{
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      "http://hl7.eu/fhir/eps/StructureDefinition/bundle-eu-eps"
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  },
  "identifier": {
    "assigner": {
      "display": "HL7 Europe"
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    "system": "urn:oid:2.16.840.1.113883.2.51.999",
    "value": "9ac7a15d-8110-426e-82b0-ca3d4ca98895"
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  "entry": [
    {
      "fullUrl": "urn:uuid:b44bbe80-8f87-4374-8794-ed4604ad798f",
      "resource": {
        "resourceType": "Composition",
        "id": "b44bbe80-8f87-4374-8794-ed4604ad798f",
        "meta": {
          "security": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
              "code": "HTEST"
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            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
              "code": "TRAIN"
            }
          ],
          "tag": [
            {
              "system": "https://synderai.net/fhir/CodeSystem/tags",
              "code": "synthetic",
              "display": "SYNDERAI Synthetic data"
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          ],
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/composition-eu-eps"
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        },
        "identifier": {
          "assigner": {
            "display": "HL7 Europe"
          },
          "system": "urn:oid:2.16.840.1.113883.2.51.999",
          "value": "fe26156a-4b18-4eb5-9e66-fc470470f89f"
        },
        "type": {
          "coding": [
            {
              "code": "60591-5",
              "system": "http://loinc.org",
              "display": "Patient summary Document"
            }
          ],
          "text": "Patient summary Document"
        },
        "author": [
          {
            "reference": "urn:uuid:9dac205f-14fb-4d78-b131-eeb3f0a21bbe"
          }
        ],
        "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>Proteinuria due to type 2 diabetes mellitus</td><td><span class=\"nb\">30-Jun-2013</span></td><td>active</td></tr><tr><td>Microalbuminuria due to type 2 diabetes mellitus</td><td><span class=\"nb\">17-Oct-2004</span></td><td>active</td></tr><tr><td>Metabolic syndrome X</td><td><span class=\"nb\">29-Feb-2004</span></td><td>active</td></tr><tr><td>Disorder of kidney due to diabetes mellitus</td><td><span class=\"nb\">23-Feb-2003</span></td><td>active</td></tr><tr><td>Essential hypertension</td><td><span class=\"nb\">06-Feb-2000</span></td><td>active</td></tr><tr><td><span class=\"grayedout\">Sinusitis</span></td><td><span class=\"nb\">07-Jan-2024 - 15-Feb-2024</span></td><td><span class=\"grayedout\">inactive</span></td></tr><tr><td><span class=\"grayedout\">Chronic kidney disease stage 4</span></td><td><span class=\"nb\">04-Nov-2018 - 25-Aug-2021</span></td><td><span class=\"grayedout\">inactive</span></td></tr><tr><td><span class=\"grayedout\">Chronic kidney disease stage 3</span></td><td><span class=\"nb\">30-Jun-2013 - 25-Aug-2021</span></td><td><span class=\"grayedout\">inactive</span></td></tr><tr><td><span class=\"grayedout\">Chronic kidney disease stage 2</span></td><td><span class=\"nb\">17-Oct-2004 - 25-Aug-2021</span></td><td><span class=\"grayedout\">inactive</span></td></tr><tr><td><span class=\"grayedout\">Chronic kidney disease stage 1</span></td><td><span class=\"nb\">23-Feb-2003 - 25-Aug-2021</span></td><td><span class=\"grayedout\">inactive</span></td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:45de21ba-a539-4729-82a1-a9440968e1ab"
              },
              {
                "reference": "urn:uuid:494a84a6-9d56-403e-b7a8-1de08a2f3808"
              },
              {
                "reference": "urn:uuid:43348ce6-a315-48b7-bc2c-3ede09ff7cab"
              },
              {
                "reference": "urn:uuid:b6450966-33d4-46d2-986e-36d73f85b7d7"
              },
              {
                "reference": "urn:uuid:83c2793d-ae12-49ff-8efc-1f3f72be9327"
              },
              {
                "reference": "urn:uuid:ebc3ad65-9f96-4038-b852-980713336bb6"
              },
              {
                "reference": "urn:uuid:fc9cdc70-7440-4f4e-83d4-a8fed8696942"
              },
              {
                "reference": "urn:uuid:dd687686-4ccc-4b93-9f84-379da3f6d169"
              },
              {
                "reference": "urn:uuid:5f729c5f-512d-4e02-b9f2-78e975cfece7"
              },
              {
                "reference": "urn:uuid:a50de532-b608-4c5a-8d08-93b6fb5e8c22"
              }
            ],
