{
  "resourceType": "Bundle",
  "id": "c264a3ac-9429-4167-be86-2a003a8a6d74",
  "meta": {
    "profile": [
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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": "91bd3be9-91e6-4039-a36f-df4e65a13ab5"
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  "entry": [
    {
      "fullUrl": "urn:uuid:a76f45b9-fbb9-481e-ba79-cd4260aece56",
      "resource": {
        "resourceType": "Composition",
        "id": "a76f45b9-fbb9-481e-ba79-cd4260aece56",
        "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": "62f5c580-33d7-47a6-afd4-d10cb9e988a8"
        },
        "type": {
          "coding": [
            {
              "code": "60591-5",
              "system": "http://loinc.org",
              "display": "Patient summary Document"
            }
          ],
          "text": "Patient summary Document"
        },
        "author": [
          {
            "reference": "urn:uuid:98311db7-9f7b-482f-a39f-5dbe04a41c3d"
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        ],
        "section": [
          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>No known problems or disabilities</td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:4d597e10-8f6d-4086-98be-33c3d67f60c0"
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            ],
            "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><td>No known medications</td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:40c50beb-f8c2-4a33-9854-ebe8dc1fbd9b"
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            ],
            "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\">02-Apr-2025</span></td></tr><tr><td>SARS-CoV-2 mRNA vaccine</td><td><span class=\"nb\">12-May-2021</span></td></tr><tr><td>Hepatitis A virus antigen only vaccine product</td><td><span class=\"nb\">20-Mar-2019</span></td></tr><tr><td>Clostridium tetani toxoid antigen adsorbed only vaccine product</td><td><span class=\"nb\">20-Mar-2019</span></td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:067ace4b-223c-404c-ba86-5b434d549b70"
              },
              {
                "reference": "urn:uuid:e99b90d5-478b-4bf5-b7b2-35465eae5a88"
              },
              {
                "reference": "urn:uuid:0df1e6ea-b8e0-4b6c-9a16-4fb613a5cab0"
              },
              {
                "reference": "urn:uuid:465dec46-adf2-4a5e-9f30-9619e16481e1"
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            ],
            "code": {
              "coding": [
                {
                  "code": "11369-6",
                  "system": "http://loinc.org",
                  "display": "History of Immunization note"
                }
              ]
            },
            "title": "Immunizations list"
          },
          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>No known procedures</td></tr></table></div>"
            },
            "code": {
              "coding": [
                {
                  "code": "47519-4",
                  "system": "http://loinc.org",
                  "display": "History of Procedures Document"
                }
              ]
            },
            "title": "Procedure History list",
            "emptyReason": {
              "coding": [
                {
                  "code": "nilknown",
                  "system": "http://terminology.hl7.org/CodeSystem/list-empty-reason"
                }
              ]
            }
          },
          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>No known allergies or intolerances</td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:aea45ef3-13b1-4849-9b8b-5192a446d5ea"
              }
            ],
            "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>Vital Signs</th><th>2025-04-02</th><th>2023-03-29</th></tr><tr><td>Body Height</td><td>174.1 cm</td><td>174.1 cm</td></tr><tr><td>Pain severity - 0-10 verbal numeric rating [Score] - Reported</td><td>3 {score}</td><td>2 {score}</td></tr><tr><td>Body Weight</td><td>92.3 kg</td><td>92.3 kg</td></tr><tr><td>Body mass index (BMI) [Ratio]</td><td>30.5 kg/m2</td><td>30.5 kg/m2</td></tr><tr><td>Heart rate</td><td>65 /min</td><td>88 /min</td></tr><tr><td>Respiratory rate</td><td>14 /min</td><td>14 /min</td></tr><tr><td>Blood pressure panel with all children optional</td><td>77 mm[Hg]</td><td>79 mm[Hg]</td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:297b45b4-a1b1-42a0-9b12-d2222a718812"
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              {
                "reference": "urn:uuid:be7b8c64-926f-4388-b8cd-b38d544102d5"
              },
              {
                "reference": "urn:uuid:02092fda-f176-4cb6-9471-83228aeb59aa"
              },
              {
                "reference": "urn:uuid:263dfd21-85b9-4bc3-9c81-771ebbca66ff"
              },
              {
                "reference": "urn:uuid:8688b221-257d-4ed8-af81-63fb36823e96"
              },
              {
                "reference": "urn:uuid:1c4c54b0-9db9-427e-afd9-29474c24f35b"
              },
              {
                "reference": "urn:uuid:f7fb6ae2-3d8e-4b61-95a6-0d2161a58562"
              },
              {
                "reference": "urn:uuid:de5a81cb-0429-4c3e-bce5-aefed8bca0ff"
              },
              {
                "reference": "urn:uuid:55b1c5dd-69de-450f-8340-a753f261e80f"
              },
              {
                "reference": "urn:uuid:c289851c-02cd-4db6-9b37-85137ba4393c"
              },
              {
                "reference": "urn:uuid:1984e831-6cae-4095-87aa-aaf53d9c329e"
              },
