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                  "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Hematology</h3><table class=\"hl7__eu__lab__report\"><thead><tr><th>Test</th><th>11-MAY-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Leukocytes [#/volume] in Blood by Automated count</td><td>6.0</td><td>4.0 - 11.0</td><td>10*3/uL</td></tr><tr><td>Erythrocytes [#/volume] in Blood by Automated count</td><td>4.7</td><td>4.2 - 5.6</td><td>10*6/uL</td></tr><tr><td>Hemoglobin [Mass/volume] in Blood</td><td>14.1</td><td>13.5 - 17.5</td><td>g/dL</td></tr><tr><td>Hematocrit [Volume Fraction] of Blood by Automated count</td><td>44.4</td><td>37 - 49</td><td>%</td></tr><tr><td>MCV [Entitic mean volume] in Red Blood Cells by Automated count</td><td>94.6</td><td>80 - 100</td><td>fL</td></tr><tr><td>MCH [Entitic mass] by Automated count</td><td>32.4</td><td>27 - 33</td><td>pg</td></tr><tr><td>MCHC [Entitic Mass/volume] in Red Blood Cells by Automated count</td><td>34.6</td><td>32 - 36</td><td>g/dL</td></tr><tr><td>Erythrocyte [DistWidth] in Blood by Automated count</td><td>13.6</td><td>11.5 - 16.5</td><td>%</td></tr><tr><td>Platelets [#/volume] in Blood by Automated count</td><td>377.7</td><td>150 - 450</td><td>10*3/uL</td></tr></tbody></table></div>"
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                  "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Chemistry</h3><table class=\"hl7__eu__lab__report\"><thead><tr><th>Test</th><th>11-MAY-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Serum or Plasma</td><td>97.4</td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Serum or Plasma</td><td>7.1</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Serum or Plasma</td><td><strong>2.8 H</strong></td><td>0.6 - 1.2</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Serum or Plasma</td><td>10.1</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Serum or Plasma</td><td>139.6</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Serum or Plasma</td><td><strong>5.2 H</strong></td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Serum or Plasma</td><td><strong>110.1 H</strong></td><td>98 - 107</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Serum or Plasma</td><td>23.3</td><td>22 - 32</td><td>mmol/L</td></tr><tr><td>Protein [Mass/volume] in Serum or Plasma</td><td>7.8</td><td>6.0 - 8.3</td><td>g/dL</td></tr><tr><td>Albumin [Mass/volume] in Serum or Plasma</td><td>4.2</td><td>3.5 - 5.5</td><td>g/dL</td></tr><tr><td>Bilirubin.total [Mass/volume] in Serum or Plasma</td><td><strong>7.2 H</strong></td><td>0.3 - 1.2</td><td>mg/dL</td></tr><tr><td>Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma</td><td>90.1</td><td>39 - 117</td><td>U/L</td></tr><tr><td>Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td>32.2</td><td>10 - 40</td><td>U/L</td></tr><tr><td>Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td>23.9</td><td>10 - 40</td><td>U/L</td></tr><tr><td>Magnesium [Mass/volume] in Serum or Plasma</td><td>2.1</td><td>1.7 - 2.3</td><td>mg/dL</td></tr><tr><td>Phosphate [Mass/volume] in Serum or Plasma</td><td>4.4</td><td>2.5 - 4.5</td><td>mg/dL</td></tr><tr><td>pH of Arterial blood</td><td><strong>7.1 L</strong></td><td>7.35 - 7.45</td><td>[pH]</td></tr><tr><td>Carbon dioxide [Partial pressure] in Arterial blood</td><td>35.9</td><td>35 - 45</td><td>mm[Hg]</td></tr><tr><td>Oxygen [Partial pressure] in Arterial blood</td><td>92.0</td><td>75 - 100</td><td>mm[Hg]</td></tr><tr><td>Bicarbonate [Moles/volume] in Arterial blood</td><td>24.4</td><td>22 - 28</td><td>mmol/L</td></tr><tr><td>Oxygen saturation in Arterial blood</td><td><strong>91.0 L</strong></td><td>95.0 - 100.0</td><td>%</td></tr><tr><td>Cholesterol [Mass/volume] in Serum or Plasma</td><td><strong>205.4 H</strong></td><td>125 - 200</td><td>mg/dL</td></tr><tr><td>Triglyceride [Mass/volume] in Serum or Plasma</td><td>107.3</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>123.9 H</strong></td><td>0 - 100</td><td>mg/dL</td></tr><tr><td>Cholesterol in HDL [Mass/volume] in Serum or Plasma</td><td>60.0</td><td>40 - 60</td><td>mg/dL</td></tr></tbody></table></div>"
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                  "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Coagulation</h3><table class=\"hl7__eu__lab__report\"><thead><tr><th>Test</th><th>11-MAY-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Prothrombin time (PT)</td><td>11.5</td><td>9.4 - 12.5</td><td>s</td></tr><tr><td>INR in Platelet poor plasma by Coagulation assay</td><td>0.9</td><td>0.9 - 1.1</td><td>{INR}</td></tr><tr><td>aPTT in Blood by Coagulation assay</td><td>28.8</td><td>25 - 35</td><td>s</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 dysfunction (elevated creatinine, mild hyperkalemia), marked hyperbilirubinemia, mild hyperchloremia, metabolic acidosis (low pH, low O2 saturation), and dyslipidemia (high total and LDL cholesterol). Liver enzymes are normal. Hematology and coagulation are within normal limits. Findings suggest acute or chronic kidney injury with possible secondary metabolic and respiratory disturbances; urgent clinical evaluation is recommended.</td></tr></table></div>"
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            "http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core"
          ]
        },
        "identifier": [
          {
            "type": {
              "coding": [
                {
                  "code": "JHN",
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
                }
              ]
            },
            "system": "http://ec.europa.eu/identifier/eci",
            "value": "3376-612163-7"
          },
          {
            "type": {
