{
  "resourceType": "Bundle",
  "type": "document",
  "timestamp": "2026-02-19T21:29:50.327Z",
  "entry": [
    {
      "fullUrl": "urn:uuid:922495a9-5d95-44ed-9d6d-f61f8f3efcc7",
      "resource": {
        "resourceType": "Composition",
        "id": "922495a9-5d95-44ed-9d6d-f61f8f3efcc7",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table border=\"1\" width=\"100%\"><thead><tr><th>Name</th><th>Date of Birth</th><th>Gender</th></tr></thead><tbody><tr><td>Len277 Wisoky380</td><td>1971-10-06</td><td>male</td></tr></tbody></table></div>"
        },
        "status": "final",
        "type": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "60591-5",
              "display": "Patient Summary"
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          ]
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        "subject": {
          "reference": "Patient/01c46dbb-6f9d-407d-8353-f8f68aebbb9f",
          "display": "Mr. Len277 Wisoky380"
        },
        "date": "2026-02-19T21:29:50.309Z",
        "author": [
          {
            "reference": "Organization/flexpa",
            "display": "Flexpa"
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        ],
        "title": "International Patient Summary",
        "confidentiality": "N",
        "section": [
          {
            "title": "Allergies",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "48765-2"
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            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table border=\"1\" width=\"100%\"><thead><tr><th>Substance</th><th>Reaction</th><th>Severity</th><th>Status</th></tr></thead><tbody><tr><td>Allergy to bee venom</td><td>skin rash</td><td></td><td>active</td></tr><tr><td>Allergy to mould</td><td></td><td></td><td>active</td></tr><tr><td>Allergy to nut</td><td></td><td></td><td>active</td></tr></tbody></table></div>"
            },
            "entry": [
              {
                "reference": "AllergyIntolerance/27c37e31-be54-d55a-e934-bca91ea74d92",
                "display": "Allergy to bee venom"
              },
              {
                "reference": "AllergyIntolerance/d7ba86dc-0ad6-f911-c443-95793398af93",
                "display": "Allergy to mould"
              },
              {
                "reference": "AllergyIntolerance/ff5ca5d6-b3b6-c663-3b64-758777c10fe2",
                "display": "Allergy to nut"
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          {
            "title": "Medications",
            "code": {
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                  "code": "10160-0"
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              ]
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            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table border=\"1\" width=\"100%\"><thead><tr><th>Medication</th><th>Directions</th><th>Start Date</th><th>End Date</th></tr></thead><tbody><tr><td>diphenhydrAMINE Hydrochloride 25 MG Oral Tablet</td><td>Take as needed.</td><td></td><td></td></tr><tr><td>ferrous sulfate 325 MG Oral Tablet</td><td></td><td></td><td></td></tr><tr><td>24 HR Metformin hydrochloride 500 MG Extended Release Oral Tablet</td><td></td><td></td><td></td></tr></tbody></table></div>"
            },
            "entry": [
              {
                "reference": "MedicationRequest/03c29e13-bf31-b22f-4112-4c440de11791",
                "display": "diphenhydrAMINE Hydrochloride 25 MG Oral Tablet"
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              {
                "reference": "MedicationRequest/4769f3ed-c264-83fa-5a2e-cec2911d05ef",
                "display": "ferrous sulfate 325 MG Oral Tablet"
              },
              {
                "reference": "MedicationRequest/e0a146e3-ff33-0ccf-ebc1-6d1defbf2545",
                "display": "24 HR Metformin hydrochloride 500 MG Extended Release Oral Tablet"
              }
            ]
          },
          {
            "title": "Problem List",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "11450-4"
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              ]
            },
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table border=\"1\" width=\"100%\"><thead><tr><th>Problem</th><th>Start Date</th><th>Status</th></tr></thead><tbody><tr><td>Perennial allergic rhinitis</td><td>1975-10-26</td><td>active</td></tr><tr><td>Chronic sinusitis (disorder)</td><td>2000-06-19</td><td>active</td></tr><tr><td>Diabetes</td><td>2011-10-12</td><td>active</td></tr><tr><td>Hypertension</td><td>2011-10-12</td><td>active</td></tr><tr><td>Hypertriglyceridemia (disorder)</td><td>2012-10-17</td><td>active</td></tr><tr><td>Anemia (disorder)</td><td>2012-10-17</td><td>active</td></tr><tr><td>Metabolic syndrome X (disorder)</td><td>2014-05-14</td><td>active</td></tr><tr><td>Hyperglycemia (disorder)</td><td>2020-10-07</td><td>active</td></tr><tr><td>Prediabetes</td><td>2022-12-14</td><td>active</td></tr></tbody></table></div>"
