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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">intentionally left empty / not meaningful</div>"
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              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">NSTEMI, treated with PCI</div>"
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              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Dear colleague, I am writing to inform you about the hospital course of your patient, a 68-year-old female, admitted on 24/02/2015 with acute chest pain and dyspnoea. On admission, ECG showed ST-depression in leads V4-V6, and serial troponin measurements were significantly elevated, confirming the diagnosis of Non-ST-Elevation Myocardial Infarction (NSTEMI). Echocardiography revealed mildly reduced left ventricular function. The patient was commenced on dual antiplatelet therapy, anticoagulation, and a statin. Urgent coronary angiography demonstrated a significant stenosis of the left anterior descending artery, which was successfully treated by percutaneous coronary intervention (PCI) with drug-eluting stent implantation on 25/02/2015. Post-procedural course was uneventful. The patient was discharged on aspirin, ticagrelor, ramipril, bisoprolol, and atorvastatin. Please ensure close follow-up within two weeks.</div>"
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                  "code": "8648-8",
                  "display": "Hospital course note"
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                  "code": "87232-5",
                  "display": "Medication administration.brief"
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            "title": "Medications"
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            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__hdr\"><tr><td>Acute subendocardial myocardial infarction</td><td><span class=\"nb\">25-Feb-2015</span></td><td>active</td></tr></table></div>"
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                  "code": "11535-2",
                  "display": "Hospital discharge diagnosis note"
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            "title": "Diagnosis at Discharge"
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          {
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              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__hdr\"><tr><td>Administration of anticoagulation therapy</td><td><span class=\"nb\">24-Feb-2015</span></td><td>-</td></tr></table></div>"
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              {
                "reference": "urn:uuid:c4d33346-5a92-43ab-a0b9-2ff95570128d"
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              {
                "reference": "urn:uuid:5b039d96-dcac-4f0d-ac32-92f0928c0223"
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              {
                "reference": "urn:uuid:f603ed88-908b-492c-bba9-8d511120f7ee"
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              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "10185-7",
                  "display": "Hospital discharge procedure note"
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            },
            "title": "Significant procedures"
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        ],
        "title": "Hospital Discharge Report",
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          "reference": "urn:uuid:7e92071e-33de-4656-bd66-50128f375343",
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        "date": "2015-02-25T00:00:00Z",
        "confidentiality": "N"
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        "resourceType": "Patient",
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                  "code": "JHN",
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            "system": "http://ec.europa.eu/identifier/eci",
            "value": "4078-057080-6"
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          {
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              "coding": [
                {
                  "code": "MR",
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
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            "system": "http://local.setting.eu/identifier",
            "value": "05b0cec0-7914-d38d-535e-aab329297415"
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        ],
        "name": [
          {
            "given": [
              "Zofia"
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            "family": "Ring",
            "text": "Zofia Ring"
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        ],
        "address": [
          {
            "line": [
              "Pölitzplatz 19"
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            "use": "home",
            "type": "physical",
            "postalCode": "96106",
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            "country": "Germany"
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        ],
        "telecom": [
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            "system": "phone",
            "value": "06428 365982"
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            "extension": [
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                "url": "code",
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                  "coding": [
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                      "code": "DE",
                      "system": "urn:iso:std:iso:3166"
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                  ]
                }
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality"
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        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Zofia Ring</td><td>female</td><td>18-Jun-1957</td></tr></table></div>"
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        "birthDate": "1957-06-18"
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        "participant": [
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            "type": [
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                "coding": [
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                    "code": "PPRF",
