{
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      "system" : "http://hl7.org/fhir/uv/aerospace/CodeSystem/aerospace-behavioral-state-cs",
      "code" : "cognitive-readiness",
      "display" : "Cognitive readiness"
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  "subject" : {
    "reference" : "Patient/AstronautExample"
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  "effectiveDateTime" : "2025-06-20T15:30:00Z",
  "valueQuantity" : {
    "value" : 7.5,
    "system" : "http://unitsofmeasure.org",
    "code" : "{score}"
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}