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                "code": {
                  "coding": [
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                      "code": "18723-7",
                      "system": "http://loinc.org",
                      "display": "Hematology studies (set)"
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                    "reference": "urn:uuid:fab37db8-e105-4da6-a247-603579ff335b"
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                  "status": "generated",
                  "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Hematology</h3><table class=\"hl7__eu__lab__report\"><thead><tr><th>Test</th><th>01-OCT-2023</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Leukocytes [#/volume] in Blood by Automated count</td><td><strong>4.4 L</strong></td><td>4.5 - 11.0</td><td>10*3/uL</td></tr><tr><td>Erythrocytes [#/volume] in Blood by Automated count</td><td>4.6</td><td>4.3 - 5.7</td><td>10*6/uL</td></tr><tr><td>Hemoglobin [Mass/volume] in Blood</td><td>14.6</td><td>13.5 - 17.5</td><td>g/dL</td></tr><tr><td>Hematocrit [Volume Fraction] of Blood by Automated count</td><td>46.5</td><td>39 - 50</td><td>%</td></tr><tr><td>MCV [Entitic mean volume] in Red Blood Cells by Automated count</td><td>82.5</td><td>80 - 100</td><td>fL</td></tr><tr><td>MCH [Entitic mass] by Automated count</td><td>30.3</td><td>27 - 33</td><td>pg</td></tr><tr><td>MCHC [Entitic Mass/volume] in Red Blood Cells by Automated count</td><td>33.0</td><td>32 - 36</td><td>g/dL</td></tr><tr><td>Erythrocyte distribution width [Entitic volume] by Automated count</td><td>44.2</td><td>36 - 48</td><td>fL</td></tr><tr><td>Platelets [#/volume] in Blood by Automated count</td><td>302.3</td><td>150 - 450</td><td>10*3/uL</td></tr><tr><td>Platelet distribution width [Entitic volume] in Blood by Automated count</td><td><strong>219.9 H</strong></td><td>9.4 - 12.3</td><td>fL</td></tr><tr><td>Platelet [Entitic mean volume] in Blood by Automated count</td><td>10.1</td><td>7.2 - 11.5</td><td>fL</td></tr></tbody></table></div>"
                },
                "title": "Hematology"
              },
              {
                "code": {
                  "coding": [
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                      "code": "18719-5",
                      "system": "http://loinc.org",
                      "display": "Chemistry studies (set)"
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                  "text": "Chemistry"
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                    "reference": "urn:uuid:fedde908-d599-4841-8b93-9b1efbb1bea8"
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                  {
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                  {
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                  {
                    "reference": "urn:uuid:345a1164-cd71-4238-8989-b8161b6bf0d7"
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                    "reference": "urn:uuid:801eb28c-e7cb-4a7b-a6ec-39ee083e24c4"
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                    "reference": "urn:uuid:f25d6abf-592b-470b-a9c9-83e4bb5f916f"
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                  {
                    "reference": "urn:uuid:569a0aee-d35b-4857-9def-ffd8732cff55"
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                  {
                    "reference": "urn:uuid:409f2fe1-54d0-4b2f-a5d0-8bb10e4aa339"
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                  {
                    "reference": "urn:uuid:44d5c63f-3114-4c1e-9303-b1ad822f971e"
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                  {
                    "reference": "urn:uuid:373d217b-3964-4127-a236-87f0630147d4"
                  },
                  {
                    "reference": "urn:uuid:5b7108e5-f755-4f22-90e4-49a9ee34d7a4"
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                  {
                    "reference": "urn:uuid:cda72303-9934-415a-bc3f-ad896bab49bf"
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                  {
                    "reference": "urn:uuid:f47309f3-b358-464f-a943-43a14ee89980"
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                  {
                    "reference": "urn:uuid:02c68f38-5fae-48f1-8bfa-b7f83a557269"
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                "text": {
                  "status": "generated",
                  "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Chemistry</h3><table class=\"hl7__eu__lab__report\"><thead><tr><th>Test</th><th>01-OCT-2023</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Serum or Plasma</td><td>73.5</td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Serum or Plasma</td><td>8.7</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Serum or Plasma</td><td><strong>2.0 H</strong></td><td>0.6 - 1.3</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Serum or Plasma</td><td>9.4</td><td>8.6 - 10.3</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Serum or Plasma</td><td>136.2</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Serum or Plasma</td><td>4.2</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Serum or Plasma</td><td>104.2</td><td>98 - 107</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Serum or Plasma</td><td><strong>21.4 L</strong></td><td>22 - 29</td><td>mmol/L</td></tr><tr><td>Ketones [Presence] in Urine by Test strip</td><td>Urine ketone test = +</td><td></td><td></td></tr><tr><td>Hemoglobin A1c/Hemoglobin.total in Blood</td><td><strong>3.2 L</strong></td><td>4.8 - 5.9</td><td>%</td></tr><tr><td>Glucose [Mass/volume] in Blood</td><td>73.5</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>1.7 H</strong></td><td>0.6 - 1.3</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Blood</td><td>9.4</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Blood</td><td>136.2</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Blood</td><td>4.2</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Blood</td><td>104.2</td><td>98 - 110</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td><strong>21.4 L</strong></td><td>22 - 29</td><td>mmol/L</td></tr></tbody></table></div>"
