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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>08-OCT-2020</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Serum or Plasma</td><td>90.6</td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Serum or Plasma</td><td>8.0</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Serum or Plasma</td><td><strong>1.9 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>140.0</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Serum or Plasma</td><td>5.0</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Serum or Plasma</td><td><strong>107.8 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>23.8</td><td>22 - 32</td><td>mmol/L</td></tr><tr><td>Ketones [Presence] in Urine by Test strip</td><td>Urine ketone test = ++</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><tr><td>Glucose [Mass/volume] in Blood</td><td>90.6</td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Blood</td><td>8.0</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Blood</td><td><strong>4.1 H</strong></td><td>0.6 - 1.2</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Blood</td><td>10.1</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Blood</td><td>140.0</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Blood</td><td>5.0</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Blood</td><td><strong>107.8 H</strong></td><td>98 - 107</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td>23.8</td><td>22 - 29</td><td>mmol/L</td></tr><tr><td>Cholesterol [Mass/volume] in Serum or Plasma</td><td>163.4</td><td>125 - 200</td><td>mg/dL</td></tr><tr><td>Triglyceride [Mass/volume] in Serum or Plasma</td><td>143.9</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>75.4</td><td>0 - 100</td><td>mg/dL</td></tr><tr><td>Cholesterol in HDL [Mass/volume] in Serum or Plasma</td><td>59.2</td><td>40 - 60</td><td>mg/dL</td></tr><tr><td>Microalbumin/Creatinine [Mass Ratio] in Urine</td><td><strong>285.1 H</strong></td><td>0 - 30</td><td>mg/g</td></tr></tbody></table></div>"
                },
                "title": "Chemistry"
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                  "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Urinalysis</h3><table class=\"hl7__eu__lab__report\"><thead><tr><th>Test</th><th>08-OCT-2020</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Urine by Test strip</td><td>2.1</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>15.6</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>7.0</td><td>5.0 - 8.0</td><td>pH</td></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td><strong>374.8 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>"
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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>08-OCT-2020</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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              "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 markedly elevated creatinine, proteinuria, microalbuminuria, and bilirubinuria, suggesting significant renal dysfunction, likely chronic kidney disease with possible nephrotic features. Urine is abnormal in appearance and color, but no evidence of infection. Low specific gravity may indicate impaired concentrating ability. Blood glucose is normal, but HbA1c is unexpectedly low. Lipid profile is within normal limits. Recommend urgent nephrology evaluation for further assessment and management.</td></tr></table></div>"
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        ],
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          {
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            "family": "Hayward",
            "text": "Tom Hayward"
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        ],
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          {
            "line": [
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            "type": "physical",
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          {
            "system": "phone",
            "value": "+44(0)808 1570544"
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                  ]
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            ],
            "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality"
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          {
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          {
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                "display": "Ischemic heart disease"
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          {
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                "system": "http://snomed.info/sct",
                "display": "Hyperlipidemia"
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            ]
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          {
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                "display": "Chronic kidney disease stage 1"
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          {
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                "display": "Nonproliferative retinopathy due to type 2 diabetes mellitus"
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          {
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                "display": "Anemia"
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            ]
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                "display": "Hyperglycemia"
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                "display": "Metabolic syndrome X"
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                "display": "Hypertriglyceridemia"
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          {
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                "code": "59621000",
                "system": "http://snomed.info/sct",
                "display": "Essential hypertension"
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            ]
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">intentionally left empty / not meaningful</div>"
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        "status": "active",
        "intent": "order",
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              "system": "http://snomed.info/sct",
              "display": "Laboratory procedure"
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          "display": "Tom Hayward"
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              "display": "Whole blood specimen (specimen)"
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              "code": "mg/dL",
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        "code": {
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              "system": "http://loinc.org",
              "display": "Calcium [Mass/volume] in Serum or Plasma"
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          ],
          "text": "Calcium [Mass/volume] in Serum or Plasma"
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        "valueQuantity": {
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          "value": 10.1,
          "unit": "mg/dL",
          "code": "mg/dL"
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              "system": "http://unitsofmeasure.org"
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        ],
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        "status": "final",
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        "effectiveDateTime": "2020-10-08T06:17:44Z",
        "specimen": {
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    {
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        "code": {
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              "code": "2951-2",
              "system": "http://loinc.org",
              "display": "Sodium [Moles/volume] in Serum or Plasma"
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          "text": "Sodium [Moles/volume] in Serum or Plasma"
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        "valueQuantity": {
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          "value": 140,
          "unit": "mmol/L",
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              "code": "2823-3",
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              "code": "34533-0",
