{
  "resourceType": "Bundle",
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    "profile": [
      "http://hl7.eu/fhir/eps/StructureDefinition/bundle-eu-eps"
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  "identifier": {
    "assigner": {
      "display": "HL7 Europe"
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    "system": "urn:oid:2.16.840.1.113883.2.51.999",
    "value": "463a7219-6158-4d70-8652-4306c128f6df"
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  "entry": [
    {
      "fullUrl": "urn:uuid:73cd6a9f-c6a1-4ccf-b080-9e5987d7a0cf",
      "resource": {
        "resourceType": "Composition",
        "id": "73cd6a9f-c6a1-4ccf-b080-9e5987d7a0cf",
        "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"
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          ],
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/composition-eu-eps"
          ]
        },
        "identifier": {
          "assigner": {
            "display": "HL7 Europe"
          },
          "system": "urn:oid:2.16.840.1.113883.2.51.999",
          "value": "f828398a-87fe-4598-8904-01b0492b04a0"
        },
        "type": {
          "coding": [
            {
              "code": "60591-5",
              "system": "http://loinc.org",
              "display": "Patient summary Document"
            }
          ],
          "text": "Patient summary Document"
        },
        "author": [
          {
            "reference": "urn:uuid:68a1ce2b-170b-4a99-a30b-099c5045d4ad"
          }
        ],
        "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>Macular edema and retinopathy due to type 2 diabetes mellitus</td><td><span class=\"nb\">25-Nov-2021</span></td><td>active</td></tr><tr><td>Essential hypertension</td><td><span class=\"nb\">21-May-2020</span></td><td>active</td></tr><tr><td>Nonproliferative retinopathy due to type 2 diabetes mellitus</td><td><span class=\"nb\">14-Nov-2019</span></td><td>active</td></tr><tr><td>Osteoporosis</td><td><span class=\"nb\">08-Nov-2018</span></td><td>active</td></tr><tr><td>Retinopathy due to type 2 diabetes mellitus</td><td><span class=\"nb\">16-Oct-2014</span></td><td>active</td></tr><tr><td>Ischemic heart disease</td><td><span class=\"nb\">17-Sep-2009</span></td><td>active</td></tr><tr><td>Hyperglycemia</td><td><span class=\"nb\">25-May-1989</span></td><td>active</td></tr><tr><td>Hypertriglyceridemia</td><td><span class=\"nb\">19-May-1988</span></td><td>active</td></tr><tr><td>Neuropathy due to type 2 diabetes mellitus</td><td><span class=\"nb\">19-May-1988</span></td><td>active</td></tr><tr><td>Type 2 diabetes mellitus</td><td><span class=\"nb\">12-Jun-1986</span></td><td>active</td></tr><tr><td>Metabolic syndrome X</td><td><span class=\"nb\">12-Jun-1986</span></td><td>active</td></tr><tr><td>Hyperlipidemia</td><td><span class=\"nb\">29-May-1980</span></td><td>active</td></tr><tr><td>Sepsis</td><td><span class=\"nb\">28-Dec-1959</span></td><td>active</td></tr><tr><td><span class=\"grayedout\">Fracture of forearm</span></td><td><span class=\"nb\">03-Mar-2024 - 06-Jun-2024</span></td><td><span class=\"grayedout\">inactive</span></td></tr><tr><td><span class=\"grayedout\">Fracture of bone</span></td><td><span class=\"nb\">03-Mar-2024 - 06-Jun-2024</span></td><td><span class=\"grayedout\">inactive</span></td></tr><tr><td><span class=\"grayedout\">Osteoporotic fracture</span></td><td><span class=\"nb\">03-Mar-2024 - 06-Jun-2024</span></td><td><span class=\"grayedout\">inactive</span></td></tr><tr><td><span class=\"grayedout\">Viral sinusitis</span></td><td><span class=\"nb\">04-Jun-2020 - 11-Jun-2020</span></td><td><span class=\"grayedout\">inactive</span></td></tr><tr><td><span class=\"grayedout\">Fracture of forearm</span></td><td><span class=\"nb\">28-Sep-2017 - 07-Dec-2017</span></td><td><span class=\"grayedout\">inactive</span></td></tr><tr><td><span class=\"grayedout\">Fracture of bone</span></td><td><span class=\"nb\">28-Sep-2017 - 07-Dec-2017</span></td><td><span class=\"grayedout\">inactive</span></td></tr><tr><td><span class=\"grayedout\">Viral sinusitis</span></td><td><span class=\"nb\">24-Dec-2015 - 03-Jan-2016</span></td><td><span class=\"grayedout\">inactive</span></td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:3b6a51d2-ce1c-4b41-9a2a-65ef11905e51"
              },
              {
                "reference": "urn:uuid:bee019cc-3e86-43b4-9411-4f031240b32f"
              },
              {
                "reference": "urn:uuid:25e4822f-69cb-4abf-83ce-82c9ab3d5e35"
              },
              {
                "reference": "urn:uuid:62df4a25-e7df-4411-8fa7-353f7a23c5f3"
              },
              {
                "reference": "urn:uuid:48b27914-2e7a-47c4-b5d0-15f589a519fd"
              },
              {
                "reference": "urn:uuid:dc8c7862-50f7-43ed-9ea9-dfcb4a805738"
              },
              {
                "reference": "urn:uuid:0421a6cd-108a-464f-9b88-d7598d86ea8f"
              },
              {
                "reference": "urn:uuid:621b86e1-cfa5-4bec-b737-13d012a83fdc"
              },
              {
                "reference": "urn:uuid:dc449ef9-2c52-4d79-8ccd-0893492b0b94"
              },
              {
                "reference": "urn:uuid:2a33238b-bec9-48b7-ac1f-2e548edea622"
              },
              {
                "reference": "urn:uuid:f7a077ae-a8ed-4217-b664-86499c54f21f"
              },
              {
                "reference": "urn:uuid:71a66c82-1b06-4d6d-b0e3-170d28236a30"
              },
              {
                "reference": "urn:uuid:6c7d5b8e-40af-49a1-adcf-3ef251669584"
              },
              {
                "reference": "urn:uuid:ac8afa4f-8882-48d4-b695-c3156c577de6"
              },
              {
                "reference": "urn:uuid:efde4f24-ac72-4a68-933d-928c2b6b0fb0"
              },
              {
                "reference": "urn:uuid:8ae887de-6cf7-4d54-9bbc-466de34da1cd"
              },
              {
                "reference": "urn:uuid:745b6560-933d-4b25-9ef6-adbd995bbf67"
              },
              {
                "reference": "urn:uuid:04a866aa-2a5b-4c06-b0c1-3ce37f279b80"
              },
              {
                "reference": "urn:uuid:454a8bab-37a3-4d76-ba3a-18d310408117"
              },
              {
                "reference": "urn:uuid:05a41df7-f0db-40a7-a831-422b4fb4de6f"
              }
            ],
            "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>Simvastatin 10 mg oral tablet</td><td><span class=\"nb\">2024-12-19</span></td><td>-</td><td>1 tablet (10 mg) by mouth once daily</td><td>Hyperlipidemia</td></tr><tr><td>Amlodipine (as amlodipine besylate) 2.5 mg oral tablet</td><td><span class=\"nb\">2024-12-12</span></td><td>-</td><td>1 tablet (2.5 mg) by mouth once daily</td><td>Essential hypertension (disorder)</td></tr><tr><td>Hydrochlorothiazide 25 mg oral tablet</td><td><span class=\"nb\">2024-12-12</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\">2024-12-12</span></td><td>-</td><td>1 tablet (10 mg) by mouth once daily</td><td>Essential hypertension (disorder)</td></tr><tr><td>Metformin hydrochloride 500 mg prolonged-release oral tablet</td><td><span class=\"nb\">2024-12-12</span></td><td>-</td><td>1 tablet (500 mg) once daily</td><td>Diabetes mellitus type 2 (disorder)</td></tr><tr><td>Alendronic acid (as alendronate sodium) 10 mg oral tablet</td><td><span class=\"nb\">2024-12-12</span></td><td>-</td><td>1 tablet (10 mg) once daily</td><td>Osteoporosis (disorder)</td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:b55fd298-a693-43d4-af17-e4ed129960aa"
              },
              {
                "reference": "urn:uuid:09ad543c-604f-4130-aa79-f294f354a1b9"
              },
              {
                "reference": "urn:uuid:dcb663d2-6383-4e10-bf34-b9bf193aca5b"
              },
              {
                "reference": "urn:uuid:bfad40f1-1772-4b90-9b8a-d143876cb41f"
              },
              {
                "reference": "urn:uuid:958d4569-86ff-444a-ada7-b4c7bdbf9a7a"
              },
              {
                "reference": "urn:uuid:e5a6849c-a93a-43d6-9278-d5dab19d7ee6"
              }
            ],
            "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\">12-Dec-2024</span></td></tr><tr><td>SARS-CoV-2 mRNA vaccine</td><td><span class=\"nb\">25-Mar-2021</span></td></tr><tr><td>Clostridium tetani toxoid antigen adsorbed only vaccine product</td><td><span class=\"nb\">14-Nov-2019</span></td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:b12ab20c-a71e-4d1a-b36b-8b14c1b4bc97"
              },
              {
                "reference": "urn:uuid:e7f7621e-683b-4000-afe2-0d2dcc367a98"
              },
              {
                "reference": "urn:uuid:44647e82-0e8e-4b79-8aaa-4e0b609d8c5f"
              }
            ],
            "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>Pre-discharge assessment</td><td><span class=\"nb\">23-Mar-2024</span></td><td>-</td></tr><tr><td>Discharge from hospital</td><td><span class=\"nb\">23-Mar-2024</span></td><td>-</td></tr><tr><td>Nursing care/supplementary surveillance</td><td><span class=\"nb\">22-Mar-2024</span></td><td>-</td></tr><tr><td>Professional / ancillary services care</td><td><span class=\"nb\">20-Mar-2024</span></td><td>-</td></tr><tr><td>Occupational therapy</td><td><span class=\"nb\">11-Mar-2024</span></td><td>-</td></tr><tr><td>Speech and language therapy regime</td><td><span class=\"nb\">07-Mar-2024</span></td><td>-</td></tr><tr><td>History AND physical examination</td><td><span class=\"nb\">03-Mar-2024</span></td><td>-</td></tr><tr><td>Bone immobilization</td><td><span class=\"nb\">03-Mar-2024</span></td><td>Fracture of forearm (disorder)</td></tr><tr><td>Initial patient assessment</td><td><span class=\"nb\">03-Mar-2024</span></td><td>-</td></tr><tr><td>Development of individualized plan of care</td><td><span class=\"nb\">03-Mar-2024</span></td><td>-</td></tr><tr><td>Plain X-ray of humerus</td><td><span class=\"nb\">03-Mar-2024</span></td><td>-</td></tr><tr><td>Depression screening</td><td><span class=\"nb\">21-May-2020</span></td><td>-</td></tr><tr><td>Medication reconciliation</td><td><span class=\"nb\">21-May-2020</span></td><td>-</td></tr><tr><td>Assessment of health and social care needs</td><td><span class=\"nb\">21-May-2020</span></td><td>-</td></tr><tr><td>Assessment using Morse Fall Scale</td><td><span class=\"nb\">21-May-2020</span></td><td>-</td></tr><tr><td>Assessment using AUDIT-C (Alcohol Use Disorders Identification Test - Consumption)</td><td><span class=\"nb\">21-May-2020</span></td><td>-</td></tr><tr><td>Assessment of substance use</td><td><span class=\"nb\">21-May-2020</span></td><td>-</td></tr><tr><td>Bone density scan</td><td><span class=\"nb\">28-Sep-2017</span></td><td>Fracture of forearm (disorder)</td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:21abb49d-da1a-4062-8443-0d942934f743"
