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                "entry": [
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                    "reference": "urn:uuid:f947523c-43b6-4f57-a928-b3e5384683e8"
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                  "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-JUN-2023</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Serum or Plasma</td><td>97.7</td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Serum or Plasma</td><td>13.0</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Serum or Plasma</td><td><strong>2.3 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>9.1</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Serum or Plasma</td><td>139.4</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Serum or Plasma</td><td>5.1</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Serum or Plasma</td><td>106.4</td><td>98 - 107</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Serum or Plasma</td><td><strong>21.5 L</strong></td><td>22 - 32</td><td>mmol/L</td></tr><tr><td>Ketones [Presence] in Urine by Test strip</td><td>Urine ketone test negative</td><td></td><td></td></tr><tr><td>Hemoglobin A1c/Hemoglobin.total in Blood</td><td><strong>3.3 L</strong></td><td>4.0 - 5.6</td><td>%</td></tr></tbody></table></div>"
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                "title": "Chemistry"
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                  "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-JUN-2023</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Urine by Test strip</td><td>0.7</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><strong>1.1 H</strong></td><td>0 - 1</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>15.4</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>5.1</td><td>5.0 - 8.0</td><td>pH</td></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td><strong>442.4 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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                  "text": "Specimen information"
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                "entry": [
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                    "reference": "urn:uuid:f813b163-f35c-4134-8f38-5a5dff4fad2e"
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                    "reference": "urn:uuid:450e7fea-7125-4c89-878c-9a91eb50d55f"
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                  "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-JUN-2023</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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            "title": "Laboratory Report"
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            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Annotation</h3><table class=\"hl7__eu__lab__report\"><tr><th>Conclusion and Recommendations based on this report and previous findings known to us</th></tr><tr><td>The patient shows elevated serum creatinine, low total CO₂, and significant proteinuria, suggesting possible renal dysfunction. Urine findings (cloudy, brown, low specific gravity, high protein, bilirubin, glucose, and ketones) further support renal impairment, possibly with tubular involvement. HbA1c is low, which may reflect recent hypoglycemia or anemia. Recommend urgent nephrology evaluation and further assessment for underlying renal and metabolic disorders.</td></tr></table></div>"
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          "status": "empty",
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        "subject": {
          "reference": "urn:uuid:37deeb9f-9d29-4ac0-a249-9dd44af74b84",
          "display": "Tom Hayward"
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        "date": "2023-06-15T08:17:44Z",
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              "code": "synthetic",
              "display": "SYNDERAI Synthetic data"
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            "system": "http://ec.europa.eu/identifier/eci",
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        ],
        "name": [
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            "family": "Hayward",
            "text": "Tom Hayward"
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        ],
        "address": [
          {
            "line": [
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            ],
            "use": "home",
            "type": "physical",
            "postalCode": "M1",
            "city": "Manchester",
            "country": "United Kingdom"
          }
        ],
        "telecom": [
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            "system": "phone",
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              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality"
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        ],
        "text": {
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        "gender": "male",
        "birthDate": "1975-04-07"
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        ],
        "reasonCode": [
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                "code": "431857002",
                "system": "http://snomed.info/sct",
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            ]
          },
          {
            "coding": [
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                "code": "433144002",
                "system": "http://snomed.info/sct",
                "display": "Chronic kidney disease stage 3"
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            ]
          },
          {
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                "display": "Proteinuria due to type 2 diabetes mellitus"
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            ]
          },
          {
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                "display": "Ischemic heart disease"
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            ]
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          {
            "coding": [
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                "code": "55822004",
                "system": "http://snomed.info/sct",
                "display": "Hyperlipidemia"
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            ]
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          {
            "coding": [
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                "display": "Chronic kidney disease stage 2"
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          {
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                "display": "Microalbuminuria due to type 2 diabetes mellitus"
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            ]
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                "display": "Disorder of kidney due to diabetes mellitus"
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        ],
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          "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"
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        "valueQuantity": {
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            {
              "code": "5767-9",
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              "display": "Appearance of Urine"
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          "text": "Appearance of Urine"
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              "code": "34533-0",
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          ],
          "text": "Odor of Urine"
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              "code": "32167-9",
              "system": "http://loinc.org",
              "display": "Clarity of Urine"
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          ],
          "text": "Clarity of Urine"
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              "code": "5778-6",
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          ],
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        },
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        "valueCodeableConcept": {
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        "category": [
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        "code": {
          "coding": [
            {
              "code": "5792-7",
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              "display": "Glucose [Mass/volume] in Urine by Test strip"
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          ],
          "text": "Glucose [Mass/volume] in Urine by Test strip"
        },
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          "value": 0.7,
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              "code": "25428-4",
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              "display": "Glucose [Presence] in Urine by Test strip"
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          ],
          "text": "Glucose [Presence] in Urine by Test strip"
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              "code": "20505-4",
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              "display": "Bilirubin.total [Mass/volume] in Urine by Test strip"
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          ],
          "text": "Bilirubin.total [Mass/volume] in Urine by Test strip"
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        "valueQuantity": {
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          "value": 1.1,
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        "code": {
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              "code": "5797-6",
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              "display": "Ketones [Mass/volume] in Urine by Test strip"
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          ],
          "text": "Ketones [Mass/volume] in Urine by Test strip"
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        "valueQuantity": {
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            "high": {
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              "system": "http://unitsofmeasure.org"
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          }
        ],
        "text": {
          "status": "generated",
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        },
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        "code": {
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              "code": "2514-8",
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              "display": "Ketones [Presence] in Urine by Test strip"
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          "text": "Ketones [Presence] in Urine by Test strip"
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              "code": "5804-0",
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              "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": {
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          "value": 442.4,
          "unit": "mg/dL",
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        "text": {
          "status": "generated",
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        "code": {
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              "code": "20454-5",
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        "code": {
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              "code": "5802-4",
              "system": "http://loinc.org",
              "display": "Nitrite [Presence] in Urine by Test strip"
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          "text": "Nitrite [Presence] in Urine by Test strip"
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              "display": "Urine nitrite negative"
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        "code": {
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              "code": "5794-3",
              "system": "http://loinc.org",
              "display": "Hemoglobin [Presence] in Urine by Test strip"
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          ],
          "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-Jun-2023</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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        "valueCodeableConcept": {
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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"
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          ],
          "text": "Leukocyte esterase [Presence] in Urine by Test strip"
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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-Jun-2023</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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              "display": "Urine leukocyte test negative"
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        "code": {
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              "code": "4548-4",
              "system": "http://loinc.org",
              "display": "Hemoglobin A1c/Hemoglobin.total in Blood"
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          ],
          "text": "Hemoglobin A1c/Hemoglobin.total in Blood"
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        "valueQuantity": {
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          "value": 3.3,
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            "high": {
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      "fullUrl": "urn:uuid:33f4ae76-4c37-418c-853d-f3721c3d6c24",
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        "resourceType": "Device",
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        "deviceName": [
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        "version": [
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            "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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              "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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              "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)"
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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": "2023-06-15T08:17:44Z"
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Laboratory Role Id: d5607dc0-a971-4e38-8fe1-22c4ba1a38b3</div>"
        },
        "practitioner": {
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  "type": "document",
  "timestamp": "2023-06-15T08:17:44Z"
}