{
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  "identifier": {
    "assigner": {
      "display": "HL7 Europe"
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    "value": "a9f162ee-b94f-43c3-9d5d-e452ad87be07"
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    {
      "fullUrl": "urn:uuid:8f004b97-f7fc-4fec-a868-d95f403a8c59",
      "resource": {
        "resourceType": "Composition",
        "id": "8f004b97-f7fc-4fec-a868-d95f403a8c59",
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              "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/composition-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": "0cfb4279-d93d-47e1-bc0a-5e8fc8c4ff8e"
        },
        "type": {
          "coding": [
            {
              "code": "60591-5",
              "system": "http://loinc.org",
              "display": "Patient summary Document"
            }
          ],
          "text": "Patient summary Document"
        },
        "author": [
          {
            "reference": "urn:uuid:4a41db7f-d932-4073-ace4-a458006ad229"
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        ],
        "section": [
          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><th>Condition</th><th>Onset Date / Period</th><th>Status</th></tr><tr><td>Chronic kidney disease stage 3</td><td><span class=\"nb\">12-Nov-2021</span></td><td>active</td></tr><tr><td>Proteinuria due to type 2 diabetes mellitus</td><td><span class=\"nb\">12-Nov-2021</span></td><td>active</td></tr><tr><td>Metabolic syndrome X</td><td><span class=\"nb\">04-May-2018</span></td><td>active</td></tr><tr><td>Osteoarthritis of hip</td><td><span class=\"nb\">02-Dec-2013</span></td><td>active</td></tr><tr><td>Chronic kidney disease stage 2</td><td><span class=\"nb\">10-Dec-1999</span></td><td>active</td></tr><tr><td>Microalbuminuria due to type 2 diabetes mellitus</td><td><span class=\"nb\">10-Dec-1999</span></td><td>active</td></tr><tr><td>Disorder of kidney due to diabetes mellitus</td><td><span class=\"nb\">15-Jan-1999</span></td><td>active</td></tr><tr><td>Chronic kidney disease stage 1</td><td><span class=\"nb\">15-Jan-1999</span></td><td>active</td></tr><tr><td>Essential hypertension</td><td><span class=\"nb\">01-Jul-1994</span></td><td>active</td></tr><tr><td><span class=\"grayedout\">Acute bronchitis</span></td><td><span class=\"nb\">03-Jun-2022 - 22-Jun-2022</span></td><td><span class=\"grayedout\">inactive</span></td></tr><tr><td><span class=\"grayedout\">Fracture of bone</span></td><td><span class=\"nb\">02-May-2021 - 20-Aug-2021</span></td><td><span class=\"grayedout\">inactive</span></td></tr><tr><td><span class=\"grayedout\">Fracture subluxation of wrist</span></td><td><span class=\"nb\">02-May-2021 - 20-Aug-2021</span></td><td><span class=\"grayedout\">inactive</span></td></tr><tr><td><span class=\"grayedout\">Acute viral pharyngitis</span></td><td><span class=\"nb\">03-Jul-2020 - 10-Jul-2020</span></td><td><span class=\"grayedout\">inactive</span></td></tr><tr><td><span class=\"grayedout\">Viral sinusitis</span></td><td><span class=\"nb\">05-May-2017 - 23-May-2017</span></td><td><span class=\"grayedout\">inactive</span></td></tr><tr><td><span class=\"grayedout\">Streptococcal sore throat</span></td><td><span class=\"nb\">02-Dec-2016 - 14-Dec-2016</span></td><td><span class=\"grayedout\">inactive</span></td></tr><tr><td><span class=\"grayedout\">Viral sinusitis</span></td><td><span class=\"nb\">02-Dec-2016 - 17-Dec-2016</span></td><td><span class=\"grayedout\">inactive</span></td></tr><tr><td><span class=\"grayedout\">Viral sinusitis</span></td><td><span class=\"nb\">01-Apr-2016 - 22-Apr-2016</span></td><td><span class=\"grayedout\">inactive</span></td></tr><tr><td><span class=\"grayedout\">Acute bronchitis</span></td><td><span class=\"nb\">20-Jul-2015 - 29-Jul-2015</span></td><td><span class=\"grayedout\">inactive</span></td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:fab3e968-59a5-45e4-9de1-da275dae1980"
              },
              {
                "reference": "urn:uuid:d19bca0a-5680-4e50-82fb-dfd281e04c5e"
              },
              {
                "reference": "urn:uuid:2355160b-3d7a-4aac-af09-4dc3198b8903"
              },
              {
                "reference": "urn:uuid:989344ff-1a51-4947-95c4-df665550b410"
              },
              {
                "reference": "urn:uuid:720082b4-2388-4e7f-aab7-d3794508e9b4"
              },
              {
                "reference": "urn:uuid:4f541e02-9f6b-4268-8374-ea08378757ea"
              },
              {
                "reference": "urn:uuid:55f5f86d-be47-4bdb-996e-652f4235f4f4"
              },
              {
                "reference": "urn:uuid:47d16072-f51a-4199-9ec6-daf56cb11425"
              },
              {
                "reference": "urn:uuid:25048047-1175-44c2-ac9b-67ddf60c9e88"
              },
              {
                "reference": "urn:uuid:e8c8ee90-b2be-4418-a89e-f6a07b24a32c"
              },
              {
                "reference": "urn:uuid:29fce039-d66b-4fe2-abfd-c9c9d46ff6d8"
              },
              {
                "reference": "urn:uuid:b080fdb2-b434-4b27-b915-d497c850fc2b"
              },
              {
                "reference": "urn:uuid:eae3c585-429c-4f6f-8b7b-bd7a9594c933"
              },
              {
                "reference": "urn:uuid:6cb40416-df56-45e5-be72-031deba7289e"
              },
              {
                "reference": "urn:uuid:ce205e86-6a06-4aee-a982-da3f6a7e5068"
              },
              {
                "reference": "urn:uuid:262624cb-d691-4d96-8f46-b8e62b3dc395"
              },
              {
                "reference": "urn:uuid:7e2af425-9f93-425f-bf78-7f7772a9c20a"
              },
              {
                "reference": "urn:uuid:119becf1-fb37-48dc-b895-372b221f3432"
              }
            ],
            "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\">2025-04-25</span></td><td>-</td><td>Inject 30 units (70/30 insulin) subcutaneously once daily</td><td>Prediabetes</td></tr><tr><td>Hydrochlorothiazide 25 mg oral tablet</td><td><span class=\"nb\">2025-04-25</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\">2025-04-25</span></td><td>-</td><td>1 tablet (10 mg) by mouth once daily</td><td>Essential hypertension (disorder)</td></tr><tr><td>Acetaminophen 300 mg and hydrocodone bitartrate 5 mg oral tablet</td><td><span class=\"nb\">2025-04-25</span></td><td>-</td><td>1 tablet (300 mg / 5 mg) by mouth every 4 to 6 hours as needed for pain</td><td>-</td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:72a19791-6667-4411-a328-d190d66cc1ce"
              },
              {
                "reference": "urn:uuid:5aa3278c-1dd0-49bf-a3b9-4653c7cdd545"
              },
              {
                "reference": "urn:uuid:3b37e2ba-70fb-4ca0-bf38-af778a43231d"
              },
              {
                "reference": "urn:uuid:1fd31a54-62ce-42da-b83e-6d03d92ebeda"
              }
            ],
            "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\">20-Dec-2024</span></td></tr><tr><td>SARS-CoV-2 mRNA vaccine</td><td><span class=\"nb\">28-May-2021</span></td></tr><tr><td>Clostridium tetani toxoid antigen adsorbed only vaccine product</td><td><span class=\"nb\">12-May-2017</span></td></tr><tr><td>Live attenuated Human alphaherpesvirus 3 only vaccine product</td><td><span class=\"nb\">28-Oct-2016</span></td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:69a69e12-7db1-4c55-b479-6e547f3f47a1"
              },
              {
                "reference": "urn:uuid:2d8d4f55-9a24-4015-9459-23d2205a38e6"
              },
              {
                "reference": "urn:uuid:9e458490-258d-4118-8894-b5547ffe15e2"
              },
              {
                "reference": "urn:uuid:8e385dfb-3225-4513-8721-84800e148bd0"
              }
            ],
            "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>Depression screening</td><td><span class=\"nb\">17-Jun-2022</span></td><td>-</td></tr><tr><td>Screening for substance abuse</td><td><span class=\"nb\">17-Jun-2022</span></td><td>-</td></tr><tr><td>Assessment of health and social care needs</td><td><span class=\"nb\">17-Jun-2022</span></td><td>-</td></tr><tr><td>Assessment of substance use</td><td><span class=\"nb\">17-Jun-2022</span></td><td>-</td></tr><tr><td>Medication reconciliation</td><td><span class=\"nb\">27-May-2022</span></td><td>-</td></tr><tr><td>Screening for domestic abuse</td><td><span class=\"nb\">27-May-2022</span></td><td>-</td></tr><tr><td>Assessment of anxiety</td><td><span class=\"nb\">13-May-2022</span></td><td>-</td></tr><tr><td>Assessment using AUDIT-C (Alcohol Use Disorders Identification Test - Consumption)</td><td><span class=\"nb\">13-May-2022</span></td><td>-</td></tr><tr><td>Bone immobilization</td><td><span class=\"nb\">02-May-2021</span></td><td>Fracture subluxation of wrist (disorder)</td></tr><tr><td>Bone density scan</td><td><span class=\"nb\">02-May-2021</span></td><td>Fracture subluxation of wrist (disorder)</td></tr><tr><td>Plain X-ray of wrist region</td><td><span class=\"nb\">02-May-2021</span></td><td>-</td></tr><tr><td>Depression screening using PHQ-9 (Patient Health Questionnaire 9) score</td><td><span class=\"nb\">29-Jul-2016</span></td><td>-</td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:1c0be0ae-c112-44b3-b271-df924c77f8ac"
              },
              {
                "reference": "urn:uuid:80a96dfc-f508-4433-b31d-b79655f40797"
              },
              {
                "reference": "urn:uuid:d8c5d553-a288-40f8-b06a-732509c05692"
              },
              {
                "reference": "urn:uuid:6412c9f1-13bd-4ee4-9564-4bc22780ff11"
              },
              {
                "reference": "urn:uuid:f86cf019-29eb-4508-8118-0c2151ac23b5"
              },
              {
                "reference": "urn:uuid:b863116a-342b-4f3a-bd7d-d82e993f688a"
              },
              {
                "reference": "urn:uuid:22f46339-fd42-4f63-8c1d-b46af9fe45a8"
              },
              {
                "reference": "urn:uuid:d7a57db0-6342-46db-8520-b78ead602ed6"
              },
              {
                "reference": "urn:uuid:1ecd09d0-9a7d-4920-813f-a84bd5af6f47"
              },
              {
                "reference": "urn:uuid:2e2217a6-40cf-4842-9a68-902b8239257f"
              },
              {
                "reference": "urn:uuid:1b52055a-2acb-4b5b-a960-5e51f4f45b90"
              },
              {
                "reference": "urn:uuid:45b97593-6dfa-47a3-921e-342073260a7f"
              }
            ],
            "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><th>Allergy/Intolerance</th><th>Onset Date</th><th>Status</th><th>Type</th><th>Reaction</th></tr><tr><td>Inadequate digital access affecting health care</td><td><span class=\"nb\">2026-03-14</span></td><td>active</td><td>environment</td><td></td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:e85f0f9a-58c8-44c2-8c08-b11e0166f30c"
              }
            ],