                },
                "title": "Chemistry"
              },
              {
                "code": {
                  "coding": [
                    {
                      "code": "18729-4",
                      "system": "http://loinc.org",
                      "display": "Urinalysis studies (set)"
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                  ],
                  "text": "Urinalysis"
                },
                "entry": [
                  {
                    "reference": "urn:uuid:69de1d63-7744-4536-b2e3-cbff5fe7b37c"
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                  {
                    "reference": "urn:uuid:4e62d754-c24a-4a98-80be-958f3bc093b9"
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                    "reference": "urn:uuid:b7cf5f4a-331e-4512-a362-bf8d49a0ae0c"
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                  {
                    "reference": "urn:uuid:fdeb4d17-c984-4ee0-a3a8-c777b2475d5f"
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                  {
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                  {
                    "reference": "urn:uuid:403a1b0f-f097-4a1f-b488-d20b023e0d04"
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                  {
                    "reference": "urn:uuid:4ce7b677-c787-41c3-ba9d-95d2422c7598"
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                  {
                    "reference": "urn:uuid:5000df28-f500-4663-9c7f-7b16df79f5bd"
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                "text": {
                  "status": "generated",
                  "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Urinalysis</h3><table class=\"hl7__eu__lab__report\"><thead><tr><th>Test</th><th>01-OCT-2023</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Urine by Test strip</td><td>1.2</td><td>0 - 20</td><td>mg/dL</td></tr><tr><td>Glucose [Presence] in Urine by Test strip</td><td>Urine glucose test = ++</td><td></td><td></td></tr><tr><td>Bilirubin.total [Mass/volume] in Urine by Test strip</td><td>1.0</td><td>0 - 4</td><td>mg/dL</td></tr><tr><td>Bilirubin.total [Presence] in Urine by Test strip</td><td>Finding of bilirubin in urine</td><td></td><td></td></tr><tr><td>Ketones [Mass/volume] in Urine by Test strip</td><td><strong>16.5 H</strong></td><td>0 - 4</td><td>mg/dL</td></tr><tr><td>Specific gravity of Urine by Test strip</td><td><strong>1.0 L</strong></td><td>1.005 - 1.030</td><td>{nominal}</td></tr><tr><td>pH of Urine by Test strip</td><td>7.0</td><td>5.0 - 8.0</td><td>pH</td></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td><strong>271.4 H</strong></td><td>0 - 20</td><td>mg/dL</td></tr><tr><td>Protein [Presence] in Urine by Test strip</td><td>Urine protein test = ++</td><td></td><td></td></tr><tr><td>Nitrite [Presence] in Urine by Test strip</td><td>Urine nitrite negative</td><td></td><td></td></tr><tr><td>Hemoglobin [Presence] in Urine by Test strip</td><td>Urine blood test = negative</td><td></td><td></td></tr><tr><td>Leukocyte esterase [Presence] in Urine by Test strip</td><td>Urine leukocyte test negative</td><td></td><td></td></tr></tbody></table></div>"
                },
                "title": "Urinalysis"
              },
              {
                "code": {
                  "coding": [
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                      "code": "LP7846-1",
                      "system": "http://loinc.org",
                      "display": "Specimen information"
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                  ],
                  "text": "Specimen information"
                },
                "entry": [
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                    "reference": "urn:uuid:84ab09b1-1fdf-4dfe-83dd-ca9235921adc"
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                "text": {
                  "status": "generated",
                  "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Specimen information</h3><table class=\"hl7__eu__lab__report\"><thead><tr><th>Test</th><th>01-OCT-2023</th><th>Specimen</th><th></th></tr></thead><tbody><tr><td>Appearance of Urine</td><td>Cloudy urine</td><td>Urine</td><td></td></tr><tr><td>Odor of Urine</td><td>Urine smell ammoniacal</td><td>Urine</td><td></td></tr><tr><td>Clarity of Urine</td><td>Translucent</td><td>Urine</td><td></td></tr><tr><td>Color of Urine</td><td>Brown color</td><td>Urine</td><td></td></tr></tbody></table></div>"
                },
                "title": "Specimen information"
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            ],
            "title": "Laboratory Report"
          },
          {
            "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 elevated creatinine, low CO₂, and significant proteinuria, suggesting possible renal impairment. Urine findings (cloudy, brown, low specific gravity, high protein, ketones, and bilirubin) further support renal dysfunction and possible tubular involvement. HbA1c is low, excluding chronic hyperglycemia. Mild leukopenia is present. Recommend nephrology evaluation and further assessment for acute or chronic kidney disease and possible urinary tract pathology.</td></tr></table></div>"
