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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 significantly elevated creatinine and mildly elevated potassium, suggesting impaired renal function. Total CO₂ is slightly low, possibly indicating mild metabolic acidosis. Other parameters, including glucose, liver enzymes, and lipids, are within normal limits. Recommend clinical correlation for renal impairment and consideration of further nephrological evaluation.</td></tr></table></div>"
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            "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality"
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              "display": "Sodium [Moles/volume] in Blood"
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          "value": 143.2,
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              "display": "Potassium [Moles/volume] in Blood"
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          "text": "Potassium [Moles/volume] in Blood"
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        "valueQuantity": {
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          "value": 5.2,
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              "display": "Chloride [Moles/volume] in Blood"
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          "value": 104.4,
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            },
            "high": {
              "value": 107,
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              "display": "Carbon dioxide, total [Moles/volume] in Blood"
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          "value": 21.4,
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        "referenceRange": [
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            "high": {
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              "code": "2885-2",
              "system": "http://loinc.org",
              "display": "Protein [Mass/volume] in Serum or Plasma"
            }
          ],
          "text": "Protein [Mass/volume] in Serum or Plasma"
        },
        "valueQuantity": {
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          "value": 7,
          "unit": "g/dL",
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              "value": 8.3,
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              "system": "http://unitsofmeasure.org"
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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"
        },
        "valueQuantity": {
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          "value": 3.7,
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              "code": "10834-0",
              "system": "http://loinc.org",
              "display": "Globulin [Mass/volume] in Serum by calculation"
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          ],
          "text": "Globulin [Mass/volume] in Serum by calculation"
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          "value": 2.4,
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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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        "valueQuantity": {
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          "value": 0.3,
          "unit": "mg/dL",
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            "high": {
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              "system": "http://unitsofmeasure.org"
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        "text": {
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        },
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              "system": "http://loinc.org",
              "display": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
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          ],
          "text": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
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        "valueQuantity": {
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          "value": 98.1,
          "unit": "U/L",
          "code": "U/L"
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            "high": {
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              "system": "http://unitsofmeasure.org"
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        },
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        "category": [
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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": 46.8,
          "unit": "U/L",
          "code": "U/L"
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        "referenceRange": [
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              "value": 7,
              "code": "U/L",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 56,
              "code": "U/L",
              "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>15-May-2024</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td>46.8</td><td>7 - 56</td><td></td><td>U/L</td></tr></table></div>"
        },
        "status": "final",
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          "display": "Patricia Joubert"
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        "specimen": {
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        "meta": {
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        },
        "category": [
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        ],
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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"
            }
          ],
          "text": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 9.5,
          "unit": "U/L",
          "code": "U/L"
        },
        "referenceRange": [
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            "low": {
              "value": 10,
              "code": "U/L",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
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              "code": "U/L",
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                "display": "Low"
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            ]
          }
        ],
        "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>15-May-2024</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td>9.5</td><td>10 - 40</td><td>L</td><td>U/L</td></tr></table></div>"
        },
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        "category": [
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        ],
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        ],
        "code": {
          "coding": [
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              "code": "2093-3",
              "system": "http://loinc.org",
              "display": "Cholesterol [Mass/volume] in Serum or Plasma"
            }
          ],
          "text": "Cholesterol [Mass/volume] in Serum or Plasma"
        },
        "valueQuantity": {
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          "value": 193.4,
          "unit": "mg/dL",
          "code": "mg/dL"
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        "referenceRange": [
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            },
            "high": {
              "value": 200,
              "code": "mg/dL",
              "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>15-May-2024</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Cholesterol [Mass/volume] in Serum or Plasma</td><td>193.4</td><td>125 - 200</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
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        "category": [
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        ],
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        ],
        "code": {
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              "code": "2571-8",
              "system": "http://loinc.org",
              "display": "Triglyceride [Mass/volume] in Serum or Plasma"
            }
          ],
          "text": "Triglyceride [Mass/volume] in Serum or Plasma"
        },
        "valueQuantity": {
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          "value": 130.6,
          "unit": "mg/dL",
          "code": "mg/dL"
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        "referenceRange": [
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            },
            "high": {
              "value": 149,
              "code": "mg/dL",
              "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>15-May-2024</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Triglyceride [Mass/volume] in Serum or Plasma</td><td>130.6</td><td>0 - 149</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
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    {
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        "category": [
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        ],
        "performer": [
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        ],
        "code": {
          "coding": [
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              "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": {
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          "value": 97.1,
          "unit": "mg/dL",
          "code": "mg/dL"
        },
        "referenceRange": [
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              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 100,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>15-May-2024</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>97.1</td><td>0 - 100</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
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                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
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        ],
        "performer": [
          {
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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": 52.1,
          "unit": "mg/dL",
          "code": "mg/dL"
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        "referenceRange": [
          {
            "low": {
              "value": 40,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 90,
              "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>15-May-2024</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Cholesterol in HDL [Mass/volume] in Serum or Plasma</td><td>52.1</td><td>40 - 90</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:0f49664f-9dfe-427c-8986-26139eb1ed70",
          "display": "Patricia Joubert"
        },
        "effectiveDateTime": "2024-05-15T06:42:07Z",
        "specimen": {
          "reference": "urn:uuid:b034b173-0ff0-45bd-8cf2-78911136285b"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:1119b87b-ed5c-4614-a297-df467df7a61d",
      "resource": {
        "resourceType": "Device",
        "id": "1119b87b-ed5c-4614-a297-df467df7a61d",
        "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:ddc59f0f-1a54-4540-8e47-18bef091ca72",
      "resource": {
        "resourceType": "Provenance",
        "id": "ddc59f0f-1a54-4540-8e47-18bef091ca72",
        "target": [
          {
            "reference": "urn:uuid:0f49664f-9dfe-427c-8986-26139eb1ed70"
          },
          {
            "reference": "urn:uuid:07c92c4b-d6d5-4b58-bf6d-51a9c574418c"
          },
          {
            "reference": "urn:uuid:0e65ab22-2a07-42f4-8004-db7ff30e10d9"
          },
          {
            "reference": "urn:uuid:d4cf9d30-2275-4ec6-b13c-a8f1a8609d2d"
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          {
            "reference": "urn:uuid:5e2cbf16-a412-416f-8b55-ce227262f6de"
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          {
            "reference": "urn:uuid:b7b7bcb0-41c6-49bb-86bb-32b141675082"
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            {
              "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"
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            "who": {
              "reference": "urn:uuid:1119b87b-ed5c-4614-a297-df467df7a61d"
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        ],
        "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": "2024-05-15T08:42:07Z"
      }
    },
    {
      "fullUrl": "urn:uuid:0e65ab22-2a07-42f4-8004-db7ff30e10d9",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "0e65ab22-2a07-42f4-8004-db7ff30e10d9",
        "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: 0e65ab22-2a07-42f4-8004-db7ff30e10d9</div>"
        },
        "practitioner": {
          "reference": "urn:uuid:d4cf9d30-2275-4ec6-b13c-a8f1a8609d2d"
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      }
    },
    {
      "fullUrl": "urn:uuid:d4cf9d30-2275-4ec6-b13c-a8f1a8609d2d",
      "resource": {
        "resourceType": "Practitioner",
        "id": "d4cf9d30-2275-4ec6-b13c-a8f1a8609d2d",
        "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": "8d755662-fd68-41b7-8aae-8d26172b5441"
          }
        ],
        "name": [
          {
            "prefix": [
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            "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": "2024-05-15T08:42:07Z"
}