            },
            "entry": [
              {
                "reference": "Condition/9c154135-bbe4-1e87-6bd9-206abf829887",
                "display": "Perennial allergic rhinitis"
              },
              {
                "reference": "Condition/cf8883b3-8bbe-01f9-e246-cced5d4fcf39",
                "display": "Chronic sinusitis (disorder)"
              },
              {
                "reference": "Condition/ab1e4c6b-fe32-5db0-3c3e-ef8ccb65fd36",
                "display": "Diabetes"
              },
              {
                "reference": "Condition/ddf26246-95b2-bd90-3e82-c2b51a56ec4d",
                "display": "Hypertension"
              },
              {
                "reference": "Condition/44a40739-d3f9-23cf-31c7-e2a594d34ab6",
                "display": "Hypertriglyceridemia (disorder)"
              },
              {
                "reference": "Condition/9a10c67f-1057-0051-8075-b5ac28798838",
                "display": "Anemia (disorder)"
              },
              {
                "reference": "Condition/14c58838-4985-d43b-0bf3-45ddba3cd426",
                "display": "Metabolic syndrome X (disorder)"
              },
              {
                "reference": "Condition/eac4c1e7-6820-5b63-5bd5-d3ae5c76e74c",
                "display": "Hyperglycemia (disorder)"
              },
              {
                "reference": "Condition/1e6c654e-a3a9-60e5-a19e-aaa93bd3f8a1",
                "display": "Prediabetes"
              }
            ]
          },
          {
            "title": "Immunizations",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "11369-6"
                }
              ]
            },
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table border=\"1\" width=\"100%\"><thead><tr><th>Vaccine</th><th>Date</th><th>Status</th></tr></thead><tbody><tr><td>Influenza, seasonal, injectable, preservative free</td><td>2016-11-09</td><td>completed</td></tr><tr><td>Influenza, seasonal, injectable, preservative free</td><td>2017-11-15</td><td>completed</td></tr><tr><td>Influenza, seasonal, injectable, preservative free</td><td>2018-11-21</td><td>completed</td></tr><tr><td>Influenza, seasonal, injectable, preservative free</td><td>2019-11-27</td><td>completed</td></tr><tr><td>Influenza, seasonal, injectable, preservative free</td><td>2020-09-30</td><td>completed</td></tr><tr><td>zoster</td><td>2021-12-08</td><td>completed</td></tr><tr><td>Influenza, seasonal, injectable, preservative free</td><td>2021-12-08</td><td>completed</td></tr><tr><td>zoster</td><td>2022-12-14</td><td>completed</td></tr><tr><td>Influenza, seasonal, injectable, preservative free</td><td>2022-12-14</td><td>completed</td></tr><tr><td>Td (adult) preservative free</td><td>2022-12-14</td><td>completed</td></tr><tr><td>Influenza, seasonal, injectable, preservative free</td><td>2023-12-20</td><td>completed</td></tr><tr><td>Influenza, seasonal, injectable, preservative free</td><td>2024-12-25</td><td>completed</td></tr><tr><td>Influenza, seasonal, injectable, preservative free</td><td>2025-12-31</td><td>completed</td></tr></tbody></table></div>"
            },
            "entry": [
              {
                "reference": "Immunization/fe92c353-1934-e9f4-7ddc-74cd688197b7"
              },
              {
                "reference": "Immunization/30f7c585-1ef4-bae6-2675-fa076673a0f2"
              },
              {
                "reference": "Immunization/82f9929a-064e-fcbb-584e-8e1604872429"
              },
              {
                "reference": "Immunization/a3e9480b-6516-05fa-a767-d6acfaa66e3b"
              },
              {
                "reference": "Immunization/2cccc983-fb35-79e0-5436-4db5e1c15e26"
              },
              {
                "reference": "Immunization/d29241d1-90ab-f3de-bdba-d7f4a11bdbac"
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              {
                "reference": "Immunization/66071be0-75ba-2336-2d86-2401fc071fc4"
              },
              {
                "reference": "Immunization/a3788d51-ba0c-2931-325d-a04312f7d530"
              },
              {
                "reference": "Immunization/1bb3f8bd-9974-de8a-8ea8-f022ecf1dac0"
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              {
                "reference": "Immunization/294e9639-4e7e-152f-555d-51d39c4f8365"
              },
              {
                "reference": "Immunization/ef24d3b4-5fa1-d918-7b89-cccac552ff90"
              },