              },
              {
                "reference": "urn:uuid:b8bc9370-3a6e-4cfd-94f5-f2dd686c9783"
              },
              {
                "reference": "urn:uuid:54535a99-b656-405b-ac68-ee2d2f770d86"
              },
              {
                "reference": "urn:uuid:d17b54f3-686b-4a22-a6f3-4883126cafb4"
              },
              {
                "reference": "urn:uuid:bead6bee-bb45-4803-9de0-086edb431318"
              },
              {
                "reference": "urn:uuid:1d439de5-e7a7-44aa-b346-48ba3889e346"
              },
              {
                "reference": "urn:uuid:b18b35a0-9bfc-428c-b950-2df19efa9125"
              },
              {
                "reference": "urn:uuid:5a003a01-9cb8-4a5b-9325-2ecabddca05f"
              },
              {
                "reference": "urn:uuid:ba3fbaab-12b9-4fc6-ab62-8199b7c52739"
              },
              {
                "reference": "urn:uuid:41ad16a8-71b0-4a8c-96a4-4fcd1dd10ebe"
              },
              {
                "reference": "urn:uuid:6baeef6f-db1e-4142-8fdf-2feacf0914e5"
              },
              {
                "reference": "urn:uuid:aaaca790-54a9-48e1-9617-95f46235de2f"
              },
              {
                "reference": "urn:uuid:52c23314-126b-42ae-b561-04fcd35501b4"
              },
              {
                "reference": "urn:uuid:17ab0dce-f64c-4e26-b021-befc3f0b943a"
              },
              {
                "reference": "urn:uuid:6c774288-8191-42ac-97c9-c3b7a0992020"
              },
              {
                "reference": "urn:uuid:5ac08819-29ff-44b2-8486-9e107d237d92"
              },
              {
                "reference": "urn:uuid:1563c6df-d286-46d2-bc12-569a276260a0"
              },
              {
                "reference": "urn:uuid:69952a8c-34f4-4f77-9531-e125e1c130f3"
              }
            ],
            "code": {
              "coding": [
                {
                  "code": "47519-4",
                  "system": "http://loinc.org",
                  "display": "History of Procedures Document"
                }
              ]
            },
            "title": "Procedure History list"
          },
          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>No known allergies or intolerances</td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:e83be414-84e4-4a15-a98d-4023da746098"
              }
            ],
            "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>Lifestyle education regarding hypertension</td><td><span class=\"nb\">21-May-2020</span></td><td>Essential hypertension (disorder)</td></tr><tr><td><ul><li>Patient will understand and implement lifestyle modifications to help control blood pressure, including dietary changes, increased physical activity, and medication adherence.</li></ul></td><td></td><td></td></tr><tr><td>Hyperlipidemia clinical management plan</td><td><span class=\"nb\">19-Jun-1980</span></td><td>Hyperlipidemia (disorder)</td></tr><tr><td><ul><li>Achieve and maintain LDL cholesterol below 70 mg/dL to reduce cardiovascular risk.</li><li>Maintain total cholesterol below 170 mg/dL.</li><li>Maintain triglycerides below 150 mg/dL.</li><li>Maintain HDL cholesterol above 50 mg/dL.</li></ul></td><td></td><td></td></tr><tr><td>Diabetes self management plan</td><td><span class=\"nb\">21-Jul-1960</span></td><td>Prediabetes (finding)</td></tr><tr><td><ul><li>Maintain HbA1c at or below individualized target to reduce risk of diabetes complications.</li><li>Maintain blood pressure below 140/90 mmHg to reduce cardiovascular risk.</li><li>Maintain LDL cholesterol below 100 mg/dL to reduce cardiovascular risk.</li><li>Achieve or maintain a healthy body weight as part of diabetes self-management.</li><li>Maintain fasting blood glucose between 80 and 130 mg/dL.</li></ul></td><td></td><td></td></tr><tr><th>Immunization Recommendation</th><th>Due Date</th><th>Reason</th></tr><tr><td>Influenza virus antigen only vaccine product</td><td><span class=\"nb\">01-Oct-2026</span></td><td>Annual seasonal influenza vaccination</td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:89355608-b5c1-4310-9a6e-f506451e09f2"
              },
              {
                "reference": "urn:uuid:a49562d1-02bf-4538-9ba6-5bc7f301e600"
              },
              {
                "reference": "urn:uuid:3d35b485-163f-4af0-a062-2226ab0fecf6"
              },
              {
                "reference": "urn:uuid:0a08262c-ca43-4364-b22f-0c8ddf5e9576"
              }
            ],
            "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>2024-12-12</th><th>2023-12-07</th></tr><tr><td>Body Height</td><td>162.8 cm</td><td>162.8 cm</td></tr><tr><td>Pain severity - 0-10 verbal numeric rating [Score] - Reported</td><td>4 {score}</td><td>1 {score}</td></tr><tr><td>Body Weight</td><td>81.8 kg</td><td>81.8 kg</td></tr><tr><td>Body mass index (BMI) [Ratio]</td><td>30.9 kg/m2</td><td>30.9 kg/m2</td></tr><tr><td>Heart rate</td><td>78 /min</td><td>68 /min</td></tr><tr><td>Respiratory rate</td><td>15 /min</td><td>16 /min</td></tr><tr><td>Blood pressure panel with all children optional</td><td>62 mm[Hg]</td><td>59 mm[Hg]</td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:7db63c67-c78e-4205-8f10-ff260c2d0073"
              },
              {
                "reference": "urn:uuid:3bb7a34f-d9f2-4233-a47f-8e91b2803b28"
              },
              {
                "reference": "urn:uuid:b7eceefd-a964-4fb9-a22a-5edfa5eeccf8"
              },
              {
                "reference": "urn:uuid:f5477544-e1e8-433a-b251-78624892fb91"
              },
              {
                "reference": "urn:uuid:ded22f66-d0ae-4339-bbac-a18ee1a7e1e7"
              },
              {
                "reference": "urn:uuid:dce4d5f8-cc2c-4e33-96d6-44f73eb66128"
              },
              {
                "reference": "urn:uuid:29ed1540-7f01-49d6-aa23-77ba2410e575"
              },
              {
                "reference": "urn:uuid:a809c398-bd6f-4266-b162-742c6a921d63"
              },
              {
                "reference": "urn:uuid:daaf176d-3156-467f-bd2b-5bc19cf0b9c9"
              },
              {
                "reference": "urn:uuid:7186e651-1b03-4859-aa49-716a9fa64308"
              },
              {
                "reference": "urn:uuid:00c882a3-0a74-47aa-800d-8c745914e432"
              },
              {
                "reference": "urn:uuid:5bf4322d-e004-4a4f-9ea5-a440897bc2e4"
              },
              {
                "reference": "urn:uuid:dfa9d0b7-dac5-461d-8a3b-ad83bf71c62d"
              },
              {
                "reference": "urn:uuid:0e123a62-f141-4448-bc2c-d4c8c3fc7f01"
              }
            ],
            "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>19-DEC-2024</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Blood</td><td>87.6</td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Blood</td><td>7.3</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Blood</td><td><strong>2.9 H</strong></td><td>0.6 - 1.3</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Blood</td><td>9.9</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Blood</td><td>138.9</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Blood</td><td>4.5</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Blood</td><td>101.5</td><td>98 - 107</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td>24.1</td><td>22 - 29</td><td>mmol/L</td></tr><tr><td>Protein [Mass/volume] in Serum or Plasma</td><td>7.3</td><td>6.6 - 8.3</td><td>g/dL</td></tr><tr><td>Albumin [Mass/volume] in Serum or Plasma</td><td>3.6</td><td>3.5 - 5.0</td><td>g/dL</td></tr><tr><td>Globulin [Mass/volume] in Serum by calculation</td><td><strong>2.1 L</strong></td><td>20 - 39</td><td>g/L</td></tr><tr><td>Bilirubin.total [Mass/volume] in Serum or Plasma</td><td>0.3</td><td>0.1 - 1.2</td><td>mg/dL</td></tr><tr><td>Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma</td><td><strong>21.5 L</strong></td><td>30 - 120</td><td>U/L</td></tr><tr><td>Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td>25.7</td><td>10 - 40</td><td>U/L</td></tr><tr><td>Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td>25.3</td><td>10 - 40</td><td>U/L</td></tr><tr><td>Cholesterol [Mass/volume] in Serum or Plasma</td><td><strong>203.2 H</strong></td><td>125 - 200</td><td>mg/dL</td></tr><tr><td>Triglyceride [Mass/volume] in Serum or Plasma</td><td><strong>186.1 H</strong></td><td>0 - 149</td><td>mg/dL</td></tr><tr><td>Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay</td><td>90.4</td><td>0 - 100</td><td>mg/dL</td></tr><tr><td>Cholesterol in HDL [Mass/volume] in Serum or Plasma</td><td>71.2</td><td>40 - 90</td><td>mg/dL</td></tr></tbody></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:58fe2795-ee80-4f95-b3c7-e5a235e4d40d"
              },
              {
                "reference": "urn:uuid:30404912-56b1-45fd-9664-d6c84e105d62"
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              {
                "reference": "urn:uuid:7fcf9cac-fd03-4822-95ea-bd854e8448d0"
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              {
                "reference": "urn:uuid:168fe26a-6589-45a8-85a8-c3f6a6f2e4bb"
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              {
                "reference": "urn:uuid:c1038fa2-8e67-4074-a7ef-39e1594c142d"
              },
              {
                "reference": "urn:uuid:fb0ce9d9-4c64-4650-9907-36091e34979a"
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              {
                "reference": "urn:uuid:c2d502a7-718a-4349-abd1-3d129b17ce19"
              },
              {
                "reference": "urn:uuid:ea2f62bb-c347-4527-b7f4-d53e2ebeae8c"
              },
              {
                "reference": "urn:uuid:f0e98e21-48e3-4ec7-ba68-3fbf237e6fdb"