              {
                "reference": "urn:uuid:59a030f3-864b-4096-acc5-0ac865d27ae9"
              },
              {
                "reference": "urn:uuid:cd972b0c-99ca-4db8-8491-65a6189e4e88"
              },
              {
                "reference": "urn:uuid:806d6511-5337-4d91-8040-3077c61d3501"
              }
            ],
            "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>30-MAR-2023</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Cholesterol [Mass/volume] in Serum or Plasma</td><td>185.6</td><td>125 - 200</td><td>mg/dL</td></tr><tr><td>Triglyceride [Mass/volume] in Serum or Plasma</td><td>140.5</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>103.6 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>53.9</td><td>40 - 60</td><td>mg/dL</td></tr><tr><td>Leukocytes [#/volume] in Blood by Automated count</td><td>9.7</td><td>4.0 - 11.0</td><td>10*3/uL</td></tr><tr><td>Erythrocytes [#/volume] in Blood by Automated count</td><td>5.4</td><td>4.5 - 5.9</td><td>10*6/uL</td></tr><tr><td>Hemoglobin [Mass/volume] in Blood</td><td><strong>12.6 L</strong></td><td>13.5 - 17.5</td><td>g/dL</td></tr><tr><td>Hematocrit [Volume Fraction] of Blood by Automated count</td><td><strong>36.6 L</strong></td><td>39 - 50</td><td>%</td></tr><tr><td>MCV [Entitic mean volume] in Red Blood Cells by Automated count</td><td>83.3</td><td>80 - 100</td><td>fL</td></tr><tr><td>MCH [Entitic mass] by Automated count</td><td>31.0</td><td>27 - 33</td><td>pg</td></tr><tr><td>MCHC [Entitic Mass/volume] in Red Blood Cells by Automated count</td><td>33.5</td><td>32 - 36</td><td>g/dL</td></tr><tr><td>Erythrocyte distribution width [Entitic volume] by Automated count</td><td>41.1</td><td>36 - 48</td><td>fL</td></tr><tr><td>Platelets [#/volume] in Blood by Automated count</td><td>160.2</td><td>150 - 450</td><td>10*3/uL</td></tr><tr><td>Platelet distribution width [Entitic volume] in Blood by Automated count</td><td><strong>199.6 H</strong></td><td>9.4 - 12.3</td><td>fL</td></tr><tr><td>Platelet [Entitic mean volume] in Blood by Automated count</td><td>10.5</td><td>7.2 - 11.1</td><td>fL</td></tr></tbody></table></div>"
            },
            "entry": [
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                "reference": "urn:uuid:fc186c3e-1644-48f9-aa3d-b7c71d996327"
              },
              {
                "reference": "urn:uuid:1613b4e7-b823-49a4-a1bb-643aaa003ce0"
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              {
                "reference": "urn:uuid:8e61184d-886c-4a52-872b-84750a71e37a"
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              {
                "reference": "urn:uuid:af7561ed-37d4-4de4-8e58-4178fc9e7c5d"
              },
              {
                "reference": "urn:uuid:17dcc4a0-3900-46a9-9e43-f7378ea7fa35"
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              {
                "reference": "urn:uuid:4b4314f1-741b-4090-9f4a-696194b709f0"
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              {
                "reference": "urn:uuid:826022ff-b49d-499b-ba92-3a5e0f99cc91"
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              {
                "reference": "urn:uuid:2627c536-db8a-443b-a372-5d0bc3623659"
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              {
                "reference": "urn:uuid:e21df59a-f383-4f78-b497-12e55cafbf46"
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              {
                "reference": "urn:uuid:8804c134-e52b-453b-a0c4-c107f9b90b1d"
              },
              {
                "reference": "urn:uuid:fbf014b6-ae13-4b6d-bd83-d2b19d55f966"
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              {
                "reference": "urn:uuid:04bf98db-63b7-42de-887b-f96b0b7feaa7"
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              {
                "reference": "urn:uuid:6dd36732-47ea-4c9a-8aa8-13abf41b735c"
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              {
                "reference": "urn:uuid:f8544fb6-3a56-4dd8-981a-6171bb002b25"
              },
              {
                "reference": "urn:uuid:44f0e98a-f684-47cb-a8da-59e5e8101038"
              }
            ],
            "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><td>No known devices</td></tr></table></div>"
            },
            "code": {
              "coding": [
                {
                  "code": "46264-8",
                  "system": "http://loinc.org",
                  "display": "History of medical device use"
                }
              ]
            },
            "title": "Device Use",
            "emptyReason": {
              "coding": [
                {
                  "code": "nilknown",
                  "system": "http://terminology.hl7.org/CodeSystem/list-empty-reason"
                }
              ]
            }
          }
        ],
        "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:8d0ca478-a413-4cd5-85b8-daf43fbfd7c3",
          "display": "Marius Urbonas"
        },
        "custodian": {
          "reference": "urn:uuid:bb609428-f0eb-4b35-9173-8de644ab18d6"
        },
        "date": "2023-03-30T00:33:38Z",
        "confidentiality": "N"
      }
    },
    {
      "fullUrl": "urn:uuid:8d0ca478-a413-4cd5-85b8-daf43fbfd7c3",
      "resource": {
        "resourceType": "Patient",
        "id": "8d0ca478-a413-4cd5-85b8-daf43fbfd7c3",
        "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": "9463-009524-1"
          },
          {
            "type": {
              "coding": [
                {
