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              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Annotation</h3><table class=\"hl7__eu__lab__report\"><tr><th>Conclusion and Recommendations based on this report and previous findings known to us</th></tr><tr><td>The patient shows significantly elevated creatinine, suggesting impaired renal function. Mild hyperchloremia and elevated triglycerides are present. HDL cholesterol is low, which increases cardiovascular risk. Globulin appears erroneously low (likely a unit error), but total protein and albumin are normal. Other parameters, including liver enzymes and electrolytes, are within normal limits. Renal function and lipid profile require further evaluation and management.</td></tr></table></div>"
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            "type": "physical",
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            "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality"
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              "display": "Globulin [Mass/volume] in Serum by calculation"
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              "code": "1975-2",
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              "display": "Bilirubin.total [Mass/volume] in Serum or Plasma"
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          "text": "Bilirubin.total [Mass/volume] in Serum or Plasma"
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              "code": "6768-6",
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              "display": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
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          "value": 71.5,
          "unit": "U/L",
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        "code": {
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              "code": "1742-6",
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              "display": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
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        "code": {
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              "code": "1920-8",
              "system": "http://loinc.org",
              "display": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
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          "text": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
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        "valueQuantity": {
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          "value": 21.7,
          "unit": "U/L",
          "code": "U/L"
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        ],
        "text": {
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              "code": "2093-3",
              "system": "http://loinc.org",
              "display": "Cholesterol [Mass/volume] in Serum or Plasma"
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          ],
          "text": "Cholesterol [Mass/volume] in Serum or Plasma"
        },
        "valueQuantity": {
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          "value": 198.4,
          "unit": "mg/dL",
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        "code": {
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              "display": "Triglyceride [Mass/volume] in Serum or Plasma"
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          ],
          "text": "Triglyceride [Mass/volume] in Serum or Plasma"
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          "value": 155.7,
          "unit": "mg/dL",
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            ]
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        ],
        "text": {
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        },
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        "code": {
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              "code": "18262-6",
              "system": "http://loinc.org",
              "display": "Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay"
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          ],
          "text": "Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay"
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        "valueQuantity": {
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          "value": 99.5,
          "unit": "mg/dL",
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            "high": {
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              "system": "http://unitsofmeasure.org"
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        ],
        "text": {
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        },
        "status": "final",
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        "code": {
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              "code": "2085-9",
              "system": "http://loinc.org",
              "display": "Cholesterol in HDL [Mass/volume] in Serum or Plasma"
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          ],
          "text": "Cholesterol in HDL [Mass/volume] in Serum or Plasma"
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        "valueQuantity": {
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          "value": 35.6,
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            ]
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        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>23-Mar-2017</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Cholesterol in HDL [Mass/volume] in Serum or Plasma</td><td>35.6</td><td>40 - 60</td><td>L</td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:8a6efed6-6bd8-4278-8537-3cbedb58fee7",
          "display": "Katja Mäkelä"
        },
        "effectiveDateTime": "2017-03-23T08:59:15Z",
        "specimen": {
          "reference": "urn:uuid:1e7c29c9-b5fb-499a-ac30-c69cccb03002"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:e62f2d73-9573-47a6-9764-6fd513e01b5c",
      "resource": {
        "resourceType": "Device",
        "id": "e62f2d73-9573-47a6-9764-6fd513e01b5c",
        "deviceName": [
          {
            "name": "SYNDERAI Synthetic Generator",
            "type": "manufacturer-name"
          }
        ],
        "version": [
          {
            "value": "5.0"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">SYNDERAI Synthetic Generator v5.0</div>"
        },
        "status": "active",
        "distinctIdentifier": "synderai-generator-50",
        "manufacturer": "SYNDERAI Project"
      }
    },
    {
      "fullUrl": "urn:uuid:d048021b-371e-45ad-90f3-45d1a729523f",
      "resource": {
        "resourceType": "Provenance",
        "id": "d048021b-371e-45ad-90f3-45d1a729523f",
        "target": [
          {
            "reference": "urn:uuid:8a6efed6-6bd8-4278-8537-3cbedb58fee7"
          },
          {
            "reference": "urn:uuid:f82bb8a6-cad1-4b56-b742-b0e1cb09688c"
          },
          {
            "reference": "urn:uuid:52ac7950-e261-49a2-aac0-8c83d37546a7"
          },
          {
            "reference": "urn:uuid:710086f0-4078-4e20-bd16-9f581d9a0d19"
          },
          {
            "reference": "urn:uuid:7ae9e9fb-4983-4c03-a92c-ad4cc63a75c2"
          },
          {
            "reference": "urn:uuid:2d412d90-8213-4220-9086-c870778fd37b"
          }
        ],
        "activity": {
          "coding": [
            {
              "code": "CREATE",
              "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation",
              "display": "create"
            }
          ],
          "text": "Synthetic Example Data Generation"
        },
        "policy": [
          "https://synderai.net/synderai-synthetic-data-policy"
        ],
        "agent": [
          {
            "type": {
              "coding": [
                {
                  "code": "author",
                  "system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
                  "display": "Author"
                }
              ],
              "text": "author"
            },
            "who": {
              "reference": "urn:uuid:e62f2d73-9573-47a6-9764-6fd513e01b5c"
            }
          }
        ],
        "reason": [
          {
            "coding": [
              {
                "code": "TRAIN",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
                "display": "training"
              }
            ],
            "text": "Interoperability Testing and Training (non-clinical use)"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provenance for SYNDERAI Synthetic Example Data Resource</div>"
        },
        "recorded": "2017-03-23T09:59:15Z"
      }
    },
    {
      "fullUrl": "urn:uuid:52ac7950-e261-49a2-aac0-8c83d37546a7",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "52ac7950-e261-49a2-aac0-8c83d37546a7",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Laboratory Role Id: 52ac7950-e261-49a2-aac0-8c83d37546a7</div>"
        },
        "practitioner": {
          "reference": "urn:uuid:710086f0-4078-4e20-bd16-9f581d9a0d19"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:710086f0-4078-4e20-bd16-9f581d9a0d19",
      "resource": {
        "resourceType": "Practitioner",
        "id": "710086f0-4078-4e20-bd16-9f581d9a0d19",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu"
          ]
        },
        "identifier": [
          {
            "assigner": {
              "display": "HL7 Europe"
            },
            "system": "urn:oid:2.16.840.1.113883.2.51.999",
            "value": "a0825c7a-1a04-4a3a-873d-5ac2ac756c72"
          }
        ],
        "name": [
          {
            "prefix": [
              "dr"
            ],
            "given": [
              "Ex"
            ],
            "family": "Ample"
          }
        ],
        "address": [
          {
            "line": [
              "Laboratoire Central Européenne",
              "Boulevard du Jardin Botanique 32"
            ],
            "postalCode": "1000",
            "city": "Brussels",
            "country": "Belgium"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Laboratory: Laboratoire Central Européenne, 1000 Brussels, Belgium</div>"
        }
      }
    }
  ],
  "type": "document",
  "timestamp": "2017-03-23T09:59:15Z"
}