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          {
            "text": "Surgical antimicrobial prophylaxis"
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        ],
        "dosage": {
          "text": "2 g intravenous",
          "route": {
            "text": "intravenous"
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          "dose": {
            "value": 2,
            "unit": "g"
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        "method": "POST",
        "url": "MedicationAdministration"
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          {
            "text": "Peri-operative analgesia"
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          "text": "100 microgram intravenous",
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          "text": "4 mg intravenous",
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        ],
        "reasonCode": [
          {
            "text": "Peri-operative analgesia"
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        ],
        "dosage": {
          "text": "1 g intravenous",
          "route": {
            "text": "intravenous"
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          "text": "Anaesthetic procedure"
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          "text": "General anaesthesia for laparoscopic inguinal hernia repair"
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          "reference": "urn:uuid:9d705605-b254-571b-8ac3-fef904650ab3"
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          "text": "Completed without documented anaesthetic complication"
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        "method": "POST",
        "url": "Procedure"
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    },
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      "fullUrl": "urn:uuid:844cf3be-fd60-5268-b927-8cc38132a183",
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        "resourceType": "Device",
        "id": "844cf3be-fd60-5268-b927-8cc38132a183",
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          {
            "system": "https://example.com/udi",
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        "udiCarrier": [
          {
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        ],
        "status": "active",
        "manufacturer": "Example Medical Devices Ltd",
        "manufactureDate": "2026-02-01",
        "expirationDate": "2031-01-31",
        "lotNumber": "EXAMPLELOT1",
        "serialNumber": "EXAMPLE-SN-0001",
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          {
            "name": "Synthetic lightweight surgical mesh",
            "type": "model-name"
          }
        ],
        "type": {
          "text": "Surgical mesh implant"
        },
        "patient": {
          "reference": "urn:uuid:9d705605-b254-571b-8ac3-fef904650ab3"
        }
      },
      "request": {
        "method": "POST",
        "url": "Device"
      }
    },
    {
      "fullUrl": "urn:uuid:49675844-3b70-5766-9dd8-13b8cc311dfc",
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        "resourceType": "Procedure",
        "id": "49675844-3b70-5766-9dd8-13b8cc311dfc",
        "status": "completed",
        "category": {
          "text": "Surgical procedure"
        },
        "code": {
          "text": "Laparoscopic right inguinal hernia repair with mesh"
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        "subject": {
          "reference": "urn:uuid:9d705605-b254-571b-8ac3-fef904650ab3"
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        "performedPeriod": {
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          "end": "2026-09-19T16:15:00+01:00"
        },
        "recorder": {
          "reference": "urn:uuid:f373b8db-9543-5d49-a4ce-b288ef83e883"
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        "performer": [
          {
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              "text": "Primary surgeon"
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              "reference": "urn:uuid:f373b8db-9543-5d49-a4ce-b288ef83e883"
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          }
        ],
        "location": {
          "reference": "urn:uuid:b5a4199f-31ce-52ed-bf4e-a66b5e0ee86c"
        },
        "reasonReference": [
          {
            "reference": "urn:uuid:72b53a4c-e27b-5f23-a27e-cb31794c720b"
          }
        ],
        "focalDevice": [
          {
            "action": {
              "text": "Implanted"
            },
            "manipulated": {
              "reference": "urn:uuid:844cf3be-fd60-5268-b927-8cc38132a183"
            }
          }
        ],
        "outcome": {
          "text": "Repair completed without documented surgical complication"
        },
        "note": [
          {
            "text": "Synthetic test record: laparoscopic repair completed, haemostasis achieved and port sites closed."
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "Procedure"
      }
    },
    {
      "fullUrl": "urn:uuid:76e2e94a-0412-51b4-ad0a-befff3a32d51",
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                "code": "vital-signs",
                "display": "Vital Signs"
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            ]
          }
        ],
        "code": {
          "text": "Blood pressure panel",
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "85354-9",
              "display": "Blood pressure panel with all children optional"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:9d705605-b254-571b-8ac3-fef904650ab3"
        },
        "encounter": {
          "reference": "urn:uuid:eb1bab38-100b-5d67-944a-d664e0904af2"
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        "component": [
          {
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "8480-6",
                  "display": "Systolic blood pressure"
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              ]
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            "valueQuantity": {
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              "unit": "mmHg",
              "system": "http://unitsofmeasure.org",
              "code": "mm[Hg]"
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          },
          {
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "8462-4",
                  "display": "Diastolic blood pressure"
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              ]
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            "valueQuantity": {
              "value": 74,
              "unit": "mmHg",
              "system": "http://unitsofmeasure.org",
              "code": "mm[Hg]"
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          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "Observation"
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    {
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                "code": "vital-signs",
                "display": "Vital Signs"
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            ]
          }
        ],
        "code": {
          "text": "Heart rate",
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "8867-4",
              "display": "Heart rate"
            }
          ]
        },
        "subject": {
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        "encounter": {
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          "unit": "beats/minute",
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          "code": "/min"
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      "request": {
        "method": "POST",
        "url": "Observation"
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    {
      "fullUrl": "urn:uuid:fdfda345-e891-5787-a6b0-758675a48c92",
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                "display": "Vital Signs"
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          }
        ],
        "code": {
          "text": "Respiratory rate",
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "9279-1",
              "display": "Respiratory rate"
            }
          ]
        },
        "subject": {
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        "valueQuantity": {
          "value": 15,
          "unit": "breaths/minute",
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          "code": "/min"
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        "url": "Observation"
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          "text": "Oxygen saturation",
          "coding": [
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              "system": "http://loinc.org",
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              "display": "Oxygen saturation"
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          ]
        },
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          "unit": "%",
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          "code": "%"
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      },
      "request": {
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        "url": "Observation"
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                "display": "Survey"
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        ],
        "code": {
          "text": "Pain severity - 0-10 numeric rating",
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              "system": "http://loinc.org",
              "code": "72514-3",
              "display": "Pain severity - 0-10 numeric rating"
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        "valueQuantity": {
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          "unit": "score",
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          "code": "{score}"
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      },
      "request": {
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        "url": "Observation"
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    {
      "fullUrl": "urn:uuid:9381cc15-4596-56cb-96f5-aaaaf9d321ea",
      "resource": {
        "resourceType": "ClinicalImpression",
        "id": "9381cc15-4596-56cb-96f5-aaaaf9d321ea",
        "status": "completed",
        "description": "Post-anaesthesia recovery assessment",
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        "encounter": {
          "reference": "urn:uuid:eb1bab38-100b-5d67-944a-d664e0904af2"
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        "effectiveDateTime": "2026-09-19T18:05:00+01:00",
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        "summary": "Awake, haemodynamically stable, breathing spontaneously, nausea controlled and pain acceptable. Suitable for transfer to day ward."
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      "request": {
        "method": "POST",
        "url": "ClinicalImpression"
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    },
    {
      "fullUrl": "urn:uuid:78ec1e41-ee1e-5d7d-978d-a01f123edd84",
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        ],
        "code": {
          "text": "Pain severity - 0-10 numeric rating",
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            {
              "system": "http://loinc.org",
              "code": "72514-3",
              "display": "Pain severity - 0-10 numeric rating"
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    {
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        ],
        "code": {
          "text": "Post-operative oral intake"
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        "subject": {
          "reference": "urn:uuid:9d705605-b254-571b-8ac3-fef904650ab3"
        },
        "encounter": {
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                "code": "exam",
                "display": "Exam"
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          }
        ],
        "code": {
          "text": "Post-operative mobilisation"
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        "subject": {
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