            },
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          "status": "empty",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">intentionally left empty / not meaningful</div>"
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        "status": "final",
        "subject": {
          "reference": "urn:uuid:9c68aa47-4a40-4b18-8a6e-338277f20b13",
          "display": "Ahmed Wirth"
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        "date": "2023-10-01T01:37:39Z",
        "title": "Laboratory Report",
        "confidentiality": "N"
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        "status": "registered",
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            {
              "code": "11502-2",
              "system": "http://loinc.org",
              "display": "Laboratory report"
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          "reference": "urn:uuid:9c68aa47-4a40-4b18-8a6e-338277f20b13",
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              "code": "TRAIN"
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          {
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              "Ahmed"
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            "family": "Wirth",
            "text": "Ahmed Wirth"
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        ],
        "address": [
          {
            "line": [
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            "use": "home",
            "type": "physical",
            "postalCode": "96317",
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        "telecom": [
          {
            "system": "phone",
            "value": "06478333493"
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                  ]
                }
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality"
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                "display": "Microalbuminuria due to type 2 diabetes mellitus"
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                "display": "Hyperlipidemia"
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                "display": "Chronic sinusitis"
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                "display": "Ischemic heart disease"
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                "display": "Essential hypertension"
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            ]
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        "status": "active",
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              "system": "http://snomed.info/sct",
              "display": "Laboratory procedure"
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        "text": {
          "status": "generated",
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        "organization": {
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              "Friesener Straße 41"
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            "city": "Kronach",
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          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provider Organization: Medizinisches Versorgungszentrum Kronach</div>"
        },
        "name": "Medizinisches Versorgungszentrum Kronach"
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      "fullUrl": "urn:uuid:df0349c4-89dd-457d-bc19-0f0e183627fc",
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              "display": "Acellular blood (serum or plasma) specimen"
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        },
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              "system": "http://snomed.info/sct",
              "display": "Whole blood specimen (specimen)"
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              "display": "Glucose [Mass/volume] in Serum or Plasma"
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          "text": "Glucose [Mass/volume] in Serum or Plasma"
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              "value": 100,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
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        ],
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        },
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          "display": "Ahmed Wirth"
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        "effectiveDateTime": "2023-09-30T23:37:39Z",
        "specimen": {
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        "code": {
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            {
              "code": "3094-0",
              "system": "http://loinc.org",
              "display": "Urea nitrogen [Mass/volume] in Serum or Plasma"
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          ],
          "text": "Urea nitrogen [Mass/volume] in Serum or Plasma"
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        "valueQuantity": {
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          "value": 8.7,
          "unit": "mg/dL",
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              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            }
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        ],
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        },
        "status": "final",
        "subject": {
