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                  "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>27-NOV-2020</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Serum or Plasma</td><td><strong>64.1 L</strong></td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Serum or Plasma</td><td>12.9</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Serum or Plasma</td><td><strong>2.1 H</strong></td><td>0.5 - 1.1</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Serum or Plasma</td><td>9.1</td><td>8.6 - 10.2</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Serum or Plasma</td><td>143.5</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Serum or Plasma</td><td>4.5</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Serum or Plasma</td><td>106.0</td><td>98 - 107</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Serum or Plasma</td><td>27.1</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>3.3 L</strong></td><td>4.0 - 5.6</td><td>%</td></tr><tr><td>Glucose [Mass/volume] in Blood</td><td><strong>64.1 L</strong></td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Blood</td><td>12.9</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Blood</td><td><strong>2.0 H</strong></td><td>0.5 - 1.1</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Blood</td><td>9.1</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Blood</td><td>143.5</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Blood</td><td>4.5</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Blood</td><td>106.0</td><td>98 - 110</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td>27.1</td><td>22 - 29</td><td>mmol/L</td></tr><tr><td>Cholesterol [Mass/volume] in Serum or Plasma</td><td><strong>212.2 H</strong></td><td>125 - 200</td><td>mg/dL</td></tr><tr><td>Triglyceride [Mass/volume] in Serum or Plasma</td><td>146.9</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>133.0 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>49.9</td><td>40 - 60</td><td>mg/dL</td></tr></tbody></table></div>"
                },
                "title": "Chemistry"
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                  "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Urinalysis</h3><table class=\"hl7__eu__lab__report\"><thead><tr><th>Test</th><th>27-NOV-2020</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Urine by Test strip</td><td><strong>2.1 H</strong></td><td>0 - 0</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>0.4</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>4.3</td><td>0 - 20</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>6.7</td><td>5.0 - 8.0</td><td>pH</td></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td><strong>322.2 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>"
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                  "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>27-NOV-2020</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>"
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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 significant renal impairment (elevated creatinine), hypoglycemia, and low HbA1c. Urinalysis reveals marked proteinuria, glucosuria, low specific gravity, and abnormal urine appearance, suggesting nephrotic syndrome or diabetic nephropathy, though diabetes control appears tight or overcorrected. Dyslipidemia is present (high total and LDL cholesterol). Recommend urgent nephrology evaluation and review of glycemic management.</td></tr></table></div>"
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              "display": "SYNDERAI Synthetic data"
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          ],
          "profile": [
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        },
        "identifier": [
          {
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                {
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            "system": "http://ec.europa.eu/identifier/eci",
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          {
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                {
                  "code": "MR",
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
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              ]
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            "system": "http://local.setting.eu/identifier",
            "value": "ea91d0bd-b06d-03f2-3cd0-b401630c04cf"
          }
        ],
        "name": [
          {
            "given": [
              "Angela"
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            "family": "Bauer",
            "text": "Angela Bauer"
          }
        ],
        "address": [
          {
            "line": [
              "Kalina-Baumgartner-Gasse 8/9"
            ],
            "use": "home",
            "type": "physical",
            "postalCode": "6240",
            "city": "Rattenberg",
            "country": "Austria"
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "(06235) 28231 921"
          }
        ],
        "extension": [
          {
            "extension": [
              {
                "url": "code",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "code": "AT",
                      "system": "urn:iso:std:iso:3166"
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                  ]
                }
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality"
          }
        ],
        "text": {
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Angela Bauer</td><td>female</td><td>08-Dec-1968</td></tr></table></div>"
        },
        "gender": "female",
        "birthDate": "1968-12-08"
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    },
    {
      "fullUrl": "urn:uuid:6c7d4dee-a383-401c-9548-c97fb787f860",
      "resource": {
        "resourceType": "ServiceRequest",
        "id": "6c7d4dee-a383-401c-9548-c97fb787f860",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/laboratory/StructureDefinition/ServiceRequest-eu-lab"
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        },
        "identifier": [
          {
            "system": "http://example.org",
            "value": "6a6d8cc3-4506-4bdf-bd52-0db5765dc9b3"
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        "specimen": [
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            "reference": "urn:uuid:18287216-813f-4159-a3f9-c8158b209705"
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          {
            "reference": "urn:uuid:26033831-cc5e-4681-896b-5a425e2292a8"
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          {
