{
  "resourceType": "Bundle",
  "id": "c1d2f556-de9a-483d-8076-d53be65834e7",
  "meta": {
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      "http://hl7.eu/fhir/eps/StructureDefinition/bundle-eu-eps"
    ]
  },
  "identifier": {
    "assigner": {
      "display": "HL7 Europe"
    },
    "system": "urn:oid:2.16.840.1.113883.2.51.999",
    "value": "8ddf4fdc-a715-4c7f-9fec-78d678da8ded"
  },
  "entry": [
    {
      "fullUrl": "urn:uuid:7b8efedb-bb71-4978-a376-ed544b4e42c9",
      "resource": {
        "resourceType": "Composition",
        "id": "7b8efedb-bb71-4978-a376-ed544b4e42c9",
        "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/composition-eu-eps"
          ]
        },
        "identifier": {
          "assigner": {
            "display": "HL7 Europe"
          },
          "system": "urn:oid:2.16.840.1.113883.2.51.999",
          "value": "e8a254a1-b519-471b-991e-93e49e916d64"
        },
        "type": {
          "coding": [
            {
              "code": "60591-5",
              "system": "http://loinc.org",
              "display": "Patient summary Document"
            }
          ],
          "text": "Patient summary Document"
        },
        "author": [
          {
            "reference": "urn:uuid:6d5733e2-7347-4807-9525-b4dc195dd962"
          }
        ],
        "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>Polyp of colon</td><td><span class=\"nb\">06-Jun-2025</span></td><td>active</td></tr><tr><td>Chronic kidney disease stage 2</td><td><span class=\"nb\">29-Jun-2018</span></td><td>active</td></tr><tr><td>Microalbuminuria due to type 2 diabetes mellitus</td><td><span class=\"nb\">29-Jun-2018</span></td><td>active</td></tr><tr><td>Disorder of kidney due to diabetes mellitus</td><td><span class=\"nb\">02-Dec-2016</span></td><td>active</td></tr><tr><td>Chronic kidney disease stage 1</td><td><span class=\"nb\">02-Dec-2016</span></td><td>active</td></tr><tr><td>Obstructive sleep apnea syndrome</td><td><span class=\"nb\">08-Jun-2010</span></td><td>active</td></tr><tr><td>Sleep disorder</td><td><span class=\"nb\">28-May-2010</span></td><td>active</td></tr><tr><td>Substance dependence</td><td><span class=\"nb\">13-Sep-2006</span></td><td>active</td></tr><tr><td>Recurrent urinary tract infection</td><td><span class=\"nb\">07-Jan-2002</span></td><td>active</td></tr><tr><td>Essential hypertension</td><td><span class=\"nb\">05-Aug-1994</span></td><td>active</td></tr><tr><td>Chronic intractable migraine without aura</td><td><span class=\"nb\">28-Oct-1991</span></td><td>active</td></tr><tr><td>Impacted molars</td><td><span class=\"nb\">13-Aug-1990</span></td><td>active</td></tr><tr><td><span class=\"grayedout\">Overdose</span></td><td><span class=\"nb\">07-May-2024 - 08-May-2024</span></td><td><span class=\"grayedout\">inactive</span></td></tr><tr><td><span class=\"grayedout\">Overdose</span></td><td><span class=\"nb\">12-Dec-2023 - 12-Dec-2023</span></td><td><span class=\"grayedout\">inactive</span></td></tr><tr><td><span class=\"grayedout\">Eclampsia in pregnancy</span></td><td><span class=\"nb\">07-Apr-2023 - 21-Apr-2023</span></td><td><span class=\"grayedout\">inactive</span></td></tr><tr><td><span class=\"grayedout\">Pre-eclampsia</span></td><td><span class=\"nb\">13-Aug-2021 - 24-Sep-2021</span></td><td><span class=\"grayedout\">inactive</span></td></tr><tr><td><span class=\"grayedout\">Overdose</span></td><td><span class=\"nb\">28-Feb-2020 - 28-Feb-2020</span></td><td><span class=\"grayedout\">inactive</span></td></tr><tr><td><span class=\"grayedout\">Viral sinusitis</span></td><td><span class=\"nb\">19-Jul-2019 - 29-Jul-2019</span></td><td><span class=\"grayedout\">inactive</span></td></tr><tr><td><span class=\"grayedout\">Overdose</span></td><td><span class=\"nb\">13-Nov-2018 - 13-Nov-2018</span></td><td><span class=\"grayedout\">inactive</span></td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:3c6cd3b5-7f3e-4b80-a427-170360e72629"
              },
              {
                "reference": "urn:uuid:0a604a81-28a0-4c8f-ae37-50d6852bfc44"
              },
              {
                "reference": "urn:uuid:b0b1262a-43c3-4dc2-aefc-272c8a07d180"
              },
              {
                "reference": "urn:uuid:e9e2fc29-1152-4f0f-89a6-9a48c7d50356"
              },
              {
                "reference": "urn:uuid:42ed7c31-719c-4b84-9b41-6596cff45939"
              },
              {
                "reference": "urn:uuid:73b2f367-e54d-46ac-9517-c6a50c3f546a"
              },
              {
                "reference": "urn:uuid:c7e84a88-7669-4a66-b280-335bb4be344f"
              },
              {
                "reference": "urn:uuid:4d7e4694-bd66-4855-a55e-c6d8d5ea6a2b"
              },
              {
                "reference": "urn:uuid:57e801d0-2741-4351-af31-e256fa38cca7"
              },
              {
                "reference": "urn:uuid:ef482569-b6f7-4f2d-bd83-3dda9a442ca4"
              },
              {
                "reference": "urn:uuid:384050d4-d01b-49a6-a371-7e782dc7929d"
              },
              {
                "reference": "urn:uuid:dcdfdcc6-363e-4b0d-997d-4b46dc821501"
              },
              {
                "reference": "urn:uuid:66bb19ae-103a-4704-a3de-ec4303c7bfd3"
              },
              {
                "reference": "urn:uuid:a51c9e38-37d8-4af9-9cc4-cc85328a9d40"
              },
              {
                "reference": "urn:uuid:ce990269-6d09-4b38-b59d-edf5887666ba"
              },
              {
                "reference": "urn:uuid:1c145dda-8084-41cb-8365-ca984573ea5d"
              },
              {
                "reference": "urn:uuid:8ff82c8a-48df-440f-90b2-5f0f911e95ec"
              },
              {
                "reference": "urn:uuid:88c56163-d367-432d-beda-b7f56f971d3f"
              },
              {
                "reference": "urn:uuid:7e983526-2d4e-44d6-afa8-4e52ecc66688"
              }
            ],
            "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>Amlodipine (as amlodipine besylate) 2.5 mg oral tablet</td><td><span class=\"nb\">2025-07-18</span></td><td>-</td><td>1 tablet (2.5 mg) by mouth once daily</td><td>Essential hypertension (disorder)</td></tr><tr><td>Hydrochlorothiazide 25 mg oral tablet</td><td><span class=\"nb\">2025-07-18</span></td><td>-</td><td>1 tablet (25 mg) by mouth once daily</td><td>Essential hypertension (disorder)</td></tr><tr><td>Lisinopril 10 mg oral tablet</td><td><span class=\"nb\">2025-07-18</span></td><td>-</td><td>1 tablet (10 mg) by mouth once daily</td><td>Essential hypertension (disorder)</td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:9f0fbb02-869a-40b2-9ab4-2901171c5014"
              },
              {
                "reference": "urn:uuid:60225fcf-080b-48b0-913a-0a4440573f64"
              },
              {
                "reference": "urn:uuid:eba13f3f-a8b8-44f6-b3d5-0dd75b6fbecd"
              }
            ],
