{
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          "text": "Patient summary Document"
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          {
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              "status": "generated",
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                  "code": "11450-4",
                  "system": "http://loinc.org",
                  "display": "Problem list - Reported"
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            "title": "Problem list"
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          {
            "text": {
              "status": "generated",
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              "coding": [
                {
                  "code": "10160-0",
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                  "display": "History of Medication use Narrative"
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            "title": "Medication list"
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          {
            "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\">23-Dec-2024</span></td></tr><tr><td>SARS-CoV-2 mRNA vaccine</td><td><span class=\"nb\">26-Apr-2021</span></td></tr><tr><td>Clostridium tetani toxoid antigen adsorbed only vaccine product</td><td><span class=\"nb\">17-Dec-2018</span></td></tr></table></div>"
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            "code": {
              "coding": [
                {
                  "code": "11369-6",
                  "system": "http://loinc.org",
                  "display": "History of Immunization note"
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            "title": "Immunizations list"
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          {
            "text": {
              "status": "generated",
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              {
                "reference": "urn:uuid:199681a1-7c9c-4821-88d8-277091dd0196"
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              {
                "reference": "urn:uuid:de2364d6-6780-46cf-8bef-576b0b7677a2"
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              {
                "reference": "urn:uuid:0161ddb2-00c8-4e27-9ae8-fd1180e11ad6"
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              {
                "reference": "urn:uuid:6de61a5e-12eb-436d-bfd4-c19b9d894332"
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              {
                "reference": "urn:uuid:fe6fc107-cdcb-47cc-bfa3-1b11c826f0d2"
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              "coding": [
                {
                  "code": "47519-4",
                  "system": "http://loinc.org",
                  "display": "History of Procedures Document"
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              ]
            },
            "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:e381f690-2a03-4c36-a918-1b2aa5817663"
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            ],
            "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>2024-12-23</th><th>2023-05-08</th></tr><tr><td>Body Height</td><td>165.7 cm</td><td>165.7 cm</td></tr><tr><td>Pain severity - 0-10 verbal numeric rating [Score] - Reported</td><td>2 {score}</td><td>4 {score}</td></tr><tr><td>Body Weight</td><td>75.5 kg</td><td>80.6 kg</td></tr><tr><td>Body mass index (BMI) [Ratio]</td><td>27.5 kg/m2</td><td>29.4 kg/m2</td></tr><tr><td>Heart rate</td><td>88 /min</td><td>82 /min</td></tr><tr><td>Respiratory rate</td><td>14 /min</td><td>12 /min</td></tr><tr><td>Blood pressure panel with all children optional</td><td>67 mm[Hg]</td><td>64 mm[Hg]</td></tr></table></div>"
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              {
                "reference": "urn:uuid:1631ef81-dc17-4d84-b7d8-f7317d17281b"
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              {
                "reference": "urn:uuid:25c53d81-177c-4d54-be95-dd974aa1b2f2"
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              {
                "reference": "urn:uuid:02afea04-e4ec-4482-a811-0fcc1c594c5d"
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                "reference": "urn:uuid:d44efab6-067b-4a2a-ada2-5e188fdf1fe2"
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                "reference": "urn:uuid:91f2d4d1-2faa-40a1-b36a-7c5bfd158051"
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              {
                "reference": "urn:uuid:14c0fc97-5f5e-4599-b365-f98d496f0537"
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              {
                "reference": "urn:uuid:28d7e8a8-6ef6-4176-b684-1aaa9bf9f5e8"
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                "reference": "urn:uuid:0ba3632f-9ccd-4e73-a96e-0db3b98a02c3"
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                "reference": "urn:uuid:4408c9d3-1be7-4a4b-ae92-7a689652f15f"
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                "reference": "urn:uuid:aaf728fd-1027-4b10-b277-c0eb034e51a4"
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                "reference": "urn:uuid:1d836129-0c4c-493b-b81b-baf8d3cc2569"
