{
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  "id": "b31f7d94-8019-45b9-927f-33cad34f62cc",
  "meta": {
    "profile": [
      "http://hl7.eu/fhir/eps/StructureDefinition/bundle-eu-eps"
    ]
  },
  "identifier": {
    "assigner": {
      "display": "HL7 Europe"
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    "system": "urn:oid:2.16.840.1.113883.2.51.999",
    "value": "85257025-8ada-4cdb-abce-b380d0b89faf"
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  "entry": [
    {
      "fullUrl": "urn:uuid:9b549ece-8ff9-4608-911d-bb35c4ca33e3",
      "resource": {
        "resourceType": "Composition",
        "id": "9b549ece-8ff9-4608-911d-bb35c4ca33e3",
        "meta": {
          "security": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
              "code": "HTEST"
            },
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
              "code": "TRAIN"
            }
          ],
          "tag": [
            {
              "system": "https://synderai.net/fhir/CodeSystem/tags",
              "code": "synthetic",
              "display": "SYNDERAI Synthetic data"
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          ],
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/composition-eu-eps"
          ]
        },
        "identifier": {
          "assigner": {
            "display": "HL7 Europe"
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          "system": "urn:oid:2.16.840.1.113883.2.51.999",
          "value": "6cfbe6ad-3da2-4c4a-b2c2-374f51fbe9fe"
        },
        "type": {
          "coding": [
            {
              "code": "60591-5",
              "system": "http://loinc.org",
              "display": "Patient summary Document"
            }
          ],
          "text": "Patient summary Document"
        },
        "author": [
          {
            "reference": "urn:uuid:dd24d833-0872-4321-b094-92793d4d6059"
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        ],
        "section": [
          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><th>Condition</th><th>Onset Date / Period</th><th>Status</th></tr><tr><td>Acute ST segment elevation myocardial infarction</td><td><span class=\"nb\">29-Apr-2023</span></td><td>active</td></tr><tr><td>Metabolic syndrome X</td><td><span class=\"nb\">10-Dec-2008</span></td><td>active</td></tr><tr><td>Essential hypertension</td><td><span class=\"nb\">05-Dec-2007</span></td><td>active</td></tr><tr><td>Hyperlipidemia</td><td><span class=\"nb\">29-Nov-2006</span></td><td>active</td></tr><tr><td>Anemia</td><td><span class=\"nb\">01-Mar-1995</span></td><td>active</td></tr><tr><td>Emphysematous bronchitis</td><td><span class=\"nb\">24-Jun-1981</span></td><td>active</td></tr><tr><td><span class=\"grayedout\">Myocardial infarction</span></td><td><span class=\"nb\">29-Apr-2023 - 29-Apr-2023</span></td><td><span class=\"grayedout\">inactive</span></td></tr><tr><td><span class=\"grayedout\">Concussion with no loss of consciousness</span></td><td><span class=\"nb\">03-Oct-2021 - 06-Dec-2021</span></td><td><span class=\"grayedout\">inactive</span></td></tr><tr><td><span class=\"grayedout\">Concussion injury of brain</span></td><td><span class=\"nb\">03-Oct-2021 - 06-Dec-2021</span></td><td><span class=\"grayedout\">inactive</span></td></tr><tr><td><span class=\"grayedout\">Streptococcal sore throat</span></td><td><span class=\"nb\">04-Aug-2020 - 12-Aug-2020</span></td><td><span class=\"grayedout\">inactive</span></td></tr><tr><td><span class=\"grayedout\">Viral sinusitis</span></td><td><span class=\"nb\">21-Mar-2016 - 10-Apr-2016</span></td><td><span class=\"grayedout\">inactive</span></td></tr><tr><td><span class=\"grayedout\">Acute viral pharyngitis</span></td><td><span class=\"nb\">19-Sep-2015 - 27-Sep-2015</span></td><td><span class=\"grayedout\">inactive</span></td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:fe4da732-2814-47d6-9d46-ed303bcc716d"
              },
              {
                "reference": "urn:uuid:e033f275-8491-4f6b-b424-d1a5b47db2fa"
              },
              {
                "reference": "urn:uuid:1f970d1c-1b75-4674-8a67-f8084a49e21a"
              },
              {
                "reference": "urn:uuid:2f512620-6d6b-4e51-b8b3-76545d1f7d8a"
              },
              {
                "reference": "urn:uuid:d7750996-92ae-4fde-8e1f-d9c7c23ede11"
              },
              {
                "reference": "urn:uuid:8bfd6404-4bc4-4d69-b3b3-c880631bfa15"
              },
              {
                "reference": "urn:uuid:e7ac61f7-a2ad-43a8-9132-acc94667ba3d"
              },
              {
                "reference": "urn:uuid:3a64c3b7-5119-47f5-8efa-a697ad5392e9"
              },
              {
                "reference": "urn:uuid:5f007d48-c4a6-44cd-9efd-06dd14be9b46"
              },
              {
                "reference": "urn:uuid:be8a773f-d259-4097-8869-4f7cd452ed8f"
              },
              {
                "reference": "urn:uuid:acf67730-8368-4b84-b393-c1ec32fe361c"
              },
              {
                "reference": "urn:uuid:fe146887-4108-44d9-abc5-0d3d5bb3f4a4"
              }
            ],
            "code": {
              "coding": [
                {
                  "code": "11450-4",
                  "system": "http://loinc.org",
                  "display": "Problem list - Reported"
                }
              ]
            },
            "title": "Problem list"
          },
          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><th>Medication</th><th>Since</th><th>Form</th><th>Dosage</th><th>Reason</th></tr><tr><td>Simvastatin 10 mg oral tablet</td><td><span class=\"nb\">2025-03-21</span></td><td>-</td><td>1 tablet (10 mg) by mouth once daily</td><td>Hyperlipidemia</td></tr><tr><td>60 ACTUAT Fluticasone propionate 0.25 MG/ACTUAT / salmeterol 0.05 MG/ACTUAT Dry Powder Inhaler</td><td><span class=\"nb\">2025-03-12</span></td><td>-</td><td>1 inhalation (250 micrograms / 50 micrograms) twice daily</td><td>Chronic obstructive bronchitis (disorder)</td></tr><tr><td>Albuterol (as albuterol sulfate) 5 mg/mL solution for inhalation</td><td><span class=\"nb\">2025-03-12</span></td><td>-</td><td>2.5 mg (0.5 mL of 5 mg/mL solution) via nebulizer every 4 to 6 hours as needed</td><td>Chronic obstructive bronchitis (disorder)</td></tr><tr><td>Amlodipine (as amlodipine besylate) 2.5 mg oral tablet</td><td><span class=\"nb\">2025-03-12</span></td><td>-</td><td>1 tablet (2.5 mg) by mouth once daily</td><td>Essential hypertension (disorder)</td></tr><tr><td>Hydrochlorothiazide 25 mg oral tablet</td><td><span class=\"nb\">2025-03-12</span></td><td>-</td><td>1 tablet (25 mg) by mouth once daily</td><td>Essential hypertension (disorder)</td></tr><tr><td>Aspirin 81 mg gastro-resistant oral tablet</td><td><span class=\"nb\">2023-04-29</span></td><td>-</td><td>1 tablet (81 mg) by mouth once daily</td><td>-</td></tr><tr><td>Atorvastatin (as atorvastatin calcium) 40 mg oral tablet</td><td><span class=\"nb\">2023-04-29</span></td><td>-</td><td>1 tablet (40 mg) by mouth once daily</td><td>-</td></tr><tr><td>Labetalol hydrochloride 200 mg oral tablet</td><td><span class=\"nb\">2023-04-29</span></td><td>-</td><td>1 tablet (200 mg) twice daily</td><td>-</td></tr><tr><td>Losartan potassium 100 mg oral tablet</td><td><span class=\"nb\">2023-04-29</span></td><td>-</td><td>1 tablet (100 mg) by mouth once daily</td><td>-</td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:1cee34d2-2a05-4998-acb8-3dc4539ef240"
              },
              {
                "reference": "urn:uuid:22432315-8d5f-4d95-a850-e86d69168b08"
              },
              {
                "reference": "urn:uuid:9dd9a73b-6a24-4789-aca8-dafaf3744a38"
              },
              {
                "reference": "urn:uuid:2a5cb014-84f6-4966-8880-4c72ca90da65"
              },
              {
                "reference": "urn:uuid:148740bc-4264-4da6-83b4-4866be217e2a"
              },
              {
                "reference": "urn:uuid:f0131081-73f6-49bb-b40d-9a7d58f730cf"
              },
              {
                "reference": "urn:uuid:6eb50774-c568-431d-8503-2f3cace0e6fc"
              },
              {
                "reference": "urn:uuid:233a2a04-9888-45e0-8801-a461acb6e5c3"
              },
              {
                "reference": "urn:uuid:38a27de2-a705-47f2-ba4e-7fa538967037"
              }
            ],
            "code": {
              "coding": [
                {
                  "code": "10160-0",
                  "system": "http://loinc.org",
                  "display": "History of Medication use Narrative"
                }
              ]
            },
            "title": "Medication list"
          },
          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><th>Vaccine</th><th>Date</th></tr><tr><td>Influenza virus antigen only vaccine product</td><td><span class=\"nb\">12-Mar-2025</span></td></tr><tr><td>Clostridium tetani toxoid antigen adsorbed only vaccine product</td><td><span class=\"nb\">23-Feb-2022</span></td></tr><tr><td>SARS-CoV-2 mRNA vaccine</td><td><span class=\"nb\">07-Apr-2021</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\">25-Jan-2017</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-Jan-2016</span></td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:84647781-b06b-4060-9d13-f56bf7f2eb04"
              },
              {
                "reference": "urn:uuid:807766d3-ddd4-4f7e-a088-f262446c1035"
              },
              {
                "reference": "urn:uuid:d7c88ead-60f6-4761-ad7e-bb7e68be3f91"
              },
              {
                "reference": "urn:uuid:cb50cc2a-799e-48af-b789-d7f370e9d57d"
              },
              {
                "reference": "urn:uuid:aa22564f-c9cb-49fe-bf2b-566dbc92f695"
              }
            ],
            "code": {
              "coding": [
                {
                  "code": "11369-6",
                  "system": "http://loinc.org",
                  "display": "History of Immunization note"
                }
              ]
            },
            "title": "Immunizations list"
          },
          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><th>Procedure</th><th>Date</th><th>Reason</th></tr><tr><td>Laboratory test</td><td><span class=\"nb\">29-Apr-2023</span></td><td>-</td></tr><tr><td>Electrocardiographic procedure</td><td><span class=\"nb\">29-Apr-2023</span></td><td>-</td></tr><tr><td>Angiography of coronary artery</td><td><span class=\"nb\">29-Apr-2023</span></td><td>-</td></tr><tr><td>Diagnostic assessment</td><td><span class=\"nb\">29-Apr-2023</span></td><td>-</td></tr><tr><td>Plain X-ray of chest</td><td><span class=\"nb\">29-Apr-2023</span></td><td>-</td></tr><tr><td>Percutaneous coronary intervention</td><td><span class=\"nb\">29-Apr-2023</span></td><td>Acute ST segment elevation myocardial infarction (disorder)</td></tr><tr><td>Transthoracic echocardiography</td><td><span class=\"nb\">29-Apr-2023</span></td><td>-</td></tr><tr><td>Consultation for treatment</td><td><span class=\"nb\">29-Apr-2023</span></td><td>-</td></tr><tr><td>Assessment of cardiac status using monitoring device</td><td><span class=\"nb\">29-Apr-2023</span></td><td>-</td></tr><tr><td>Patient discharge</td><td><span class=\"nb\">20-Mar-2016</span></td><td>-</td></tr><tr><td>Hospice care</td><td><span class=\"nb\">19-Mar-2016</span></td><td>-</td></tr><tr><td>Notifications</td><td><span class=\"nb\">03-Feb-2016</span></td><td>-</td></tr><tr><td>Certification procedure</td><td><span class=\"nb\">03-Feb-2016</span></td><td>-</td></tr><tr><td>Initial patient assessment</td><td><span class=\"nb\">03-Feb-2016</span></td><td>-</td></tr><tr><td>Development of individualized plan of care</td><td><span class=\"nb\">03-Feb-2016</span></td><td>-</td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:c64d4f15-e0b8-41d9-9260-05a6dc16f829"
              },
              {
                "reference": "urn:uuid:c18e36d0-5423-49d4-af40-70d16c932f89"
              },
              {
                "reference": "urn:uuid:41c72ef0-bf3a-44b7-a26b-030474d130e9"
              },
              {
                "reference": "urn:uuid:5def74c3-b756-4ea8-ab2c-121dc47c2664"
              },
              {
                "reference": "urn:uuid:b8c3d5d3-e892-4b50-926f-fe94ddddcf2f"
              },
              {
                "reference": "urn:uuid:f5940c7c-8428-457d-8549-07abbd3b35cb"
              },
              {
                "reference": "urn:uuid:4b41d031-5d4c-451f-a867-14bcee61b52f"
              },
              {
                "reference": "urn:uuid:4a90fb7e-e807-4902-9f01-5192741f1191"
              },
              {
                "reference": "urn:uuid:e4e8b4ca-770d-4b32-aedb-31715a1dd834"
              },
              {
                "reference": "urn:uuid:443d3ea7-679d-4b91-812c-db7775b2ee2f"
              },
              {
                "reference": "urn:uuid:3f0dfd92-470b-485e-8cb7-6bc631efa736"
              },
              {
                "reference": "urn:uuid:4a598d04-1eaa-41d2-abbe-5a4c75564e05"
              },
              {
                "reference": "urn:uuid:2925c4e6-d64b-4130-81d6-d623699d90fe"
              },
              {
                "reference": "urn:uuid:5fd58832-de8e-4f8e-95ad-c22adf410617"
              },
              {
                "reference": "urn:uuid:1eb1f1c4-e615-4164-8d87-7beb089933fa"
              }
