{
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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": "cd5c24be-e02a-407c-8e06-8ce3c77b250d"
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  "entry": [
    {
      "fullUrl": "urn:uuid:a7011f21-f3a3-4780-a960-37f36df94351",
      "resource": {
        "resourceType": "Composition",
        "id": "a7011f21-f3a3-4780-a960-37f36df94351",
        "meta": {
          "security": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
              "code": "HTEST"
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            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
              "code": "TRAIN"
            }
          ],
          "tag": [
            {
              "system": "https://synderai.net/fhir/CodeSystem/tags",
              "code": "synthetic",
              "display": "SYNDERAI Synthetic data"
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          ],
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/composition-eu-eps"
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        },
        "identifier": {
          "assigner": {
            "display": "HL7 Europe"
          },
          "system": "urn:oid:2.16.840.1.113883.2.51.999",
          "value": "7a700570-abcf-41ee-a2bb-291f766e7171"
        },
        "type": {
          "coding": [
            {
              "code": "60591-5",
              "system": "http://loinc.org",
              "display": "Patient summary Document"
            }
          ],
          "text": "Patient summary Document"
        },
        "author": [
          {
            "reference": "urn:uuid:f9d5aa2e-c689-494e-902f-9b59004f9d14"
          }
        ],
        "section": [
          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><th>Condition</th><th>Onset Date / Period</th><th>Status</th></tr><tr><td>Chronic congestive heart failure</td><td><span class=\"nb\">19-Jan-2025</span></td><td>active</td></tr><tr><td>Chronic kidney disease stage 2</td><td><span class=\"nb\">09-Sep-2018</span></td><td>active</td></tr><tr><td>Microalbuminuria due to type 2 diabetes mellitus</td><td><span class=\"nb\">09-Sep-2018</span></td><td>active</td></tr><tr><td>Disorder of kidney due to diabetes mellitus</td><td><span class=\"nb\">17-Sep-2017</span></td><td>active</td></tr><tr><td>Chronic kidney disease stage 1</td><td><span class=\"nb\">17-Sep-2017</span></td><td>active</td></tr><tr><td>Ischemic heart disease</td><td><span class=\"nb\">04-Jul-2010</span></td><td>active</td></tr><tr><td>Osteoporosis</td><td><span class=\"nb\">05-Jun-2005</span></td><td>active</td></tr><tr><td>Metabolic syndrome X</td><td><span class=\"nb\">07-Nov-1999</span></td><td>active</td></tr><tr><td>Anemia</td><td><span class=\"nb\">14-Apr-1996</span></td><td>active</td></tr><tr><td>Essential hypertension</td><td><span class=\"nb\">16-Feb-1986</span></td><td>active</td></tr><tr><td>Gout</td><td><span class=\"nb\">30-Sep-1983</span></td><td>active</td></tr><tr><td><span class=\"grayedout\">Viral sinusitis</span></td><td><span class=\"nb\">22-Dec-2024 - 07-Jan-2025</span></td><td><span class=\"grayedout\">inactive</span></td></tr><tr><td><span class=\"grayedout\">Laceration of thigh</span></td><td><span class=\"nb\">01-Aug-2023 - 28-Aug-2023</span></td><td><span class=\"grayedout\">inactive</span></td></tr><tr><td><span class=\"grayedout\">Laceration - injury</span></td><td><span class=\"nb\">01-Aug-2023 - 28-Aug-2023</span></td><td><span class=\"grayedout\">inactive</span></td></tr><tr><td><span class=\"grayedout\">Viral sinusitis</span></td><td><span class=\"nb\">14-May-2023 - 24-May-2023</span></td><td><span class=\"grayedout\">inactive</span></td></tr><tr><td><span class=\"grayedout\">Acute viral pharyngitis</span></td><td><span class=\"nb\">28-Apr-2019 - 11-May-2019</span></td><td><span class=\"grayedout\">inactive</span></td></tr><tr><td><span class=\"grayedout\">Viral sinusitis</span></td><td><span class=\"nb\">25-Sep-2016 - 17-Oct-2016</span></td><td><span class=\"grayedout\">inactive</span></td></tr><tr><td><span class=\"grayedout\">Acute bronchitis</span></td><td><span class=\"nb\">29-Nov-2015 - 09-Dec-2015</span></td><td><span class=\"grayedout\">inactive</span></td></tr><tr><td><span class=\"grayedout\">Viral sinusitis</span></td><td><span class=\"nb\">29-Nov-2015 - 14-Dec-2015</span></td><td><span class=\"grayedout\">inactive</span></td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:302f1fac-de60-4778-a364-c1395ba4330e"
              },
              {
                "reference": "urn:uuid:591b2f1c-392a-4b64-acb4-eee602374bb9"
              },
              {
                "reference": "urn:uuid:e7e116cd-44fa-4955-af65-aeb7447880da"
              },
              {
                "reference": "urn:uuid:77569ff6-dbaa-4be2-a567-a83dfa27af2a"
              },
              {
                "reference": "urn:uuid:a5be9964-2a2b-4847-b4c8-58d642b84899"
              },
              {
                "reference": "urn:uuid:23b15491-95c2-4847-af98-9972f5c0e107"
              },
              {
                "reference": "urn:uuid:97cdd802-68bd-4bf9-8038-9d02bf211b51"
              },
              {
                "reference": "urn:uuid:869b2d9d-6045-4086-8f8d-9eb81963cc02"
              },
              {
                "reference": "urn:uuid:d63bc163-2681-421d-bfb1-b2ca1fff06ff"
              },
              {
                "reference": "urn:uuid:e7693262-1a08-4f02-8997-a79feb912835"
              },
              {
                "reference": "urn:uuid:c1860fb3-9d1e-42d2-b333-8b529ede99ee"
              },
              {
                "reference": "urn:uuid:8522074e-c10d-4e35-9b4d-d21f8b98a21e"
              },
              {
                "reference": "urn:uuid:f34daed6-467e-4e9d-9319-7abc561d05f2"
              },
              {
                "reference": "urn:uuid:d9633199-5786-42a9-8ddf-9b52e2ec1e88"
              },
              {
                "reference": "urn:uuid:12839ccf-db09-485b-a60c-9b71dc84ee87"
              },
              {
                "reference": "urn:uuid:bfcc8958-c8ca-4696-ba6f-405a32f715ed"
              },
              {
                "reference": "urn:uuid:866ca77f-00a6-4c9b-9207-4b3eb91643e7"
              },
              {
                "reference": "urn:uuid:7b05720e-2057-421a-ae0d-b468518b3932"
              },
              {
                "reference": "urn:uuid:8128199b-7cf4-4f8a-977e-55f8924af503"
              }
            ],
            "code": {
              "coding": [
                {
                  "code": "11450-4",
                  "system": "http://loinc.org",
                  "display": "Problem list - Reported"
                }
              ]
            },
            "title": "Problem list"
          },
          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><th>Medication</th><th>Since</th><th>Form</th><th>Dosage</th><th>Reason</th></tr><tr><td>Human isophane insulin 70 unit/mL and recombinant human regular insulin 30 unit/mL solution for injection</td><td><span class=\"nb\">2025-07-13</span></td><td>-</td><td>Inject 10 units (0.1 mL) subcutaneously before breakfast and 10 units (0.1 mL) before dinner</td><td>Prediabetes</td></tr><tr><td>Carvedilol 25 mg oral tablet</td><td><span class=\"nb\">2025-07-13</span></td><td>-</td><td>1 tablet (25 mg) twice daily</td><td>Chronic congestive heart failure (disorder)</td></tr><tr><td>Hydrochlorothiazide 25 mg oral tablet</td><td><span class=\"nb\">2025-07-13</span></td><td>-</td><td>1 tablet (25 mg) by mouth once daily</td><td>Essential hypertension (disorder)</td></tr><tr><td>Furosemide 40 mg oral tablet</td><td><span class=\"nb\">2025-07-13</span></td><td>-</td><td>1 tablet (40 mg) once daily</td><td>Chronic congestive heart failure (disorder)</td></tr><tr><td>Lisinopril 10 mg oral tablet</td><td><span class=\"nb\">2025-07-13</span></td><td>-</td><td>1 tablet (10 mg) by mouth once daily</td><td>Essential hypertension (disorder)</td></tr><tr><td>Budesonide 250 microgram/mL suspension for nebulizer</td><td><span class=\"nb\">2025-07-13</span></td><td>-</td><td>250 micrograms via nebulizer twice daily</td><td>Childhood asthma</td></tr><tr><td>Albuterol (as albuterol sulfate) 830 microgram/mL solution for inhalation</td><td><span class=\"nb\">2025-07-13</span></td><td>-</td><td>2.5 mg (3 mL of 830 microgram/mL solution) via nebulizer every 6 hours as needed</td><td>Childhood asthma</td></tr><tr><td>Alendronic acid (as alendronate sodium) 10 mg oral tablet</td><td><span class=\"nb\">2025-07-13</span></td><td>-</td><td>1 tablet (10 mg) once daily</td><td>Osteoporosis (disorder)</td></tr><tr><td>Losartan potassium 50 mg oral tablet</td><td><span class=\"nb\">2025-07-13</span></td><td>-</td><td>1 tablet (50 mg) by mouth once daily</td><td>Chronic congestive heart failure (disorder)</td></tr><tr><td>Clopidogrel (as clopidogrel bisulfate) 75 mg oral tablet</td><td><span class=\"nb\">2010-07-11</span></td><td>-</td><td>1 tablet (75 mg) by mouth once daily</td><td>-</td></tr><tr><td>Simvastatin 20 mg oral tablet</td><td><span class=\"nb\">2010-07-11</span></td><td>-</td><td>1 tablet (20 mg) by mouth once daily</td><td>-</td></tr><tr><td>Nitroglycerin 400 microgram/actuation sublingual spray</td><td><span class=\"nb\">2010-07-11</span></td><td>-</td><td>400 micrograms (1 spray) under the tongue as needed for chest pain, may repeat every 5 minutes as needed, up to 3 sprays in 15 minutes</td><td>-</td></tr><tr><td>Metoprolol tartrate (as metoprolol succinate) 100 mg prolonged-release oral tablet</td><td><span class=\"nb\">2010-07-11</span></td><td>-</td><td>1 tablet (100 mg) once daily</td><td>-</td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:59f6e912-1e74-4990-b861-571a57351db8"
              },
              {
                "reference": "urn:uuid:fe8ce804-2a79-4cf3-853f-992101043f36"
              },
              {
                "reference": "urn:uuid:1a6bfc50-2519-45bf-b05a-4ad15f328e5f"
              },
              {
                "reference": "urn:uuid:580d9958-5187-4fbf-afab-ab908e22d32d"
              },
              {
                "reference": "urn:uuid:38ee7fed-e048-4388-84ba-ce39bef5e703"
              },
              {
                "reference": "urn:uuid:a03fd15f-352a-4c08-8182-de8961e35067"
              },
              {
                "reference": "urn:uuid:90ee920e-58b7-4621-89e2-1b077eaa9743"
              },
              {
                "reference": "urn:uuid:c063cfa3-032a-4910-b6c0-dd140a8dc8ee"
              },
              {
                "reference": "urn:uuid:589b8afb-eb88-4a13-9b93-5b0ca3b49b12"
              },
              {
                "reference": "urn:uuid:6f96253a-783f-444a-a83e-2f6467c15b4b"
              },
              {
                "reference": "urn:uuid:6f4f762d-e2e6-43dc-930a-6d43d5ea6803"
              },
              {
                "reference": "urn:uuid:54ace9aa-0167-4669-ac2d-860f292cd652"