              "coding": [
                {
                  "code": "MR",
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
                }
              ]
            },
            "system": "http://local.setting.eu/identifier",
            "value": "8e2c4509-b594-9ec4-42db-847eccf28678"
          }
        ],
        "name": [
          {
            "given": [
              "Tom"
            ],
            "family": "Hayward",
            "text": "Tom Hayward"
          }
        ],
        "address": [
          {
            "line": [
              "391 Dean locks"
            ],
            "use": "home",
            "type": "physical",
            "postalCode": "M1",
            "city": "Manchester",
            "country": "United Kingdom"
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "+44(0)808 1570544"
          }
        ],
        "extension": [
          {
            "extension": [
              {
                "url": "code",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "code": "GB",
                      "system": "urn:iso:std:iso:3166"
                    }
                  ]
                }
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Tom Hayward</td><td>male</td><td>07-Apr-1975</td></tr></table></div>"
        },
        "gender": "male",
        "birthDate": "1975-04-07"
      }
    },
    {
      "fullUrl": "urn:uuid:e568cc15-246f-44d5-a363-c1cb1d862bf1",
      "resource": {
        "resourceType": "ServiceRequest",
        "id": "e568cc15-246f-44d5-a363-c1cb1d862bf1",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/laboratory/StructureDefinition/ServiceRequest-eu-lab"
          ]
        },
        "identifier": [
          {
            "system": "http://example.org",
            "value": "6893d524-f702-41a2-b921-72c10381d48c"
          }
        ],
        "specimen": [
          {
            "reference": "urn:uuid:a28a8db2-a723-4764-8ca9-bc0c0726561b"
          },
          {
            "reference": "urn:uuid:95d976bb-d8de-48ae-a6a5-1b5a77ff7d07"
          },
          {
            "reference": "urn:uuid:65337da1-524a-4ee4-a027-e3d7af9ca453"
          },
          {
            "reference": "urn:uuid:dbf5e509-5627-4cf3-9ea2-77155d8ba47b"
          }
        ],
        "reasonCode": [
          {
            "coding": [
              {
                "code": "431857002",
                "system": "http://snomed.info/sct",
                "display": "Chronic kidney disease stage 4"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "433144002",
                "system": "http://snomed.info/sct",
                "display": "Chronic kidney disease stage 3"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "157141000119108",
                "system": "http://snomed.info/sct",
                "display": "Proteinuria due to type 2 diabetes mellitus"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "414545008",
                "system": "http://snomed.info/sct",
                "display": "Ischemic heart disease"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "55822004",
                "system": "http://snomed.info/sct",
                "display": "Hyperlipidemia"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "431856006",
                "system": "http://snomed.info/sct",
                "display": "Chronic kidney disease stage 2"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "90781000119102",
                "system": "http://snomed.info/sct",
                "display": "Microalbuminuria due to type 2 diabetes mellitus"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "127013003",
                "system": "http://snomed.info/sct",
                "display": "Disorder of kidney due to diabetes mellitus"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "431855005",
                "system": "http://snomed.info/sct",
                "display": "Chronic kidney disease stage 1"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "1551000119108",
                "system": "http://snomed.info/sct",
                "display": "Nonproliferative retinopathy due to type 2 diabetes mellitus"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "422034002",
                "system": "http://snomed.info/sct",
                "display": "Retinopathy due to type 2 diabetes mellitus"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "271737000",
                "system": "http://snomed.info/sct",
                "display": "Anemia"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "80394007",
                "system": "http://snomed.info/sct",
                "display": "Hyperglycemia"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "237602007",
                "system": "http://snomed.info/sct",
                "display": "Metabolic syndrome X"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "302870006",
                "system": "http://snomed.info/sct",
                "display": "Hypertriglyceridemia"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "44054006",
                "system": "http://snomed.info/sct",
                "display": "Type 2 diabetes mellitus"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "59621000",
                "system": "http://snomed.info/sct",
                "display": "Essential hypertension"
              }
            ]
          }
        ],
        "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"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:bf28642f-137b-4245-8a7b-5f3bb72b022d",
          "display": "Tom Hayward"
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        "requester": {
