{
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  "status": "final",
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        "system": "http://snomed.info/sct",
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    ]
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  "subject": {
    "reference": "Patient/1014"
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  "effectiveDateTime": "2018-11-02T14:15:07+00:00",
  "valueCodeableConcept": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
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}