            ],
            "code": {
              "coding": [
                {
                  "code": "47519-4",
                  "system": "http://loinc.org",
                  "display": "History of Procedures Document"
                }
              ]
            },
            "title": "Procedure History list"
          },
          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>No known allergies or intolerances</td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:9d89b0a3-b92c-47c9-a823-78322f99a130"
              }
            ],
            "code": {
              "coding": [
                {
                  "code": "48765-2",
                  "system": "http://loinc.org",
                  "display": "Allergies and adverse reactions Document"
                }
              ]
            },
            "title": "Allergies and Intolerances"
          },
          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><th>Active Planned Care / Goals</th><th>Start Date</th><th>Reason</th></tr><tr><td>Discharge care plan</td><td><span class=\"nb\">29-Apr-2023</span></td><td>-</td></tr><tr><td>Lifestyle education regarding hypertension</td><td><span class=\"nb\">05-Dec-2007</span></td><td>Essential hypertension (disorder)</td></tr><tr><td><ul><li>Achieve and maintain systolic blood pressure below 130 mmHg through lifestyle modifications.</li><li>Achieve and maintain diastolic blood pressure below 80 mmHg through lifestyle modifications.</li></ul></td><td></td><td></td></tr><tr><td>Hyperlipidemia clinical management plan</td><td><span class=\"nb\">20-Dec-2006</span></td><td>Hyperlipidemia (disorder)</td></tr><tr><td><ul><li>Achieve LDL cholesterol below 70 mg/dL</li><li>Achieve total cholesterol below 200 mg/dL</li><li>Achieve HDL cholesterol above 50 mg/dL</li><li>Achieve triglycerides below 150 mg/dL</li></ul></td><td></td><td></td></tr><tr><td>Diabetes self management plan</td><td><span class=\"nb\">21-Sep-1994</span></td><td>Prediabetes (finding)</td></tr><tr><td><ul><li>Maintain fasting plasma glucose within the recommended range for prediabetes</li><li>Maintain HbA1c below the threshold for diabetes diagnosis</li></ul></td><td></td><td></td></tr><tr><td>Chronic obstructive pulmonary disease clinical management plan</td><td><span class=\"nb\">24-Jun-1981</span></td><td>Chronic obstructive bronchitis (disorder)</td></tr><tr><td><ul><li>Patient will stop smoking to reduce COPD progression and exacerbations</li><li>Maintain oxygen saturation above 88% at rest</li><li>Reduce COPD exacerbations to less than 2 per year</li><li>Patient will walk at least 100 meters in 6 minutes</li><li>Patient will receive annual influenza and recommended pneumococcal vaccinations</li></ul></td><td></td><td></td></tr><tr><th>Immunization Recommendation</th><th>Due Date</th><th>Reason</th></tr><tr><td>Influenza virus antigen only vaccine product</td><td><span class=\"nb\">01-Oct-2026</span></td><td>Annual seasonal influenza vaccination</td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:c8281b83-54f9-4df3-84db-596fbb8ff1f5"
              },
              {
                "reference": "urn:uuid:3232f2f6-be29-491d-916b-e2c8d39446c0"
              },
              {
                "reference": "urn:uuid:2469524d-be95-4322-bf1f-25dcf16b1009"
              },
              {
                "reference": "urn:uuid:2bd21b52-9a17-49f0-8b02-609bf054eb16"
              },
              {
                "reference": "urn:uuid:329f0021-b216-429c-a107-0a61cc27e59f"
              },
              {
                "reference": "urn:uuid:93f0b7b1-aea7-4e03-86c1-97991d8d56b9"
              }
            ],
            "code": {
              "coding": [
                {
                  "code": "18776-5",
                  "system": "http://loinc.org",
                  "display": "Plan of care note"
                }
              ]
            },
            "title": "Care Plan"
          },
          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><th>Vital Signs</th><th>2025-03-12</th><th>2024-03-06</th></tr><tr><td>Body Height</td><td>173.9 cm</td><td>173.9 cm</td></tr><tr><td>Pain severity - 0-10 verbal numeric rating [Score] - Reported</td><td>0 {score}</td><td>1 {score}</td></tr><tr><td>Body Weight</td><td>83.3 kg</td><td>83.3 kg</td></tr><tr><td>Body mass index (BMI) [Ratio]</td><td>27.6 kg/m2</td><td>27.6 kg/m2</td></tr><tr><td>Heart rate</td><td>82 /min</td><td>71 /min</td></tr><tr><td>Respiratory rate</td><td>13 /min</td><td>14 /min</td></tr><tr><td>Blood pressure panel with all children optional</td><td>106 mm[Hg]</td><td>98 mm[Hg]</td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:42b029db-412c-4bf5-8448-43e1d7e9d1a0"
              },
              {
                "reference": "urn:uuid:779175bb-1b10-430f-88f0-39c3d4ef2af5"
              },
              {
                "reference": "urn:uuid:f632d855-8df4-4b68-922f-9712abf43412"
              },
              {
                "reference": "urn:uuid:258a1f9a-90f8-4090-8c69-bf08c16049b8"
              },
              {
                "reference": "urn:uuid:0c641b10-a07c-4584-9791-1205d9c8ae45"
              },
              {
                "reference": "urn:uuid:4694ba4c-91e1-449b-b677-49d1623ed9af"
              },
              {
                "reference": "urn:uuid:ff9311d6-c0bb-423c-ad6b-34c798439eae"
              },
              {
                "reference": "urn:uuid:95ae2bc4-c75a-483e-be92-8fc3bf837186"
              },
              {
                "reference": "urn:uuid:107f1dbf-e46c-4bb3-b809-29013ea257ce"
              },
              {
                "reference": "urn:uuid:f5f2f24a-262c-4258-92bb-8153f06f6f79"
              },
              {
                "reference": "urn:uuid:ffec17f0-c91a-4d40-a101-411d38712dcd"
              },
              {
                "reference": "urn:uuid:820ac21b-a97b-4060-8e39-2c158b3ac904"
              },
              {
                "reference": "urn:uuid:8640f141-0208-43d2-b0aa-affe8b7167ba"
              },
              {
                "reference": "urn:uuid:9a101968-5b6f-4e2b-82b1-2a72de95bff6"
              }
            ],
            "code": {
              "coding": [
                {
                  "code": "8716-3",
                  "system": "http://loinc.org",
                  "display": "Vital signs note"
                }
              ]
            },
            "title": "Vital Signs"
          },
          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><thead><tr><th>Recent Lab Observations</th><th>21-MAR-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Blood</td><td>83.2</td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Blood</td><td>9.9</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Blood</td><td><strong>3.3 H</strong></td><td>0.6 - 1.3</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Blood</td><td>8.8</td><td>8.6 - 10.3</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Blood</td><td>142.6</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Blood</td><td>4.9</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Blood</td><td>107.7</td><td>98 - 110</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td>24.5</td><td>22 - 29</td><td>mmol/L</td></tr><tr><td>Protein [Mass/volume] in Serum or Plasma</td><td>6.9</td><td>6.6 - 8.3</td><td>g/dL</td></tr><tr><td>Albumin [Mass/volume] in Serum or Plasma</td><td>3.9</td><td>3.5 - 5.0</td><td>g/dL</td></tr><tr><td>Globulin [Mass/volume] in Serum by calculation</td><td><strong>3.2 L</strong></td><td>25 - 35</td><td>g/L</td></tr><tr><td>Bilirubin.total [Mass/volume] in Serum or Plasma</td><td>0.5</td><td>0.1 - 1.2</td><td>mg/dL</td></tr><tr><td>Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma</td><td><strong>129.7 H</strong></td><td>32 - 91</td><td>U/L</td></tr><tr><td>Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td>49.1</td><td>7 - 56</td><td>U/L</td></tr><tr><td>Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td>25.0</td><td>10 - 40</td><td>U/L</td></tr><tr><td>Cholesterol [Mass/volume] in Serum or Plasma</td><td>166.4</td><td>125 - 200</td><td>mg/dL</td></tr><tr><td>Triglyceride [Mass/volume] in Serum or Plasma</td><td><strong>199.7 H</strong></td><td>0 - 150</td><td>mg/dL</td></tr><tr><td>Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay</td><td><strong>100.2 H</strong></td><td>0 - 100</td><td>mg/dL</td></tr><tr><td>Cholesterol in HDL [Mass/volume] in Serum or Plasma</td><td><strong>32.9 L</strong></td><td>40 - 60</td><td>mg/dL</td></tr></tbody></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:4b312f5f-b308-463a-8884-8c43104c5c9d"
              },
              {
                "reference": "urn:uuid:ffaa3ecc-49e3-4f74-8743-3045c9e09af9"
              },
              {
                "reference": "urn:uuid:75c46dee-26b0-40fa-9661-4b3475b4d9a1"
              },
              {
                "reference": "urn:uuid:ec1b1eb0-9e98-4be2-9723-7b1e2bbb5002"
              },
              {
                "reference": "urn:uuid:cf2a23be-ba1d-43b4-9443-a0f848c3a13e"
              },
              {
                "reference": "urn:uuid:642f7c6c-1d3b-4ee5-bb9e-b3c09ab39e3d"
              },
              {
                "reference": "urn:uuid:87bd788c-d3f5-4496-a91a-4e4cbc38c1c2"
              },
              {
                "reference": "urn:uuid:73d46a09-65f2-47d1-a354-ab14161ddedc"
              },
              {
                "reference": "urn:uuid:7af60006-f7ba-4470-825d-9bd11a318e9c"
              },
              {
                "reference": "urn:uuid:6eced885-2344-4416-8126-5db86afeee88"
              },
              {
                "reference": "urn:uuid:b4a09e6a-0e45-4ac3-91e0-ece76244249b"
              },
              {
                "reference": "urn:uuid:a3d70e08-a4ee-4c86-ac63-7e1b124d724c"
              },
              {
                "reference": "urn:uuid:242eab9f-1153-499a-af4d-b4ca68cd4df7"
              },
              {
                "reference": "urn:uuid:3e5bc8f1-e62f-4c79-91ed-b06ab53ac3a4"
              },
              {
                "reference": "urn:uuid:43d5733a-5369-4efe-a452-3970d15e4171"
              },
              {
                "reference": "urn:uuid:247ededf-3f40-42c8-8b87-60337bdc7b9f"
              },
              {
                "reference": "urn:uuid:a3f869a8-8b78-4633-a9f6-ea50c882c1f3"
              },
              {
                "reference": "urn:uuid:2782d626-e13a-4576-836a-37d97354b3b3"
              },
              {
                "reference": "urn:uuid:9e26957b-1cbb-4123-a0ac-4e5ebb705452"
              }
            ],
            "code": {
              "coding": [
                {
                  "code": "30954-2",
                  "system": "http://loinc.org",
                  "display": "Relevant diagnostic tests/laboratory data note"
                }
              ]
            },
            "title": "Relevant diagnostic tests/laboratory data"
          },
          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><th>Device</th><th>Date (since)</th></tr><tr><td>Blood glucose meter (physical object)</td><td><span class=\"nb\">21-Sep-1994</span></td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:b6ab0284-d283-4287-b35c-21eec6bce68d"
              }
            ],
            "code": {
              "coding": [
                {
                  "code": "46264-8",
                  "system": "http://loinc.org",
                  "display": "History of medical device use"
                }
              ]
            },
            "title": "Device Use"
          }
        ],
        "text": {
          "status": "empty",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">intentionally left empty / not meaningful</div>"
        },
        "title": "European Patient Summary",
        "status": "final",
        "subject": {
          "reference": "urn:uuid:a19301ef-119c-4708-bf56-5025fd2c2202",
          "display": "Katja Mäkelä"
        },
        "custodian": {
          "reference": "urn:uuid:d1e66af9-5a2d-4a74-b1fb-59a614f66abd"
        },
        "date": "2025-03-21T09:59:15Z",
        "confidentiality": "N"
      }
    },
    {
      "fullUrl": "urn:uuid:a19301ef-119c-4708-bf56-5025fd2c2202",
      "resource": {
        "resourceType": "Patient",
        "id": "a19301ef-119c-4708-bf56-5025fd2c2202",
        "meta": {
          "security": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
              "code": "HTEST"
            },
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
              "code": "TRAIN"
            }
          ],
          "tag": [
            {
              "system": "https://synderai.net/fhir/CodeSystem/tags",
              "code": "synthetic",
              "display": "SYNDERAI Synthetic data"
            }
          ],
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/patient-eu-eps"
          ]
        },
        "identifier": [
          {
            "type": {
              "coding": [
                {
                  "code": "JHN",
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
                }
              ]
            },
            "system": "http://ec.europa.eu/identifier/eci",
            "value": "6615-747498-3"
          },
          {
            "type": {
              "coding": [
                {
                  "code": "MR",
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
