<Bundle xmlns="http://hl7.org/fhir">
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   <identifier>
      <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
      <value value="0c230c90-1fdf-406d-814b-d93f01f5a5af"/>
      <assigner>
         <display value="HL7 Europe"/>
      </assigner>
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   <type value="document"/>
   <timestamp value="2025-01-20T06:57:34Z"/>
   <entry>
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      <resource>
         <Composition>
            <id value="cc7abf5e-b08f-453c-b925-e585a0ee049b"/>
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               <profile value="http://hl7.eu/fhir/eps/StructureDefinition/composition-eu-eps"/>
               <security>
                  <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
                  <code value="HTEST"/>
               </security>
               <security>
                  <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
                  <code value="TRAIN"/>
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               <tag>
                  <system value="https://synderai.net/fhir/CodeSystem/tags"/>
                  <code value="synthetic"/>
                  <display value="SYNDERAI Synthetic data"/>
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            <text>
               <status value="empty"/>
               <div xmlns="http://www.w3.org/1999/xhtml">intentionally left empty / not meaningful</div>
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            <identifier>
               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
               <value value="f34e6a29-f70d-43a5-b1be-3f0d8618807c"/>
               <assigner>
                  <display value="HL7 Europe"/>
               </assigner>
            </identifier>
            <status value="final"/>
            <type>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="60591-5"/>
                  <display value="Patient summary Document"/>
               </coding>
               <text value="Patient summary Document"/>
            </type>
            <subject>
               <reference value="urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84"/>
               <display value="Alexandria Julien"/>
            </subject>
            <date value="2025-01-20T06:57:34Z"/>
            <author>
               <reference value="urn:uuid:d2a8f157-344b-4f6d-a0cd-927355c4f96d"/>
            </author>
            <title value="European Patient Summary"/>
            <confidentiality value="N"/>
            <custodian>
               <reference value="urn:uuid:37575e6e-acd9-4464-a9b6-a23f844d1ff1"/>
            </custodian>
            <section>
               <title value="Problem list"/>
               <code>
                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="11450-4"/>
                     <display value="Problem list - Reported"/>
                  </coding>
               </code>
               <text>
                  <status value="generated"/>
                  <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>
               </text>
               <entry>
                  <reference value="urn:uuid:7de25c1c-8ece-4b3b-a38e-fe573f95278b"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:99246a71-c090-419f-9641-419ae897acdb"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:fc49b4a9-fea3-4e68-9e43-81603376ca30"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:785dae39-e7e8-42f3-bced-6c98a941d62d"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:d84d3751-496b-4c01-a512-48c16ccfbaf6"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:97e36917-d80c-4af6-be50-d0ba4400ea91"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:663b5124-5517-450e-9442-df1d05752d49"/>
               </entry>
            </section>
            <section>
               <title value="Medication list"/>
               <code>
                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="10160-0"/>
                     <display value="History of Medication use Narrative"/>
                  </coding>
               </code>
               <text>
                  <status value="generated"/>
                  <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>
               </text>
               <entry>
                  <reference value="urn:uuid:78bd5c42-9501-4d66-acf9-c215e2c0c13a"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:565236af-c7fe-4f9c-9db5-79a333b83471"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:0061032d-0cf2-4901-b426-aec9ff17f02b"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:e8518205-960f-401e-9361-6e435e9465b6"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:d3eac466-db52-4d86-8928-58ced5f3850f"/>
               </entry>
            </section>
            <section>
               <title value="Immunizations list"/>
               <code>
                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="11369-6"/>
                     <display value="History of Immunization note"/>
                  </coding>
               </code>
               <text>
                  <status value="generated"/>
                  <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>
               </text>
               <entry>
                  <reference value="urn:uuid:a6a84fd0-6239-4df7-b750-73fd1988f686"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:67a02314-2cbc-40b6-9901-be16e86cf7c8"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:fe3f3268-c8f5-44eb-8291-4871ff972f0f"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:efa1d103-8904-4723-ad79-3bd98e39d624"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:9251fc7d-d153-4efc-9f61-cb0fda540f51"/>
               </entry>
            </section>
            <section>
               <title value="Procedure History list"/>
               <code>
                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="47519-4"/>
                     <display value="History of Procedures Document"/>
                  </coding>
               </code>
               <text>
                  <status value="generated"/>
                  <div xmlns="http://www.w3.org/1999/xhtml">
                     <table class="hl7__ips">
                        <tr>
                           <td>No known procedures</td>
                        </tr>
                     </table>
                  </div>
               </text>
               <emptyReason>
                  <coding>
                     <system value="http://terminology.hl7.org/CodeSystem/list-empty-reason"/>
                     <code value="nilknown"/>
                  </coding>
               </emptyReason>
            </section>
            <section>
               <title value="Allergies and Intolerances"/>
               <code>
                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="48765-2"/>
                     <display value="Allergies and adverse reactions Document"/>
                  </coding>
               </code>
               <text>
                  <status value="generated"/>
                  <div xmlns="http://www.w3.org/1999/xhtml">
                     <table class="hl7__ips">
                        <tr>
                           <td>No known allergies or intolerances</td>
                        </tr>
                     </table>
                  </div>
               </text>
               <entry>
                  <reference value="urn:uuid:d73eb4a2-623a-432a-88f0-b2993e4e6a26"/>
               </entry>
            </section>
            <section>
               <title value="Care Plan"/>
               <code>
                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="18776-5"/>
                     <display value="Plan of care note"/>
                  </coding>
               </code>
               <text>
                  <status value="generated"/>
                  <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/>
                        </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/>
                        </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>
               </text>
               <entry>
                  <reference value="urn:uuid:255688f0-c934-4682-b78a-9ca5b9a54d7d"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:df8e3b01-3988-43ee-91cf-4156547a5458"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:663f1085-c541-43f7-9217-a5ea17c07049"/>
               </entry>
            </section>
            <section>
               <title value="Vital Signs"/>
               <code>
                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="8716-3"/>
                     <display value="Vital signs note"/>
                  </coding>
               </code>
               <text>
                  <status value="generated"/>
                  <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>
               </text>
               <entry>
                  <reference value="urn:uuid:57bd7540-5228-4401-94cc-4db480f89d54"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:ee0eb83a-0f3e-4a6d-baa6-fd824f2840d2"/>
               </entry>
            </section>
            <section>
               <title value="Relevant diagnostic tests/laboratory data"/>
               <code>
                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="30954-2"/>
                     <display value="Relevant diagnostic tests/laboratory data note"/>
                  </coding>
               </code>
               <text>
                  <status value="generated"/>
                  <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 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/>
                           </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/>
                           </tr>
                           <tr>
                              <td>Hemoglobin [Presence] in Urine by Test strip</td>
                              <td>Urine blood test = +</td>
                              <td/>
                              <td/>
                           </tr>
                           <tr>
                              <td>Leukocyte esterase [Presence] in Urine by Test strip</td>
                              <td>Urine leukocyte test</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/>
                           </tr>
