{
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                  {
                    "reference": "urn:uuid:95df2844-8cea-47d8-b243-d5c0c9ad8da4"
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                  {
                    "reference": "urn:uuid:7c8e4bf3-a0ed-4fa5-baf0-48ccd385b440"
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                  {
                    "reference": "urn:uuid:77b53f97-0d1a-42d7-b8aa-40878a2b76f1"
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                  {
                    "reference": "urn:uuid:0eca7b09-a24e-4fda-853d-ed852ca8a448"
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                  {
                    "reference": "urn:uuid:c794972b-abba-4d71-a4b1-391e52f0d435"
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                  {
                    "reference": "urn:uuid:4725447e-aebb-4514-8976-2f4763f7215e"
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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>15-DEC-2017</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Serum or Plasma</td><td>81.4</td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Serum or Plasma</td><td>12.7</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Serum or Plasma</td><td><strong>1.4 H</strong></td><td>0.5 - 1.1</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Serum or Plasma</td><td>9.7</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Serum or Plasma</td><td>139.0</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Serum or Plasma</td><td>4.3</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Serum or Plasma</td><td><strong>108.1 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>23.7</td><td>22 - 29</td><td>mmol/L</td></tr><tr><td>Ketones [Presence] in Urine by Test strip</td><td>Urine ketone test = trace</td><td></td><td></td></tr><tr><td>Cholesterol [Mass/volume] in Serum or Plasma</td><td><strong>118.6 L</strong></td><td>125 - 200</td><td>mg/dL</td></tr><tr><td>Triglyceride [Mass/volume] in Serum or Plasma</td><td>124.6</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>38.6</td><td>0 - 100</td><td>mg/dL</td></tr><tr><td>Cholesterol in HDL [Mass/volume] in Serum or Plasma</td><td>55.1</td><td>40 - 60</td><td>mg/dL</td></tr></tbody></table></div>"
                },
                "title": "Chemistry"
              },
              {
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                      "code": "18729-4",
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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>15-DEC-2017</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Urine by Test strip</td><td>1.6</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>1.5</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>1.5</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>6.8</td><td>5.0 - 8.0</td><td>pH</td></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td><strong>116.6 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": "LP7846-1",
                      "system": "http://loinc.org",
                      "display": "Specimen information"
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                  "text": "Specimen information"
                },
                "entry": [
                  {
                    "reference": "urn:uuid:f909edc8-954a-4bbf-a9ec-4ea1d0404d08"
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                "text": {
                  "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>15-DEC-2017</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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              "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 mildly elevated serum creatinine, suggesting possible impaired renal function, and elevated urine protein, which may indicate proteinuria. Urine is cloudy, brown, with low specific gravity and positive for glucose and bilirubin, raising concern for renal or hepatic dysfunction and possible glycosuria. Electrolytes are mostly within normal limits except for slightly high chloride. Lipid profile shows low total cholesterol. Recommend further evaluation of renal and hepatic function and assessment for possible urinary tract or systemic disease.</td></tr></table></div>"
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            "code": {
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            "title": "Annotation comment"
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        "text": {
          "status": "empty",
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        "date": "2017-12-15T04:51:34Z",
        "title": "Laboratory Report",
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        "status": "registered",
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              "display": "Laboratory report"
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          "reference": "urn:uuid:d61d7f96-3d9c-47d1-94e4-9cb083172651",
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        "meta": {
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              "code": "HTEST"
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              "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
              "code": "TRAIN"
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          ],
          "tag": [
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              "system": "https://synderai.net/fhir/CodeSystem/tags",
              "code": "synthetic",
              "display": "SYNDERAI Synthetic data"
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        "identifier": [
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            "system": "http://ec.europa.eu/identifier/eci",
            "value": "8835-942848-4"
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                  "code": "MR",
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
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            "system": "http://local.setting.eu/identifier",
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        "name": [
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            "given": [
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            "family": "Δουλάμη",
            "text": "Ιορδανία Δουλάμη"
          }
        ],
        "address": [
          {
            "line": [
              "Μεσιανής 0"
            ],
            "use": "home",
            "type": "physical",
            "postalCode": "291 00",
            "city": "Ζάκυνθος",
            "country": "Greece"
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "6923 148 850"
          }
        ],
        "extension": [
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            "extension": [
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                "url": "code",
                "valueCodeableConcept": {
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            ],
            "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality"
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        ],
        "text": {
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Ιορδανία Δουλάμη</td><td>female</td><td>07-Jul-1976</td></tr></table></div>"
        },
        "gender": "female",
        "birthDate": "1976-07-07"
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    {
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        ],
        "reasonCode": [
          {
            "coding": [
              {
                "code": "68496003",
                "system": "http://snomed.info/sct",
                "display": "Polyp of colon"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "431856006",
                "system": "http://snomed.info/sct",
                "display": "Chronic kidney disease stage 2"
              }
            ]
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              "display": "Potassium [Moles/volume] in Serum or Plasma"