          "reference": "urn:uuid:801b1fff-6659-4d53-91e9-6ae139e84996"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:801b1fff-6659-4d53-91e9-6ae139e84996",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "801b1fff-6659-4d53-91e9-6ae139e84996",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provider Role Id: 801b1fff-6659-4d53-91e9-6ae139e84996</div>"
        },
        "organization": {
          "reference": "urn:uuid:9d4b60fd-0428-46fd-8c16-5ca2d71f608c"
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      }
    },
    {
      "fullUrl": "urn:uuid:9d4b60fd-0428-46fd-8c16-5ca2d71f608c",
      "resource": {
        "resourceType": "Organization",
        "id": "9d4b60fd-0428-46fd-8c16-5ca2d71f608c",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/organization-eu"
          ]
        },
        "identifier": [
          {
            "assigner": {
              "display": "HL7 Europe"
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            "system": "urn:oid:2.16.840.1.113883.2.51.999",
            "value": "7bc5e9a6-6893-4f39-bc3f-fb1335872184"
          }
        ],
        "address": [
          {
            "line": [
              "City Road 204"
            ],
            "city": "Manchester",
            "postalCode": "M3 3",
            "country": "United Kingdom"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provider Organization: Cornbrook Medical Practice</div>"
        },
        "name": "Cornbrook Medical Practice"
      }
    },
    {
      "fullUrl": "urn:uuid:a28a8db2-a723-4764-8ca9-bc0c0726561b",
      "resource": {
        "resourceType": "Specimen",
        "id": "a28a8db2-a723-4764-8ca9-bc0c0726561b",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab"
          ]
        },
        "collection": {
          "collectedDateTime": "2019-05-10"
        },
        "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\">10-May-2019</span></td></tr></table></div>"
        },
        "type": {
          "coding": [
            {
              "code": "258580003",
              "system": "http://snomed.info/sct",
              "display": "Whole blood specimen (specimen)"
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          ]
        }
      }
    },
    {
      "fullUrl": "urn:uuid:95d976bb-d8de-48ae-a6a5-1b5a77ff7d07",
      "resource": {
        "resourceType": "Specimen",
        "id": "95d976bb-d8de-48ae-a6a5-1b5a77ff7d07",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab"
          ]
        },
        "collection": {
          "collectedDateTime": "2019-05-10"
        },
        "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\">10-May-2019</span></td></tr></table></div>"
        },
        "type": {
          "coding": [
            {
              "code": "122592007",
              "system": "http://snomed.info/sct",
              "display": "Acellular blood (serum or plasma) specimen"
            }
          ]
        }
      }
    },
    {
      "fullUrl": "urn:uuid:65337da1-524a-4ee4-a027-e3d7af9ca453",
      "resource": {
        "resourceType": "Specimen",
        "id": "65337da1-524a-4ee4-a027-e3d7af9ca453",
        "meta": {
          "profile": [
            "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>Platelet poor plasma specimen</td><td><span class=\"nb\">10-May-2019</span></td></tr></table></div>"
        },
        "type": {
          "coding": [
            {
              "code": "119362004",
              "system": "http://snomed.info/sct",
              "display": "Platelet poor plasma specimen"
            }
          ]
        }
      }
    },
    {
      "fullUrl": "urn:uuid:dbf5e509-5627-4cf3-9ea2-77155d8ba47b",
      "resource": {
        "resourceType": "Specimen",
        "id": "dbf5e509-5627-4cf3-9ea2-77155d8ba47b",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab"
          ]
        },
        "collection": {
          "collectedDateTime": "2019-05-10"
        },
        "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>Arterial blood specimen</td><td><span class=\"nb\">10-May-2019</span></td></tr></table></div>"
        },
        "type": {
          "coding": [
            {
              "code": "122552005",
              "system": "http://snomed.info/sct",
              "display": "Arterial blood specimen"
            }
          ]
        }
      }
    },
    {
      "fullUrl": "urn:uuid:befc1e0c-633e-4218-b66c-10707a19d978",
      "resource": {
        "resourceType": "Observation",
        "id": "befc1e0c-633e-4218-b66c-10707a19d978",
        "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": [
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            "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": 6,
          "unit": "10*3/uL",
          "code": "10*3/uL"
        },
        "referenceRange": [
          {
            "low": {
              "value": 4,
              "code": "10*3/uL",
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            },
            "high": {
              "value": 11,
              "code": "10*3/uL",
              "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>11-May-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Leukocytes [#/volume] in Blood by Automated count</td><td>6.0</td><td>4.0 - 11.0</td><td></td><td>10*3/uL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:bf28642f-137b-4245-8a7b-5f3bb72b022d",
          "display": "Tom Hayward"
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        "effectiveDateTime": "2019-05-10T22:09:41Z",
        "specimen": {
          "reference": "urn:uuid:a28a8db2-a723-4764-8ca9-bc0c0726561b"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:3cc1741a-4201-478d-8479-8b2ad29c850d",
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        "resourceType": "Observation",