            "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>Human isophane insulin 70 unit/mL and recombinant human regular insulin 30 unit/mL solution for injection</td><td><span class=\"nb\">2025-06-29</span></td><td>-</td><td>Inject 10 units (70/30 insulin) subcutaneously twice daily before breakfast and dinner</td><td>Prediabetes</td></tr><tr><td>Amlodipine (as amlodipine besylate) 2.5 mg oral tablet</td><td><span class=\"nb\">2025-06-29</span></td><td>-</td><td>1 tablet (2.5 mg) by mouth once daily</td><td>Essential hypertension (disorder)</td></tr><tr><td>Lisinopril 10 mg oral tablet</td><td><span class=\"nb\">2025-06-29</span></td><td>-</td><td>1 tablet (10 mg) by mouth once daily</td><td>Essential hypertension (disorder)</td></tr><tr><td>Tacrolimus 1 mg prolonged-release oral tablet</td><td><span class=\"nb\">2025-06-29</span></td><td>-</td><td>1 tablet (1 mg) once daily</td><td>History of renal transplant (situation)</td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:e1a73da9-12d0-47c3-b368-466823a06087"
              },
              {
                "reference": "urn:uuid:0ed5723d-b610-4c3b-b108-be96c583d850"
              },
              {
                "reference": "urn:uuid:3fef18a2-b264-40ac-8029-81cf2ffd804b"
              },
              {
                "reference": "urn:uuid:a1a2dadb-3add-4054-b762-d79b35648328"
              }
            ],
            "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\">29-Jun-2025</span></td></tr><tr><td>Clostridium tetani toxoid antigen adsorbed only vaccine product</td><td><span class=\"nb\">18-Jun-2023</span></td></tr><tr><td>SARS-CoV-2 mRNA vaccine</td><td><span class=\"nb\">02-May-2021</span></td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:a354c63c-c1f3-4060-bbb6-f389b97b663b"
              },
              {
                "reference": "urn:uuid:70476ba7-ea14-45aa-b607-563b853de652"
              },
              {
                "reference": "urn:uuid:e18a6e17-d646-48e9-a10a-eb0733cbb1e5"
              }
            ],
            "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>Medication reconciliation</td><td><span class=\"nb\">24-Dec-2023</span></td><td>-</td></tr><tr><td>Assessment of health and social care needs</td><td><span class=\"nb\">24-Dec-2023</span></td><td>-</td></tr><tr><td>Transplantation of kidney regime</td><td><span class=\"nb\">27-Aug-2021</span></td><td>History of renal transplant (situation)</td></tr><tr><td>Transplant of kidney</td><td><span class=\"nb\">24-Aug-2021</span></td><td>Awaiting transplantation of kidney (situation)</td></tr><tr><td>Pretransplant evaluation of kidney recipient</td><td><span class=\"nb\">24-Aug-2021</span></td><td>Awaiting transplantation of kidney (situation)</td></tr><tr><td>Depression screening</td><td><span class=\"nb\">03-Dec-2017</span></td><td>-</td></tr><tr><td>Screening for substance abuse</td><td><span class=\"nb\">03-Dec-2017</span></td><td>-</td></tr><tr><td>Screening for domestic abuse</td><td><span class=\"nb\">03-Dec-2017</span></td><td>-</td></tr><tr><td>Assessment of substance use</td><td><span class=\"nb\">03-Dec-2017</span></td><td>-</td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:5ff49ee4-3daa-45df-b816-b8a90d4ab04c"
              },
              {
                "reference": "urn:uuid:2f0cfc94-c392-4183-b98b-c6d1a921a37b"
              },
              {
                "reference": "urn:uuid:92b77f36-ffe9-48fd-aff7-38f27ae71acd"
              },
              {
                "reference": "urn:uuid:2408ebc3-d55a-4059-86c9-374a90264db5"
              },
              {
                "reference": "urn:uuid:6b3709fe-f303-492a-bc3e-457c2d7dfc10"
              },
              {
                "reference": "urn:uuid:0b618a2b-61e5-4889-9cb0-79599b721123"
              },
              {
                "reference": "urn:uuid:596eb63e-0141-4f19-8a6c-88ebf364e03a"
              },
              {
                "reference": "urn:uuid:838501a1-93a7-4916-9fbd-ac26116ec86a"
              },
              {
                "reference": "urn:uuid:c34bdd25-b142-4c44-bcf9-7256f27de7f3"
              }
            ],
            "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:d625364f-8af4-401d-b094-484a330ec80a"
              }
            ],