              {
                "reference": "Immunization/8d0464f9-4ff4-a696-4a75-65ba296e65ee"
              },
              {
                "reference": "Immunization/c2077641-c4ab-f887-acc7-618ac126611b"
              }
            ]
          },
          {
            "title": "Results",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "30954-2"
                }
              ]
            },
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table border=\"1\" width=\"100%\"><thead><tr><th>Name</th><th>Result</th><th>Date</th></tr></thead><tbody><tr><td>Procedure note</td><td></td><td>1975-10-26</td></tr><tr><td>Progress note</td><td></td><td>2011-11-11</td></tr><tr><td>Referral note</td><td></td><td>2012-10-17</td></tr><tr><td>Surgical operation note</td><td></td><td>2012-10-17</td></tr><tr><td>Nurse Note</td><td></td><td>2013-10-23</td></tr><tr><td>Consultation note</td><td></td><td>2014-05-14</td></tr><tr><td>Discharge summary</td><td></td><td>2014-10-29</td></tr><tr><td>History and physical note</td><td></td><td>2014-11-10</td></tr><tr><td>Procedure note</td><td></td><td>2015-11-04</td></tr><tr><td>Progress note</td><td></td><td>2017-02-27</td></tr><tr><td>Referral note</td><td></td><td>2017-03-08</td></tr><tr><td>Surgical operation note</td><td></td><td>2018-04-04</td></tr><tr><td>Estimated Glomerular Filtration Rate</td><td>81.51 mL/min/{1.73_m2}</td><td>2018-11-21</td></tr><tr><td>Nurse Note</td><td></td><td>2018-11-21</td></tr><tr><td>Consultation note</td><td></td><td>2019-11-27</td></tr><tr><td>Discharge summary</td><td></td><td>2020-09-30</td></tr><tr><td>History and physical note</td><td></td><td>2020-09-24</td></tr><tr><td>Procedure note</td><td></td><td>2020-10-07</td></tr><tr><td>Progress note</td><td></td><td>2020-12-02</td></tr><tr><td>Platelets [#/volume] in Blood by Automated count</td><td>324.77 10*3/uL</td><td>2021-12-08</td></tr><tr><td>Urea Nitrogen</td><td>17.63 mg/dL</td><td>2022-12-14</td></tr><tr><td>Referral note</td><td></td><td>2022-12-14</td></tr><tr><td>High Density Lipoprotein Cholesterol</td><td>70.27 mg/dL</td><td>2023-12-20</td></tr><tr><td>Surgical operation note</td><td></td><td>2023-12-20</td></tr><tr><td>Triglycerides</td><td>111.89 mg/dL</td><td>2024-12-25</td></tr><tr><td>Urea Nitrogen</td><td>12.21 mg/dL</td><td>2025-12-31</td></tr></tbody></table></div>"
            },
            "entry": [
              {
                "reference": "DiagnosticReport/ec2c0ac5-0976-0689-7666-9cef0923b7eb",
                "display": "Procedure note"
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              {
                "reference": "DiagnosticReport/8790382b-881e-b5a9-f999-84732830e5c2",
                "display": "Progress note"
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              {
                "reference": "DiagnosticReport/11049c2d-37bc-998b-73c0-9c881ea7aee4",
                "display": "Referral note"
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              {
                "reference": "DiagnosticReport/c1e4c75f-bab5-1577-2e4a-a6808c40ac00",
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              {
                "reference": "DiagnosticReport/2f7743f1-fadb-1064-d6e9-64858450d026",
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              {
                "reference": "DiagnosticReport/3272f17e-5691-a64f-91cd-1cc990a3677f",
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              {
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                "display": "History and physical note"
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              {
                "reference": "DiagnosticReport/eb56a769-cf3b-638e-7cec-6f74dd3c8bb3",
                "display": "Procedure note"
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              {
                "reference": "DiagnosticReport/8f464456-aa02-3422-3a12-35632d1b2e3b",
                "display": "Progress note"
              },
              {
                "reference": "DiagnosticReport/dce48bdc-4ace-bf4c-4430-4b65f9c1b758",
                "display": "Referral note"
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              {
                "reference": "DiagnosticReport/28927737-4e15-4f41-6398-07a69e69ba58",
                "display": "Surgical operation note"
              },
              {
                "reference": "Observation/c9d3c06e-70c3-22da-582c-cd5f945a5166",
                "display": "Estimated Glomerular Filtration Rate"
              },
              {
                "reference": "DiagnosticReport/ee8c6280-fcfd-e519-ee83-ae2623bd0e32",
                "display": "Nurse Note"
              },
              {
                "reference": "DiagnosticReport/3d4b75c9-15eb-ad29-f612-e013a74e2602",