                           <tr>
                              <td>Mucus [Presence] in Urine sediment by Light microscopy</td>
                              <td>Mucus in urine</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/>
                           </tr>
                           <tr>
                              <td>Bacteria identified in Urine by Culture</td>
                              <td/>
                              <td/>
                              <td/>
                           </tr>
                        </tbody>
                     </table>
                  </div>
               </text>
               <entry>
                  <reference value="urn:uuid:c03632a4-9ef7-44cf-9670-ab6530902e29"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:e10ebee8-536e-4a73-b17e-2c4abee1fca1"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:fadce4f7-f10c-4c6d-9b64-e36f298cd3a7"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:1186ac09-2e43-491b-9486-48a83d9d2bb3"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:89c476cd-8284-4c27-962e-617f6a2b4603"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:5dc3f684-6472-4d08-a579-d7da3c87e78d"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:7a47f5bb-5cc9-472d-990b-e81a4ff5211b"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:8381cde6-19ea-4993-8fa7-5186ac5ced88"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:6ba01a5e-23ec-4091-8c91-136799c5d4a8"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:89405b2f-8880-40e0-bf28-255d959e41fe"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:20686e3d-000b-4bb9-95cb-81b2d47821fd"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:e0968032-d2b2-48f3-b17c-b0a30aac811c"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:7347dfc9-0e8a-43f7-b7a2-1b97d574dab2"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:1359fe46-29da-44df-8411-87dd8332f2f8"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:02a8ef8d-979a-4fa8-9cc3-c651a276f6e0"/>
               </entry>
            </section>
            <section>
               <title value="Device Use"/>
               <code>
                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="46264-8"/>
                     <display value="History of medical device use"/>
                  </coding>
               </code>
               <text>
                  <status value="generated"/>
                  <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>
               </text>
               <entry>
                  <reference value="urn:uuid:2c1be555-f69b-4c5d-b296-42eddfeb68ba"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:4e8a95c2-e72c-44f7-ac43-a32974c5a5f1"/>
               </entry>
            </section>
         </Composition>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84"/>
      <resource>
         <Patient>
            <id value="bd385b3f-90d2-4ec2-b89a-1737f92d3b84"/>
            <meta>
               <profile value="http://hl7.eu/fhir/eps/StructureDefinition/patient-eu-eps"/>
               <security>
                  <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
                  <code value="HTEST"/>
               </security>
               <security>
                  <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
                  <code value="TRAIN"/>
               </security>
               <tag>
                  <system value="https://synderai.net/fhir/CodeSystem/tags"/>
                  <code value="synthetic"/>
                  <display value="SYNDERAI Synthetic data"/>
               </tag>
            </meta>
            <text>
               <status value="generated"/>
               <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>
            </text>
            <extension url="http://hl7.org/fhir/StructureDefinition/patient-nationality">
               <extension url="code">
                  <valueCodeableConcept>
                     <coding>
                        <system value="urn:iso:std:iso:3166"/>
                        <code value="FR"/>
                     </coding>
                     <text value="France"/>
                  </valueCodeableConcept>
               </extension>
            </extension>
            <identifier>
               <type>
                  <coding>
                     <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                     <code value="JHN"/>
                  </coding>
               </type>
               <system value="http://ec.europa.eu/identifier/eci"/>
               <value value="1074-205969-3"/>
            </identifier>
            <identifier>
               <type>
                  <coding>
                     <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                     <code value="MR"/>
                  </coding>
               </type>
               <system value="http://local.setting.eu/identifier"/>
               <value value="31b22bcf-cd4f-fdee-7d3b-9b5ae44266b0"/>
            </identifier>
            <name>
               <text value="Alexandria Julien"/>
               <family value="Julien"/>
               <given value="Alexandria"/>
            </name>
            <telecom>
               <system value="phone"/>
               <value value="+33 (0)1 46 99 14 09"/>
            </telecom>
            <gender value="female"/>
            <birthDate value="1959-03-22"/>
            <address>
               <use value="home"/>
               <type value="physical"/>
               <line value="253, rue de Clément"/>
               <city value="Sainte Catherine"/>
               <postalCode value="69590"/>
               <country value="France"/>
            </address>
         </Patient>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:d2a8f157-344b-4f6d-a0cd-927355c4f96d"/>
      <resource>
         <PractitionerRole>
            <id value="d2a8f157-344b-4f6d-a0cd-927355c4f96d"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu-core"/>
            </meta>
            <text>
               <status value="generated"/>
               <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>
            </text>
            <practitioner>
               <reference value="urn:uuid:5e185ce6-89d5-4ddb-bb74-3ab395b5d134"/>
            </practitioner>
            <organization>
               <reference value="urn:uuid:37575e6e-acd9-4464-a9b6-a23f844d1ff1"/>
            </organization>
         </PractitionerRole>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:37575e6e-acd9-4464-a9b6-a23f844d1ff1"/>
      <resource>
         <Organization>
            <id value="37575e6e-acd9-4464-a9b6-a23f844d1ff1"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/organization-eu-core"/>
            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
                     <tr>
                        <td>Centre Médical et Pédagogique Jacques Arnaud</td>
                     </tr>
                  </table>
               </div>
            </text>
            <identifier>
               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
               <value value="eff8ea75-d172-4fd3-b7d8-aaaff14716de"/>
               <assigner>
                  <display value="HL7 Europe"/>
               </assigner>
            </identifier>
            <name value="Centre Médical et Pédagogique Jacques Arnaud"/>
            <address>
               <line value="Rue Pasteur 5"/>
               <country value="France"/>
            </address>
         </Organization>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:5e185ce6-89d5-4ddb-bb74-3ab395b5d134"/>
      <resource>
         <Practitioner>
            <id value="5e185ce6-89d5-4ddb-bb74-3ab395b5d134"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu-core"/>
            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
                     <tr>
                        <td>Margot Maillard</td>
                     </tr>
                  </table>
               </div>
            </text>
            <name>
               <family value="Maillard"/>
               <given value="Margot"/>
            </name>
         </Practitioner>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:7de25c1c-8ece-4b3b-a38e-fe573f95278b"/>
      <resource>
         <Condition>
            <id value="7de25c1c-8ece-4b3b-a38e-fe573f95278b"/>
            <meta>
               <profile value="http://hl7.eu/fhir/eps/StructureDefinition/condition-obl-eu-eps"/>
            </meta>
            <text>
               <status value="generated"/>
               <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>
            </text>
            <clinicalStatus>
               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
                  <code value="active"/>
               </coding>
            </clinicalStatus>
            <category>
               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/condition-category"/>
                  <code value="problem-list-item"/>
                  <display value="Problem List Item"/>
               </coding>
            </category>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="59621000"/>
                  <display value="Essential hypertension (disorder)"/>
               </coding>
               <text value="Essential hypertension"/>
            </code>
            <subject>
               <reference value="urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84"/>
               <display value="Alexandria Julien"/>
            </subject>
            <onsetDateTime value="2024-10-01"/>
            <asserter>
               <reference value="urn:uuid:d2a8f157-344b-4f6d-a0cd-927355c4f96d"/>
               <display value="Centre Médical et Pédagogique Jacques Arnaud"/>
            </asserter>
         </Condition>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:99246a71-c090-419f-9641-419ae897acdb"/>
      <resource>
         <Condition>
            <id value="99246a71-c090-419f-9641-419ae897acdb"/>
            <meta>
               <profile value="http://hl7.eu/fhir/eps/StructureDefinition/condition-obl-eu-eps"/>
            </meta>
            <text>
               <status value="generated"/>
               <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>
            </text>
            <clinicalStatus>
               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
                  <code value="active"/>
               </coding>