            "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>Live attenuated Human alphaherpesvirus 3 only vaccine product</td><td><span class=\"nb\">18-Jul-2025</span></td></tr><tr><td>Influenza virus antigen only vaccine product</td><td><span class=\"nb\">20-Dec-2024</span></td></tr><tr><td>SARS-CoV-2 mRNA vaccine</td><td><span class=\"nb\">23-Apr-2021</span></td></tr><tr><td>Hepatitis A virus antigen only vaccine product</td><td><span class=\"nb\">02-Dec-2016</span></td></tr><tr><td>Clostridium tetani toxoid antigen adsorbed only vaccine product</td><td><span class=\"nb\">02-Dec-2016</span></td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:7e8debab-89e8-4270-ae3e-3fdb89bf2206"
              },
              {
                "reference": "urn:uuid:655c1cb0-fd12-45a7-bcfa-0ad0b4d5fae0"
              },
              {
                "reference": "urn:uuid:c59db811-cc29-418c-8ae0-4565178b7b6f"
              },
              {
                "reference": "urn:uuid:7f61896f-8d30-47dc-b371-33059533ad9e"
              },
              {
                "reference": "urn:uuid:d0dc8d93-bb90-410b-b812-e453c7c987ba"
              }
            ],
            "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>Episiotomy</td><td><span class=\"nb\">10-Jan-2025</span></td><td>Normal pregnancy (finding)</td></tr><tr><td>Sleep apnea assessment</td><td><span class=\"nb\">28-Jun-2024</span></td><td>Sleep disorder (disorder)</td></tr><tr><td>Assessment of health and social care needs</td><td><span class=\"nb\">28-Jun-2024</span></td><td>-</td></tr><tr><td>Assessment of anxiety</td><td><span class=\"nb\">28-Jun-2024</span></td><td>-</td></tr><tr><td>Medication reconciliation</td><td><span class=\"nb\">26-Jan-2024</span></td><td>-</td></tr><tr><td>Epidural anesthesia</td><td><span class=\"nb\">21-Apr-2023</span></td><td>Normal pregnancy (finding)</td></tr><tr><td>Medical induction of labor</td><td><span class=\"nb\">24-Sep-2021</span></td><td>Normal pregnancy (finding)</td></tr><tr><td>Depression screening</td><td><span class=\"nb\">16-Oct-2020</span></td><td>-</td></tr><tr><td>Screening for domestic abuse</td><td><span class=\"nb\">26-Jul-2019</span></td><td>-</td></tr><tr><td>Depression screening using PHQ-9 (Patient Health Questionnaire 9) score</td><td><span class=\"nb\">26-Oct-2018</span></td><td>-</td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:3adba7a8-7d95-4f4a-9532-27242e5e2422"
              },
              {
                "reference": "urn:uuid:302b360c-98d2-4e9c-b6be-7912347d76bd"
              },
              {
                "reference": "urn:uuid:33eb4561-b9a1-480c-9db4-e5d61fe63f06"
              },
              {
                "reference": "urn:uuid:c5fa4425-77e4-4425-989b-49daba441c7c"
              },
              {
                "reference": "urn:uuid:0b13d624-3444-45af-a367-ddf1c6d4ede7"
              },
              {
                "reference": "urn:uuid:0be0bf85-a3e2-486a-b06a-912c518baafd"
              },
              {
                "reference": "urn:uuid:d680f69d-4566-43e5-bb30-f414647f1234"
              },
              {
                "reference": "urn:uuid:baee5397-00b6-4a31-9407-89258c13c332"
              },
              {
                "reference": "urn:uuid:0046dfa1-72ac-4a82-a886-29ea39cdda64"
              },
              {
                "reference": "urn:uuid:ee0c4fec-9728-4eb8-8b57-0a8c61fa4a4e"
              }
            ],
            "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:010af757-5989-4507-8e6c-90e1a51fdd71"
              }
            ],
            "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>Care plan</td><td><span class=\"nb\">15-Dec-2007</span></td><td>Obstructive sleep apnea syndrome (disorder)</td></tr><tr><td><ul><li>Patient will report reduced daytime sleepiness as measured by the Epworth Sleepiness Scale within 3 months.</li><li>Patient will use CPAP device for at least 4 hours per night on 70% of nights over the next 3 months.</li><li>Patient will report improved sleep quality and fewer nighttime awakenings within 3 months.</li></ul></td><td></td><td></td></tr><tr><td>Lifestyle education regarding hypertension</td><td><span class=\"nb\">05-Aug-1994</span></td><td>Essential hypertension (disorder)</td></tr><tr><td><ul><li>Patient will implement recommended lifestyle changes (diet, exercise, sodium reduction, weight management) to help control blood pressure.</li></ul></td><td></td><td></td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:3ce89e13-d680-4b83-832a-1f6fbaaaed87"
              },
              {
                "reference": "urn:uuid:8ffd93d7-7be4-4dc6-88b0-3c37bf8fea51"
              }
            ],
            "code": {
              "coding": [
                {
                  "code": "18776-5",
                  "system": "http://loinc.org",
                  "display": "Plan of care note"
                }
              ]
            },
            "title": "Care Plan"
          },
          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><th>Vital Signs</th><th>2025-07-18</th><th>2025-05-23</th></tr><tr><td>Body Height</td><td>158.5 cm</td><td>158.5 cm</td></tr><tr><td>Pain severity - 0-10 verbal numeric rating [Score] - Reported</td><td>1 {score}</td><td>4 {score}</td></tr><tr><td>Body Weight</td><td>99.3 kg</td><td>99 kg</td></tr><tr><td>Body mass index (BMI) [Ratio]</td><td>39.5 kg/m2</td><td>39.4 kg/m2</td></tr><tr><td>Heart rate</td><td>63 /min</td><td>90 /min</td></tr><tr><td>Respiratory rate</td><td>16 /min</td><td>13 /min</td></tr><tr><td>Blood pressure panel with all children optional</td><td>66 mm[Hg]</td><td>63 mm[Hg]</td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:ce87bb97-baec-4711-83cf-01af407a8296"
              },
              {
                "reference": "urn:uuid:68b35cf8-a6af-4571-9359-daeff177c6ad"
              },
              {
                "reference": "urn:uuid:151b22cc-dc3f-47c1-92e2-5cc3d7f0fece"
              },
              {
                "reference": "urn:uuid:2a46c7ab-a47f-4967-85f8-904a4b8b93dd"
              },
              {
                "reference": "urn:uuid:c1e80c5c-5d19-49c1-8c70-ea70d98ceaac"
              },
              {
                "reference": "urn:uuid:b5eb0b62-0c42-422c-b66d-debe836851fe"
              },
              {
                "reference": "urn:uuid:3315908d-f731-47fa-b524-9d8c3fa2be70"
              },
              {
                "reference": "urn:uuid:523d8eac-335f-4f8a-877f-a4d41160c153"
              },
              {
                "reference": "urn:uuid:fb82287c-874b-4978-9599-efadfab682a5"
              },
              {
                "reference": "urn:uuid:302914de-3eb4-45bb-b4ff-ac6b310ea438"
              },
              {
                "reference": "urn:uuid:69fef53e-c6d9-465e-8dd4-7e29d5ef0bdd"
              },
              {
                "reference": "urn:uuid:027e0530-5e0d-41d6-82f1-b8499c23f823"
              },
              {
                "reference": "urn:uuid:f603d405-d668-4a49-839c-472b60af6432"
              },
              {
                "reference": "urn:uuid:146ebf27-b90b-4e9b-9954-615d75670618"