                }
              ]
            },
            "system": "http://local.setting.eu/identifier",
            "value": "e7570594-685d-7400-6db7-a18cbeb46b95"
          }
        ],
        "name": [
          {
            "given": [
              "Katja"
            ],
            "family": "Mäkelä",
            "text": "Katja Mäkelä"
          }
        ],
        "address": [
          {
            "line": [
              "Uudenkaupunginkuja 53"
            ],
            "use": "home",
            "type": "physical",
            "postalCode": "43100",
            "city": "Saarijärvi",
            "country": "Finland"
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "(+358) 606162265"
          }
        ],
        "extension": [
          {
            "extension": [
              {
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "code": "FI",
                      "system": "urn:iso:std:iso:3166"
                    }
                  ],
                  "text": "Finland"
                },
                "url": "code"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Katja Mäkelä</td><td>female</td><td>28-Nov-1954</td></tr></table></div>"
        },
        "gender": "female",
        "birthDate": "1954-11-28"
      }
    },
    {
      "fullUrl": "urn:uuid:dd24d833-0872-4321-b094-92793d4d6059",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "dd24d833-0872-4321-b094-92793d4d6059",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu-core"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Provider Role Id dd24d833-0872-4321-b094-92793d4d6059</td></tr></table></div>"
        },
        "practitioner": {
          "reference": "urn:uuid:b984bb9e-575f-4407-8094-e9904adc4fa1"
        },
        "organization": {
          "reference": "urn:uuid:d1e66af9-5a2d-4a74-b1fb-59a614f66abd"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:d1e66af9-5a2d-4a74-b1fb-59a614f66abd",
      "resource": {
        "resourceType": "Organization",
        "id": "d1e66af9-5a2d-4a74-b1fb-59a614f66abd",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/organization-eu-core"
          ]
        },
        "identifier": [
          {
            "assigner": {
              "display": "HL7 Europe"
            },
            "system": "urn:oid:2.16.840.1.113883.2.51.999",
            "value": "43ff8eb4-ef76-4ed5-aafb-5c7a07a4620a"
          }
        ],
        "address": [
          {
            "line": [
              "Terveystie"
            ],
            "country": "Finland"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Vesannon terveyskeskus</td></tr></table></div>"
        },
        "name": "Vesannon terveyskeskus"
      }
    },
    {
      "fullUrl": "urn:uuid:b984bb9e-575f-4407-8094-e9904adc4fa1",
      "resource": {
        "resourceType": "Practitioner",
        "id": "b984bb9e-575f-4407-8094-e9904adc4fa1",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu-core"
          ]
        },
        "name": [
          {
            "prefix": [
              "dr"
            ],
            "given": [
              "Juhani"
            ],
            "family": "Kivistö"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>dr Juhani Kivistö</td></tr></table></div>"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:fe4da732-2814-47d6-9d46-ed303bcc716d",
      "resource": {
        "resourceType": "Condition",
        "id": "fe4da732-2814-47d6-9d46-ed303bcc716d",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/condition-obl-eu-eps"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "code": "problem-list-item",
                "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                "display": "Problem List Item"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "code": "401303003",
              "system": "http://snomed.info/sct",
              "display": "Acute ST segment elevation myocardial infarction (disorder)"
            }
          ],
          "text": "Acute ST segment elevation myocardial infarction"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Acute ST segment elevation myocardial infarction</td><td><span class=\"nb\">29-Apr-2023</span></td><td>active</td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "active",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
          ]
        },
        "onsetDateTime": "2023-04-29",
        "subject": {
          "reference": "urn:uuid:a19301ef-119c-4708-bf56-5025fd2c2202",
          "display": "Katja Mäkelä"
        },
        "asserter": {
          "reference": "urn:uuid:dd24d833-0872-4321-b094-92793d4d6059",
          "display": "Vesannon terveyskeskus"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:e033f275-8491-4f6b-b424-d1a5b47db2fa",
      "resource": {
        "resourceType": "Condition",
        "id": "e033f275-8491-4f6b-b424-d1a5b47db2fa",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/condition-obl-eu-eps"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "code": "problem-list-item",
                "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                "display": "Problem List Item"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "code": "237602007",
              "system": "http://snomed.info/sct",
              "display": "Metabolic syndrome X (disorder)"
            }
          ],
          "text": "Metabolic syndrome X"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Metabolic syndrome X</td><td><span class=\"nb\">10-Dec-2008</span></td><td>active</td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "active",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
          ]
        },
        "onsetDateTime": "2008-12-10",
        "subject": {
          "reference": "urn:uuid:a19301ef-119c-4708-bf56-5025fd2c2202",
          "display": "Katja Mäkelä"
        },
        "asserter": {
          "reference": "urn:uuid:dd24d833-0872-4321-b094-92793d4d6059",
          "display": "Vesannon terveyskeskus"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:1f970d1c-1b75-4674-8a67-f8084a49e21a",
      "resource": {
        "resourceType": "Condition",
        "id": "1f970d1c-1b75-4674-8a67-f8084a49e21a",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/condition-obl-eu-eps"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "code": "problem-list-item",
                "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                "display": "Problem List Item"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "code": "59621000",
              "system": "http://snomed.info/sct",
              "display": "Essential hypertension (disorder)"
            }
          ],
          "text": "Essential hypertension"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Essential hypertension</td><td><span class=\"nb\">05-Dec-2007</span></td><td>active</td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "active",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
          ]
        },
        "onsetDateTime": "2007-12-05",
        "subject": {
          "reference": "urn:uuid:a19301ef-119c-4708-bf56-5025fd2c2202",
          "display": "Katja Mäkelä"
        },
        "asserter": {
          "reference": "urn:uuid:dd24d833-0872-4321-b094-92793d4d6059",
          "display": "Vesannon terveyskeskus"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:2f512620-6d6b-4e51-b8b3-76545d1f7d8a",
      "resource": {
        "resourceType": "Condition",
        "id": "2f512620-6d6b-4e51-b8b3-76545d1f7d8a",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/condition-obl-eu-eps"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "code": "problem-list-item",
                "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                "display": "Problem List Item"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "code": "55822004",
              "system": "http://snomed.info/sct",
              "display": "Hyperlipidemia (disorder)"
            }
          ],
          "text": "Hyperlipidemia"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Hyperlipidemia</td><td><span class=\"nb\">29-Nov-2006</span></td><td>active</td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "active",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
          ]
        },
        "onsetDateTime": "2006-11-29",
        "subject": {
          "reference": "urn:uuid:a19301ef-119c-4708-bf56-5025fd2c2202",
          "display": "Katja Mäkelä"
        },
        "asserter": {
          "reference": "urn:uuid:dd24d833-0872-4321-b094-92793d4d6059",
          "display": "Vesannon terveyskeskus"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:d7750996-92ae-4fde-8e1f-d9c7c23ede11",
      "resource": {
        "resourceType": "Condition",
        "id": "d7750996-92ae-4fde-8e1f-d9c7c23ede11",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/condition-obl-eu-eps"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "code": "problem-list-item",
                "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                "display": "Problem List Item"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "code": "271737000",
              "system": "http://snomed.info/sct",
              "display": "Anemia (disorder)"
            }
          ],
          "text": "Anemia"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Anemia</td><td><span class=\"nb\">01-Mar-1995</span></td><td>active</td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "active",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
          ]
        },
        "onsetDateTime": "1995-03-01",
        "subject": {
          "reference": "urn:uuid:a19301ef-119c-4708-bf56-5025fd2c2202",
          "display": "Katja Mäkelä"
        },
        "asserter": {
          "reference": "urn:uuid:dd24d833-0872-4321-b094-92793d4d6059",
          "display": "Vesannon terveyskeskus"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:8bfd6404-4bc4-4d69-b3b3-c880631bfa15",
      "resource": {
        "resourceType": "Condition",
        "id": "8bfd6404-4bc4-4d69-b3b3-c880631bfa15",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/condition-obl-eu-eps"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "code": "problem-list-item",
                "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                "display": "Problem List Item"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "code": "185086009",
              "system": "http://snomed.info/sct",
              "display": "Chronic obstructive bronchitis (disorder)"
            }
          ],
          "text": "Emphysematous bronchitis"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Emphysematous bronchitis</td><td><span class=\"nb\">24-Jun-1981</span></td><td>active</td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "active",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
          ]
        },
        "onsetDateTime": "1981-06-24",
        "subject": {
          "reference": "urn:uuid:a19301ef-119c-4708-bf56-5025fd2c2202",
          "display": "Katja Mäkelä"
        },
        "asserter": {
          "reference": "urn:uuid:dd24d833-0872-4321-b094-92793d4d6059",
          "display": "Vesannon terveyskeskus"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:e7ac61f7-a2ad-43a8-9132-acc94667ba3d",
      "resource": {
        "resourceType": "Condition",
        "id": "e7ac61f7-a2ad-43a8-9132-acc94667ba3d",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/condition-obl-eu-eps"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "code": "problem-list-item",
                "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                "display": "Problem List Item"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "code": "22298006",
              "system": "http://snomed.info/sct",
              "display": "Myocardial infarction (disorder)"
            }
          ],
          "text": "Myocardial infarction"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td><span class=\"grayedout\">Myocardial infarction</span></td><td><span class=\"nb\">29-Apr-2023 - 29-Apr-2023</span></td><td><span class=\"grayedout\">inactive</span></td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "inactive",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
          ]
        },
        "onsetDateTime": "2023-04-29",
        "abatementDateTime": "2023-04-29",
        "subject": {
          "reference": "urn:uuid:a19301ef-119c-4708-bf56-5025fd2c2202",
          "display": "Katja Mäkelä"
        },
        "asserter": {
          "reference": "urn:uuid:dd24d833-0872-4321-b094-92793d4d6059",
          "display": "Vesannon terveyskeskus"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:3a64c3b7-5119-47f5-8efa-a697ad5392e9",
      "resource": {
        "resourceType": "Condition",
        "id": "3a64c3b7-5119-47f5-8efa-a697ad5392e9",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/condition-obl-eu-eps"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "code": "problem-list-item",
                "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                "display": "Problem List Item"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "code": "62106007",
              "system": "http://snomed.info/sct",
              "display": "Concussion with no loss of consciousness (disorder)"
            }
          ],