              },
              {
                "reference": "urn:uuid:bd402183-5074-4ad2-9f12-c3bddde5cc42"
              },
              {
                "reference": "urn:uuid:7465b82d-e7ef-46dd-9858-dfbb182fb424"
              },
              {
                "reference": "urn:uuid:e15630d4-06df-4f3b-828e-365ce2c18ff1"
              },
              {
                "reference": "urn:uuid:2b7a9bd7-eeea-4443-ac67-450a2b628acf"
              },
              {
                "reference": "urn:uuid:648d4bd0-1009-43c9-8a28-b5b03e157bec"
              },
              {
                "reference": "urn:uuid:d6e6de90-f6b5-4540-b56f-6eea824bc81f"
              },
              {
                "reference": "urn:uuid:844b43c8-6ea9-46cf-bb52-0af6abc42674"
              },
              {
                "reference": "urn:uuid:f1d626c0-1fc3-468a-9231-33fc8bd0f38b"
              },
              {
                "reference": "urn:uuid:e68060bb-0124-4b0d-8292-7764958f4600"
              },
              {
                "reference": "urn:uuid:661c0ebd-1c29-45fb-8ac0-a0ebb4cc10d7"
              }
            ],
            "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>Ventricular assist device (physical object)</td><td><span class=\"nb\">30-Sep-2009</span></td></tr><tr><td>Blood glucose meter (physical object)</td><td><span class=\"nb\">21-Jul-1960</span></td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:a6d15520-5eed-46e0-865a-d34b777ea647"
              },
              {
                "reference": "urn:uuid:593e92cf-2d7a-426b-9aa8-a5f38ac2d591"
              }
            ],
            "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:c7d6151f-39bc-4508-a7f0-35e4a40f357b",
          "display": "Elaine Green"
        },
        "custodian": {
          "reference": "urn:uuid:fef7a0be-9766-49e5-b74d-051c3c76a534"
        },
        "date": "2024-12-19T16:27:18Z",
        "confidentiality": "N"
      }
    },
    {
      "fullUrl": "urn:uuid:c7d6151f-39bc-4508-a7f0-35e4a40f357b",
      "resource": {
        "resourceType": "Patient",
        "id": "c7d6151f-39bc-4508-a7f0-35e4a40f357b",
        "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": "9467-500577-4"
          },
          {
            "type": {
              "coding": [
                {
                  "code": "MR",
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
                }
              ]
            },
            "system": "http://local.setting.eu/identifier",
            "value": "c433235c-1136-ad56-17ad-198ccaf426de"
          }
        ],
        "name": [
          {
            "given": [
              "Elaine"
            ],
            "family": "Green",
            "text": "Elaine Green"
          }
        ],
        "address": [
          {
            "line": [
              "Studio 30N",
              "Maurice lakes"
            ],
            "use": "home",
            "type": "physical",
            "postalCode": "M1",
            "city": "East Georginastad",
            "country": "United Kingdom"
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "+44(0)114 4960474"
          }
        ],
        "extension": [
          {
            "extension": [
              {
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "code": "GB",
                      "system": "urn:iso:std:iso:3166"
                    }
                  ],
                  "text": "United Kingdom"
                },
                "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>Elaine Green</td><td>female</td><td>05-Aug-1942</td></tr></table></div>"
        },
        "gender": "female",
        "birthDate": "1942-08-05"
      }
    },
    {
      "fullUrl": "urn:uuid:68a1ce2b-170b-4a99-a30b-099c5045d4ad",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "68a1ce2b-170b-4a99-a30b-099c5045d4ad",
        "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 68a1ce2b-170b-4a99-a30b-099c5045d4ad</td></tr></table></div>"
        },
        "practitioner": {
          "reference": "urn:uuid:3953290a-1e2d-4e25-94e9-e3a0aa4e6f7e"
        },
        "organization": {
          "reference": "urn:uuid:fef7a0be-9766-49e5-b74d-051c3c76a534"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:fef7a0be-9766-49e5-b74d-051c3c76a534",
      "resource": {
        "resourceType": "Organization",
        "id": "fef7a0be-9766-49e5-b74d-051c3c76a534",
        "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": "c8cdd066-584a-4ede-a1b4-c842e059dc95"
          }
        ],
        "address": [
          {
            "line": [
              "City Road 204"
            ],
            "city": "Manchester",
            "postalCode": "M3 3",
            "country": "United Kingdom"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Cornbrook Medical Practice</td></tr></table></div>"
        },
        "name": "Cornbrook Medical Practice"
      }
    },
    {
      "fullUrl": "urn:uuid:3953290a-1e2d-4e25-94e9-e3a0aa4e6f7e",
      "resource": {
        "resourceType": "Practitioner",
        "id": "3953290a-1e2d-4e25-94e9-e3a0aa4e6f7e",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu-core"
          ]
        },
        "name": [
          {
            "given": [
              "Anthony"
            ],
            "family": "Evans"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Anthony Evans</td></tr></table></div>"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:3b6a51d2-ce1c-4b41-9a2a-65ef11905e51",
      "resource": {
        "resourceType": "Condition",
        "id": "3b6a51d2-ce1c-4b41-9a2a-65ef11905e51",
        "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": "97331000119101",
              "system": "http://snomed.info/sct",
              "display": "Macular edema and retinopathy due to type 2 diabetes mellitus (disorder)"
            }
          ],
          "text": "Macular edema and retinopathy due to type 2 diabetes mellitus"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Macular edema and retinopathy due to type 2 diabetes mellitus</td><td><span class=\"nb\">25-Nov-2021</span></td><td>active</td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "active",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
          ]
        },
        "onsetDateTime": "2021-11-25",
        "subject": {
          "reference": "urn:uuid:c7d6151f-39bc-4508-a7f0-35e4a40f357b",
          "display": "Elaine Green"
        },
        "asserter": {
          "reference": "urn:uuid:68a1ce2b-170b-4a99-a30b-099c5045d4ad",
          "display": "Cornbrook Medical Practice"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:bee019cc-3e86-43b4-9411-4f031240b32f",
      "resource": {
        "resourceType": "Condition",
        "id": "bee019cc-3e86-43b4-9411-4f031240b32f",
        "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": "59621000",
              "system": "http://snomed.info/sct",
              "display": "Essential hypertension (disorder)"
            }
          ],
          "text": "Essential hypertension"
        },
        "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\">21-May-2020</span></td><td>active</td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "active",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
          ]
        },
        "onsetDateTime": "2020-05-21",
        "subject": {
          "reference": "urn:uuid:c7d6151f-39bc-4508-a7f0-35e4a40f357b",
          "display": "Elaine Green"
        },
        "asserter": {
          "reference": "urn:uuid:68a1ce2b-170b-4a99-a30b-099c5045d4ad",
          "display": "Cornbrook Medical Practice"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:25e4822f-69cb-4abf-83ce-82c9ab3d5e35",
      "resource": {
        "resourceType": "Condition",
        "id": "25e4822f-69cb-4abf-83ce-82c9ab3d5e35",
        "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": "1551000119108",
              "system": "http://snomed.info/sct",
              "display": "Nonproliferative retinopathy due to type 2 diabetes mellitus (disorder)"
            }
          ],
          "text": "Nonproliferative retinopathy due to type 2 diabetes mellitus"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Nonproliferative retinopathy due to type 2 diabetes mellitus</td><td><span class=\"nb\">14-Nov-2019</span></td><td>active</td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "active",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
          ]
        },
        "onsetDateTime": "2019-11-14",
        "subject": {
          "reference": "urn:uuid:c7d6151f-39bc-4508-a7f0-35e4a40f357b",
          "display": "Elaine Green"
        },
        "asserter": {
          "reference": "urn:uuid:68a1ce2b-170b-4a99-a30b-099c5045d4ad",
          "display": "Cornbrook Medical Practice"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:62df4a25-e7df-4411-8fa7-353f7a23c5f3",
      "resource": {
        "resourceType": "Condition",
        "id": "62df4a25-e7df-4411-8fa7-353f7a23c5f3",
        "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": "64859006",
              "system": "http://snomed.info/sct",
              "display": "Osteoporosis (disorder)"
            }
          ],
          "text": "Osteoporosis"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Osteoporosis</td><td><span class=\"nb\">08-Nov-2018</span></td><td>active</td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "active",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
          ]
        },
        "onsetDateTime": "2018-11-08",
        "subject": {
          "reference": "urn:uuid:c7d6151f-39bc-4508-a7f0-35e4a40f357b",
          "display": "Elaine Green"
        },
        "asserter": {
          "reference": "urn:uuid:68a1ce2b-170b-4a99-a30b-099c5045d4ad",
          "display": "Cornbrook Medical Practice"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:48b27914-2e7a-47c4-b5d0-15f589a519fd",
      "resource": {
        "resourceType": "Condition",
        "id": "48b27914-2e7a-47c4-b5d0-15f589a519fd",
        "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": "422034002",
              "system": "http://snomed.info/sct",
              "display": "Retinopathy due to type 2 diabetes mellitus (disorder)"
            }
          ],
