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        },
        "resourceType": "Observation",
        "status": "final",
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        ],
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              "display": "Total Cholesterol",
              "system": "http://loinc.org"
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        "encounter": {
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        "effectiveDateTime": "2008-03-07T17:47:02-05:00",
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        "valueQuantity": {
          "code": "mg/dL",
          "system": "http://unitsofmeasure.org",
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          "value": 191
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      }
    },
    {
      "fullUrl": "urn:uuid:e7aea507-61af-4290-9323-0b3daed0b7a9",
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        "url": "Observation/e7aea507-61af-4290-9323-0b3daed0b7a9"
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        "code": {
          "coding": [
            {
              "code": "2571-8",
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              "system": "http://loinc.org"
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          "text": "Triglycerides"
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        "encounter": {
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    {
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          "coding": [
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              "code": "18262-6",
              "display": "Low Density Lipoprotein Cholesterol",
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      "fullUrl": "urn:uuid:c6f1b042-a0fc-4bbc-9cd5-7a8a924c00e7",
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              "display": "High Density Lipoprotein Cholesterol",
              "system": "http://loinc.org"
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        "encounter": {
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    },
    {
      "fullUrl": "urn:uuid:19a6fa01-6882-430e-8dad-4d35df993cfc",
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        "method": "PUT",
        "url": "DiagnosticReport/19a6fa01-6882-430e-8dad-4d35df993cfc"
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            {
              "code": "LAB",
              "system": "http://hl7.org/fhir/v2/0074"
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        }],
        "code": {
          "coding": [
            {
              "code": "57698-3",
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        "issued": "2008-03-07T17:47:02-05:00",
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        "performer": [
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            "reference": "Organization/9fb51c89-1453-406c-8357-578311b43a91"
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        ],
        "resourceType": "DiagnosticReport",
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          {
            "display": "Triglycerides",
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          {
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          {
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        ],
        "status": "final",
        "subject": {
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      "request": {
        "method": "PUT",
        "url": "Procedure/3024146d-e661-4dab-9f7d-604f68fe414a"
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            {
              "code": "428191000124101",
              "display": "Documentation of current medications",
              "system": "http://snomed.info/sct"
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          ],
          "text": "Documentation of current medications"
        },
        "extension": [
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            "url": "http://standardhealthrecord.org/fhir/StructureDefinition/shr-core-CodeableConcept-extension",
            "valueCodeableConcept": {
              "coding": [
                {
                  "code": "428191000124101",
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              ],
              "text": "Documentation of current medications"
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        "id": "3024146d-e661-4dab-9f7d-604f68fe414a",
        "meta": {
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        "performedDateTime": "2008-03-07T17:47:02-05:00",
        "resourceType": "Procedure",
        "status": "completed",
        "subject": {
          "reference": "Patient/8ac08aa9-63d2-4e81-8647-3a138d7f9f5a"
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      }
    },
    {
      "fullUrl": "test-structuredefinition",
      "request": {
        "method": "PUT",
        "url": "StructureDefinition/test-structuredefinition"
      },
      "resource": {
        "resourceType": "StructureDefinition",
        "id": "test-structuredefinition",
        "url": "http://example.com",
        "name": "MyStructureDefinition",
        "status": "draft",
        "kind": "logical",
        "abstract": false,
        "type": "Patient",
        "baseDefinition": "http://standardhealthrecord.org/fhir/StructureDefinition/Patient",
        "snapshot": {
          "element": [
            {
              "id": "snapshot1",
              "path": "Patient",
              "definition": "Placeholder definition",
              "min": 0,
              "max": "*",
              "base": {
                "path": "mybasepath",
                "min": 0,
                "max": "*"
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            }
          ]
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      }
    },
    {
      "fullUrl": "test-measure1",
      "request": {
        "method": "PUT",
        "url": "Measure/measure1"
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      "resource": {
        "resourceType": "Measure",
        "id": "measure1",
        "name": "Measure1",
        "status": "draft",
        "relatedArtifact": [
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            "type": "predecessor",
            "resource": "Patient/patient1"
          },
          {
            "type": "successor",
            "resource": "Patient/patient2"
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        ]
      }
    },
    {
      "fullUrl": "test-measure2",
      "request": {
        "method": "PUT",
        "url": "Measure/measure2"
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      "resource": {
        "resourceType": "Measure",
        "id": "measure2",
        "name": "Measure2",
        "status": "draft",
        "relatedArtifact": [
          {
            "type": "predecessor",
            "resource": "Patient/patient2"
          },
          {
            "type": "successor",
            "resource": "Patient/patient1"
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        ]
      }
    },
    {
      "fullUrl": "test-patient3",
      "request": {
        "method": "PUT",
        "url": "Patient/patient3"
      },
      "resource": {
        "resourceType": "Patient",
        "id": "patient3",
        "meta": {
          "versionId": "1",
          "lastUpdated": "2019-02-22T03:15:15.000+00:00",
          "tag": [
            {
              "system": "other|tag",
              "code": "tag3",
              "display": "Tag $3"
            },
            {
              "system": "system",
              "code": "code,4",
              "display": "Tag 4"
            }
          ]
        },
        "active": false,
        "name": [
          {
            "use": "usual",
            "text": "Smith, Mary",
            "family": "Smith",
            "given": [
              "Mary"
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          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "1110891111",
            "use": "home",
            "rank": 1
          },
          {
            "system": "email",
            "value": "mary@example.com",
            "use": "home",
            "rank": 2
          }
        ],
        "birthDate": "1980-01-01",
        "deceasedBoolean": false,
        "address": [
         {
            "use": "home",
            "type": "both",
            "text": "Avenida da Pastelaria, 1903",
            "line": [
              "Avenida da Pastelaria, 1903"
            ],
            "city": "Lisbon",
            "district": "KW",
            "period": {
              "start": "1980-01-01"
            }
          }
        ]
      }
    }
  ],
  "resourceType": "Bundle",
  "type": "transaction"
}