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                  "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Hematology</h3><table class=\"hl7__eu__lab__report\"><thead><tr><th>Test</th><th>11-MAY-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Leukocytes [#/volume] in Blood by Automated count</td><td>9.8</td><td>4.0 - 11.0</td><td>10*3/uL</td></tr><tr><td>Erythrocytes [#/volume] in Blood by Automated count</td><td><strong>5.7 H</strong></td><td>4.2 - 5.6</td><td>10*6/uL</td></tr><tr><td>Hemoglobin [Mass/volume] in Blood</td><td>14.8</td><td>13.5 - 17.5</td><td>g/dL</td></tr><tr><td>Hematocrit [Volume Fraction] of Blood by Automated count</td><td>47.3</td><td>37 - 49</td><td>%</td></tr><tr><td>MCV [Entitic mean volume] in Red Blood Cells by Automated count</td><td>84.0</td><td>80 - 100</td><td>fL</td></tr><tr><td>MCH [Entitic mass] by Automated count</td><td>32.6</td><td>27 - 33</td><td>pg</td></tr><tr><td>MCHC [Entitic Mass/volume] in Red Blood Cells by Automated count</td><td>35.1</td><td>32 - 36</td><td>g/dL</td></tr><tr><td>Erythrocyte [DistWidth] in Blood by Automated count</td><td>15.1</td><td>11.5 - 16.5</td><td>%</td></tr><tr><td>Platelets [#/volume] in Blood by Automated count</td><td>195.6</td><td>150 - 450</td><td>10*3/uL</td></tr></tbody></table></div>"
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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>11-MAY-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Serum or Plasma</td><td>97.4</td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Serum or Plasma</td><td>7.1</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Serum or Plasma</td><td><strong>2.5 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>139.6</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Serum or Plasma</td><td><strong>5.2 H</strong></td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Serum or Plasma</td><td><strong>110.1 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>23.3</td><td>22 - 32</td><td>mmol/L</td></tr><tr><td>Protein [Mass/volume] in Serum or Plasma</td><td>7.1</td><td>6.0 - 8.3</td><td>g/dL</td></tr><tr><td>Albumin [Mass/volume] in Serum or Plasma</td><td>4.0</td><td>3.5 - 5.5</td><td>g/dL</td></tr><tr><td>Bilirubin.total [Mass/volume] in Serum or Plasma</td><td><strong>12.2 H</strong></td><td>0.3 - 1.2</td><td>mg/dL</td></tr><tr><td>Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma</td><td>62.7</td><td>39 - 117</td><td>U/L</td></tr><tr><td>Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td>34.6</td><td>10 - 40</td><td>U/L</td></tr><tr><td>Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td>31.9</td><td>10 - 40</td><td>U/L</td></tr><tr><td>Magnesium [Mass/volume] in Serum or Plasma</td><td><strong>1.6 L</strong></td><td>1.7 - 2.3</td><td>mg/dL</td></tr><tr><td>Phosphate [Mass/volume] in Serum or Plasma</td><td>3.9</td><td>2.5 - 4.5</td><td>mg/dL</td></tr><tr><td>pH of Arterial blood</td><td><strong>7.2 L</strong></td><td>7.35 - 7.45</td><td>[pH]</td></tr><tr><td>Carbon dioxide [Partial pressure] in Arterial blood</td><td>39.3</td><td>35 - 45</td><td>mm[Hg]</td></tr><tr><td>Oxygen [Partial pressure] in Arterial blood</td><td>95.5</td><td>75 - 100</td><td>mm[Hg]</td></tr><tr><td>Bicarbonate [Moles/volume] in Arterial blood</td><td>23.2</td><td>22 - 28</td><td>mmol/L</td></tr><tr><td>Oxygen saturation in Arterial blood</td><td><strong>91.0 L</strong></td><td>95.0 - 100.0</td><td>%</td></tr><tr><td>Cholesterol [Mass/volume] in Serum or Plasma</td><td><strong>205.4 H</strong></td><td>125 - 200</td><td>mg/dL</td></tr><tr><td>Triglyceride [Mass/volume] in Serum or Plasma</td><td>107.3</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>123.9 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>60.0</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>Coagulation</h3><table class=\"hl7__eu__lab__report\"><thead><tr><th>Test</th><th>11-MAY-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Prothrombin time (PT)</td><td>10.2</td><td>9.4 - 12.5</td><td>s</td></tr><tr><td>INR in Platelet poor plasma by Coagulation assay</td><td>1.0</td><td>0.9 - 1.1</td><td>{INR}</td></tr><tr><td>aPTT in Blood by Coagulation assay</td><td>27.2</td><td>25 - 35</td><td>s</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, hyperkalemia, hyperchloremia, low magnesium, metabolic acidosis (low pH, low O2 saturation), and marked hyperbilirubinemia, suggesting significant renal dysfunction with possible hepatic involvement. There is also elevated LDL and total cholesterol, increasing cardiovascular risk. The erythrocyte count is mildly elevated but other hematological parameters are within normal limits. Immediate clinical evaluation for renal and hepatic impairment is recommended.</td></tr></table></div>"
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              "code": "synthetic",
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          {
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          }
        ],
        "name": [
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            "given": [
              "Tom"
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            "family": "Hayward",
            "text": "Tom Hayward"
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        ],
        "address": [
          {
            "line": [
              "391 Dean locks"
            ],
            "use": "home",
            "type": "physical",
            "postalCode": "M1",
            "city": "Manchester",
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        ],
        "telecom": [
          {
            "system": "phone",
            "value": "+44(0)808 1570544"
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                "url": "code",
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                  ]
                }
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality"
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        ],
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        "gender": "male",
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          "profile": [
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        },
        "identifier": [
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            "system": "http://example.org",
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          {
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          {
            "reference": "urn:uuid:838c3536-0d7a-451f-a48b-815efbeb8031"
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          {
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              {