            "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\">25-Aug-2021</span></td><td>-</td></tr><tr><td>Dialysis care plan</td><td><span class=\"nb\">31-May-2018</span></td><td>-</td></tr><tr><td>Diabetes self management plan</td><td><span class=\"nb\">29-Feb-2004</span></td><td>Prediabetes (finding)</td></tr><tr><td><ul><li>Achieve and maintain HbA1c within individualized target range to reduce risk of diabetes complications.</li><li>Maintain blood pressure within recommended range for patients with diabetes and kidney disease.</li><li>Reduce urinary albumin excretion to slow progression of diabetic kidney disease.</li><li>Achieve and maintain healthy weight to improve metabolic control and reduce cardiovascular risk.</li><li>Engage in regular physical activity as recommended for diabetes self-management.</li></ul></td><td></td><td></td></tr><tr><td>Lifestyle education regarding hypertension</td><td><span class=\"nb\">06-Feb-2000</span></td><td>Essential hypertension (disorder)</td></tr><tr><td><ul><li>Patient will receive education on lifestyle changes (diet, exercise, sodium reduction, weight management, alcohol moderation) to help control blood pressure.</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:246976ae-5ad7-4d36-9674-f987c2834071"
              },
              {
                "reference": "urn:uuid:c063856c-e72f-468c-aa7a-c1b37d3d5d17"
              },
              {
                "reference": "urn:uuid:efbda92b-a6d6-4047-9f84-f91cb20bfc08"
              },
              {
                "reference": "urn:uuid:c395c9c5-cb56-449f-8b5f-65b288ecf9ab"
              },
              {
                "reference": "urn:uuid:fcef6c81-ca9c-4953-a8ce-6b4f0e6a7429"
              }
            ],
            "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>2025-06-29</th><th>2024-06-23</th></tr><tr><td>Body Height</td><td>175 cm</td><td>175 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>85.8 kg</td><td>85.8 kg</td></tr><tr><td>Body mass index (BMI) [Ratio]</td><td>28 kg/m2</td><td>28 kg/m2</td></tr><tr><td>Heart rate</td><td>84 /min</td><td>86 /min</td></tr><tr><td>Respiratory rate</td><td>15 /min</td><td>14 /min</td></tr><tr><td>Blood pressure panel with all children optional</td><td>87 mm[Hg]</td><td>89 mm[Hg]</td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:3d4f2cf9-2346-4881-be59-c90a3976b95f"
              },
              {
                "reference": "urn:uuid:f045641e-e2ac-40a1-9b6d-db22f97a886c"
              },
              {
                "reference": "urn:uuid:375299d0-87fa-4ffc-8a3b-53545b2568e8"
              },
              {
                "reference": "urn:uuid:c6e1effc-5c0a-4316-8532-5b1b120844c9"
              },
              {
                "reference": "urn:uuid:14f0f9f6-2940-4cac-a7cb-7b438a003fad"
              },
              {
                "reference": "urn:uuid:417ea5db-cd53-474a-8357-149c7903eff3"
              },
              {
                "reference": "urn:uuid:2f1eda0e-c646-497b-b4af-a29dee5961d5"
              },
              {
                "reference": "urn:uuid:7c242661-8e81-40a7-8610-1c04f4507827"
              },
              {
                "reference": "urn:uuid:a5e62d02-a730-4e90-bc37-120cbbf1d745"
              },
              {
                "reference": "urn:uuid:344013be-3fee-40b2-b5b1-d8e269ee5b66"
              },
              {
                "reference": "urn:uuid:f1609050-0aae-4a6e-82bd-9172712e0cf8"
              },
              {
                "reference": "urn:uuid:3d019aa2-6c40-4571-9ded-042908570c4d"
              },
              {
                "reference": "urn:uuid:35b68cb4-f333-45e3-90d9-1c1001266bde"
              },
              {
                "reference": "urn:uuid:84eb16a0-77a4-4f13-a6e1-963a0dab74c1"
              }
            ],
            "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>29-JUN-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Hemoglobin A1c/Hemoglobin.total in Blood</td><td><strong>3.3 L</strong></td><td>4.0 - 5.6</td><td>%</td></tr><tr><td>Glucose [Mass/volume] in Blood</td><td>87.5</td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Blood</td><td>16.1</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Blood</td><td>1.1</td><td>0.6 - 1.3</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Blood</td><td>9.0</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Blood</td><td>140.5</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Blood</td><td>4.1</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Blood</td><td>102.3</td><td>98 - 107</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td>24.8</td><td>22 - 29</td><td>mmol/L</td></tr></tbody></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:6ac2e42a-79f7-43c3-9587-8dca6ddf85b9"
              },
              {
                "reference": "urn:uuid:ee037064-87c0-43cf-9e75-7552b13ab1a7"
              },
              {
                "reference": "urn:uuid:bbafbc3f-aad2-4d59-a52f-d1fc292a0f34"
              },
              {
                "reference": "urn:uuid:7d8070f3-260f-4f8d-a21c-d19859c1ddf5"
              },
              {
                "reference": "urn:uuid:10d96504-4399-454a-9cf9-6e7837a5c621"
              },
              {
                "reference": "urn:uuid:70f248cf-3e03-4804-901c-e1c989efb445"
