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                  {
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                  "status": "generated",
                  "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Chemistry</h3><table class=\"hl7__eu__lab__report\"><thead><tr><th>Test</th><th>16-JAN-2020</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Serum or Plasma</td><td>82.1</td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Serum or Plasma</td><td>9.9</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Serum or Plasma</td><td><strong>2.1 H</strong></td><td>0.6 - 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>140.7</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Serum or Plasma</td><td>4.5</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Serum or Plasma</td><td>104.1</td><td>98 - 107</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Serum or Plasma</td><td><strong>20.8 L</strong></td><td>22 - 32</td><td>mmol/L</td></tr><tr><td>Ketones [Presence] in Urine by Test strip</td><td>Urine ketone test = +</td><td></td><td></td></tr><tr><td>Hemoglobin A1c/Hemoglobin.total in Blood</td><td><strong>3.3 L</strong></td><td>4.0 - 5.6</td><td>%</td></tr><tr><td>Glucose [Mass/volume] in Blood</td><td>82.1</td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Blood</td><td>9.9</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Blood</td><td><strong>3.0 H</strong></td><td>0.6 - 1.2</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Blood</td><td>10.1</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Blood</td><td>140.7</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Blood</td><td>4.5</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Blood</td><td>104.1</td><td>98 - 107</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td><strong>20.8 L</strong></td><td>22 - 29</td><td>mmol/L</td></tr><tr><td>Cholesterol [Mass/volume] in Serum or Plasma</td><td>163.3</td><td>125 - 200</td><td>mg/dL</td></tr><tr><td>Triglyceride [Mass/volume] in Serum or Plasma</td><td>117.7</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>97.2</td><td>0 - 100</td><td>mg/dL</td></tr><tr><td>Cholesterol in HDL [Mass/volume] in Serum or Plasma</td><td>42.6</td><td>40 - 60</td><td>mg/dL</td></tr><tr><td>Microalbumin/Creatinine [Mass Ratio] in Urine</td><td>23.7</td><td>0 - 30</td><td>mg/g</td></tr></tbody></table></div>"
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                "title": "Chemistry"
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                  "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Urinalysis</h3><table class=\"hl7__eu__lab__report\"><thead><tr><th>Test</th><th>16-JAN-2020</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Urine by Test strip</td><td>1.1</td><td>0 - 5</td><td>mg/dL</td></tr><tr><td>Glucose [Presence] in Urine by Test strip</td><td>Urine glucose test = ++</td><td></td><td></td></tr><tr><td>Bilirubin.total [Mass/volume] in Urine by Test strip</td><td>0.3</td><td>0 - 1</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>16.4</td><td>0 - 20</td><td>mg/dL</td></tr><tr><td>Specific gravity of Urine by Test strip</td><td><strong>1.0 L</strong></td><td>1.005 - 1.030</td><td>{nominal}</td></tr><tr><td>pH of Urine by Test strip</td><td>5.6</td><td>5.0 - 8.0</td><td>pH</td></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td><strong>277.8 H</strong></td><td>0 - 20</td><td>mg/dL</td></tr><tr><td>Protein [Presence] in Urine by Test strip</td><td>Urine protein test = ++</td><td></td><td></td></tr><tr><td>Nitrite [Presence] in Urine by Test strip</td><td>Urine nitrite negative</td><td></td><td></td></tr><tr><td>Hemoglobin [Presence] in Urine by Test strip</td><td>Urine blood test = negative</td><td></td><td></td></tr><tr><td>Leukocyte esterase [Presence] in Urine by Test strip</td><td>Urine leukocyte test negative</td><td></td><td></td></tr></tbody></table></div>"
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                  "status": "generated",
                  "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Specimen information</h3><table class=\"hl7__eu__lab__report\"><thead><tr><th>Test</th><th>16-JAN-2020</th><th>Specimen</th><th></th></tr></thead><tbody><tr><td>Appearance of Urine</td><td>Cloudy urine</td><td>Urine</td><td></td></tr><tr><td>Odor of Urine</td><td>Urine smell ammoniacal</td><td>Urine</td><td></td></tr><tr><td>Clarity of Urine</td><td>Translucent</td><td>Urine</td><td></td></tr><tr><td>Color of Urine</td><td>Brown color</td><td>Urine</td><td></td></tr></tbody></table></div>"
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              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Annotation</h3><table class=\"hl7__eu__lab__report\"><tr><th>Conclusion and Recommendations based on this report and previous findings known to us</th></tr><tr><td>The patient shows elevated creatinine, low total CO₂, and significant proteinuria, suggesting impaired renal function with possible metabolic acidosis. Urinalysis reveals glucosuria, ketonuria, and abnormal urine appearance, but blood glucose and HbA1c are not elevated, making diabetes unlikely. Low urine specific gravity may indicate impaired concentrating ability. No evidence of infection. Recommend nephrology evaluation for possible chronic kidney disease and further assessment of proteinuria and renal tubular function.</td></tr></table></div>"
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            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
              "code": "TRAIN"
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          "tag": [
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        ],
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          {
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        ],
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          {
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        ],
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          {
            "system": "phone",
            "value": "+44(0)808 1570544"
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              {
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            ],
            "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality"
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                "display": "Ischemic heart disease"
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                "display": "Hyperlipidemia"
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                "display": "Chronic kidney disease stage 1"