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                "display": "Proteinuria due to type 2 diabetes mellitus"
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          {
            "coding": [
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                "system": "http://snomed.info/sct",
                "display": "Ischemic heart disease"
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            ]
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          {
            "coding": [
              {
                "code": "55822004",
                "system": "http://snomed.info/sct",
                "display": "Hyperlipidemia"
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            ]
          },
          {
            "coding": [
              {
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                "system": "http://snomed.info/sct",
                "display": "Chronic kidney disease stage 2"
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          {
            "coding": [
              {
                "code": "90781000119102",
                "system": "http://snomed.info/sct",
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            ]
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          {
            "coding": [
              {
                "code": "127013003",
                "system": "http://snomed.info/sct",
                "display": "Disorder of kidney due to diabetes mellitus"
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          {
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                "code": "431855005",
                "system": "http://snomed.info/sct",
                "display": "Chronic kidney disease stage 1"
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            ]
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          {
            "coding": [
              {
                "code": "1551000119108",
                "system": "http://snomed.info/sct",
                "display": "Nonproliferative retinopathy due to type 2 diabetes mellitus"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "422034002",
                "system": "http://snomed.info/sct",
                "display": "Retinopathy due to type 2 diabetes mellitus"
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            ]
          },
          {
            "coding": [
              {
                "code": "271737000",
                "system": "http://snomed.info/sct",
                "display": "Anemia"
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            ]
          },
          {
            "coding": [
              {
                "code": "80394007",
                "system": "http://snomed.info/sct",
                "display": "Hyperglycemia"
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            ]
          },
          {
            "coding": [
              {
                "code": "237602007",
                "system": "http://snomed.info/sct",
                "display": "Metabolic syndrome X"
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            ]
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          {
            "coding": [
              {
                "code": "302870006",
                "system": "http://snomed.info/sct",
                "display": "Hypertriglyceridemia"
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            ]
          },
          {
            "coding": [
              {
                "code": "44054006",
                "system": "http://snomed.info/sct",
                "display": "Type 2 diabetes mellitus"
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            ]
          },
          {
            "coding": [
              {
                "code": "59621000",
                "system": "http://snomed.info/sct",
                "display": "Essential hypertension"
              }
            ]
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        ],
        "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": {
          "coding": [
            {
              "code": "108252007",
              "system": "http://snomed.info/sct",
              "display": "Laboratory procedure"
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        "subject": {
          "reference": "urn:uuid:9923a795-df40-4263-93ca-9e47bef83473",
          "display": "Tom Hayward"
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        "meta": {
          "profile": [
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        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provider Role Id: 95219dd1-67ab-42f5-b147-ce99d809c7f9</div>"
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              "City Road 204"
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            "city": "Manchester",
            "postalCode": "M3 3",
            "country": "United Kingdom"
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          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provider Organization: Cornbrook Medical Practice</div>"
        },
        "name": "Cornbrook Medical Practice"
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    {
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      "resource": {
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        "id": "20398102-e46d-4632-8926-fefce76fc4b7",
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        },
        "collection": {
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              "display": "Whole blood specimen (specimen)"
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    {
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          ]
        },
        "collection": {
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        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Specimen</th><th>Collection Date</th></tr><tr><td>Acellular blood (serum or plasma) specimen</td><td><span class=\"nb\">11-May-2019</span></td></tr></table></div>"
        },
        "type": {
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              "code": "122592007",
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              "display": "Acellular blood (serum or plasma) specimen"
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    {
      "fullUrl": "urn:uuid:838c3536-0d7a-451f-a48b-815efbeb8031",
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Specimen</th><th>Collection Date</th></tr><tr><td>Platelet poor plasma specimen</td><td><span class=\"nb\">11-May-2019</span></td></tr></table></div>"
        },
        "type": {
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              "code": "119362004",
