": "J07BN01",
              "system": "http://www.whocc.no/atc",
              "display": "covid-19, RNA-based vaccine"
            }
          ],
          "text": "SARS-CoV-2 mRNA vaccine"
        },
        "site": {
          "coding": [
            {
              "code": "244979005",
              "system": "http://snomed.info/sct",
              "display": "Entire muscle of upper arm"
            }
          ],
          "text": "Entire muscle of upper arm"
        },
        "route": {
          "coding": [
            {
              "code": "78421000",
              "system": "http://snomed.info/sct",
              "display": "Intramuscular route"
            }
          ],
          "text": "Intramuscular route"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>SARS-CoV-2 mRNA vaccine</td><td><span class=\"nb\">13-Apr-2021</span></td></tr></table></div>"
        },
        "status": "completed",
        "patient": {
          "reference": "urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84",
          "display": "Alexandria Julien"
        },
        "occurrenceDateTime": "2021-04-13",
        "lotNumber": "CA-iPx2",
        "expirationDate": "2021-09-18"
      }
    },
    {
      "fullUrl": "urn:uuid:9251fc7d-d153-4efc-9f61-cb0fda540f51",
      "resource": {
        "resourceType": "Immunization",
        "id": "9251fc7d-d153-4efc-9f61-cb0fda540f51",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/immunization-eu-core"
          ]
        },
        "vaccineCode": {
          "coding": [
            {
              "code": "777725002",
              "system": "http://snomed.info/sct",
              "display": "Clostridium tetani toxoid antigen adsorbed only vaccine product"
            },
            {
              "code": "J07AM51",
              "system": "http://www.whocc.no/atc",
              "display": "tetanus toxoid, combinations with diphtheria toxoid"
            }
          ],
          "text": "Clostridium tetani toxoid antigen adsorbed only vaccine product"
        },
        "site": {
          "coding": [
            {
              "code": "244979005",
              "system": "http://snomed.info/sct",
              "display": "Entire muscle of upper arm"
            }
          ],
          "text": "Entire muscle of upper arm"
        },
        "route": {
          "coding": [
            {
              "code": "78421000",
              "system": "http://snomed.info/sct",
              "display": "Intramuscular route"
            }
          ],
          "text": "Intramuscular route"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Clostridium tetani toxoid antigen adsorbed only vaccine product</td><td><span class=\"nb\">10-Jul-2018</span></td></tr></table></div>"
        },
        "status": "completed",
        "patient": {
          "reference": "urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84",
          "display": "Alexandria Julien"
        },
        "occurrenceDateTime": "2018-07-10",
        "lotNumber": "RL-gaKZE1ZNz",
        "expirationDate": "2019-07-15"
      }
    },
    {
      "fullUrl": "urn:uuid:d73eb4a2-623a-432a-88f0-b2993e4e6a26",
      "resource": {
        "resourceType": "AllergyIntolerance",
        "id": "d73eb4a2-623a-432a-88f0-b2993e4e6a26",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/allergyIntolerance-eu-core"
          ]
        },
        "code": {
          "coding": [
            {
              "code": "716186003",
              "system": "http://snomed.info/sct",
              "display": "No known allergy (situation)"
            }
          ]
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "active",
              "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"
            }
          ]
        },
        "patient": {
          "reference": "urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84",
          "display": "Alexandria Julien"
        },
        "verificationStatus": {
          "coding": [
            {
              "code": "confirmed",
              "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"
            }
          ]
        },
        "_onsetDateTime": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
              "valueCode": "unknown"
            }
          ]
        }
      }
    },
    {
      "fullUrl": "urn:uuid:255688f0-c934-4682-b78a-9ca5b9a54d7d",
      "resource": {
        "resourceType": "CarePlan",
        "id": "255688f0-c934-4682-b78a-9ca5b9a54d7d",
        "category": [
          {
            "coding": [
              {
                "code": "734163000",
                "system": "http://snomed.info/sct",
                "display": "Care plan (record artifact)"
              }
            ]
          }
        ],
        "activity": [
          {
            "detail": {
              "code": {
                "coding": [
                  {