          "text": "Retinopathy due to type 2 diabetes mellitus"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Retinopathy due to type 2 diabetes mellitus</td><td><span class=\"nb\">16-Oct-2014</span></td><td>active</td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "active",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
          ]
        },
        "onsetDateTime": "2014-10-16",
        "subject": {
          "reference": "urn:uuid:c7d6151f-39bc-4508-a7f0-35e4a40f357b",
          "display": "Elaine Green"
        },
        "asserter": {
          "reference": "urn:uuid:68a1ce2b-170b-4a99-a30b-099c5045d4ad",
          "display": "Cornbrook Medical Practice"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:dc8c7862-50f7-43ed-9ea9-dfcb4a805738",
      "resource": {
        "resourceType": "Condition",
        "id": "dc8c7862-50f7-43ed-9ea9-dfcb4a805738",
        "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": "414545008",
              "system": "http://snomed.info/sct",
              "display": "Ischemic heart disease (disorder)"
            }
          ],
          "text": "Ischemic heart disease"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Ischemic heart disease</td><td><span class=\"nb\">17-Sep-2009</span></td><td>active</td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "active",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
          ]
        },
        "onsetDateTime": "2009-09-17",
        "subject": {
          "reference": "urn:uuid:c7d6151f-39bc-4508-a7f0-35e4a40f357b",
          "display": "Elaine Green"
        },
        "asserter": {
          "reference": "urn:uuid:68a1ce2b-170b-4a99-a30b-099c5045d4ad",
          "display": "Cornbrook Medical Practice"
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      }
    },
    {
      "fullUrl": "urn:uuid:0421a6cd-108a-464f-9b88-d7598d86ea8f",
      "resource": {
        "resourceType": "Condition",
        "id": "0421a6cd-108a-464f-9b88-d7598d86ea8f",
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          "profile": [
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        },
        "category": [
          {
            "coding": [
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                "code": "problem-list-item",
                "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                "display": "Problem List Item"
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            ]
          }
        ],
        "code": {
          "coding": [
            {
              "code": "80394007",
              "system": "http://snomed.info/sct",
              "display": "Hyperglycemia (disorder)"
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          ],
          "text": "Hyperglycemia"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Hyperglycemia</td><td><span class=\"nb\">25-May-1989</span></td><td>active</td></tr></table></div>"
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          "coding": [
            {
              "code": "active",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
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          ]
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        "onsetDateTime": "1989-05-25",
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          "reference": "urn:uuid:c7d6151f-39bc-4508-a7f0-35e4a40f357b",
          "display": "Elaine Green"
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        "asserter": {
          "reference": "urn:uuid:68a1ce2b-170b-4a99-a30b-099c5045d4ad",
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    {
      "fullUrl": "urn:uuid:621b86e1-cfa5-4bec-b737-13d012a83fdc",
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        "resourceType": "Condition",
        "id": "621b86e1-cfa5-4bec-b737-13d012a83fdc",
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          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/condition-obl-eu-eps"
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        },
        "category": [
          {
            "coding": [
              {
                "code": "problem-list-item",
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            ]
          }
        ],
        "code": {
          "coding": [
            {
              "code": "302870006",
              "system": "http://snomed.info/sct",
              "display": "Hypertriglyceridemia (disorder)"
            }
          ],
          "text": "Hypertriglyceridemia"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Hypertriglyceridemia</td><td><span class=\"nb\">19-May-1988</span></td><td>active</td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "active",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
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          "reference": "urn:uuid:c7d6151f-39bc-4508-a7f0-35e4a40f357b",
          "display": "Elaine Green"
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        "asserter": {
          "reference": "urn:uuid:68a1ce2b-170b-4a99-a30b-099c5045d4ad",
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    },
    {
      "fullUrl": "urn:uuid:dc449ef9-2c52-4d79-8ccd-0893492b0b94",
      "resource": {
        "resourceType": "Condition",
        "id": "dc449ef9-2c52-4d79-8ccd-0893492b0b94",
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          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/condition-obl-eu-eps"
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        },
        "category": [
          {
            "coding": [
              {
                "code": "problem-list-item",
                "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                "display": "Problem List Item"
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            ]
          }
        ],
        "code": {
          "coding": [
            {
              "code": "368581000119106",
              "system": "http://snomed.info/sct",
              "display": "Neuropathy due to type 2 diabetes mellitus (disorder)"
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          ],
          "text": "Neuropathy 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>Neuropathy due to type 2 diabetes mellitus</td><td><span class=\"nb\">19-May-1988</span></td><td>active</td></tr></table></div>"
        },
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          "coding": [
            {
              "code": "active",
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        "subject": {
          "reference": "urn:uuid:c7d6151f-39bc-4508-a7f0-35e4a40f357b",
          "display": "Elaine Green"
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        "asserter": {
          "reference": "urn:uuid:68a1ce2b-170b-4a99-a30b-099c5045d4ad",
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    {
      "fullUrl": "urn:uuid:2a33238b-bec9-48b7-ac1f-2e548edea622",
      "resource": {
        "resourceType": "Condition",
        "id": "2a33238b-bec9-48b7-ac1f-2e548edea622",
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          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/condition-obl-eu-eps"
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        },
        "category": [
          {
            "coding": [
              {
                "code": "problem-list-item",
                "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                "display": "Problem List Item"
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        ],
        "code": {
          "coding": [
            {
              "code": "44054006",
              "system": "http://snomed.info/sct",
              "display": "Diabetes mellitus type 2 (disorder)"
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          ],
          "text": "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>Type 2 diabetes mellitus</td><td><span class=\"nb\">12-Jun-1986</span></td><td>active</td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "active",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
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        "onsetDateTime": "1986-06-12",
        "subject": {
          "reference": "urn:uuid:c7d6151f-39bc-4508-a7f0-35e4a40f357b",
          "display": "Elaine Green"
        },
        "asserter": {
          "reference": "urn:uuid:68a1ce2b-170b-4a99-a30b-099c5045d4ad",
          "display": "Cornbrook Medical Practice"
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    {
      "fullUrl": "urn:uuid:f7a077ae-a8ed-4217-b664-86499c54f21f",
      "resource": {
        "resourceType": "Condition",
        "id": "f7a077ae-a8ed-4217-b664-86499c54f21f",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/condition-obl-eu-eps"
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        },
        "category": [
          {
            "coding": [
              {
                "code": "problem-list-item",
                "system": "http://terminology.hl7.org/CodeSystem/condition-category",
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        ],
        "code": {
          "coding": [
            {
              "code": "237602007",
              "system": "http://snomed.info/sct",
              "display": "Metabolic syndrome X (disorder)"
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          ],
          "text": "Metabolic syndrome X"
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        "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\">12-Jun-1986</span></td><td>active</td></tr></table></div>"
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        "clinicalStatus": {
          "coding": [
            {
              "code": "active",
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        "onsetDateTime": "1986-06-12",
        "subject": {
          "reference": "urn:uuid:c7d6151f-39bc-4508-a7f0-35e4a40f357b",
          "display": "Elaine Green"
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        "asserter": {
          "reference": "urn:uuid:68a1ce2b-170b-4a99-a30b-099c5045d4ad",
          "display": "Cornbrook Medical Practice"
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    {
      "fullUrl": "urn:uuid:71a66c82-1b06-4d6d-b0e3-170d28236a30",
      "resource": {
        "resourceType": "Condition",
        "id": "71a66c82-1b06-4d6d-b0e3-170d28236a30",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/condition-obl-eu-eps"
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        },