            "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>Diabetes self management plan</td><td><span class=\"nb\">10-Nov-2017</span></td><td>Prediabetes (finding)</td></tr><tr><td><ul><li>Maintain or reduce HbA1c to target level as part of diabetes self-management.</li><li>Achieve and maintain a healthy body weight to support diabetes self-management.</li><li>Maintain blood pressure within target range to support diabetes self-management.</li><li>Engage in at least 150 minutes of moderate-intensity physical activity per week as part of diabetes self-management.</li></ul></td><td></td><td></td></tr><tr><td>Musculoskeletal care</td><td><span class=\"nb\">02-Dec-2013</span></td><td>Osteoarthritis of hip (disorder)</td></tr><tr><td><ul><li>Patient will report a reduction in hip pain severity to ≤ 3 out of 10 on the pain scale within 3 months.</li><li>Patient will be able to walk independently for at least 30 minutes without significant discomfort within 3 months.</li><li>Patient will participate in low-impact physical activity (e.g., walking, swimming) at least 5 days per week for 30 minutes per session.</li></ul></td><td></td><td></td></tr><tr><td>Lifestyle education regarding hypertension</td><td><span class=\"nb\">01-Jul-1994</span></td><td>Essential hypertension (disorder)</td></tr><tr><td><ul><li>Achieve and maintain blood pressure within recommended target range through lifestyle modifications.</li></ul></td><td></td><td></td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:c32097f3-2fcc-4efb-b546-eefa0ac9f953"
              },
              {
                "reference": "urn:uuid:d7fbdfad-0579-4424-87eb-0a8f7b4d1280"
              },
              {
                "reference": "urn:uuid:dc8ac61d-3a4c-4126-b1c5-85a21b5a4656"
              }
            ],
            "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>2025-04-25</th><th>2025-02-21</th></tr><tr><td>Body Height</td><td>154.2 cm</td><td>154.2 cm</td></tr><tr><td>Pain severity - 0-10 verbal numeric rating [Score] - Reported</td><td>3 {score}</td><td>1 {score}</td></tr><tr><td>Body Weight</td><td>67.3 kg</td><td>67.3 kg</td></tr><tr><td>Body mass index (BMI) [Ratio]</td><td>28.3 kg/m2</td><td>28.3 kg/m2</td></tr><tr><td>Heart rate</td><td>94 /min</td><td>89 /min</td></tr><tr><td>Respiratory rate</td><td>13 /min</td><td>15 /min</td></tr><tr><td>Blood pressure panel with all children optional</td><td>65 mm[Hg]</td><td>64 mm[Hg]</td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:7cd15228-c0c5-42a3-9c2b-c492f69d4ee5"
              },
              {
                "reference": "urn:uuid:6e87ef93-2040-4263-97f3-9d71c284cabc"
              },
              {
                "reference": "urn:uuid:cf094955-ae17-491d-b7da-7f99f130f6f2"
              },
              {
                "reference": "urn:uuid:c9e83258-9db2-449e-a1f0-d19a3a316b2a"
              },
              {
                "reference": "urn:uuid:b6699852-ee76-4b71-95a3-f746b908e013"
              },
              {
                "reference": "urn:uuid:846dc1bd-2c26-4e86-940a-a9555654be64"
              },
              {
                "reference": "urn:uuid:0a230375-4a28-42ec-9070-111170722cce"
              },
              {
                "reference": "urn:uuid:20d6e1bd-ea1a-4238-afda-2bb3eab56487"
              },
              {
                "reference": "urn:uuid:b2dab2fa-3ca8-416a-8084-41fe4c432849"
              },
              {
                "reference": "urn:uuid:ac6a332f-e76b-4fd5-b7e9-02c97fe0dbd4"
              },
              {
                "reference": "urn:uuid:dfbaa13e-397c-4b9d-8e69-1716f4a073d7"
              },
              {
                "reference": "urn:uuid:21f675f7-af49-4edb-9033-0f29d7d268b5"
              },
              {
                "reference": "urn:uuid:e533e33a-b507-44d6-95ae-31fd2a82034b"
              },
              {
                "reference": "urn:uuid:69b109e0-29ae-49f7-9884-35aa7aa59654"
              }
            ],
            "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>25-APR-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Serum or Plasma</td><td>73.8</td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Serum or Plasma</td><td>18.0</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Serum or Plasma</td><td><strong>1.9 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>8.7</td><td>8.6 - 10.2</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Serum or Plasma</td><td>142.2</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Serum or Plasma</td><td>4.0</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Serum or Plasma</td><td>104.6</td><td>98 - 107</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Serum or Plasma</td><td>26.6</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><strong>0.9 H</strong></td><td>0 - 0</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>1.5</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>18.5</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>6.2</td><td>5.0 - 8.0</td><td>pH</td></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td><strong>283.6 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><tr><td>Hemoglobin A1c/Hemoglobin.total in Blood</td><td><strong>3.4 L</strong></td><td>4.0 - 5.6</td><td>%</td></tr><tr><td>Glucose [Mass/volume] in Blood</td><td>73.8</td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Blood</td><td>18.0</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Blood</td><td><strong>3.1 H</strong></td><td>0.5 - 1.1</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Blood</td><td>8.7</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Blood</td><td>142.2</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Blood</td><td>4.0</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Blood</td><td>104.6</td><td>98 - 110</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td>26.6</td><td>22 - 29</td><td>mmol/L</td></tr></tbody></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:81bd5fac-683a-4f56-b11b-87d101f54d0f"
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              {
                "reference": "urn:uuid:06355fb4-2779-471d-ab82-27f10963ec43"
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                "reference": "urn:uuid:72178c78-078f-42f1-910a-42bc125822f2"
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                "reference": "urn:uuid:18f8ca6e-62f4-4c9a-80e9-6233f99d6e08"
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              {
                "reference": "urn:uuid:6453569b-b572-45cd-8fd8-ee2987aed31a"
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              {
                "reference": "urn:uuid:e69b4ee3-3f04-4601-ae30-85df2d1b840b"
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              {
                "reference": "urn:uuid:35735c3a-2cd5-4c0f-b6a1-b697e5ef7092"
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              {
                "reference": "urn:uuid:ca841962-6b1d-43fa-9897-aef7857b4890"
              },
              {
                "reference": "urn:uuid:7d294e61-f385-423f-b09b-8c8c09cecac7"
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              {
                "reference": "urn:uuid:a648dad9-6f0d-4163-8055-1f7e8856c150"
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              {
                "reference": "urn:uuid:c1bb3bc5-8cb7-41f2-b186-f8a8ec4c48f5"
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              {
                "reference": "urn:uuid:205d6be1-e958-48f0-bdd5-6b3d0808e42d"
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              {
                "reference": "urn:uuid:0cccb213-b074-4a55-bfcd-87be741d7570"
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              {
                "reference": "urn:uuid:d8fbc226-0fd8-4570-8d7d-9bdfb0e1db73"
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              {
                "reference": "urn:uuid:6f29f817-2208-43af-847f-e51e20eaa4d5"
              },
              {
                "reference": "urn:uuid:511551ed-46b3-40ae-b0f2-a32596bf117e"
              },
              {
                "reference": "urn:uuid:716b5332-3fc1-4788-b669-d6567ac31bc5"
              },
              {
                "reference": "urn:uuid:8ecd2337-350b-4e28-8a4e-7a3229f33ddd"
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              {
                "reference": "urn:uuid:50cda873-e85d-47b5-9031-6340b4cdb99e"
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              {
                "reference": "urn:uuid:b8534b1c-05aa-4961-abfb-28cccbd6735c"
              },
              {
                "reference": "urn:uuid:53b8b958-d351-4cfc-aa9b-1cd7e6ba5882"
              },
              {
                "reference": "urn:uuid:43eea781-6832-47fa-9c32-58d468f7d03e"
              },
              {
                "reference": "urn:uuid:ce6ec7a4-500e-4ffa-9524-7912ed4bfab9"
              },
              {
                "reference": "urn:uuid:8e6ea5de-9df5-48c2-a036-3c71ee021341"
              },
              {
                "reference": "urn:uuid:e0c9f6bc-032b-4597-af8a-6bee72da387d"
              },
              {
                "reference": "urn:uuid:20e626b7-147d-443c-941d-dfc6fbfd57d5"
              },
              {
                "reference": "urn:uuid:e2bfc04b-43b3-41ca-b936-d5c952e6eee3"
              },
              {
                "reference": "urn:uuid:19874992-c57f-4f27-805d-a92577f90c33"
              },
              {
                "reference": "urn:uuid:2801bb31-fc2f-49b8-bb9d-e43bcf552bd2"
              },
              {
                "reference": "urn:uuid:5c3a303d-e346-40cb-8136-a36b0a729271"
              },
              {
                "reference": "urn:uuid:524d4802-b6b8-425b-aaa6-7a5491bd8aac"
              },
              {
                "reference": "urn:uuid:5da5cbb7-c6ed-4247-9fa9-035239ed5cc5"
              },
              {
                "reference": "urn:uuid:1c3bb84f-fa91-4c68-8b0b-d8841b84c4d2"
              },
              {
                "reference": "urn:uuid:b9e83ae0-40ed-4ffd-89c2-a12c1a258f5c"
              }
            ],
            "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\">10-Nov-2017</span></td></tr><tr><td>Manual wheelchair (physical object)</td><td><span class=\"nb\">02-Dec-2013</span></td></tr><tr><td>Wheelchair accessory (physical object)</td><td><span class=\"nb\">02-Dec-2013</span></td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:43a845a9-b5ad-482e-ae3a-cee1d8270d37"
              },
              {
                "reference": "urn:uuid:d75a6171-7142-411b-818a-43f13a083444"
              },
              {
                "reference": "urn:uuid:0a141c0d-0317-4254-9a67-da567865e9a2"
              }
            ],
            "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:98a8beb3-4c8f-4953-9d5e-725076631a53",
          "display": "Angela Bauer"
        },
        "custodian": {
          "reference": "urn:uuid:137aae3c-f981-41f6-88e1-9c211ec90453"
        },
        "date": "2025-04-25T13:23:19Z",
        "confidentiality": "N"
      }
    },
    {