            </clinicalStatus>
            <category>
               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/condition-category"/>
                  <code value="problem-list-item"/>
                  <display value="Problem List Item"/>
               </coding>
            </category>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="237602007"/>
                  <display value="Metabolic syndrome X (disorder)"/>
               </coding>
               <text value="Metabolic syndrome X"/>
            </code>
            <subject>
               <reference value="urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84"/>
               <display value="Alexandria Julien"/>
            </subject>
            <onsetDateTime value="2024-10-01"/>
            <asserter>
               <reference value="urn:uuid:d2a8f157-344b-4f6d-a0cd-927355c4f96d"/>
               <display value="Centre Médical et Pédagogique Jacques Arnaud"/>
            </asserter>
         </Condition>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:fc49b4a9-fea3-4e68-9e43-81603376ca30"/>
      <resource>
         <Condition>
            <id value="fc49b4a9-fea3-4e68-9e43-81603376ca30"/>
            <meta>
               <profile value="http://hl7.eu/fhir/eps/StructureDefinition/condition-obl-eu-eps"/>
            </meta>
            <text>
               <status value="generated"/>
               <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>
            </text>
            <clinicalStatus>
               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
                  <code value="active"/>
               </coding>
            </clinicalStatus>
            <category>
               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/condition-category"/>
                  <code value="problem-list-item"/>
                  <display value="Problem List Item"/>
               </coding>
            </category>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="414545008"/>
                  <display value="Ischemic heart disease (disorder)"/>
               </coding>
               <text value="Ischemic heart disease"/>
            </code>
            <subject>
               <reference value="urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84"/>
               <display value="Alexandria Julien"/>
            </subject>
            <onsetDateTime value="2024-10-01"/>
            <asserter>
               <reference value="urn:uuid:d2a8f157-344b-4f6d-a0cd-927355c4f96d"/>
               <display value="Centre Médical et Pédagogique Jacques Arnaud"/>
            </asserter>
         </Condition>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:785dae39-e7e8-42f3-bced-6c98a941d62d"/>
      <resource>
         <Condition>
            <id value="785dae39-e7e8-42f3-bced-6c98a941d62d"/>
            <meta>
               <profile value="http://hl7.eu/fhir/eps/StructureDefinition/condition-obl-eu-eps"/>
            </meta>
            <text>
               <status value="generated"/>
               <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>
            </text>
            <clinicalStatus>
               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
                  <code value="active"/>
               </coding>
            </clinicalStatus>
            <category>
               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/condition-category"/>
                  <code value="problem-list-item"/>
                  <display value="Problem List Item"/>
               </coding>
            </category>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="40055000"/>
                  <display value="Chronic sinusitis (disorder)"/>
               </coding>
               <text value="Chronic sinusitis"/>
            </code>
            <subject>
               <reference value="urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84"/>
               <display value="Alexandria Julien"/>
            </subject>
            <onsetDateTime value="2018-05-28"/>
            <asserter>
               <reference value="urn:uuid:d2a8f157-344b-4f6d-a0cd-927355c4f96d"/>
               <display value="Centre Médical et Pédagogique Jacques Arnaud"/>
            </asserter>
         </Condition>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:d84d3751-496b-4c01-a512-48c16ccfbaf6"/>
      <resource>
         <Condition>
            <id value="d84d3751-496b-4c01-a512-48c16ccfbaf6"/>
            <meta>
               <profile value="http://hl7.eu/fhir/eps/StructureDefinition/condition-obl-eu-eps"/>
            </meta>
            <text>
               <status value="generated"/>
               <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>
            </text>
            <clinicalStatus>
               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
                  <code value="inactive"/>
               </coding>
            </clinicalStatus>
            <category>
               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/condition-category"/>
                  <code value="problem-list-item"/>
                  <display value="Problem List Item"/>
               </coding>
            </category>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="307426000"/>
                  <display value="Acute infective cystitis (disorder)"/>
               </coding>
               <text value="Acute infective cystitis"/>
            </code>
            <subject>
               <reference value="urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84"/>
               <display value="Alexandria Julien"/>
            </subject>
            <onsetDateTime value="2025-01-20"/>
            <abatementDateTime value="2025-01-22"/>
            <asserter>
               <reference value="urn:uuid:d2a8f157-344b-4f6d-a0cd-927355c4f96d"/>
               <display value="Centre Médical et Pédagogique Jacques Arnaud"/>
            </asserter>
         </Condition>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:97e36917-d80c-4af6-be50-d0ba4400ea91"/>
      <resource>
         <Condition>
            <id value="97e36917-d80c-4af6-be50-d0ba4400ea91"/>
            <meta>
               <profile value="http://hl7.eu/fhir/eps/StructureDefinition/condition-obl-eu-eps"/>
            </meta>
            <text>
               <status value="generated"/>
               <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>
            </text>
            <clinicalStatus>
               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
                  <code value="inactive"/>
               </coding>
            </clinicalStatus>
            <category>
               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/condition-category"/>
                  <code value="problem-list-item"/>
                  <display value="Problem List Item"/>
               </coding>
            </category>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="36971009"/>
                  <display value="Sinusitis (disorder)"/>
               </coding>
               <text value="Sinusitis"/>
            </code>
            <subject>
               <reference value="urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84"/>
               <display value="Alexandria Julien"/>
            </subject>
            <onsetDateTime value="2018-05-02"/>
            <abatementDateTime value="2018-08-06"/>
            <asserter>
               <reference value="urn:uuid:d2a8f157-344b-4f6d-a0cd-927355c4f96d"/>
               <display value="Centre Médical et Pédagogique Jacques Arnaud"/>
            </asserter>
         </Condition>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:663b5124-5517-450e-9442-df1d05752d49"/>
      <resource>
         <Condition>
            <id value="663b5124-5517-450e-9442-df1d05752d49"/>
            <meta>
               <profile value="http://hl7.eu/fhir/eps/StructureDefinition/condition-obl-eu-eps"/>
            </meta>
            <text>
               <status value="generated"/>
               <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>
            </text>
            <clinicalStatus>
               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
                  <code value="inactive"/>
               </coding>
            </clinicalStatus>
            <category>
               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/condition-category"/>
                  <code value="problem-list-item"/>
                  <display value="Problem List Item"/>
               </coding>
            </category>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="444814009"/>
                  <display value="Viral sinusitis (disorder)"/>
               </coding>
               <text value="Viral sinusitis"/>
            </code>
            <subject>
               <reference value="urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84"/>
               <display value="Alexandria Julien"/>
            </subject>
            <onsetDateTime value="2016-05-24"/>
            <abatementDateTime value="2016-06-06"/>
            <asserter>
               <reference value="urn:uuid:d2a8f157-344b-4f6d-a0cd-927355c4f96d"/>
               <display value="Centre Médical et Pédagogique Jacques Arnaud"/>
            </asserter>
         </Condition>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:5e27d71a-2e38-4a51-8e61-b6b600fa3174"/>
      <resource>
         <Medication>
            <id value="5e27d71a-2e38-4a51-8e61-b6b600fa3174"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/medication-eu-core"/>
            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Clopidogrel (as clopidogrel bisulfate) 75 mg oral tablet</div>
            </text>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="783586007"/>
                  <display value="Clopidogrel (as clopidogrel bisulfate) 75 mg oral tablet"/>
               </coding>
               <text value="Clopidogrel (as clopidogrel bisulfate) 75 mg oral tablet"/>
            </code>
         </Medication>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:78bd5c42-9501-4d66-acf9-c215e2c0c13a"/>
      <resource>
         <MedicationStatement>
            <id value="78bd5c42-9501-4d66-acf9-c215e2c0c13a"/>
            <meta>
               <profile value="http://hl7.eu/fhir/eps/StructureDefinition/MedicationStatement-eu-eps"/>
            </meta>
            <text>