              }
            ],
            "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>18-JUL-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Serum or Plasma</td><td>94.5</td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Serum or Plasma</td><td>7.3</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Serum or Plasma</td><td><strong>2.0 H</strong></td><td>0.5 - 1.1</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Serum or Plasma</td><td>8.9</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Serum or Plasma</td><td>136.0</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Serum or Plasma</td><td>5.0</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Serum or Plasma</td><td>102.1</td><td>98 - 107</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Serum or Plasma</td><td><strong>20.2 L</strong></td><td>22 - 29</td><td>mmol/L</td></tr><tr><td>Appearance of Urine</td><td>Cloudy urine</td><td></td><td></td></tr><tr><td>Odor of Urine</td><td>Urine smell ammoniacal</td><td></td><td></td></tr><tr><td>Clarity of Urine</td><td>Translucent</td><td></td><td></td></tr><tr><td>Color of Urine</td><td>Brown color</td><td></td><td></td></tr><tr><td>Glucose [Mass/volume] in Urine by Test strip</td><td>2.4</td><td>0 - 5</td><td>mg/dL</td></tr><tr><td>Glucose [Presence] in Urine by Test strip</td><td>Urine glucose test = ++</td><td></td><td></td></tr><tr><td>Bilirubin.total [Mass/volume] in Urine by Test strip</td><td>1.0</td><td>0 - 4</td><td>mg/dL</td></tr><tr><td>Bilirubin.total [Presence] in Urine by Test strip</td><td>Finding of bilirubin in urine</td><td></td><td></td></tr><tr><td>Ketones [Mass/volume] in Urine by Test strip</td><td>18.3</td><td>0 - 20</td><td>mg/dL</td></tr><tr><td>Ketones [Presence] in Urine by Test strip</td><td>Urine ketone test = +</td><td></td><td></td></tr><tr><td>Specific gravity of Urine by Test strip</td><td><strong>1.0 L</strong></td><td>1.005 - 1.030</td><td>{nominal}</td></tr><tr><td>pH of Urine by Test strip</td><td>5.5</td><td>5.0 - 8.0</td><td>pH</td></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td><strong>310.7 H</strong></td><td>0 - 20</td><td>mg/dL</td></tr><tr><td>Protein [Presence] in Urine by Test strip</td><td>Urine protein test = ++</td><td></td><td></td></tr><tr><td>Nitrite [Presence] in Urine by Test strip</td><td>Urine nitrite negative</td><td></td><td></td></tr><tr><td>Hemoglobin [Presence] in Urine by Test strip</td><td>Urine blood test = negative</td><td></td><td></td></tr><tr><td>Leukocyte esterase [Presence] in Urine by Test strip</td><td>Urine leukocyte test negative</td><td></td><td></td></tr></tbody></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:d24c5f51-a061-482d-8690-26b019ba269b"
              },
              {
                "reference": "urn:uuid:daf29ccd-8fbf-4b27-9317-0596300d987a"
              },
              {
                "reference": "urn:uuid:4c282ceb-8650-4f68-99b7-5d96015834b6"
              },
              {
                "reference": "urn:uuid:a1fabb20-848a-4fe3-b2ae-77c9448ef58c"
              },
              {
                "reference": "urn:uuid:816ecdcb-1d59-4188-962a-8d11dcac6770"
              },
              {
                "reference": "urn:uuid:dccc18ff-fbce-461d-b943-739b80f82314"
              },
              {
                "reference": "urn:uuid:b6d22cc2-fb90-43ea-96c3-a8b6e4f30c00"
              },
              {
                "reference": "urn:uuid:6494daac-485c-41fa-92fd-8ab377113e82"
              },
              {
                "reference": "urn:uuid:c27d8585-f5a9-4649-aff4-4415d4e66d8b"
              },
              {
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                "reference": "urn:uuid:ea1548cf-22c1-4016-aa33-5573fcda1143"
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                "reference": "urn:uuid:35439d65-a881-45b9-8a64-b160ef6760aa"
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                "reference": "urn:uuid:d9ba58bd-796e-4e5c-bc75-ba084a00909d"
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                "reference": "urn:uuid:f58e2b21-0fbe-4732-850a-7dc2931217a6"
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                "reference": "urn:uuid:62d31f6e-3e76-4c69-ab6c-ea977f7f2333"
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                "reference": "urn:uuid:2714610d-adcc-46ad-b727-a18c38bc5b0a"
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                "reference": "urn:uuid:e9fefe07-4964-41ca-abcf-468315cf35e5"
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                "reference": "urn:uuid:9da59ff7-b2ea-4726-95d1-5bd5c0aac721"
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                "reference": "urn:uuid:ebe77449-0864-4fcb-a5a0-440fb3dfe0e1"
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                "reference": "urn:uuid:4696d72e-7a76-49b4-b0c1-9486700be8af"
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                "reference": "urn:uuid:c7f1938c-3a85-445c-84e9-49a028a5194b"
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              "coding": [
                {
                  "code": "30954-2",
                  "system": "http://loinc.org",
                  "display": "Relevant diagnostic tests/laboratory data note"
                }
              ]
            },
            "title": "Relevant diagnostic tests/laboratory data"
          },
          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><th>Device</th><th>Date (since)</th></tr><tr><td>Home continuous positive airway pressure unit (physical object)</td><td><span class=\"nb\">21-Mar-2025</span></td></tr><tr><td>Respiratory humidifier (physical object)</td><td><span class=\"nb\">21-Mar-2025</span></td></tr></table></div>"
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            "entry": [
              {
                "reference": "urn:uuid:cc0c5610-1741-4baf-a875-231d1749d144"
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              {
                "reference": "urn:uuid:6372d617-57fe-4421-961f-87298fb30386"
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            "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:631fb893-f665-498f-9bd1-5eb087f1d41d",
          "display": "Ιορδανία Δουλάμη"
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        "custodian": {
          "reference": "urn:uuid:f33c3314-eb00-4f2f-ba87-54e0d7a2d08e"
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        "date": "2025-07-18T05:51:34Z",
        "confidentiality": "N"
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    {
      "fullUrl": "urn:uuid:631fb893-f665-498f-9bd1-5eb087f1d41d",
      "resource": {
        "resourceType": "Patient",
        "id": "631fb893-f665-498f-9bd1-5eb087f1d41d",
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          "security": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
              "code": "HTEST"
