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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>14-SEP-2020</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Blood</td><td>79.5</td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Blood</td><td>13.9</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 - 1.3</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Blood</td><td>9.1</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Blood</td><td>139.6</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Blood</td><td>5.1</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Blood</td><td>105.5</td><td>98 - 110</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td>26.0</td><td>22 - 29</td><td>mmol/L</td></tr><tr><td>Protein [Mass/volume] in Serum or Plasma</td><td>6.6</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 - 5.5</td><td>g/dL</td></tr><tr><td>Globulin [Mass/volume] in Serum by calculation</td><td><strong>2.3 L</strong></td><td>20 - 39</td><td>g/L</td></tr><tr><td>Bilirubin.total [Mass/volume] in Serum or Plasma</td><td>0.2</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>98.5</td><td>30 - 120</td><td>U/L</td></tr><tr><td>Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td>36.5</td><td>10 - 40</td><td>U/L</td></tr><tr><td>Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td>13.8</td><td>10 - 40</td><td>U/L</td></tr><tr><td>Cholesterol [Mass/volume] in Serum or Plasma</td><td>195.9</td><td>125 - 200</td><td>mg/dL</td></tr><tr><td>Triglyceride [Mass/volume] in Serum or Plasma</td><td>140.2</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>111.4 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>41.6</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 significantly elevated creatinine, suggesting impaired renal function, and a low globulin level, which may indicate hypogammaglobulinemia or laboratory error (units seem inconsistent). LDL cholesterol is mildly elevated, increasing cardiovascular risk. Other parameters, including glucose, electrolytes, liver enzymes, and proteins, are within normal limits. Renal function should be further evaluated and cardiovascular risk factors addressed.</td></tr></table></div>"
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        "date": "2020-09-14T01:37:39Z",
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              "Ahmed"
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            "family": "Wirth",
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          {
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            "use": "home",
            "type": "physical",
            "postalCode": "96317",
            "city": "Kronach",
            "country": "Germany"
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        ],
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            "system": "phone",
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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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        "status": "active",
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            "city": "Kronach",
            "postalCode": "96317",
            "country": "Germany"
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        ],
        "text": {
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              "display": "Bilirubin.total [Mass/volume] in Serum or Plasma"
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              "display": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
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              "display": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
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              "display": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
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          "text": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
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          "value": 13.8,
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              "display": "Cholesterol [Mass/volume] in Serum or Plasma"
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          ],
          "text": "Cholesterol [Mass/volume] in Serum or Plasma"
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          "value": 195.9,
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              "display": "Triglyceride [Mass/volume] in Serum or Plasma"
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          "value": 140.2,
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        "text": {
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        },
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        "code": {
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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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          "value": 111.4,
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        ],
        "text": {
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        "code": {
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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"
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          "value": 41.6,
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            "high": {
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        ],
        "text": {
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          "display": "Ahmed Wirth"
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        "effectiveDateTime": "2020-09-13T23:37:39Z",
        "specimen": {
          "reference": "urn:uuid:eb72d920-3e55-4ff5-b55b-ad3784385bac"
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    {
      "fullUrl": "urn:uuid:49a15f67-e180-4bb2-b5a7-17017949adf2",
      "resource": {
        "resourceType": "Device",
        "id": "49a15f67-e180-4bb2-b5a7-17017949adf2",
        "deviceName": [
          {
            "name": "SYNDERAI Synthetic Generator",
            "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:f4ba3402-0329-4d5b-a743-cd3e3c37fed0",
      "resource": {
        "resourceType": "Provenance",
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              "display": "create"
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          ],
          "text": "Synthetic Example Data Generation"
        },
        "policy": [
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        ],
        "agent": [
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                "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": "2020-09-14T01:37:39Z"
      }
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Laboratory Role Id: d4057658-1f1b-4357-a162-eebdff9f8826</div>"
        },
        "practitioner": {
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        "name": [
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          }
        ],
        "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": "2020-09-14T01:37:39Z"
}