            "reference": "urn:uuid:7b461efc-74b6-4e33-b95e-9a776838cba2"
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        "reasonCode": [
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                "code": "433144002",
                "system": "http://snomed.info/sct",
                "display": "Chronic kidney disease stage 3"
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            ]
          },
          {
            "coding": [
              {
                "code": "157141000119108",
                "system": "http://snomed.info/sct",
                "display": "Proteinuria due to type 2 diabetes mellitus"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "237602007",
                "system": "http://snomed.info/sct",
                "display": "Metabolic syndrome X"
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            ]
          },
          {
            "coding": [
              {
                "code": "239872002",
                "system": "http://snomed.info/sct",
                "display": "Osteoarthritis of hip"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "431856006",
                "system": "http://snomed.info/sct",
                "display": "Chronic kidney disease stage 2"
              }
            ]
          },
          {
            "coding": [
              {
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                "system": "http://snomed.info/sct",
                "display": "Microalbuminuria due to type 2 diabetes mellitus"
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            ]
          },
          {
            "coding": [
              {
                "code": "127013003",
                "system": "http://snomed.info/sct",
                "display": "Disorder of kidney due to diabetes mellitus"
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            ]
          },
          {
            "coding": [
              {
                "code": "431855005",
                "system": "http://snomed.info/sct",
                "display": "Chronic kidney disease stage 1"
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            ]
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          {
            "coding": [
              {
                "code": "59621000",
                "system": "http://snomed.info/sct",
                "display": "Essential hypertension"
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            ]
          }
        ],
        "text": {
          "status": "empty",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">intentionally left empty / not meaningful</div>"
        },
        "status": "active",
        "intent": "order",
        "code": {
          "coding": [
            {
              "code": "108252007",
              "system": "http://snomed.info/sct",
              "display": "Laboratory procedure"
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          ]
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        "subject": {
          "reference": "urn:uuid:81fcfedb-35d8-4733-ae79-5c1c798e715a",
          "display": "Angela Bauer"
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        "requester": {
          "reference": "urn:uuid:1ca12388-b8b8-4b38-b4d3-d71f07ca8bce"
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      "resource": {
        "resourceType": "PractitionerRole",
        "id": "1ca12388-b8b8-4b38-b4d3-d71f07ca8bce",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu"
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        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provider Role Id: 1ca12388-b8b8-4b38-b4d3-d71f07ca8bce</div>"
        },
        "organization": {
          "reference": "urn:uuid:7dca0cc2-dfaf-4a56-b315-9b7152a183a8"
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            "http://hl7.eu/fhir/base/StructureDefinition/organization-eu"
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        "identifier": [
          {
            "assigner": {
              "display": "HL7 Europe"
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            "system": "urn:oid:2.16.840.1.113883.2.51.999",
            "value": "a0d6b684-7285-4869-a2b6-7d23cdb40307"
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          {
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              "Karl-Mauracher-Weg 26"
            ],
            "city": "Fügen",
            "postalCode": "6263",
            "country": "Austria"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provider Organization: Dr. Gerald Mair</div>"
        },
        "name": "Dr. Gerald Mair"
      }
    },
    {
      "fullUrl": "urn:uuid:18287216-813f-4159-a3f9-c8158b209705",
      "resource": {
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            "http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab"
          ]
        },
        "collection": {
          "collectedDateTime": "2020-11-27"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Specimen</th><th>Collection Date</th></tr><tr><td>Acellular blood (serum or plasma) specimen</td><td><span class=\"nb\">27-Nov-2020</span></td></tr></table></div>"
        },
        "type": {
          "coding": [
            {
              "code": "122592007",
              "system": "http://snomed.info/sct",
              "display": "Acellular blood (serum or plasma) specimen"
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    {
      "fullUrl": "urn:uuid:26033831-cc5e-4681-896b-5a425e2292a8",
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            "http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab"
          ]
        },
        "collection": {
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        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Specimen</th><th>Collection Date</th></tr><tr><td>Urine specimen</td><td><span class=\"nb\">27-Nov-2020</span></td></tr></table></div>"
        },
        "type": {
          "coding": [
            {
              "code": "122575003",
              "system": "http://snomed.info/sct",
              "display": "Urine specimen"
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    {
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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>Specimen</th><th>Collection Date</th></tr><tr><td>Whole blood specimen (specimen)</td><td><span class=\"nb\">27-Nov-2020</span></td></tr></table></div>"
        },
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            {
              "code": "258580003",
              "system": "http://snomed.info/sct",