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              {
                "reference": "urn:uuid:82fdc70e-98d3-41e0-80eb-042c237ae73c"
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              "coding": [
                {
                  "code": "8716-3",
                  "system": "http://loinc.org",
                  "display": "Vital signs note"
                }
              ]
            },
            "title": "Vital Signs"
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          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><thead><tr><th>Recent Lab Observations</th><th>23-DEC-2024</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Cholesterol [Mass/volume] in Serum or Plasma</td><td>146.0</td><td>125 - 200</td><td>mg/dL</td></tr><tr><td>Triglyceride [Mass/volume] in Serum or Plasma</td><td>100.5</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>77.8</td><td>0 - 100</td><td>mg/dL</td></tr><tr><td>Cholesterol in HDL [Mass/volume] in Serum or Plasma</td><td>48.0</td><td>40 - 60</td><td>mg/dL</td></tr></tbody></table></div>"
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                "reference": "urn:uuid:155cbc35-078d-4452-a075-e6109eccbb68"
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              {
                "reference": "urn:uuid:df544e98-0a75-4339-bb94-16c17c775da6"
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              {
                "reference": "urn:uuid:da3fd6ed-f33f-49a8-a2e0-3419bda9bfba"
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              {
                "reference": "urn:uuid:aa46bbb9-9825-4e51-b54f-6a79808d4ce7"
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            "code": {
              "coding": [
                {
                  "code": "30954-2",
                  "system": "http://loinc.org",
                  "display": "Relevant diagnostic tests/laboratory data note"
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              ]
            },
            "title": "Relevant diagnostic tests/laboratory data"
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          {
            "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"
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              ]
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          }
        ],
        "text": {
          "status": "empty",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">intentionally left empty / not meaningful</div>"
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        "title": "European Patient Summary",
        "status": "final",
        "subject": {
          "reference": "urn:uuid:70e8c26b-5f05-4d0e-bd9e-c4ccbb498b5f",
          "display": "Idun Andersson"
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        "custodian": {
          "reference": "urn:uuid:0bef76f2-c411-47eb-9d75-b777f2cb0f46"
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        "date": "2024-12-23T19:48:19Z",
        "confidentiality": "N"
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        "resourceType": "Patient",
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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",
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          ],
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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": "4023-994230-9"
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          {
            "type": {
              "coding": [
                {
                  "code": "MR",
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
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              ]
            },
            "system": "http://local.setting.eu/identifier",
            "value": "5129851b-88d4-1c8a-488d-9744889b1a30"
          }
        ],
        "name": [
          {
            "given": [
              "Idun"
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            "family": "Andersson",
            "text": "Idun Andersson"
          }
        ],
        "address": [
          {
            "line": [
              "Nygatan 198"
            ],
            "use": "home",
            "type": "physical",
            "postalCode": "252 20",
            "city": "Helsingborg",
            "country": "Sweden"
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "+46 (0)8 115 731 98"
          }
        ],
        "extension": [
          {
            "extension": [
              {
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "code": "SE",
                      "system": "urn:iso:std:iso:3166"
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                  ],
                  "text": "Sweden"
                },
                "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>Idun Andersson</td><td>female</td><td>21-Jun-1990</td></tr></table></div>"
        },
        "gender": "female",
        "birthDate": "1990-06-21"
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    },
    {
      "fullUrl": "urn:uuid:4eb0367f-d3ed-4c61-b3b6-34ecca912b8f",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "4eb0367f-d3ed-4c61-b3b6-34ecca912b8f",