              },
              {
                "reference": "urn:uuid:0857ff3e-286e-465a-b2b4-c2ef8107aa9d"
              }
            ],
            "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\">09-Mar-2025</span></td></tr><tr><td>SARS-CoV-2 mRNA vaccine</td><td><span class=\"nb\">28-Feb-2021</span></td></tr><tr><td>Clostridium tetani toxoid antigen adsorbed only vaccine product</td><td><span class=\"nb\">04-Oct-2015</span></td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:4e354d84-8e79-4827-931d-7bcbe189a852"
              },
              {
                "reference": "urn:uuid:f831fbf2-dfb1-4519-a3db-05791ebbec1d"
              },
              {
                "reference": "urn:uuid:5f7b5da4-8d8a-4768-bde4-61c5a3c44798"
              }
            ],
            "code": {
              "coding": [
                {
                  "code": "11369-6",
                  "system": "http://loinc.org",
                  "display": "History of Immunization note"
                }
              ]
            },
            "title": "Immunizations list"
          },
          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><th>Procedure</th><th>Date</th><th>Reason</th></tr><tr><td>Depression screening</td><td><span class=\"nb\">06-Jul-2025</span></td><td>-</td></tr><tr><td>Assessment of health and social care needs</td><td><span class=\"nb\">06-Jul-2025</span></td><td>-</td></tr><tr><td>Screening for domestic abuse</td><td><span class=\"nb\">06-Jul-2025</span></td><td>-</td></tr><tr><td>Screening for substance abuse</td><td><span class=\"nb\">09-Mar-2025</span></td><td>-</td></tr><tr><td>Medication reconciliation</td><td><span class=\"nb\">09-Mar-2025</span></td><td>-</td></tr><tr><td>Assessment of anxiety</td><td><span class=\"nb\">09-Mar-2025</span></td><td>-</td></tr><tr><td>Assessment of substance use</td><td><span class=\"nb\">09-Mar-2025</span></td><td>-</td></tr><tr><td>Assessment using AUDIT-C (Alcohol Use Disorders Identification Test - Consumption)</td><td><span class=\"nb\">05-Jan-2025</span></td><td>-</td></tr><tr><td>Assessment using Morse Fall Scale</td><td><span class=\"nb\">10-Nov-2024</span></td><td>-</td></tr><tr><td>Depression screening using PHQ-9 (Patient Health Questionnaire 9) score</td><td><span class=\"nb\">27-Oct-2024</span></td><td>-</td></tr><tr><td>Suture open wound</td><td><span class=\"nb\">01-Aug-2023</span></td><td>Laceration of thigh (disorder)</td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:980f926d-680d-480d-82e3-beb52a644085"
              },
              {
                "reference": "urn:uuid:074cfd70-1685-4973-988e-d5598f0f8a2e"
              },
              {
                "reference": "urn:uuid:4b0ab36d-6565-42aa-a570-c64c010c4494"
              },
              {
                "reference": "urn:uuid:e223b407-8afc-4e33-ab0f-20fa82d3c7c0"
              },
              {
                "reference": "urn:uuid:d29c081c-23a5-4845-ab66-8e9dd839cb36"
              },
              {
                "reference": "urn:uuid:125e17bc-b3fd-4435-a8cb-108a85b5be1b"
              },
              {
                "reference": "urn:uuid:51a07570-742a-4648-9c0d-0b457706ecbf"
              },
              {
                "reference": "urn:uuid:171aed2a-16e3-45f2-a49b-609cb6145bba"
              },
              {
                "reference": "urn:uuid:0a7a44a6-6adb-4d96-81dc-4389a09277d2"
              },
              {
                "reference": "urn:uuid:81f8b1eb-77f0-4510-bab5-62a672f5c042"
              },
              {
                "reference": "urn:uuid:66d4d66f-3e5c-4a56-b27f-39b607620af8"
              }
            ],
            "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:0d5b45c8-3ab7-4b93-9edf-cdf9a3927677"
              }
            ],
            "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>Heart failure self management plan</td><td><span class=\"nb\">02-Feb-2025</span></td><td>Chronic congestive heart failure (disorder)</td></tr><tr><td><ul><li>Patient will monitor and record weight daily to detect early signs of fluid retention.</li><li>Patient will adhere to a sodium-restricted diet as recommended.</li><li>Patient will limit daily fluid intake as recommended.</li><li>Patient will maintain blood pressure within the individualized target range.</li><li>Patient will recognize and promptly report symptoms of heart failure exacerbation such as increased shortness of breath, swelling, or rapid weight gain.</li></ul></td><td></td><td></td></tr><tr><td>Diabetes self management plan</td><td><span class=\"nb\">14-Apr-1996</span></td><td>Prediabetes (finding)</td></tr><tr><td><ul><li>Achieve and maintain a healthy body weight to reduce risk of progression from prediabetes to diabetes</li><li>Maintain HbA1c below diabetes diagnostic threshold</li><li>Maintain blood pressure within recommended range for cardiovascular and renal protection</li><li>Engage in at least 150 minutes of moderate-intensity physical activity per week</li><li>Follow a balanced diet with reduced simple sugars and saturated fats to support glycemic control and cardiovascular health</li><li>Reduce urinary albumin excretion to slow progression of diabetic kidney disease</li></ul></td><td></td><td></td></tr><tr><td>Lifestyle education regarding hypertension</td><td><span class=\"nb\">16-Feb-1986</span></td><td>Essential hypertension (disorder)</td></tr><tr><td><ul><li>Achieve and maintain systolic blood pressure below 130 mmHg through lifestyle modifications.</li><li>Achieve and maintain diastolic blood pressure below 80 mmHg through lifestyle modifications.</li></ul></td><td></td><td></td></tr><tr><td>Musculoskeletal care</td><td><span class=\"nb\">30-Sep-1983</span></td><td>-</td></tr><tr><td>Asthma self management</td><td><span class=\"nb\">08-Jun-1948</span></td><td>Childhood asthma (disorder)</td></tr><tr><td><ul><li>Patient will demonstrate effective self-management of asthma symptoms, including correct inhaler technique and adherence to prescribed therapy.</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:e8cb7a6b-c79b-4c61-8c4d-69d8b6820486"
              },
              {
                "reference": "urn:uuid:7ef7bc07-a1dc-43df-adf8-57bd8c0925cb"
              },
              {
                "reference": "urn:uuid:b84a233e-549b-448c-a9d8-8a43913c60fb"
              },
              {
                "reference": "urn:uuid:1e1f5d39-c381-4c82-add7-34bd5721a9d6"
              },
              {
                "reference": "urn:uuid:f300abb4-a212-4e06-bbfe-fc35f6c8016d"
              },
              {
                "reference": "urn:uuid:c4fcb6d7-5a04-49de-9e99-c7ddd582b405"
              }
            ],
            "code": {
              "coding": [
                {
                  "code": "18776-5",
                  "system": "http://loinc.org",
                  "display": "Plan of care note"
                }
              ]
            },
            "title": "Care Plan"
          },
          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><th>Vital Signs</th><th>2025-07-06</th><th>2025-06-08</th></tr><tr><td>Body Height</td><td>166.8 cm</td><td>166.8 cm</td></tr><tr><td>Pain severity - 0-10 verbal numeric rating [Score] - Reported</td><td>3 {score}</td><td>0 {score}</td></tr><tr><td>Body Weight</td><td>104.1 kg</td><td>104.1 kg</td></tr><tr><td>Body mass index (BMI) [Ratio]</td><td>37.4 kg/m2</td><td>37.4 kg/m2</td></tr><tr><td>Heart rate</td><td>96 /min</td><td>71 /min</td></tr><tr><td>Respiratory rate</td><td>15 /min</td><td>13 /min</td></tr><tr><td>Blood pressure panel with all children optional</td><td>50 mm[Hg]</td><td>48 mm[Hg]</td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:ab508716-d595-4dac-a46a-871815614cc3"
              },
              {
                "reference": "urn:uuid:0ff18dfd-e5f0-4b67-a315-3d778566771d"
              },
              {
                "reference": "urn:uuid:e313d198-5397-4fcc-96fa-46377a2fe11a"
              },
              {
                "reference": "urn:uuid:b9993d53-3eb9-4d59-b667-380e8e5545f4"
              },
              {
                "reference": "urn:uuid:be7ba6fd-35e4-453c-bd62-b75a4b63db0e"
              },
              {
                "reference": "urn:uuid:9ba7c182-3222-43fc-830c-f8d5dd93ffac"
              },
              {
                "reference": "urn:uuid:c2fb828f-6101-4827-ae16-3ff855307882"
              },
              {
                "reference": "urn:uuid:1efdf136-954a-4afd-9acc-5e1a5fa5cd7c"
              },
              {
                "reference": "urn:uuid:e4a6201c-9a24-443a-9c76-30a8d2774591"
              },
              {
                "reference": "urn:uuid:ce34825a-b926-485b-bc65-a6b76a251543"
              },
              {
                "reference": "urn:uuid:5e8d2bf1-18f2-4760-a52c-22d10c6b9fd9"
              },
              {
                "reference": "urn:uuid:6d59dbb7-6765-4668-ba20-e6ad18012f51"
              },
              {
                "reference": "urn:uuid:01b2c03d-b525-464e-a874-2eb07b0abd76"
              },
              {
                "reference": "urn:uuid:e5c85049-dd2f-4e18-b2f5-ee02b378799e"
              }
            ],
            "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>13-JUL-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Serum or Plasma</td><td>75.1</td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Serum or Plasma</td><td>19.6</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Serum or Plasma</td><td><strong>2.0 H</strong></td><td>0.6 - 1.3</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Serum or Plasma</td><td>9.3</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Serum or Plasma</td><td>136.9</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Serum or Plasma</td><td>4.5</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Serum or Plasma</td><td>101.7</td><td>98 - 107</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Serum or Plasma</td><td>24.7</td><td>22 - 29</td><td>mmol/L</td></tr><tr><td>Appearance of Urine</td><td>Cloudy urine</td><td></td><td></td></tr><tr><td>Odor of Urine</td><td>Urine smell ammoniacal</td><td></td><td></td></tr><tr><td>Clarity of Urine</td><td>Translucent</td><td></td><td></td></tr><tr><td>Color of Urine</td><td>Brown color</td><td></td><td></td></tr><tr><td>Glucose [Mass/volume] in Urine by Test strip</td><td>0.7</td><td>0 - 0.8</td><td>mg/dL</td></tr><tr><td>Glucose [Presence] in Urine by Test strip</td><td>Urine glucose test = ++</td><td></td><td></td></tr><tr><td>Bilirubin.total [Mass/volume] in Urine by Test strip</td><td>0.3</td><td>0.0 - 0.4</td><td>mg/dL</td></tr><tr><td>Bilirubin.total [Presence] in Urine by Test strip</td><td>Finding of bilirubin in urine</td><td></td><td></td></tr><tr><td>Ketones [Mass/volume] in Urine by Test strip</td><td>3.4</td><td>0 - 4</td><td>mg/dL</td></tr><tr><td>Ketones [Presence] in Urine by Test strip</td><td>Urine ketone test = +</td><td></td><td></td></tr><tr><td>Specific gravity of Urine by Test strip</td><td><strong>1.0 L</strong></td><td>1.005 - 1.030</td><td>{nominal}</td></tr><tr><td>pH of Urine by Test strip</td><td>5.2</td><td>4.5 - 8.0</td><td>pH</td></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td><strong>306.8 H</strong></td><td>0 - 20</td><td>mg/dL</td></tr><tr><td>Protein [Presence] in Urine by Test strip</td><td>Urine protein test = ++</td><td></td><td></td></tr><tr><td>Nitrite [Presence] in Urine by Test strip</td><td>Urine nitrite negative</td><td></td><td></td></tr><tr><td>Hemoglobin [Presence] in Urine by Test strip</td><td>Urine blood test = negative</td><td></td><td></td></tr><tr><td>Leukocyte esterase [Presence] in Urine by Test strip</td><td>Urine leukocyte test negative</td><td></td><td></td></tr><tr><td>Hemoglobin A1c/Hemoglobin.total in Blood</td><td><strong>2.8 L</strong></td><td>4.0 - 5.6</td><td>%</td></tr></tbody></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:021801d1-00dc-4b3c-a25d-eb01bb58c499"