      "fullUrl": "urn:uuid:98a8beb3-4c8f-4953-9d5e-725076631a53",
      "resource": {
        "resourceType": "Patient",
        "id": "98a8beb3-4c8f-4953-9d5e-725076631a53",
        "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": "9736-451235-6"
          },
          {
            "type": {
              "coding": [
                {
                  "code": "MR",
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
                }
              ]
            },
            "system": "http://local.setting.eu/identifier",
            "value": "ea91d0bd-b06d-03f2-3cd0-b401630c04cf"
          }
        ],
        "name": [
          {
            "given": [
              "Angela"
            ],
            "family": "Bauer",
            "text": "Angela Bauer"
          }
        ],
        "address": [
          {
            "line": [
              "Kalina-Baumgartner-Gasse 8/9"
            ],
            "use": "home",
            "type": "physical",
            "postalCode": "6240",
            "city": "Rattenberg",
            "country": "Austria"
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "(06235) 28231 921"
          }
        ],
        "extension": [
          {
            "extension": [
              {
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "code": "AT",
                      "system": "urn:iso:std:iso:3166"
                    }
                  ],
                  "text": "Austria"
                },
                "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>Angela Bauer</td><td>female</td><td>08-Dec-1968</td></tr></table></div>"
        },
        "gender": "female",
        "birthDate": "1968-12-08"
      }
    },
    {
      "fullUrl": "urn:uuid:4a41db7f-d932-4073-ace4-a458006ad229",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "4a41db7f-d932-4073-ace4-a458006ad229",
        "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 4a41db7f-d932-4073-ace4-a458006ad229</td></tr></table></div>"
        },
        "practitioner": {
          "reference": "urn:uuid:0be61870-df7e-465e-924a-1000952699a1"
        },
        "organization": {
          "reference": "urn:uuid:137aae3c-f981-41f6-88e1-9c211ec90453"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:137aae3c-f981-41f6-88e1-9c211ec90453",
      "resource": {
        "resourceType": "Organization",
        "id": "137aae3c-f981-41f6-88e1-9c211ec90453",
        "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": "300caf0f-5123-482b-8df4-3406b7f59694"
          }
        ],
        "address": [
          {
            "line": [
              "Karl-Mauracher-Weg 26"
            ],
            "city": "Fügen",
            "postalCode": "6263",
            "country": "Austria"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Dr. Gerald Mair</td></tr></table></div>"
        },
        "name": "Dr. Gerald Mair"
      }
    },
    {
      "fullUrl": "urn:uuid:0be61870-df7e-465e-924a-1000952699a1",
      "resource": {
        "resourceType": "Practitioner",
        "id": "0be61870-df7e-465e-924a-1000952699a1",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu-core"
          ]
        },
        "name": [
          {
            "prefix": [
              "Dr. "
            ],
            "given": [
              "Carla"
            ],
            "family": "Plattner"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Dr. Carla Plattner</td></tr></table></div>"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:fab3e968-59a5-45e4-9de1-da275dae1980",
      "resource": {
        "resourceType": "Condition",
        "id": "fab3e968-59a5-45e4-9de1-da275dae1980",
        "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": "433144002",
              "system": "http://snomed.info/sct",
              "display": "Chronic kidney disease stage 3 (disorder)"
            }
          ],
          "text": "Chronic kidney disease stage 3"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Chronic kidney disease stage 3</td><td><span class=\"nb\">12-Nov-2021</span></td><td>active</td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "active",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
          ]
        },
        "onsetDateTime": "2021-11-12",
        "subject": {
          "reference": "urn:uuid:98a8beb3-4c8f-4953-9d5e-725076631a53",
          "display": "Angela Bauer"
        },
        "asserter": {
          "reference": "urn:uuid:4a41db7f-d932-4073-ace4-a458006ad229",
          "display": "Dr. Gerald Mair"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:d19bca0a-5680-4e50-82fb-dfd281e04c5e",
      "resource": {
        "resourceType": "Condition",
        "id": "d19bca0a-5680-4e50-82fb-dfd281e04c5e",
        "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": "157141000119108",
              "system": "http://snomed.info/sct",
              "display": "Proteinuria due to type 2 diabetes mellitus (disorder)"
            }
          ],
          "text": "Proteinuria due to type 2 diabetes mellitus"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Proteinuria due to type 2 diabetes mellitus</td><td><span class=\"nb\">12-Nov-2021</span></td><td>active</td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "active",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
          ]
        },
        "onsetDateTime": "2021-11-12",
        "subject": {
          "reference": "urn:uuid:98a8beb3-4c8f-4953-9d5e-725076631a53",
          "display": "Angela Bauer"
        },
        "asserter": {
          "reference": "urn:uuid:4a41db7f-d932-4073-ace4-a458006ad229",
          "display": "Dr. Gerald Mair"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:2355160b-3d7a-4aac-af09-4dc3198b8903",
      "resource": {
        "resourceType": "Condition",
        "id": "2355160b-3d7a-4aac-af09-4dc3198b8903",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/condition-obl-eu-eps"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "code": "problem-list-item",
                "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                "display": "Problem List Item"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "code": "237602007",
              "system": "http://snomed.info/sct",
              "display": "Metabolic syndrome X (disorder)"
            }
          ],
          "text": "Metabolic syndrome X"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Metabolic syndrome X</td><td><span class=\"nb\">04-May-2018</span></td><td>active</td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "active",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
          ]
        },
        "onsetDateTime": "2018-05-04",
        "subject": {
          "reference": "urn:uuid:98a8beb3-4c8f-4953-9d5e-725076631a53",
          "display": "Angela Bauer"
        },
        "asserter": {
          "reference": "urn:uuid:4a41db7f-d932-4073-ace4-a458006ad229",
          "display": "Dr. Gerald Mair"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:989344ff-1a51-4947-95c4-df665550b410",
      "resource": {
        "resourceType": "Condition",
        "id": "989344ff-1a51-4947-95c4-df665550b410",
        "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": "239872002",
              "system": "http://snomed.info/sct",
              "display": "Osteoarthritis of hip (disorder)"
            }
          ],
          "text": "Osteoarthritis of hip"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Osteoarthritis of hip</td><td><span class=\"nb\">02-Dec-2013</span></td><td>active</td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "active",
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        "subject": {
          "reference": "urn:uuid:98a8beb3-4c8f-4953-9d5e-725076631a53",
          "display": "Angela Bauer"
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        "asserter": {
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      "fullUrl": "urn:uuid:720082b4-2388-4e7f-aab7-d3794508e9b4",
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        "resourceType": "Condition",
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        "category": [
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                "code": "problem-list-item",
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                "display": "Problem List Item"
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        "code": {
          "coding": [
            {
              "code": "431856006",
              "system": "http://snomed.info/sct",
              "display": "Chronic kidney disease stage 2 (disorder)"
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          ],
          "text": "Chronic kidney disease stage 2"
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        "text": {
          "status": "generated",
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          "reference": "urn:uuid:98a8beb3-4c8f-4953-9d5e-725076631a53",
          "display": "Angela Bauer"
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        "category": [
          {
            "coding": [
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                "code": "problem-list-item",
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          }
        ],
        "code": {
          "coding": [
            {
              "code": "90781000119102",
              "system": "http://snomed.info/sct",
              "display": "Microalbuminuria due to type 2 diabetes mellitus (disorder)"
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          ],
          "text": "Microalbuminuria due to type 2 diabetes mellitus"
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        "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\">10-Dec-1999</span></td><td>active</td></tr></table></div>"
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          "reference": "urn:uuid:98a8beb3-4c8f-4953-9d5e-725076631a53",
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      "fullUrl": "urn:uuid:55f5f86d-be47-4bdb-996e-652f4235f4f4",
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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": "127013003",
              "system": "http://snomed.info/sct",
              "display": "Disorder of kidney due to diabetes mellitus (disorder)"
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          ],
          "text": "Disorder of kidney due to diabetes mellitus"
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        "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\">15-Jan-1999</span></td><td>active</td></tr></table></div>"
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        "clinicalStatus": {
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        "subject": {
          "reference": "urn:uuid:98a8beb3-4c8f-4953-9d5e-725076631a53",
          "display": "Angela Bauer"
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          "reference": "urn:uuid:4a41db7f-d932-4073-ace4-a458006ad229",
          "display": "Dr. Gerald Mair"
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    {
      "fullUrl": "urn:uuid:47d16072-f51a-4199-9ec6-daf56cb11425",
