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                  "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Chemistry</h3><table class=\"hl7__eu__lab__report\"><thead><tr><th>Test</th><th>21-MAR-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Blood</td><td>83.2</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>3.3 H</strong></td><td>0.6 - 1.3</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Blood</td><td>8.8</td><td>8.6 - 10.3</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Blood</td><td>142.6</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Blood</td><td>4.9</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Blood</td><td>107.7</td><td>98 - 110</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td>24.5</td><td>22 - 29</td><td>mmol/L</td></tr><tr><td>Protein [Mass/volume] in Serum or Plasma</td><td>6.9</td><td>6.6 - 8.3</td><td>g/dL</td></tr><tr><td>Albumin [Mass/volume] in Serum or Plasma</td><td>3.9</td><td>3.5 - 5.0</td><td>g/dL</td></tr><tr><td>Globulin [Mass/volume] in Serum by calculation</td><td><strong>3.2 L</strong></td><td>25 - 35</td><td>g/L</td></tr><tr><td>Bilirubin.total [Mass/volume] in Serum or Plasma</td><td>0.5</td><td>0.1 - 1.2</td><td>mg/dL</td></tr><tr><td>Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma</td><td><strong>129.7 H</strong></td><td>32 - 91</td><td>U/L</td></tr><tr><td>Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td>49.1</td><td>7 - 56</td><td>U/L</td></tr><tr><td>Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td>25.0</td><td>10 - 40</td><td>U/L</td></tr><tr><td>Cholesterol [Mass/volume] in Serum or Plasma</td><td>166.4</td><td>125 - 200</td><td>mg/dL</td></tr><tr><td>Triglyceride [Mass/volume] in Serum or Plasma</td><td><strong>199.7 H</strong></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><strong>100.2 H</strong></td><td>0 - 100</td><td>mg/dL</td></tr><tr><td>Cholesterol in HDL [Mass/volume] in Serum or Plasma</td><td><strong>32.9 L</strong></td><td>40 - 60</td><td>mg/dL</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, suggesting impaired renal function, and increased alkaline phosphatase, which may indicate hepatobiliary or bone involvement. Lipid profile reveals high triglycerides, borderline high LDL, and low HDL, increasing cardiovascular risk. Low globulin may reflect protein imbalance or laboratory error (unit discrepancy noted). Other parameters are within normal limits. Recommend further evaluation of renal and liver function, and cardiovascular risk management.</td></tr></table></div>"
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        "status": "registered",
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              "code": "11502-2",
              "system": "http://loinc.org",
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          "display": "Katja Mäkelä"
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            "system": "http://local.setting.eu/identifier",
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        ],
        "name": [
          {
            "given": [
              "Katja"
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            "family": "Mäkelä",
            "text": "Katja Mäkelä"
          }
        ],
        "address": [
          {
            "line": [
              "Uudenkaupunginkuja 53"
            ],
            "use": "home",
            "type": "physical",
            "postalCode": "43100",
            "city": "Saarijärvi",
            "country": "Finland"
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "(+358) 606162265"
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        ],
        "extension": [
          {
            "extension": [
              {
                "url": "code",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "code": "FI",
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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>Katja Mäkelä</td><td>female</td><td>28-Nov-1954</td></tr></table></div>"
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        "gender": "female",
        "birthDate": "1954-11-28"
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                "system": "http://snomed.info/sct",
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                "code": "237602007",
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                "display": "Metabolic syndrome X"
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            ]
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          {
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            ]
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            "coding": [
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                "code": "55822004",
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                "display": "Hyperlipidemia"
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            ]
          },
          {
            "coding": [
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                "display": "Anemia"
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            ]
          },
          {
            "coding": [
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                "code": "185086009",
                "system": "http://snomed.info/sct",
                "display": "Emphysematous bronchitis"
              }
            ]
          }
        ],
        "text": {
          "status": "empty",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">intentionally left empty / not meaningful</div>"
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        "status": "active",
        "intent": "order",
        "code": {
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              "code": "108252007",
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        "text": {
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        },
        "organization": {
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        "address": [
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        "text": {
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provider Organization: Vesannon terveyskeskus</div>"
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        "name": "Vesannon terveyskeskus"
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        },
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          ]
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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"
        },
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          "system": "http://unitsofmeasure.org",
          "value": 3.9,
          "unit": "g/dL",
          "code": "g/dL"
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            "high": {
              "value": 5,
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          "status": "generated",
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        "code": {
          "coding": [
            {
              "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"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 3.2,
          "unit": "g/L",
          "code": "g/L"
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            "high": {
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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"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 0.5,
          "unit": "mg/dL",
          "code": "mg/dL"
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              "value": 0.1,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
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            "high": {
              "value": 1.2,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
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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>21-Mar-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Bilirubin.total [Mass/volume] in Serum or Plasma</td><td>0.5</td><td>0.1 - 1.2</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:5f39a81d-7979-4c15-9859-e0d19a16fe1f",
          "display": "Katja Mäkelä"
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        "effectiveDateTime": "2025-03-21T08:59:15Z",
        "specimen": {
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        "code": {
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              "code": "6768-6",
              "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"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 129.7,
          "unit": "U/L",
          "code": "U/L"
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              "system": "http://unitsofmeasure.org"
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            "high": {
              "value": 91,
              "code": "U/L",
              "system": "http://unitsofmeasure.org"
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                "display": "High"
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            ]
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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>21-Mar-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma</td><td>129.7</td><td>32 - 91</td><td>H</td><td>U/L</td></tr></table></div>"
        },
