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                      "system": "http://loinc.org",
                      "display": "Hematology studies (set)"
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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>09-AUG-2022</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Leukocytes [#/volume] in Blood by Automated count</td><td>4.9</td><td>4.5 - 11.0</td><td>10*3/uL</td></tr><tr><td>Erythrocytes [#/volume] in Blood by Automated count</td><td>5.0</td><td>4.2 - 5.4</td><td>10*6/uL</td></tr><tr><td>Hemoglobin [Mass/volume] in Blood</td><td><strong>16.4 H</strong></td><td>12 - 16</td><td>g/dL</td></tr><tr><td>Hematocrit [Volume Fraction] of Blood by Automated count</td><td>45.4</td><td>36 - 46</td><td>%</td></tr><tr><td>MCV [Entitic mean volume] in Red Blood Cells by Automated count</td><td>82.7</td><td>80 - 100</td><td>fL</td></tr><tr><td>MCH [Entitic mass] by Automated count</td><td>31.3</td><td>27 - 33</td><td>pg</td></tr><tr><td>MCHC [Entitic Mass/volume] in Red Blood Cells by Automated count</td><td>33.3</td><td>32 - 36</td><td>g/dL</td></tr><tr><td>Erythrocyte distribution width [Entitic volume] by Automated count</td><td>42.6</td><td>36 - 46</td><td>fL</td></tr><tr><td>Platelets [#/volume] in Blood by Automated count</td><td>268.4</td><td>150 - 450</td><td>10*3/uL</td></tr><tr><td>Platelet distribution width [Entitic volume] in Blood by Automated count</td><td><strong>508.2 H</strong></td><td>9.4 - 12.3</td><td>fL</td></tr><tr><td>Platelet [Entitic mean volume] in Blood by Automated count</td><td>11.0</td><td>7.2 - 11.5</td><td>fL</td></tr></tbody></table></div>"
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                "title": "Hematology"
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                      "display": "Chemistry studies (set)"
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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>09-AUG-2022</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Hemoglobin A1c/Hemoglobin.total in Blood</td><td><strong>6.4 H</strong></td><td>4.0 - 5.6</td><td>%</td></tr><tr><td>Glucose [Mass/volume] in Blood</td><td>73.1</td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Blood</td><td>16.7</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Blood</td><td>0.8</td><td>0.5 - 1.1</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Blood</td><td>9.2</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Blood</td><td>137.3</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Blood</td><td>4.3</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Blood</td><td>106.1</td><td>98 - 110</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td><strong>20.6 L</strong></td><td>22 - 29</td><td>mmol/L</td></tr></tbody></table></div>"
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              "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 HbA1c (6.4%), indicating prediabetes or possible diabetes, and a mildly elevated hemoglobin. Total CO2 is slightly low, which may suggest mild metabolic acidosis or compensation. All other parameters, including renal function, electrolytes, and blood counts, are within normal limits. Recommend clinical correlation for glycemic status and further evaluation if symptoms or risk factors are present.</td></tr></table></div>"
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                  "display": "Annotation comment [Interpretation] Narrative"
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            "title": "Annotation comment"
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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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          "reference": "urn:uuid:f4237ca2-e59e-4575-82e5-60ffe122627a",
          "display": "Hanna Gutmann"
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        "date": "2022-08-09T08:41:37Z",
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          "status": "empty",
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              "code": "HTEST"
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              "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
              "code": "TRAIN"
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          "tag": [
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              "code": "synthetic",
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            "system": "http://ec.europa.eu/identifier/eci",
            "value": "1078-407870-0"
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                  "code": "MR",
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
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              ]
            },
            "system": "http://local.setting.eu/identifier",
            "value": "d30471ab-4d49-a655-db66-5a913e5379ce"
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        ],
        "name": [
          {
            "given": [
              "Hanna"
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            "family": "Gutmann",
            "text": "Hanna Gutmann"
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        ],
        "address": [
          {
            "line": [
              "Matheo-Roth-Platz 967"
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            "use": "home",
            "type": "physical",
            "postalCode": "4070",
            "city": "Eferding",
            "country": "Austria"
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "03574 70151 945"
          }
        ],
        "extension": [
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            "extension": [
              {
                "url": "code",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "code": "AT",
                      "system": "urn:iso:std:iso:3166"
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                  ]
                }
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Hanna Gutmann</td><td>female</td><td>18-Feb-1969</td></tr></table></div>"
        },
        "gender": "female",
        "birthDate": "1969-02-18"
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        ],
        "reasonCode": [
          {
            "coding": [
              {
                "code": "271737000",
                "system": "http://snomed.info/sct",
                "display": "Anemia"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "254837009",
