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                  "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Chemistry</h3><table class=\"hl7__eu__lab__report\"><thead><tr><th>Test</th><th>05-MAY-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Blood</td><td><strong>158.5 H</strong></td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Blood</td><td>8.7</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Blood</td><td><strong>3.5 H</strong></td><td>0.6 - 1.2</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Blood</td><td>10.0</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Blood</td><td>137.5</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Blood</td><td>4.1</td><td>3.5 - 5.0</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Blood</td><td>101.9</td><td>98 - 107</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td>26.8</td><td>22 - 29</td><td>mmol/L</td></tr><tr><td>Protein [Mass/volume] in Serum or Plasma</td><td>7.7</td><td>6.0 - 8.3</td><td>g/dL</td></tr><tr><td>Albumin [Mass/volume] in Serum or Plasma</td><td>4.4</td><td>3.5 - 5.2</td><td>g/dL</td></tr><tr><td>Globulin [Mass/volume] in Serum by calculation</td><td><strong>2.8 L</strong></td><td>25 - 35</td><td>g/L</td></tr><tr><td>Bilirubin.total [Mass/volume] in Serum or Plasma</td><td>0.6</td><td>0.2 - 1.2</td><td>mg/dL</td></tr><tr><td>Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma</td><td>76.3</td><td>39 - 117</td><td>U/L</td></tr><tr><td>Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td>22.4</td><td>10 - 40</td><td>U/L</td></tr><tr><td>Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td>14.3</td><td>10 - 40</td><td>U/L</td></tr><tr><td>Cholesterol [Mass/volume] in Serum or Plasma</td><td>158.7</td><td>125 - 200</td><td>mg/dL</td></tr><tr><td>Triglyceride [Mass/volume] in Serum or Plasma</td><td><strong>153.9 H</strong></td><td>0 - 150</td><td>mg/dL</td></tr><tr><td>Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay</td><td><strong>141.9 H</strong></td><td>0 - 100</td><td>mg/dL</td></tr><tr><td>Cholesterol in HDL [Mass/volume] in Serum or Plasma</td><td>47.4</td><td>40 - 60</td><td>mg/dL</td></tr></tbody></table></div>"
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            "text": {
              "status": "generated",
              "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 significant hyperglycemia, elevated creatinine suggesting impaired renal function, and dyslipidemia with high LDL and triglycerides. Globulin is markedly low, which may indicate a calculation or unit error (g/L vs. g/dL) or hypogammaglobulinemia. Other parameters are within normal limits. Recommend further evaluation for diabetes, renal dysfunction, and clarification of globulin result.</td></tr></table></div>"
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        "date": "2025-05-05T18:06:31Z",
        "title": "Laboratory Report",
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">intentionally left empty / not meaningful</div>"
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        "status": "registered",
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          "reference": "urn:uuid:00892aa9-f9a2-4619-9b4a-5c35371ef829",
          "display": "Rodolfo Emanuelli"
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              "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
              "code": "HTEST"
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            "system": "http://local.setting.eu/identifier",
            "value": "819337e1-fdfd-2729-4eb6-cc748e7f4722"
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        ],
        "name": [
          {
            "given": [
              "Rodolfo"
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            "family": "Emanuelli",
            "text": "Rodolfo Emanuelli"
          }
        ],
        "address": [
          {
            "line": [
              "Contrada Adelmo, 20 Piano 5"
            ],
            "use": "home",
            "type": "physical",
            "postalCode": "31027",
            "city": "Spresiano",
            "country": "Italy"
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "+39 0974222293"
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        ],
        "extension": [
          {
            "extension": [
              {
                "url": "code",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "code": "IT",
                      "system": "urn:iso:std:iso:3166"
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                  ]
                }
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality"
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        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Rodolfo Emanuelli</td><td>male</td><td>17-Jun-1984</td></tr></table></div>"
        },
        "gender": "male",
        "birthDate": "1984-06-17"
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                "code": "55822004",
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                "code": "40055000",
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                "display": "Chronic sinusitis"
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            ]
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          {
            "coding": [
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            ]
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          {
            "coding": [
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                "code": "237602007",
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                "display": "Metabolic syndrome X"
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            ]
          },
          {
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                "display": "Anemia"
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            ]
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                "display": "Hypertriglyceridemia"
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            ]
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          {
            "coding": [
              {
                "code": "44054006",
                "system": "http://snomed.info/sct",
                "display": "Type 2 diabetes mellitus"
              }
            ]
          }
        ],
        "text": {
          "status": "empty",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">intentionally left empty / not meaningful</div>"
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        "status": "active",
        "intent": "order",
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        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provider Role Id: fe2c93cc-74a2-44ea-a1aa-a95c1785dfe5</div>"
        },
        "organization": {
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            ],
            "city": "Villorba",
            "postalCode": "31020",
            "country": "Italy"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provider Organization: Centro di Medicina</div>"
        },
        "name": "Centro di Medicina"
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        },
        "type": {
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              "system": "http://snomed.info/sct",
              "display": "Whole blood specimen (specimen)"