                    "code": "443402002",
                    "system": "http://snomed.info/sct",
                    "display": "Lifestyle education regarding hypertension (procedure)"
                  }
                ]
              },
              "reasonCode": [
                {
                  "coding": [
                    {
                      "code": "59621000",
                      "system": "http://snomed.info/sct",
                      "display": "Essential hypertension (disorder)"
                    }
                  ]
                }
              ],
              "status": "unknown",
              "description": "Lifestyle education regarding hypertension",
              "kind": "Appointment"
            }
          }
        ],
        "period": {
          "start": "2024-10-01"
        },
        "goal": [
          {
            "reference": "urn:uuid:b0be907d-19f5-44a9-8fae-961d20569bb8"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips first25\"><tr><th>Active Planned Care / Goals</th><th>Start Date</th><th>Reason</th></tr><tr><td>Lifestyle education regarding hypertension</td><td><span class=\"nb\">01-Oct-2024</span></td><td>Essential hypertension (disorder)</td></tr><tr><td><ul><li>Patient will demonstrate understanding of lifestyle modifications to manage blood pressure, including diet, exercise, and medication adherence.</li></ul></td><td></td><td></td></tr></table></div>"
        },
        "status": "active",
        "intent": "plan",
        "subject": {
          "reference": "urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84",
          "display": "Alexandria Julien"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:df8e3b01-3988-43ee-91cf-4156547a5458",
      "resource": {
        "resourceType": "CarePlan",
        "id": "df8e3b01-3988-43ee-91cf-4156547a5458",
        "category": [
          {
            "coding": [
              {
                "code": "734163000",
                "system": "http://snomed.info/sct",
                "display": "Care plan (record artifact)"
              }
            ]
          }
        ],
        "activity": [
          {
            "detail": {
              "code": {
                "coding": [
                  {
                    "code": "735985000",
                    "system": "http://snomed.info/sct",
                    "display": "Diabetes self management plan (record artifact)"
                  }
                ]
              },
              "reasonCode": [
                {
                  "coding": [
                    {
                      "code": "714628002",
                      "system": "http://snomed.info/sct",
                      "display": "Prediabetes (finding)"
                    }
                  ]
                }
              ],
              "status": "unknown",
              "description": "Diabetes self management plan",
              "kind": "Appointment"
            }
          }
        ],
        "period": {
          "start": "1997-07-01"
        },
        "goal": [
          {
            "reference": "urn:uuid:e578ec49-1ba4-432c-9bd6-8174036baa11"
          },
          {
            "reference": "urn:uuid:63fa2c71-eade-4a50-ae4e-0f2aadd50b5c"
          },
          {
            "reference": "urn:uuid:7d017e17-a7e9-420d-ae1f-678b7fe85d5b"
          },
          {
            "reference": "urn:uuid:2a4fc4b5-7697-4e5a-938f-7ae77713322f"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips first25\"><tr><th>Active Planned Care / Goals</th><th>Start Date</th><th>Reason</th></tr><tr><td>Diabetes self management plan</td><td><span class=\"nb\">01-Jul-1997</span></td><td>Prediabetes (finding)</td></tr><tr><td><ul><li>Patient will verbalize understanding of prediabetes and demonstrate ability to monitor blood glucose, follow dietary recommendations, and engage in regular physical activity.</li><li>Maintain or reduce HbA1c to below 5.7% to prevent progression to diabetes.</li><li>Patient will achieve a 5% reduction in body weight to improve metabolic parameters.</li><li>Maintain blood pressure below 130/80 mmHg as part of diabetes risk reduction.</li></ul></td><td></td><td></td></tr></table></div>"
        },
        "status": "active",
        "intent": "plan",
        "subject": {
          "reference": "urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84",
          "display": "Alexandria Julien"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:663f1085-c541-43f7-9217-a5ea17c07049",
      "resource": {
        "resourceType": "ImmunizationRecommendation",
        "id": "663f1085-c541-43f7-9217-a5ea17c07049",
        "recommendation": [
          {
            "vaccineCode": [
              {
                "coding": [
                  {
                    "code": "1181000221105",
                    "system": "http://snomed.info/sct",