              },
              {
                "reference": "urn:uuid:02bc9a8e-3774-4b73-bca5-4bc025c2ce96"
              },
              {
                "reference": "urn:uuid:9429e5d0-127f-46a0-b182-4e98495cbaf8"
              },
              {
                "reference": "urn:uuid:f24da491-1a07-400a-bb64-f2baa7d135ac"
              }
            ],
            "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\">29-Feb-2004</span></td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:6dcd00fe-d69e-4bc6-8668-622a96db76ed"
              }
            ],
            "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:e649d7d3-a923-4412-984b-f28fd37e8363",
          "display": "Atenulf Sorrentino"
        },
        "custodian": {
          "reference": "urn:uuid:6e1ed0d0-cc5e-4b0d-833c-391fbc87185d"
        },
        "date": "2025-06-29T22:37:19Z",
        "confidentiality": "N"
      }
    },
    {
      "fullUrl": "urn:uuid:e649d7d3-a923-4412-984b-f28fd37e8363",
      "resource": {
        "resourceType": "Patient",
        "id": "e649d7d3-a923-4412-984b-f28fd37e8363",
        "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": "5852-163953-2"
          },
          {
            "type": {
              "coding": [
                {
                  "code": "MR",
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
                }
              ]
            },
            "system": "http://local.setting.eu/identifier",
            "value": "952535d8-ee60-c1a3-3648-121dcc401078"
          }
        ],
        "name": [
          {
            "given": [
              "Atenulf"
            ],
            "family": "Sorrentino",
            "text": "Atenulf Sorrentino"
          }
        ],
        "address": [
          {
            "line": [
              "Incrocio Passalacqua, 412"
            ],
            "use": "home",
            "type": "physical",
            "postalCode": "09010",
            "city": "Domusnovas Canales",
            "country": "Italy"
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          "coding": [
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        "code": {
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              "code": "127013003",
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        "code": {
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              "code": "431857002",
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          "text": "Chronic kidney disease stage 4"
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          "text": "Chronic kidney disease stage 1"
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        "code": {
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              "display": "Human isophane insulin 70 unit/mL and recombinant human regular insulin 30 unit/mL solution for injection"
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              "display": "Sodium [Moles/volume] in Blood"
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          "text": "Sodium [Moles/volume] in Blood"
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              "display": "Chloride [Moles/volume] in Blood"
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          ],
          "text": "Chloride [Moles/volume] in Blood"
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              "display": "Carbon dioxide, total [Moles/volume] in Blood"
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          "text": "Carbon dioxide, total [Moles/volume] in Blood"
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            "carrierHRF": "(01)53279011664813(11)040208(17)290222(10)345247820710(21)1837374211822551981"
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        ],
        "text": {
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              "display": "Blood glucose meter (physical object)"
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            "type": "manufacturer-name"
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        ],
        "version": [
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            "value": "5.0"
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        ],
        "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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    },
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provenance for SYNDERAI Synthetic Example Data Resource</div>"
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        "recorded": "2025-06-29T20:37:19Z"
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    }
  ],
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  "timestamp": "2025-06-29T22:37:19Z"
}