public PatientPipelineStep(
            IFhirService fhirService,
            IPatientSynchronizer patientSynchronizer)
        {
            EnsureArg.IsNotNull(fhirService, nameof(fhirService));
            EnsureArg.IsNotNull(patientSynchronizer, nameof(patientSynchronizer));

            _fhirService         = fhirService;
            _patientSynchronizer = patientSynchronizer;
        }