        "id": "3cc1741a-4201-478d-8479-8b2ad29c850d",
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            "http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"
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        "category": [
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            ]
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        "performer": [
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            "display": "The Central European Lab"
          }
        ],
        "code": {
          "coding": [
            {
              "code": "789-8",
              "system": "http://loinc.org",
              "display": "Erythrocytes [#/volume] in Blood by Automated count"
            }
          ],
          "text": "Erythrocytes [#/volume] in Blood by Automated count"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 4.7,
          "unit": "10*6/uL",
          "code": "10*6/uL"
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        "referenceRange": [
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              "code": "10*6/uL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 5.6,
              "code": "10*6/uL",
              "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>11-May-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Erythrocytes [#/volume] in Blood by Automated count</td><td>4.7</td><td>4.2 - 5.6</td><td></td><td>10*6/uL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:bf28642f-137b-4245-8a7b-5f3bb72b022d",
          "display": "Tom Hayward"
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        "effectiveDateTime": "2019-05-10T22:09:41Z",
        "specimen": {
          "reference": "urn:uuid:a28a8db2-a723-4764-8ca9-bc0c0726561b"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:e172f5e8-6fb8-46e2-a7b3-020849f29419",
      "resource": {
        "resourceType": "Observation",
        "id": "e172f5e8-6fb8-46e2-a7b3-020849f29419",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"
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        },
        "category": [
          {
            "coding": [
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                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
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            ]
          }
        ],
        "performer": [
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            "display": "The Central European Lab"
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        ],
        "code": {
          "coding": [
            {
              "code": "718-7",
              "system": "http://loinc.org",
              "display": "Hemoglobin [Mass/volume] in Blood"
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          ],
          "text": "Hemoglobin [Mass/volume] in Blood"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 14.1,
          "unit": "g/dL",
          "code": "g/dL"
        },
        "referenceRange": [
          {
            "low": {
              "value": 13.5,
              "code": "g/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 17.5,
              "code": "g/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>11-May-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Hemoglobin [Mass/volume] in Blood</td><td>14.1</td><td>13.5 - 17.5</td><td></td><td>g/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:bf28642f-137b-4245-8a7b-5f3bb72b022d",
          "display": "Tom Hayward"
        },
        "effectiveDateTime": "2019-05-10T22:09:41Z",
        "specimen": {
          "reference": "urn:uuid:a28a8db2-a723-4764-8ca9-bc0c0726561b"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:2b5a2b30-5a11-4092-b482-cddaa4c0b2f9",
      "resource": {
        "resourceType": "Observation",
        "id": "2b5a2b30-5a11-4092-b482-cddaa4c0b2f9",
        "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": "4544-3",
              "system": "http://loinc.org",
              "display": "Hematocrit [Volume Fraction] of Blood by Automated count"
            }
          ],
          "text": "Hematocrit [Volume Fraction] of Blood by Automated count"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 44.4,
          "unit": "%",
          "code": "%"
        },
        "referenceRange": [
          {
            "low": {
              "value": 37,
              "code": "%",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 49,
              "code": "%",
              "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>11-May-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Hematocrit [Volume Fraction] of Blood by Automated count</td><td>44.4</td><td>37 - 49</td><td></td><td>%</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:bf28642f-137b-4245-8a7b-5f3bb72b022d",
          "display": "Tom Hayward"
        },
        "effectiveDateTime": "2019-05-10T22:09:41Z",
        "specimen": {
          "reference": "urn:uuid:a28a8db2-a723-4764-8ca9-bc0c0726561b"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:2c993485-87ab-4006-9724-7be247ff718a",
      "resource": {
        "resourceType": "Observation",
        "id": "2c993485-87ab-4006-9724-7be247ff718a",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"
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        },
        "category": [
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            "coding": [
              {
                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
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            ]
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        ],
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        "code": {
          "coding": [
            {