        "category": [
          {
            "coding": [
              {
                "code": "problem-list-item",
                "system": "http://terminology.hl7.org/CodeSystem/condition-category",
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        ],
        "code": {
          "coding": [
            {
              "code": "55822004",
              "system": "http://snomed.info/sct",
              "display": "Hyperlipidemia (disorder)"
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          "text": "Hyperlipidemia"
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Hyperlipidemia</td><td><span class=\"nb\">29-May-1980</span></td><td>active</td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "active",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
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        "onsetDateTime": "1980-05-29",
        "subject": {
          "reference": "urn:uuid:c7d6151f-39bc-4508-a7f0-35e4a40f357b",
          "display": "Elaine Green"
        },
        "asserter": {
          "reference": "urn:uuid:68a1ce2b-170b-4a99-a30b-099c5045d4ad",
          "display": "Cornbrook Medical Practice"
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    {
      "fullUrl": "urn:uuid:6c7d5b8e-40af-49a1-adcf-3ef251669584",
      "resource": {
        "resourceType": "Condition",
        "id": "6c7d5b8e-40af-49a1-adcf-3ef251669584",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/condition-obl-eu-eps"
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        "category": [
          {
            "coding": [
              {
                "code": "problem-list-item",
                "system": "http://terminology.hl7.org/CodeSystem/condition-category",
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        "code": {
          "coding": [
            {
              "code": "91302008",
              "system": "http://snomed.info/sct",
              "display": "Sepsis (disorder)"
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          ],
          "text": "Sepsis"
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Sepsis</td><td><span class=\"nb\">28-Dec-1959</span></td><td>active</td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "active",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
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        "onsetDateTime": "1959-12-28",
        "subject": {
          "reference": "urn:uuid:c7d6151f-39bc-4508-a7f0-35e4a40f357b",
          "display": "Elaine Green"
        },
        "asserter": {
          "reference": "urn:uuid:68a1ce2b-170b-4a99-a30b-099c5045d4ad",
          "display": "Cornbrook Medical Practice"
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    {
      "fullUrl": "urn:uuid:ac8afa4f-8882-48d4-b695-c3156c577de6",
      "resource": {
        "resourceType": "Condition",
        "id": "ac8afa4f-8882-48d4-b695-c3156c577de6",
        "meta": {
          "profile": [
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        "category": [
          {
            "coding": [
              {
                "code": "problem-list-item",
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        ],
        "code": {
          "coding": [
            {
              "code": "65966004",
              "system": "http://snomed.info/sct",
              "display": "Fracture of forearm (disorder)"
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          ],
          "text": "Fracture of forearm"
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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 of forearm</span></td><td><span class=\"nb\">03-Mar-2024 - 06-Jun-2024</span></td><td><span class=\"grayedout\">inactive</span></td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "inactive",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
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          ]
        },
        "onsetDateTime": "2024-03-03",
        "abatementDateTime": "2024-06-06",
        "subject": {
          "reference": "urn:uuid:c7d6151f-39bc-4508-a7f0-35e4a40f357b",
          "display": "Elaine Green"
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        "asserter": {
          "reference": "urn:uuid:68a1ce2b-170b-4a99-a30b-099c5045d4ad",
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    {
      "fullUrl": "urn:uuid:efde4f24-ac72-4a68-933d-928c2b6b0fb0",
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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\">03-Mar-2024 - 06-Jun-2024</span></td><td><span class=\"grayedout\">inactive</span></td></tr></table></div>"
        },
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          "coding": [
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              "code": "inactive",
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          ]
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        "onsetDateTime": "2024-03-03",
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        "subject": {
          "reference": "urn:uuid:c7d6151f-39bc-4508-a7f0-35e4a40f357b",
          "display": "Elaine Green"
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        "asserter": {
          "reference": "urn:uuid:68a1ce2b-170b-4a99-a30b-099c5045d4ad",
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    {
      "fullUrl": "urn:uuid:8ae887de-6cf7-4d54-9bbc-466de34da1cd",
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        "code": {
          "coding": [
            {
              "code": "443165006",
              "system": "http://snomed.info/sct",
              "display": "Osteoporotic fracture of bone (disorder)"
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          "text": "Osteoporotic fracture"
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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\">Osteoporotic fracture</span></td><td><span class=\"nb\">03-Mar-2024 - 06-Jun-2024</span></td><td><span class=\"grayedout\">inactive</span></td></tr></table></div>"
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          "display": "Elaine Green"
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        "asserter": {
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      "fullUrl": "urn:uuid:745b6560-933d-4b25-9ef6-adbd995bbf67",
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        "category": [
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        "code": {
          "coding": [
            {
              "code": "444814009",
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              "display": "Viral sinusitis (disorder)"
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          ],
          "text": "Viral sinusitis"
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        "text": {
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      "fullUrl": "urn:uuid:04a866aa-2a5b-4c06-b0c1-3ce37f279b80",
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        "category": [
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        "code": {
          "coding": [
            {
              "code": "65966004",
              "system": "http://snomed.info/sct",
              "display": "Fracture of forearm (disorder)"
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          "text": "Fracture of forearm"
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        "text": {
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          "display": "Elaine Green"
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        "code": {
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              "code": "125605004",
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              "display": "Fracture of bone (disorder)"
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          ],
          "text": "Fracture of bone"
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        "text": {
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              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
          ]
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        "onsetDateTime": "2017-09-28",
        "abatementDateTime": "2017-12-07",
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          "display": "Elaine Green"
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      "fullUrl": "urn:uuid:05a41df7-f0db-40a7-a831-422b4fb4de6f",
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                "code": "problem-list-item",
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        ],
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              "code": "444814009",
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              "display": "Viral sinusitis (disorder)"
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          ],
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        "onsetDateTime": "2015-12-24",
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              "display": "Simvastatin 10 mg oral tablet"
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          ],
          "text": "Simvastatin 10 mg oral tablet"
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              "display": "Amlodipine (as amlodipine besylate) 2.5 mg oral tablet"
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          ],
          "text": "Amlodipine (as amlodipine besylate) 2.5 mg oral tablet"
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            {
              "code": "376209006",
              "system": "http://snomed.info/sct",
              "display": "Hydrochlorothiazide 25 mg oral tablet"
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          ],
          "text": "Hydrochlorothiazide 25 mg oral tablet"
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      }
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            "text": "1 tablet (25 mg) by mouth once daily",
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              "display": "Lisinopril 10 mg oral tablet"
            }
          ],
          "text": "Lisinopril 10 mg oral tablet"
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        }
      }
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          "display": "Elaine Green"
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      "fullUrl": "urn:uuid:97481f8b-eb6f-4212-8046-d76a9655ca4a",
