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Your backend service should expose an endpoint that returns the JWKS as JSON. Also, make sure it only hosts your public keys.
We can generate sample patients on the fly to simulate larger database sizes
When a _since timestamp is supplied in the export request, a portion of the resources (expressed as percentage above) will be reported as deleted using the deleted field in the output JSON.
_since
deleted
Smaller number can result in more files per resource type generated by the server.
If clients pass allowPartialManifests, move to the next manifest page after this many output entries are available.
allowPartialManifests