              },
              {
                "reference": "urn:uuid:aa39a409-6c77-4a76-a3db-1129a102001a"
              },
              {
                "reference": "urn:uuid:699c37c3-0b3c-4ad6-8204-afe946a5d20f"
              },
              {
                "reference": "urn:uuid:ae10675e-b202-4f64-b14b-d5c004a1d870"
              },
              {
                "reference": "urn:uuid:275707aa-051f-4f93-8741-26c4e77563ca"
              },
              {
                "reference": "urn:uuid:be68ff61-62ee-4e82-b198-e79320f8fa73"
              },
              {
                "reference": "urn:uuid:715f852a-12c2-4bf1-9d9a-259bb5a78699"
              },
              {
                "reference": "urn:uuid:e288d219-e204-4072-bf36-a805749c0869"
              },
              {
                "reference": "urn:uuid:f238cf2a-1520-4471-b0df-03b1915d9e78"
              },
              {
                "reference": "urn:uuid:0d4fb412-a2ef-4519-9348-dc2c1ffb5400"
              },
              {
                "reference": "urn:uuid:5d77888d-6140-44a1-8900-058700f57e81"
              },
              {
                "reference": "urn:uuid:5772bc33-bf96-4564-afc9-1182427f7174"
              },
              {
                "reference": "urn:uuid:46a31710-8bcb-4f0d-ad60-6dc53accc02b"
              },
              {
                "reference": "urn:uuid:7421cbc0-6fa9-4481-a767-7f46f93bc7a5"
              },
              {
                "reference": "urn:uuid:e36257f7-a092-4b61-922d-7835d75c54f9"
              },
              {
                "reference": "urn:uuid:3b2d61f5-5c87-4c62-8350-c184a10ac229"
              },
              {
                "reference": "urn:uuid:7a3c6f46-f220-487e-a0a0-4847ea87b8d5"
              },
              {
                "reference": "urn:uuid:37e9af41-9940-48bd-84a6-0d31b447f2d4"
              },
              {
                "reference": "urn:uuid:70b041fb-3a8c-467a-a611-95592664cb45"
              },
              {
                "reference": "urn:uuid:ba54f2e1-248c-41ed-a2fe-90d583a093e6"
              },
              {
                "reference": "urn:uuid:ef3ca7ce-5d5c-4b73-bd84-147203eab676"
              },
              {
                "reference": "urn:uuid:b848adac-d139-42da-bd7e-50abbdbd6844"
              },
              {
                "reference": "urn:uuid:42b2b197-e185-4a0b-9602-4bff25a41279"
              },
              {
                "reference": "urn:uuid:8ea2f34e-9ab4-4d44-9c60-9a6c5f09bf4c"
              },
              {
                "reference": "urn:uuid:469d1e24-b75a-4756-9087-15530cc6cb0b"
              },
              {
                "reference": "urn:uuid:d1f24756-c3b2-4fdc-885b-77a6d23e77d9"
              }
            ],
            "code": {
              "coding": [
                {
                  "code": "30954-2",
                  "system": "http://loinc.org",
                  "display": "Relevant diagnostic tests/laboratory data note"
                }
              ]
            },
            "title": "Relevant diagnostic tests/laboratory data"
          },
          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><th>Device</th><th>Date (since)</th></tr><tr><td>Blood glucose meter (physical object)</td><td><span class=\"nb\">14-Apr-1996</span></td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:6ab7a44d-4b25-4736-bb26-5235736847e8"
              }
            ],
            "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:d92f75f4-75ad-4ede-88b4-d37d771c412b",
          "display": "Yves Rémy"
        },
        "custodian": {
          "reference": "urn:uuid:22f2c177-c890-4438-a620-ffa855e48648"
        },
        "date": "2025-07-13T07:32:03Z",
        "confidentiality": "N"
      }
    },
    {
      "fullUrl": "urn:uuid:d92f75f4-75ad-4ede-88b4-d37d771c412b",
      "resource": {
        "resourceType": "Patient",
        "id": "d92f75f4-75ad-4ede-88b4-d37d771c412b",
        "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": "4543-821530-8"
          },
          {
            "type": {
              "coding": [
                {
                  "code": "MR",
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
                }
              ]
            },
            "system": "http://local.setting.eu/identifier",
            "value": "12ef67e4-2698-90f4-7860-a5366805885f"
          }
        ],
        "name": [
          {
            "given": [
              "Yves"
            ],
            "family": "Rémy",
            "text": "Yves Rémy"
          }
        ],
        "address": [
          {
            "line": [
              "rue de Turpin"
            ],
            "use": "home",
            "type": "physical",
            "postalCode": "06400",
            "city": "Cannes",
            "country": "France"
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "+33 (0)1 53 38 28 55"
          }
        ],
        "extension": [
          {
            "extension": [
              {
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "code": "FR",
                      "system": "urn:iso:std:iso:3166"
                    }
                  ],
                  "text": "France"
                },
                "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>Yves Rémy</td><td>male</td><td>16-May-1948</td></tr></table></div>"
        },
        "gender": "male",
        "birthDate": "1948-05-16"
      }
    },
    {
      "fullUrl": "urn:uuid:f9d5aa2e-c689-494e-902f-9b59004f9d14",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "f9d5aa2e-c689-494e-902f-9b59004f9d14",
        "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 f9d5aa2e-c689-494e-902f-9b59004f9d14</td></tr></table></div>"
        },
        "practitioner": {
          "reference": "urn:uuid:a03d53a0-4cd1-44f2-a3cc-75885aeebc39"
        },
        "organization": {
          "reference": "urn:uuid:22f2c177-c890-4438-a620-ffa855e48648"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:22f2c177-c890-4438-a620-ffa855e48648",
      "resource": {
        "resourceType": "Organization",
        "id": "22f2c177-c890-4438-a620-ffa855e48648",
        "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": "9da979cc-d7fe-455b-89b5-32d2eff002ab"
          }
        ],
        "address": [
          {
            "city": "Cannes",
            "postalCode": "06150",
            "country": "France"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Clinique du Méridien</td></tr></table></div>"
        },
        "name": "Clinique du Méridien"
      }
    },
    {
      "fullUrl": "urn:uuid:a03d53a0-4cd1-44f2-a3cc-75885aeebc39",
      "resource": {
        "resourceType": "Practitioner",
        "id": "a03d53a0-4cd1-44f2-a3cc-75885aeebc39",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu-core"
          ]
        },
        "name": [
          {
            "given": [
              "Vincent"
            ],
            "family": "Lombard"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Vincent Lombard</td></tr></table></div>"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:302f1fac-de60-4778-a364-c1395ba4330e",
      "resource": {
        "resourceType": "Condition",
        "id": "302f1fac-de60-4778-a364-c1395ba4330e",
        "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": "88805009",
              "system": "http://snomed.info/sct",
              "display": "Chronic congestive heart failure (disorder)"
            }
          ],
          "text": "Chronic congestive heart failure"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Chronic congestive heart failure</td><td><span class=\"nb\">19-Jan-2025</span></td><td>active</td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "active",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
          ]
        },
        "onsetDateTime": "2025-01-19",
        "subject": {
          "reference": "urn:uuid:d92f75f4-75ad-4ede-88b4-d37d771c412b",
          "display": "Yves Rémy"
        },
        "asserter": {
          "reference": "urn:uuid:f9d5aa2e-c689-494e-902f-9b59004f9d14",
          "display": "Clinique du Méridien"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:591b2f1c-392a-4b64-acb4-eee602374bb9",
      "resource": {
        "resourceType": "Condition",
        "id": "591b2f1c-392a-4b64-acb4-eee602374bb9",
        "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": "431856006",
              "system": "http://snomed.info/sct",
              "display": "Chronic kidney disease stage 2 (disorder)"
            }
          ],
          "text": "Chronic kidney disease stage 2"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Chronic kidney disease stage 2</td><td><span class=\"nb\">09-Sep-2018</span></td><td>active</td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "active",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
          ]
        },
        "onsetDateTime": "2018-09-09",
        "subject": {
          "reference": "urn:uuid:d92f75f4-75ad-4ede-88b4-d37d771c412b",
          "display": "Yves Rémy"
        },
        "asserter": {
          "reference": "urn:uuid:f9d5aa2e-c689-494e-902f-9b59004f9d14",
          "display": "Clinique du Méridien"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:e7e116cd-44fa-4955-af65-aeb7447880da",
      "resource": {
        "resourceType": "Condition",
        "id": "e7e116cd-44fa-4955-af65-aeb7447880da",
        "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": "90781000119102",
              "system": "http://snomed.info/sct",
              "display": "Microalbuminuria due to type 2 diabetes mellitus (disorder)"
            }
          ],
          "text": "Microalbuminuria due to type 2 diabetes mellitus"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Microalbuminuria due to type 2 diabetes mellitus</td><td><span class=\"nb\">09-Sep-2018</span></td><td>active</td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "active",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