          "text": "Concussion with no loss of consciousness"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td><span class=\"grayedout\">Concussion with no loss of consciousness</span></td><td><span class=\"nb\">03-Oct-2021 - 06-Dec-2021</span></td><td><span class=\"grayedout\">inactive</span></td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "inactive",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
          ]
        },
        "onsetDateTime": "2021-10-03",
        "abatementDateTime": "2021-12-06",
        "subject": {
          "reference": "urn:uuid:a19301ef-119c-4708-bf56-5025fd2c2202",
          "display": "Katja Mäkelä"
        },
        "asserter": {
          "reference": "urn:uuid:dd24d833-0872-4321-b094-92793d4d6059",
          "display": "Vesannon terveyskeskus"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:5f007d48-c4a6-44cd-9efd-06dd14be9b46",
      "resource": {
        "resourceType": "Condition",
        "id": "5f007d48-c4a6-44cd-9efd-06dd14be9b46",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/condition-obl-eu-eps"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "code": "problem-list-item",
                "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                "display": "Problem List Item"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "code": "110030002",
              "system": "http://snomed.info/sct",
              "display": "Concussion injury of brain (disorder)"
            }
          ],
          "text": "Concussion injury of brain"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td><span class=\"grayedout\">Concussion injury of brain</span></td><td><span class=\"nb\">03-Oct-2021 - 06-Dec-2021</span></td><td><span class=\"grayedout\">inactive</span></td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "inactive",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
          ]
        },
        "onsetDateTime": "2021-10-03",
        "abatementDateTime": "2021-12-06",
        "subject": {
          "reference": "urn:uuid:a19301ef-119c-4708-bf56-5025fd2c2202",
          "display": "Katja Mäkelä"
        },
        "asserter": {
          "reference": "urn:uuid:dd24d833-0872-4321-b094-92793d4d6059",
          "display": "Vesannon terveyskeskus"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:be8a773f-d259-4097-8869-4f7cd452ed8f",
      "resource": {
        "resourceType": "Condition",
        "id": "be8a773f-d259-4097-8869-4f7cd452ed8f",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/condition-obl-eu-eps"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "code": "problem-list-item",
                "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                "display": "Problem List Item"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "code": "43878008",
              "system": "http://snomed.info/sct",
              "display": "Streptococcal sore throat (disorder)"
            }
          ],
          "text": "Streptococcal sore throat"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td><span class=\"grayedout\">Streptococcal sore throat</span></td><td><span class=\"nb\">04-Aug-2020 - 12-Aug-2020</span></td><td><span class=\"grayedout\">inactive</span></td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "inactive",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
          ]
        },
        "onsetDateTime": "2020-08-04",
        "abatementDateTime": "2020-08-12",
        "subject": {
          "reference": "urn:uuid:a19301ef-119c-4708-bf56-5025fd2c2202",
          "display": "Katja Mäkelä"
        },
        "asserter": {
          "reference": "urn:uuid:dd24d833-0872-4321-b094-92793d4d6059",
          "display": "Vesannon terveyskeskus"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:acf67730-8368-4b84-b393-c1ec32fe361c",
      "resource": {
        "resourceType": "Condition",
        "id": "acf67730-8368-4b84-b393-c1ec32fe361c",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/condition-obl-eu-eps"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "code": "problem-list-item",
                "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                "display": "Problem List Item"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "code": "444814009",
              "system": "http://snomed.info/sct",
              "display": "Viral sinusitis (disorder)"
            }
          ],
          "text": "Viral sinusitis"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td><span class=\"grayedout\">Viral sinusitis</span></td><td><span class=\"nb\">21-Mar-2016 - 10-Apr-2016</span></td><td><span class=\"grayedout\">inactive</span></td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "inactive",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
          ]
        },
        "onsetDateTime": "2016-03-21",
        "abatementDateTime": "2016-04-10",
        "subject": {
          "reference": "urn:uuid:a19301ef-119c-4708-bf56-5025fd2c2202",
          "display": "Katja Mäkelä"
        },
        "asserter": {
          "reference": "urn:uuid:dd24d833-0872-4321-b094-92793d4d6059",
          "display": "Vesannon terveyskeskus"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:fe146887-4108-44d9-abc5-0d3d5bb3f4a4",
      "resource": {
        "resourceType": "Condition",
        "id": "fe146887-4108-44d9-abc5-0d3d5bb3f4a4",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/condition-obl-eu-eps"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "code": "problem-list-item",
                "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                "display": "Problem List Item"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "code": "195662009",
              "system": "http://snomed.info/sct",
              "display": "Acute viral pharyngitis (disorder)"
            }
          ],
          "text": "Acute viral pharyngitis"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td><span class=\"grayedout\">Acute viral pharyngitis</span></td><td><span class=\"nb\">19-Sep-2015 - 27-Sep-2015</span></td><td><span class=\"grayedout\">inactive</span></td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "inactive",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
          ]
        },
        "onsetDateTime": "2015-09-19",
        "abatementDateTime": "2015-09-27",
        "subject": {
          "reference": "urn:uuid:a19301ef-119c-4708-bf56-5025fd2c2202",
          "display": "Katja Mäkelä"
        },
        "asserter": {
          "reference": "urn:uuid:dd24d833-0872-4321-b094-92793d4d6059",
          "display": "Vesannon terveyskeskus"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:add47097-2ea1-4dc2-981c-93f215155ef5",
      "resource": {
        "resourceType": "Medication",
        "id": "add47097-2ea1-4dc2-981c-93f215155ef5",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/medication-eu-core"
          ]
        },
        "code": {
          "coding": [
            {
              "code": "319996000",
              "system": "http://snomed.info/sct",
              "display": "Simvastatin 10 mg oral tablet"
            }
          ],
          "text": "Simvastatin 10 mg oral tablet"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Simvastatin 10 mg oral tablet</div>"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:1cee34d2-2a05-4998-acb8-3dc4539ef240",
      "resource": {
        "resourceType": "MedicationStatement",
        "id": "1cee34d2-2a05-4998-acb8-3dc4539ef240",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/MedicationStatement-eu-eps"
          ]
        },
        "effectivePeriod": {
          "start": "2025-03-21"
        },
        "dosage": [
          {
            "doseAndRate": [
              {
                "doseQuantity": {
                  "value": 1,
                  "unit": "{tbl}",
                  "system": "http://unitsofmeasure.org",
                  "code": "{tbl}"
                }
              }
            ],
            "timing": {
              "repeat": {
                "frequency": 1,
                "period": 1,
                "periodUnit": "d"
              }
            },
            "text": "1 tablet (10 mg) by mouth once daily",
            "asNeededBoolean": false
          }
        ],
        "reasonCode": [
          {
            "coding": [
              {
                "code": "55822004",
                "system": "http://snomed.info/sct",
                "display": "Hyperlipidemia"
              }
            ]
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips first25\"><tr><th>Medication</th><th>Since</th><th>Form</th><th>Dosage</th><th>Reason</th></tr><tr><td>Simvastatin 10 mg oral tablet</td><td><span class=\"nb\">2025-03-21</span></td><td>-</td><td>1 tablet (10 mg) by mouth once daily</td><td>Hyperlipidemia</td></tr></table></div>"
        },
        "status": "active",
        "medicationReference": {
          "reference": "urn:uuid:add47097-2ea1-4dc2-981c-93f215155ef5",
          "display": "Simvastatin 10 mg oral tablet"
        },
        "subject": {
          "reference": "urn:uuid:a19301ef-119c-4708-bf56-5025fd2c2202",
          "display": "Katja Mäkelä"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:63e472b9-5de8-4d76-b555-8bfe51b1a013",
      "resource": {
        "resourceType": "Medication",
        "id": "63e472b9-5de8-4d76-b555-8bfe51b1a013",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/medication-eu-core"
          ]
        },
        "code": {
          "coding": [
            {
              "code": "896209",
              "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
              "display": "60 ACTUAT Fluticasone propionate 0.25 MG/ACTUAT / salmeterol 0.05 MG/ACTUAT Dry Powder Inhaler"
            }
          ],
          "text": "60 ACTUAT Fluticasone propionate 0.25 MG/ACTUAT / salmeterol 0.05 MG/ACTUAT Dry Powder Inhaler"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">60 ACTUAT Fluticasone propionate 0.25 MG/ACTUAT / salmeterol 0.05 MG/ACTUAT Dry Powder Inhaler</div>"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:22432315-8d5f-4d95-a850-e86d69168b08",
      "resource": {
        "resourceType": "MedicationStatement",
        "id": "22432315-8d5f-4d95-a850-e86d69168b08",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/MedicationStatement-eu-eps"
          ]
        },
        "effectivePeriod": {
          "start": "2025-03-12"
        },
        "dosage": [
          {
            "doseAndRate": [
              {
                "doseQuantity": {
                  "value": 1,
                  "unit": "actuat",
                  "system": "http://unitsofmeasure.org",
                  "code": "{actuation}"
                }
              }
            ],
            "timing": {
              "repeat": {
                "frequency": 2,
                "period": 1,
                "periodUnit": "d"
              }
            },
            "text": "1 inhalation (250 micrograms / 50 micrograms) twice daily",
            "asNeededBoolean": false
          }
        ],
        "reasonCode": [
          {
            "coding": [
              {
                "code": "185086009",
                "system": "http://snomed.info/sct",
                "display": "Chronic obstructive bronchitis (disorder)"
              }
            ]
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips first25\"><tr><th>Medication</th><th>Since</th><th>Form</th><th>Dosage</th><th>Reason</th></tr><tr><td>60 ACTUAT Fluticasone propionate 0.25 MG/ACTUAT / salmeterol 0.05 MG/ACTUAT Dry Powder Inhaler</td><td><span class=\"nb\">2025-03-12</span></td><td>-</td><td>1 inhalation (250 micrograms / 50 micrograms) twice daily</td><td>Chronic obstructive bronchitis (disorder)</td></tr></table></div>"
        },
        "status": "active",
        "medicationReference": {
          "reference": "urn:uuid:63e472b9-5de8-4d76-b555-8bfe51b1a013",
          "display": "60 ACTUAT Fluticasone propionate 0.25 MG/ACTUAT / salmeterol 0.05 MG/ACTUAT Dry Powder Inhaler"
        },
        "subject": {
          "reference": "urn:uuid:a19301ef-119c-4708-bf56-5025fd2c2202",
          "display": "Katja Mäkelä"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:9354b421-169e-4e12-9690-7a71235f6115",
      "resource": {
        "resourceType": "Medication",
        "id": "9354b421-169e-4e12-9690-7a71235f6115",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/medication-eu-core"
          ]
        },
        "code": {
          "coding": [
            {
              "code": "1197460000",
              "system": "http://snomed.info/sct",
              "display": "Albuterol (as albuterol sulfate) 5 mg/mL solution for inhalation"
            }
          ],
          "text": "Albuterol (as albuterol sulfate) 5 mg/mL solution for inhalation"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Albuterol (as albuterol sulfate) 5 mg/mL solution for inhalation</div>"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:9dd9a73b-6a24-4789-aca8-dafaf3744a38",
      "resource": {
        "resourceType": "MedicationStatement",
        "id": "9dd9a73b-6a24-4789-aca8-dafaf3744a38",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/MedicationStatement-eu-eps"
          ]
        },
        "effectivePeriod": {
          "start": "2025-03-12"
        },
        "dosage": [
          {
            "doseAndRate": [
              {
                "doseQuantity": {
                  "value": 2.5,
                  "unit": "mg",
                  "system": "http://unitsofmeasure.org",