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            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
              "code": "TRAIN"
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          ],
          "tag": [
            {
              "system": "https://synderai.net/fhir/CodeSystem/tags",
              "code": "synthetic",
              "display": "SYNDERAI Synthetic data"
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          ],
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/patient-eu-eps"
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        },
        "identifier": [
          {
            "type": {
              "coding": [
                {
                  "code": "JHN",
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
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            },
            "system": "http://ec.europa.eu/identifier/eci",
            "value": "8835-942848-4"
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          {
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              "coding": [
                {
                  "code": "MR",
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
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            },
            "system": "http://local.setting.eu/identifier",
            "value": "6f49a775-496c-33df-9367-cf2b9567d5bd"
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        ],
        "name": [
          {
            "given": [
              "Ιορδανία"
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            "family": "Δουλάμη",
            "text": "Ιορδανία Δουλάμη"
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        ],
        "address": [
          {
            "line": [
              "Μεσιανής 0"
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            "use": "home",
            "type": "physical",
            "postalCode": "291 00",
            "city": "Ζάκυνθος",
            "country": "Greece"
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "6923 148 850"
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        ],
        "extension": [
          {
            "extension": [
              {
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "code": "GR",
                      "system": "urn:iso:std:iso:3166"
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                  "text": "Greece"
                },
                "url": "code"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality"
          }
        ],
        "text": {
          "status": "generated",
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        "birthDate": "1976-07-07"
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        "resourceType": "PractitionerRole",
        "id": "6d5733e2-7347-4807-9525-b4dc195dd962",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu-core"
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        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Provider Role Id 6d5733e2-7347-4807-9525-b4dc195dd962</td></tr></table></div>"
        },
        "practitioner": {
          "reference": "urn:uuid:061ba3bc-85d1-410b-9a93-3214df464ad1"
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        "organization": {
          "reference": "urn:uuid:f33c3314-eb00-4f2f-ba87-54e0d7a2d08e"
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    {
      "fullUrl": "urn:uuid:f33c3314-eb00-4f2f-ba87-54e0d7a2d08e",
      "resource": {
        "resourceType": "Organization",
        "id": "f33c3314-eb00-4f2f-ba87-54e0d7a2d08e",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/organization-eu-core"
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        },
        "identifier": [
          {
            "assigner": {
              "display": "HL7 Europe"
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            "system": "urn:oid:2.16.840.1.113883.2.51.999",
            "value": "5bb13c5e-4032-4ee3-afbc-017eaba6507c"
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        ],
        "address": [
          {
            "line": [
              "130 Odós Mitropoleos"
            ],
            "city": "Zakynthos",
            "postalCode": "291 00",
            "country": "Greece"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Dr. Aggeliki Papadopoulos</td></tr></table></div>"
        },
        "name": "Dr. Aggeliki Papadopoulos"
      }
    },
    {
      "fullUrl": "urn:uuid:061ba3bc-85d1-410b-9a93-3214df464ad1",
      "resource": {
        "resourceType": "Practitioner",
        "id": "061ba3bc-85d1-410b-9a93-3214df464ad1",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu-core"
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        },
        "name": [
          {
            "prefix": [
              "dr"
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            "given": [
              "Φωκίων"
            ],
            "family": "Καραγρηγορίου"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>dr Φωκίων Καραγρηγορίου</td></tr></table></div>"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:3c6cd3b5-7f3e-4b80-a427-170360e72629",
      "resource": {
        "resourceType": "Condition",
        "id": "3c6cd3b5-7f3e-4b80-a427-170360e72629",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/condition-obl-eu-eps"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "code": "problem-list-item",
                "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                "display": "Problem List Item"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "code": "68496003",
              "system": "http://snomed.info/sct",
              "display": "Polyp of colon (disorder)"
            }
          ],
          "text": "Polyp of colon"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Polyp of colon</td><td><span class=\"nb\">06-Jun-2025</span></td><td>active</td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "active",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
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          ]
        },
        "onsetDateTime": "2025-06-06",
        "subject": {
          "reference": "urn:uuid:631fb893-f665-498f-9bd1-5eb087f1d41d",
          "display": "Ιορδανία Δουλάμη"
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        "asserter": {
          "reference": "urn:uuid:6d5733e2-7347-4807-9525-b4dc195dd962",
          "display": "Dr. Aggeliki Papadopoulos"
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      }
    },
    {
      "fullUrl": "urn:uuid:0a604a81-28a0-4c8f-ae37-50d6852bfc44",
      "resource": {
        "resourceType": "Condition",
        "id": "0a604a81-28a0-4c8f-ae37-50d6852bfc44",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/condition-obl-eu-eps"
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        },
        "category": [
          {
            "coding": [
              {
                "code": "problem-list-item",
                "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                "display": "Problem List Item"
