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            "title": "Laboratory Report"
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              "status": "generated",
              "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, suggesting impaired renal function, and mildly elevated ALT, indicating possible liver involvement. Total protein and globulin are low, which may reflect nutritional deficiency or protein loss. Lipid profile reveals mildly increased triglycerides and LDL cholesterol. Other parameters are within normal limits. Recommend further evaluation of renal and liver function and assessment for possible protein loss or malnutrition.</td></tr></table></div>"
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            "system": "http://local.setting.eu/identifier",
            "value": "c594c462-da31-9fab-0316-acdd66d1c0d5"
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        ],
        "name": [
          {
            "given": [
              "Ahmed"
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            "family": "Wirth",
            "text": "Ahmed Wirth"
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          {
            "line": [
              "Faruk-Zobel-Weg 7090"
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            "use": "home",
            "type": "physical",
            "postalCode": "96317",
            "city": "Kronach",
            "country": "Germany"
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        ],
        "telecom": [
          {
            "system": "phone",
            "value": "06478333493"
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        "extension": [
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            "extension": [
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                "url": "code",
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                      "code": "DE",
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                  ]
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              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality"
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        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Ahmed Wirth</td><td>male</td><td>02-Oct-1948</td></tr></table></div>"
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        "birthDate": "1948-10-02"
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                "code": "271737000",
                "system": "http://snomed.info/sct",
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            ]
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        ],
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        "status": "active",
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            "city": "Kronach",
            "postalCode": "96317",
            "country": "Germany"
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        ],
        "text": {
          "status": "generated",
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        "name": "Medizinisches Versorgungszentrum Kronach"
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          "value": 101.6,
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        "category": [
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                "code": "laboratory",
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          "coding": [
            {
              "code": "1751-7",
              "system": "http://loinc.org",
              "display": "Albumin [Mass/volume] in Serum or Plasma"
            }
          ],
          "text": "Albumin [Mass/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 5.2,
          "unit": "g/dL",
          "code": "g/dL"
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            "high": {
              "value": 5.5,
              "code": "g/dL",
              "system": "http://unitsofmeasure.org"
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          }
        ],
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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>23-Aug-2015</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Albumin [Mass/volume] in Serum or Plasma</td><td>5.2</td><td>3.5 - 5.5</td><td></td><td>g/dL</td></tr></table></div>"
        },
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            "display": "The Central European Lab"
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        ],
        "code": {
          "coding": [
            {
              "code": "10834-0",
              "system": "http://loinc.org",
              "display": "Globulin [Mass/volume] in Serum by calculation"
            }
          ],
          "text": "Globulin [Mass/volume] in Serum by calculation"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 2.9,
          "unit": "g/L",
          "code": "g/L"
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        "referenceRange": [
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            },
            "high": {
              "value": 39,
              "code": "g/L",
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        },
        "status": "final",
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        "specimen": {
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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": 0.1,
          "unit": "mg/dL",
          "code": "mg/dL"
        },
        "referenceRange": [
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            "low": {
              "value": 0.1,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 1.2,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>23-Aug-2015</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Bilirubin.total [Mass/volume] in Serum or Plasma</td><td>0.1</td><td>0.1 - 1.2</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
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          "display": "Ahmed Wirth"
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        "specimen": {
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        "meta": {
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        "category": [
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        "code": {
          "coding": [
            {
              "code": "6768-6",
              "system": "http://loinc.org",
              "display": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
            }
          ],
          "text": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 53.1,
          "unit": "U/L",
          "code": "U/L"
        },
        "referenceRange": [
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            "low": {
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              "code": "U/L",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 120,
              "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>23-Aug-2015</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma</td><td>53.1</td><td>30 - 120</td><td></td><td>U/L</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:e4631791-3474-4340-b7e6-a2a80e0c3efb",
          "display": "Ahmed Wirth"
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        "effectiveDateTime": "2015-08-22T23:37:39Z",
        "specimen": {
          "reference": "urn:uuid:c83c8f30-d274-4fc3-aaa2-f56f61e7e052"
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    {
      "fullUrl": "urn:uuid:1dbe35e1-cb76-4894-8c28-7007c467b498",
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        "id": "1dbe35e1-cb76-4894-8c28-7007c467b498",
        "meta": {
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        "category": [
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        "code": {
          "coding": [
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              "code": "1742-6",
              "system": "http://loinc.org",
              "display": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
            }
          ],
          "text": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 50.8,
          "unit": "U/L",
          "code": "U/L"
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        "referenceRange": [
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              "system": "http://unitsofmeasure.org"
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            "high": {
              "value": 40,
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              "system": "http://unitsofmeasure.org"
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                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
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            ]
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        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>23-Aug-2015</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td>50.8</td><td>10 - 40</td><td>H</td><td>U/L</td></tr></table></div>"
        },
        "status": "final",
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        "effectiveDateTime": "2015-08-22T23:37:39Z",
        "specimen": {