                    "display": "Influenza virus antigen only vaccine product"
                  }
                ]
              }
            ],
            "dateCriterion": [
              {
                "code": {
                  "coding": [
                    {
                      "code": "30980-7",
                      "system": "http://loinc.org",
                      "display": "Date vaccine due"
                    }
                  ]
                },
                "value": "2026-10-01"
              }
            ],
            "targetDisease": {
              "coding": [
                {
                  "code": "6142004",
                  "system": "http://snomed.info/sct",
                  "display": "Influenza (disorder)"
                }
              ]
            },
            "series": "Annual seasonal influenza vaccination",
            "forecastStatus": {
              "coding": [
                {
                  "code": "due",
                  "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:bd385b3f-90d2-4ec2-b89a-1737f92d3b84",
          "display": "Alexandria Julien"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:b0be907d-19f5-44a9-8fae-961d20569bb8",
      "resource": {
        "resourceType": "Goal",
        "id": "b0be907d-19f5-44a9-8fae-961d20569bb8",
        "description": {
          "text": "Patient will demonstrate understanding of lifestyle modifications to manage blood pressure, including diet, exercise, and medication adherence."
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Patient will demonstrate understanding of lifestyle modifications to manage blood pressure, including diet, exercise, and medication adherence.</div>"
        },
        "lifecycleStatus": "active",
        "subject": {
          "reference": "urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84",
          "display": "Alexandria Julien"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:e578ec49-1ba4-432c-9bd6-8174036baa11",
      "resource": {
        "resourceType": "Goal",
        "id": "e578ec49-1ba4-432c-9bd6-8174036baa11",
        "description": {
          "text": "Patient will verbalize understanding of prediabetes and demonstrate ability to monitor blood glucose, follow dietary recommendations, and engage in regular physical activity."
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Patient will verbalize understanding of prediabetes and demonstrate ability to monitor blood glucose, follow dietary recommendations, and engage in regular physical activity.</div>"
        },
        "lifecycleStatus": "active",
        "subject": {
          "reference": "urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84",
          "display": "Alexandria Julien"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:63fa2c71-eade-4a50-ae4e-0f2aadd50b5c",
      "resource": {
        "resourceType": "Goal",
        "id": "63fa2c71-eade-4a50-ae4e-0f2aadd50b5c",
        "description": {
          "text": "Maintain or reduce HbA1c to below 5.7% to prevent progression to diabetes."
        },
        "target": [
          {
            "detailQuantity": {
              "value": 5.7,
              "unit": "%",
              "system": "http://unitsofmeasure.org",
              "code": "%"
            },
            "measure": {
              "coding": [
                {
                  "code": "4548-4",
                  "system": "http://loinc.org",
                  "display": "Hemoglobin A1c/Hemoglobin.total in Blood"
                }
              ]
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Maintain or reduce HbA1c to below 5.7% to prevent progression to diabetes.</div>"
        },
        "lifecycleStatus": "active",
        "subject": {
          "reference": "urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84",
          "display": "Alexandria Julien"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:7d017e17-a7e9-420d-ae1f-678b7fe85d5b",
      "resource": {
        "resourceType": "Goal",
        "id": "7d017e17-a7e9-420d-ae1f-678b7fe85d5b",
        "description": {
          "text": "Patient will achieve a 5% reduction in body weight to improve metabolic parameters."
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Patient will achieve a 5% reduction in body weight to improve metabolic parameters.</div>"
        },
        "lifecycleStatus": "active",
        "subject": {
          "reference": "urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84",
          "display": "Alexandria Julien"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:2a4fc4b5-7697-4e5a-938f-7ae77713322f",
      "resource": {
        "resourceType": "Goal",
        "id": "2a4fc4b5-7697-4e5a-938f-7ae77713322f",
        "description": {
          "text": "Maintain blood pressure below 130/80 mmHg as part of diabetes risk reduction."