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            ]
          }
        ],
        "code": {
          "coding": [
            {
              "code": "431856006",
              "system": "http://snomed.info/sct",
              "display": "Chronic kidney disease stage 2 (disorder)"
            }
          ],
          "text": "Chronic kidney disease stage 2"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Chronic kidney disease stage 2</td><td><span class=\"nb\">29-Jun-2018</span></td><td>active</td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "active",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
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          ]
        },
        "onsetDateTime": "2018-06-29",
        "subject": {
          "reference": "urn:uuid:631fb893-f665-498f-9bd1-5eb087f1d41d",
          "display": "Ιορδανία Δουλάμη"
        },
        "asserter": {
          "reference": "urn:uuid:6d5733e2-7347-4807-9525-b4dc195dd962",
          "display": "Dr. Aggeliki Papadopoulos"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:b0b1262a-43c3-4dc2-aefc-272c8a07d180",
      "resource": {
        "resourceType": "Condition",
        "id": "b0b1262a-43c3-4dc2-aefc-272c8a07d180",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/condition-obl-eu-eps"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "code": "problem-list-item",
                "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                "display": "Problem List Item"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "code": "90781000119102",
              "system": "http://snomed.info/sct",
              "display": "Microalbuminuria due to type 2 diabetes mellitus (disorder)"
            }
          ],
          "text": "Microalbuminuria due to type 2 diabetes mellitus"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Microalbuminuria due to type 2 diabetes mellitus</td><td><span class=\"nb\">29-Jun-2018</span></td><td>active</td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "active",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
          ]
        },
        "onsetDateTime": "2018-06-29",
        "subject": {
          "reference": "urn:uuid:631fb893-f665-498f-9bd1-5eb087f1d41d",
          "display": "Ιορδανία Δουλάμη"
        },
        "asserter": {
          "reference": "urn:uuid:6d5733e2-7347-4807-9525-b4dc195dd962",
          "display": "Dr. Aggeliki Papadopoulos"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:e9e2fc29-1152-4f0f-89a6-9a48c7d50356",
      "resource": {
        "resourceType": "Condition",
        "id": "e9e2fc29-1152-4f0f-89a6-9a48c7d50356",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/condition-obl-eu-eps"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "code": "problem-list-item",
                "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                "display": "Problem List Item"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "code": "127013003",
              "system": "http://snomed.info/sct",
              "display": "Disorder of kidney due to diabetes mellitus (disorder)"
            }
          ],
          "text": "Disorder of kidney due to diabetes mellitus"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Disorder of kidney due to diabetes mellitus</td><td><span class=\"nb\">02-Dec-2016</span></td><td>active</td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "active",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
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          ]
        },
        "onsetDateTime": "2016-12-02",
        "subject": {
          "reference": "urn:uuid:631fb893-f665-498f-9bd1-5eb087f1d41d",
          "display": "Ιορδανία Δουλάμη"
        },
        "asserter": {
          "reference": "urn:uuid:6d5733e2-7347-4807-9525-b4dc195dd962",
          "display": "Dr. Aggeliki Papadopoulos"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:42ed7c31-719c-4b84-9b41-6596cff45939",
      "resource": {
        "resourceType": "Condition",
        "id": "42ed7c31-719c-4b84-9b41-6596cff45939",
        "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": "431855005",
              "system": "http://snomed.info/sct",
              "display": "Chronic kidney disease stage 1 (disorder)"
            }
          ],
          "text": "Chronic kidney disease stage 1"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Chronic kidney disease stage 1</td><td><span class=\"nb\">02-Dec-2016</span></td><td>active</td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "active",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
          ]
        },
        "onsetDateTime": "2016-12-02",
        "subject": {
          "reference": "urn:uuid:631fb893-f665-498f-9bd1-5eb087f1d41d",
          "display": "Ιορδανία Δουλάμη"
        },
        "asserter": {
          "reference": "urn:uuid:6d5733e2-7347-4807-9525-b4dc195dd962",
          "display": "Dr. Aggeliki Papadopoulos"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:73b2f367-e54d-46ac-9517-c6a50c3f546a",
      "resource": {
        "resourceType": "Condition",
        "id": "73b2f367-e54d-46ac-9517-c6a50c3f546a",
        "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": "78275009",
              "system": "http://snomed.info/sct",
              "display": "Obstructive sleep apnea syndrome (disorder)"
            }
          ],
          "text": "Obstructive sleep apnea syndrome"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Obstructive sleep apnea syndrome</td><td><span class=\"nb\">08-Jun-2010</span></td><td>active</td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "active",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
          ]
        },
        "onsetDateTime": "2010-06-08",
        "subject": {
          "reference": "urn:uuid:631fb893-f665-498f-9bd1-5eb087f1d41d",
          "display": "Ιορδανία Δουλάμη"
        },
        "asserter": {
          "reference": "urn:uuid:6d5733e2-7347-4807-9525-b4dc195dd962",
          "display": "Dr. Aggeliki Papadopoulos"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:c7e84a88-7669-4a66-b280-335bb4be344f",
      "resource": {
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        "id": "c7e84a88-7669-4a66-b280-335bb4be344f",
        "meta": {
          "profile": [
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          ]
        },
        "category": [
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            "coding": [
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                "code": "problem-list-item",
                "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                "display": "Problem List Item"
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            ]
          }
        ],
        "code": {
          "coding": [
            {
              "code": "39898005",
              "system": "http://snomed.info/sct",
              "display": "Sleep disorder (disorder)"
            }
          ],