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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": "431855005",
              "system": "http://snomed.info/sct",
              "display": "Chronic kidney disease stage 1 (disorder)"
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          ],
          "text": "Chronic kidney disease stage 1"
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        "text": {
          "status": "generated",
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          "reference": "urn:uuid:98a8beb3-4c8f-4953-9d5e-725076631a53",
          "display": "Angela Bauer"
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        "asserter": {
          "reference": "urn:uuid:4a41db7f-d932-4073-ace4-a458006ad229",
          "display": "Dr. Gerald Mair"
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    {
      "fullUrl": "urn:uuid:25048047-1175-44c2-ac9b-67ddf60c9e88",
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        "resourceType": "Condition",
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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": "59621000",
              "system": "http://snomed.info/sct",
              "display": "Essential hypertension (disorder)"
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          ],
          "text": "Essential hypertension"
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Essential hypertension</td><td><span class=\"nb\">01-Jul-1994</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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        "subject": {
          "reference": "urn:uuid:98a8beb3-4c8f-4953-9d5e-725076631a53",
          "display": "Angela Bauer"
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        "asserter": {
          "reference": "urn:uuid:4a41db7f-d932-4073-ace4-a458006ad229",
          "display": "Dr. Gerald Mair"
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    {
      "fullUrl": "urn:uuid:e8c8ee90-b2be-4418-a89e-f6a07b24a32c",
      "resource": {
        "resourceType": "Condition",
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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": "10509002",
              "system": "http://snomed.info/sct",
              "display": "Acute bronchitis (disorder)"
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          ],
          "text": "Acute bronchitis"
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        "text": {
          "status": "generated",
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        },
        "clinicalStatus": {
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        "onsetDateTime": "2022-06-03",
        "abatementDateTime": "2022-06-22",
        "subject": {
          "reference": "urn:uuid:98a8beb3-4c8f-4953-9d5e-725076631a53",
          "display": "Angela Bauer"
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        "asserter": {
          "reference": "urn:uuid:4a41db7f-d932-4073-ace4-a458006ad229",
          "display": "Dr. Gerald Mair"
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    {
      "fullUrl": "urn:uuid:29fce039-d66b-4fe2-abfd-c9c9d46ff6d8",
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        "category": [
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        "code": {
          "coding": [
            {
              "code": "125605004",
              "system": "http://snomed.info/sct",
              "display": "Fracture of bone (disorder)"
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          ],
          "text": "Fracture of bone"
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        "text": {
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td><span class=\"grayedout\">Fracture of bone</span></td><td><span class=\"nb\">02-May-2021 - 20-Aug-2021</span></td><td><span class=\"grayedout\">inactive</span></td></tr></table></div>"
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        "clinicalStatus": {
          "coding": [
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        "onsetDateTime": "2021-05-02",
        "abatementDateTime": "2021-08-20",
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          "reference": "urn:uuid:98a8beb3-4c8f-4953-9d5e-725076631a53",
          "display": "Angela Bauer"
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        "asserter": {
          "reference": "urn:uuid:4a41db7f-d932-4073-ace4-a458006ad229",
          "display": "Dr. Gerald Mair"
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      "fullUrl": "urn:uuid:b080fdb2-b434-4b27-b915-d497c850fc2b",
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        "category": [
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        "code": {
          "coding": [
            {
              "code": "263102004",
              "system": "http://snomed.info/sct",
              "display": "Fracture subluxation of wrist (disorder)"
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          ],
          "text": "Fracture subluxation of wrist"
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td><span class=\"grayedout\">Fracture subluxation of wrist</span></td><td><span class=\"nb\">02-May-2021 - 20-Aug-2021</span></td><td><span class=\"grayedout\">inactive</span></td></tr></table></div>"
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        "subject": {
          "reference": "urn:uuid:98a8beb3-4c8f-4953-9d5e-725076631a53",
          "display": "Angela Bauer"
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        "asserter": {
          "reference": "urn:uuid:4a41db7f-d932-4073-ace4-a458006ad229",
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    {
      "fullUrl": "urn:uuid:eae3c585-429c-4f6f-8b7b-bd7a9594c933",
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        "category": [
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            "coding": [
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                "code": "problem-list-item",
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        "code": {
          "coding": [
            {
              "code": "195662009",
              "system": "http://snomed.info/sct",
              "display": "Acute viral pharyngitis (disorder)"
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          ],
          "text": "Acute viral pharyngitis"
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td><span class=\"grayedout\">Acute viral pharyngitis</span></td><td><span class=\"nb\">03-Jul-2020 - 10-Jul-2020</span></td><td><span class=\"grayedout\">inactive</span></td></tr></table></div>"
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        "onsetDateTime": "2020-07-03",
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          "reference": "urn:uuid:98a8beb3-4c8f-4953-9d5e-725076631a53",
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        "asserter": {
          "reference": "urn:uuid:4a41db7f-d932-4073-ace4-a458006ad229",
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    {
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      "resource": {
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        "category": [
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        "code": {
          "coding": [
            {
              "code": "444814009",
              "system": "http://snomed.info/sct",
              "display": "Viral sinusitis (disorder)"
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          ],
          "text": "Viral sinusitis"
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td><span class=\"grayedout\">Viral sinusitis</span></td><td><span class=\"nb\">05-May-2017 - 23-May-2017</span></td><td><span class=\"grayedout\">inactive</span></td></tr></table></div>"
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          "reference": "urn:uuid:98a8beb3-4c8f-4953-9d5e-725076631a53",
          "display": "Angela Bauer"
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        "asserter": {
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          "display": "Dr. Gerald Mair"
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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": "43878008",
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              "display": "Streptococcal sore throat (disorder)"
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          "text": "Streptococcal sore throat"
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          "display": "Angela Bauer"
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        "asserter": {
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        "category": [
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            "coding": [
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        "code": {
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              "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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          "text": "Clostridium tetani toxoid antigen adsorbed only vaccine product"
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              "display": "Left upper arm structure"
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          "text": "Left upper arm structure"
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          "text": "Subcutaneous route"
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        "occurrenceDateTime": "2016-10-28",
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          "status": "generated",
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          "text": "Maintain or reduce HbA1c to target level as part of diabetes self-management."
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        "target": [
          {
            "detailQuantity": {
              "value": 6.5,
              "unit": "%",
              "system": "http://unitsofmeasure.org",
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                  "code": "4548-4",
                  "system": "http://loinc.org",
                  "display": "Hemoglobin A1c/Hemoglobin.total in Blood"
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              ]
            }
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        ],
        "text": {
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          "text": "Achieve and maintain a healthy body weight to support diabetes self-management."
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              "system": "http://unitsofmeasure.org",
              "code": "kg"
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                  "code": "3141-9",
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              "code": "mm[Hg]"
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                  "code": "85354-9",
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        },
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          "text": "Patient will be able to walk independently for at least 30 minutes without significant discomfort within 3 months."