                "display": "Consultation note"
              },
              {
                "reference": "DiagnosticReport/36f41ead-b719-ae33-c7ad-f33bc133add7",
                "display": "Discharge summary"
              },
              {
                "reference": "DiagnosticReport/6eeb04c1-872c-f24f-4c40-ac55ca517978",
                "display": "History and physical note"
              },
              {
                "reference": "DiagnosticReport/091a2c0b-f729-67ca-43d5-3ecac575b74e",
                "display": "Procedure note"
              },
              {
                "reference": "DiagnosticReport/3164380b-7c99-dc42-3573-68cf626bc8bf",
                "display": "Progress note"
              },
              {
                "reference": "Observation/b1e0729d-2c95-31c5-3247-033a35f63c8f",
                "display": "Platelets [#/volume] in Blood by Automated count"
              },
              {
                "reference": "Observation/c76ae341-177c-55b5-b370-dbfe4d18d180",
                "display": "Urea Nitrogen"
              },
              {
                "reference": "DiagnosticReport/ccc7966f-1b61-f064-8622-589e7a40676e",
                "display": "Referral note"
              },
              {
                "reference": "Observation/f4efaa7a-b2d4-4551-a795-31c7aa36786e",
                "display": "High Density Lipoprotein Cholesterol"
              },
              {
                "reference": "DiagnosticReport/18ab412c-4c20-b276-acc3-389b530d21a5",
                "display": "Surgical operation note"
              },
              {
                "reference": "Observation/dd277f5d-1ee5-3c8a-2af7-a3785dcb819f",
                "display": "Triglycerides"
              },
              {
                "reference": "Observation/37145b20-bfdc-e78b-43e9-2443b5247335",
                "display": "Urea Nitrogen"
              }
            ]
          },
          {
            "title": "Procedures",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "47519-4"
                }
              ]
            },
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table border=\"1\" width=\"100%\"><thead><tr><th>Procedure</th><th>Date</th><th>Target Site</th><th>Status</th></tr></thead><tbody><tr><td>Medication Reconciliation (procedure)</td><td></td><td></td><td>completed</td></tr><tr><td>Throat culture (procedure)</td><td></td><td></td><td>completed</td></tr><tr><td>Medication Reconciliation (procedure)</td><td></td><td></td><td>completed</td></tr><tr><td>Sputum examination (procedure)</td><td></td><td></td><td>completed</td></tr><tr><td>Medication Reconciliation (procedure)</td><td></td><td></td><td>completed</td></tr><tr><td>Colonoscopy</td><td></td><td></td><td>completed</td></tr><tr><td>Medication Reconciliation (procedure)</td><td></td><td></td><td>completed</td></tr><tr><td>Medication Reconciliation (procedure)</td><td></td><td></td><td>completed</td></tr></tbody></table></div>"
            },
            "entry": [
              {
                "reference": "Procedure/d8c6ad8a-3c33-4239-de93-64e8ce528367",
                "display": "Medication Reconciliation (procedure)"
              },
              {
                "reference": "Procedure/057f011e-c07b-fefc-8283-b48c92996192",
                "display": "Throat culture (procedure)"
              },
              {
                "reference": "Procedure/9c086fc5-964e-3c81-0317-b0812b7d0647",
                "display": "Medication Reconciliation (procedure)"
              },
              {
                "reference": "Procedure/dc29109c-50fd-ef55-ac1a-24b19af5c95f",
                "display": "Sputum examination (procedure)"
              },
              {
                "reference": "Procedure/1ecee8f3-d251-af07-7800-c6732c85263d",
                "display": "Medication Reconciliation (procedure)"
              },
              {
                "reference": "Procedure/2b686527-94cb-c08d-0561-109b3b581240",
                "display": "Colonoscopy"
              },
              {
                "reference": "Procedure/704b4eab-07f0-f099-8273-f80435801b91",
                "display": "Medication Reconciliation (procedure)"
              },
              {
                "reference": "Procedure/a4768978-527a-94ac-eb36-24a6047c4a66",
                "display": "Medication Reconciliation (procedure)"
              }
            ]
          },
          {
            "title": "Devices",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "46264-8"
                }
              ]
            },
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Unavailable</p></div>"
            },