              "code": "2823-3",
              "system": "http://loinc.org",
              "display": "Potassium [Moles/volume] in Serum or Plasma"
            }
          ],
          "text": "Potassium [Moles/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 5.2,
          "unit": "mmol/L",
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            "high": {
              "value": 5.1,
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          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>11-May-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Potassium [Moles/volume] in Serum or Plasma</td><td>5.2</td><td>3.5 - 5.1</td><td>H</td><td>mmol/L</td></tr></table></div>"
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              "code": "2075-0",
              "system": "http://loinc.org",
              "display": "Chloride [Moles/volume] in Serum or Plasma"
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          ],
          "text": "Chloride [Moles/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 110.1,
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            "high": {
              "value": 107,
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                "display": "High"
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            {
              "code": "2028-9",
              "system": "http://loinc.org",
              "display": "Carbon dioxide, total [Moles/volume] in Serum or Plasma"
            }
          ],
          "text": "Carbon dioxide, total [Moles/volume] in Serum or Plasma"
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        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 23.3,
          "unit": "mmol/L",
          "code": "mmol/L"
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        "referenceRange": [
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              "value": 22,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 32,
              "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>11-May-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Carbon dioxide, total [Moles/volume] in Serum or Plasma</td><td>23.3</td><td>22 - 32</td><td></td><td>mmol/L</td></tr></table></div>"
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        "code": {
          "coding": [
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              "code": "2885-2",
              "system": "http://loinc.org",
              "display": "Protein [Mass/volume] in Serum or Plasma"
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          ],
          "text": "Protein [Mass/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 7.8,
          "unit": "g/dL",
          "code": "g/dL"
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        "referenceRange": [
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            "low": {
              "value": 6,
              "code": "g/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 8.3,
              "code": "g/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>11-May-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Protein [Mass/volume] in Serum or Plasma</td><td>7.8</td><td>6.0 - 8.3</td><td></td><td>g/dL</td></tr></table></div>"
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        "specimen": {
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        "category": [
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        "code": {
          "coding": [
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              "code": "1751-7",
              "system": "http://loinc.org",
              "display": "Albumin [Mass/volume] in Serum or Plasma"
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          ],
          "text": "Albumin [Mass/volume] in Serum or Plasma"
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        "valueQuantity": {
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          "value": 4.2,
          "unit": "g/dL",
          "code": "g/dL"
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            "high": {
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        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>11-May-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Albumin [Mass/volume] in Serum or Plasma</td><td>4.2</td><td>3.5 - 5.5</td><td></td><td>g/dL</td></tr></table></div>"
        },
        "status": "final",
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        "specimen": {
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    {
      "fullUrl": "urn:uuid:dd522d5c-56af-4ff6-a9a6-f282d85a7981",
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        "id": "dd522d5c-56af-4ff6-a9a6-f282d85a7981",
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        ],
        "code": {
          "coding": [
            {
              "code": "1975-2",
              "system": "http://loinc.org",
              "display": "Bilirubin.total [Mass/volume] in Serum or Plasma"
            }
          ],
          "text": "Bilirubin.total [Mass/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 7.2,
          "unit": "mg/dL",
          "code": "mg/dL"
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        "referenceRange": [
          {
            "low": {
              "value": 0.3,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 1.2,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
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                "display": "High"
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            ]
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        ],
        "text": {
          "status": "generated",