              "display": "Whole blood specimen (specimen)"
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          ]
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    {
      "fullUrl": "urn:uuid:0e3e90af-7953-4839-a977-c4b568b5261e",
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            {
              "code": "2345-7",
              "system": "http://loinc.org",
              "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": 64.1,
          "unit": "mg/dL",
          "code": "mg/dL"
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            "high": {
              "value": 100,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            }
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        "interpretation": [
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              {
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                "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>27-Nov-2020</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Glucose [Mass/volume] in Serum or Plasma</td><td>64.1</td><td>70 - 100</td><td>L</td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
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          "display": "Angela Bauer"
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        "effectiveDateTime": "2020-11-27T11:23:19Z",
        "specimen": {
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    {
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            "http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"
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        "category": [
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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"
        },
        "valueQuantity": {
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          "value": 12.9,
          "unit": "mg/dL",
          "code": "mg/dL"
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              "value": 20,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "text": {
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        },
        "status": "final",
        "subject": {
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        "effectiveDateTime": "2020-11-27T11:23:19Z",
        "specimen": {
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    {
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        "code": {
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              "code": "2160-0",
              "system": "http://loinc.org",
              "display": "Creatinine [Mass/volume] in Serum or Plasma"
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          ],
          "text": "Creatinine [Mass/volume] in Serum or Plasma"
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        "valueQuantity": {
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          "value": 2.1,
          "unit": "mg/dL",
          "code": "mg/dL"
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              "value": 0.5,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
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            "high": {
              "value": 1.1,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
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        ],
        "text": {
          "status": "generated",
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        "status": "final",
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          "display": "Angela Bauer"
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        "effectiveDateTime": "2020-11-27T11:23:19Z",
        "specimen": {
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    {
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        "category": [
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        "code": {
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            {
              "code": "17861-6",
              "system": "http://loinc.org",
              "display": "Calcium [Mass/volume] in Serum or Plasma"
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          ],
          "text": "Calcium [Mass/volume] in Serum or Plasma"
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        "valueQuantity": {
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          "value": 9.1,
          "unit": "mg/dL",
          "code": "mg/dL"
        },
        "referenceRange": [
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              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 10.2,
              "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>27-Nov-2020</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Calcium [Mass/volume] in Serum or Plasma</td><td>9.1</td><td>8.6 - 10.2</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:81fcfedb-35d8-4733-ae79-5c1c798e715a",
          "display": "Angela Bauer"
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        "effectiveDateTime": "2020-11-27T11:23:19Z",
        "specimen": {
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      }
    },
    {
      "fullUrl": "urn:uuid:7e72cf30-d4d6-4ebf-8358-f7664b95bacb",
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        "category": [
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        ],
        "performer": [
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        "code": {
          "coding": [
            {
              "code": "2951-2",
              "system": "http://loinc.org",
              "display": "Sodium [Moles/volume] in Serum or Plasma"
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          ],
          "text": "Sodium [Moles/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 143.5,
          "unit": "mmol/L",
          "code": "mmol/L"
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        "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>27-Nov-2020</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Sodium [Moles/volume] in Serum or Plasma</td><td>143.5</td><td>135 - 145</td><td></td><td>mmol/L</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:81fcfedb-35d8-4733-ae79-5c1c798e715a",
          "display": "Angela Bauer"
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        "effectiveDateTime": "2020-11-27T11:23:19Z",
        "specimen": {
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      }
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    {
      "fullUrl": "urn:uuid:0fb31c88-2e85-427e-93d0-86b459063458",
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              "code": "2823-3",
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          ],