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        "code": {
          "coding": [
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              "code": "765507008",
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              "display": "Metformin hydrochloride 500 mg prolonged-release oral tablet"
            }
          ],
          "text": "Metformin hydrochloride 500 mg prolonged-release oral tablet"
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          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Metformin hydrochloride 500 mg prolonged-release oral tablet</div>"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:958d4569-86ff-444a-ada7-b4c7bdbf9a7a",
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                "code": "44054006",
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                "display": "Diabetes mellitus type 2 (disorder)"
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            ]
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        },
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          "display": "Elaine Green"
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              "code": "783144007",
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              "display": "Alendronic acid (as alendronate sodium) 10 mg oral tablet"
            }
          ],
          "text": "Alendronic acid (as alendronate sodium) 10 mg oral tablet"
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Alendronic acid (as alendronate sodium) 10 mg oral tablet</div>"
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    },
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            ],
            "timing": {
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            "text": "1 tablet (10 mg) once daily",
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                "display": "Osteoporosis (disorder)"
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        },
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      "fullUrl": "urn:uuid:b12ab20c-a71e-4d1a-b36b-8b14c1b4bc97",
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              "code": "1181000221105",
              "system": "http://snomed.info/sct",
              "display": "Influenza virus antigen only vaccine product"
            },
            {
              "code": "J07BB02",
              "system": "http://www.whocc.no/atc",
              "display": "influenza, inactivated, split virus or surface antigen"
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          ],
          "text": "Influenza virus antigen only vaccine product"
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        "site": {
          "coding": [
            {
              "code": "244979005",
              "system": "http://snomed.info/sct",
              "display": "Entire muscle of upper arm"
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          ],
          "text": "Entire muscle of upper arm"
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              "code": "78421000",
              "system": "http://snomed.info/sct",
              "display": "Intramuscular route"
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          "text": "Intramuscular route"
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          "display": "Elaine Green"
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        "occurrenceDateTime": "2024-12-12",
        "lotNumber": "WQ-yrmOSW",
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        "vaccineCode": {
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              "code": "1119349007",
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              "display": "SARS-CoV-2 mRNA vaccine"
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            {
              "code": "J07BN01",
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              "display": "covid-19, RNA-based vaccine"
            }
          ],
          "text": "SARS-CoV-2 mRNA vaccine"
        },
        "site": {
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              "code": "244979005",
              "system": "http://snomed.info/sct",
              "display": "Entire muscle of upper arm"
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          ],
          "text": "Entire muscle of upper arm"
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            {
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              "display": "Entire muscle of upper arm"
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          "text": "Entire muscle of upper arm"
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              "high": {
                "value": 130,
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            },
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                  "display": "Fasting glucose [Mass/volume] in Serum or Plasma"
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              ]
            }
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        "text": {
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    {
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            ]
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        ],
        "valueQuantity": {
          "value": 4,
          "code": "1",
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          "status": "generated",
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        },
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          "display": "Elaine Green"
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        "effectiveDateTime": "2024-12-12"
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    },
    {
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        "meta": {
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        "category": [
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        ],
        "valueQuantity": {
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          "unit": "kg"
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    {
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            ]
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        ],
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          "value": 30.9,
          "code": "kg/m2",
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          "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>12-Dec-2024</td><td>30.9 kg/m2</td></tr></table></div>"
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          ]
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        "category": [
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                "code": "vital-signs",
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            ]
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        ],
        "valueQuantity": {
          "value": 78,
          "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>12-Dec-2024</td><td>78 /min</td></tr></table></div>"
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          ]
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          "display": "Elaine Green"
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    {
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        },
        "category": [
          {
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            ]
          }
        ],
        "valueQuantity": {
          "value": 15,
          "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>12-Dec-2024</td><td>15 /min</td></tr></table></div>"
        },
        "status": "final",
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              "display": "Respiratory rate"
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          ]
        },
        "subject": {
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    {
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        "category": [
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            ]
          }
        ],
        "component": [
          {
            "valueQuantity": {
              "value": 100,
              "code": "mm[Hg]",
              "system": "http://unitsofmeasure.org",
              "unit": "mm[Hg]"
            },
            "code": {
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          {
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              ]
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        ],
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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>Blood pressure panel with all children optional</td><td>12-Dec-2024</td><td>62 mm[Hg]</td></tr></table></div>"
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              "display": "Blood pressure panel with all children optional"
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          ]
        },
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        ],
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    {
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    {
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        "category": [
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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 Weight</td><td>07-Dec-2023</td><td>81.8 kg</td></tr></table></div>"
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        "valueQuantity": {
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        "category": [
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        "component": [
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          ],
          "text": "Sodium [Moles/volume] in Blood"
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              "value": 5.1,
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          ],
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        "valueQuantity": {
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          "unit": "mmol/L",
          "code": "mmol/L",
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                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
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            ]
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        ],