                  "code": "MR",
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
                }
              ]
            },
            "system": "http://local.setting.eu/identifier",
            "value": "7f0560be-7d5d-03a1-bb03-4b62dc21de3e"
          }
        ],
        "name": [
          {
            "given": [
              "Marius"
            ],
            "family": "Urbonas",
            "text": "Marius Urbonas"
          }
        ],
        "address": [
          {
            "line": [
              "5354 Tautvydas Stream"
            ],
            "use": "home",
            "type": "physical",
            "postalCode": "46331",
            "city": "East Vėjūnėville",
            "country": "Lithuania"
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "+370 60068289"
          }
        ],
        "extension": [
          {
            "extension": [
              {
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "code": "LT",
                      "system": "urn:iso:std:iso:3166"
                    }
                  ],
                  "text": "Lithuania"
                },
                "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>Marius Urbonas</td><td>male</td><td>24-Apr-1979</td></tr></table></div>"
        },
        "gender": "male",
        "birthDate": "1979-04-24"
      }
    },
    {
      "fullUrl": "urn:uuid:98311db7-9f7b-482f-a39f-5dbe04a41c3d",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "98311db7-9f7b-482f-a39f-5dbe04a41c3d",
        "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 98311db7-9f7b-482f-a39f-5dbe04a41c3d</td></tr></table></div>"
        },
        "practitioner": {
          "reference": "urn:uuid:de716f79-e693-46bc-92b5-17d676a2b69f"
        },
        "organization": {
          "reference": "urn:uuid:bb609428-f0eb-4b35-9173-8de644ab18d6"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:bb609428-f0eb-4b35-9173-8de644ab18d6",
      "resource": {
        "resourceType": "Organization",
        "id": "bb609428-f0eb-4b35-9173-8de644ab18d6",
        "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": "ad70607c-2e4a-414c-beca-1542b18bc821"
          }
        ],
        "address": [
          {
            "line": [
              "106 Gedimino pr."
            ],
            "city": "Kėdainiai",
            "postalCode": "LT-57400",
            "country": "Lithuania"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Dr. Aistė Juozaitis</td></tr></table></div>"
        },
        "name": "Dr. Aistė Juozaitis"
      }
    },
    {
      "fullUrl": "urn:uuid:de716f79-e693-46bc-92b5-17d676a2b69f",
      "resource": {
        "resourceType": "Practitioner",
        "id": "de716f79-e693-46bc-92b5-17d676a2b69f",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu-core"
          ]
        },
        "name": [
          {
            "given": [
              "Eglė"
            ],
            "family": "Kalvaitis"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Eglė Kalvaitis</td></tr></table></div>"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:4d597e10-8f6d-4086-98be-33c3d67f60c0",
      "resource": {
        "resourceType": "Condition",
        "id": "4d597e10-8f6d-4086-98be-33c3d67f60c0",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/condition-obl-eu-eps"
          ]
        },
        "code": {
          "coding": [
            {
              "code": "160245001",
              "system": "http://snomed.info/sct",
              "display": "No current problems or disability (situation)"
            }
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>No known problems or disabilities</td></tr></table></div>"
        },
        "subject": {
          "reference": "urn:uuid:8d0ca478-a413-4cd5-85b8-daf43fbfd7c3",
          "display": "Marius Urbonas"
        },
        "_onsetDateTime": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
              "valueCode": "unknown"
            }
          ]
        }
      }
    },
    {
      "fullUrl": "urn:uuid:40c50beb-f8c2-4a33-9854-ebe8dc1fbd9b",
      "resource": {
        "resourceType": "MedicationStatement",
        "id": "40c50beb-f8c2-4a33-9854-ebe8dc1fbd9b",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/MedicationStatement-eu-eps"
          ]
        },
        "effectivePeriod": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
              "valueCode": "unknown"
            }
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips first25\"><tr><td>No known medications</td></tr></table></div>"
        },
        "status": "active",
        "medicationCodeableConcept": {
          "coding": [
            {
              "code": "787481004",
              "system": "http://snomed.info/sct",
              "display": "No known medications (situation)"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:8d0ca478-a413-4cd5-85b8-daf43fbfd7c3",
          "display": "Marius Urbonas"
        }
      }
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              "display": "Erythrocytes [#/volume] in Blood by Automated count"
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          "text": "Erythrocyte distribution width [Entitic volume] by Automated count"
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              "display": "Platelets [#/volume] in Blood by Automated count"
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          "text": "Platelet distribution width [Entitic volume] in Blood by Automated count"
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  ],
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  "timestamp": "2023-03-30T00:33:38Z"
}