                  "code": "mg"
                }
              }
            ],
            "timing": {
              "repeat": {
                "frequency": 1,
                "period": 4,
                "periodUnit": "h"
              }
            },
            "text": "2.5 mg (0.5 mL of 5 mg/mL solution) via nebulizer every 4 to 6 hours as needed",
            "asNeededBoolean": true
          }
        ],
        "reasonCode": [
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            "coding": [
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                "code": "185086009",
                "system": "http://snomed.info/sct",
                "display": "Chronic obstructive bronchitis (disorder)"
              }
            ]
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips first25\"><tr><th>Medication</th><th>Since</th><th>Form</th><th>Dosage</th><th>Reason</th></tr><tr><td>Albuterol (as albuterol sulfate) 5 mg/mL solution for inhalation</td><td><span class=\"nb\">2025-03-12</span></td><td>-</td><td>2.5 mg (0.5 mL of 5 mg/mL solution) via nebulizer every 4 to 6 hours as needed</td><td>Chronic obstructive bronchitis (disorder)</td></tr></table></div>"
        },
        "status": "active",
        "medicationReference": {
          "reference": "urn:uuid:9354b421-169e-4e12-9690-7a71235f6115",
          "display": "Albuterol (as albuterol sulfate) 5 mg/mL solution for inhalation"
        },
        "subject": {
          "reference": "urn:uuid:a19301ef-119c-4708-bf56-5025fd2c2202",
          "display": "Katja Mäkelä"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:4d7e2fb7-f047-4b0f-a59d-52242053700f",
      "resource": {
        "resourceType": "Medication",
        "id": "4d7e2fb7-f047-4b0f-a59d-52242053700f",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/medication-eu-core"
          ]
        },
        "code": {
          "coding": [
            {
              "code": "1153431000",
              "system": "http://snomed.info/sct",
              "display": "Amlodipine (as amlodipine besylate) 2.5 mg oral tablet"
            }
          ],
          "text": "Amlodipine (as amlodipine besylate) 2.5 mg oral tablet"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Amlodipine (as amlodipine besylate) 2.5 mg oral tablet</div>"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:2a5cb014-84f6-4966-8880-4c72ca90da65",
      "resource": {
        "resourceType": "MedicationStatement",
        "id": "2a5cb014-84f6-4966-8880-4c72ca90da65",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/MedicationStatement-eu-eps"
          ]
        },
        "effectivePeriod": {
          "start": "2025-03-12"
        },
        "dosage": [
          {
            "doseAndRate": [
              {
                "doseQuantity": {
                  "value": 1,
                  "unit": "{tbl}",
                  "system": "http://unitsofmeasure.org",
                  "code": "{tbl}"
                }
              }
            ],
            "timing": {
              "repeat": {
                "frequency": 1,
                "period": 1,
                "periodUnit": "d"
              }
            },
            "text": "1 tablet (2.5 mg) by mouth once daily",
            "asNeededBoolean": false
          }
        ],
        "reasonCode": [
          {
            "coding": [
              {
                "code": "59621000",
                "system": "http://snomed.info/sct",
                "display": "Essential hypertension (disorder)"
              }
            ]
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips first25\"><tr><th>Medication</th><th>Since</th><th>Form</th><th>Dosage</th><th>Reason</th></tr><tr><td>Amlodipine (as amlodipine besylate) 2.5 mg oral tablet</td><td><span class=\"nb\">2025-03-12</span></td><td>-</td><td>1 tablet (2.5 mg) by mouth once daily</td><td>Essential hypertension (disorder)</td></tr></table></div>"
        },
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              "code": "376209006",
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          ],
          "text": "Hydrochlorothiazide 25 mg oral tablet"
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      }
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              "code": "765570009",
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              "display": "Aspirin 81 mg gastro-resistant oral tablet"
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          ],
          "text": "Aspirin 81 mg gastro-resistant oral tablet"
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      }
    },
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              "code": "1145421000",
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              "display": "Atorvastatin (as atorvastatin calcium) 40 mg oral tablet"
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          ],
          "text": "Atorvastatin (as atorvastatin calcium) 40 mg oral tablet"
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Atorvastatin (as atorvastatin calcium) 40 mg oral tablet</div>"
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      }
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              "display": "Labetalol hydrochloride 200 mg oral tablet"
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          ],
          "text": "Labetalol hydrochloride 200 mg oral tablet"
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      }
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      "fullUrl": "urn:uuid:233a2a04-9888-45e0-8801-a461acb6e5c3",
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      "fullUrl": "urn:uuid:2ee4bcd8-2c6f-4626-af18-08465fc3bd8c",
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        "code": {
          "coding": [
            {
              "code": "407784004",
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              "display": "Losartan potassium 100 mg oral tablet"
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          ],
          "text": "Losartan potassium 100 mg oral tablet"
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        }
      }
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            },
            "text": "1 tablet (100 mg) by mouth once daily",
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      "fullUrl": "urn:uuid:84647781-b06b-4060-9d13-f56bf7f2eb04",
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            {
              "code": "1181000221105",
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              "display": "Influenza virus antigen only vaccine product"
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            {
              "code": "J07BB02",
              "system": "http://www.whocc.no/atc",
              "display": "influenza, inactivated, split virus or surface antigen"
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          ],
          "text": "Influenza virus antigen only vaccine product"
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            {
              "code": "244979005",
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              "display": "Entire muscle of upper arm"
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          "text": "Entire muscle of upper arm"
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              "display": "Intramuscular route"
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          "text": "Intramuscular route"
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        "occurrenceDateTime": "2025-03-12",
        "lotNumber": "HM-KMAl",
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    {
      "fullUrl": "urn:uuid:807766d3-ddd4-4f7e-a088-f262446c1035",
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        "vaccineCode": {
          "coding": [
            {
              "code": "777725002",
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              "display": "Clostridium tetani toxoid antigen adsorbed only vaccine product"
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            {
              "code": "J07AM51",
              "system": "http://www.whocc.no/atc",
              "display": "tetanus toxoid, combinations with diphtheria toxoid"
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          ],
          "text": "Clostridium tetani toxoid antigen adsorbed only vaccine product"
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        "site": {
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            {
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              "display": "Entire muscle of upper arm"
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          "text": "Entire muscle of upper arm"
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              "code": "78421000",
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              "display": "Intramuscular route"
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          "display": "Katja Mäkelä"
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        "occurrenceDateTime": "2022-02-23",
        "lotNumber": "ZC-JYHz",
        "expirationDate": "2022-09-04"
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      "fullUrl": "urn:uuid:d7c88ead-60f6-4761-ad7e-bb7e68be3f91",
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              "display": "SARS-CoV-2 mRNA vaccine"
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            {
              "code": "J07BN01",
              "system": "http://www.whocc.no/atc",
              "display": "covid-19, RNA-based vaccine"
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          ],
          "text": "SARS-CoV-2 mRNA vaccine"
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        "site": {
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              "display": "Entire muscle of upper arm"
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          "text": "Entire muscle of upper arm"
        },
        "route": {
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            {
              "code": "78421000",
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              "display": "Intramuscular route"
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          ],
          "text": "Intramuscular route"
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>SARS-CoV-2 mRNA vaccine</td><td><span class=\"nb\">07-Apr-2021</span></td></tr></table></div>"
        },
        "status": "completed",
        "patient": {
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          "display": "Katja Mäkelä"
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        "occurrenceDateTime": "2021-04-07",
        "lotNumber": "SI-Krk8I86",
        "expirationDate": "2022-01-19"
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    },
    {
      "fullUrl": "urn:uuid:cb50cc2a-799e-48af-b789-d7f370e9d57d",
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        "vaccineCode": {
          "coding": [
            {
              "code": "1252709000",
              "system": "http://snomed.info/sct",
              "display": "Streptococcus pneumoniae Danish serotype 1, 3, 4, 5, 6A, 6B, 7F, 8, 9V, 10A, 11A, 12F, 14, 15B, 18C, 19A, 19F, 22F, 23F, 33F capsular polysaccharide antigens conjugated only vaccine product"
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            {
              "code": "J07AL01",
              "system": "http://www.whocc.no/atc",
              "display": "pneumococcus, purified polysaccharides antigen"
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          ],
          "text": "Streptococcus pneumoniae Danish serotype 1, 3, 4, 5, 6A, 6B, 7F, 8, 9V, 10A, 11A, 12F, 14, 15B, 18C, 19A, 19F, 22F, 23F, 33F capsular polysaccharide antigens conjugated only vaccine product"
        },
        "site": {
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            {
              "code": "244979005",
              "system": "http://snomed.info/sct",
              "display": "Entire muscle of upper arm"
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          ],
          "text": "Entire muscle of upper arm"
        },
        "route": {
          "coding": [
            {
              "code": "78421000",
              "system": "http://snomed.info/sct",
              "display": "Intramuscular route"
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          ],
          "text": "Intramuscular route"
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Streptococcus pneumoniae Danish serotype 1, 3, 4, 5, 6A, 6B, 7F, 8, 9V, 10A, 11A, 12F, 14, 15B, 18C, 19A, 19F, 22F, 23F, 33F capsular polysaccharide antigens conjugated only vaccine product</td><td><span class=\"nb\">25-Jan-2017</span></td></tr></table></div>"
        },
        "status": "completed",
        "patient": {
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        "occurrenceDateTime": "2017-01-25",
        "lotNumber": "ZH-3VghycHta",
        "expirationDate": "2018-01-23"
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    },
    {
      "fullUrl": "urn:uuid:aa22564f-c9cb-49fe-bf2b-566dbc92f695",
      "resource": {
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        },
        "vaccineCode": {
          "coding": [
            {
              "code": "51451000087105",
              "system": "http://snomed.info/sct",