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          {
            "display": "The Central European Lab"
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        ],
        "code": {
          "coding": [
            {
              "code": "10834-0",
              "system": "http://loinc.org",
              "display": "Globulin [Mass/volume] in Serum by calculation"
            }
          ],
          "text": "Globulin [Mass/volume] in Serum by calculation"
        },
        "valueQuantity": {
          "value": 2.1,
          "unit": "g/L",
          "code": "g/L",
          "system": "http://unitsofmeasure.org"
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            "low": {
              "value": 20,
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            "high": {
              "value": 39,
              "code": "g/L",
              "system": "http://unitsofmeasure.org"
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                "display": "Low"
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        ],
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          "status": "generated",
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                "code": "laboratory",
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        ],
        "code": {
          "coding": [
            {
              "code": "1975-2",
              "system": "http://loinc.org",
              "display": "Bilirubin.total [Mass/volume] in Serum or Plasma"
            }
          ],
          "text": "Bilirubin.total [Mass/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "value": 0.3,
          "unit": "mg/dL",
          "code": "mg/dL",
          "system": "http://unitsofmeasure.org"
        },
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            "low": {
              "value": 0.1,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 1.2,
              "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>19-Dec-2024</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Bilirubin.total [Mass/volume] in Serum or Plasma</td><td>0.3</td><td>0.1 - 1.2</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:c7d6151f-39bc-4508-a7f0-35e4a40f357b",
          "display": "Elaine Green"
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        "effectiveDateTime": "2024-12-19T15:27:18Z"
      }
    },
    {
      "fullUrl": "urn:uuid:2b7a9bd7-eeea-4443-ac67-450a2b628acf",
      "resource": {
        "resourceType": "Observation",
        "id": "2b7a9bd7-eeea-4443-ac67-450a2b628acf",
        "meta": {
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            "http://hl7.eu/fhir/base/StructureDefinition/medicalTestResult-eu-core"
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        },
        "category": [
          {
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                "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": "6768-6",
              "system": "http://loinc.org",
              "display": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
            }
          ],
          "text": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "value": 21.5,
          "unit": "U/L",
          "code": "U/L",
          "system": "http://unitsofmeasure.org"
        },
        "referenceRange": [
          {
            "low": {
              "value": 30,
              "code": "U/L",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 120,
              "code": "U/L",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
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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>19-Dec-2024</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma</td><td>21.5</td><td>30 - 120</td><td>L</td><td>U/L</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
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        "effectiveDateTime": "2024-12-19T15:27:18Z"
      }
    },
    {
      "fullUrl": "urn:uuid:648d4bd0-1009-43c9-8a28-b5b03e157bec",
      "resource": {
        "resourceType": "Observation",
        "id": "648d4bd0-1009-43c9-8a28-b5b03e157bec",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/medicalTestResult-eu-core"
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        },
        "category": [
          {
            "coding": [
              {
                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
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            ]
          }
        ],
        "performer": [
          {
            "display": "The Central European Lab"
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        ],
        "code": {
          "coding": [
            {
              "code": "1742-6",
              "system": "http://loinc.org",
              "display": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
            }
          ],
          "text": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "value": 25.7,
          "unit": "U/L",
          "code": "U/L",
          "system": "http://unitsofmeasure.org"
        },
        "referenceRange": [
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            "low": {
              "value": 10,
              "code": "U/L",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 40,
              "code": "U/L",
              "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>19-Dec-2024</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td>25.7</td><td>10 - 40</td><td></td><td>U/L</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
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          "display": "Elaine Green"
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        "effectiveDateTime": "2024-12-19T15:27:18Z"
      }
    },
    {
      "fullUrl": "urn:uuid:d6e6de90-f6b5-4540-b56f-6eea824bc81f",
      "resource": {
        "resourceType": "Observation",
        "id": "d6e6de90-f6b5-4540-b56f-6eea824bc81f",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/medicalTestResult-eu-core"
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        },
        "category": [
          {
            "coding": [
              {
                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
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        ],
        "performer": [
          {
            "display": "The Central European Lab"
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        ],
        "code": {
          "coding": [
            {
              "code": "1920-8",
              "system": "http://loinc.org",
              "display": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
            }
          ],
          "text": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "value": 25.3,
          "unit": "U/L",
          "code": "U/L",
          "system": "http://unitsofmeasure.org"
        },
        "referenceRange": [
          {
            "low": {
              "value": 10,
              "code": "U/L",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 40,
              "code": "U/L",
              "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>19-Dec-2024</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td>25.3</td><td>10 - 40</td><td></td><td>U/L</td></tr></table></div>"
        },
        "status": "final",
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          "display": "Elaine Green"
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        "effectiveDateTime": "2024-12-19T15:27:18Z"
      }
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    {
      "fullUrl": "urn:uuid:844b43c8-6ea9-46cf-bb52-0af6abc42674",
      "resource": {
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        "id": "844b43c8-6ea9-46cf-bb52-0af6abc42674",
        "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"
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        ],
        "code": {
          "coding": [
            {
              "code": "2093-3",
              "system": "http://loinc.org",
              "display": "Cholesterol [Mass/volume] in Serum or Plasma"
            }
          ],
          "text": "Cholesterol [Mass/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "value": 203.2,
          "unit": "mg/dL",
          "code": "mg/dL",
          "system": "http://unitsofmeasure.org"
        },
        "referenceRange": [
          {
            "low": {
              "value": 125,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 200,
              "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>19-Dec-2024</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Cholesterol [Mass/volume] in Serum or Plasma</td><td>203.2</td><td>125 - 200</td><td>H</td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
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          "display": "Elaine Green"
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        "effectiveDateTime": "2024-12-19T15:27:18Z"
      }
    },
    {
      "fullUrl": "urn:uuid:f1d626c0-1fc3-468a-9231-33fc8bd0f38b",
      "resource": {
        "resourceType": "Observation",
        "id": "f1d626c0-1fc3-468a-9231-33fc8bd0f38b",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/medicalTestResult-eu-core"
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        },
        "category": [
          {
            "coding": [
              {
                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
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            ]
          }
        ],
        "performer": [
          {
            "display": "The Central European Lab"
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        ],
        "code": {
          "coding": [
            {
              "code": "2571-8",
              "system": "http://loinc.org",
              "display": "Triglyceride [Mass/volume] in Serum or Plasma"
            }
          ],
          "text": "Triglyceride [Mass/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "value": 186.1,
          "unit": "mg/dL",
          "code": "mg/dL",
          "system": "http://unitsofmeasure.org"
        },
        "referenceRange": [
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            "low": {
              "value": 0,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 149,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "interpretation": [
