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                    "reference": "urn:uuid:2f393aa6-766f-49f8-b194-b832668f0d6f"
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                    "reference": "urn:uuid:6bf296eb-b6db-4e9a-bd26-35cfdf88f4fd"
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                "text": {
                  "status": "generated",
                  "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Chemistry</h3><table class=\"hl7__eu__lab__report\"><thead><tr><th>Test</th><th>18-AUG-2021</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Blood</td><td><strong>65.5 L</strong></td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Blood</td><td>8.9</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Blood</td><td><strong>3.3 H</strong></td><td>0.6 - 1.3</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Blood</td><td>8.8</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Blood</td><td>143.8</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Blood</td><td>4.6</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Blood</td><td>101.2</td><td>98 - 107</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td>25.1</td><td>22 - 29</td><td>mmol/L</td></tr><tr><td>Protein [Mass/volume] in Serum or Plasma</td><td>7.0</td><td>6.6 - 8.3</td><td>g/dL</td></tr><tr><td>Albumin [Mass/volume] in Serum or Plasma</td><td>5.2</td><td>3.5 - 5.5</td><td>g/dL</td></tr><tr><td>Globulin [Mass/volume] in Serum by calculation</td><td><strong>2.8 L</strong></td><td>25 - 35</td><td>g/L</td></tr><tr><td>Bilirubin.total [Mass/volume] in Serum or Plasma</td><td>0.3</td><td>0.1 - 1.2</td><td>mg/dL</td></tr><tr><td>Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma</td><td>81.5</td><td>30 - 120</td><td>U/L</td></tr><tr><td>Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td><strong>45.4 H</strong></td><td>10 - 40</td><td>U/L</td></tr><tr><td>Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td>24.3</td><td>10 - 40</td><td>U/L</td></tr><tr><td>Ketones [Presence] in Urine by Test strip</td><td>Urine ketone test negative</td><td></td><td></td></tr></tbody></table></div>"
                },
                "title": "Chemistry"
              },
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                      "system": "http://loinc.org",
                      "display": "Urinalysis studies (set)"
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                  "text": "Urinalysis"
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                "text": {
                  "status": "generated",
                  "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Urinalysis</h3><table class=\"hl7__eu__lab__report\"><thead><tr><th>Test</th><th>18-AUG-2021</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>2.0 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>1.1</td><td>0 - 4</td><td>mg/dL</td></tr><tr><td>Bilirubin.total [Presence] in Urine by Test strip</td><td>Finding of bilirubin in urine</td><td></td><td></td></tr><tr><td>Ketones [Mass/volume] in Urine by Test strip</td><td><strong>6.9 H</strong></td><td>0 - 4</td><td>mg/dL</td></tr><tr><td>Specific gravity of Urine by Test strip</td><td><strong>1.0 L</strong></td><td>1.005 - 1.030</td><td>{nominal}</td></tr><tr><td>pH of Urine by Test strip</td><td>6.7</td><td>5.5 - 7.0</td><td>pH</td></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td><strong>443.0 H</strong></td><td>0 - 20</td><td>mg/dL</td></tr><tr><td>Protein [Presence] in Urine by Test strip</td><td>Urine protein test = +++</td><td></td><td></td></tr><tr><td>Nitrite [Presence] in Urine by Test strip</td><td>Urine nitrite negative</td><td></td><td></td></tr><tr><td>Hemoglobin [Presence] in Urine by Test strip</td><td>Urine blood test = negative</td><td></td><td></td></tr><tr><td>Leukocyte esterase [Presence] in Urine by Test strip</td><td>Urine leukocyte test negative</td><td></td><td></td></tr></tbody></table></div>"
                },
                "title": "Urinalysis"
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              {
                "code": {
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                      "system": "http://loinc.org",
                      "display": "Specimen information"
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                  "text": "Specimen information"
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                "entry": [
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                    "reference": "urn:uuid:803dbf17-ffc1-41c3-884c-d807f900477a"
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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>18-AUG-2021</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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            "title": "Laboratory Report"
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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 results indicate significant renal impairment (markedly elevated creatinine, proteinuria, low urine specific gravity), mild hypoglycemia, and mild transaminitis (elevated ALT). Urinalysis shows glucosuria, ketonuria, and proteinuria with brown, cloudy urine but no evidence of infection. These findings are suggestive of acute or chronic kidney disease, possibly with nephrotic-range proteinuria, and possible underlying metabolic disturbance (e.g., diabetes with poor glycemic control or ketoacidosis). Immediate clinical correlation and nephrology evaluation are recommended.</td></tr></table></div>"
            },
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        "status": "final",
        "subject": {
          "reference": "urn:uuid:8419e88c-9def-43e3-a79b-228b77775bfb",
          "display": "Atenulf Sorrentino"
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        "date": "2021-08-18T21:49:19Z",
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            "reference": "urn:uuid:1d8353a8-fc74-4d82-bbdf-10df05444a65"
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          {
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        "text": {
          "status": "empty",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">intentionally left empty / not meaningful</div>"
        },
        "status": "registered",
        "code": {
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              "code": "11502-2",
              "system": "http://loinc.org",
              "display": "Laboratory report"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:8419e88c-9def-43e3-a79b-228b77775bfb",
          "display": "Atenulf Sorrentino"
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    },
    {
      "fullUrl": "urn:uuid:8419e88c-9def-43e3-a79b-228b77775bfb",
      "resource": {
        "resourceType": "Patient",
        "id": "8419e88c-9def-43e3-a79b-228b77775bfb",
        "meta": {
          "security": [
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              "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
              "code": "HTEST"
            },
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
              "code": "TRAIN"
            }
          ],
          "tag": [
            {
              "system": "https://synderai.net/fhir/CodeSystem/tags",
              "code": "synthetic",
              "display": "SYNDERAI Synthetic data"
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          ],
          "profile": [
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        "identifier": [
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            "system": "http://ec.europa.eu/identifier/eci",
            "value": "5852-163953-2"
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                  "code": "MR",
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              ]
            },
            "system": "http://local.setting.eu/identifier",
            "value": "952535d8-ee60-c1a3-3648-121dcc401078"
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        ],
        "name": [
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            "given": [
              "Atenulf"
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            "family": "Sorrentino",
            "text": "Atenulf Sorrentino"
          }
        ],
        "address": [
          {
            "line": [