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        "effectiveDateTime": "2023-09-30T23:37:39Z",
        "specimen": {
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    {
      "fullUrl": "urn:uuid:f3f1bf30-ce6a-46ce-bbd5-5df4b7537518",
      "resource": {
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        "id": "f3f1bf30-ce6a-46ce-bbd5-5df4b7537518",
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              "display": "Creatinine [Mass/volume] in Serum or Plasma"
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          "text": "Creatinine [Mass/volume] in Serum or Plasma"
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          "value": 2,
          "unit": "mg/dL",
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                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "display": "High"
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            ]
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        ],
        "text": {
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        },
        "status": "final",
        "subject": {
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        "effectiveDateTime": "2023-09-30T23:37:39Z",
        "specimen": {
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        ],
        "performer": [
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        ],
        "code": {
          "coding": [
            {
              "code": "17861-6",
              "system": "http://loinc.org",
              "display": "Calcium [Mass/volume] in Serum or Plasma"
            }
          ],
          "text": "Calcium [Mass/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 9.4,
          "unit": "mg/dL",
          "code": "mg/dL"
        },
        "referenceRange": [
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              "value": 8.6,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 10.3,
              "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>01-Oct-2023</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Calcium [Mass/volume] in Serum or Plasma</td><td>9.4</td><td>8.6 - 10.3</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
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          "display": "Ahmed Wirth"
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          "value": 271.4,
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              "display": "Leukocyte esterase [Presence] in Urine by Test strip"
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        "text": {
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            "http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
              }
            ]
          }
        ],
        "performer": [
          {
            "display": "The Central European Lab"
          }
        ],
        "code": {
          "coding": [
            {
              "code": "4548-4",
              "system": "http://loinc.org",
              "display": "Hemoglobin A1c/Hemoglobin.total in Blood"
            }
          ],
          "text": "Hemoglobin A1c/Hemoglobin.total in Blood"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 3.2,
          "unit": "%",
          "code": "%"
        },
        "referenceRange": [
          {
            "low": {
              "value": 4.8,
              "code": "%",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 5.9,
              "code": "%",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "interpretation": [
          {
            "coding": [
              {
                "code": "L",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "display": "Low"
              }
            ]
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>01-Oct-2023</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Hemoglobin A1c/Hemoglobin.total in Blood</td><td>3.2</td><td>4.8 - 5.9</td><td>L</td><td>%</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:9c68aa47-4a40-4b18-8a6e-338277f20b13",
          "display": "Ahmed Wirth"
        },
        "effectiveDateTime": "2023-09-30T23:37:39Z",
        "specimen": {
          "reference": "urn:uuid:beec4638-8697-4931-bc62-5af6f2ad0666"
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      }
    },
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      "fullUrl": "urn:uuid:569a0aee-d35b-4857-9def-ffd8732cff55",
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        "resourceType": "Observation",
        "id": "569a0aee-d35b-4857-9def-ffd8732cff55",
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          "profile": [
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        },
        "category": [
          {
            "coding": [
              {
                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
              }
            ]
          }
        ],
        "performer": [
          {
            "display": "The Central European Lab"
          }
        ],
        "code": {
          "coding": [
            {
              "code": "2339-0",
              "system": "http://loinc.org",
              "display": "Glucose [Mass/volume] in Blood"
            }
          ],
          "text": "Glucose [Mass/volume] in Blood"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 73.5,
          "unit": "mg/dL",
          "code": "mg/dL"
        },
        "referenceRange": [
          {
            "low": {
              "value": 70,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 100,
              "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>01-Oct-2023</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Glucose [Mass/volume] in Blood</td><td>73.5</td><td>70 - 100</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:9c68aa47-4a40-4b18-8a6e-338277f20b13",