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            "coding": [
              {
                "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>19-Dec-2024</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Triglyceride [Mass/volume] in Serum or Plasma</td><td>186.1</td><td>0 - 149</td><td>H</td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
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          "display": "Elaine Green"
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        "effectiveDateTime": "2024-12-19T15:27:18Z"
      }
    },
    {
      "fullUrl": "urn:uuid:e68060bb-0124-4b0d-8292-7764958f4600",
      "resource": {
        "resourceType": "Observation",
        "id": "e68060bb-0124-4b0d-8292-7764958f4600",
        "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"
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        ],
        "code": {
          "coding": [
            {
              "code": "18262-6",
              "system": "http://loinc.org",
              "display": "Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay"
            }
          ],
          "text": "Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay"
        },
        "valueQuantity": {
          "value": 90.4,
          "unit": "mg/dL",
          "code": "mg/dL",
          "system": "http://unitsofmeasure.org"
        },
        "referenceRange": [
          {
            "low": {
              "value": 0,
              "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>19-Dec-2024</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay</td><td>90.4</td><td>0 - 100</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:c7d6151f-39bc-4508-a7f0-35e4a40f357b",
          "display": "Elaine Green"
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        "effectiveDateTime": "2024-12-19T15:27:18Z"
      }
    },
    {
      "fullUrl": "urn:uuid:661c0ebd-1c29-45fb-8ac0-a0ebb4cc10d7",
      "resource": {
        "resourceType": "Observation",
        "id": "661c0ebd-1c29-45fb-8ac0-a0ebb4cc10d7",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/medicalTestResult-eu-core"
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        },
        "category": [
          {
            "coding": [
              {
                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
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            ]
          }
        ],
        "performer": [
          {
            "display": "The Central European Lab"
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        ],
        "code": {
          "coding": [
            {
              "code": "2085-9",
              "system": "http://loinc.org",
              "display": "Cholesterol in HDL [Mass/volume] in Serum or Plasma"
            }
          ],
          "text": "Cholesterol in HDL [Mass/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "value": 71.2,
          "unit": "mg/dL",
          "code": "mg/dL",
          "system": "http://unitsofmeasure.org"
        },
        "referenceRange": [
          {
            "low": {
              "value": 40,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 90,
              "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>19-Dec-2024</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Cholesterol in HDL [Mass/volume] in Serum or Plasma</td><td>71.2</td><td>40 - 90</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:c7d6151f-39bc-4508-a7f0-35e4a40f357b",
          "display": "Elaine Green"
        },
        "effectiveDateTime": "2024-12-19T15:27:18Z"
      }
    },
    {
      "fullUrl": "urn:uuid:a6d15520-5eed-46e0-865a-d34b777ea647",
      "resource": {
        "resourceType": "DeviceUseStatement",
        "id": "a6d15520-5eed-46e0-865a-d34b777ea647",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/deviceUseStatement-eu-eps"
          ]
        },
        "timingPeriod": {
          "start": "2009-09-30"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Ventricular assist device (physical object)</td><td><span class=\"nb\">30-Sep-2009</span></td></tr></table></div>"
        },
        "status": "active",
        "device": {
          "reference": "urn:uuid:68f8cb4b-c5a8-4956-9dda-5af1d25744b2",
          "display": "Ventricular assist device (physical object)"
        },
        "subject": {
          "reference": "urn:uuid:c7d6151f-39bc-4508-a7f0-35e4a40f357b",
          "display": "Elaine Green"
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      }
    },
    {
      "fullUrl": "urn:uuid:68f8cb4b-c5a8-4956-9dda-5af1d25744b2",
      "resource": {
        "resourceType": "Device",
        "id": "68f8cb4b-c5a8-4956-9dda-5af1d25744b2",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/device-eu-eps"
          ]
        },
        "udiCarrier": [
          {
            "deviceIdentifier": "56037218303698",
            "issuer": "https://www.gs1.org/",
            "entryType": "barcode",
            "carrierHRF": "(01)56037218303698(11)090910(17)340925(10)120009338923266904(21)1091982"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Ventricular assist device (physical object) ((01)56037218303698(11)090910(17)340925(10)120009338923266904(21)1091982)</div>"
        },
        "status": "active",
        "patient": {
          "reference": "urn:uuid:c7d6151f-39bc-4508-a7f0-35e4a40f357b",
          "display": "Elaine Green"
        },
        "type": {
          "coding": [
            {
              "code": "360064003",
              "system": "http://snomed.info/sct",
              "display": "Ventricular assist device (physical object)"
            }
          ]
        }
      }
    },
    {
      "fullUrl": "urn:uuid:593e92cf-2d7a-426b-9aa8-a5f38ac2d591",
      "resource": {
        "resourceType": "DeviceUseStatement",
        "id": "593e92cf-2d7a-426b-9aa8-a5f38ac2d591",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/deviceUseStatement-eu-eps"
          ]
        },
        "timingPeriod": {
          "start": "1960-07-21"
        },
        "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\">21-Jul-1960</span></td></tr></table></div>"
        },
        "status": "active",
        "device": {
          "reference": "urn:uuid:03bbcd4b-ece7-4993-8c0f-fe36e72c29d7",
          "display": "Blood glucose meter (physical object)"
        },
        "subject": {
          "reference": "urn:uuid:c7d6151f-39bc-4508-a7f0-35e4a40f357b",
          "display": "Elaine Green"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:03bbcd4b-ece7-4993-8c0f-fe36e72c29d7",
      "resource": {
        "resourceType": "Device",
        "id": "03bbcd4b-ece7-4993-8c0f-fe36e72c29d7",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/device-eu-eps"
          ]
        },
        "udiCarrier": [
          {
            "deviceIdentifier": "27186766845608",
            "issuer": "https://www.gs1.org/",
            "entryType": "barcode",
            "carrierHRF": "(01)27186766845608(11)600630(17)850715(10)658806381856(21)25345022748"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Blood glucose meter (physical object) ((01)27186766845608(11)600630(17)850715(10)658806381856(21)25345022748)</div>"
        },
        "status": "active",
        "patient": {
          "reference": "urn:uuid:c7d6151f-39bc-4508-a7f0-35e4a40f357b",
          "display": "Elaine Green"
        },
        "type": {
          "coding": [
            {
              "code": "337414009",
              "system": "http://snomed.info/sct",
              "display": "Blood glucose meter (physical object)"
            }
          ]
        }
      }
    },
    {
      "fullUrl": "urn:uuid:6769c01d-570f-4b99-8726-c8f734bcc60c",
      "resource": {
        "resourceType": "Device",
        "id": "6769c01d-570f-4b99-8726-c8f734bcc60c",
        "deviceName": [
          {
            "name": "SYNDERAI Synthetic Generator",
            "type": "manufacturer-name"
          }
        ],
        "version": [
          {
            "value": "5.0"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">SYNDERAI Synthetic Generator v5.0</div>"
        },
        "status": "active",
        "distinctIdentifier": "synderai-generator-50",
        "manufacturer": "SYNDERAI Project"
      }
    },
    {
      "fullUrl": "urn:uuid:e26ff760-cf3a-4bb1-a652-2665864fe6f9",
      "resource": {
        "resourceType": "Provenance",
        "id": "e26ff760-cf3a-4bb1-a652-2665864fe6f9",
        "target": [
          {
            "reference": "urn:uuid:c7d6151f-39bc-4508-a7f0-35e4a40f357b"
          },
          {
            "reference": "urn:uuid:73cd6a9f-c6a1-4ccf-b080-9e5987d7a0cf"
          },
          {
            "reference": "urn:uuid:68a1ce2b-170b-4a99-a30b-099c5045d4ad"
          },
          {
            "reference": "urn:uuid:fef7a0be-9766-49e5-b74d-051c3c76a534"
          },
          {
            "reference": "urn:uuid:3953290a-1e2d-4e25-94e9-e3a0aa4e6f7e"
          }
        ],
        "activity": {
          "coding": [
            {
              "code": "CREATE",
              "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation",
              "display": "create"
            }
          ],
          "text": "Synthetic Example Data Generation"
        },
        "policy": [
          "https://synderai.net/synderai-synthetic-data-policy"
        ],
        "agent": [
          {
            "type": {
              "coding": [
                {
                  "code": "author",
                  "system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
                  "display": "Author"
                }
              ],
              "text": "author"
            },
            "who": {
              "reference": "urn:uuid:6769c01d-570f-4b99-8726-c8f734bcc60c"
            }
          }
        ],
        "reason": [
          {
            "coding": [
              {
                "code": "TRAIN",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
                "display": "training"
              }
            ],
            "text": "Interoperability Testing and Training (non-clinical use)"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provenance for SYNDERAI Synthetic Example Data Resource</div>"
        },
        "recorded": "2024-12-19T15:27:18Z"
      }
    }
  ],
  "type": "document",
  "timestamp": "2024-12-19T16:27:18Z"
}