               <status value="generated"/>
               <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>
            </text>
            <status value="active"/>
            <medicationReference>
               <reference value="urn:uuid:5e27d71a-2e38-4a51-8e61-b6b600fa3174"/>
               <display value="Clopidogrel (as clopidogrel bisulfate) 75 mg oral tablet"/>
            </medicationReference>
            <subject>
               <reference value="urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84"/>
               <display value="Alexandria Julien"/>
            </subject>
            <effectivePeriod>
               <start value="2024-10-08"/>
            </effectivePeriod>
            <dosage>
               <text value="1 tablet (75 mg) once daily"/>
               <timing>
                  <repeat>
                     <frequency value="1"/>
                     <period value="1"/>
                     <periodUnit value="d"/>
                  </repeat>
               </timing>
               <asNeededBoolean value="false"/>
               <doseAndRate>
                  <doseQuantity>
                     <value value="1"/>
                     <unit value="{tbl}"/>
                     <system value="http://unitsofmeasure.org"/>
                     <code value="{tbl}"/>
                  </doseQuantity>
               </doseAndRate>
            </dosage>
         </MedicationStatement>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:4c2de73e-6a86-4686-b3a7-a15fa4367c5b"/>
      <resource>
         <Medication>
            <id value="4c2de73e-6a86-4686-b3a7-a15fa4367c5b"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/medication-eu-core"/>
            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Simvastatin 20 mg oral tablet</div>
            </text>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="319997009"/>
                  <display value="Simvastatin 20 mg oral tablet"/>
               </coding>
               <text value="Simvastatin 20 mg oral tablet"/>
            </code>
         </Medication>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:565236af-c7fe-4f9c-9db5-79a333b83471"/>
      <resource>
         <MedicationStatement>
            <id value="565236af-c7fe-4f9c-9db5-79a333b83471"/>
            <meta>
               <profile value="http://hl7.eu/fhir/eps/StructureDefinition/MedicationStatement-eu-eps"/>
            </meta>
            <text>
               <status value="generated"/>
               <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>
            </text>
            <status value="active"/>
            <medicationReference>
               <reference value="urn:uuid:4c2de73e-6a86-4686-b3a7-a15fa4367c5b"/>
               <display value="Simvastatin 20 mg oral tablet"/>
            </medicationReference>
            <subject>
               <reference value="urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84"/>
               <display value="Alexandria Julien"/>
            </subject>
            <effectivePeriod>
               <start value="2024-10-08"/>
            </effectivePeriod>
            <dosage>
               <text value="1 tablet (20 mg) once daily"/>
               <timing>
                  <repeat>
                     <frequency value="1"/>
                     <period value="1"/>
                     <periodUnit value="d"/>
                  </repeat>
               </timing>
               <asNeededBoolean value="false"/>
               <doseAndRate>
                  <doseQuantity>
                     <value value="1"/>
                     <unit value="{tbl}"/>
                     <system value="http://unitsofmeasure.org"/>
                     <code value="{tbl}"/>
                  </doseQuantity>
               </doseAndRate>
            </dosage>
         </MedicationStatement>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:81686658-9541-4460-af51-b070f777f0f7"/>
      <resource>
         <Medication>
            <id value="81686658-9541-4460-af51-b070f777f0f7"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/medication-eu-core"/>
            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Nitroglycerin 400 microgram/actuation sublingual spray</div>
            </text>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="425176000"/>
                  <display value="Nitroglycerin 400 microgram/actuation sublingual spray"/>
               </coding>
               <text value="Nitroglycerin 400 microgram/actuation sublingual spray"/>
            </code>
         </Medication>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:0061032d-0cf2-4901-b426-aec9ff17f02b"/>
      <resource>
         <MedicationStatement>
            <id value="0061032d-0cf2-4901-b426-aec9ff17f02b"/>
            <meta>
               <profile value="http://hl7.eu/fhir/eps/StructureDefinition/MedicationStatement-eu-eps"/>
            </meta>
            <text>
               <status value="generated"/>
               <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>
            </text>
            <status value="active"/>
            <medicationReference>
               <reference value="urn:uuid:81686658-9541-4460-af51-b070f777f0f7"/>
               <display value="Nitroglycerin 400 microgram/actuation sublingual spray"/>
            </medicationReference>
            <subject>
               <reference value="urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84"/>
               <display value="Alexandria Julien"/>
            </subject>
            <effectivePeriod>
               <start value="2024-10-08"/>
            </effectivePeriod>
            <dosage>
               <text value="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"/>
               <timing>
                  <repeat>
                     <frequency value="1"/>
                     <period value="5"/>
                     <periodUnit value="min"/>
                  </repeat>
               </timing>
               <asNeededBoolean value="true"/>
               <doseAndRate>
                  <doseQuantity>
                     <value value="400"/>
                     <unit value="microgram"/>
                     <system value="http://unitsofmeasure.org"/>
                     <code value="ug"/>
                  </doseQuantity>
               </doseAndRate>
            </dosage>
         </MedicationStatement>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:5c434d68-c690-4a2c-b184-c0c641087e80"/>
      <resource>
         <Medication>
            <id value="5c434d68-c690-4a2c-b184-c0c641087e80"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/medication-eu-core"/>
            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Metoprolol tartrate (as metoprolol succinate) 100 mg prolonged-release oral tablet</div>
            </text>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="879980009"/>
                  <display value="Metoprolol tartrate (as metoprolol succinate) 100 mg prolonged-release oral tablet"/>
               </coding>
               <text value="Metoprolol tartrate (as metoprolol succinate) 100 mg prolonged-release oral tablet"/>
            </code>
         </Medication>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:e8518205-960f-401e-9361-6e435e9465b6"/>
      <resource>
         <MedicationStatement>
            <id value="e8518205-960f-401e-9361-6e435e9465b6"/>
            <meta>
               <profile value="http://hl7.eu/fhir/eps/StructureDefinition/MedicationStatement-eu-eps"/>
            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips first25">
                     <tr>
                        <th>Medication</th>
                        <th>Since</th>
                        <th>Form</th>
                        <th>Dosage</th>
                        <th>Reason</th>
                     </tr>
                     <tr>
                        <td>Metoprolol tartrate (as metoprolol succinate) 100 mg prolonged-release oral tablet</td>
                        <td>
                           <span class="nb">2024-10-08</span>
                        </td>
                        <td>-</td>
                        <td>1 tablet (100 mg) once daily</td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="active"/>
            <medicationReference>
               <reference value="urn:uuid:5c434d68-c690-4a2c-b184-c0c641087e80"/>
               <display value="Metoprolol tartrate (as metoprolol succinate) 100 mg prolonged-release oral tablet"/>
            </medicationReference>
            <subject>
               <reference value="urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84"/>
               <display value="Alexandria Julien"/>
            </subject>
            <effectivePeriod>
               <start value="2024-10-08"/>
            </effectivePeriod>
            <dosage>
               <text value="1 tablet (100 mg) once daily"/>
               <timing>
                  <repeat>
                     <frequency value="1"/>
                     <period value="1"/>
                     <periodUnit value="d"/>
                  </repeat>
               </timing>
               <asNeededBoolean value="false"/>
               <doseAndRate>
                  <doseQuantity>
                     <value value="1"/>
                     <unit value="{tbl}"/>
                     <system value="http://unitsofmeasure.org"/>
                     <code value="{tbl}"/>
                  </doseQuantity>
               </doseAndRate>
            </dosage>
         </MedicationStatement>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:b60e1a6b-5483-4268-9c29-cd4337e143ee"/>
      <resource>
         <Medication>
            <id value="b60e1a6b-5483-4268-9c29-cd4337e143ee"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/medication-eu-core"/>
            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Lisinopril 10 mg oral tablet</div>
            </text>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="318859000"/>
                  <display value="Lisinopril 10 mg oral tablet"/>
               </coding>
               <text value="Lisinopril 10 mg oral tablet"/>
            </code>
         </Medication>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:d3eac466-db52-4d86-8928-58ced5f3850f"/>
      <resource>
         <MedicationStatement>
            <id value="d3eac466-db52-4d86-8928-58ced5f3850f"/>
            <meta>