          ]
        },
        "onsetDateTime": "2018-09-09",
        "subject": {
          "reference": "urn:uuid:d92f75f4-75ad-4ede-88b4-d37d771c412b",
          "display": "Yves Rémy"
        },
        "asserter": {
          "reference": "urn:uuid:f9d5aa2e-c689-494e-902f-9b59004f9d14",
          "display": "Clinique du Méridien"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:77569ff6-dbaa-4be2-a567-a83dfa27af2a",
      "resource": {
        "resourceType": "Condition",
        "id": "77569ff6-dbaa-4be2-a567-a83dfa27af2a",
        "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": "127013003",
              "system": "http://snomed.info/sct",
              "display": "Disorder of kidney due to diabetes mellitus (disorder)"
            }
          ],
          "text": "Disorder of kidney due to diabetes mellitus"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Disorder of kidney due to diabetes mellitus</td><td><span class=\"nb\">17-Sep-2017</span></td><td>active</td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "active",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
          ]
        },
        "onsetDateTime": "2017-09-17",
        "subject": {
          "reference": "urn:uuid:d92f75f4-75ad-4ede-88b4-d37d771c412b",
          "display": "Yves Rémy"
        },
        "asserter": {
          "reference": "urn:uuid:f9d5aa2e-c689-494e-902f-9b59004f9d14",
          "display": "Clinique du Méridien"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:a5be9964-2a2b-4847-b4c8-58d642b84899",
      "resource": {
        "resourceType": "Condition",
        "id": "a5be9964-2a2b-4847-b4c8-58d642b84899",
        "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": "431855005",
              "system": "http://snomed.info/sct",
              "display": "Chronic kidney disease stage 1 (disorder)"
            }
          ],
          "text": "Chronic kidney disease stage 1"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Chronic kidney disease stage 1</td><td><span class=\"nb\">17-Sep-2017</span></td><td>active</td></tr></table></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "active",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
          ]
        },
        "onsetDateTime": "2017-09-17",
        "subject": {
          "reference": "urn:uuid:d92f75f4-75ad-4ede-88b4-d37d771c412b",
          "display": "Yves Rémy"
        },
        "asserter": {
          "reference": "urn:uuid:f9d5aa2e-c689-494e-902f-9b59004f9d14",
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                "code": "problem-list-item",
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            {
              "code": "414545008",
              "system": "http://snomed.info/sct",
              "display": "Ischemic heart disease (disorder)"
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          ],
          "text": "Ischemic heart disease"
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        "code": {
          "coding": [
            {
              "code": "64859006",
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              "display": "Osteoporosis (disorder)"
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          ],
          "text": "Osteoporosis"
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        "text": {
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Osteoporosis</td><td><span class=\"nb\">05-Jun-2005</span></td><td>active</td></tr></table></div>"
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          "reference": "urn:uuid:d92f75f4-75ad-4ede-88b4-d37d771c412b",
          "display": "Yves Rémy"
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          "profile": [
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          "coding": [
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              "code": "237602007",
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        "text": {
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          "reference": "urn:uuid:d92f75f4-75ad-4ede-88b4-d37d771c412b",
          "display": "Yves Rémy"
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        "asserter": {
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        "code": {
          "coding": [
            {
              "code": "271737000",
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              "display": "Anemia (disorder)"
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          ],
          "text": "Anemia"
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Anemia</td><td><span class=\"nb\">14-Apr-1996</span></td><td>active</td></tr></table></div>"
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        "subject": {
          "reference": "urn:uuid:d92f75f4-75ad-4ede-88b4-d37d771c412b",
          "display": "Yves Rémy"
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        "asserter": {
          "reference": "urn:uuid:f9d5aa2e-c689-494e-902f-9b59004f9d14",
          "display": "Clinique du Méridien"
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    {
      "fullUrl": "urn:uuid:e7693262-1a08-4f02-8997-a79feb912835",
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          "profile": [
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        },
        "category": [
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        "code": {
          "coding": [
            {
              "code": "59621000",
              "system": "http://snomed.info/sct",
              "display": "Essential hypertension (disorder)"
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          "text": "Essential hypertension"
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Essential hypertension</td><td><span class=\"nb\">16-Feb-1986</span></td><td>active</td></tr></table></div>"
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            {
              "code": "active",
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        "onsetDateTime": "1986-02-16",
        "subject": {
          "reference": "urn:uuid:d92f75f4-75ad-4ede-88b4-d37d771c412b",
          "display": "Yves Rémy"
        },
        "asserter": {
          "reference": "urn:uuid:f9d5aa2e-c689-494e-902f-9b59004f9d14",
          "display": "Clinique du Méridien"
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    {
      "fullUrl": "urn:uuid:c1860fb3-9d1e-42d2-b333-8b529ede99ee",
      "resource": {
        "resourceType": "Condition",
        "id": "c1860fb3-9d1e-42d2-b333-8b529ede99ee",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/condition-obl-eu-eps"
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        "category": [
          {
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                "code": "problem-list-item",
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        "code": {
          "coding": [
            {
              "code": "90560007",
              "system": "http://snomed.info/sct",
              "display": "Gout (disorder)"
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          ],
          "text": "Gout"
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Gout</td><td><span class=\"nb\">30-Sep-1983</span></td><td>active</td></tr></table></div>"
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        "clinicalStatus": {
          "coding": [
            {
              "code": "active",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
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        "onsetDateTime": "1983-09-30",
        "subject": {
          "reference": "urn:uuid:d92f75f4-75ad-4ede-88b4-d37d771c412b",
          "display": "Yves Rémy"
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        "asserter": {
          "reference": "urn:uuid:f9d5aa2e-c689-494e-902f-9b59004f9d14",
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    {
      "fullUrl": "urn:uuid:8522074e-c10d-4e35-9b4d-d21f8b98a21e",
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          "profile": [
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        "category": [
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        "code": {
          "coding": [
            {
              "code": "444814009",
              "system": "http://snomed.info/sct",
              "display": "Viral sinusitis (disorder)"
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          ],
          "text": "Viral sinusitis"
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td><span class=\"grayedout\">Viral sinusitis</span></td><td><span class=\"nb\">22-Dec-2024 - 07-Jan-2025</span></td><td><span class=\"grayedout\">inactive</span></td></tr></table></div>"
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        "onsetDateTime": "2024-12-22",
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          "reference": "urn:uuid:d92f75f4-75ad-4ede-88b4-d37d771c412b",
          "display": "Yves Rémy"
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        "asserter": {
          "reference": "urn:uuid:f9d5aa2e-c689-494e-902f-9b59004f9d14",
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        "code": {
          "coding": [
            {
              "code": "283385000",
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              "display": "Laceration of thigh (disorder)"
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          "text": "Laceration of thigh"
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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\">Laceration of thigh</span></td><td><span class=\"nb\">01-Aug-2023 - 28-Aug-2023</span></td><td><span class=\"grayedout\">inactive</span></td></tr></table></div>"
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          "reference": "urn:uuid:d92f75f4-75ad-4ede-88b4-d37d771c412b",
          "display": "Yves Rémy"
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        "asserter": {
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        "code": {
          "coding": [
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              "code": "312608009",
              "system": "http://snomed.info/sct",
              "display": "Laceration - injury (disorder)"
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          ],
          "text": "Laceration - injury"
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        "text": {
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          "reference": "urn:uuid:d92f75f4-75ad-4ede-88b4-d37d771c412b",
          "display": "Yves Rémy"
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        "asserter": {
          "reference": "urn:uuid:f9d5aa2e-c689-494e-902f-9b59004f9d14",
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      "fullUrl": "urn:uuid:12839ccf-db09-485b-a60c-9b71dc84ee87",