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            ]
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          {
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                "display": "Nonproliferative retinopathy due to type 2 diabetes mellitus"
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            ]
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          {
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                "system": "http://snomed.info/sct",
                "display": "Retinopathy due to type 2 diabetes mellitus"
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                "display": "Anemia"
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                "display": "Hyperglycemia"
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                "display": "Metabolic syndrome X"
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                "display": "Hypertriglyceridemia"
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            ]
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                "display": "Type 2 diabetes mellitus"
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          {
            "coding": [
              {
                "code": "59621000",
                "system": "http://snomed.info/sct",
                "display": "Essential hypertension"
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            ]
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        "text": {
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">intentionally left empty / not meaningful</div>"
        },
        "status": "active",
        "intent": "order",
        "code": {
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              "system": "http://snomed.info/sct",
              "display": "Laboratory procedure"
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          "display": "Tom Hayward"
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        "name": "Cornbrook Medical Practice"
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        },
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        },
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        },
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              "display": "Whole blood specimen (specimen)"
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              "system": "http://loinc.org",
              "display": "Glucose [Mass/volume] in Serum or Plasma"
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              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
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        ],
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        "code": {
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            {
              "code": "17861-6",
              "system": "http://loinc.org",
              "display": "Calcium [Mass/volume] in Serum or Plasma"
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          ],
          "text": "Calcium [Mass/volume] in Serum or Plasma"
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        "valueQuantity": {
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          "value": 10.1,
          "unit": "mg/dL",
          "code": "mg/dL"
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              "code": "mg/dL",
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            "high": {
              "value": 10.5,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
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          }
        ],
        "text": {
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        },
        "status": "final",
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          "display": "Tom Hayward"
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        "effectiveDateTime": "2020-01-16T06:17:44Z",
        "specimen": {
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      }
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    {
      "fullUrl": "urn:uuid:79a72f6e-cac7-42b4-837b-7848f050a9ec",
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        "category": [
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        ],
        "performer": [
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        ],
        "code": {
          "coding": [
            {
              "code": "2951-2",
              "system": "http://loinc.org",
              "display": "Sodium [Moles/volume] in Serum or Plasma"
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          ],
          "text": "Sodium [Moles/volume] in Serum or Plasma"
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          "text": "Ketones [Presence] in Urine by Test strip"
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          "text": "Protein [Mass/volume] in Urine by Test strip"
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              "code": "5802-4",
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              "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": "Leukocyte esterase [Presence] in Urine by Test strip"
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        "text": {
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          "value": 3.3,
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              "display": "Chloride [Moles/volume] in Blood"
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          "value": 104.1,
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              "display": "Triglyceride [Mass/volume] in Serum or Plasma"
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              "value": 0,
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              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 150,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>16-Jan-2020</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Triglyceride [Mass/volume] in Serum or Plasma</td><td>117.7</td><td>0 - 150</td><td></td><td>mg/dL</td></tr></table></div>"
        },
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        "subject": {
          "reference": "urn:uuid:0ff0ea3b-b63c-4354-8cd7-9c295d7ac261",
          "display": "Tom Hayward"
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        "id": "d1f48cc1-2e1d-4247-bab2-97f851cd1ec7",
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        "performer": [
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        "code": {
          "coding": [
            {
              "code": "18262-6",
              "system": "http://loinc.org",