          "text": "Sleep disorder"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Sleep disorder</td><td><span class=\"nb\">28-May-2010</span></td><td>active</td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "active",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
          ]
        },
        "onsetDateTime": "2010-05-28",
        "subject": {
          "reference": "urn:uuid:631fb893-f665-498f-9bd1-5eb087f1d41d",
          "display": "Ιορδανία Δουλάμη"
        },
        "asserter": {
          "reference": "urn:uuid:6d5733e2-7347-4807-9525-b4dc195dd962",
          "display": "Dr. Aggeliki Papadopoulos"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:4d7e4694-bd66-4855-a55e-c6d8d5ea6a2b",
      "resource": {
        "resourceType": "Condition",
        "id": "4d7e4694-bd66-4855-a55e-c6d8d5ea6a2b",
        "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": "1254812006",
              "system": "http://snomed.info/sct",
              "display": "Substance dependence (disorder)"
            }
          ],
          "text": "Substance dependence"
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        "text": {
          "status": "generated",
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        "subject": {
          "reference": "urn:uuid:631fb893-f665-498f-9bd1-5eb087f1d41d",
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    {
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        "resourceType": "Condition",
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          "profile": [
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        "category": [
          {
            "coding": [
              {
                "code": "problem-list-item",
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                "display": "Problem List Item"
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        ],
        "code": {
          "coding": [
            {
              "code": "197927001",
              "system": "http://snomed.info/sct",
              "display": "Recurrent urinary tract infection (disorder)"
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          ],
          "text": "Recurrent urinary tract infection"
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        "text": {
          "status": "generated",
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          "reference": "urn:uuid:631fb893-f665-498f-9bd1-5eb087f1d41d",
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    {
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        "resourceType": "Condition",
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          "profile": [
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        },
        "category": [
          {
            "coding": [
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        "code": {
          "coding": [
            {
              "code": "59621000",
              "system": "http://snomed.info/sct",
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          "text": "Essential hypertension"
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        "text": {
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        "clinicalStatus": {
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            {
              "code": "active",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
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        "subject": {
          "reference": "urn:uuid:631fb893-f665-498f-9bd1-5eb087f1d41d",
          "display": "Ιορδανία Δουλάμη"
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    {
      "fullUrl": "urn:uuid:384050d4-d01b-49a6-a371-7e782dc7929d",
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        "resourceType": "Condition",
        "id": "384050d4-d01b-49a6-a371-7e782dc7929d",
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          "profile": [
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        "category": [
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                "code": "problem-list-item",
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        "code": {
          "coding": [
            {
              "code": "124171000119105",
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              "display": "Chronic intractable migraine without aura (disorder)"
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          "text": "Chronic intractable migraine without aura"
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          "coding": [
            {
              "code": "active",
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          "reference": "urn:uuid:631fb893-f665-498f-9bd1-5eb087f1d41d",
          "display": "Ιορδανία Δουλάμη"
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        "asserter": {
          "reference": "urn:uuid:6d5733e2-7347-4807-9525-b4dc195dd962",
          "display": "Dr. Aggeliki Papadopoulos"
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    {
      "fullUrl": "urn:uuid:dcdfdcc6-363e-4b0d-997d-4b46dc821501",
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        "resourceType": "Condition",
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          "profile": [
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        "category": [
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                "code": "problem-list-item",
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        "code": {
          "coding": [
            {
              "code": "196416002",
              "system": "http://snomed.info/sct",
              "display": "Impacted molars (disorder)"
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          "text": "Impacted molars"
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Impacted molars</td><td><span class=\"nb\">13-Aug-1990</span></td><td>active</td></tr></table></div>"
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        "clinicalStatus": {
          "coding": [
            {
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              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
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          "reference": "urn:uuid:631fb893-f665-498f-9bd1-5eb087f1d41d",
          "display": "Ιορδανία Δουλάμη"
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        "asserter": {
          "reference": "urn:uuid:6d5733e2-7347-4807-9525-b4dc195dd962",
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    {
      "fullUrl": "urn:uuid:66bb19ae-103a-4704-a3de-ec4303c7bfd3",
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        "id": "66bb19ae-103a-4704-a3de-ec4303c7bfd3",
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          "profile": [
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        },
        "category": [
          {
            "coding": [
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                "code": "problem-list-item",
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        "code": {