              "system": "http://snomed.info/sct",
              "display": "Platelet poor plasma specimen"
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    {
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        },
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        },
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          "coding": [
            {
              "code": "122552005",
              "system": "http://snomed.info/sct",
              "display": "Arterial blood specimen"
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    {
      "fullUrl": "urn:uuid:539c9921-ffe6-4b58-a039-1a93dc0bb039",
      "resource": {
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        "id": "539c9921-ffe6-4b58-a039-1a93dc0bb039",
        "meta": {
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            "http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"
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        },
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        "code": {
          "coding": [
            {
              "code": "6690-2",
              "system": "http://loinc.org",
              "display": "Leukocytes [#/volume] in Blood by Automated count"
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          ],
          "text": "Leukocytes [#/volume] in Blood by Automated count"
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        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 9.8,
          "unit": "10*3/uL",
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              "code": "10*3/uL",
              "system": "http://unitsofmeasure.org"
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        },
        "status": "final",
        "subject": {
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          "display": "Tom Hayward"
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        "specimen": {
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    {
      "fullUrl": "urn:uuid:6a4ac570-0753-4c53-b5a2-24c3e10a3399",
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        "code": {
          "coding": [
            {
              "code": "789-8",
              "system": "http://loinc.org",
              "display": "Erythrocytes [#/volume] in Blood by Automated count"
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          ],
          "text": "Erythrocytes [#/volume] in Blood by Automated count"
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        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 5.7,
          "unit": "10*6/uL",
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              "value": 5.6,
              "code": "10*6/uL",
              "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>11-May-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Erythrocytes [#/volume] in Blood by Automated count</td><td>5.7</td><td>4.2 - 5.6</td><td>H</td><td>10*6/uL</td></tr></table></div>"
        },
        "status": "final",
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          "display": "Tom Hayward"
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        "specimen": {
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      }
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    {
      "fullUrl": "urn:uuid:b183e01b-8b63-4f51-b75f-94aca4caa176",
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        "meta": {
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        "category": [
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        "code": {
          "coding": [
            {
              "code": "718-7",
              "system": "http://loinc.org",
              "display": "Hemoglobin [Mass/volume] in Blood"
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          ],
          "text": "Hemoglobin [Mass/volume] in Blood"
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        "valueQuantity": {
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          "value": 14.8,
          "unit": "g/dL",
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              "value": 13.5,
              "code": "g/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 17.5,
              "code": "g/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>11-May-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Hemoglobin [Mass/volume] in Blood</td><td>14.8</td><td>13.5 - 17.5</td><td></td><td>g/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:9923a795-df40-4263-93ca-9e47bef83473",
          "display": "Tom Hayward"
        },
        "effectiveDateTime": "2019-05-11T10:09:41Z",
        "specimen": {
          "reference": "urn:uuid:20398102-e46d-4632-8926-fefce76fc4b7"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:8eefdfc4-2b07-4cdb-982b-1ccbd4644396",
      "resource": {
        "resourceType": "Observation",
        "id": "8eefdfc4-2b07-4cdb-982b-1ccbd4644396",
        "meta": {
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        },
        "category": [
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                "code": "laboratory",
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            ]
          }
        ],
        "performer": [
          {
            "display": "The Central European Lab"
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        ],
        "code": {
          "coding": [
            {
              "code": "4544-3",
              "system": "http://loinc.org",
              "display": "Hematocrit [Volume Fraction] of Blood by Automated count"
            }
          ],
          "text": "Hematocrit [Volume Fraction] of Blood by Automated count"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 47.3,
          "unit": "%",
          "code": "%"
        },
        "referenceRange": [
          {
            "low": {
              "value": 37,
              "code": "%",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 49,
              "code": "%",
              "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>11-May-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Hematocrit [Volume Fraction] of Blood by Automated count</td><td>47.3</td><td>37 - 49</td><td></td><td>%</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:9923a795-df40-4263-93ca-9e47bef83473",
          "display": "Tom Hayward"
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        "effectiveDateTime": "2019-05-11T10:09:41Z",
        "specimen": {
          "reference": "urn:uuid:20398102-e46d-4632-8926-fefce76fc4b7"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:3b8340fa-c00e-47a9-8853-e87364949e6b",
      "resource": {
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        ],