              "display": "Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay"
            }
          ],
          "text": "Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 97.2,
          "unit": "mg/dL",
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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>16-Jan-2020</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay</td><td>97.2</td><td>0 - 100</td><td></td><td>mg/dL</td></tr></table></div>"
        },
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        "specimen": {
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        "category": [
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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": 42.6,
          "unit": "mg/dL",
          "code": "mg/dL"
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              "value": 40,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            },
            "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>16-Jan-2020</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Cholesterol in HDL [Mass/volume] in Serum or Plasma</td><td>42.6</td><td>40 - 60</td><td></td><td>mg/dL</td></tr></table></div>"
        },
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        "subject": {
          "reference": "urn:uuid:0ff0ea3b-b63c-4354-8cd7-9c295d7ac261",
          "display": "Tom Hayward"
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        "specimen": {
          "reference": "urn:uuid:17f2afe6-0319-480b-831f-92d4c3ee51e3"
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      "fullUrl": "urn:uuid:a9fc1e05-43f8-4791-ada3-2f56619320ad",
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        "id": "a9fc1e05-43f8-4791-ada3-2f56619320ad",
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        "category": [
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        "performer": [
          {
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        ],
        "code": {
          "coding": [
            {
              "code": "14959-1",
              "system": "http://loinc.org",
              "display": "Microalbumin/Creatinine [Mass Ratio] in Urine"
            }
          ],
          "text": "Microalbumin/Creatinine [Mass Ratio] in Urine"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 23.7,
          "unit": "mg/g",
          "code": "mg/g"
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              "code": "mg/g",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 30,
              "code": "mg/g",
              "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>16-Jan-2020</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Microalbumin/Creatinine [Mass Ratio] in Urine</td><td>23.7</td><td>0 - 30</td><td></td><td>mg/g</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:0ff0ea3b-b63c-4354-8cd7-9c295d7ac261",
          "display": "Tom Hayward"
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        "effectiveDateTime": "2020-01-16T06:17:44Z",
        "specimen": {
          "reference": "urn:uuid:9a26c958-8261-4ecd-a693-b4d3841db469"
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      }
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    {
      "fullUrl": "urn:uuid:52216a06-f1f5-4d1e-9765-5c2c5b553ada",
      "resource": {
        "resourceType": "Device",
        "id": "52216a06-f1f5-4d1e-9765-5c2c5b553ada",
        "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:123b7e16-39a5-4ee4-8f63-81420b3649df",
      "resource": {
        "resourceType": "Provenance",
        "id": "123b7e16-39a5-4ee4-8f63-81420b3649df",
        "target": [
          {
            "reference": "urn:uuid:0ff0ea3b-b63c-4354-8cd7-9c295d7ac261"
          },
          {
            "reference": "urn:uuid:f8c26bf1-bf4d-4753-af32-b4bd4e884ff0"
          },
          {
            "reference": "urn:uuid:d4b9f915-d422-48f8-b4c0-cb70ee5ee5d5"
          },
          {
            "reference": "urn:uuid:6cc056ef-0cb6-4727-b7f0-14881d3678e8"
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          {
            "reference": "urn:uuid:d17fa31e-b9d7-4a3e-bdbf-602760aac45f"
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          {
            "reference": "urn:uuid:9fefefb2-2a6c-468d-816d-9eb0dee1f386"
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        "activity": {
          "coding": [
            {
              "code": "CREATE",
              "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation",
              "display": "create"
            }
          ],
          "text": "Synthetic Example Data Generation"
        },
        "policy": [
          "https://synderai.net/synderai-synthetic-data-policy"
        ],
        "agent": [
          {
            "type": {
              "coding": [
                {
                  "code": "author",
                  "system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
                  "display": "Author"
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              ],
              "text": "author"
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            "who": {
              "reference": "urn:uuid:52216a06-f1f5-4d1e-9765-5c2c5b553ada"
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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": "2020-01-16T07:17:44Z"
      }
    },
    {
      "fullUrl": "urn:uuid:d4b9f915-d422-48f8-b4c0-cb70ee5ee5d5",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "d4b9f915-d422-48f8-b4c0-cb70ee5ee5d5",
        "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: d4b9f915-d422-48f8-b4c0-cb70ee5ee5d5</div>"
        },
        "practitioner": {
          "reference": "urn:uuid:6cc056ef-0cb6-4727-b7f0-14881d3678e8"
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      }
    },
    {
      "fullUrl": "urn:uuid:6cc056ef-0cb6-4727-b7f0-14881d3678e8",
      "resource": {
        "resourceType": "Practitioner",
        "id": "6cc056ef-0cb6-4727-b7f0-14881d3678e8",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu"
          ]
        },
        "identifier": [
          {
            "assigner": {
              "display": "HL7 Europe"
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            "system": "urn:oid:2.16.840.1.113883.2.51.999",
            "value": "b6f8abe1-117b-41ce-8c5b-a665f2a8b816"
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        ],
        "name": [
          {
            "prefix": [
              "dr"
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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": "2020-01-16T07:17:44Z"
}