            "emptyReason": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/list-empty-reason",
                  "code": "unavailable",
                  "display": "Unavailable"
                }
              ]
            }
          },
          {
            "title": "Functional Status",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "47420-5"
                }
              ]
            },
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Unavailable</p></div>"
            },
            "emptyReason": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/list-empty-reason",
                  "code": "unavailable",
                  "display": "Unavailable"
                }
              ]
            }
          },
          {
            "title": "Plan of Treatment",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "18776-5"
                }
              ]
            },
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table border=\"1\" width=\"100%\"><thead><tr><th>Planned Care</th><th>Start Date</th></tr></thead><tbody><tr><td>assess-plan</td><td>1972-10-04</td></tr><tr><td>assess-plan</td><td>2011-10-12</td></tr><tr><td>assess-plan</td><td>2011-10-12</td></tr></tbody></table></div>"
            },
            "entry": [
              {
                "reference": "CarePlan/915c00b6-ba62-bee3-6752-bad26d74f378"
              },
              {
                "reference": "CarePlan/472ae08c-8f81-d5f2-4298-363099e716b9"
              },
              {
                "reference": "CarePlan/20787b7a-f35e-3587-fe32-5673a746541b"
              }
            ]
          },
          {
            "title": "History of Past Illness",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "11348-0"
                }
              ]
            },
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table border=\"1\" width=\"100%\"><thead><tr><th>Problem</th><th>Start Date</th><th>End Date</th><th>Status</th></tr></thead><tbody><tr><td>Streptococcal sore throat (disorder)</td><td>2017-02-27</td><td>2017-03-07</td><td>resolved</td></tr><tr><td>Acute viral pharyngitis (disorder)</td><td>2018-04-04</td><td>2018-04-13</td><td>resolved</td></tr><tr><td>Acute bronchitis (disorder)</td><td>2020-09-24</td><td>2020-10-08</td><td>resolved</td></tr></tbody></table></div>"
            },
            "entry": [
              {
                "reference": "Condition/096eced4-5445-d441-0d9e-4cc2b81c0522",
                "display": "Streptococcal sore throat (disorder)"
              },
              {
                "reference": "Condition/557e395d-74ed-1e71-9fa5-8eba9c695171",
                "display": "Acute viral pharyngitis (disorder)"
              },
              {
                "reference": "Condition/39341a46-4307-97bd-967e-61d74ec33e88",
                "display": "Acute bronchitis (disorder)"
              }
            ]
          },
          {
            "title": "Pregnancy History",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "10162-6"
                }
              ]
            },
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Unavailable</p></div>"
            },
            "emptyReason": {
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                  "code": "unavailable",
                  "display": "Unavailable"
                }
              ]
            }
          },
          {
            "title": "Social History",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "29762-2"
                }
              ]
            },
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table border=\"1\" width=\"100%\"><thead><tr><th>Name</th><th>Result</th><th>Date</th></tr></thead><tbody><tr><td>Tobacco smoking status NHIS</td><td>Never smoker</td><td>2016-11-09</td></tr><tr><td>Tobacco smoking status NHIS</td><td>Never smoker</td><td>2017-11-15</td></tr><tr><td>Tobacco smoking status NHIS</td><td>Never smoker</td><td>2018-11-21</td></tr><tr><td>Tobacco smoking status NHIS</td><td>Never smoker</td><td>2019-11-27</td></tr><tr><td>Tobacco smoking status NHIS</td><td>Never smoker</td><td>2020-10-07</td></tr><tr><td>Tobacco smoking status NHIS</td><td>Never smoker</td><td>2020-12-02</td></tr><tr><td>Tobacco smoking status NHIS</td><td>Never smoker</td><td>2021-12-08</td></tr><tr><td>Tobacco smoking status NHIS</td><td>Never smoker</td><td>2022-12-14</td></tr><tr><td>Tobacco smoking status NHIS</td><td>Never smoker</td><td>2023-12-20</td></tr><tr><td>Tobacco smoking status NHIS</td><td>Never smoker</td><td>2024-12-25</td></tr><tr><td>Tobacco smoking status NHIS</td><td>Never smoker</td><td>2025-12-31</td></tr></tbody></table></div>"
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                "display": "Tobacco smoking status NHIS"