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              "code": "5803-2",
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              "code": "5804-0",
              "system": "http://loinc.org",
              "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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        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 116.6,
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            "high": {
              "value": 20,
              "code": "mg/dL",
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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-Dec-2017</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td>116.6</td><td>0 - 20</td><td>H</td><td>mg/dL</td></tr></table></div>"
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              "code": "20454-5",
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              "display": "Protein [Presence] in Urine by Test strip"
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          ],
          "text": "Protein [Presence] in Urine by Test strip"
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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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          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>15-Dec-2017</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Nitrite [Presence] in Urine by Test strip</td><td>Urine nitrite negative</td></tr></table></div>"
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        "code": {
          "coding": [
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              "code": "5794-3",
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              "display": "Hemoglobin [Presence] in Urine by Test strip"
            }
          ],
          "text": "Hemoglobin [Presence] in Urine by Test strip"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>15-Dec-2017</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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              "display": "Urine blood test = negative"
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        "code": {
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            {
              "code": "5799-2",
              "system": "http://loinc.org",
              "display": "Leukocyte esterase [Presence] in Urine by Test strip"
            }
          ],
          "text": "Leukocyte esterase [Presence] in Urine by Test strip"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>15-Dec-2017</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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        "valueCodeableConcept": {
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              "code": "2093-3",
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              "display": "Cholesterol [Mass/volume] in Serum or Plasma"
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          ],
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        "valueQuantity": {
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          "value": 118.6,
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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-Dec-2017</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Cholesterol [Mass/volume] in Serum or Plasma</td><td>118.6</td><td>125 - 200</td><td>L</td><td>mg/dL</td></tr></table></div>"
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        "code": {
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              "code": "2571-8",
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              "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": 124.6,
          "unit": "mg/dL",
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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-Dec-2017</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Triglyceride [Mass/volume] in Serum or Plasma</td><td>124.6</td><td>0 - 150</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
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        "code": {
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              "code": "18262-6",
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              "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": {
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          }
        ],
        "text": {
          "status": "generated",
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      "fullUrl": "urn:uuid:4725447e-aebb-4514-8976-2f4763f7215e",
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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"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 55.1,
          "unit": "mg/dL",
          "code": "mg/dL"
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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>15-Dec-2017</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Cholesterol in HDL [Mass/volume] in Serum or Plasma</td><td>55.1</td><td>40 - 60</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
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        "specimen": {
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    {
      "fullUrl": "urn:uuid:d4f9b405-395c-4c7c-833c-c62f94266601",
      "resource": {
        "resourceType": "Device",
        "id": "d4f9b405-395c-4c7c-833c-c62f94266601",
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            "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:c59e1ac9-3134-47ca-8693-2e972a9a6f5d",
      "resource": {
        "resourceType": "Provenance",
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          {
            "reference": "urn:uuid:4e9b4190-0234-4fa4-9419-a8c73038dee1"
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          {
            "reference": "urn:uuid:9dec75eb-7f48-432e-b949-aac0308140e9"
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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"
        },
        "policy": [
          "https://synderai.net/synderai-synthetic-data-policy"
        ],
        "agent": [
          {
            "type": {
              "coding": [
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                  "code": "author",
                  "system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
                  "display": "Author"
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              "text": "author"
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              {
                "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": "2017-12-15T04:51:34Z"
      }
    },
    {
      "fullUrl": "urn:uuid:9dec75eb-7f48-432e-b949-aac0308140e9",
      "resource": {
        "resourceType": "PractitionerRole",
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        "meta": {
          "profile": [
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        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Laboratory Role Id: 9dec75eb-7f48-432e-b949-aac0308140e9</div>"
        },
        "practitioner": {
          "reference": "urn:uuid:78167e6c-caf2-4dab-9bdb-d73ec9432a26"
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    {
      "fullUrl": "urn:uuid:78167e6c-caf2-4dab-9bdb-d73ec9432a26",
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        "resourceType": "Practitioner",
        "id": "78167e6c-caf2-4dab-9bdb-d73ec9432a26",
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        "identifier": [
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            "assigner": {
              "display": "HL7 Europe"
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            "value": "7ffbbfb8-f456-4995-a6e6-6f7106f97277"
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        ],
        "name": [
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            "given": [
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            "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": "2017-12-15T04:51:34Z"
}