              "Incrocio Passalacqua, 412"
            ],
            "use": "home",
            "type": "physical",
            "postalCode": "09010",
            "city": "Domusnovas Canales",
            "country": "Italy"
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "3438458994"
          }
        ],
        "extension": [
          {
            "extension": [
              {
                "url": "code",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "code": "IT",
                      "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>Atenulf Sorrentino</td><td>male</td><td>29-Aug-1965</td></tr></table></div>"
        },
        "gender": "male",
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              "display": "Potassium [Moles/volume] in Blood"
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          "text": "Potassium [Moles/volume] in Blood"
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          "value": 4.6,
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              "display": "Globulin [Mass/volume] in Serum by calculation"
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          "value": 2.8,
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        "code": {
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              "code": "1975-2",
              "system": "http://loinc.org",
              "display": "Bilirubin.total [Mass/volume] in Serum or Plasma"
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          "text": "Bilirubin.total [Mass/volume] in Serum or Plasma"
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          "value": 0.3,
          "unit": "mg/dL",
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              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
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            "high": {
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              "system": "http://unitsofmeasure.org"
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              "display": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
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          "value": 81.5,
          "unit": "U/L",
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        },
        "status": "final",
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        "code": {
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              "code": "1742-6",
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              "display": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
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          ],
          "text": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
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        "valueQuantity": {
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          "value": 45.4,
          "unit": "U/L",
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        ],
        "text": {
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        },
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        "specimen": {
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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": 24.3,
          "unit": "U/L",
          "code": "U/L"
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        ],
        "text": {
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        },
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        "code": {
          "coding": [
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              "code": "5767-9",
              "system": "http://loinc.org",
              "display": "Appearance of Urine"
            }
          ],
          "text": "Appearance of Urine"
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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>18-Aug-2021</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Appearance of Urine</td><td>Cloudy urine</td></tr></table></div>"
        },
        "status": "final",
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        "effectiveDateTime": "2021-08-18T19:49:19Z",
        "valueCodeableConcept": {
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              "display": "Cloudy urine"
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              "code": "5804-0",
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              "display": "Protein [Mass/volume] in Urine by Test strip"
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          "text": "Protein [Mass/volume] in Urine by Test strip"
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          "value": 443,
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          "text": "Protein [Presence] in Urine by Test strip"
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        },
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        "code": {
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              "code": "5802-4",
              "system": "http://loinc.org",
              "display": "Nitrite [Presence] in Urine by Test strip"
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          ],
          "text": "Nitrite [Presence] in Urine by Test strip"
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              "display": "Urine nitrite negative"
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        "code": {
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              "code": "5794-3",
              "system": "http://loinc.org",
              "display": "Hemoglobin [Presence] in Urine by Test strip"
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          ],
          "text": "Hemoglobin [Presence] in Urine by Test strip"
        },
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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>18-Aug-2021</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Hemoglobin [Presence] in Urine by Test strip</td><td>Urine blood test = negative</td></tr></table></div>"
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        "code": {
          "coding": [
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              "code": "5799-2",
              "system": "http://loinc.org",
              "display": "Leukocyte esterase [Presence] in Urine by Test strip"
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          "text": "Leukocyte esterase [Presence] in Urine by Test strip"
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>18-Aug-2021</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Leukocyte esterase [Presence] in Urine by Test strip</td><td>Urine leukocyte test negative</td></tr></table></div>"
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      "fullUrl": "urn:uuid:d0a6d7eb-241e-4e89-96a4-bdc2d57b5fe7",
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        "id": "d0a6d7eb-241e-4e89-96a4-bdc2d57b5fe7",
        "deviceName": [
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            "name": "SYNDERAI Synthetic Generator",
            "type": "manufacturer-name"
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            "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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              "display": "create"
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          ],
          "text": "Synthetic Example Data Generation"
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        "agent": [
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                "display": "training"
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            ],
            "text": "Interoperability Testing and Training (non-clinical use)"
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provenance for SYNDERAI Synthetic Example Data Resource</div>"
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          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Laboratory Role Id: f59c136b-5124-40b9-9a3b-f0345e1b54b4</div>"
        },
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            "family": "Ample"
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              "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>"
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  ],
  "type": "document",
  "timestamp": "2021-08-18T21:49:19Z"
}