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                "display": "Tobacco smoking status NHIS"
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            "title": "Advance Directives",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "42348-3"
                }
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            },
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Unavailable</p></div>"
            },
            "emptyReason": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/list-empty-reason",
                  "code": "unavailable",
                  "display": "Unavailable"
                }
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            }
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          {
            "title": "Vital Signs",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "8716-3"
                }
              ]
            },
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table border=\"1\" width=\"100%\"><thead><tr><th>Name</th><th>Result</th><th>Date</th></tr></thead><tbody><tr><td>Body Mass Index</td><td>29.99 kg/m2</td><td>2018-11-21</td></tr><tr><td>Blood Pressure</td><td>83 mm[Hg] / 112 mm[Hg]</td><td>2020-10-07</td></tr><tr><td>Heart rate</td><td>96 /min</td><td>2024-12-25</td></tr></tbody></table></div>"
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                "reference": "Observation/922ab100-b369-adde-d0df-31f2c46b5e88",
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        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated by <a href=\"https://github.com/synthetichealth/synthea\">Synthea</a>.Version identifier: v2.6.1-3-g50f4f58f\n .   Person seed: -6584616164208436602  Population seed: 3</div>"
        },
        "extension": [
          {
            "extension": [
              {
                "url": "ombCategory",
                "valueCoding": {
                  "system": "urn:oid:2.16.840.1.113883.6.238",
                  "code": "2106-3",
                  "display": "White"
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              },
              {
                "url": "text",
                "valueString": "White"
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            ],
            "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
          },
          {
            "extension": [
              {
                "url": "ombCategory",
                "valueCoding": {
                  "system": "urn:oid:2.16.840.1.113883.6.238",
                  "code": "2186-5",
                  "display": "Non Hispanic or Latino"
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              },
              {
                "url": "text",
                "valueString": "Non Hispanic or Latino"
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            ],
            "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName",
            "valueString": "Nicholle822 Ebert178"
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          {
            "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
            "valueCode": "M"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/patient-birthPlace",
            "valueAddress": {
              "city": "Tewksbury",
              "state": "Massachusetts",
              "country": "US"
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            "system": "https://github.com/synthetichealth/synthea",
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                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
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              "text": "Medical Record Number"
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            "system": "http://hospital.smarthealthit.org",
            "value": "01c46dbb-6f9d-407d-8353-f8f68aebbb9f"
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                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "SS",
                  "display": "Social Security Number"
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              ],
              "text": "Social Security Number"
            },
            "system": "http://hl7.org/fhir/sid/us-ssn",
            "value": "999-13-5916"
          },
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "DL",
                  "display": "Driver's License"
                }
              ],
              "text": "Driver's License"
            },
            "system": "urn:oid:2.16.840.1.113883.4.3.25",
            "value": "S99913448"
          }
        ],
        "name": [
          {
            "use": "official",
            "family": "Wisoky380",
            "given": ["Len277"],
            "prefix": ["Mr."]