              "display": "Streptococcus pneumoniae Danish serotype 1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F, 23F, capsular polysaccharide conjugated antigens only vaccine product"
            },
            {
              "code": "J07AL02",
              "system": "http://www.whocc.no/atc",
              "display": "pneumococcus, purified polysaccharides antigen conjugated"
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          ],
          "text": "Streptococcus pneumoniae Danish serotype 1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F, 23F, capsular polysaccharide conjugated antigens only vaccine product"
        },
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            {
              "code": "244979005",
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          "text": "Entire muscle of upper arm"
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          "text": "Intramuscular route"
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        "resourceType": "Procedure",
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              ],
              "status": "unknown",
              "description": "Lifestyle education regarding hypertension",
              "kind": "Appointment"
            }
          }
        ],
        "period": {
          "start": "2007-12-05"
        },
        "goal": [
          {
            "reference": "urn:uuid:658a4a6f-f6db-41a4-9481-0ce4989bde7b"
          },
          {
            "reference": "urn:uuid:25330fd0-78a2-4037-bb1a-619ab8b87d09"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips first25\"><tr><th>Active Planned Care / Goals</th><th>Start Date</th><th>Reason</th></tr><tr><td>Lifestyle education regarding hypertension</td><td><span class=\"nb\">05-Dec-2007</span></td><td>Essential hypertension (disorder)</td></tr><tr><td><ul><li>Achieve and maintain systolic blood pressure below 130 mmHg through lifestyle modifications.</li><li>Achieve and maintain diastolic blood pressure below 80 mmHg through lifestyle modifications.</li></ul></td><td></td><td></td></tr></table></div>"
        },
        "status": "active",
        "intent": "plan",
        "subject": {
          "reference": "urn:uuid:a19301ef-119c-4708-bf56-5025fd2c2202",
          "display": "Katja Mäkelä"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:2469524d-be95-4322-bf1f-25dcf16b1009",
      "resource": {
        "resourceType": "CarePlan",
        "id": "2469524d-be95-4322-bf1f-25dcf16b1009",
        "category": [
          {
            "coding": [
              {
                "code": "734163000",
                "system": "http://snomed.info/sct",
                "display": "Care plan (record artifact)"
              }
            ]
          }
        ],
        "activity": [
          {
            "detail": {
              "code": {
                "coding": [
                  {
                    "code": "736285004",
                    "system": "http://snomed.info/sct",
                    "display": "Hyperlipidemia clinical management plan (record artifact)"
                  }
                ]
              },
              "reasonCode": [
                {
                  "coding": [
                    {
                      "code": "55822004",
                      "system": "http://snomed.info/sct",
                      "display": "Hyperlipidemia (disorder)"
                    }
                  ]
                }
              ],
              "status": "unknown",
              "description": "Hyperlipidemia clinical management plan",
              "kind": "Appointment"
            }
          }
        ],
        "period": {
          "start": "2006-12-20"
        },
        "goal": [
          {
            "reference": "urn:uuid:11aee227-638c-49da-84fc-9d02aca4ed4b"
          },
          {
            "reference": "urn:uuid:8884dd36-1131-4931-81ea-1ce55d3c650d"
          },
          {
            "reference": "urn:uuid:bfd6e1b6-da4e-43f7-9159-9a6479ccac26"
          },
          {
            "reference": "urn:uuid:a144e719-2727-4954-9204-2ca79d365f1e"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips first25\"><tr><th>Active Planned Care / Goals</th><th>Start Date</th><th>Reason</th></tr><tr><td>Hyperlipidemia clinical management plan</td><td><span class=\"nb\">20-Dec-2006</span></td><td>Hyperlipidemia (disorder)</td></tr><tr><td><ul><li>Achieve LDL cholesterol below 70 mg/dL</li><li>Achieve total cholesterol below 200 mg/dL</li><li>Achieve HDL cholesterol above 50 mg/dL</li><li>Achieve triglycerides below 150 mg/dL</li></ul></td><td></td><td></td></tr></table></div>"
        },
        "status": "active",
        "intent": "plan",
        "subject": {
          "reference": "urn:uuid:a19301ef-119c-4708-bf56-5025fd2c2202",
          "display": "Katja Mäkelä"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:2bd21b52-9a17-49f0-8b02-609bf054eb16",
      "resource": {
        "resourceType": "CarePlan",
        "id": "2bd21b52-9a17-49f0-8b02-609bf054eb16",
        "category": [
          {
            "coding": [
              {
                "code": "734163000",
                "system": "http://snomed.info/sct",
                "display": "Care plan (record artifact)"
              }
            ]
          }
        ],
        "activity": [
          {
            "detail": {
              "code": {
                "coding": [
                  {
                    "code": "735985000",
                    "system": "http://snomed.info/sct",
                    "display": "Diabetes self management plan (record artifact)"
                  }
                ]
              },
              "reasonCode": [
                {
                  "coding": [
                    {
                      "code": "714628002",
                      "system": "http://snomed.info/sct",
                      "display": "Prediabetes (finding)"
                    }
                  ]
                }
              ],
              "status": "unknown",
              "description": "Diabetes self management plan",
              "kind": "Appointment"
            }
          }
        ],
        "period": {
          "start": "1994-09-21"
        },
        "goal": [
          {
            "reference": "urn:uuid:9c870357-4ec8-47de-b6e6-2b9b9b94c1b2"
          },
          {
            "reference": "urn:uuid:4b5d7664-e399-4e80-a865-c5625fa3a980"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips first25\"><tr><th>Active Planned Care / Goals</th><th>Start Date</th><th>Reason</th></tr><tr><td>Diabetes self management plan</td><td><span class=\"nb\">21-Sep-1994</span></td><td>Prediabetes (finding)</td></tr><tr><td><ul><li>Maintain fasting plasma glucose within the recommended range for prediabetes</li><li>Maintain HbA1c below the threshold for diabetes diagnosis</li></ul></td><td></td><td></td></tr></table></div>"
        },
        "status": "active",
        "intent": "plan",
        "subject": {
          "reference": "urn:uuid:a19301ef-119c-4708-bf56-5025fd2c2202",
          "display": "Katja Mäkelä"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:329f0021-b216-429c-a107-0a61cc27e59f",
      "resource": {
        "resourceType": "CarePlan",
        "id": "329f0021-b216-429c-a107-0a61cc27e59f",
        "category": [
          {
            "coding": [
              {
                "code": "734163000",
                "system": "http://snomed.info/sct",
                "display": "Care plan (record artifact)"
              }
            ]
          }
        ],
        "activity": [
          {
            "detail": {
              "code": {
                "coding": [
                  {
                    "code": "736283006",
                    "system": "http://snomed.info/sct",
                    "display": "Chronic obstructive pulmonary disease clinical management plan (record artifact)"
                  }
                ]
              },
              "reasonCode": [
                {
                  "coding": [
                    {
                      "code": "185086009",
                      "system": "http://snomed.info/sct",
                      "display": "Chronic obstructive bronchitis (disorder)"
                    }
                  ]
                }
              ],
              "status": "unknown",
              "description": "Chronic obstructive pulmonary disease clinical management plan",
              "kind": "Appointment"
            }
          }
        ],
        "period": {
          "start": "1981-06-24"
        },
        "goal": [
          {
            "reference": "urn:uuid:37b31b0a-88d6-4ab6-a0e6-587168ae0876"
          },
          {
            "reference": "urn:uuid:edea3996-8a8d-4188-ac0e-61edb5b0bacc"
          },
          {
            "reference": "urn:uuid:f2041655-b681-4803-ad63-bbb41c7aaa7d"
          },
          {
            "reference": "urn:uuid:b58ff37e-7210-4ef7-8350-78f7171f4b02"
          },
          {
            "reference": "urn:uuid:af20c306-d831-4b09-8516-e8adbccd1d65"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips first25\"><tr><th>Active Planned Care / Goals</th><th>Start Date</th><th>Reason</th></tr><tr><td>Chronic obstructive pulmonary disease clinical management plan</td><td><span class=\"nb\">24-Jun-1981</span></td><td>Chronic obstructive bronchitis (disorder)</td></tr><tr><td><ul><li>Patient will stop smoking to reduce COPD progression and exacerbations</li><li>Maintain oxygen saturation above 88% at rest</li><li>Reduce COPD exacerbations to less than 2 per year</li><li>Patient will walk at least 100 meters in 6 minutes</li><li>Patient will receive annual influenza and recommended pneumococcal vaccinations</li></ul></td><td></td><td></td></tr></table></div>"
        },
        "status": "active",
        "intent": "plan",
        "subject": {
          "reference": "urn:uuid:a19301ef-119c-4708-bf56-5025fd2c2202",
          "display": "Katja Mäkelä"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:93f0b7b1-aea7-4e03-86c1-97991d8d56b9",
      "resource": {
        "resourceType": "ImmunizationRecommendation",
        "id": "93f0b7b1-aea7-4e03-86c1-97991d8d56b9",
        "recommendation": [
          {
            "vaccineCode": [
              {
                "coding": [
                  {
                    "code": "1181000221105",
                    "system": "http://snomed.info/sct",
                    "display": "Influenza virus antigen only vaccine product"
                  }
                ]
              }
            ],
            "dateCriterion": [
              {
                "code": {
                  "coding": [
                    {
                      "code": "30980-7",
                      "system": "http://loinc.org",
                      "display": "Date vaccine due"
                    }
                  ]
                },
                "value": "2026-10-01"
              }
            ],
            "targetDisease": {
              "coding": [
                {
                  "code": "6142004",
                  "system": "http://snomed.info/sct",
                  "display": "Influenza (disorder)"
                }
              ]
            },
            "series": "Annual seasonal influenza vaccination",
            "forecastStatus": {
              "coding": [
                {
                  "code": "due",
                  "system": "http://terminology.hl7.org/CodeSystem/immunization-recommendation-status",
                  "display": "Due"
                }
              ]
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Influenza virus antigen only vaccine product</td><td><span class=\"nb\">01-Oct-2026</span></td><td>Annual seasonal influenza vaccination</td></tr></table></div>"
        },
        "date": "2026-03-14",
        "patient": {
          "reference": "urn:uuid:a19301ef-119c-4708-bf56-5025fd2c2202",
          "display": "Katja Mäkelä"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:658a4a6f-f6db-41a4-9481-0ce4989bde7b",
      "resource": {
        "resourceType": "Goal",
        "id": "658a4a6f-f6db-41a4-9481-0ce4989bde7b",
        "description": {
          "text": "Achieve and maintain systolic blood pressure below 130 mmHg through lifestyle modifications."
        },
        "target": [
          {
            "detailQuantity": {
              "value": 130,
              "unit": "mm[Hg]",
              "system": "http://unitsofmeasure.org",
              "code": "mm[Hg]"
            },
            "measure": {
              "coding": [
                {
                  "code": "8480-6",
                  "system": "http://loinc.org",
                  "display": "Systolic blood pressure"
                }
              ]
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Achieve and maintain systolic blood pressure below 130 mmHg through lifestyle modifications.</div>"
        },
        "lifecycleStatus": "active",
        "subject": {
          "reference": "urn:uuid:a19301ef-119c-4708-bf56-5025fd2c2202",
          "display": "Katja Mäkelä"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:25330fd0-78a2-4037-bb1a-619ab8b87d09",
      "resource": {
        "resourceType": "Goal",
        "id": "25330fd0-78a2-4037-bb1a-619ab8b87d09",
        "description": {
          "text": "Achieve and maintain diastolic blood pressure below 80 mmHg through lifestyle modifications."