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          "display": "Angela Bauer"
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        "description": {
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        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Patient will participate in low-impact physical activity (e.g., walking, swimming) at least 5 days per week for 30 minutes per session.</div>"
        },
        "lifecycleStatus": "active",
        "subject": {
          "reference": "urn:uuid:98a8beb3-4c8f-4953-9d5e-725076631a53",
          "display": "Angela Bauer"
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    {
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              "code": "mm[Hg]"
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                  "code": "85354-9",
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                  "display": "Blood pressure panel with all children optional"
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              ]
            }
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        ],
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          "display": "Angela Bauer"
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                "code": "vital-signs",
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        ],
        "valueQuantity": {
          "value": 154.2,
          "code": "cm",
          "system": "http://unitsofmeasure.org",
          "unit": "cm"
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        "text": {
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><th>Vital Sign</th><th>Date</th><th>Measurement</th></tr><tr><td>Body Height</td><td>25-Apr-2025</td><td>154.2 cm</td></tr></table></div>"
        },
        "status": "final",
        "code": {
          "coding": [
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              "code": "8302-2",
              "system": "http://loinc.org",
              "display": "Body Height"
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        },
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          "display": "Angela Bauer"
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        "category": [
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                "code": "vital-signs",
                "display": "Vital Signs"
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            ]
          }
        ],
        "valueQuantity": {
          "value": 3,
          "code": "1",
          "system": "http://unitsofmeasure.org",
          "unit": "{score}"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><th>Vital Sign</th><th>Date</th><th>Measurement</th></tr><tr><td>Pain severity - 0-10 verbal numeric rating [Score] - Reported</td><td>25-Apr-2025</td><td>3 {score}</td></tr></table></div>"
        },
        "status": "final",
        "code": {
          "coding": [
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              "system": "http://loinc.org",
              "display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
            }
          ]
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          "display": "Angela Bauer"
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        "effectiveDateTime": "2025-04-25"
      }
    },
    {
      "fullUrl": "urn:uuid:cf094955-ae17-491d-b7da-7f99f130f6f2",
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        "meta": {
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          ]
        },
        "category": [
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                "code": "vital-signs",
                "display": "Vital Signs"
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            ]
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        ],
        "valueQuantity": {
          "value": 67.3,
          "code": "kg",
          "system": "http://unitsofmeasure.org",
          "unit": "kg"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><th>Vital Sign</th><th>Date</th><th>Measurement</th></tr><tr><td>Body Weight</td><td>25-Apr-2025</td><td>67.3 kg</td></tr></table></div>"
        },
        "status": "final",
        "code": {
          "coding": [
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              "code": "29463-7",
              "system": "http://loinc.org",
              "display": "Body Weight"
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          ]
        },
        "subject": {
          "reference": "urn:uuid:98a8beb3-4c8f-4953-9d5e-725076631a53",
          "display": "Angela Bauer"
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        "effectiveDateTime": "2025-04-25"
      }
    },
    {
      "fullUrl": "urn:uuid:c9e83258-9db2-449e-a1f0-d19a3a316b2a",
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        "meta": {
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          ]
        },
        "category": [
          {
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                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "valueQuantity": {
          "value": 28.3,
          "code": "kg/m2",
          "system": "http://unitsofmeasure.org",
          "unit": "kg/m2"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><th>Vital Sign</th><th>Date</th><th>Measurement</th></tr><tr><td>Body mass index (BMI) [Ratio]</td><td>25-Apr-2025</td><td>28.3 kg/m2</td></tr></table></div>"
        },
        "status": "final",
        "code": {
          "coding": [
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              "code": "39156-5",
              "system": "http://loinc.org",
              "display": "Body mass index (BMI) [Ratio]"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:98a8beb3-4c8f-4953-9d5e-725076631a53",
          "display": "Angela Bauer"
        },
        "effectiveDateTime": "2025-04-25"
      }
    },
    {
      "fullUrl": "urn:uuid:b6699852-ee76-4b71-95a3-f746b908e013",
      "resource": {
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        "id": "b6699852-ee76-4b71-95a3-f746b908e013",
        "meta": {
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          ]
        },
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "valueQuantity": {
          "value": 94,
          "code": "/min",
          "system": "http://unitsofmeasure.org",
          "unit": "/min"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><th>Vital Sign</th><th>Date</th><th>Measurement</th></tr><tr><td>Heart rate</td><td>25-Apr-2025</td><td>94 /min</td></tr></table></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "code": "8867-4",
              "system": "http://loinc.org",
              "display": "Heart rate"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:98a8beb3-4c8f-4953-9d5e-725076631a53",
          "display": "Angela Bauer"
        },
        "effectiveDateTime": "2025-04-25"
      }
    },
    {
      "fullUrl": "urn:uuid:846dc1bd-2c26-4e86-940a-a9555654be64",
      "resource": {
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        "id": "846dc1bd-2c26-4e86-940a-a9555654be64",
        "meta": {
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          ]
        },
        "category": [
          {
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                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "valueQuantity": {
          "value": 13,
          "code": "/min",
          "system": "http://unitsofmeasure.org",
          "unit": "/min"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><th>Vital Sign</th><th>Date</th><th>Measurement</th></tr><tr><td>Respiratory rate</td><td>25-Apr-2025</td><td>13 /min</td></tr></table></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "code": "9279-1",
              "system": "http://loinc.org",
              "display": "Respiratory rate"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:98a8beb3-4c8f-4953-9d5e-725076631a53",
          "display": "Angela Bauer"
        },
        "effectiveDateTime": "2025-04-25"
      }
    },
    {
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      "resource": {
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        "id": "0a230375-4a28-42ec-9070-111170722cce",
        "meta": {
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          ]
        },
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "component": [
          {
            "valueQuantity": {
              "value": 105,
              "code": "mm[Hg]",
              "system": "http://unitsofmeasure.org",
              "unit": "mm[Hg]"
            },
            "code": {
              "coding": [
                {
                  "code": "8480-6",
                  "system": "http://loinc.org",
                  "display": "Systolic blood pressure"
                }
              ]
            }
          },
          {
            "valueQuantity": {
              "value": 65,
              "code": "mm[Hg]",
              "system": "http://unitsofmeasure.org",
              "unit": "mm[Hg]"
            },
            "code": {
              "coding": [
                {
                  "code": "8462-4",
                  "system": "http://loinc.org",
                  "display": "Diastolic blood pressure"
                }
              ]
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><th>Vital Sign</th><th>Date</th><th>Measurement</th></tr><tr><td>Blood pressure panel with all children optional</td><td>25-Apr-2025</td><td>65 mm[Hg]</td></tr></table></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "code": "85354-9",
              "system": "http://loinc.org",
              "display": "Blood pressure panel with all children optional"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:98a8beb3-4c8f-4953-9d5e-725076631a53",
          "display": "Angela Bauer"
        },
        "effectiveDateTime": "2025-04-25"
      }
    },
    {
      "fullUrl": "urn:uuid:20d6e1bd-ea1a-4238-afda-2bb3eab56487",
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        "meta": {
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        },
        "category": [
          {
            "coding": [
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                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "valueQuantity": {
          "value": 154.2,
          "code": "cm",
          "system": "http://unitsofmeasure.org",
          "unit": "cm"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><th>Vital Sign</th><th>Date</th><th>Measurement</th></tr><tr><td>Body Height</td><td>21-Feb-2025</td><td>154.2 cm</td></tr></table></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "code": "8302-2",
              "system": "http://loinc.org",
              "display": "Body Height"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:98a8beb3-4c8f-4953-9d5e-725076631a53",
          "display": "Angela Bauer"
        },
        "effectiveDateTime": "2025-02-21"
      }
    },
    {
      "fullUrl": "urn:uuid:b2dab2fa-3ca8-416a-8084-41fe4c432849",
      "resource": {
        "resourceType": "Observation",