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Maintain blood pressure below 130/80 mmHg as part of diabetes risk reduction.</div>"
        },
        "lifecycleStatus": "active",
        "subject": {
          "reference": "urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84",
          "display": "Alexandria Julien"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:57bd7540-5228-4401-94cc-4db480f89d54",
      "resource": {
        "resourceType": "Observation",
        "id": "57bd7540-5228-4401-94cc-4db480f89d54",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/StructureDefinition/vitalsigns"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "component": [
          {
            "valueQuantity": {
              "value": 120,
              "code": "mm[Hg]",
              "system": "http://unitsofmeasure.org",
              "unit": "mm[Hg]"
            },
            "code": {
              "coding": [
                {
                  "code": "8480-6",
                  "system": "http://loinc.org",
                  "display": "Systolic blood pressure"
                }
              ]
            }
          },
          {
            "valueQuantity": {
              "value": 82,
              "code": "mm[Hg]",
              "system": "http://unitsofmeasure.org",
              "unit": "mm[Hg]"
            },
            "code": {
              "coding": [
                {
                  "code": "8462-4",
                  "system": "http://loinc.org",
                  "display": "Diastolic blood pressure"
                }
              ]
            }
          }
        ],
        "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>28-Feb-2025</td><td>82 mm[Hg]</td></tr></table></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "code": "85354-9",
              "system": "http://loinc.org",
              "display": "Blood pressure panel with all children optional"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84",
          "display": "Alexandria Julien"
        },
        "effectiveDateTime": "2025-02-28"
      }
    },
    {
      "fullUrl": "urn:uuid:ee0eb83a-0f3e-4a6d-baa6-fd824f2840d2",
      "resource": {
        "resourceType": "Observation",
        "id": "ee0eb83a-0f3e-4a6d-baa6-fd824f2840d2",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/StructureDefinition/vitalsigns"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "component": [
          {
            "valueQuantity": {
              "value": 119,
              "code": "mm[Hg]",
              "system": "http://unitsofmeasure.org",
              "unit": "mm[Hg]"
            },
            "code": {
              "coding": [
                {
                  "code": "8480-6",
                  "system": "http://loinc.org",
                  "display": "Systolic blood pressure"
                }
              ]
            }
          },
          {
            "valueQuantity": {
              "value": 85,
              "code": "mm[Hg]",
              "system": "http://unitsofmeasure.org",
              "unit": "mm[Hg]"
            },
            "code": {
              "coding": [
                {
                  "code": "8462-4",
                  "system": "http://loinc.org",
                  "display": "Diastolic blood pressure"
                }
              ]
            }
          }
        ],
        "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>30-Dec-2024</td><td>85 mm[Hg]</td></tr></table></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "code": "85354-9",
              "system": "http://loinc.org",
              "display": "Blood pressure panel with all children optional"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84",
          "display": "Alexandria Julien"
        },
        "effectiveDateTime": "2024-12-30"
      }
    },
    {
      "fullUrl": "urn:uuid:c03632a4-9ef7-44cf-9670-ab6530902e29",
      "resource": {
        "resourceType": "Observation",
        "id": "c03632a4-9ef7-44cf-9670-ab6530902e29",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/medicalTestResult-eu-core"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
              }
            ]
          }
        ],
        "performer": [
          {
            "display": "The Central European Lab"
          }
        ],
        "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": 10.8,
          "unit": "mg/dL",
          "code": "mg/dL",
          "system": "http://unitsofmeasure.org"
        },
        "referenceRange": [
          {
            "low": {
              "value": 0,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 15,
              "code": "mg/dL",
              "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>20-Jan-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Glucose [Mass/volume] in Urine by Test strip</td><td>10.8</td><td>0 - 15</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84",
          "display": "Alexandria Julien"
        },
        "effectiveDateTime": "2025-01-20T05:57:34Z"
      }
    },
    {
      "fullUrl": "urn:uuid:e10ebee8-536e-4a73-b17e-2c4abee1fca1",
      "resource": {
        "resourceType": "Observation",
        "id": "e10ebee8-536e-4a73-b17e-2c4abee1fca1",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/medicalTestResult-eu-core"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
              }
            ]
          }
        ],
        "performer": [
          {
            "display": "The Central European Lab"
          }
        ],
        "code": {
          "coding": [
            {
              "code": "2514-8",