               <profile value="http://hl7.eu/fhir/eps/StructureDefinition/MedicationStatement-eu-eps"/>
            </meta>
            <text>
               <status value="generated"/>
               <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>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>
            </text>
            <status value="active"/>
            <medicationReference>
               <reference value="urn:uuid:b60e1a6b-5483-4268-9c29-cd4337e143ee"/>
               <display value="Lisinopril 10 mg oral tablet"/>
            </medicationReference>
            <subject>
               <reference value="urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84"/>
               <display value="Alexandria Julien"/>
            </subject>
            <effectivePeriod>
               <start value="2024-10-01"/>
            </effectivePeriod>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="59621000"/>
                  <display value="Essential hypertension (disorder)"/>
               </coding>
            </reasonCode>
            <dosage>
               <text value="1 tablet (10 mg) by mouth once daily"/>
               <timing>
                  <repeat>
                     <frequency value="1"/>
                     <period value="1"/>
                     <periodUnit value="d"/>
                  </repeat>
               </timing>
               <asNeededBoolean value="false"/>
               <doseAndRate>
                  <doseQuantity>
                     <value value="1"/>
                     <unit value="{tbl}"/>
                     <system value="http://unitsofmeasure.org"/>
                     <code value="{tbl}"/>
                  </doseQuantity>
               </doseAndRate>
            </dosage>
         </MedicationStatement>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:a6a84fd0-6239-4df7-b750-73fd1988f686"/>
      <resource>
         <Immunization>
            <id value="a6a84fd0-6239-4df7-b750-73fd1988f686"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/immunization-eu-core"/>
            </meta>
            <text>
               <status value="generated"/>
               <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>
            </text>
            <status value="completed"/>
            <vaccineCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="1181000221105"/>
                  <display value="Influenza virus antigen only vaccine product"/>
               </coding>
               <coding>
                  <system value="http://www.whocc.no/atc"/>
                  <code value="J07BB02"/>
                  <display value="influenza, inactivated, split virus or surface antigen"/>
               </coding>
               <text value="Influenza virus antigen only vaccine product"/>
            </vaccineCode>
            <patient>
               <reference value="urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84"/>
               <display value="Alexandria Julien"/>
            </patient>
            <occurrenceDateTime value="2024-10-01"/>
            <lotNumber value="GS-xpE2jBV"/>
            <expirationDate value="2025-01-13"/>
            <site>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="244979005"/>
                  <display value="Entire muscle of upper arm"/>
               </coding>
               <text value="Entire muscle of upper arm"/>
            </site>
            <route>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="78421000"/>
                  <display value="Intramuscular route"/>
               </coding>
               <text value="Intramuscular route"/>
            </route>
         </Immunization>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:67a02314-2cbc-40b6-9901-be16e86cf7c8"/>
      <resource>
         <Immunization>
            <id value="67a02314-2cbc-40b6-9901-be16e86cf7c8"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/immunization-eu-core"/>
            </meta>
            <text>
               <status value="generated"/>
               <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>
            </text>
            <status value="completed"/>
            <vaccineCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="1252709000"/>
                  <display value="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"/>
               </coding>
               <coding>
                  <system value="http://www.whocc.no/atc"/>
                  <code value="J07AL01"/>
                  <display value="pneumococcus, purified polysaccharides antigen"/>
               </coding>
               <text value="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"/>
            </vaccineCode>
            <patient>
               <reference value="urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84"/>
               <display value="Alexandria Julien"/>
            </patient>
            <occurrenceDateTime value="2023-09-26"/>
            <lotNumber value="GJ-4YWNKXQ4"/>
            <expirationDate value="2024-05-13"/>
            <site>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="244979005"/>
                  <display value="Entire muscle of upper arm"/>
               </coding>
               <text value="Entire muscle of upper arm"/>
            </site>
            <route>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="78421000"/>
                  <display value="Intramuscular route"/>
               </coding>
               <text value="Intramuscular route"/>
            </route>
         </Immunization>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:fe3f3268-c8f5-44eb-8291-4871ff972f0f"/>
      <resource>
         <Immunization>
            <id value="fe3f3268-c8f5-44eb-8291-4871ff972f0f"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/immunization-eu-core"/>
            </meta>
            <text>
               <status value="generated"/>
               <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>
            </text>
            <status value="completed"/>
            <vaccineCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="51451000087105"/>
                  <display value="Streptococcus pneumoniae Danish serotype 1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F, 23F, capsular polysaccharide conjugated antigens only vaccine product"/>
               </coding>
               <coding>
                  <system value="http://www.whocc.no/atc"/>
                  <code value="J07AL02"/>
                  <display value="pneumococcus, purified polysaccharides antigen conjugated"/>
               </coding>
               <text value="Streptococcus pneumoniae Danish serotype 1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F, 23F, capsular polysaccharide conjugated antigens only vaccine product"/>
            </vaccineCode>
            <patient>
               <reference value="urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84"/>
               <display value="Alexandria Julien"/>
            </patient>
            <occurrenceDateTime value="2022-09-20"/>
            <lotNumber value="PP-GuHlPQ"/>
            <expirationDate value="2023-06-02"/>
            <site>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="244979005"/>
                  <display value="Entire muscle of upper arm"/>
               </coding>
               <text value="Entire muscle of upper arm"/>
            </site>
            <route>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="78421000"/>
                  <display value="Intramuscular route"/>
               </coding>
               <text value="Intramuscular route"/>
            </route>
         </Immunization>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:efa1d103-8904-4723-ad79-3bd98e39d624"/>
      <resource>
         <Immunization>
            <id value="efa1d103-8904-4723-ad79-3bd98e39d624"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/immunization-eu-core"/>
            </meta>
            <text>
               <status value="generated"/>
               <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>
            </text>
            <status value="completed"/>
            <vaccineCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="1119349007"/>
                  <display value="SARS-CoV-2 mRNA vaccine"/>
               </coding>
               <coding>
                  <system value="http://www.whocc.no/atc"/>
                  <code value="J07BN01"/>
                  <display value="covid-19, RNA-based vaccine"/>
               </coding>
               <text value="SARS-CoV-2 mRNA vaccine"/>
            </vaccineCode>
            <patient>
               <reference value="urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84"/>
               <display value="Alexandria Julien"/>
            </patient>
            <occurrenceDateTime value="2021-04-13"/>
            <lotNumber value="CA-iPx2"/>
            <expirationDate value="2021-09-18"/>
            <site>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="244979005"/>
                  <display value="Entire muscle of upper arm"/>
               </coding>
               <text value="Entire muscle of upper arm"/>
            </site>
            <route>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="78421000"/>
                  <display value="Intramuscular route"/>
               </coding>
               <text value="Intramuscular route"/>
            </route>
         </Immunization>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:9251fc7d-d153-4efc-9f61-cb0fda540f51"/>
      <resource>
         <Immunization>
            <id value="9251fc7d-d153-4efc-9f61-cb0fda540f51"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/immunization-eu-core"/>
            </meta>
            <text>
               <status value="generated"/>
               <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>
            </text>
            <status value="completed"/>
            <vaccineCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="777725002"/>
                  <display value="Clostridium tetani toxoid antigen adsorbed only vaccine product"/>
               </coding>
               <coding>
                  <system value="http://www.whocc.no/atc"/>
                  <code value="J07AM51"/>
                  <display value="tetanus toxoid, combinations with diphtheria toxoid"/>
               </coding>