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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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          "reference": "urn:uuid:d92f75f4-75ad-4ede-88b4-d37d771c412b",
          "display": "Yves Rémy"
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        "asserter": {
          "reference": "urn:uuid:f9d5aa2e-c689-494e-902f-9b59004f9d14",
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      "fullUrl": "urn:uuid:bfcc8958-c8ca-4696-ba6f-405a32f715ed",
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        "category": [
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                "code": "problem-list-item",
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        "code": {
          "coding": [
            {
              "code": "195662009",
              "system": "http://snomed.info/sct",
              "display": "Acute viral pharyngitis (disorder)"
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          ],
          "text": "Acute viral pharyngitis"
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        "text": {
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          "reference": "urn:uuid:d92f75f4-75ad-4ede-88b4-d37d771c412b",
          "display": "Yves Rémy"
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        "asserter": {
          "reference": "urn:uuid:f9d5aa2e-c689-494e-902f-9b59004f9d14",
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          "profile": [
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        "category": [
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                "code": "problem-list-item",
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        ],
        "code": {
          "coding": [
            {
              "code": "444814009",
              "system": "http://snomed.info/sct",
              "display": "Viral sinusitis (disorder)"
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          ],
          "text": "Viral sinusitis"
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td><span class=\"grayedout\">Viral sinusitis</span></td><td><span class=\"nb\">25-Sep-2016 - 17-Oct-2016</span></td><td><span class=\"grayedout\">inactive</span></td></tr></table></div>"
        },
        "clinicalStatus": {
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        "onsetDateTime": "2016-09-25",
        "abatementDateTime": "2016-10-17",
        "subject": {
          "reference": "urn:uuid:d92f75f4-75ad-4ede-88b4-d37d771c412b",
          "display": "Yves Rémy"
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        "asserter": {
          "reference": "urn:uuid:f9d5aa2e-c689-494e-902f-9b59004f9d14",
          "display": "Clinique du Méridien"
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    {
      "fullUrl": "urn:uuid:7b05720e-2057-421a-ae0d-b468518b3932",
      "resource": {
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        "meta": {
          "profile": [
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        "category": [
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        "code": {
          "coding": [
            {
              "code": "10509002",
              "system": "http://snomed.info/sct",
              "display": "Acute bronchitis (disorder)"
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          ],
          "text": "Acute bronchitis"
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td><span class=\"grayedout\">Acute bronchitis</span></td><td><span class=\"nb\">29-Nov-2015 - 09-Dec-2015</span></td><td><span class=\"grayedout\">inactive</span></td></tr></table></div>"
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        "onsetDateTime": "2015-11-29",
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          "display": "Yves Rémy"
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      }
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      "fullUrl": "urn:uuid:8128199b-7cf4-4f8a-977e-55f8924af503",
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        },
        "category": [
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            "coding": [
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                "code": "problem-list-item",
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        "code": {
          "coding": [
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              "code": "444814009",
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              "display": "Viral sinusitis (disorder)"
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          ],
          "text": "Viral sinusitis"
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              "display": "Human isophane insulin 70 unit/mL and recombinant human regular insulin 30 unit/mL solution for injection"
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          ],
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        },
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              }
            ],
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            },
            "text": "Inject 10 units (0.1 mL) subcutaneously before breakfast and 10 units (0.1 mL) before dinner",
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          "display": "Yves Rémy"
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              "display": "Carvedilol 25 mg oral tablet"
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          ],
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      }
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          "display": "Yves Rémy"
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        "code": {
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              "code": "376209006",
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              "display": "Hydrochlorothiazide 25 mg oral tablet"
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          ],
          "text": "Hydrochlorothiazide 25 mg oral tablet"
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      }
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      "fullUrl": "urn:uuid:1a6bfc50-2519-45bf-b05a-4ad15f328e5f",
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                "doseQuantity": {
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          "display": "Yves Rémy"
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              "system": "http://snomed.info/sct",
              "display": "Furosemide 40 mg oral tablet"
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          ],
          "text": "Furosemide 40 mg oral tablet"
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      }
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          "display": "Yves Rémy"
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              "system": "http://snomed.info/sct",
              "display": "Lisinopril 10 mg oral tablet"
            }
          ],
          "text": "Lisinopril 10 mg oral tablet"
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Lisinopril 10 mg oral tablet</div>"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:38ee7fed-e048-4388-84ba-ce39bef5e703",
      "resource": {
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          "display": "Yves Rémy"
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              "display": "Budesonide 250 microgram/mL suspension for nebulizer"
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          "text": "Budesonide 250 microgram/mL suspension for nebulizer"
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      }
    },
    {
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      "resource": {
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              }
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            "text": "250 micrograms via nebulizer twice daily",
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                "code": "233678006",
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                "display": "Childhood asthma"
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          "display": "Yves Rémy"
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              "display": "Albuterol (as albuterol sulfate) 830 microgram/mL solution for inhalation"
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          ],
          "text": "Albuterol (as albuterol sulfate) 830 microgram/mL solution for inhalation"
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        "text": {
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        }
      }
    },
    {
      "fullUrl": "urn:uuid:90ee920e-58b7-4621-89e2-1b077eaa9743",
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                  "code": "mg"
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              }
            ],
            "timing": {
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                "period": 1,
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            },
            "text": "2.5 mg (3 mL of 830 microgram/mL solution) via nebulizer every 6 hours as needed",
            "asNeededBoolean": true
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                "code": "233678006",
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                "display": "Childhood asthma"
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            ]
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        ],
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        },
        "status": "active",
        "medicationReference": {
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          "display": "Albuterol (as albuterol sulfate) 830 microgram/mL solution for inhalation"
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          "display": "Yves Rémy"
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              "display": "Clopidogrel (as clopidogrel bisulfate) 75 mg oral tablet"
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          "text": "Clopidogrel (as clopidogrel bisulfate) 75 mg oral tablet"
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      }
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              "display": "Simvastatin 20 mg oral tablet"
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          ],
          "text": "Simvastatin 20 mg oral tablet"
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        }
      }
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              "display": "Nitroglycerin 400 microgram/actuation sublingual spray"
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          ],
          "text": "Nitroglycerin 400 microgram/actuation sublingual spray"
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        }
      }
    },
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            ],