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      "fullUrl": "urn:uuid:334b983b-7dd3-43aa-9e35-fa356198ff13",
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        "category": [
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          }
        ],
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        ],
        "code": {
          "coding": [
            {
              "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": 15.1,
          "unit": "U/L",
          "code": "U/L"
        },
        "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>23-Aug-2015</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td>15.1</td><td>10 - 40</td><td></td><td>U/L</td></tr></table></div>"
        },
        "status": "final",
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        "effectiveDateTime": "2015-08-22T23:37:39Z",
        "specimen": {
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    {
      "fullUrl": "urn:uuid:69c6090f-c6bc-462f-9f4d-0feee013b71b",
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        "id": "69c6090f-c6bc-462f-9f4d-0feee013b71b",
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        },
        "category": [
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        ],
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        ],
        "code": {
          "coding": [
            {
              "code": "2093-3",
              "system": "http://loinc.org",
              "display": "Cholesterol [Mass/volume] in Serum or Plasma"
            }
          ],
          "text": "Cholesterol [Mass/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 155.9,
          "unit": "mg/dL",
          "code": "mg/dL"
        },
        "referenceRange": [
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            "low": {
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              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 200,
              "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>23-Aug-2015</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Cholesterol [Mass/volume] in Serum or Plasma</td><td>155.9</td><td>125 - 200</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
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          "display": "Ahmed Wirth"
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        "effectiveDateTime": "2015-08-22T23:37:39Z",
        "specimen": {
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        ],
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        ],
        "code": {
          "coding": [
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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": {
          "system": "http://unitsofmeasure.org",
          "value": 154.5,
          "unit": "mg/dL",
          "code": "mg/dL"
        },
        "referenceRange": [
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            "low": {
              "value": 0,
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              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 150,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
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        ],
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                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "display": "High"
              }
            ]
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>23-Aug-2015</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Triglyceride [Mass/volume] in Serum or Plasma</td><td>154.5</td><td>0 - 150</td><td>H</td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
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          "display": "Ahmed Wirth"
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        "effectiveDateTime": "2015-08-22T23:37:39Z",
        "specimen": {
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      }
    },
    {
      "fullUrl": "urn:uuid:a7894961-5591-499e-b6b1-c6ec7e99d2a1",
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        "id": "a7894961-5591-499e-b6b1-c6ec7e99d2a1",
        "meta": {
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        "category": [
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        ],
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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": {
          "system": "http://unitsofmeasure.org",
          "value": 105.3,
          "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"
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          }
        ],
        "interpretation": [
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                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "display": "High"
              }
            ]
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>23-Aug-2015</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>105.3</td><td>0 - 100</td><td>H</td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
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        "specimen": {
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        "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": 47.7,
          "unit": "mg/dL",
          "code": "mg/dL"
        },
        "referenceRange": [
          {
            "low": {
              "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>23-Aug-2015</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Cholesterol in HDL [Mass/volume] in Serum or Plasma</td><td>47.7</td><td>40 - 60</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:e4631791-3474-4340-b7e6-a2a80e0c3efb",
          "display": "Ahmed Wirth"
        },
        "effectiveDateTime": "2015-08-22T23:37:39Z",
        "specimen": {
          "reference": "urn:uuid:c83c8f30-d274-4fc3-aaa2-f56f61e7e052"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:7603921c-c648-4703-8739-edc103b8a622",
      "resource": {
        "resourceType": "Device",
        "id": "7603921c-c648-4703-8739-edc103b8a622",
        "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:d8f055c1-329f-4799-aebd-7d8f1283dbe7",
      "resource": {
        "resourceType": "Provenance",
        "id": "d8f055c1-329f-4799-aebd-7d8f1283dbe7",
        "target": [
          {
            "reference": "urn:uuid:e4631791-3474-4340-b7e6-a2a80e0c3efb"
          },
          {
            "reference": "urn:uuid:ad84d837-a72e-48af-b355-7d11d659aa34"
          },
          {
            "reference": "urn:uuid:fae56cca-6578-4bac-b55b-72c256c94370"
          },
          {
            "reference": "urn:uuid:ae2d639e-dacc-4b6d-8c70-3c7263060520"
          },
          {
            "reference": "urn:uuid:7b8b678f-6eb1-465b-b0c1-0727e4d78406"
          },
          {
            "reference": "urn:uuid:20c14fce-6327-4d46-942e-9910f70e31a8"
          }
        ],
        "activity": {
          "coding": [
            {
              "code": "CREATE",
              "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation",
              "display": "create"
            }
          ],
          "text": "Synthetic Example Data Generation"
        },
        "policy": [
          "https://synderai.net/synderai-synthetic-data-policy"
        ],
        "agent": [
          {
            "type": {
              "coding": [
                {
                  "code": "author",
                  "system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
                  "display": "Author"
                }
              ],
              "text": "author"
            },
            "who": {
              "reference": "urn:uuid:7603921c-c648-4703-8739-edc103b8a622"
            }
          }
        ],
        "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": "2015-08-23T01:37:39Z"
      }
    },
    {
      "fullUrl": "urn:uuid:fae56cca-6578-4bac-b55b-72c256c94370",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "fae56cca-6578-4bac-b55b-72c256c94370",
        "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: fae56cca-6578-4bac-b55b-72c256c94370</div>"
        },
        "practitioner": {
          "reference": "urn:uuid:ae2d639e-dacc-4b6d-8c70-3c7263060520"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:ae2d639e-dacc-4b6d-8c70-3c7263060520",
      "resource": {
        "resourceType": "Practitioner",
        "id": "ae2d639e-dacc-4b6d-8c70-3c7263060520",
        "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": "5c4b3269-eab9-4f57-8402-83df7aa5ad22"
          }
        ],
        "name": [
          {
            "prefix": [
              "dr"
            ],
            "given": [
              "Ex"
            ],
            "family": "Ample"
          }
        ],
        "address": [
          {
            "line": [
              "Laboratoire Central Européenne",
              "Boulevard du Jardin Botanique 32"
            ],
            "postalCode": "1000",
            "city": "Brussels",
            "country": "Belgium"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Laboratory: Laboratoire Central Européenne, 1000 Brussels, Belgium</div>"
        }
      }
    }
  ],
  "type": "document",
  "timestamp": "2015-08-23T01:37:39Z"
}