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            "display": "The Central European Lab"
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        ],
        "code": {
          "coding": [
            {
              "code": "2823-3",
              "system": "http://loinc.org",
              "display": "Potassium [Moles/volume] in Serum or Plasma"
            }
          ],
          "text": "Potassium [Moles/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 5.2,
          "unit": "mmol/L",
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              "value": 5.1,
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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>11-May-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Potassium [Moles/volume] in Serum or Plasma</td><td>5.2</td><td>3.5 - 5.1</td><td>H</td><td>mmol/L</td></tr></table></div>"
        },
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          "coding": [
            {
              "code": "2075-0",
              "system": "http://loinc.org",
              "display": "Chloride [Moles/volume] in Serum or Plasma"
            }
          ],
          "text": "Chloride [Moles/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 110.1,
          "unit": "mmol/L",
          "code": "mmol/L"
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            "high": {
              "value": 107,
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                "display": "High"
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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>11-May-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Chloride [Moles/volume] in Serum or Plasma</td><td>110.1</td><td>98 - 107</td><td>H</td><td>mmol/L</td></tr></table></div>"
        },
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        "code": {
          "coding": [
            {
              "code": "2028-9",
              "system": "http://loinc.org",
              "display": "Carbon dioxide, total [Moles/volume] in Serum or Plasma"
            }
          ],
          "text": "Carbon dioxide, total [Moles/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 23.3,
          "unit": "mmol/L",
          "code": "mmol/L"
        },
        "referenceRange": [
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            "low": {
              "value": 22,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 32,
              "code": "mmol/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>11-May-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Carbon dioxide, total [Moles/volume] in Serum or Plasma</td><td>23.3</td><td>22 - 32</td><td></td><td>mmol/L</td></tr></table></div>"
        },
        "status": "final",
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          "coding": [
            {
              "code": "2885-2",
              "system": "http://loinc.org",
              "display": "Protein [Mass/volume] in Serum or Plasma"
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          ],
          "text": "Protein [Mass/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 7.1,
          "unit": "g/dL",
          "code": "g/dL"
        },
        "referenceRange": [
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            "low": {
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              "code": "g/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 8.3,
              "code": "g/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>11-May-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Protein [Mass/volume] in Serum or Plasma</td><td>7.1</td><td>6.0 - 8.3</td><td></td><td>g/dL</td></tr></table></div>"
        },
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          "display": "Tom Hayward"
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        "specimen": {
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    {
      "fullUrl": "urn:uuid:95ef27ce-490a-4352-b462-9de91ae7da68",
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        "code": {
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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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        "valueQuantity": {
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          "value": 4,
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          "code": "g/dL"
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              "system": "http://unitsofmeasure.org"
            }
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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>11-May-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Albumin [Mass/volume] in Serum or Plasma</td><td>4.0</td><td>3.5 - 5.5</td><td></td><td>g/dL</td></tr></table></div>"
        },
        "status": "final",
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        "specimen": {
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    {
      "fullUrl": "urn:uuid:854f553b-50d8-4ed0-9c60-ba3aecd7fef0",
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        "code": {
          "coding": [
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              "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": 12.2,
          "unit": "mg/dL",
          "code": "mg/dL"
        },
        "referenceRange": [
          {
            "low": {
              "value": 0.3,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 1.2,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
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                "display": "High"
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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>11-May-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Bilirubin.total [Mass/volume] in Serum or Plasma</td><td>12.2</td><td>0.3 - 1.2</td><td>H</td><td>mg/dL</td></tr></table></div>"
        },
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        "code": {
          "coding": [
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              "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"
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        "valueQuantity": {
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          "value": 62.7,
          "unit": "U/L",
          "code": "U/L"
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        "referenceRange": [
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              "value": 39,
              "code": "U/L",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 117,