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            },
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            },
            "text": "1 tablet (100 mg) once daily",
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              "display": "tetanus toxoid, combinations with diphtheria toxoid"
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          ],
          "text": "Clostridium tetani toxoid antigen adsorbed only vaccine product"
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              "display": "Entire muscle of upper arm"
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          "text": "Entire muscle of upper arm"
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        "route": {
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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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        "text": {
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Clostridium tetani toxoid antigen adsorbed only vaccine product</td><td><span class=\"nb\">04-Oct-2015</span></td></tr></table></div>"
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        "occurrenceDateTime": "2015-10-04",
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              "code": "171207006",
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            {
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          "coding": [
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          "coding": [
            {
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              "display": "Assessment using Alcohol Use Disorders Identification Test - Consumption (procedure)"
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          "coding": [
            {
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              "display": "Suture open wound (procedure)"
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          "coding": [
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              "reasonCode": [
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          "status": "generated",
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                    "display": "Lifestyle education regarding hypertension (procedure)"
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        ],
        "period": {
          "start": "1983-09-30"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips first25\"><tr><th>Active Planned Care / Goals</th><th>Start Date</th><th>Reason</th></tr><tr><td>Musculoskeletal care</td><td><span class=\"nb\">30-Sep-1983</span></td><td>-</td></tr></table></div>"
        },
        "status": "active",
        "intent": "plan",
        "subject": {
          "reference": "urn:uuid:d92f75f4-75ad-4ede-88b4-d37d771c412b",
          "display": "Yves Rémy"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:f300abb4-a212-4e06-bbfe-fc35f6c8016d",
      "resource": {
        "resourceType": "CarePlan",
        "id": "f300abb4-a212-4e06-bbfe-fc35f6c8016d",
        "category": [
          {
            "coding": [
              {
                "code": "734163000",
                "system": "http://snomed.info/sct",
                "display": "Care plan (record artifact)"
              }
            ]
          }
        ],
        "activity": [
          {
            "detail": {
              "code": {
                "coding": [
                  {
                    "code": "699728000",
                    "system": "http://snomed.info/sct",
                    "display": "Asthma self management (regime/therapy)"
                  }
                ]
              },
              "reasonCode": [
                {
                  "coding": [
                    {
                      "code": "233678006",
                      "system": "http://snomed.info/sct",
                      "display": "Childhood asthma (disorder)"
                    }
                  ]
                }
              ],
              "status": "unknown",
              "description": "Asthma self management",
              "kind": "Appointment"
            }
          }
        ],
        "period": {
          "start": "1948-06-08"
        },
        "goal": [
          {
            "reference": "urn:uuid:e86897db-6e29-4161-afbf-73d9435f1bc8"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips first25\"><tr><th>Active Planned Care / Goals</th><th>Start Date</th><th>Reason</th></tr><tr><td>Asthma self management</td><td><span class=\"nb\">08-Jun-1948</span></td><td>Childhood asthma (disorder)</td></tr><tr><td><ul><li>Patient will demonstrate effective self-management of asthma symptoms, including correct inhaler technique and adherence to prescribed therapy.</li></ul></td><td></td><td></td></tr></table></div>"
        },
        "status": "active",
        "intent": "plan",
        "subject": {
          "reference": "urn:uuid:d92f75f4-75ad-4ede-88b4-d37d771c412b",
          "display": "Yves Rémy"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:c4fcb6d7-5a04-49de-9e99-c7ddd582b405",
      "resource": {
        "resourceType": "ImmunizationRecommendation",
        "id": "c4fcb6d7-5a04-49de-9e99-c7ddd582b405",
        "recommendation": [
          {
            "vaccineCode": [
              {
                "coding": [
                  {
                    "code": "1181000221105",
                    "system": "http://snomed.info/sct",
                    "display": "Influenza virus antigen only vaccine product"
                  }
                ]
              }
            ],
            "dateCriterion": [
              {
                "code": {
                  "coding": [
                    {
                      "code": "30980-7",
                      "system": "http://loinc.org",
                      "display": "Date vaccine due"
                    }
                  ]
                },
                "value": "2026-10-01"
              }
            ],
            "targetDisease": {
              "coding": [
                {
                  "code": "6142004",
                  "system": "http://snomed.info/sct",
                  "display": "Influenza (disorder)"
                }
              ]
            },
            "series": "Annual seasonal influenza vaccination",
            "forecastStatus": {
              "coding": [
                {
                  "code": "due",
                  "system": "http://terminology.hl7.org/CodeSystem/immunization-recommendation-status",
                  "display": "Due"
                }
              ]
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Influenza virus antigen only vaccine product</td><td><span class=\"nb\">01-Oct-2026</span></td><td>Annual seasonal influenza vaccination</td></tr></table></div>"
        },
        "date": "2026-03-14",
        "patient": {
          "reference": "urn:uuid:d92f75f4-75ad-4ede-88b4-d37d771c412b",
          "display": "Yves Rémy"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:42e0d94b-98bb-43c9-80a3-aa586f58a083",
      "resource": {
        "resourceType": "Goal",
        "id": "42e0d94b-98bb-43c9-80a3-aa586f58a083",
        "description": {
          "text": "Patient will monitor and record weight daily to detect early signs of fluid retention."
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Patient will monitor and record weight daily to detect early signs of fluid retention.</div>"
        },
        "lifecycleStatus": "active",
        "subject": {
          "reference": "urn:uuid:d92f75f4-75ad-4ede-88b4-d37d771c412b",
          "display": "Yves Rémy"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:4db199a9-267e-4fe6-b9d7-e85dbe450bb0",
      "resource": {
        "resourceType": "Goal",
        "id": "4db199a9-267e-4fe6-b9d7-e85dbe450bb0",
        "description": {
          "text": "Patient will adhere to a sodium-restricted diet as recommended."
        },
        "lifecycleStatus": "active",
        "subject": {
          "reference": "urn:uuid:d92f75f4-75ad-4ede-88b4-d37d771c412b",
          "display": "Yves Rémy"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:b291e485-1f19-4831-b08a-6624b1977a08",
      "resource": {
        "resourceType": "Goal",
        "id": "b291e485-1f19-4831-b08a-6624b1977a08",
        "description": {
          "text": "Patient will limit daily fluid intake as recommended."
        },
        "target": [
          {
            "detailQuantity": {
              "value": 1500,
              "unit": "mL",
              "system": "http://unitsofmeasure.org",
              "code": "mL"
            },
            "measure": {
              "coding": [
                {
                  "code": "3151-8",
                  "system": "http://loinc.org",
                  "display": "Inhaled oxygen flow rate"
                }
              ]
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Patient will limit daily fluid intake as recommended.</div>"
        },
        "lifecycleStatus": "active",
        "subject": {
          "reference": "urn:uuid:d92f75f4-75ad-4ede-88b4-d37d771c412b",
          "display": "Yves Rémy"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:a5508251-a991-4ca0-9968-ccb721112a0e",
      "resource": {
        "resourceType": "Goal",
        "id": "a5508251-a991-4ca0-9968-ccb721112a0e",
        "description": {
          "text": "Patient will maintain blood pressure within the individualized target range."
        },
        "target": [
          {
            "detailRange": {
              "low": {
                "value": 110,
                "unit": "mm[Hg]",
                "system": "http://unitsofmeasure.org",
                "code": "mm[Hg]"
              },
              "high": {
                "value": 130,
                "unit": "mm[Hg]",
                "system": "http://unitsofmeasure.org",
                "code": "mm[Hg]"
              }
            },
            "measure": {
              "coding": [
                {
                  "code": "85354-9",
                  "system": "http://loinc.org",
                  "display": "Blood pressure panel with all children optional"
                }
              ]
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Patient will maintain blood pressure within the individualized target range.</div>"
        },
        "lifecycleStatus": "active",
        "subject": {
          "reference": "urn:uuid:d92f75f4-75ad-4ede-88b4-d37d771c412b",
          "display": "Yves Rémy"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:567466b5-c2cf-4cc3-98ca-e0fc00e698ea",
      "resource": {
        "resourceType": "Goal",
        "id": "567466b5-c2cf-4cc3-98ca-e0fc00e698ea",
        "description": {
          "text": "Patient will recognize and promptly report symptoms of heart failure exacerbation such as increased shortness of breath, swelling, or rapid weight gain."