        "id": "b2dab2fa-3ca8-416a-8084-41fe4c432849",
        "meta": {
          "profile": [
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          ]
        },
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "valueQuantity": {
          "value": 1,
          "code": "1",
          "system": "http://unitsofmeasure.org",
          "unit": "{score}"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><th>Vital Sign</th><th>Date</th><th>Measurement</th></tr><tr><td>Pain severity - 0-10 verbal numeric rating [Score] - Reported</td><td>21-Feb-2025</td><td>1 {score}</td></tr></table></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "code": "72514-3",
              "system": "http://loinc.org",
              "display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:98a8beb3-4c8f-4953-9d5e-725076631a53",
          "display": "Angela Bauer"
        },
        "effectiveDateTime": "2025-02-21"
      }
    },
    {
      "fullUrl": "urn:uuid:ac6a332f-e76b-4fd5-b7e9-02c97fe0dbd4",
      "resource": {
        "resourceType": "Observation",
        "id": "ac6a332f-e76b-4fd5-b7e9-02c97fe0dbd4",
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              "display": "Chloride [Moles/volume] in Serum or Plasma"
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          ],
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          ],
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          "text": "Ketones [Presence] in Urine by Test strip"
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              "display": "Specific gravity of Urine by Test strip"
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          ],
          "text": "Specific gravity of Urine by Test strip"
        },
        "valueQuantity": {
          "value": 1,
          "unit": "{nominal}",
          "code": "1",
          "system": "http://unitsofmeasure.org"
        },
        "referenceRange": [
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            "low": {
              "value": 1.005,
              "code": "1",
              "system": "http://unitsofmeasure.org",
              "unit": "Specific Gravity"
            },
            "high": {
              "value": 1.03,
              "code": "1",
              "system": "http://unitsofmeasure.org",
              "unit": "Specific Gravity"
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        ],
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            "coding": [
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                "code": "L",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "display": "Low"
              }
            ]
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>25-Apr-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Specific gravity of Urine by Test strip</td><td>1.0</td><td>1.005 - 1.030</td><td>L</td><td>{nominal}</td></tr></table></div>"
        },
        "status": "final",
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          "reference": "urn:uuid:98a8beb3-4c8f-4953-9d5e-725076631a53",
          "display": "Angela Bauer"
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        "effectiveDateTime": "2025-04-25T11:23:19Z"
      }
    },
    {
      "fullUrl": "urn:uuid:b8534b1c-05aa-4961-abfb-28cccbd6735c",
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        "category": [
          {
            "coding": [
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                "code": "laboratory",
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            ]
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        ],
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          {
            "display": "The Central European Lab"
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        ],
        "code": {
          "coding": [
            {
              "code": "5803-2",
              "system": "http://loinc.org",
              "display": "pH of Urine by Test strip"
            }
          ],
          "text": "pH of Urine by Test strip"
        },
        "valueQuantity": {
          "value": 6.2,
          "unit": "pH",
          "code": "pH",
          "system": "http://unitsofmeasure.org"
        },
        "referenceRange": [
          {
            "low": {
              "value": 5,
              "code": "pH",
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            },
            "high": {
              "value": 8,
              "code": "pH",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>25-Apr-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>pH of Urine by Test strip</td><td>6.2</td><td>5.0 - 8.0</td><td></td><td>pH</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:98a8beb3-4c8f-4953-9d5e-725076631a53",
          "display": "Angela Bauer"
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        "effectiveDateTime": "2025-04-25T11:23:19Z"
      }
    },
    {
      "fullUrl": "urn:uuid:53b8b958-d351-4cfc-aa9b-1cd7e6ba5882",
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        "resourceType": "Observation",
        "id": "53b8b958-d351-4cfc-aa9b-1cd7e6ba5882",
        "meta": {
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        },
        "category": [
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                "code": "laboratory",
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        ],
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        ],
        "code": {
          "coding": [
            {
              "code": "5804-0",
              "system": "http://loinc.org",
              "display": "Protein [Mass/volume] in Urine by Test strip"
            }
          ],
          "text": "Protein [Mass/volume] in Urine by Test strip"
        },
        "valueQuantity": {
          "value": 283.6,
          "unit": "mg/dL",
          "code": "mg/dL",
          "system": "http://unitsofmeasure.org"
        },
        "referenceRange": [
          {
            "low": {
              "value": 0,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 20,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
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        ],
        "interpretation": [
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            "coding": [
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                "code": "H",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "display": "High"
              }
            ]
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>25-Apr-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td>283.6</td><td>0 - 20</td><td>H</td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:98a8beb3-4c8f-4953-9d5e-725076631a53",
          "display": "Angela Bauer"
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        "effectiveDateTime": "2025-04-25T11:23:19Z"
      }
    },
    {
      "fullUrl": "urn:uuid:43eea781-6832-47fa-9c32-58d468f7d03e",
      "resource": {
        "resourceType": "Observation",
        "id": "43eea781-6832-47fa-9c32-58d468f7d03e",
        "meta": {
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        "category": [
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            "coding": [
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                "code": "laboratory",
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              }
            ]
          }
        ],
        "performer": [
          {
            "display": "The Central European Lab"
          }
        ],
        "code": {
          "coding": [
            {
              "code": "20454-5",
              "system": "http://loinc.org",
              "display": "Protein [Presence] in Urine by Test strip"
            }
          ],
          "text": "Protein [Presence] in Urine by Test strip"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>25-Apr-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Protein [Presence] in Urine by Test strip</td><td>Urine protein test = ++</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:98a8beb3-4c8f-4953-9d5e-725076631a53",
          "display": "Angela Bauer"
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        "effectiveDateTime": "2025-04-25T11:23:19Z",
        "valueCodeableConcept": {
          "coding": [
            {
              "code": "167276005",
              "system": "http://snomed.info/sct",
              "display": "Urine protein test = ++"
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          ]
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    {
      "fullUrl": "urn:uuid:ce6ec7a4-500e-4ffa-9524-7912ed4bfab9",
      "resource": {
        "resourceType": "Observation",
        "id": "ce6ec7a4-500e-4ffa-9524-7912ed4bfab9",
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        "category": [
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            "coding": [
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                "code": "laboratory",
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        ],
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        ],
        "code": {
          "coding": [
            {
              "code": "5802-4",
              "system": "http://loinc.org",
              "display": "Nitrite [Presence] in Urine by Test strip"
            }
          ],
          "text": "Nitrite [Presence] in Urine by Test strip"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>25-Apr-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Nitrite [Presence] in Urine by Test strip</td><td>Urine nitrite negative</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:98a8beb3-4c8f-4953-9d5e-725076631a53",
          "display": "Angela Bauer"
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        "valueCodeableConcept": {
          "coding": [
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              "code": "314138001",
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              "display": "Urine nitrite negative"
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          ]
        }
      }
    },
    {
      "fullUrl": "urn:uuid:8e6ea5de-9df5-48c2-a036-3c71ee021341",
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        "resourceType": "Observation",
        "id": "8e6ea5de-9df5-48c2-a036-3c71ee021341",
        "meta": {
          "profile": [
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        },
        "category": [
          {
            "coding": [
              {
                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
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            ]
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        ],
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        ],
        "code": {
          "coding": [
            {
              "code": "5794-3",
              "system": "http://loinc.org",
              "display": "Hemoglobin [Presence] in Urine by Test strip"
            }
          ],