               <text value="Clostridium tetani toxoid antigen adsorbed only vaccine product"/>
            </vaccineCode>
            <patient>
               <reference value="urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84"/>
               <display value="Alexandria Julien"/>
            </patient>
            <occurrenceDateTime value="2018-07-10"/>
            <lotNumber value="RL-gaKZE1ZNz"/>
            <expirationDate value="2019-07-15"/>
            <site>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="244979005"/>
                  <display value="Entire muscle of upper arm"/>
               </coding>
               <text value="Entire muscle of upper arm"/>
            </site>
            <route>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="78421000"/>
                  <display value="Intramuscular route"/>
               </coding>
               <text value="Intramuscular route"/>
            </route>
         </Immunization>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:d73eb4a2-623a-432a-88f0-b2993e4e6a26"/>
      <resource>
         <AllergyIntolerance>
            <id value="d73eb4a2-623a-432a-88f0-b2993e4e6a26"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/allergyIntolerance-eu-core"/>
            </meta>
            <clinicalStatus>
               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"/>
                  <code value="active"/>
               </coding>
            </clinicalStatus>
            <verificationStatus>
               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"/>
                  <code value="confirmed"/>
               </coding>
            </verificationStatus>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="716186003"/>
                  <display value="No known allergy (situation)"/>
               </coding>
            </code>
            <patient>
               <reference value="urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84"/>
               <display value="Alexandria Julien"/>
            </patient>
            <onsetDateTime>
               <extension url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
                  <valueCode value="unknown"/>
               </extension>
            </onsetDateTime>
         </AllergyIntolerance>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:255688f0-c934-4682-b78a-9ca5b9a54d7d"/>
      <resource>
         <CarePlan>
            <id value="255688f0-c934-4682-b78a-9ca5b9a54d7d"/>
            <text>
               <status value="generated"/>
               <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/>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="active"/>
            <intent value="plan"/>
            <category>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="734163000"/>
                  <display value="Care plan (record artifact)"/>
               </coding>
            </category>
            <subject>
               <reference value="urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84"/>
               <display value="Alexandria Julien"/>
            </subject>
            <period>
               <start value="2024-10-01"/>
            </period>
            <goal>
               <reference value="urn:uuid:b0be907d-19f5-44a9-8fae-961d20569bb8"/>
            </goal>
            <activity>
               <detail>
                  <kind value="Appointment"/>
                  <code>
                     <coding>
                        <system value="http://snomed.info/sct"/>
                        <code value="443402002"/>
                        <display value="Lifestyle education regarding hypertension (procedure)"/>
                     </coding>
                  </code>
                  <reasonCode>
                     <coding>
                        <system value="http://snomed.info/sct"/>
                        <code value="59621000"/>
                        <display value="Essential hypertension (disorder)"/>
                     </coding>
                  </reasonCode>
                  <status value="unknown"/>
                  <description value="Lifestyle education regarding hypertension"/>
               </detail>
            </activity>
         </CarePlan>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:df8e3b01-3988-43ee-91cf-4156547a5458"/>
      <resource>
         <CarePlan>
            <id value="df8e3b01-3988-43ee-91cf-4156547a5458"/>
            <text>
               <status value="generated"/>
               <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/>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="active"/>
            <intent value="plan"/>
            <category>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="734163000"/>
                  <display value="Care plan (record artifact)"/>
               </coding>
            </category>
            <subject>
               <reference value="urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84"/>
               <display value="Alexandria Julien"/>
            </subject>
            <period>
               <start value="1997-07-01"/>
            </period>
            <goal>
               <reference value="urn:uuid:e578ec49-1ba4-432c-9bd6-8174036baa11"/>
            </goal>
            <goal>
               <reference value="urn:uuid:63fa2c71-eade-4a50-ae4e-0f2aadd50b5c"/>
            </goal>
            <goal>
               <reference value="urn:uuid:7d017e17-a7e9-420d-ae1f-678b7fe85d5b"/>
            </goal>
            <goal>
               <reference value="urn:uuid:2a4fc4b5-7697-4e5a-938f-7ae77713322f"/>
            </goal>
            <activity>
               <detail>
                  <kind value="Appointment"/>
                  <code>
                     <coding>
                        <system value="http://snomed.info/sct"/>
                        <code value="735985000"/>
                        <display value="Diabetes self management plan (record artifact)"/>
                     </coding>
                  </code>
                  <reasonCode>
                     <coding>
                        <system value="http://snomed.info/sct"/>
                        <code value="714628002"/>
                        <display value="Prediabetes (finding)"/>
                     </coding>
                  </reasonCode>
                  <status value="unknown"/>
                  <description value="Diabetes self management plan"/>
               </detail>
            </activity>
         </CarePlan>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:663f1085-c541-43f7-9217-a5ea17c07049"/>
      <resource>
         <ImmunizationRecommendation>
            <id value="663f1085-c541-43f7-9217-a5ea17c07049"/>
            <text>
               <status value="generated"/>
               <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>
            </text>
            <patient>
               <reference value="urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84"/>
               <display value="Alexandria Julien"/>
            </patient>
            <date value="2026-03-14"/>
            <recommendation>
               <vaccineCode>
                  <coding>
                     <system value="http://snomed.info/sct"/>
                     <code value="1181000221105"/>
                     <display value="Influenza virus antigen only vaccine product"/>
                  </coding>
               </vaccineCode>
               <targetDisease>
                  <coding>
                     <system value="http://snomed.info/sct"/>
                     <code value="6142004"/>
                     <display value="Influenza (disorder)"/>
                  </coding>
               </targetDisease>
               <forecastStatus>
                  <coding>
                     <system value="http://terminology.hl7.org/CodeSystem/immunization-recommendation-status"/>
                     <code value="due"/>
                     <display value="Due"/>
                  </coding>
               </forecastStatus>
               <dateCriterion>
                  <code>
                     <coding>
                        <system value="http://loinc.org"/>
                        <code value="30980-7"/>
                        <display value="Date vaccine due"/>
                     </coding>
                  </code>
                  <value value="2026-10-01"/>
               </dateCriterion>
               <series value="Annual seasonal influenza vaccination"/>
            </recommendation>
         </ImmunizationRecommendation>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:b0be907d-19f5-44a9-8fae-961d20569bb8"/>
      <resource>
         <Goal>
            <id value="b0be907d-19f5-44a9-8fae-961d20569bb8"/>
            <text>
               <status value="generated"/>
               <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>
            </text>
            <lifecycleStatus value="active"/>
            <description>
               <text value="Patient will demonstrate understanding of lifestyle modifications to manage blood pressure, including diet, exercise, and medication adherence."/>
            </description>
            <subject>
               <reference value="urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84"/>
               <display value="Alexandria Julien"/>
            </subject>
         </Goal>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:e578ec49-1ba4-432c-9bd6-8174036baa11"/>
      <resource>
         <Goal>
            <id value="e578ec49-1ba4-432c-9bd6-8174036baa11"/>
            <text>
               <status value="generated"/>
               <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>
            </text>
            <lifecycleStatus value="active"/>
            <description>
               <text value="Patient will verbalize understanding of prediabetes and demonstrate ability to monitor blood glucose, follow dietary recommendations, and engage in regular physical activity."/>
            </description>
            <subject>
               <reference value="urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84"/>
               <display value="Alexandria Julien"/>
            </subject>
         </Goal>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:63fa2c71-eade-4a50-ae4e-0f2aadd50b5c"/>
      <resource>
         <Goal>