              "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>11-May-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma</td><td>62.7</td><td>39 - 117</td><td></td><td>U/L</td></tr></table></div>"
        },
        "status": "final",
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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": 34.6,
          "unit": "U/L",
          "code": "U/L"
        },
        "referenceRange": [
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              "code": "U/L",
              "system": "http://unitsofmeasure.org"
            },
            "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>11-May-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td>34.6</td><td>10 - 40</td><td></td><td>U/L</td></tr></table></div>"
        },
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        "effectiveDateTime": "2019-05-11T10:09:41Z",
        "specimen": {
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        "category": [
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        ],
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        ],
        "code": {
          "coding": [
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              "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": 31.9,
          "unit": "U/L",
          "code": "U/L"
        },
        "referenceRange": [
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              "code": "U/L",
              "system": "http://unitsofmeasure.org"
            },
            "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>11-May-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td>31.9</td><td>10 - 40</td><td></td><td>U/L</td></tr></table></div>"
        },
        "status": "final",
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        "effectiveDateTime": "2019-05-11T10:09:41Z",
        "specimen": {
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        "category": [
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        ],
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        "code": {
          "coding": [
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              "code": "19123-9",
              "system": "http://loinc.org",
              "display": "Magnesium [Mass/volume] in Serum or Plasma"
            }
          ],
          "text": "Magnesium [Mass/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 1.6,
          "unit": "mg/dL",
          "code": "mg/dL"
        },
        "referenceRange": [
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            "low": {
              "value": 1.7,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 2.3,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
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          }
        ],
        "interpretation": [
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              "code": "2777-1",
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          ],
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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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              "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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          "value": 123.9,
          "unit": "mg/dL",
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                "display": "High"
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      "fullUrl": "urn:uuid:d4128d1c-edf2-4d03-ae1a-efa7772ae06c",
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              "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": 60,
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              "value": 60,
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              "system": "http://unitsofmeasure.org"
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        ],
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        "specimen": {
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    {
      "fullUrl": "urn:uuid:3277535c-5e05-45c4-9444-084f5b30f97f",
      "resource": {
        "resourceType": "Device",
        "id": "3277535c-5e05-45c4-9444-084f5b30f97f",
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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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      "resource": {
        "resourceType": "Provenance",
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          {
            "reference": "urn:uuid:e177da70-9da2-40a8-a83b-e664b0a53dcc"
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          {
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              "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation",
              "display": "create"
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          ],
          "text": "Synthetic Example Data Generation"
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        "policy": [
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        "agent": [
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            "who": {
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        "reason": [
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                "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
                "display": "training"
              }
            ],
            "text": "Interoperability Testing and Training (non-clinical use)"
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        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provenance for SYNDERAI Synthetic Example Data Resource</div>"
        },
        "recorded": "2019-05-11T12:09:41Z"
      }
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    {
      "fullUrl": "urn:uuid:8d4c0ee5-88c7-469d-9287-a7e3c7853de7",
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        "meta": {
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        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Laboratory Role Id: 8d4c0ee5-88c7-469d-9287-a7e3c7853de7</div>"
        },
        "practitioner": {
          "reference": "urn:uuid:0e2a7fb3-11b1-4736-bbd0-a54f13b7a22d"
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        "name": [
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            "given": [
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            "family": "Ample"
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        ],
        "address": [
          {
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              "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>"
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      }
    }
  ],
  "type": "document",
  "timestamp": "2019-05-11T12:09:41Z"
}