          "display": "Ahmed Wirth"
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        "effectiveDateTime": "2023-09-30T23:37:39Z",
        "specimen": {
          "reference": "urn:uuid:beec4638-8697-4931-bc62-5af6f2ad0666"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:409f2fe1-54d0-4b2f-a5d0-8bb10e4aa339",
      "resource": {
        "resourceType": "Observation",
        "id": "409f2fe1-54d0-4b2f-a5d0-8bb10e4aa339",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
              }
            ]
          }
        ],
        "performer": [
          {
            "display": "The Central European Lab"
          }
        ],
        "code": {
          "coding": [
            {
              "code": "6299-2",
              "system": "http://loinc.org",
              "display": "Urea nitrogen [Mass/volume] in Blood"
            }
          ],
          "text": "Urea nitrogen [Mass/volume] in Blood"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 8.7,
          "unit": "mg/dL",
          "code": "mg/dL"
        },
        "referenceRange": [
          {
            "low": {
              "value": 7,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 20,
              "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>01-Oct-2023</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Urea nitrogen [Mass/volume] in Blood</td><td>8.7</td><td>7 - 20</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:9c68aa47-4a40-4b18-8a6e-338277f20b13",
          "display": "Ahmed Wirth"
        },
        "effectiveDateTime": "2023-09-30T23:37:39Z",
        "specimen": {
          "reference": "urn:uuid:beec4638-8697-4931-bc62-5af6f2ad0666"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:44d5c63f-3114-4c1e-9303-b1ad822f971e",
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        "resourceType": "Observation",
        "id": "44d5c63f-3114-4c1e-9303-b1ad822f971e",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"
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        },
        "category": [
          {
            "coding": [
              {
                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
              }
            ]
          }
        ],
        "performer": [
          {
            "display": "The Central European Lab"
          }
        ],
        "code": {
          "coding": [
            {
              "code": "38483-4",
              "system": "http://loinc.org",
              "display": "Creatinine [Mass/volume] in Blood"
            }
          ],
          "text": "Creatinine [Mass/volume] in Blood"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 1.7,
          "unit": "mg/dL",
          "code": "mg/dL"
        },
        "referenceRange": [
          {
            "low": {
              "value": 0.6,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 1.3,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "interpretation": [
          {
            "coding": [
              {
                "code": "H",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "display": "High"
              }
            ]
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>01-Oct-2023</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Creatinine [Mass/volume] in Blood</td><td>1.7</td><td>0.6 - 1.3</td><td>H</td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:9c68aa47-4a40-4b18-8a6e-338277f20b13",
          "display": "Ahmed Wirth"
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        "effectiveDateTime": "2023-09-30T23:37:39Z",
        "specimen": {
          "reference": "urn:uuid:beec4638-8697-4931-bc62-5af6f2ad0666"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:373d217b-3964-4127-a236-87f0630147d4",
      "resource": {
        "resourceType": "Observation",
        "id": "373d217b-3964-4127-a236-87f0630147d4",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"
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        },
        "category": [
          {
            "coding": [
              {
                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
              }
            ]
          }
        ],
        "performer": [
          {
            "display": "The Central European Lab"
          }
        ],
        "code": {
          "coding": [
            {
              "code": "49765-1",
              "system": "http://loinc.org",
              "display": "Calcium [Mass/volume] in Blood"
            }
          ],
          "text": "Calcium [Mass/volume] in Blood"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 9.4,
          "unit": "mg/dL",
          "code": "mg/dL"
        },
        "referenceRange": [
          {
            "low": {
              "value": 8.5,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 10.5,
              "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>01-Oct-2023</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Calcium [Mass/volume] in Blood</td><td>9.4</td><td>8.5 - 10.5</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
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          "display": "Ahmed Wirth"
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        "effectiveDateTime": "2023-09-30T23:37:39Z",
        "specimen": {
          "reference": "urn:uuid:beec4638-8697-4931-bc62-5af6f2ad0666"
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      }
    },
    {
      "fullUrl": "urn:uuid:5b7108e5-f755-4f22-90e4-49a9ee34d7a4",
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        "resourceType": "Observation",