            <id value="63fa2c71-eade-4a50-ae4e-0f2aadd50b5c"/>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Maintain or reduce HbA1c to below 5.7% to prevent progression to diabetes.</div>
            </text>
            <lifecycleStatus value="active"/>
            <description>
               <text value="Maintain or reduce HbA1c to below 5.7% to prevent progression to diabetes."/>
            </description>
            <subject>
               <reference value="urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84"/>
               <display value="Alexandria Julien"/>
            </subject>
            <target>
               <measure>
                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="4548-4"/>
                     <display value="Hemoglobin A1c/Hemoglobin.total in Blood"/>
                  </coding>
               </measure>
               <detailQuantity>
                  <value value="5.7"/>
                  <unit value="%"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="%"/>
               </detailQuantity>
            </target>
         </Goal>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:7d017e17-a7e9-420d-ae1f-678b7fe85d5b"/>
      <resource>
         <Goal>
            <id value="7d017e17-a7e9-420d-ae1f-678b7fe85d5b"/>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Patient will achieve a 5% reduction in body weight to improve metabolic parameters.</div>
            </text>
            <lifecycleStatus value="active"/>
            <description>
               <text value="Patient will achieve a 5% reduction in body weight to improve metabolic parameters."/>
            </description>
            <subject>
               <reference value="urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84"/>
               <display value="Alexandria Julien"/>
            </subject>
         </Goal>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:2a4fc4b5-7697-4e5a-938f-7ae77713322f"/>
      <resource>
         <Goal>
            <id value="2a4fc4b5-7697-4e5a-938f-7ae77713322f"/>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Maintain blood pressure below 130/80 mmHg as part of diabetes risk reduction.</div>
            </text>
            <lifecycleStatus value="active"/>
            <description>
               <text value="Maintain blood pressure below 130/80 mmHg as part of diabetes risk reduction."/>
            </description>
            <subject>
               <reference value="urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84"/>
               <display value="Alexandria Julien"/>
            </subject>
         </Goal>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:57bd7540-5228-4401-94cc-4db480f89d54"/>
      <resource>
         <Observation>
            <id value="57bd7540-5228-4401-94cc-4db480f89d54"/>
            <meta>
               <profile value="http://hl7.org/fhir/StructureDefinition/vitalsigns"/>
            </meta>
            <text>
               <status value="generated"/>
               <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>
            </text>
            <status value="final"/>
            <category>
               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                  <code value="vital-signs"/>
                  <display value="Vital Signs"/>
               </coding>
            </category>
            <code>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="85354-9"/>
                  <display value="Blood pressure panel with all children optional"/>
               </coding>
            </code>
            <subject>
               <reference value="urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84"/>
               <display value="Alexandria Julien"/>
            </subject>
            <effectiveDateTime value="2025-02-28"/>
            <component>
               <code>
                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="8480-6"/>
                     <display value="Systolic blood pressure"/>
                  </coding>
               </code>
               <valueQuantity>
                  <value value="120"/>
                  <unit value="mm[Hg]"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="mm[Hg]"/>
               </valueQuantity>
            </component>
            <component>
               <code>
                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="8462-4"/>
                     <display value="Diastolic blood pressure"/>
                  </coding>
               </code>
               <valueQuantity>
                  <value value="82"/>
                  <unit value="mm[Hg]"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="mm[Hg]"/>
               </valueQuantity>
            </component>
         </Observation>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:ee0eb83a-0f3e-4a6d-baa6-fd824f2840d2"/>
      <resource>
         <Observation>
            <id value="ee0eb83a-0f3e-4a6d-baa6-fd824f2840d2"/>
            <meta>
               <profile value="http://hl7.org/fhir/StructureDefinition/vitalsigns"/>
            </meta>
            <text>
               <status value="generated"/>
               <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>
            </text>
            <status value="final"/>
            <category>
               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                  <code value="vital-signs"/>
                  <display value="Vital Signs"/>
               </coding>
            </category>
            <code>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="85354-9"/>
                  <display value="Blood pressure panel with all children optional"/>
               </coding>
            </code>
            <subject>
               <reference value="urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84"/>
               <display value="Alexandria Julien"/>
            </subject>
            <effectiveDateTime value="2024-12-30"/>
            <component>
               <code>
                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="8480-6"/>
                     <display value="Systolic blood pressure"/>
                  </coding>
               </code>
               <valueQuantity>
                  <value value="119"/>
                  <unit value="mm[Hg]"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="mm[Hg]"/>
               </valueQuantity>
            </component>
            <component>
               <code>
                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="8462-4"/>
                     <display value="Diastolic blood pressure"/>
                  </coding>
               </code>
               <valueQuantity>
                  <value value="85"/>
                  <unit value="mm[Hg]"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="mm[Hg]"/>
               </valueQuantity>
            </component>
         </Observation>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:c03632a4-9ef7-44cf-9670-ab6530902e29"/>
      <resource>
         <Observation>
            <id value="c03632a4-9ef7-44cf-9670-ab6530902e29"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/medicalTestResult-eu-core"/>
            </meta>
            <text>
               <status value="generated"/>
               <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 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>mg/dL</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="final"/>
            <category>
               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                  <code value="laboratory"/>
               </coding>
            </category>
            <code>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="5792-7"/>
                  <display value="Glucose [Mass/volume] in Urine by Test strip"/>
               </coding>
               <text value="Glucose [Mass/volume] in Urine by Test strip"/>
            </code>
            <subject>
               <reference value="urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84"/>
               <display value="Alexandria Julien"/>
            </subject>
            <effectiveDateTime value="2025-01-20T05:57:34Z"/>
            <performer>
               <display value="The Central European Lab"/>
            </performer>
            <valueQuantity>
               <value value="10.8"/>
               <unit value="mg/dL"/>
               <system value="http://unitsofmeasure.org"/>
               <code value="mg/dL"/>
            </valueQuantity>
            <referenceRange>
               <low>
                  <value value="0"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="mg/dL"/>
               </low>
               <high>
                  <value value="15"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="mg/dL"/>
               </high>
            </referenceRange>
         </Observation>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:e10ebee8-536e-4a73-b17e-2c4abee1fca1"/>
      <resource>
         <Observation>
            <id value="e10ebee8-536e-4a73-b17e-2c4abee1fca1"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/medicalTestResult-eu-core"/>
            </meta>
            <text>
               <status value="generated"/>
               <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 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>
            </text>
            <status value="final"/>
            <category>
               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                  <code value="laboratory"/>
               </coding>
            </category>
            <code>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="2514-8"/>
                  <display value="Ketones [Presence] in Urine by Test strip"/>
               </coding>
               <text value="Ketones [Presence] in Urine by Test strip"/>
            </code>
            <subject>
               <reference value="urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84"/>
               <display value="Alexandria Julien"/>
            </subject>
            <effectiveDateTime value="2025-01-20T05:57:34Z"/>
            <performer>
               <display value="The Central European Lab"/>
            </performer>
            <valueCodeableConcept>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="167287002"/>
                  <display value="Urine ketone test negative"/>
               </coding>
            </valueCodeableConcept>