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Patient will recognize and promptly report symptoms of heart failure exacerbation such as increased shortness of breath, swelling, or rapid weight gain.</div>"
        },
        "lifecycleStatus": "active",
        "subject": {
          "reference": "urn:uuid:d92f75f4-75ad-4ede-88b4-d37d771c412b",
          "display": "Yves Rémy"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:bb7fadc1-45f2-45a6-9426-dddc6446b2d0",
      "resource": {
        "resourceType": "Goal",
        "id": "bb7fadc1-45f2-45a6-9426-dddc6446b2d0",
        "description": {
          "text": "Achieve and maintain a healthy body weight to reduce risk of progression from prediabetes to diabetes"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Achieve and maintain a healthy body weight to reduce risk of progression from prediabetes to diabetes</div>"
        },
        "lifecycleStatus": "active",
        "subject": {
          "reference": "urn:uuid:d92f75f4-75ad-4ede-88b4-d37d771c412b",
          "display": "Yves Rémy"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:621d8bb2-b913-4f54-a3be-143ac46e8641",
      "resource": {
        "resourceType": "Goal",
        "id": "621d8bb2-b913-4f54-a3be-143ac46e8641",
        "description": {
          "text": "Maintain HbA1c below diabetes diagnostic threshold"
        },
        "target": [
          {
            "detailQuantity": {
              "value": 6.4,
              "unit": "%",
              "system": "http://unitsofmeasure.org",
              "code": "%"
            },
            "measure": {
              "coding": [
                {
                  "code": "4548-4",
                  "system": "http://loinc.org",
                  "display": "Hemoglobin A1c/Hemoglobin.total in Blood"
                }
              ]
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Maintain HbA1c below diabetes diagnostic threshold</div>"
        },
        "lifecycleStatus": "active",
        "subject": {
          "reference": "urn:uuid:d92f75f4-75ad-4ede-88b4-d37d771c412b",
          "display": "Yves Rémy"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:0f61d4eb-e372-4987-9783-8ac3c8948e16",
      "resource": {
        "resourceType": "Goal",
        "id": "0f61d4eb-e372-4987-9783-8ac3c8948e16",
        "description": {
          "text": "Maintain blood pressure within recommended range for cardiovascular and renal protection"
        },
        "target": [
          {
            "detailQuantity": {
              "value": 130,
              "unit": "mm[Hg]",
              "system": "http://unitsofmeasure.org",
              "code": "mm[Hg]"
            },
            "measure": {
              "coding": [
                {
                  "code": "85354-9",
                  "system": "http://loinc.org",
                  "display": "Blood pressure panel with all children optional"
                }
              ]
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Maintain blood pressure within recommended range for cardiovascular and renal protection</div>"
        },
        "lifecycleStatus": "active",
        "subject": {
          "reference": "urn:uuid:d92f75f4-75ad-4ede-88b4-d37d771c412b",
          "display": "Yves Rémy"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:62af3291-d92e-4968-96e4-ae87c3428cf0",
      "resource": {
        "resourceType": "Goal",
        "id": "62af3291-d92e-4968-96e4-ae87c3428cf0",
        "description": {
          "text": "Engage in at least 150 minutes of moderate-intensity physical activity per week"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Engage in at least 150 minutes of moderate-intensity physical activity per week</div>"
        },
        "lifecycleStatus": "active",
        "subject": {
          "reference": "urn:uuid:d92f75f4-75ad-4ede-88b4-d37d771c412b",
          "display": "Yves Rémy"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:5d8e8534-523c-4ec5-9905-33b1ca52dadd",
      "resource": {
        "resourceType": "Goal",
        "id": "5d8e8534-523c-4ec5-9905-33b1ca52dadd",
        "description": {
          "text": "Follow a balanced diet with reduced simple sugars and saturated fats to support glycemic control and cardiovascular health"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Follow a balanced diet with reduced simple sugars and saturated fats to support glycemic control and cardiovascular health</div>"
        },
        "lifecycleStatus": "active",
        "subject": {
          "reference": "urn:uuid:d92f75f4-75ad-4ede-88b4-d37d771c412b",
          "display": "Yves Rémy"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:d2ae2352-7ab7-4c31-a0ba-9c2797890015",
      "resource": {
        "resourceType": "Goal",
        "id": "d2ae2352-7ab7-4c31-a0ba-9c2797890015",
        "description": {
          "text": "Reduce urinary albumin excretion to slow progression of diabetic kidney disease"
        },
        "target": [
          {
            "detailQuantity": {
              "value": 30,
              "unit": "mg/g",
              "system": "http://unitsofmeasure.org",
              "code": "mg/g"
            },
            "measure": {
              "coding": [
                {
                  "code": "14959-1",
                  "system": "http://loinc.org",
                  "display": "Microalbumin/Creatinine [Mass Ratio] in Urine"
                }
              ]
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Reduce urinary albumin excretion to slow progression of diabetic kidney disease</div>"
        },
        "lifecycleStatus": "active",
        "subject": {
          "reference": "urn:uuid:d92f75f4-75ad-4ede-88b4-d37d771c412b",
          "display": "Yves Rémy"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:645dc2d1-2770-4942-999a-cd5cbe24a0eb",
      "resource": {
        "resourceType": "Goal",
        "id": "645dc2d1-2770-4942-999a-cd5cbe24a0eb",
        "description": {
          "text": "Achieve and maintain systolic blood pressure below 130 mmHg through lifestyle modifications."
        },
        "target": [
          {
            "detailQuantity": {
              "value": 130,
              "unit": "mm[Hg]",
              "system": "http://unitsofmeasure.org",
              "code": "mm[Hg]"
            },
            "measure": {
              "coding": [
                {
                  "code": "8480-6",
                  "system": "http://loinc.org",
                  "display": "Systolic blood pressure"
                }
              ]
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Achieve and maintain systolic blood pressure below 130 mmHg through lifestyle modifications.</div>"
        },
        "lifecycleStatus": "active",
        "subject": {
          "reference": "urn:uuid:d92f75f4-75ad-4ede-88b4-d37d771c412b",
          "display": "Yves Rémy"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:34066760-3708-4d16-84d7-473eba296d00",
      "resource": {
        "resourceType": "Goal",
        "id": "34066760-3708-4d16-84d7-473eba296d00",
        "description": {
          "text": "Achieve and maintain diastolic blood pressure below 80 mmHg through lifestyle modifications."
        },
        "target": [
          {
            "detailQuantity": {
              "value": 80,
              "unit": "mm[Hg]",
              "system": "http://unitsofmeasure.org",
              "code": "mm[Hg]"
            },
            "measure": {
              "coding": [
                {
                  "code": "8462-4",
                  "system": "http://loinc.org",
                  "display": "Diastolic blood pressure"
                }
              ]
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Achieve and maintain diastolic blood pressure below 80 mmHg through lifestyle modifications.</div>"
        },
        "lifecycleStatus": "active",
        "subject": {
          "reference": "urn:uuid:d92f75f4-75ad-4ede-88b4-d37d771c412b",
          "display": "Yves Rémy"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:e86897db-6e29-4161-afbf-73d9435f1bc8",
      "resource": {
        "resourceType": "Goal",
        "id": "e86897db-6e29-4161-afbf-73d9435f1bc8",
        "description": {
          "text": "Patient will demonstrate effective self-management of asthma symptoms, including correct inhaler technique and adherence to prescribed therapy."
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Patient will demonstrate effective self-management of asthma symptoms, including correct inhaler technique and adherence to prescribed therapy.</div>"
        },
        "lifecycleStatus": "active",
        "subject": {
          "reference": "urn:uuid:d92f75f4-75ad-4ede-88b4-d37d771c412b",
          "display": "Yves Rémy"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:ab508716-d595-4dac-a46a-871815614cc3",
      "resource": {
        "resourceType": "Observation",
        "id": "ab508716-d595-4dac-a46a-871815614cc3",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/StructureDefinition/vitalsigns"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "valueQuantity": {
          "value": 166.8,
          "code": "cm",
          "system": "http://unitsofmeasure.org",
          "unit": "cm"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><th>Vital Sign</th><th>Date</th><th>Measurement</th></tr><tr><td>Body Height</td><td>06-Jul-2025</td><td>166.8 cm</td></tr></table></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "code": "8302-2",
              "system": "http://loinc.org",
              "display": "Body Height"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:d92f75f4-75ad-4ede-88b4-d37d771c412b",
          "display": "Yves Rémy"
        },
        "effectiveDateTime": "2025-07-06"
      }
    },
    {
      "fullUrl": "urn:uuid:0ff18dfd-e5f0-4b67-a315-3d778566771d",
      "resource": {
        "resourceType": "Observation",
        "id": "0ff18dfd-e5f0-4b67-a315-3d778566771d",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/StructureDefinition/vitalsigns"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "valueQuantity": {
          "value": 3,
          "code": "1",
          "system": "http://unitsofmeasure.org",
          "unit": "{score}"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><th>Vital Sign</th><th>Date</th><th>Measurement</th></tr><tr><td>Pain severity - 0-10 verbal numeric rating [Score] - Reported</td><td>06-Jul-2025</td><td>3 {score}</td></tr></table></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "code": "72514-3",
              "system": "http://loinc.org",
              "display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:d92f75f4-75ad-4ede-88b4-d37d771c412b",
          "display": "Yves Rémy"
        },
        "effectiveDateTime": "2025-07-06"
      }
    },
    {
      "fullUrl": "urn:uuid:e313d198-5397-4fcc-96fa-46377a2fe11a",
      "resource": {
        "resourceType": "Observation",
        "id": "e313d198-5397-4fcc-96fa-46377a2fe11a",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/StructureDefinition/vitalsigns"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "valueQuantity": {
          "value": 104.1,
          "code": "kg",
          "system": "http://unitsofmeasure.org",
          "unit": "kg"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><th>Vital Sign</th><th>Date</th><th>Measurement</th></tr><tr><td>Body Weight</td><td>06-Jul-2025</td><td>104.1 kg</td></tr></table></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "code": "29463-7",
              "system": "http://loinc.org",
              "display": "Body Weight"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:d92f75f4-75ad-4ede-88b4-d37d771c412b",
          "display": "Yves Rémy"
        },
        "effectiveDateTime": "2025-07-06"
      }
    },
    {
      "fullUrl": "urn:uuid:b9993d53-3eb9-4d59-b667-380e8e5545f4",
      "resource": {
        "resourceType": "Observation",
        "id": "b9993d53-3eb9-4d59-b667-380e8e5545f4",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/StructureDefinition/vitalsigns"
          ]
        },
        "category": [
          {
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        ],
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              "code": "2160-0",
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              "display": "Creatinine [Mass/volume] in Serum or Plasma"
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          ],
          "text": "Creatinine [Mass/volume] in Serum or Plasma"
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              "code": "17861-6",
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              "display": "Calcium [Mass/volume] in Serum or Plasma"
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          ],
          "text": "Calcium [Mass/volume] in Serum or Plasma"
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        "valueQuantity": {
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        ],
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              "code": "2951-2",
              "system": "http://loinc.org",
              "display": "Sodium [Moles/volume] in Serum or Plasma"
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          ],
          "text": "Sodium [Moles/volume] in Serum or Plasma"
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            "high": {
              "value": 145,
              "code": "mmol/L",
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          }
        ],
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        "category": [
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        "code": {
          "coding": [
            {
              "code": "2823-3",
              "system": "http://loinc.org",