          "text": "Hemoglobin [Presence] in Urine by Test strip"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>25-Apr-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Hemoglobin [Presence] in Urine by Test strip</td><td>Urine blood test = negative</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:98a8beb3-4c8f-4953-9d5e-725076631a53",
          "display": "Angela Bauer"
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        "effectiveDateTime": "2025-04-25T11:23:19Z",
        "valueCodeableConcept": {
          "coding": [
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              "code": "167297006",
              "system": "http://snomed.info/sct",
              "display": "Urine blood test = negative"
            }
          ]
        }
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    },
    {
      "fullUrl": "urn:uuid:e0c9f6bc-032b-4597-af8a-6bee72da387d",
      "resource": {
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        "id": "e0c9f6bc-032b-4597-af8a-6bee72da387d",
        "meta": {
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        },
        "category": [
          {
            "coding": [
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                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
              }
            ]
          }
        ],
        "performer": [
          {
            "display": "The Central European Lab"
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        ],
        "code": {
          "coding": [
            {
              "code": "5799-2",
              "system": "http://loinc.org",
              "display": "Leukocyte esterase [Presence] in Urine by Test strip"
            }
          ],
          "text": "Leukocyte esterase [Presence] in Urine by Test strip"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>25-Apr-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Leukocyte esterase [Presence] in Urine by Test strip</td><td>Urine leukocyte test negative</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:98a8beb3-4c8f-4953-9d5e-725076631a53",
          "display": "Angela Bauer"
        },
        "effectiveDateTime": "2025-04-25T11:23:19Z",
        "valueCodeableConcept": {
          "coding": [
            {
              "code": "394717006",
              "system": "http://snomed.info/sct",
              "display": "Urine leukocyte test negative"
            }
          ]
        }
      }
    },
    {
      "fullUrl": "urn:uuid:20e626b7-147d-443c-941d-dfc6fbfd57d5",
      "resource": {
        "resourceType": "Observation",
        "id": "20e626b7-147d-443c-941d-dfc6fbfd57d5",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/medicalTestResult-eu-core"
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        },
        "category": [
          {
            "coding": [
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                "code": "laboratory",
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              }
            ]
          }
        ],
        "performer": [
          {
            "display": "The Central European Lab"
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        ],
        "code": {
          "coding": [
            {
              "code": "4548-4",
              "system": "http://loinc.org",
              "display": "Hemoglobin A1c/Hemoglobin.total in Blood"
            }
          ],
          "text": "Hemoglobin A1c/Hemoglobin.total in Blood"
        },
        "valueQuantity": {
          "value": 3.4,
          "unit": "%",
          "code": "%",
          "system": "http://unitsofmeasure.org"
        },
        "referenceRange": [
          {
            "low": {
              "value": 4,
              "code": "%",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 5.6,
              "code": "%",
              "system": "http://unitsofmeasure.org"
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          }
        ],
        "interpretation": [
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            "coding": [
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                "code": "L",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "display": "Low"
              }
            ]
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>25-Apr-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Hemoglobin A1c/Hemoglobin.total in Blood</td><td>3.4</td><td>4.0 - 5.6</td><td>L</td><td>%</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:98a8beb3-4c8f-4953-9d5e-725076631a53",
          "display": "Angela Bauer"
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        "effectiveDateTime": "2025-04-25T11:23:19Z"
      }
    },
    {
      "fullUrl": "urn:uuid:e2bfc04b-43b3-41ca-b936-d5c952e6eee3",
      "resource": {
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        "meta": {
          "profile": [
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        },
        "category": [
          {
            "coding": [
              {
                "code": "laboratory",
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              }
            ]
          }
        ],
        "performer": [
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            "display": "The Central European Lab"
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        ],
        "code": {
          "coding": [
            {
              "code": "2339-0",
              "system": "http://loinc.org",
              "display": "Glucose [Mass/volume] in Blood"
            }
          ],
          "text": "Glucose [Mass/volume] in Blood"
        },
        "valueQuantity": {
          "value": 73.8,
          "unit": "mg/dL",
          "code": "mg/dL",
          "system": "http://unitsofmeasure.org"
        },
        "referenceRange": [
          {
            "low": {
              "value": 70,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 100,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>25-Apr-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Glucose [Mass/volume] in Blood</td><td>73.8</td><td>70 - 100</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
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          "display": "Angela Bauer"
        },
        "effectiveDateTime": "2025-04-25T11:23:19Z"
      }
    },
    {
      "fullUrl": "urn:uuid:19874992-c57f-4f27-805d-a92577f90c33",
      "resource": {
        "resourceType": "Observation",
        "id": "19874992-c57f-4f27-805d-a92577f90c33",
        "meta": {
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        },
        "category": [
          {
            "coding": [
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                "code": "laboratory",
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            ]
          }
        ],
        "performer": [
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        ],
        "code": {
          "coding": [
            {
              "code": "6299-2",
              "system": "http://loinc.org",
              "display": "Urea nitrogen [Mass/volume] in Blood"
            }
          ],
          "text": "Urea nitrogen [Mass/volume] in Blood"
        },
        "valueQuantity": {
          "value": 18,
          "unit": "mg/dL",
          "code": "mg/dL",
          "system": "http://unitsofmeasure.org"
        },
        "referenceRange": [
          {
            "low": {
              "value": 7,
              "code": "mg/dL",
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            },
            "high": {
              "value": 20,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>25-Apr-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Urea nitrogen [Mass/volume] in Blood</td><td>18.0</td><td>7 - 20</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
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          "display": "Angela Bauer"
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      }
    },
    {
      "fullUrl": "urn:uuid:2801bb31-fc2f-49b8-bb9d-e43bcf552bd2",
      "resource": {
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        "id": "2801bb31-fc2f-49b8-bb9d-e43bcf552bd2",
        "meta": {
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        },
        "category": [
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                "code": "laboratory",
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        "performer": [
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        ],
        "code": {
          "coding": [
            {
              "code": "38483-4",
              "system": "http://loinc.org",
              "display": "Creatinine [Mass/volume] in Blood"
            }
          ],
          "text": "Creatinine [Mass/volume] in Blood"
        },
        "valueQuantity": {
          "value": 3.1,
          "unit": "mg/dL",
          "code": "mg/dL",
          "system": "http://unitsofmeasure.org"
        },
        "referenceRange": [
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            "low": {
              "value": 0.5,
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            },
            "high": {
              "value": 1.1,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
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        ],
        "interpretation": [
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                "code": "H",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "display": "High"
              }
            ]
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>25-Apr-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Creatinine [Mass/volume] in Blood</td><td>3.1</td><td>0.5 - 1.1</td><td>H</td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
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          "display": "Angela Bauer"
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        "effectiveDateTime": "2025-04-25T11:23:19Z"
      }
    },
    {
      "fullUrl": "urn:uuid:5c3a303d-e346-40cb-8136-a36b0a729271",
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        },
        "category": [
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            "coding": [
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                "code": "laboratory",
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              "system": "http://loinc.org",
              "display": "Calcium [Mass/volume] in Blood"
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          ],
          "text": "Calcium [Mass/volume] in Blood"
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        "valueQuantity": {
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          "code": "mg/dL",
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              "code": "2947-0",
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              "display": "Sodium [Moles/volume] in Blood"
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          ],
          "text": "Sodium [Moles/volume] in Blood"
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        "valueQuantity": {
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              "value": 145,