          "coding": [
            {
              "code": "1149222004",
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              "display": "Overdose (disorder)"
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          "text": "Overdose"
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          "coding": [
            {
              "code": "inactive",
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        "onsetDateTime": "2024-05-07",
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        "subject": {
          "reference": "urn:uuid:631fb893-f665-498f-9bd1-5eb087f1d41d",
          "display": "Ιορδανία Δουλάμη"
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        "asserter": {
          "reference": "urn:uuid:6d5733e2-7347-4807-9525-b4dc195dd962",
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    {
      "fullUrl": "urn:uuid:a51c9e38-37d8-4af9-9cc4-cc85328a9d40",
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        "resourceType": "Condition",
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        "code": {
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        "onsetDateTime": "2023-12-12",
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        "code": {
          "coding": [
            {
              "code": "198992004",
              "system": "http://snomed.info/sct",
              "display": "Eclampsia in pregnancy (disorder)"
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          "text": "Eclampsia in pregnancy"
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        "text": {
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        "asserter": {
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    {
      "fullUrl": "urn:uuid:1c145dda-8084-41cb-8365-ca984573ea5d",
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        "category": [
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                "code": "problem-list-item",
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        "code": {
          "coding": [
            {
              "code": "398254007",
              "system": "http://snomed.info/sct",
              "display": "Pre-eclampsia (disorder)"
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          "text": "Pre-eclampsia"
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        "text": {
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        "onsetDateTime": "2021-08-13",
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          "reference": "urn:uuid:631fb893-f665-498f-9bd1-5eb087f1d41d",
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          "reference": "urn:uuid:6d5733e2-7347-4807-9525-b4dc195dd962",
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        "code": {
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          "text": "Overdose"
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        "category": [
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                "code": "problem-list-item",
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        "code": {
          "coding": [
            {
              "code": "444814009",
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              "display": "Viral sinusitis (disorder)"
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          "text": "Viral sinusitis"
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        "text": {
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        "onsetDateTime": "2019-07-19",
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        "asserter": {
          "reference": "urn:uuid:6d5733e2-7347-4807-9525-b4dc195dd962",
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        "category": [
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                "code": "problem-list-item",
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        "code": {
          "coding": [
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        "onsetDateTime": "2018-11-13",
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        "resourceType": "Medication",
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          "profile": [
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              "display": "Amlodipine (as amlodipine besylate) 2.5 mg oral tablet"
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          ],
          "text": "Amlodipine (as amlodipine besylate) 2.5 mg oral tablet"
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        "text": {
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    },
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      "resource": {
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            "text": "1 tablet (2.5 mg) by mouth once daily",
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            {
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          "text": "Clostridium tetani toxoid antigen adsorbed only vaccine product"
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            {
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          "text": "Assessment of anxiety"
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        "resourceType": "Procedure",
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        "code": {
          "coding": [
            {
              "code": "18946005",
              "system": "http://snomed.info/sct",
              "display": "Epidural anesthesia (procedure)"
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          ],
          "text": "Epidural anesthesia"
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        "reasonCode": [
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            "coding": [
              {
                "code": "72892002",
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                "display": "Normal pregnancy (finding)"
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          "coding": [
            {
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              "display": "Medical induction of labor (procedure)"
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          "coding": [
            {
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        "code": {
          "coding": [
            {
              "code": "866148006",
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          "text": "Screening for domestic abuse"
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          "coding": [
            {
              "code": "715252007",
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              "display": "Depression screening using Patient Health Questionnaire Nine Item score (procedure)"
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          ],
          "text": "Depression screening using PHQ-9 (Patient Health Questionnaire 9) score"
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        },
        "status": "completed",
        "performedDateTime": "2018-10-26",