          "text": "Appearance of Urine"
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          ],
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              "code": "5778-6",
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          "text": "Ketones [Presence] in Urine by Test strip"
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              "code": "5803-2",
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          "value": 322.2,
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              "display": "Leukocyte esterase [Presence] in Urine by Test strip"
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          ],
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              "display": "Hemoglobin A1c/Hemoglobin.total in Blood"
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          ],
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          ],
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        },
        "referenceRange": [
          {
            "low": {
              "value": 70,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 100,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "interpretation": [
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            "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>27-Nov-2020</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Glucose [Mass/volume] in Blood</td><td>64.1</td><td>70 - 100</td><td>L</td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:81fcfedb-35d8-4733-ae79-5c1c798e715a",
          "display": "Angela Bauer"
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        "effectiveDateTime": "2020-11-27T11:23:19Z",
        "specimen": {
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      "fullUrl": "urn:uuid:917bf678-508e-4108-9943-92329fbec4ae",
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        "id": "917bf678-508e-4108-9943-92329fbec4ae",
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          "profile": [
            "http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"
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        "category": [
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            "coding": [
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                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
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            ]
          }
        ],
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          {
            "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": 12.9,
          "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>27-Nov-2020</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Urea nitrogen [Mass/volume] in Blood</td><td>12.9</td><td>7 - 20</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
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          "display": "Angela Bauer"
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        "effectiveDateTime": "2020-11-27T11:23:19Z",
        "specimen": {
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        "id": "504bdece-e11f-4941-a704-e84e13bd564c",
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        "category": [
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                "code": "laboratory",
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            ]
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        ],
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        ],
        "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": 2,
          "unit": "mg/dL",
          "code": "mg/dL"
        },
        "referenceRange": [
          {
            "low": {
              "value": 0.5,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 1.1,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
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          }
        ],
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            "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>27-Nov-2020</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Creatinine [Mass/volume] in Blood</td><td>2.0</td><td>0.5 - 1.1</td><td>H</td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
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          "display": "Angela Bauer"
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        "effectiveDateTime": "2020-11-27T11:23:19Z",
        "specimen": {
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    {
      "fullUrl": "urn:uuid:2041eb14-3833-407a-90ee-4e72e52003f9",
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        "id": "2041eb14-3833-407a-90ee-4e72e52003f9",
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        },
        "category": [
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                "code": "laboratory",
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        ],
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        ],
        "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": 9.1,
          "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>27-Nov-2020</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Calcium [Mass/volume] in Blood</td><td>9.1</td><td>8.5 - 10.5</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:81fcfedb-35d8-4733-ae79-5c1c798e715a",
          "display": "Angela Bauer"
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        "effectiveDateTime": "2020-11-27T11:23:19Z",
        "specimen": {
          "reference": "urn:uuid:7b461efc-74b6-4e33-b95e-9a776838cba2"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:541fd94d-7ad0-4871-b1cc-dd6847db718f",
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        "id": "541fd94d-7ad0-4871-b1cc-dd6847db718f",
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        },
        "category": [
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            "coding": [
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                "code": "laboratory",
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        ],
        "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": 143.5,
          "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>27-Nov-2020</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Sodium [Moles/volume] in Blood</td><td>143.5</td><td>135 - 145</td><td></td><td>mmol/L</td></tr></table></div>"
        },
        "status": "final",
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          "reference": "urn:uuid:81fcfedb-35d8-4733-ae79-5c1c798e715a",
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        "effectiveDateTime": "2020-11-27T11:23:19Z",