              "system": "http://loinc.org",
              "display": "Ketones [Presence] in Urine by Test strip"
            }
          ],
          "text": "Ketones [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>20-Jan-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 negative</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84",
          "display": "Alexandria Julien"
        },
        "effectiveDateTime": "2025-01-20T05:57:34Z",
        "valueCodeableConcept": {
          "coding": [
            {
              "code": "167287002",
              "system": "http://snomed.info/sct",
              "display": "Urine ketone test negative"
            }
          ]
        }
      }
    },
    {
      "fullUrl": "urn:uuid:fadce4f7-f10c-4c6d-9b64-e36f298cd3a7",
      "resource": {
        "resourceType": "Observation",
        "id": "fadce4f7-f10c-4c6d-9b64-e36f298cd3a7",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/medicalTestResult-eu-core"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
              }
            ]
          }
        ],
        "performer": [
          {
            "display": "The Central European Lab"
          }
        ],
        "code": {
          "coding": [
            {
              "code": "5811-5",
              "system": "http://loinc.org",
              "display": "Specific gravity of Urine by Test strip"
            }
          ],
          "text": "Specific gravity of Urine by Test strip"
        },
        "valueQuantity": {
          "value": 1,
          "unit": "{nominal}",
          "code": "1",
          "system": "http://unitsofmeasure.org"
        },
        "referenceRange": [
          {
            "low": {
              "value": 1.005,
              "code": "1",
              "system": "http://unitsofmeasure.org",
              "unit": "Specific Gravity"
            },
            "high": {
              "value": 1.03,
              "code": "1",
              "system": "http://unitsofmeasure.org",
              "unit": "Specific Gravity"
            }
          }
        ],
        "interpretation": [
          {
            "coding": [
              {
                "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>20-Jan-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Specific gravity of Urine by Test strip</td><td>1.0</td><td>1.005 - 1.030</td><td>L</td><td>{nominal}</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84",
          "display": "Alexandria Julien"
        },
        "effectiveDateTime": "2025-01-20T05:57:34Z"
      }
    },
    {
      "fullUrl": "urn:uuid:1186ac09-2e43-491b-9486-48a83d9d2bb3",
      "resource": {
        "resourceType": "Observation",
        "id": "1186ac09-2e43-491b-9486-48a83d9d2bb3",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/medicalTestResult-eu-core"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
              }
            ]
          }
        ],
        "performer": [
          {
            "display": "The Central European Lab"
          }
        ],
        "code": {
          "coding": [
            {
              "code": "5803-2",
              "system": "http://loinc.org",
              "display": "pH of Urine by Test strip"
            }
          ],
          "text": "pH of Urine by Test strip"
        },
        "valueQuantity": {
          "value": 7,
          "unit": "pH",
          "code": "pH",
          "system": "http://unitsofmeasure.org"
        },
        "referenceRange": [
          {
            "low": {
              "value": 4.5,
              "code": "pH",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 8,
              "code": "pH",
              "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>20-Jan-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>pH of Urine by Test strip</td><td>7.0</td><td>4.5 - 8.0</td><td></td><td>pH</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84",
          "display": "Alexandria Julien"
        },
        "effectiveDateTime": "2025-01-20T05:57:34Z"
      }
    },
    {
      "fullUrl": "urn:uuid:89c476cd-8284-4c27-962e-617f6a2b4603",
      "resource": {
        "resourceType": "Observation",
        "id": "89c476cd-8284-4c27-962e-617f6a2b4603",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/medicalTestResult-eu-core"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
              }
            ]
          }
        ],
        "performer": [
          {
            "display": "The Central European Lab"
          }
        ],
        "code": {
          "coding": [
            {
              "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": 7.4,
          "unit": "mg/dL",
          "code": "mg/dL",
          "system": "http://unitsofmeasure.org"
        },
        "referenceRange": [
          {
            "low": {
              "value": 0,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 20,
              "code": "mg/dL",
              "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>20-Jan-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td>7.4</td><td>0 - 20</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84",
          "display": "Alexandria Julien"
        },
        "effectiveDateTime": "2025-01-20T05:57:34Z"
      }
    },
    {
      "fullUrl": "urn:uuid:5dc3f684-6472-4d08-a579-d7da3c87e78d",
      "resource": {
        "resourceType": "Observation",
        "id": "5dc3f684-6472-4d08-a579-d7da3c87e78d",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/medicalTestResult-eu-core"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
              }
            ]
          }