              "display": "Potassium [Moles/volume] in Serum or Plasma"
            }
          ],
          "text": "Potassium [Moles/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "value": 4.5,
          "unit": "mmol/L",
          "code": "mmol/L",
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        "referenceRange": [
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              "value": 3.5,
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            "high": {
              "value": 5.1,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
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          }
        ],
        "text": {
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>13-Jul-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Potassium [Moles/volume] in Serum or Plasma</td><td>4.5</td><td>3.5 - 5.1</td><td></td><td>mmol/L</td></tr></table></div>"
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        "status": "final",
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        "effectiveDateTime": "2025-07-13T05:32:03Z"
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    },
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      "fullUrl": "urn:uuid:715f852a-12c2-4bf1-9d9a-259bb5a78699",
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        "category": [
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        "code": {
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            {
              "code": "2075-0",
              "system": "http://loinc.org",
              "display": "Chloride [Moles/volume] in Serum or Plasma"
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          ],
          "text": "Chloride [Moles/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "value": 101.7,
          "unit": "mmol/L",
          "code": "mmol/L",
          "system": "http://unitsofmeasure.org"
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        "referenceRange": [
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            "high": {
              "value": 107,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
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          }
        ],
        "text": {
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        },
        "status": "final",
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        "effectiveDateTime": "2025-07-13T05:32:03Z"
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    },
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        "category": [
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        "code": {
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            {
              "code": "2028-9",
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              "display": "Carbon dioxide, total [Moles/volume] in Serum or Plasma"
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          ],
          "text": "Carbon dioxide, total [Moles/volume] in Serum or Plasma"
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        "valueQuantity": {
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          "unit": "mmol/L",
          "code": "mmol/L",
          "system": "http://unitsofmeasure.org"
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        "referenceRange": [
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              "value": 22,
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            "high": {
              "value": 29,
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              "system": "http://unitsofmeasure.org"
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          }
        ],
        "text": {
          "status": "generated",
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        },
        "status": "final",
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        "effectiveDateTime": "2025-07-13T05:32:03Z"
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        "code": {
          "coding": [
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              "code": "5767-9",
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              "display": "Appearance of Urine"
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          ],
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        },
        "text": {
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        },
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        "valueCodeableConcept": {
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        ],
        "code": {
          "coding": [
            {
              "code": "34533-0",
              "system": "http://loinc.org",
              "display": "Odor of Urine"
            }
          ],
          "text": "Odor of Urine"
        },
        "text": {
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>13-Jul-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Odor of Urine</td><td>Urine smell ammoniacal</td></tr></table></div>"
        },
        "status": "final",
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        "effectiveDateTime": "2025-07-13T05:32:03Z",
        "valueCodeableConcept": {
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        "code": {
          "coding": [
            {
              "code": "32167-9",
              "system": "http://loinc.org",
              "display": "Clarity of Urine"
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          ],
          "text": "Clarity of Urine"
        },
        "text": {
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        },
        "status": "final",
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        "effectiveDateTime": "2025-07-13T05:32:03Z",
        "valueCodeableConcept": {
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        "code": {
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            {
              "code": "5778-6",
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              "display": "Color of Urine"
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          ],
          "text": "Color of Urine"
        },
        "text": {
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        },
        "status": "final",
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        "effectiveDateTime": "2025-07-13T05:32:03Z",
        "valueCodeableConcept": {
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        "code": {
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              "code": "5792-7",
              "system": "http://loinc.org",
              "display": "Glucose [Mass/volume] in Urine by Test strip"
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          ],
          "text": "Glucose [Mass/volume] in Urine by Test strip"
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        "valueQuantity": {
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          "unit": "mg/dL",
          "code": "mg/dL",
          "system": "http://unitsofmeasure.org"
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        "referenceRange": [
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            "high": {
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          }
        ],
        "text": {
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        },
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        "effectiveDateTime": "2025-07-13T05:32:03Z"
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        "code": {
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              "code": "25428-4",
              "system": "http://loinc.org",
              "display": "Glucose [Presence] in Urine by Test strip"
            }
          ],
          "text": "Glucose [Presence] in Urine by Test strip"
        },
        "text": {
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        },
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              "code": "20454-5",
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          ],
          "text": "Protein [Presence] in Urine by Test strip"
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              "display": "Nitrite [Presence] in Urine by Test strip"
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          "text": "Nitrite [Presence] in Urine by Test strip"
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              "display": "Hemoglobin [Presence] in Urine by Test strip"
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          ],
          "text": "Hemoglobin [Presence] in Urine by Test strip"
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              "code": "5799-2",
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              "display": "Leukocyte esterase [Presence] in Urine by Test strip"
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          ],
          "text": "Leukocyte esterase [Presence] in Urine by Test strip"
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        "text": {
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          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/medicalTestResult-eu-core"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
              }
            ]
          }
        ],
        "performer": [
          {
            "display": "The Central European Lab"
          }
        ],
        "code": {
          "coding": [
            {
              "code": "4548-4",
              "system": "http://loinc.org",
              "display": "Hemoglobin A1c/Hemoglobin.total in Blood"
            }
          ],
          "text": "Hemoglobin A1c/Hemoglobin.total in Blood"
        },
        "valueQuantity": {
          "value": 2.8,
          "unit": "%",
          "code": "%",
          "system": "http://unitsofmeasure.org"
        },
        "referenceRange": [
          {
            "low": {
              "value": 4,
              "code": "%",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 5.6,
              "code": "%",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "interpretation": [
          {
            "coding": [
              {
                "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>13-Jul-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Hemoglobin A1c/Hemoglobin.total in Blood</td><td>2.8</td><td>4.0 - 5.6</td><td>L</td><td>%</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:d92f75f4-75ad-4ede-88b4-d37d771c412b",
          "display": "Yves Rémy"
        },
        "effectiveDateTime": "2025-07-13T05:32:03Z"
      }
    },
    {
      "fullUrl": "urn:uuid:6ab7a44d-4b25-4736-bb26-5235736847e8",
      "resource": {
        "resourceType": "DeviceUseStatement",
        "id": "6ab7a44d-4b25-4736-bb26-5235736847e8",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/deviceUseStatement-eu-eps"
          ]
        },
        "timingPeriod": {
          "start": "1996-04-14"
        },
        "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\">14-Apr-1996</span></td></tr></table></div>"
        },
        "status": "active",
        "device": {
          "reference": "urn:uuid:d6e32636-a9f6-4396-bfd5-c9fa40c1c4e9",
          "display": "Blood glucose meter (physical object)"
        },
        "subject": {
          "reference": "urn:uuid:d92f75f4-75ad-4ede-88b4-d37d771c412b",
          "display": "Yves Rémy"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:d6e32636-a9f6-4396-bfd5-c9fa40c1c4e9",
      "resource": {
        "resourceType": "Device",
        "id": "d6e32636-a9f6-4396-bfd5-c9fa40c1c4e9",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/eps/StructureDefinition/device-eu-eps"
          ]
        },
        "udiCarrier": [
          {
            "deviceIdentifier": "27768989498249",
            "issuer": "https://www.gs1.org/",
            "entryType": "barcode",
            "carrierHRF": "(01)27768989498249(11)960324(17)210408(10)1502858(21)2679434902877"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Blood glucose meter (physical object) ((01)27768989498249(11)960324(17)210408(10)1502858(21)2679434902877)</div>"
        },
        "status": "active",
        "patient": {
          "reference": "urn:uuid:d92f75f4-75ad-4ede-88b4-d37d771c412b",
          "display": "Yves Rémy"
        },
        "type": {
          "coding": [
            {
              "code": "337414009",
              "system": "http://snomed.info/sct",
              "display": "Blood glucose meter (physical object)"
            }
          ]
        }
      }
    },
    {
      "fullUrl": "urn:uuid:195172de-e466-4cbf-a821-5ebde9737431",
      "resource": {
        "resourceType": "Device",
        "id": "195172de-e466-4cbf-a821-5ebde9737431",
        "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:c9741204-76b6-4894-a62b-4ca96265c56b",
      "resource": {
        "resourceType": "Provenance",
        "id": "c9741204-76b6-4894-a62b-4ca96265c56b",
        "target": [
          {
            "reference": "urn:uuid:d92f75f4-75ad-4ede-88b4-d37d771c412b"
          },
          {
            "reference": "urn:uuid:a7011f21-f3a3-4780-a960-37f36df94351"
          },
          {
            "reference": "urn:uuid:f9d5aa2e-c689-494e-902f-9b59004f9d14"
          },
          {
            "reference": "urn:uuid:22f2c177-c890-4438-a620-ffa855e48648"
          },
          {
            "reference": "urn:uuid:a03d53a0-4cd1-44f2-a3cc-75885aeebc39"
          }
        ],
        "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:195172de-e466-4cbf-a821-5ebde9737431"
            }
          }
        ],
        "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": "2025-07-13T05:32:03Z"
      }
    }
  ],
  "type": "document",
  "timestamp": "2025-07-13T07:32:03Z"
}