        "specimen": {
          "reference": "urn:uuid:7b461efc-74b6-4e33-b95e-9a776838cba2"
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    {
      "fullUrl": "urn:uuid:48c6fabd-54e9-4ff4-8111-664140ac5ab6",
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        "id": "48c6fabd-54e9-4ff4-8111-664140ac5ab6",
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        "category": [
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                "code": "laboratory",
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        ],
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            "display": "The Central European Lab"
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        ],
        "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": 4.5,
          "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>27-Nov-2020</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Potassium [Moles/volume] in Blood</td><td>4.5</td><td>3.5 - 5.1</td><td></td><td>mmol/L</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:81fcfedb-35d8-4733-ae79-5c1c798e715a",
          "display": "Angela Bauer"
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        "effectiveDateTime": "2020-11-27T11:23:19Z",
        "specimen": {
          "reference": "urn:uuid:7b461efc-74b6-4e33-b95e-9a776838cba2"
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      }
    },
    {
      "fullUrl": "urn:uuid:97f6f38a-0ee1-4106-a4bf-8fa7a6ca7f1f",
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        "resourceType": "Observation",
        "id": "97f6f38a-0ee1-4106-a4bf-8fa7a6ca7f1f",
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        },
        "category": [
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            "coding": [
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                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
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            ]
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        ],
        "performer": [
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        ],
        "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": 106,
          "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>27-Nov-2020</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Chloride [Moles/volume] in Blood</td><td>106.0</td><td>98 - 110</td><td></td><td>mmol/L</td></tr></table></div>"
        },
        "status": "final",
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          "reference": "urn:uuid:81fcfedb-35d8-4733-ae79-5c1c798e715a",
          "display": "Angela Bauer"
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        "effectiveDateTime": "2020-11-27T11:23:19Z",
        "specimen": {
          "reference": "urn:uuid:7b461efc-74b6-4e33-b95e-9a776838cba2"
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      }
    },
    {
      "fullUrl": "urn:uuid:2042c202-037c-4385-8783-bb1880e8a6c6",
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        "id": "2042c202-037c-4385-8783-bb1880e8a6c6",
        "meta": {
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        },
        "category": [
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                "code": "laboratory",
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            ]
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        ],
        "performer": [
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            "display": "The Central European Lab"
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        ],
        "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": 27.1,
          "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"
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>27-Nov-2020</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td>27.1</td><td>22 - 29</td><td></td><td>mmol/L</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:81fcfedb-35d8-4733-ae79-5c1c798e715a",
          "display": "Angela Bauer"
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        "effectiveDateTime": "2020-11-27T11:23:19Z",
        "specimen": {
          "reference": "urn:uuid:7b461efc-74b6-4e33-b95e-9a776838cba2"
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      }
    },
    {
      "fullUrl": "urn:uuid:004e2ae6-d765-4bc1-bfc8-fc5083aa0e3c",
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        "resourceType": "Observation",
        "id": "004e2ae6-d765-4bc1-bfc8-fc5083aa0e3c",
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        "category": [
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                "code": "laboratory",
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        ],
        "performer": [
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        ],
        "code": {
          "coding": [
            {
              "code": "2093-3",
              "system": "http://loinc.org",
              "display": "Cholesterol [Mass/volume] in Serum or Plasma"
            }
          ],
          "text": "Cholesterol [Mass/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 212.2,
          "unit": "mg/dL",
          "code": "mg/dL"
        },
        "referenceRange": [
          {
            "low": {
              "value": 125,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 200,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
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          }
        ],
        "interpretation": [
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            "coding": [
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                "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>27-Nov-2020</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Cholesterol [Mass/volume] in Serum or Plasma</td><td>212.2</td><td>125 - 200</td><td>H</td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
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        "effectiveDateTime": "2020-11-27T11:23:19Z",
        "specimen": {
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    {
      "fullUrl": "urn:uuid:506699a0-7291-46a7-b5ed-ec97b0a3b0e4",
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        "id": "506699a0-7291-46a7-b5ed-ec97b0a3b0e4",
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        "category": [
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                "code": "laboratory",
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            ]
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        ],
        "performer": [