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        "code": {
          "coding": [
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              "code": "6768-6",
              "system": "http://loinc.org",
              "display": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
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          ],
          "text": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
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        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 90.1,
          "unit": "U/L",
          "code": "U/L"
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        "referenceRange": [
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            "high": {
              "value": 117,
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              "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>11-May-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma</td><td>90.1</td><td>39 - 117</td><td></td><td>U/L</td></tr></table></div>"
        },
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        "code": {
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              "code": "1742-6",
              "system": "http://loinc.org",
              "display": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
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          "text": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
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        "valueQuantity": {
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          "value": 32.2,
          "unit": "U/L",
          "code": "U/L"
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        "referenceRange": [
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            },
            "high": {
              "value": 40,
              "code": "U/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>11-May-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td>32.2</td><td>10 - 40</td><td></td><td>U/L</td></tr></table></div>"
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        "code": {
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              "code": "1920-8",
              "system": "http://loinc.org",
              "display": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
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          ],
          "text": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
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        "valueQuantity": {
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          "value": 23.9,
          "unit": "U/L",
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        "referenceRange": [
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            "high": {
              "value": 40,
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              "system": "http://unitsofmeasure.org"
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          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>11-May-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td>23.9</td><td>10 - 40</td><td></td><td>U/L</td></tr></table></div>"
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        "code": {
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              "code": "19123-9",
              "system": "http://loinc.org",
              "display": "Magnesium [Mass/volume] in Serum or Plasma"
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          ],
          "text": "Magnesium [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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        "referenceRange": [
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            },
            "high": {
              "value": 2.3,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "text": {
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>11-May-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Magnesium [Mass/volume] in Serum or Plasma</td><td>2.1</td><td>1.7 - 2.3</td><td></td><td>mg/dL</td></tr></table></div>"
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>11-May-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Cholesterol [Mass/volume] in Serum or Plasma</td><td>205.4</td><td>125 - 200</td><td>H</td><td>mg/dL</td></tr></table></div>"
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          "coding": [
            {
              "code": "2571-8",
              "system": "http://loinc.org",
              "display": "Triglyceride [Mass/volume] in Serum or Plasma"
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          "text": "Triglyceride [Mass/volume] in Serum or Plasma"
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        "valueQuantity": {
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          "value": 107.3,
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            "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>11-May-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Triglyceride [Mass/volume] in Serum or Plasma</td><td>107.3</td><td>0 - 150</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
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              "code": "18262-6",
              "system": "http://loinc.org",
              "display": "Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay"
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          ],
          "text": "Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay"
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        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 123.9,
          "unit": "mg/dL",
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            "high": {