        },
        "target": [
          {
            "detailQuantity": {
              "value": 80,
              "unit": "mm[Hg]",
              "system": "http://unitsofmeasure.org",
              "code": "mm[Hg]"
            },
            "measure": {
              "coding": [
                {
                  "code": "8462-4",
                  "system": "http://loinc.org",
                  "display": "Diastolic blood pressure"
                }
              ]
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Achieve and maintain diastolic blood pressure below 80 mmHg through lifestyle modifications.</div>"
        },
        "lifecycleStatus": "active",
        "subject": {
          "reference": "urn:uuid:a19301ef-119c-4708-bf56-5025fd2c2202",
          "display": "Katja Mäkelä"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:11aee227-638c-49da-84fc-9d02aca4ed4b",
      "resource": {
        "resourceType": "Goal",
        "id": "11aee227-638c-49da-84fc-9d02aca4ed4b",
        "description": {
          "text": "Achieve LDL cholesterol below 70 mg/dL"
        },
        "target": [
          {
            "detailQuantity": {
              "value": 70,
              "unit": "mg/dL",
              "system": "http://unitsofmeasure.org",
              "code": "mg/dL"
            },
            "measure": {
              "coding": [
                {
                  "code": "18262-6",
                  "system": "http://loinc.org",
                  "display": "Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay"
                }
              ]
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Achieve LDL cholesterol below 70 mg/dL</div>"
        },
        "lifecycleStatus": "active",
        "subject": {
          "reference": "urn:uuid:a19301ef-119c-4708-bf56-5025fd2c2202",
          "display": "Katja Mäkelä"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:8884dd36-1131-4931-81ea-1ce55d3c650d",
      "resource": {
        "resourceType": "Goal",
        "id": "8884dd36-1131-4931-81ea-1ce55d3c650d",
        "description": {
          "text": "Achieve total cholesterol below 200 mg/dL"
        },
        "target": [
          {
            "detailQuantity": {
              "value": 200,
              "unit": "mg/dL",
              "system": "http://unitsofmeasure.org",
              "code": "mg/dL"
            },
            "measure": {
              "coding": [
                {
                  "code": "2093-3",
                  "system": "http://loinc.org",
                  "display": "Cholesterol [Mass/volume] in Serum or Plasma"
                }
              ]
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Achieve total cholesterol below 200 mg/dL</div>"
        },
        "lifecycleStatus": "active",
        "subject": {
          "reference": "urn:uuid:a19301ef-119c-4708-bf56-5025fd2c2202",
          "display": "Katja Mäkelä"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:bfd6e1b6-da4e-43f7-9159-9a6479ccac26",
      "resource": {
        "resourceType": "Goal",
        "id": "bfd6e1b6-da4e-43f7-9159-9a6479ccac26",
        "description": {
          "text": "Achieve HDL cholesterol above 50 mg/dL"
        },
        "target": [
          {
            "detailQuantity": {
              "value": 50,
              "unit": "mg/dL",
              "system": "http://unitsofmeasure.org",
              "code": "mg/dL"
            },
            "measure": {
              "coding": [
                {
                  "code": "2085-9",
                  "system": "http://loinc.org",
                  "display": "Cholesterol in HDL [Mass/volume] in Serum or Plasma"
                }
              ]
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Achieve HDL cholesterol above 50 mg/dL</div>"
        },
        "lifecycleStatus": "active",
        "subject": {
          "reference": "urn:uuid:a19301ef-119c-4708-bf56-5025fd2c2202",
          "display": "Katja Mäkelä"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:a144e719-2727-4954-9204-2ca79d365f1e",
      "resource": {
        "resourceType": "Goal",
        "id": "a144e719-2727-4954-9204-2ca79d365f1e",
        "description": {
          "text": "Achieve triglycerides below 150 mg/dL"
        },
        "target": [
          {
            "detailQuantity": {
              "value": 150,
              "unit": "mg/dL",
              "system": "http://unitsofmeasure.org",
              "code": "mg/dL"
            },
            "measure": {
              "coding": [
                {
                  "code": "2571-8",
                  "system": "http://loinc.org",
                  "display": "Triglyceride [Mass/volume] in Serum or Plasma"
                }
              ]
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Achieve triglycerides below 150 mg/dL</div>"
        },
        "lifecycleStatus": "active",
        "subject": {
          "reference": "urn:uuid:a19301ef-119c-4708-bf56-5025fd2c2202",
          "display": "Katja Mäkelä"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:9c870357-4ec8-47de-b6e6-2b9b9b94c1b2",
      "resource": {
        "resourceType": "Goal",
        "id": "9c870357-4ec8-47de-b6e6-2b9b9b94c1b2",
        "description": {
          "text": "Maintain fasting plasma glucose within the recommended range for prediabetes"
        },
        "target": [
          {
            "detailRange": {
              "low": {
                "value": 5.6,
                "unit": "mmol/L",
                "system": "http://unitsofmeasure.org",
                "code": "mmol/L"
              },
              "high": {
                "value": 6.9,
                "unit": "mmol/L",
                "system": "http://unitsofmeasure.org",
                "code": "mmol/L"
              }
            },
            "measure": {
              "coding": [
                {
                  "code": "14771-0",
                  "system": "http://loinc.org",
                  "display": "Fasting glucose [Moles/volume] in Serum or Plasma"
                }
              ]
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Maintain fasting plasma glucose within the recommended range for prediabetes</div>"
        },
        "lifecycleStatus": "active",
        "subject": {
          "reference": "urn:uuid:a19301ef-119c-4708-bf56-5025fd2c2202",
          "display": "Katja Mäkelä"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:4b5d7664-e399-4e80-a865-c5625fa3a980",
      "resource": {
        "resourceType": "Goal",
        "id": "4b5d7664-e399-4e80-a865-c5625fa3a980",
        "description": {
          "text": "Maintain HbA1c below the threshold for diabetes diagnosis"
        },
        "target": [
          {
            "detailQuantity": {
              "value": 6.4,
              "unit": "%",
              "system": "http://unitsofmeasure.org",
              "code": "%"
            },
            "measure": {
              "coding": [
                {
                  "code": "4548-4",
                  "system": "http://loinc.org",
                  "display": "Hemoglobin A1c/Hemoglobin.total in Blood"
                }
              ]
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Maintain HbA1c below the threshold for diabetes diagnosis</div>"
        },
        "lifecycleStatus": "active",
        "subject": {
          "reference": "urn:uuid:a19301ef-119c-4708-bf56-5025fd2c2202",
          "display": "Katja Mäkelä"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:37b31b0a-88d6-4ab6-a0e6-587168ae0876",
      "resource": {
        "resourceType": "Goal",
        "id": "37b31b0a-88d6-4ab6-a0e6-587168ae0876",
        "description": {
          "text": "Patient will stop smoking to reduce COPD progression and exacerbations"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Patient will stop smoking to reduce COPD progression and exacerbations</div>"
        },
        "lifecycleStatus": "active",
        "subject": {
          "reference": "urn:uuid:a19301ef-119c-4708-bf56-5025fd2c2202",
          "display": "Katja Mäkelä"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:edea3996-8a8d-4188-ac0e-61edb5b0bacc",
      "resource": {
        "resourceType": "Goal",
        "id": "edea3996-8a8d-4188-ac0e-61edb5b0bacc",
        "description": {
          "text": "Maintain oxygen saturation above 88% at rest"
        },
        "target": [
          {
            "detailQuantity": {
              "value": 88,
              "unit": "%",
              "system": "http://unitsofmeasure.org",
              "code": "%"
            },
            "measure": {
              "coding": [
                {
                  "code": "59408-5",
                  "system": "http://loinc.org",
                  "display": "Oxygen saturation in Arterial blood by Pulse oximetry"
                }
              ]
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Maintain oxygen saturation above 88% at rest</div>"
        },
        "lifecycleStatus": "active",
        "subject": {
          "reference": "urn:uuid:a19301ef-119c-4708-bf56-5025fd2c2202",
          "display": "Katja Mäkelä"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:f2041655-b681-4803-ad63-bbb41c7aaa7d",
      "resource": {
        "resourceType": "Goal",
        "id": "f2041655-b681-4803-ad63-bbb41c7aaa7d",
        "description": {
          "text": "Reduce COPD exacerbations to less than 2 per year"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Reduce COPD exacerbations to less than 2 per year</div>"
        },
        "lifecycleStatus": "active",
        "subject": {
          "reference": "urn:uuid:a19301ef-119c-4708-bf56-5025fd2c2202",
          "display": "Katja Mäkelä"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:b58ff37e-7210-4ef7-8350-78f7171f4b02",
      "resource": {
        "resourceType": "Goal",
        "id": "b58ff37e-7210-4ef7-8350-78f7171f4b02",
        "description": {
          "text": "Patient will walk at least 100 meters in 6 minutes"
        },
        "lifecycleStatus": "active",
        "subject": {
          "reference": "urn:uuid:a19301ef-119c-4708-bf56-5025fd2c2202",
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              "code": "49765-1",
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          ],
          "text": "Calcium [Mass/volume] in Blood"
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        "valueQuantity": {
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          "text": "Sodium [Moles/volume] in Blood"
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              "code": "6298-4",
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          ],
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              "value": 5.1,
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              "code": "2069-3",
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              "display": "Chloride [Moles/volume] in Blood"
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          ],
          "text": "Chloride [Moles/volume] in Blood"
        },
        "valueQuantity": {
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          "code": "mmol/L",
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        "referenceRange": [
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          ],
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        "valueQuantity": {
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            "http://hl7.eu/fhir/base/StructureDefinition/medicalTestResult-eu-core"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
              }
            ]
          }
        ],
        "performer": [
          {
            "display": "The Central European Lab"
          }
        ],
        "code": {
          "coding": [
            {
              "code": "10834-0",
              "system": "http://loinc.org",
              "display": "Globulin [Mass/volume] in Serum by calculation"
            }
          ],
          "text": "Globulin [Mass/volume] in Serum by calculation"
        },
        "valueQuantity": {
          "value": 3.2,
          "unit": "g/L",
          "code": "g/L",
          "system": "http://unitsofmeasure.org"
        },
        "referenceRange": [
          {
            "low": {
              "value": 25,
              "code": "g/L",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 35,
              "code": "g/L",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "interpretation": [
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            "coding": [
              {
                "code": "L",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "display": "Low"
              }
            ]
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>21-Mar-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Globulin [Mass/volume] in Serum by calculation</td><td>3.2</td><td>25 - 35</td><td>L</td><td>g/L</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:a19301ef-119c-4708-bf56-5025fd2c2202",
          "display": "Katja Mäkelä"
        },
        "effectiveDateTime": "2025-03-21T08:59:15Z"
      }
    },
    {
      "fullUrl": "urn:uuid:a3d70e08-a4ee-4c86-ac63-7e1b124d724c",
      "resource": {
        "resourceType": "Observation",
        "id": "a3d70e08-a4ee-4c86-ac63-7e1b124d724c",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/medicalTestResult-eu-core"
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        },
        "category": [
          {
            "coding": [
              {
                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
              }
            ]
          }
        ],
        "performer": [
          {
            "display": "The Central European Lab"
          }
        ],
        "code": {
          "coding": [
            {
              "code": "1975-2",
              "system": "http://loinc.org",
              "display": "Bilirubin.total [Mass/volume] in Serum or Plasma"
            }
          ],
          "text": "Bilirubin.total [Mass/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "value": 0.5,
          "unit": "mg/dL",
          "code": "mg/dL",
          "system": "http://unitsofmeasure.org"
        },
        "referenceRange": [
          {
            "low": {
              "value": 0.1,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 1.2,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>21-Mar-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Bilirubin.total [Mass/volume] in Serum or Plasma</td><td>0.5</td><td>0.1 - 1.2</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:a19301ef-119c-4708-bf56-5025fd2c2202",
          "display": "Katja Mäkelä"
        },
        "effectiveDateTime": "2025-03-21T08:59:15Z"
      }
    },
    {
      "fullUrl": "urn:uuid:242eab9f-1153-499a-af4d-b4ca68cd4df7",
      "resource": {
        "resourceType": "Observation",
        "id": "242eab9f-1153-499a-af4d-b4ca68cd4df7",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/medicalTestResult-eu-core"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
              }
            ]
          }
        ],
        "performer": [
          {
            "display": "The Central European Lab"
          }
        ],
        "code": {
          "coding": [
            {
              "code": "6768-6",
              "system": "http://loinc.org",