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            "display": "The Central European Lab"
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        ],
        "code": {
          "coding": [
            {
              "code": "2571-8",
              "system": "http://loinc.org",
              "display": "Triglyceride [Mass/volume] in Serum or Plasma"
            }
          ],
          "text": "Triglyceride [Mass/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 146.9,
          "unit": "mg/dL",
          "code": "mg/dL"
        },
        "referenceRange": [
          {
            "low": {
              "value": 0,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 150,
              "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>27-Nov-2020</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Triglyceride [Mass/volume] in Serum or Plasma</td><td>146.9</td><td>0 - 150</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:81fcfedb-35d8-4733-ae79-5c1c798e715a",
          "display": "Angela Bauer"
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        "effectiveDateTime": "2020-11-27T11:23:19Z",
        "specimen": {
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      }
    },
    {
      "fullUrl": "urn:uuid:5af80cec-28c0-4c74-bc75-fb3d8a8a07c2",
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        "resourceType": "Observation",
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        "category": [
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            "display": "The Central European Lab"
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        ],
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          "coding": [
            {
              "code": "18262-6",
              "system": "http://loinc.org",
              "display": "Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay"
            }
          ],
          "text": "Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 133,
          "unit": "mg/dL",
          "code": "mg/dL"
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              "value": 0,
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            },
            "high": {
              "value": 100,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
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            "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>27-Nov-2020</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay</td><td>133.0</td><td>0 - 100</td><td>H</td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:81fcfedb-35d8-4733-ae79-5c1c798e715a",
          "display": "Angela Bauer"
        },
        "effectiveDateTime": "2020-11-27T11:23:19Z",
        "specimen": {
          "reference": "urn:uuid:18287216-813f-4159-a3f9-c8158b209705"
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    },
    {
      "fullUrl": "urn:uuid:486abd42-11f4-4499-a4d2-c0c3ca1be42d",
      "resource": {
        "resourceType": "Observation",
        "id": "486abd42-11f4-4499-a4d2-c0c3ca1be42d",
        "meta": {
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            "http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"
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        "category": [
          {
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              {
                "code": "laboratory",
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            ]
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        ],
        "performer": [
          {
            "display": "The Central European Lab"
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        ],
        "code": {
          "coding": [
            {
              "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": 49.9,
          "unit": "mg/dL",
          "code": "mg/dL"
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            },
            "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>27-Nov-2020</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Cholesterol in HDL [Mass/volume] in Serum or Plasma</td><td>49.9</td><td>40 - 60</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:81fcfedb-35d8-4733-ae79-5c1c798e715a",
          "display": "Angela Bauer"
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        "effectiveDateTime": "2020-11-27T11:23:19Z",
        "specimen": {
          "reference": "urn:uuid:18287216-813f-4159-a3f9-c8158b209705"
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      }
    },
    {
      "fullUrl": "urn:uuid:d7eaa39c-1317-428a-a36e-26ea292c6b9d",
      "resource": {
        "resourceType": "Device",
        "id": "d7eaa39c-1317-428a-a36e-26ea292c6b9d",
        "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:5d7ceb91-7481-4231-94c9-0668caff893d",
      "resource": {
        "resourceType": "Provenance",
        "id": "5d7ceb91-7481-4231-94c9-0668caff893d",
        "target": [
          {
            "reference": "urn:uuid:81fcfedb-35d8-4733-ae79-5c1c798e715a"
          },
          {
            "reference": "urn:uuid:d7510965-f5e1-41fa-a339-7315e3e224af"
          },
          {
            "reference": "urn:uuid:8119bf6f-2077-4e50-b6e4-bd84c80f1fac"
          },
          {
            "reference": "urn:uuid:26ba86aa-fc7c-43a9-b70c-0876a2ce2164"
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          {
            "reference": "urn:uuid:1ca12388-b8b8-4b38-b4d3-d71f07ca8bce"
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          {
            "reference": "urn:uuid:7dca0cc2-dfaf-4a56-b315-9b7152a183a8"
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        ],
        "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:d7eaa39c-1317-428a-a36e-26ea292c6b9d"
            }
          }
        ],
        "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": "2020-11-27T12:23:19Z"
      }
    },
    {
      "fullUrl": "urn:uuid:8119bf6f-2077-4e50-b6e4-bd84c80f1fac",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "8119bf6f-2077-4e50-b6e4-bd84c80f1fac",
        "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: 8119bf6f-2077-4e50-b6e4-bd84c80f1fac</div>"
        },
        "practitioner": {
          "reference": "urn:uuid:26ba86aa-fc7c-43a9-b70c-0876a2ce2164"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:26ba86aa-fc7c-43a9-b70c-0876a2ce2164",
      "resource": {
        "resourceType": "Practitioner",
        "id": "26ba86aa-fc7c-43a9-b70c-0876a2ce2164",
        "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": "7afcc3fe-1bcc-4b85-ae9b-a390533b8d43"
          }
        ],
        "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": "2020-11-27T12:23:19Z"
}