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              "system": "http://loinc.org",
              "display": "Potassium [Moles/volume] in Blood"
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          ],
          "text": "Potassium [Moles/volume] in Blood"
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        "valueQuantity": {
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            "high": {
              "value": 5.1,
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              "system": "http://unitsofmeasure.org"
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          }
        ],
        "text": {
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        },
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        ],
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        ],
        "code": {
          "coding": [
            {
              "code": "2069-3",
              "system": "http://loinc.org",
              "display": "Chloride [Moles/volume] in Blood"
            }
          ],
          "text": "Chloride [Moles/volume] in Blood"
        },
        "valueQuantity": {
          "value": 104.6,
          "unit": "mmol/L",
          "code": "mmol/L",
          "system": "http://unitsofmeasure.org"
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        "referenceRange": [
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            },
            "high": {
              "value": 110,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
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          }
        ],
        "text": {
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        },
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          "display": "Angela Bauer"
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        "effectiveDateTime": "2025-04-25T11:23:19Z"
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    {
      "fullUrl": "urn:uuid:b9e83ae0-40ed-4ffd-89c2-a12c1a258f5c",
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        "meta": {
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        "category": [
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        "code": {
          "coding": [
            {
              "code": "20565-8",
              "system": "http://loinc.org",
              "display": "Carbon dioxide, total [Moles/volume] in Blood"
            }
          ],
          "text": "Carbon dioxide, total [Moles/volume] in Blood"
        },
        "valueQuantity": {
          "value": 26.6,
          "unit": "mmol/L",
          "code": "mmol/L",
          "system": "http://unitsofmeasure.org"
        },
        "referenceRange": [
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            },
            "high": {
              "value": 29,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
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        ],
        "text": {
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        },
        "status": "final",
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        "effectiveDateTime": "2025-04-25T11:23:19Z"
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    {
      "fullUrl": "urn:uuid:43a845a9-b5ad-482e-ae3a-cee1d8270d37",
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          ]
        },
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Blood glucose meter (physical object)</td><td><span class=\"nb\">10-Nov-2017</span></td></tr></table></div>"
        },
        "status": "active",
        "device": {
          "reference": "urn:uuid:01f93de7-87a9-473a-abab-d002db594f15",
          "display": "Blood glucose meter (physical object)"
        },
        "subject": {
          "reference": "urn:uuid:98a8beb3-4c8f-4953-9d5e-725076631a53",
          "display": "Angela Bauer"
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      }
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    {
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        "id": "01f93de7-87a9-473a-abab-d002db594f15",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/device-eu-eps"
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        },
        "udiCarrier": [
          {
            "deviceIdentifier": "84857620164196",
            "issuer": "https://www.gs1.org/",
            "entryType": "barcode",
            "carrierHRF": "(01)84857620164196(11)171020(17)421104(10)599465011986045245(21)824508"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Blood glucose meter (physical object) ((01)84857620164196(11)171020(17)421104(10)599465011986045245(21)824508)</div>"
        },
        "status": "active",
        "patient": {
          "reference": "urn:uuid:98a8beb3-4c8f-4953-9d5e-725076631a53",
          "display": "Angela Bauer"
        },
        "type": {
          "coding": [
            {
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              "system": "http://snomed.info/sct",
              "display": "Blood glucose meter (physical object)"
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          ]
        }
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    },
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            "http://hl7.eu/fhir/eps/StructureDefinition/deviceUseStatement-eu-eps"
          ]
        },
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Manual wheelchair (physical object)</td><td><span class=\"nb\">02-Dec-2013</span></td></tr></table></div>"
        },
        "status": "active",
        "device": {
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          "display": "Manual wheelchair (physical object)"
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          "display": "Angela Bauer"
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        "udiCarrier": [
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            "entryType": "barcode",
            "carrierHRF": "(01)37106770589987(11)131111(17)381126(10)247931735740948(21)514154176574930"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Manual wheelchair (physical object) ((01)37106770589987(11)131111(17)381126(10)247931735740948(21)514154176574930)</div>"
        },
        "status": "active",
        "patient": {
          "reference": "urn:uuid:98a8beb3-4c8f-4953-9d5e-725076631a53",
          "display": "Angela Bauer"
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        "type": {
          "coding": [
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              "code": "228869008",
              "system": "http://snomed.info/sct",
              "display": "Manual wheelchair (physical object)"
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          ]
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    {
      "fullUrl": "urn:uuid:0a141c0d-0317-4254-9a67-da567865e9a2",
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            "http://hl7.eu/fhir/eps/StructureDefinition/deviceUseStatement-eu-eps"
          ]
        },
        "timingPeriod": {
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Wheelchair accessory (physical object)</td><td><span class=\"nb\">02-Dec-2013</span></td></tr></table></div>"
        },
        "status": "active",
        "device": {
          "reference": "urn:uuid:4f84f444-1a6d-49b1-87e1-3b5fbe69bc9c",
          "display": "Wheelchair accessory (physical object)"
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        "subject": {
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          "display": "Angela Bauer"
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    {
      "fullUrl": "urn:uuid:4f84f444-1a6d-49b1-87e1-3b5fbe69bc9c",
      "resource": {
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        "id": "4f84f444-1a6d-49b1-87e1-3b5fbe69bc9c",
        "meta": {
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        },
        "udiCarrier": [
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            "entryType": "barcode",
            "carrierHRF": "(01)13549281414517(11)131111(17)381126(10)317803(21)639336502587435360"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Wheelchair accessory (physical object) ((01)13549281414517(11)131111(17)381126(10)317803(21)639336502587435360)</div>"
        },
        "status": "active",
        "patient": {
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          "display": "Angela Bauer"
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        "type": {
          "coding": [
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              "code": "705417005",
              "system": "http://snomed.info/sct",
              "display": "Wheelchair accessory (physical object)"
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          ]
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    {
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      "resource": {
        "resourceType": "Device",
        "id": "dfd2108e-300c-462c-a69a-3cd5482512c8",
        "deviceName": [
          {
            "name": "SYNDERAI Synthetic Generator",
            "type": "manufacturer-name"
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        ],
        "version": [
          {
            "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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      "resource": {
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          {
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          {
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          {
            "reference": "urn:uuid:0be61870-df7e-465e-924a-1000952699a1"
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            {
              "code": "CREATE",
              "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation",
              "display": "create"
            }
          ],
          "text": "Synthetic Example Data Generation"
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        "policy": [
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        ],
        "agent": [
          {
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                  "code": "author",
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                  "display": "Author"
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              "text": "author"
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            "who": {
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        "reason": [
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              {
                "code": "TRAIN",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
                "display": "training"
              }
            ],
            "text": "Interoperability Testing and Training (non-clinical use)"
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        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provenance for SYNDERAI Synthetic Example Data Resource</div>"
        },
        "recorded": "2025-04-25T11:23:19Z"
      }
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  ],
  "type": "document",
  "timestamp": "2025-04-25T13:23:19Z"
}