                "system": "http://snomed.info/sct",
                "display": "Malignant neoplasm of breast"
              }
            ]
          }
        ],
        "text": {
          "status": "empty",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">intentionally left empty / not meaningful</div>"
        },
        "status": "active",
        "intent": "order",
        "code": {
          "coding": [
            {
              "code": "108252007",
              "system": "http://snomed.info/sct",
              "display": "Laboratory procedure"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:f4237ca2-e59e-4575-82e5-60ffe122627a",
          "display": "Hanna Gutmann"
        },
        "requester": {
          "reference": "urn:uuid:8e0361cd-0473-4444-9469-508ffd9cdcd6"
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      }
    },
    {
      "fullUrl": "urn:uuid:8e0361cd-0473-4444-9469-508ffd9cdcd6",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "8e0361cd-0473-4444-9469-508ffd9cdcd6",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu"
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        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provider Role Id: 8e0361cd-0473-4444-9469-508ffd9cdcd6</div>"
        },
        "organization": {
          "reference": "urn:uuid:48e2a8a2-66b1-430e-85c5-a8928d969dc8"
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    {
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        "resourceType": "Organization",
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        "meta": {
          "profile": [
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        "identifier": [
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            "value": "74222518-dd40-49e0-aaa3-c636d11f82e8"
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        ],
        "address": [
          {
            "line": [
              "Georgestraße 27"
            ],
            "city": "Langenstein",
            "postalCode": "4222",
            "country": "Austria"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provider Organization: Dr. Hohl</div>"
        },
        "name": "Dr. Hohl"
      }
    },
    {
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        },
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              "system": "http://snomed.info/sct",
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          ]
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      }
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        "category": [
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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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              "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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        "valueQuantity": {
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            "high": {
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              "system": "http://unitsofmeasure.org"
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              "system": "http://loinc.org",
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          ],
          "text": "Urea nitrogen [Mass/volume] in Blood"
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        "valueQuantity": {
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          "value": 16.7,
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            "high": {
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              "code": "mg/dL",
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            {
              "code": "38483-4",
              "system": "http://loinc.org",
              "display": "Creatinine [Mass/volume] in Blood"
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          ],
          "text": "Creatinine [Mass/volume] in Blood"
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        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 0.8,
          "unit": "mg/dL",
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            "high": {
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              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
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          }
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              "code": "49765-1",
              "system": "http://loinc.org",
              "display": "Calcium [Mass/volume] in Blood"
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          ],
          "text": "Calcium [Mass/volume] in Blood"
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          "value": 9.2,
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              "system": "http://unitsofmeasure.org"
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        "text": {
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        "code": {
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              "code": "2947-0",
              "system": "http://loinc.org",
              "display": "Sodium [Moles/volume] in Blood"
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          ],
          "text": "Sodium [Moles/volume] in Blood"
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        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 137.3,
          "unit": "mmol/L",
          "code": "mmol/L"
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            "high": {
              "value": 145,
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              "system": "http://unitsofmeasure.org"
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          }
        ],
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        "code": {
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              "system": "http://loinc.org",
              "display": "Potassium [Moles/volume] in Blood"
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          ],
          "text": "Potassium [Moles/volume] in Blood"
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        "valueQuantity": {
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          "value": 4.3,
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            "high": {
              "value": 5.1,
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              "system": "http://unitsofmeasure.org"
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        ],