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              "code": "32167-9",
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          ],
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              "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": 2.1,
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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": "2339-0",
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              "display": "Glucose [Mass/volume] in Blood"
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          "text": "Glucose [Mass/volume] in Blood"
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              "value": 0,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 150,
              "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>08-Oct-2020</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Triglyceride [Mass/volume] in Serum or Plasma</td><td>143.9</td><td>0 - 150</td><td></td><td>mg/dL</td></tr></table></div>"
        },
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                "code": "laboratory",
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        "code": {
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              "code": "18262-6",
              "system": "http://loinc.org",
              "display": "Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay"
            }
          ],
          "text": "Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 75.4,
          "unit": "mg/dL",
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              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 100,
              "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>08-Oct-2020</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay</td><td>75.4</td><td>0 - 100</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
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      "fullUrl": "urn:uuid:bf4bb1fb-6e21-47de-97be-ee4522f4de1d",
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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": 59.2,
          "unit": "mg/dL",
          "code": "mg/dL"
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            },
            "high": {
              "value": 60,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>08-Oct-2020</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Cholesterol in HDL [Mass/volume] in Serum or Plasma</td><td>59.2</td><td>40 - 60</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
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          "display": "Tom Hayward"
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        "specimen": {
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      "fullUrl": "urn:uuid:045e6edc-9182-4f63-9d43-ab3df4a945ad",
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        "id": "045e6edc-9182-4f63-9d43-ab3df4a945ad",
        "meta": {
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                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
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            "display": "The Central European Lab"
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        "code": {
          "coding": [
            {
              "code": "14959-1",
              "system": "http://loinc.org",
              "display": "Microalbumin/Creatinine [Mass Ratio] in Urine"
            }
          ],
          "text": "Microalbumin/Creatinine [Mass Ratio] in Urine"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 285.1,
          "unit": "mg/g",
          "code": "mg/g"
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              "system": "http://unitsofmeasure.org"
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            "high": {
              "value": 30,
              "code": "mg/g",
              "system": "http://unitsofmeasure.org"
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                "code": "H",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "display": "High"
              }
            ]
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>08-Oct-2020</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Microalbumin/Creatinine [Mass Ratio] in Urine</td><td>285.1</td><td>0 - 30</td><td>H</td><td>mg/g</td></tr></table></div>"
        },
        "status": "final",
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          "reference": "urn:uuid:86ce8e83-33e3-4ee6-bfed-02019fa79572",
          "display": "Tom Hayward"
        },
        "effectiveDateTime": "2020-10-08T06:17:44Z",
        "specimen": {
          "reference": "urn:uuid:e13bcaf3-e791-454b-b87e-5d8c0dc41447"
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    {
      "fullUrl": "urn:uuid:ba9b67cc-e416-45b2-b17f-9f5e3775ea61",
      "resource": {
        "resourceType": "Device",
        "id": "ba9b67cc-e416-45b2-b17f-9f5e3775ea61",
        "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:5207a803-3586-466c-91d4-5de35ff714ac",
      "resource": {
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        "id": "5207a803-3586-466c-91d4-5de35ff714ac",
        "target": [
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            "reference": "urn:uuid:86ce8e83-33e3-4ee6-bfed-02019fa79572"
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          {
            "reference": "urn:uuid:9717fd03-4aee-4d5c-8332-ed6ecbbcfbe7"
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          {
            "reference": "urn:uuid:4bf98625-992c-4114-ac85-ae418735c6ad"
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          {
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            "reference": "urn:uuid:f216726a-8163-4192-b5f8-c44ff79e995a"
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            {
              "code": "CREATE",
              "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation",
              "display": "create"
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          ],
          "text": "Synthetic Example Data Generation"
        },
        "policy": [
          "https://synderai.net/synderai-synthetic-data-policy"
        ],
        "agent": [
          {
            "type": {
              "coding": [
                {
                  "code": "author",
                  "system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
                  "display": "Author"
                }
              ],
              "text": "author"
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        "reason": [
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            "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": "2020-10-08T08:17:44Z"
      }
    },
    {
      "fullUrl": "urn:uuid:4bf98625-992c-4114-ac85-ae418735c6ad",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "4bf98625-992c-4114-ac85-ae418735c6ad",
        "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: 4bf98625-992c-4114-ac85-ae418735c6ad</div>"
        },
        "practitioner": {
          "reference": "urn:uuid:8a36858c-e17a-4eb7-82b5-20ddbb54af1f"
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    {
      "fullUrl": "urn:uuid:8a36858c-e17a-4eb7-82b5-20ddbb54af1f",
      "resource": {
        "resourceType": "Practitioner",
        "id": "8a36858c-e17a-4eb7-82b5-20ddbb54af1f",
        "meta": {
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            "http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu"
          ]
        },
        "identifier": [
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            "assigner": {
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            "value": "86ceb362-b9d1-4c0e-bb7e-a6c114a23722"
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        ],
        "name": [
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            "given": [
              "Ex"
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            "family": "Ample"
          }
        ],
        "address": [
          {
            "line": [
              "Laboratoire Central Européenne",
              "Boulevard du Jardin Botanique 32"
            ],
            "postalCode": "1000",
            "city": "Brussels",
            "country": "Belgium"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Laboratory: Laboratoire Central Européenne, 1000 Brussels, Belgium</div>"
        }
      }
    }
  ],
  "type": "document",
  "timestamp": "2020-10-08T08:17:44Z"
}