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          "reference": "urn:uuid:631fb893-f665-498f-9bd1-5eb087f1d41d",
          "display": "Ιορδανία Δουλάμη"
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      }
    },
    {
      "fullUrl": "urn:uuid:010af757-5989-4507-8e6c-90e1a51fdd71",
      "resource": {
        "resourceType": "AllergyIntolerance",
        "id": "010af757-5989-4507-8e6c-90e1a51fdd71",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/allergyIntolerance-eu-core"
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        },
        "code": {
          "coding": [
            {
              "code": "716186003",
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              "display": "No known allergy (situation)"
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        "clinicalStatus": {
          "coding": [
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        "patient": {
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          "display": "Ιορδανία Δουλάμη"
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          "coding": [
            {
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            {
              "url": "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
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    {
      "fullUrl": "urn:uuid:3ce89e13-d680-4b83-832a-1f6fbaaaed87",
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        "resourceType": "CarePlan",
        "id": "3ce89e13-d680-4b83-832a-1f6fbaaaed87",
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                "code": "734163000",
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              "status": "unknown",
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          {
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          "unit": "{score}"
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        "valueQuantity": {
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        "valueQuantity": {
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          "code": "kg/m2",
          "system": "http://unitsofmeasure.org",
          "unit": "kg/m2"
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        "valueQuantity": {
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          "code": "/min",
          "system": "http://unitsofmeasure.org",
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          ],
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              "display": "Bilirubin.total [Mass/volume] in Urine by Test strip"
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          "text": "Nitrite [Presence] in Urine by Test strip"
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              "display": "Hemoglobin [Presence] in Urine by Test strip"
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              "display": "Leukocyte esterase [Presence] in Urine by Test strip"
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Home continuous positive airway pressure unit (physical object) ((01)24324097956997(11)250228(17)500315(10)454015059823(21)7538883839261)</div>"
        },
        "status": "active",
        "patient": {
          "reference": "urn:uuid:631fb893-f665-498f-9bd1-5eb087f1d41d",
          "display": "Ιορδανία Δουλάμη"
        },
        "type": {
          "coding": [
            {
              "code": "702172008",
              "system": "http://snomed.info/sct",
              "display": "Home continuous positive airway pressure unit (physical object)"
            }
          ]
        }
      }
    },
    {
      "fullUrl": "urn:uuid:6372d617-57fe-4421-961f-87298fb30386",
      "resource": {
        "resourceType": "DeviceUseStatement",
        "id": "6372d617-57fe-4421-961f-87298fb30386",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/deviceUseStatement-eu-eps"
          ]
        },
        "timingPeriod": {
          "start": "2025-03-21"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Respiratory humidifier (physical object)</td><td><span class=\"nb\">21-Mar-2025</span></td></tr></table></div>"
        },
        "status": "active",
        "device": {
          "reference": "urn:uuid:4d02a7a9-c195-4f17-b9f8-9e92afbadede",
          "display": "Respiratory humidifier (physical object)"
        },
        "subject": {
          "reference": "urn:uuid:631fb893-f665-498f-9bd1-5eb087f1d41d",
          "display": "Ιορδανία Δουλάμη"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:4d02a7a9-c195-4f17-b9f8-9e92afbadede",
      "resource": {
        "resourceType": "Device",
        "id": "4d02a7a9-c195-4f17-b9f8-9e92afbadede",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/device-eu-eps"
          ]
        },
        "udiCarrier": [
          {
            "deviceIdentifier": "19270487368714",
            "issuer": "https://www.gs1.org/",
            "entryType": "barcode",
            "carrierHRF": "(01)19270487368714(11)250228(17)500315(10)623544187(21)1443037154826245936"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Respiratory humidifier (physical object) ((01)19270487368714(11)250228(17)500315(10)623544187(21)1443037154826245936)</div>"
        },
        "status": "active",
        "patient": {
          "reference": "urn:uuid:631fb893-f665-498f-9bd1-5eb087f1d41d",
          "display": "Ιορδανία Δουλάμη"
        },
        "type": {
          "coding": [
            {
              "code": "706180003",
              "system": "http://snomed.info/sct",
              "display": "Respiratory humidifier (physical object)"
            }
          ]
        }
      }
    },
    {
      "fullUrl": "urn:uuid:6b2bfd1f-be55-4645-9a6b-1f47ee5b5986",
      "resource": {
        "resourceType": "Device",
        "id": "6b2bfd1f-be55-4645-9a6b-1f47ee5b5986",
        "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"
      }
    },
    {
      "fullUrl": "urn:uuid:3cde668c-3e69-4eea-9a1a-d90c134c6250",
      "resource": {
        "resourceType": "Provenance",
        "id": "3cde668c-3e69-4eea-9a1a-d90c134c6250",
        "target": [
          {
            "reference": "urn:uuid:631fb893-f665-498f-9bd1-5eb087f1d41d"
          },
          {
            "reference": "urn:uuid:7b8efedb-bb71-4978-a376-ed544b4e42c9"
          },
          {
            "reference": "urn:uuid:6d5733e2-7347-4807-9525-b4dc195dd962"
          },
          {
            "reference": "urn:uuid:f33c3314-eb00-4f2f-ba87-54e0d7a2d08e"
          },
          {
            "reference": "urn:uuid:061ba3bc-85d1-410b-9a93-3214df464ad1"
          }
        ],
        "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"
            },
            "who": {
              "reference": "urn:uuid:6b2bfd1f-be55-4645-9a6b-1f47ee5b5986"
            }
          }
        ],
        "reason": [
          {
            "coding": [
              {
                "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": "2025-07-18T03:51:34Z"
      }
    }
  ],
  "type": "document",
  "timestamp": "2025-07-18T05:51:34Z"
}