        "status": "final",
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        "specimen": {
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                "code": "laboratory",
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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"
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          "text": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
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        "valueQuantity": {
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          "value": 49.1,
          "unit": "U/L",
          "code": "U/L"
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        "referenceRange": [
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              "value": 7,
              "code": "U/L",
              "system": "http://unitsofmeasure.org"
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            "high": {
              "value": 56,
              "code": "U/L",
              "system": "http://unitsofmeasure.org"
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        "text": {
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        },
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        "specimen": {
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      "fullUrl": "urn:uuid:73c78367-175c-495c-8336-d1f912abede5",
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        "category": [
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        ],
        "code": {
          "coding": [
            {
              "code": "1920-8",
              "system": "http://loinc.org",
              "display": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
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          ],
          "text": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 25,
          "unit": "U/L",
          "code": "U/L"
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        "referenceRange": [
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              "code": "U/L",
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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>21-Mar-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td>25.0</td><td>10 - 40</td><td></td><td>U/L</td></tr></table></div>"
        },
        "status": "final",
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          "display": "Katja Mäkelä"
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        "effectiveDateTime": "2025-03-21T08:59:15Z",
        "specimen": {
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    {
      "fullUrl": "urn:uuid:321e519f-2a09-4516-b7b7-f22e280c6f6f",
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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": 166.4,
          "unit": "mg/dL",
          "code": "mg/dL"
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        "referenceRange": [
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            "low": {
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              "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>21-Mar-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Cholesterol [Mass/volume] in Serum or Plasma</td><td>166.4</td><td>125 - 200</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:5f39a81d-7979-4c15-9859-e0d19a16fe1f",
          "display": "Katja Mäkelä"
        },
        "effectiveDateTime": "2025-03-21T08:59:15Z",
        "specimen": {
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    {
      "fullUrl": "urn:uuid:8b6111ab-9057-4385-a21f-1f130961c940",
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        "category": [
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        "code": {
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              "code": "2571-8",
              "system": "http://loinc.org",
              "display": "Triglyceride [Mass/volume] in Serum or Plasma"
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          ],
          "text": "Triglyceride [Mass/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 199.7,
          "unit": "mg/dL",
          "code": "mg/dL"
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            "high": {
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                "display": "High"
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            ]
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        ],
        "text": {
          "status": "generated",
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        },
        "status": "final",
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        "effectiveDateTime": "2025-03-21T08:59:15Z",
        "specimen": {
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    {
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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"
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          ],
          "text": "Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 100.2,
          "unit": "mg/dL",
          "code": "mg/dL"
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            "high": {
              "value": 100,
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              "system": "http://unitsofmeasure.org"
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                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "display": "High"
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            ]
          }
        ],
        "text": {
          "status": "generated",
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        },
        "status": "final",
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        "effectiveDateTime": "2025-03-21T08:59:15Z",
        "specimen": {
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        "category": [
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                "code": "laboratory",
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          }
        ],
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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": 32.9,
          "unit": "mg/dL",
          "code": "mg/dL"
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        "referenceRange": [
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              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
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            "high": {
              "value": 60,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "interpretation": [
          {
            "coding": [
              {
                "code": "L",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "display": "Low"
              }
            ]
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>21-Mar-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Cholesterol in HDL [Mass/volume] in Serum or Plasma</td><td>32.9</td><td>40 - 60</td><td>L</td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:5f39a81d-7979-4c15-9859-e0d19a16fe1f",
          "display": "Katja Mäkelä"
        },
        "effectiveDateTime": "2025-03-21T08:59:15Z",
        "specimen": {
          "reference": "urn:uuid:71d654f3-ba1f-4b8e-a45c-d29420f0774b"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:4b3e3297-6166-4537-be3f-3a6b07fafff5",
      "resource": {
        "resourceType": "Device",
        "id": "4b3e3297-6166-4537-be3f-3a6b07fafff5",
        "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:f6ae523e-c251-4650-bc9d-f8c32d846a62",
      "resource": {
        "resourceType": "Provenance",
        "id": "f6ae523e-c251-4650-bc9d-f8c32d846a62",
        "target": [
          {
            "reference": "urn:uuid:5f39a81d-7979-4c15-9859-e0d19a16fe1f"
          },
          {
            "reference": "urn:uuid:3a2b8ee6-d68a-44c3-86f9-e57764824818"
          },
          {
            "reference": "urn:uuid:22fcd701-7543-4c09-80f2-4aaa39418f19"
          },
          {
            "reference": "urn:uuid:ec932825-2601-4366-b155-b79fece91d1f"
          },
          {
            "reference": "urn:uuid:1ff39e29-7929-43e8-b2cb-cf23fee74e59"
          },
          {
            "reference": "urn:uuid:a5b034e6-ca4a-4b10-b847-291652b49d2d"
          }
        ],
        "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:4b3e3297-6166-4537-be3f-3a6b07fafff5"
            }
          }
        ],
        "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": "2025-03-21T09:59:15Z"
      }
    },
    {
      "fullUrl": "urn:uuid:22fcd701-7543-4c09-80f2-4aaa39418f19",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "22fcd701-7543-4c09-80f2-4aaa39418f19",
        "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: 22fcd701-7543-4c09-80f2-4aaa39418f19</div>"
        },
        "practitioner": {
          "reference": "urn:uuid:ec932825-2601-4366-b155-b79fece91d1f"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:ec932825-2601-4366-b155-b79fece91d1f",
      "resource": {
        "resourceType": "Practitioner",
        "id": "ec932825-2601-4366-b155-b79fece91d1f",
        "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": "4ef20259-729a-4c3a-8829-3220b4fb53be"
          }
        ],
        "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": "2025-03-21T09:59:15Z"
}