        "text": {
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        "code": {
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              "code": "2069-3",
              "system": "http://loinc.org",
              "display": "Chloride [Moles/volume] in Blood"
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          ],
          "text": "Chloride [Moles/volume] in Blood"
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        "valueQuantity": {
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          "value": 106.1,
          "unit": "mmol/L",
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        "referenceRange": [
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            "high": {
              "value": 110,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "text": {
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              "display": "Carbon dioxide, total [Moles/volume] in Blood"
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          ],
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          "value": 20.6,
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        ],
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        "code": {
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              "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": {
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          "value": 4.9,
          "unit": "10*3/uL",
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              "system": "http://unitsofmeasure.org"
            }
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        ],
        "text": {
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        },
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              "display": "Erythrocytes [#/volume] in Blood by Automated count"
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>09-Aug-2022</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Platelet [Entitic mean volume] in Blood by Automated count</td><td>11.0</td><td>7.2 - 11.5</td><td></td><td>fL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:f4237ca2-e59e-4575-82e5-60ffe122627a",
          "display": "Hanna Gutmann"
        },
        "effectiveDateTime": "2022-08-09T06:41:37Z",
        "specimen": {
          "reference": "urn:uuid:93523ff7-1add-49b4-b362-c4c5ebfb207e"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:83ff0f31-040f-4e90-8415-113be89ace81",
      "resource": {
        "resourceType": "Device",
        "id": "83ff0f31-040f-4e90-8415-113be89ace81",
        "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:7ecafe71-f597-43a9-9043-06ab83642c3f",
      "resource": {
        "resourceType": "Provenance",
        "id": "7ecafe71-f597-43a9-9043-06ab83642c3f",
        "target": [
          {
            "reference": "urn:uuid:f4237ca2-e59e-4575-82e5-60ffe122627a"
          },
          {
            "reference": "urn:uuid:bff13905-f455-4f3f-a279-4f4cef6867d7"
          },
          {
            "reference": "urn:uuid:f80483a9-4e0f-4b1d-b6a9-c555c57c8528"
          },
          {
            "reference": "urn:uuid:acc52603-4270-49b1-8ef2-262395db275b"
          },
          {
            "reference": "urn:uuid:8e0361cd-0473-4444-9469-508ffd9cdcd6"
          },
          {
            "reference": "urn:uuid:48e2a8a2-66b1-430e-85c5-a8928d969dc8"
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        ],
        "activity": {
          "coding": [
            {
              "code": "CREATE",
              "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation",
              "display": "create"
            }
          ],
          "text": "Synthetic Example Data Generation"
        },
        "policy": [
          "https://synderai.net/synderai-synthetic-data-policy"
        ],
        "agent": [
          {
            "type": {
              "coding": [
                {
                  "code": "author",
                  "system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
                  "display": "Author"
                }
              ],
              "text": "author"
            },
            "who": {
              "reference": "urn:uuid:83ff0f31-040f-4e90-8415-113be89ace81"
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        ],
        "reason": [
          {
            "coding": [
              {
                "code": "TRAIN",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
                "display": "training"
              }
            ],
            "text": "Interoperability Testing and Training (non-clinical use)"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provenance for SYNDERAI Synthetic Example Data Resource</div>"
        },
        "recorded": "2022-08-09T08:41:37Z"
      }
    },
    {
      "fullUrl": "urn:uuid:f80483a9-4e0f-4b1d-b6a9-c555c57c8528",
      "resource": {
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        "id": "f80483a9-4e0f-4b1d-b6a9-c555c57c8528",
        "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: f80483a9-4e0f-4b1d-b6a9-c555c57c8528</div>"
        },
        "practitioner": {
          "reference": "urn:uuid:acc52603-4270-49b1-8ef2-262395db275b"
        }
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    },
    {
      "fullUrl": "urn:uuid:acc52603-4270-49b1-8ef2-262395db275b",
      "resource": {
        "resourceType": "Practitioner",
        "id": "acc52603-4270-49b1-8ef2-262395db275b",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu"
          ]
        },
        "identifier": [
          {
            "assigner": {
              "display": "HL7 Europe"
            },
            "system": "urn:oid:2.16.840.1.113883.2.51.999",
            "value": "c1e14634-ae22-455a-ab02-e9b26d793694"
          }
        ],
        "name": [
          {
            "prefix": [
              "dr"
            ],
            "given": [
              "Ex"
            ],
            "family": "Ample"
          }
        ],
        "address": [
          {
            "line": [
              "Laboratoire Central Européenne",
              "Boulevard du Jardin Botanique 32"
            ],
            "postalCode": "1000",
            "city": "Brussels",
            "country": "Belgium"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Laboratory: Laboratoire Central Européenne, 1000 Brussels, Belgium</div>"
        }
      }
    }
  ],
  "type": "document",
  "timestamp": "2022-08-09T08:41:37Z"
}