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          ]
        }
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              "code": "1751-7",
              "system": "http://loinc.org",
              "display": "Albumin [Mass/volume] in Serum or Plasma"
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          "text": "Albumin [Mass/volume] in Serum or Plasma"
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          "value": 4.4,
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              "code": "10834-0",
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              "display": "Globulin [Mass/volume] in Serum by calculation"
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          "text": "Globulin [Mass/volume] in Serum by calculation"
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        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 2.8,
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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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          "value": 0.6,
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              "code": "6768-6",
              "system": "http://loinc.org",
              "display": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
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          "text": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
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        "valueQuantity": {
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          "value": 76.3,
          "unit": "U/L",
          "code": "U/L"
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              "code": "U/L",
              "system": "http://unitsofmeasure.org"
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        "text": {
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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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          "text": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
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          "value": 22.4,
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        ],
        "code": {
          "coding": [
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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"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 14.3,
          "unit": "U/L",
          "code": "U/L"
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        "referenceRange": [
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        ],
        "text": {
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        "specimen": {
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        "code": {
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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": 158.7,
          "unit": "mg/dL",
          "code": "mg/dL"
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            "high": {
              "value": 200,
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              "system": "http://unitsofmeasure.org"
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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>05-May-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Cholesterol [Mass/volume] in Serum or Plasma</td><td>158.7</td><td>125 - 200</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
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        "effectiveDateTime": "2025-05-05T16:06:31Z",
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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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        "valueQuantity": {
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          "value": 153.9,
          "unit": "mg/dL",
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            ]
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        ],
        "text": {
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        },
        "status": "final",
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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": 141.9,
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            ]
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        ],
        "text": {
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        },
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        ],
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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"
            }
          ],
          "text": "Cholesterol in HDL [Mass/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 47.4,
          "unit": "mg/dL",
          "code": "mg/dL"
        },
        "referenceRange": [
          {
            "low": {
              "value": 40,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 60,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>05-May-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Cholesterol in HDL [Mass/volume] in Serum or Plasma</td><td>47.4</td><td>40 - 60</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:00892aa9-f9a2-4619-9b4a-5c35371ef829",
          "display": "Rodolfo Emanuelli"
        },
        "effectiveDateTime": "2025-05-05T16:06:31Z",
        "specimen": {
          "reference": "urn:uuid:92aa713a-9e04-49a3-9d67-bcd3e91ff503"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:77d84e3a-1aa6-4024-ac99-2fec0dbae33f",
      "resource": {
        "resourceType": "Device",
        "id": "77d84e3a-1aa6-4024-ac99-2fec0dbae33f",
        "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:3bf1e3cc-969c-4419-9dd9-836be1de30bf",
      "resource": {
        "resourceType": "Provenance",
        "id": "3bf1e3cc-969c-4419-9dd9-836be1de30bf",
        "target": [
          {
            "reference": "urn:uuid:00892aa9-f9a2-4619-9b4a-5c35371ef829"
          },
          {
            "reference": "urn:uuid:acf98add-f354-4e06-9969-6ded6c904ac1"
          },
          {
            "reference": "urn:uuid:d61b42a3-c901-46b6-b4f3-debe4a67eb55"
          },
          {
            "reference": "urn:uuid:0ef3f45d-27a6-4b1b-8c7a-a4007b969131"
          },
          {
            "reference": "urn:uuid:fe2c93cc-74a2-44ea-a1aa-a95c1785dfe5"
          },
          {
            "reference": "urn:uuid:7e3adf75-dc46-4eec-96e2-fa4c838f497f"
          }
        ],
        "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:77d84e3a-1aa6-4024-ac99-2fec0dbae33f"
            }
          }
        ],
        "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": "2025-05-05T18:06:31Z"
      }
    },
    {
      "fullUrl": "urn:uuid:d61b42a3-c901-46b6-b4f3-debe4a67eb55",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "d61b42a3-c901-46b6-b4f3-debe4a67eb55",
        "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: d61b42a3-c901-46b6-b4f3-debe4a67eb55</div>"
        },
        "practitioner": {
          "reference": "urn:uuid:0ef3f45d-27a6-4b1b-8c7a-a4007b969131"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:0ef3f45d-27a6-4b1b-8c7a-a4007b969131",
      "resource": {
        "resourceType": "Practitioner",
        "id": "0ef3f45d-27a6-4b1b-8c7a-a4007b969131",
        "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": "80213d88-158b-49f6-abb5-e4152a2ae686"
          }
        ],
        "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": "2025-05-05T18:06:31Z"
}