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                "code": "H",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "display": "High"
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>11-May-2019</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>123.9</td><td>0 - 100</td><td>H</td><td>mg/dL</td></tr></table></div>"
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        "status": "final",
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        "specimen": {
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    {
      "fullUrl": "urn:uuid:90334e27-8f50-4023-9add-013493efc8b8",
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        "category": [
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        "code": {
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            {
              "code": "2085-9",
              "system": "http://loinc.org",
              "display": "Cholesterol in HDL [Mass/volume] in Serum or Plasma"
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          ],
          "text": "Cholesterol in HDL [Mass/volume] in Serum or Plasma"
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        "valueQuantity": {
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          "value": 60,
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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>11-May-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Cholesterol in HDL [Mass/volume] in Serum or Plasma</td><td>60.0</td><td>40 - 60</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
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          "display": "Tom Hayward"
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        "effectiveDateTime": "2019-05-10T22:09:41Z",
        "specimen": {
          "reference": "urn:uuid:95d976bb-d8de-48ae-a6a5-1b5a77ff7d07"
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    {
      "fullUrl": "urn:uuid:dd40d740-cecb-41c0-a513-b36abb018919",
      "resource": {
        "resourceType": "Device",
        "id": "dd40d740-cecb-41c0-a513-b36abb018919",
        "deviceName": [
          {
            "name": "SYNDERAI Synthetic Generator",
            "type": "manufacturer-name"
          }
        ],
        "version": [
          {
            "value": "5.0"
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        ],
        "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"
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    },
    {
      "fullUrl": "urn:uuid:d756c57e-fcde-4263-acb2-3a2cca457fa2",
      "resource": {
        "resourceType": "Provenance",
        "id": "d756c57e-fcde-4263-acb2-3a2cca457fa2",
        "target": [
          {
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          {
            "reference": "urn:uuid:524594f0-0e86-439a-a741-d24a00e8f9cf"
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          {
            "reference": "urn:uuid:773fc559-84d5-44da-8049-ebc8c036e667"
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            {
              "code": "CREATE",
              "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation",
              "display": "create"
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          ],
          "text": "Synthetic Example Data Generation"
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        "policy": [
          "https://synderai.net/synderai-synthetic-data-policy"
        ],
        "agent": [
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            "type": {
              "coding": [
                {
                  "code": "author",
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                  "display": "Author"
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              ],
              "text": "author"
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        "reason": [
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            "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": "2019-05-11T00:09:41Z"
      }
    },
    {
      "fullUrl": "urn:uuid:773fc559-84d5-44da-8049-ebc8c036e667",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "773fc559-84d5-44da-8049-ebc8c036e667",
        "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: 773fc559-84d5-44da-8049-ebc8c036e667</div>"
        },
        "practitioner": {
          "reference": "urn:uuid:d96784d7-2deb-4be6-8c70-888575a0acce"
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      }
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    {
      "fullUrl": "urn:uuid:d96784d7-2deb-4be6-8c70-888575a0acce",
      "resource": {
        "resourceType": "Practitioner",
        "id": "d96784d7-2deb-4be6-8c70-888575a0acce",
        "meta": {
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            "http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu"
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        },
        "identifier": [
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            "assigner": {
              "display": "HL7 Europe"
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            "system": "urn:oid:2.16.840.1.113883.2.51.999",
            "value": "bc0b9b85-4ae5-4dcd-aaa5-7cbaa83f3aa2"
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        ],
        "name": [
          {
            "prefix": [
              "dr"
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            "given": [
              "Ex"
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            "family": "Ample"
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        ],
        "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": "2019-05-11T00:09:41Z"
}