        ],
        "performer": [
          {
            "display": "The Central European Lab"
          }
        ],
        "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>20-Jan-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>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84",
          "display": "Alexandria Julien"
        },
        "effectiveDateTime": "2025-01-20T05:57:34Z",
        "valueCodeableConcept": {
          "coding": [
            {
              "code": "314137006",
              "system": "http://snomed.info/sct",
              "display": "Urine nitrite positive"
            }
          ]
        }
      }
    },
    {
      "fullUrl": "urn:uuid:7a47f5bb-5cc9-472d-990b-e81a4ff5211b",
      "resource": {
        "resourceType": "Observation",
        "id": "7a47f5bb-5cc9-472d-990b-e81a4ff5211b",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/medicalTestResult-eu-core"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
              }
            ]
          }
        ],
        "performer": [
          {
            "display": "The Central European Lab"
          }
        ],
        "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": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>20-Jan-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>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84",
          "display": "Alexandria Julien"
        },
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          "text": "Leukocytes [#/area] in Urine sediment by Microscopy high power field"
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              "code": "13945-1",
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              "display": "Erythrocytes [#/area] in Urine sediment by Microscopy high power field"
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          "text": "Erythrocytes [#/area] in Urine sediment by Microscopy high power field"
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              "display": "Epithelial cells [#/area] in Urine sediment by Microscopy high power field"
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          "text": "Epithelial cells [#/area] in Urine sediment by Microscopy high power field"
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        "valueQuantity": {
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              "code": "24124-0",
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              "display": "Casts [Presence] in Urine sediment by Light microscopy"
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          "text": "Casts [Presence] in Urine sediment by Light microscopy"
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              "code": "8247-9",
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              "display": "Mucus [Presence] in Urine sediment by Light microscopy"
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          "text": "Mucus [Presence] in Urine sediment by Light microscopy"
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              "code": "5769-5",
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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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              "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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        "text": {
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            "carrierHRF": "(01)41710226110979(11)180507(17)430522(10)68458793665373661(21)4044312482564"
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        "text": {
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          "display": "Alexandria Julien"
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          "status": "generated",
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        },
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              "display": "Blood glucose meter (physical object)"
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        "text": {
          "status": "generated",
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        },
        "status": "active",
        "distinctIdentifier": "synderai-generator-50",
        "manufacturer": "SYNDERAI Project"
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      "resource": {
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              "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation",
              "display": "create"
            }
          ],
          "text": "Synthetic Example Data Generation"
        },
        "policy": [
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        ],
        "agent": [
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            "type": {
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                {
                  "code": "author",
                  "system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
                  "display": "Author"
                }
              ],
              "text": "author"
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              "reference": "urn:uuid:5cd6f35c-90ec-4ae8-b2bc-daa5bf8167e5"
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              }
            ],
            "text": "Interoperability Testing and Training (non-clinical use)"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provenance for SYNDERAI Synthetic Example Data Resource</div>"
        },
        "recorded": "2025-01-20T05:57:34Z"
      }
    }
  ],
  "type": "document",
  "timestamp": "2025-01-20T06:57:34Z"
}