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "555-822-3521",
            "use": "home"
          }
        ],
        "gender": "male",
        "birthDate": "1971-10-06",
        "address": [
          {
            "extension": [
              {
                "extension": [
                  {
                    "url": "latitude",
                    "valueDecimal": 42.5354108267055
                  },
                  {
                    "url": "longitude",
                    "valueDecimal": -72.78838242087713
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                ],
                "url": "http://hl7.org/fhir/StructureDefinition/geolocation"
              }
            ],
            "line": ["364 Altenwerth Ferry Unit 75"],
            "city": "Ashfield",
            "state": "MA",
            "postalCode": "01999",
            "country": "US",
            "period": {
              "start": "1971-10-06"
            }
          }
        ],
        "maritalStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus",
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              "display": "M"
            }
          ],
          "text": "M"
        },
        "multipleBirthBoolean": false,
        "communication": [
          {
            "language": {
              "coding": [
                {
                  "system": "urn:ietf:bcp:47",
                  "code": "en-US",
                  "display": "English"
                }
              ],
              "text": "English"
            }
          }
        ],
        "resourceType": "Patient"
      }
    },
    {
      "fullUrl": "urn:uuid:flexpa",
      "resource": {
        "resourceType": "Organization",
        "id": "flexpa",
        "name": "Flexpa"
      }
    },
    {
      "fullUrl": "urn:uuid:ab6bce02-d362-31e5-b4cc-e14c0350ae5f",
      "resource": {
        "id": "ab6bce02-d362-31e5-b4cc-e14c0350ae5f",
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        "identifier": [
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            "system": "http://hl7.org/fhir/sid/us-npi",
            "value": "9999999929"
          }
        ],
        "active": true,
        "name": [
          {
            "family": "Wintheiser220",
            "given": ["Jodie811"],
            "prefix": ["Dr."]
          }
        ],
        "telecom": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-direct",
                "valueBoolean": true
              }
            ],
            "system": "email",
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            "use": "work"
          }
        ],
        "address": [
          {
            "line": ["164 HIGH STREET"],
            "city": "GREENFIELD",
            "state": "MA",
            "postalCode": "01301",
            "country": "US"
          }
        ],
        "gender": "female",
        "resourceType": "Practitioner"
      }
    },
    {
      "fullUrl": "urn:uuid:915c00b6-ba62-bee3-6752-bad26d74f378",
      "resource": {
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        "meta": {
          "profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-careplan"]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Care Plan for Self-care interventions (procedure).<br/>Activities: <ul><li>Self-care interventions (procedure)</li><li>Self-care interventions (procedure)</li><li>Self-care interventions (procedure)</li></ul></div>"
        },
        "status": "active",
        "intent": "order",
        "category": [
          {
            "coding": [
              {
                "system": "http://hl7.org/fhir/us/core/CodeSystem/careplan-category",
                "code": "assess-plan"
              }
            ]
          },
          {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "384758001",
                "display": "Self-care interventions (procedure)"
              }
            ],
            "text": "Self-care interventions (procedure)"
          }
        ],
        "subject": {
          "reference": "urn:uuid:01c46dbb-6f9d-407d-8353-f8f68aebbb9f"
        },
        "encounter": {
          "reference": "urn:uuid:9450cdc8-618f-4ef9-2d17-0685cb5ed153"
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        },
        "careTeam": [
          {
            "reference": "urn:uuid:7bb5df1a-b6ec-1ad6-c666-44f25c53f28a"
          }
        ],
        "activity": [
          {
            "detail": {
              "code": {
                "coding": [
                  {
                    "system": "http://snomed.info/sct",
                    "code": "409002",
                    "display": "Food allergy diet"
                  }
                ],
                "text": "Food allergy diet"
              },
              "status": "in-progress",
              "location": {
                "reference": "urn:uuid:b18105f8-621d-1355-0a5e-4f5d61b547f7",
                "display": "BAYSTATE FRANKLIN MEDICAL CENTER"
              }
            }
          },
          {
            "detail": {
              "code": {
                "coding": [
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                    "system": "http://snomed.info/sct",
                    "code": "58332002",
                    "display": "Allergy education"
                  }
                ],
                "text": "Allergy education"
              },
              "status": "in-progress",
              "location": {
                "reference": "urn:uuid:b18105f8-621d-1355-0a5e-4f5d61b547f7",
                "display": "BAYSTATE FRANKLIN MEDICAL CENTER"
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                    "system": "http://snomed.info/sct",
                    "code": "58332002",
                    "display": "Allergy education"
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                ],
                "text": "Allergy education"
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              "status": "in-progress",
              "location": {
                "reference": "urn:uuid:b18105f8-621d-1355-0a5e-4f5d61b547f7",
                "display": "BAYSTATE FRANKLIN MEDICAL CENTER"
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            }