              "display": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
            }
          ],
          "text": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "value": 129.7,
          "unit": "U/L",
          "code": "U/L",
          "system": "http://unitsofmeasure.org"
        },
        "referenceRange": [
          {
            "low": {
              "value": 32,
              "code": "U/L",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 91,
              "code": "U/L",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "interpretation": [
          {
            "coding": [
              {
                "code": "H",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "display": "High"
              }
            ]
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>21-Mar-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma</td><td>129.7</td><td>32 - 91</td><td>H</td><td>U/L</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:a19301ef-119c-4708-bf56-5025fd2c2202",
          "display": "Katja Mäkelä"
        },
        "effectiveDateTime": "2025-03-21T08:59:15Z"
      }
    },
    {
      "fullUrl": "urn:uuid:3e5bc8f1-e62f-4c79-91ed-b06ab53ac3a4",
      "resource": {
        "resourceType": "Observation",
        "id": "3e5bc8f1-e62f-4c79-91ed-b06ab53ac3a4",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/medicalTestResult-eu-core"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
              }
            ]
          }
        ],
        "performer": [
          {
            "display": "The Central European Lab"
          }
        ],
        "code": {
          "coding": [
            {
              "code": "1742-6",
              "system": "http://loinc.org",
              "display": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
            }
          ],
          "text": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "value": 49.1,
          "unit": "U/L",
          "code": "U/L",
          "system": "http://unitsofmeasure.org"
        },
        "referenceRange": [
          {
            "low": {
              "value": 7,
              "code": "U/L",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 56,
              "code": "U/L",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>21-Mar-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td>49.1</td><td>7 - 56</td><td></td><td>U/L</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:a19301ef-119c-4708-bf56-5025fd2c2202",
          "display": "Katja Mäkelä"
        },
        "effectiveDateTime": "2025-03-21T08:59:15Z"
      }
    },
    {
      "fullUrl": "urn:uuid:43d5733a-5369-4efe-a452-3970d15e4171",
      "resource": {
        "resourceType": "Observation",
        "id": "43d5733a-5369-4efe-a452-3970d15e4171",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/medicalTestResult-eu-core"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
              }
            ]
          }
        ],
        "performer": [
          {
            "display": "The Central European Lab"
          }
        ],
        "code": {
          "coding": [
            {
              "code": "1920-8",
              "system": "http://loinc.org",
              "display": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
            }
          ],
          "text": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "value": 25,
          "unit": "U/L",
          "code": "U/L",
          "system": "http://unitsofmeasure.org"
        },
        "referenceRange": [
          {
            "low": {
              "value": 10,
              "code": "U/L",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 40,
              "code": "U/L",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>21-Mar-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td>25.0</td><td>10 - 40</td><td></td><td>U/L</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:a19301ef-119c-4708-bf56-5025fd2c2202",
          "display": "Katja Mäkelä"
        },
        "effectiveDateTime": "2025-03-21T08:59:15Z"
      }
    },
    {
      "fullUrl": "urn:uuid:247ededf-3f40-42c8-8b87-60337bdc7b9f",
      "resource": {
        "resourceType": "Observation",
        "id": "247ededf-3f40-42c8-8b87-60337bdc7b9f",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/medicalTestResult-eu-core"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
              }
            ]
          }
        ],
        "performer": [
          {
            "display": "The Central European Lab"
          }
        ],
        "code": {
          "coding": [
            {
              "code": "2093-3",
              "system": "http://loinc.org",
              "display": "Cholesterol [Mass/volume] in Serum or Plasma"
            }
          ],
          "text": "Cholesterol [Mass/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "value": 166.4,
          "unit": "mg/dL",
          "code": "mg/dL",
          "system": "http://unitsofmeasure.org"
        },
        "referenceRange": [
          {
            "low": {
              "value": 125,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 200,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>21-Mar-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Cholesterol [Mass/volume] in Serum or Plasma</td><td>166.4</td><td>125 - 200</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:a19301ef-119c-4708-bf56-5025fd2c2202",
          "display": "Katja Mäkelä"
        },
        "effectiveDateTime": "2025-03-21T08:59:15Z"
      }
    },
    {
      "fullUrl": "urn:uuid:a3f869a8-8b78-4633-a9f6-ea50c882c1f3",
      "resource": {
        "resourceType": "Observation",
        "id": "a3f869a8-8b78-4633-a9f6-ea50c882c1f3",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/medicalTestResult-eu-core"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
              }
            ]
          }
        ],
        "performer": [
          {
            "display": "The Central European Lab"
          }
        ],
        "code": {
          "coding": [
            {
              "code": "2571-8",
              "system": "http://loinc.org",
              "display": "Triglyceride [Mass/volume] in Serum or Plasma"
            }
          ],
          "text": "Triglyceride [Mass/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "value": 199.7,
          "unit": "mg/dL",
          "code": "mg/dL",
          "system": "http://unitsofmeasure.org"
        },
        "referenceRange": [
          {
            "low": {
              "value": 0,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 150,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "interpretation": [
          {
            "coding": [
              {
                "code": "H",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "display": "High"
              }
            ]
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>21-Mar-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Triglyceride [Mass/volume] in Serum or Plasma</td><td>199.7</td><td>0 - 150</td><td>H</td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:a19301ef-119c-4708-bf56-5025fd2c2202",
          "display": "Katja Mäkelä"
        },
        "effectiveDateTime": "2025-03-21T08:59:15Z"
      }
    },
    {
      "fullUrl": "urn:uuid:2782d626-e13a-4576-836a-37d97354b3b3",
      "resource": {
        "resourceType": "Observation",
        "id": "2782d626-e13a-4576-836a-37d97354b3b3",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/medicalTestResult-eu-core"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
              }
            ]
          }
        ],
        "performer": [
          {
            "display": "The Central European Lab"
          }
        ],
        "code": {
          "coding": [
            {
              "code": "18262-6",
              "system": "http://loinc.org",
              "display": "Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay"
            }
          ],
          "text": "Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay"
        },
        "valueQuantity": {
          "value": 100.2,
          "unit": "mg/dL",
          "code": "mg/dL",
          "system": "http://unitsofmeasure.org"
        },
        "referenceRange": [
          {
            "low": {
              "value": 0,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 100,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "interpretation": [
          {
            "coding": [
              {
                "code": "H",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "display": "High"
              }
            ]
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>21-Mar-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay</td><td>100.2</td><td>0 - 100</td><td>H</td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:a19301ef-119c-4708-bf56-5025fd2c2202",
          "display": "Katja Mäkelä"
        },
        "effectiveDateTime": "2025-03-21T08:59:15Z"
      }
    },
    {
      "fullUrl": "urn:uuid:9e26957b-1cbb-4123-a0ac-4e5ebb705452",
      "resource": {
        "resourceType": "Observation",
        "id": "9e26957b-1cbb-4123-a0ac-4e5ebb705452",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/medicalTestResult-eu-core"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
              }
            ]
          }
        ],
        "performer": [
          {
            "display": "The Central European Lab"
          }
        ],
        "code": {
          "coding": [
            {
              "code": "2085-9",
              "system": "http://loinc.org",
              "display": "Cholesterol in HDL [Mass/volume] in Serum or Plasma"
            }
          ],
          "text": "Cholesterol in HDL [Mass/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "value": 32.9,
          "unit": "mg/dL",
          "code": "mg/dL",
          "system": "http://unitsofmeasure.org"
        },
        "referenceRange": [
          {
            "low": {
              "value": 40,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 60,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "interpretation": [
          {
            "coding": [
              {
                "code": "L",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "display": "Low"
              }
            ]
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>21-Mar-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Cholesterol in HDL [Mass/volume] in Serum or Plasma</td><td>32.9</td><td>40 - 60</td><td>L</td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:a19301ef-119c-4708-bf56-5025fd2c2202",
          "display": "Katja Mäkelä"
        },
        "effectiveDateTime": "2025-03-21T08:59:15Z"
      }
    },
    {
      "fullUrl": "urn:uuid:b6ab0284-d283-4287-b35c-21eec6bce68d",
      "resource": {
        "resourceType": "DeviceUseStatement",
        "id": "b6ab0284-d283-4287-b35c-21eec6bce68d",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/deviceUseStatement-eu-eps"
          ]
        },
        "timingPeriod": {
          "start": "1994-09-21"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Blood glucose meter (physical object)</td><td><span class=\"nb\">21-Sep-1994</span></td></tr></table></div>"
        },
        "status": "active",
        "device": {
          "reference": "urn:uuid:738de76c-a94d-4e63-8ff1-25fabbb694df",
          "display": "Blood glucose meter (physical object)"
        },
        "subject": {
          "reference": "urn:uuid:a19301ef-119c-4708-bf56-5025fd2c2202",
          "display": "Katja Mäkelä"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:738de76c-a94d-4e63-8ff1-25fabbb694df",
      "resource": {
        "resourceType": "Device",
        "id": "738de76c-a94d-4e63-8ff1-25fabbb694df",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/device-eu-eps"
          ]
        },
        "udiCarrier": [
          {
            "deviceIdentifier": "52143115446929",
            "issuer": "https://www.gs1.org/",
            "entryType": "barcode",
            "carrierHRF": "(01)52143115446929(11)940831(17)190915(10)35599764544606(21)8972778340759"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Blood glucose meter (physical object) ((01)52143115446929(11)940831(17)190915(10)35599764544606(21)8972778340759)</div>"
        },
        "status": "active",
        "patient": {
          "reference": "urn:uuid:a19301ef-119c-4708-bf56-5025fd2c2202",
          "display": "Katja Mäkelä"
        },
        "type": {
          "coding": [
            {
              "code": "337414009",
              "system": "http://snomed.info/sct",
              "display": "Blood glucose meter (physical object)"
            }
          ]
        }
      }
    },
    {
      "fullUrl": "urn:uuid:7a4b1b37-efa5-4955-9bc4-bb549665256b",
      "resource": {
        "resourceType": "Device",
        "id": "7a4b1b37-efa5-4955-9bc4-bb549665256b",
        "deviceName": [
          {
            "name": "SYNDERAI Synthetic Generator",
            "type": "manufacturer-name"
          }
        ],
        "version": [
          {
            "value": "5.0"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">SYNDERAI Synthetic Generator v5.0</div>"
        },
        "status": "active",
        "distinctIdentifier": "synderai-generator-50",
        "manufacturer": "SYNDERAI Project"
      }
    },
    {
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        "target": [
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          },
          {
            "reference": "urn:uuid:9b549ece-8ff9-4608-911d-bb35c4ca33e3"
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          {
            "reference": "urn:uuid:dd24d833-0872-4321-b094-92793d4d6059"
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            "reference": "urn:uuid:d1e66af9-5a2d-4a74-b1fb-59a614f66abd"
          },
          {
            "reference": "urn:uuid:b984bb9e-575f-4407-8094-e9904adc4fa1"
          }
        ],
        "activity": {
          "coding": [
            {
              "code": "CREATE",
              "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation",
              "display": "create"
            }
          ],
          "text": "Synthetic Example Data Generation"
        },
        "policy": [
          "https://synderai.net/synderai-synthetic-data-policy"
        ],
        "agent": [
          {
            "type": {
              "coding": [
                {
                  "code": "author",
                  "system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
                  "display": "Author"
                }
              ],
              "text": "author"
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            "who": {
              "reference": "urn:uuid:7a4b1b37-efa5-4955-9bc4-bb549665256b"
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        "reason": [
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              {
                "code": "TRAIN",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
                "display": "training"
              }
            ],
            "text": "Interoperability Testing and Training (non-clinical use)"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provenance for SYNDERAI Synthetic Example Data Resource</div>"
        },
        "recorded": "2025-03-21T08:59:15Z"
      }
    }
  ],
  "type": "document",
  "timestamp": "2025-03-21T09:59:15Z"
}