        "id": "5b7108e5-f755-4f22-90e4-49a9ee34d7a4",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"
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        },
        "category": [
          {
            "coding": [
              {
                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
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            ]
          }
        ],
        "performer": [
          {
            "display": "The Central European Lab"
          }
        ],
        "code": {
          "coding": [
            {
              "code": "2947-0",
              "system": "http://loinc.org",
              "display": "Sodium [Moles/volume] in Blood"
            }
          ],
          "text": "Sodium [Moles/volume] in Blood"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 136.2,
          "unit": "mmol/L",
          "code": "mmol/L"
        },
        "referenceRange": [
          {
            "low": {
              "value": 135,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 145,
              "code": "mmol/L",
              "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>01-Oct-2023</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Sodium [Moles/volume] in Blood</td><td>136.2</td><td>135 - 145</td><td></td><td>mmol/L</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:9c68aa47-4a40-4b18-8a6e-338277f20b13",
          "display": "Ahmed Wirth"
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        "effectiveDateTime": "2023-09-30T23:37:39Z",
        "specimen": {
          "reference": "urn:uuid:beec4638-8697-4931-bc62-5af6f2ad0666"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:cda72303-9934-415a-bc3f-ad896bab49bf",
      "resource": {
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        "meta": {
          "profile": [
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        },
        "category": [
          {
            "coding": [
              {
                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
              }
            ]
          }
        ],
        "performer": [
          {
            "display": "The Central European Lab"
          }
        ],
        "code": {
          "coding": [
            {
              "code": "6298-4",
              "system": "http://loinc.org",
              "display": "Potassium [Moles/volume] in Blood"
            }
          ],
          "text": "Potassium [Moles/volume] in Blood"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 4.2,
          "unit": "mmol/L",
          "code": "mmol/L"
        },
        "referenceRange": [
          {
            "low": {
              "value": 3.5,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 5.1,
              "code": "mmol/L",
              "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>01-Oct-2023</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Potassium [Moles/volume] in Blood</td><td>4.2</td><td>3.5 - 5.1</td><td></td><td>mmol/L</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:9c68aa47-4a40-4b18-8a6e-338277f20b13",
          "display": "Ahmed Wirth"
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        "effectiveDateTime": "2023-09-30T23:37:39Z",
        "specimen": {
          "reference": "urn:uuid:beec4638-8697-4931-bc62-5af6f2ad0666"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:f47309f3-b358-464f-a943-43a14ee89980",
      "resource": {
        "resourceType": "Observation",
        "id": "f47309f3-b358-464f-a943-43a14ee89980",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"
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        },
        "category": [
          {
            "coding": [
              {
                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
              }
            ]
          }
        ],
        "performer": [
          {
            "display": "The Central European Lab"
          }
        ],
        "code": {
          "coding": [
            {
              "code": "2069-3",
              "system": "http://loinc.org",
              "display": "Chloride [Moles/volume] in Blood"
            }
          ],
          "text": "Chloride [Moles/volume] in Blood"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 104.2,
          "unit": "mmol/L",
          "code": "mmol/L"
        },
        "referenceRange": [
          {
            "low": {
              "value": 98,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 110,
              "code": "mmol/L",
              "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>01-Oct-2023</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Chloride [Moles/volume] in Blood</td><td>104.2</td><td>98 - 110</td><td></td><td>mmol/L</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:9c68aa47-4a40-4b18-8a6e-338277f20b13",
          "display": "Ahmed Wirth"
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        "effectiveDateTime": "2023-09-30T23:37:39Z",
        "specimen": {
          "reference": "urn:uuid:beec4638-8697-4931-bc62-5af6f2ad0666"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:02c68f38-5fae-48f1-8bfa-b7f83a557269",
      "resource": {
        "resourceType": "Observation",
        "id": "02c68f38-5fae-48f1-8bfa-b7f83a557269",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"
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        },
        "category": [
          {
            "coding": [
              {
                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
              }
            ]
          }
        ],
        "performer": [
          {
            "display": "The Central European Lab"