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                    "display": "primary performer"
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                ]
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            ],
            "period": {
              "end": "2015-02-25"
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            "individual": {
              "reference": "urn:uuid:d2f08c7e-d7ed-4395-9c30-e316aa7ffe4e"
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        ],
        "period": {
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        "reasonCode": [
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                "code": "401314000",
                "system": "http://snomed.info/sct",
                "display": "Acute non-ST segment elevation myocardial infarction (disorder)"
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            ]
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        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Haßberg-Kliniken Haus Ebern, Ebern, Germany</td><td>24-02-2015 - 25-02-2015</td><td><ul><li>Acute non-ST segment elevation myocardial infarction (disorder)</li></ul></td></tr></table></div>"
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        "status": "completed",
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          "code": "IMP",
          "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode"
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        "serviceProvider": {
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        "subject": {
          "reference": "Patient/7e92071e-33de-4656-bd66-50128f375343",
          "display": "Zofia Ring"
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      }
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    {
      "fullUrl": "urn:uuid:3db808ef-e5ba-47d2-b955-b22b1fd9c742",
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        "resourceType": "PractitionerRole",
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        "meta": {
          "profile": [
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Hospital Role Id: 3db808ef-e5ba-47d2-b955-b22b1fd9c742</div>"
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        "practitioner": {
          "reference": "urn:uuid:d2f08c7e-d7ed-4395-9c30-e316aa7ffe4e"
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        "organization": {
          "reference": "urn:uuid:7a0d13b9-633c-49ec-934e-de9227ce3d2c"
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    {
      "fullUrl": "urn:uuid:7a0d13b9-633c-49ec-934e-de9227ce3d2c",
      "resource": {
        "resourceType": "Organization",
        "id": "7a0d13b9-633c-49ec-934e-de9227ce3d2c",
        "meta": {
          "profile": [
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        },
        "address": [
          {
            "city": "Ebern",
            "postalCode": "96106",
            "country": "Germany"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Hospital: Haßberg-Kliniken Haus Ebern, 96106 Ebern, Germany</div>"
        },
        "name": "Haßberg-Kliniken Haus Ebern"
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    {
      "fullUrl": "urn:uuid:d2f08c7e-d7ed-4395-9c30-e316aa7ffe4e",
      "resource": {
        "resourceType": "Practitioner",
        "id": "d2f08c7e-d7ed-4395-9c30-e316aa7ffe4e",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu-core"
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        },
        "identifier": [
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            "assigner": {
              "display": "HL7 Europe"
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            "system": "urn:oid:2.16.840.1.113883.2.51.999",
            "value": "6e592f19-8ba5-4fe7-95ca-a4ed7ab8b06f"
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          {
            "prefix": [
              "Dr."
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            "given": [
              "Kurt"
            ],
            "family": "Hendriks"
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        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Practitioner in Hospital: Dr. Kurt Hendriks</div>"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:eec2e6af-c5c4-48fb-8ccb-77768eab576c",
      "resource": {
        "resourceType": "MedicationStatement",
        "id": "eec2e6af-c5c4-48fb-8ccb-77768eab576c",
        "meta": {
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            "http://hl7.eu/fhir/base/StructureDefinition/medicationStatement-eu-core"
          ]
        },
        "effectivePeriod": {
          "start": "2015-02-24"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips first25\"><tr><th>Medication</th><th>Since</th><th>Form</th><th>Dosage</th><th>Reason</th></tr><tr><td></td><td><span class=\"nb\">2015-02-24</span></td><td>-</td><td>-</td><td>-</td></tr></table></div>"
        },
        "status": "active",
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          "reference": "urn:uuid:290e2dd0-9a74-47d6-b698-c7118403cb83"
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        "subject": {
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          "display": "Zofia Ring"
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      }
    },
    {
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      "resource": {
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        "id": "597105c6-20f5-428b-afee-2c656f15ca66",
        "meta": {
          "profile": [
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          ]
        },
        "effectivePeriod": {
          "start": "2015-02-24"
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips first25\"><tr><th>Medication</th><th>Since</th><th>Form</th><th>Dosage</th><th>Reason</th></tr><tr><td></td><td><span class=\"nb\">2015-02-24</span></td><td>-</td><td>-</td><td>-</td></tr></table></div>"
        },
        "status": "active",
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          "reference": "urn:uuid:7d652a76-d2e6-4715-9e76-0a84fd62ebae"
        },
        "subject": {
          "reference": "urn:uuid:7e92071e-33de-4656-bd66-50128f375343",
          "display": "Zofia Ring"
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      }
    },
    {