         </Observation>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:fadce4f7-f10c-4c6d-9b64-e36f298cd3a7"/>
      <resource>
         <Observation>
            <id value="fadce4f7-f10c-4c6d-9b64-e36f298cd3a7"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/medicalTestResult-eu-core"/>
            </meta>
            <text>
               <status value="generated"/>
               <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 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>
            </text>
            <status value="final"/>
            <category>
               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                  <code value="laboratory"/>
               </coding>
            </category>
            <code>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="5811-5"/>
                  <display value="Specific gravity of Urine by Test strip"/>
               </coding>
               <text value="Specific gravity of Urine by Test strip"/>
            </code>
            <subject>
               <reference value="urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84"/>
               <display value="Alexandria Julien"/>
            </subject>
            <effectiveDateTime value="2025-01-20T05:57:34Z"/>
            <performer>
               <display value="The Central European Lab"/>
            </performer>
            <valueQuantity>
               <value value="1"/>
               <unit value="{nominal}"/>
               <system value="http://unitsofmeasure.org"/>
               <code value="1"/>
            </valueQuantity>
            <interpretation>
               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
                  <code value="L"/>
                  <display value="Low"/>
               </coding>
            </interpretation>
            <referenceRange>
               <low>
                  <value value="1.005"/>
                  <unit value="Specific Gravity"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="1"/>
               </low>
               <high>
                  <value value="1.03"/>
                  <unit value="Specific Gravity"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="1"/>
               </high>
            </referenceRange>
         </Observation>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:1186ac09-2e43-491b-9486-48a83d9d2bb3"/>
      <resource>
         <Observation>
            <id value="1186ac09-2e43-491b-9486-48a83d9d2bb3"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/medicalTestResult-eu-core"/>
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               <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 Range</th>
                        <th>Unit</th>
                     </tr>
                     <tr>
                        <td>Bacteria identified in Urine by Culture</td>
                     </tr>
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               </div>
            </text>
            <status value="final"/>
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               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
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               <coding>
                  <system value="http://loinc.org"/>
                  <code value="630-4"/>
                  <display value="Bacteria identified in Urine by Culture"/>
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               <text value="Bacteria identified in Urine by Culture"/>
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            <subject>
               <reference value="urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84"/>
               <display value="Alexandria Julien"/>
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            <effectiveDateTime value="2025-01-20T05:57:34Z"/>
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               <display value="The Central European Lab"/>
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               <profile value="http://hl7.eu/fhir/eps/StructureDefinition/deviceUseStatement-eu-eps"/>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
                     <tr>
                        <td>Home nebulizer (physical object)</td>
                        <td>
                           <span class="nb">28-May-2018</span>
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            <status value="active"/>
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               <reference value="urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84"/>
               <display value="Alexandria Julien"/>
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               <reference value="urn:uuid:3db2fa0d-b2ae-4374-badf-e1dfadd69bad"/>
               <display value="Home nebulizer (physical object)"/>
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   <entry>
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            <id value="3db2fa0d-b2ae-4374-badf-e1dfadd69bad"/>
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               <status value="generated"/>
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               <deviceIdentifier value="41710226110979"/>
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               <coding>
                  <system value="http://snomed.info/sct"/>
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                  <display value="Home nebulizer (physical object)"/>
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            <patient>
               <reference value="urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84"/>
               <display value="Alexandria Julien"/>
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         </Device>
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   <entry>
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         <DeviceUseStatement>
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               <profile value="http://hl7.eu/fhir/eps/StructureDefinition/deviceUseStatement-eu-eps"/>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
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                        <td>Blood glucose meter (physical object)</td>
                        <td>
                           <span class="nb">01-Jul-1997</span>
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                  </table>
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            <status value="active"/>
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               <reference value="urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84"/>
               <display value="Alexandria Julien"/>
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               <start value="1997-07-01"/>
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               <reference value="urn:uuid:7bfa1ff8-c5a9-4169-855c-fdc7446cb4fb"/>
               <display value="Blood glucose meter (physical object)"/>
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   <entry>
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            <id value="7bfa1ff8-c5a9-4169-855c-fdc7446cb4fb"/>
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               <profile value="http://hl7.eu/fhir/eps/StructureDefinition/device-eu-eps"/>
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               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Blood glucose meter (physical object) ((01)62405448104194(11)970610(17)220625(10)57032329519(21)4874403811)</div>
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               <deviceIdentifier value="62405448104194"/>
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            <status value="active"/>
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               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="337414009"/>
                  <display value="Blood glucose meter (physical object)"/>
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            <patient>
               <reference value="urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84"/>
               <display value="Alexandria Julien"/>
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   <entry>
      <fullUrl value="urn:uuid:5cd6f35c-90ec-4ae8-b2bc-daa5bf8167e5"/>
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         <Device>
            <id value="5cd6f35c-90ec-4ae8-b2bc-daa5bf8167e5"/>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">SYNDERAI Synthetic Generator v5.0</div>
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            <status value="active"/>
            <distinctIdentifier value="synderai-generator-50"/>
            <manufacturer value="SYNDERAI Project"/>
            <deviceName>
               <name value="SYNDERAI Synthetic Generator"/>
               <type value="manufacturer-name"/>
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            <version>
               <value value="5.0"/>
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         <Provenance>
            <id value="ff41c4d7-2532-49a6-ac09-8ba72f645aa8"/>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Provenance for SYNDERAI Synthetic Example Data Resource</div>
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               <reference value="urn:uuid:bd385b3f-90d2-4ec2-b89a-1737f92d3b84"/>
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               <reference value="urn:uuid:37575e6e-acd9-4464-a9b6-a23f844d1ff1"/>
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            <policy value="https://synderai.net/synderai-synthetic-data-policy"/>
            <reason>
               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
                  <code value="TRAIN"/>
                  <display value="training"/>
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               <text value="Interoperability Testing and Training (non-clinical use)"/>
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            <activity>
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                  <system value="http://terminology.hl7.org/CodeSystem/v3-DataOperation"/>
                  <code value="CREATE"/>
                  <display value="create"/>
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               <text value="Synthetic Example Data Generation"/>
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