          }
        ],
        "code": {
          "coding": [
            {
              "code": "20565-8",
              "system": "http://loinc.org",
              "display": "Carbon dioxide, total [Moles/volume] in Blood"
            }
          ],
          "text": "Carbon dioxide, total [Moles/volume] in Blood"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 21.4,
          "unit": "mmol/L",
          "code": "mmol/L"
        },
        "referenceRange": [
          {
            "low": {
              "value": 22,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 29,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "interpretation": [
          {
            "coding": [
              {
                "code": "L",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "display": "Low"
              }
            ]
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>01-Oct-2023</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td>21.4</td><td>22 - 29</td><td>L</td><td>mmol/L</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:9c68aa47-4a40-4b18-8a6e-338277f20b13",
          "display": "Ahmed Wirth"
        },
        "effectiveDateTime": "2023-09-30T23:37:39Z",
        "specimen": {
          "reference": "urn:uuid:beec4638-8697-4931-bc62-5af6f2ad0666"
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      }
    },
    {
      "fullUrl": "urn:uuid:54c1dd3b-0a4b-4f39-9b09-adf1806cd4a4",
      "resource": {
        "resourceType": "Observation",
        "id": "54c1dd3b-0a4b-4f39-9b09-adf1806cd4a4",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"
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        },
        "category": [
          {
            "coding": [
              {
                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
              }
            ]
          }
        ],
        "performer": [
          {
            "display": "The Central European Lab"
          }
        ],
        "code": {
          "coding": [
            {
              "code": "6690-2",
              "system": "http://loinc.org",
              "display": "Leukocytes [#/volume] in Blood by Automated count"
            }
          ],
          "text": "Leukocytes [#/volume] in Blood by Automated count"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 4.4,
          "unit": "10*3/uL",
          "code": "10*3/uL"
        },
        "referenceRange": [
          {
            "low": {
              "value": 4.5,
              "code": "10*3/uL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 11,
              "code": "10*3/uL",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "interpretation": [
          {
            "coding": [
              {
                "code": "L",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "display": "Low"
              }
            ]
          }
        ],
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              "code": "fL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 11.5,
              "code": "fL",
              "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>01-Oct-2023</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Platelet [Entitic mean volume] in Blood by Automated count</td><td>10.1</td><td>7.2 - 11.5</td><td></td><td>fL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:9c68aa47-4a40-4b18-8a6e-338277f20b13",
          "display": "Ahmed Wirth"
        },
        "effectiveDateTime": "2023-09-30T23:37:39Z",
        "specimen": {
          "reference": "urn:uuid:beec4638-8697-4931-bc62-5af6f2ad0666"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:f7b6b019-dadf-4037-90c8-aa9eb948dee3",
      "resource": {
        "resourceType": "Device",
        "id": "f7b6b019-dadf-4037-90c8-aa9eb948dee3",
        "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:9ac4fbad-0a25-4685-954d-6764cb1820a4",
      "resource": {
        "resourceType": "Provenance",
        "id": "9ac4fbad-0a25-4685-954d-6764cb1820a4",
        "target": [
          {
            "reference": "urn:uuid:9c68aa47-4a40-4b18-8a6e-338277f20b13"
          },
          {
            "reference": "urn:uuid:f209da5a-adb0-4b64-881b-a4c6e739eb9f"
          },
          {
            "reference": "urn:uuid:b412895d-ddd1-4587-aec9-fdd9e6bd564b"
          },
          {
            "reference": "urn:uuid:b88c9b76-a1e0-4d22-b4b2-2a8a46952dc1"
          },
          {
            "reference": "urn:uuid:0646c90d-84dd-467f-b2f4-296c96ba1206"
          },
          {
            "reference": "urn:uuid:af4689db-d2a2-4998-b810-d860db6fd77f"
          }
        ],
        "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:f7b6b019-dadf-4037-90c8-aa9eb948dee3"
            }
          }
        ],
        "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": "2023-10-01T01:37:39Z"
      }
    },
    {
      "fullUrl": "urn:uuid:b412895d-ddd1-4587-aec9-fdd9e6bd564b",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "b412895d-ddd1-4587-aec9-fdd9e6bd564b",
        "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: b412895d-ddd1-4587-aec9-fdd9e6bd564b</div>"
        },
        "practitioner": {
          "reference": "urn:uuid:b88c9b76-a1e0-4d22-b4b2-2a8a46952dc1"
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      }
    },
    {
      "fullUrl": "urn:uuid:b88c9b76-a1e0-4d22-b4b2-2a8a46952dc1",
      "resource": {
        "resourceType": "Practitioner",
        "id": "b88c9b76-a1e0-4d22-b4b2-2a8a46952dc1",
        "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": "2354f3ff-3ded-4535-9a3c-f89f2a55009d"
          }
        ],
        "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": "2023-10-01T01:37:39Z"
}