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        "resourceType": "CarePlan"
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    },
    {
      "fullUrl": "urn:uuid:27c37e31-be54-d55a-e934-bca91ea74d92",
      "resource": {
        "id": "27c37e31-be54-d55a-e934-bca91ea74d92",
        "meta": {
          "profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance"]
        },
        "clinicalStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
              "code": "active"
            }
          ]
        },
        "verificationStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
              "code": "confirmed"
            }
          ]
        },
        "type": "allergy",
        "category": ["food"],
        "criticality": "low",
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "424213003",
              "display": "Allergy to bee venom"
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          ],
          "text": "Allergy to bee venom"
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          "reference": "urn:uuid:01c46dbb-6f9d-407d-8353-f8f68aebbb9f"
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        "reaction": [
          {
            "manifestation": [
              {
                "coding": [
                  {
                    "system": "http://snomed.info/sct",
                    "code": "271807003",
                    "display": "skin rash"
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                "text": "skin rash"
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        "resourceType": "AllergyIntolerance"
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    {
      "fullUrl": "urn:uuid:d7ba86dc-0ad6-f911-c443-95793398af93",
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        },
        "clinicalStatus": {
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              "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
              "code": "confirmed"
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        },
        "type": "allergy",
        "category": ["food"],
        "criticality": "low",
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "419474003",
              "display": "Allergy to mould"
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          ],
          "text": "Allergy to mould"
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        "patient": {
          "reference": "urn:uuid:01c46dbb-6f9d-407d-8353-f8f68aebbb9f"
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        "recordedDate": "1972-10-14T07:15:50-04:00",
        "resourceType": "AllergyIntolerance"
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          "coding": [
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              "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
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        "verificationStatus": {
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        },
        "type": "allergy",
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        "criticality": "low",
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "91934008",
              "display": "Allergy to nut"
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          "text": "Allergy to nut"
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        "recordedDate": "1972-10-14T07:15:50-04:00",
        "resourceType": "AllergyIntolerance"
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    {
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          ]
        },
        "verificationStatus": {
          "coding": [
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              "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
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            }
          ]
        },
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                "code": "encounter-diagnosis",
                "display": "Encounter Diagnosis"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "446096008",
              "display": "Perennial allergic rhinitis"
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          ],
          "text": "Perennial allergic rhinitis"
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        "subject": {
          "reference": "urn:uuid:01c46dbb-6f9d-407d-8353-f8f68aebbb9f"
        },
        "encounter": {
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        "recordedDate": "1975-10-26T06:15:50-05:00",
        "resourceType": "Condition"
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    {
      "fullUrl": "urn:uuid:03c29e13-bf31-b22f-4112-4c440de11791",
      "resource": {
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        "meta": {
          "profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest"]
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        "status": "active",
        "intent": "order",
        "medicationCodeableConcept": {
          "coding": [
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              "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
              "code": "1049630",
              "display": "diphenhydrAMINE Hydrochloride 25 MG Oral Tablet"
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          ],
          "text": "diphenhydrAMINE Hydrochloride 25 MG Oral Tablet"
        },
        "subject": {
          "reference": "urn:uuid:01c46dbb-6f9d-407d-8353-f8f68aebbb9f"
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          "display": "Dr. Jodie811 Wintheiser220"
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        "dosageInstruction": [
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            "sequence": 1,
            "text": "Take as needed.",
            "asNeededBoolean": true
          }
        ],
        "resourceType": "MedicationRequest"
      }
    },
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      "resource": {
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          "profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note"]
        },
        "status": "final",
        "category": [
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            "coding": [
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