        "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 4eb0367f-d3ed-4c61-b3b6-34ecca912b8f</td></tr></table></div>"
        },
        "practitioner": {
          "reference": "urn:uuid:a7830c30-3f59-4ec7-bc17-6a4979c84af8"
        },
        "organization": {
          "reference": "urn:uuid:0bef76f2-c411-47eb-9d75-b777f2cb0f46"
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      }
    },
    {
      "fullUrl": "urn:uuid:0bef76f2-c411-47eb-9d75-b777f2cb0f46",
      "resource": {
        "resourceType": "Organization",
        "id": "0bef76f2-c411-47eb-9d75-b777f2cb0f46",
        "meta": {
          "profile": [
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        },
        "identifier": [
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            "assigner": {
              "display": "HL7 Europe"
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            "system": "urn:oid:2.16.840.1.113883.2.51.999",
            "value": "96a8f2fb-ba4c-4496-8be0-2d19389369f8"
          }
        ],
        "address": [
          {
            "city": "Helsingborg",
            "postalCode": "254 37",
            "country": "Sweden"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Helsingborgs lasarett</td></tr></table></div>"
        },
        "name": "Helsingborgs lasarett"
      }
    },
    {
      "fullUrl": "urn:uuid:a7830c30-3f59-4ec7-bc17-6a4979c84af8",
      "resource": {
        "resourceType": "Practitioner",
        "id": "a7830c30-3f59-4ec7-bc17-6a4979c84af8",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu-core"
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        },
        "name": [
          {
            "given": [
              "Sofia"
            ],
            "family": "Olofsson"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Sofia Olofsson</td></tr></table></div>"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:71a1001a-4b9f-450a-bf97-2094b6fa54f4",
      "resource": {
        "resourceType": "Condition",
        "id": "71a1001a-4b9f-450a-bf97-2094b6fa54f4",
        "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:70e8c26b-5f05-4d0e-bd9e-c4ccbb498b5f",
          "display": "Idun Andersson"
        },
        "_onsetDateTime": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
              "valueCode": "unknown"
            }
          ]
        }
      }
    },
    {
      "fullUrl": "urn:uuid:aa8ce2fd-98c3-484c-bcc8-0705299e26ee",
      "resource": {
        "resourceType": "MedicationStatement",
        "id": "aa8ce2fd-98c3-484c-bcc8-0705299e26ee",
        "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:70e8c26b-5f05-4d0e-bd9e-c4ccbb498b5f",
          "display": "Idun Andersson"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:70d8d841-8474-465e-b59e-43bc0b453b4d",
      "resource": {
        "resourceType": "Immunization",
        "id": "70d8d841-8474-465e-b59e-43bc0b453b4d",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/immunization-eu-core"
          ]
        },
        "vaccineCode": {
          "coding": [
            {
              "code": "1181000221105",
              "system": "http://snomed.info/sct",
              "display": "Influenza virus antigen only vaccine product"
            },
            {
              "code": "J07BB02",
              "system": "http://www.whocc.no/atc",
              "display": "influenza, inactivated, split virus or surface antigen"
            }
          ],
          "text": "Influenza virus antigen only vaccine product"
        },
        "site": {
          "coding": [
            {
              "code": "244979005",
              "system": "http://snomed.info/sct",
              "display": "Entire muscle of upper arm"
            }
          ],
          "text": "Entire muscle of upper arm"
        },
        "route": {
          "coding": [
            {
              "code": "78421000",
              "system": "http://snomed.info/sct",
              "display": "Intramuscular route"
            }
          ],
          "text": "Intramuscular route"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Influenza virus antigen only vaccine product</td><td><span class=\"nb\">23-Dec-2024</span></td></tr></table></div>"
        },
        "status": "completed",
        "patient": {
          "reference": "urn:uuid:70e8c26b-5f05-4d0e-bd9e-c4ccbb498b5f",
          "display": "Idun Andersson"
        },
        "occurrenceDateTime": "2024-12-23",
        "lotNumber": "YZ-HzUP2",
        "expirationDate": "2025-04-09"
      }
    },
    {
      "fullUrl": "urn:uuid:91404b11-7363-4806-9c40-28af90299ee5",
      "resource": {
        "resourceType": "Immunization",
        "id": "91404b11-7363-4806-9c40-28af90299ee5",
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            {
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            ],
            "text": "Interoperability Testing and Training (non-clinical use)"
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          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provenance for SYNDERAI Synthetic Example Data Resource</div>"
        },
        "recorded": "2024-12-23T18:48:19Z"
      }
    }
  ],
  "type": "document",
  "timestamp": "2024-12-23T19:48:19Z"
}