      "fullUrl": "urn:uuid:be2018a3-e166-4015-a5a4-3aba02cccd62",
      "resource": {
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        "id": "be2018a3-e166-4015-a5a4-3aba02cccd62",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/medicationStatement-eu-core"
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        },
        "effectivePeriod": {
          "start": "2015-02-24"
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips first25\"><tr><th>Medication</th><th>Since</th><th>Form</th><th>Dosage</th><th>Reason</th></tr><tr><td></td><td><span class=\"nb\">2015-02-24</span></td><td>-</td><td>-</td><td>-</td></tr></table></div>"
        },
        "status": "active",
        "medicationReference": {
          "reference": "urn:uuid:eb9f50fa-1b78-4821-8a10-af2e3954c79b"
        },
        "subject": {
          "reference": "urn:uuid:7e92071e-33de-4656-bd66-50128f375343",
          "display": "Zofia Ring"
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      }
    },
    {
      "fullUrl": "urn:uuid:4cfed84f-a0aa-4e09-bca7-decd8070a6b4",
      "resource": {
        "resourceType": "MedicationStatement",
        "id": "4cfed84f-a0aa-4e09-bca7-decd8070a6b4",
        "meta": {
          "profile": [
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        },
        "effectivePeriod": {
          "start": "2015-02-24"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips first25\"><tr><th>Medication</th><th>Since</th><th>Form</th><th>Dosage</th><th>Reason</th></tr><tr><td></td><td><span class=\"nb\">2015-02-24</span></td><td>-</td><td>-</td><td>-</td></tr></table></div>"
        },
        "status": "active",
        "medicationReference": {
          "reference": "urn:uuid:0ded2b51-f7db-4d55-a931-2841914674b2"
        },
        "subject": {
          "reference": "urn:uuid:7e92071e-33de-4656-bd66-50128f375343",
          "display": "Zofia Ring"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:ba8784e5-37f8-4c41-8063-a5638a866b11",
      "resource": {
        "resourceType": "Condition",
        "id": "ba8784e5-37f8-4c41-8063-a5638a866b11",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/condition-eu-core"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "code": "encounter-diagnosis",
                "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                "display": "Encounter Diagnosis"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "code": "I21.4",
              "system": "http://hl7.org/fhir/sid/icd-10",
              "display": "Acute subendocardial myocardial infarction"
            }
          ],
          "text": "Acute subendocardial myocardial infarction"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Acute subendocardial myocardial infarction</td><td><span class=\"nb\">25-Feb-2015</span></td><td>active</td></tr></table></div>"
        },
        "onsetDateTime": "2015-02-25",
        "subject": {
          "reference": "urn:uuid:7e92071e-33de-4656-bd66-50128f375343",
          "display": "Zofia Ring"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:3a8f227b-8f71-40f4-8ea6-944594124333",
      "resource": {
        "resourceType": "Procedure",
        "id": "3a8f227b-8f71-40f4-8ea6-944594124333",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"
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        },
        "code": {
          "coding": [
            {
              "code": "164861001",
              "system": "http://snomed.info/sct",
              "display": "Electrocardiographic myocardial ischemia (finding)"
            }
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>12-lead ECG on admission</td><td><span class=\"nb\">24-Feb-2015</span></td><td>-</td></tr></table></div>"
        },
        "status": "completed",
        "performedDateTime": "2015-02-24",
        "subject": {
          "reference": "urn:uuid:7e92071e-33de-4656-bd66-50128f375343",
          "display": "Zofia Ring"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:f2efcf94-538d-4026-b8bd-ec3c37636623",
      "resource": {
        "resourceType": "Procedure",
        "id": "f2efcf94-538d-4026-b8bd-ec3c37636623",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"
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        },
        "code": {
          "coding": [
            {
              "code": "26604007",
              "system": "http://snomed.info/sct",
              "display": "Complete blood count (procedure)"
            }
          ]
        },
        "text": {
          "status": "generated",
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      "fullUrl": "urn:uuid:34f81a9e-dae4-4a48-8621-73c5acd09e8c",
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          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Administration of anticoagulation therapy</td><td><span class=\"nb\">24-Feb-2015</span></td><td>-</td></tr></table></div>"
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        "subject": {
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    {
      "fullUrl": "urn:uuid:c81f3faa-b5e0-4108-95f1-64ed626ac3f7",
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          {
            "name": "SYNDERAI Synthetic Generator",
            "type": "manufacturer-name"
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          {
            "value": "5.0"
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">SYNDERAI Synthetic Generator v5.0</div>"
        },
        "status": "active",
        "distinctIdentifier": "synderai-generator-50",
        "manufacturer": "SYNDERAI Project"
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              "code": "CREATE",
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          "text": "Synthetic Example Data Generation"
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                "code": "TRAIN",
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                "display": "training"
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            "text": "Interoperability Testing and Training (non-clinical use)"
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provenance for SYNDERAI Synthetic Example Data Resource</div>"
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        "recorded": "2026-03-20T18:19:44Z"
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  "type": "document",
  "timestamp": "2015-02-25T00:00:00Z"
}