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              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Annotation</h3><table class=\"hl7__eu__lab__report\"><tr><th>Conclusion and Recommendations based on this report and previous findings known to us</th></tr><tr><td>The patient shows significantly elevated creatinine, suggesting impaired renal function. Mildly elevated ALT may indicate some hepatic involvement. Total protein and globulin are low, possibly reflecting decreased synthesis or increased loss. Triglycerides are elevated, indicating dyslipidemia. Other parameters are within normal limits. Renal function impairment should be further evaluated and correlated clinically.</td></tr></table></div>"
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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>25-Nov-2018</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Protein [Mass/volume] in Serum or Plasma</td><td>6.1</td><td>6.6 - 8.3</td><td>L</td><td>g/dL</td></tr></table></div>"
        },
        "status": "final",
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          "display": "Rosario Varela"
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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"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 5.4,
          "unit": "g/dL",
          "code": "g/dL"
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            },
            "high": {
              "value": 5.5,
              "code": "g/dL",
              "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>25-Nov-2018</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Albumin [Mass/volume] in Serum or Plasma</td><td>5.4</td><td>3.5 - 5.5</td><td></td><td>g/dL</td></tr></table></div>"
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        "code": {
          "coding": [
            {
              "code": "10834-0",
              "system": "http://loinc.org",
              "display": "Globulin [Mass/volume] in Serum by calculation"
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          ],
          "text": "Globulin [Mass/volume] in Serum by calculation"
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        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 2,
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          "status": "generated",
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        },
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        "code": {
          "coding": [
            {
              "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": 1,
          "unit": "mg/dL",
          "code": "mg/dL"
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        "referenceRange": [
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            "low": {
              "value": 0.2,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 1.2,
              "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>25-Nov-2018</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Bilirubin.total [Mass/volume] in Serum or Plasma</td><td>1.0</td><td>0.2 - 1.2</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
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          "display": "Rosario Varela"
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        "effectiveDateTime": "2018-11-25T02:42:26Z",
        "specimen": {
          "reference": "urn:uuid:507c44b2-5e8d-4340-9c18-4c107496ef4c"
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      }
    },
    {
      "fullUrl": "urn:uuid:a553b10c-54cd-4eda-9f27-2e276164ba02",
      "resource": {
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        "id": "a553b10c-54cd-4eda-9f27-2e276164ba02",
        "meta": {
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        },
        "category": [
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                "code": "laboratory",
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        "code": {
          "coding": [
            {
              "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"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 58.5,
          "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>25-Nov-2018</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma</td><td>58.5</td><td>39 - 117</td><td></td><td>U/L</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
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          "display": "Rosario Varela"
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        "effectiveDateTime": "2018-11-25T02:42:26Z",
        "specimen": {
          "reference": "urn:uuid:507c44b2-5e8d-4340-9c18-4c107496ef4c"
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      }
    },
    {
      "fullUrl": "urn:uuid:44fb6087-34f5-4298-a22c-31302d68c331",
      "resource": {
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        "id": "44fb6087-34f5-4298-a22c-31302d68c331",
        "meta": {
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        },
        "category": [
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        ],
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        ],
        "code": {
          "coding": [
            {
              "code": "1742-6",
              "system": "http://loinc.org",
              "display": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
            }
          ],
          "text": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 44.6,
          "unit": "U/L",
          "code": "U/L"
        },
        "referenceRange": [
          {
            "low": {
              "value": 10,
              "code": "U/L",
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            "high": {
              "value": 40,
              "code": "U/L",
              "system": "http://unitsofmeasure.org"
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        ],
        "interpretation": [
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            "coding": [
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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>25-Nov-2018</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td>44.6</td><td>10 - 40</td><td>H</td><td>U/L</td></tr></table></div>"
        },
        "status": "final",
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          "display": "Rosario Varela"
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        "effectiveDateTime": "2018-11-25T02:42:26Z",
        "specimen": {
          "reference": "urn:uuid:507c44b2-5e8d-4340-9c18-4c107496ef4c"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:909723b4-70dd-44ff-9c63-393fbd04f72d",
      "resource": {
        "resourceType": "Observation",
        "id": "909723b4-70dd-44ff-9c63-393fbd04f72d",
        "meta": {
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        },
        "category": [
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            "coding": [
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                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
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            ]
          }
        ],
        "performer": [
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        ],
        "code": {
          "coding": [
            {
              "code": "1920-8",
              "system": "http://loinc.org",
              "display": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
            }
          ],
          "text": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 33.3,
          "unit": "U/L",
          "code": "U/L"
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        "referenceRange": [
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              "value": 10,
              "code": "U/L",
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            },
            "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>25-Nov-2018</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td>33.3</td><td>10 - 40</td><td></td><td>U/L</td></tr></table></div>"
        },
        "status": "final",
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        "effectiveDateTime": "2018-11-25T02:42:26Z",
        "specimen": {
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    },
    {
      "fullUrl": "urn:uuid:d0fd5691-3d7d-495d-b057-b51bb9dce8e5",
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        "category": [
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        ],
        "performer": [
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        "code": {
          "coding": [
            {
              "code": "2093-3",
              "system": "http://loinc.org",
              "display": "Cholesterol [Mass/volume] in Serum or Plasma"
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          ],
          "text": "Cholesterol [Mass/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 150.9,
          "unit": "mg/dL",
          "code": "mg/dL"
        },
        "referenceRange": [
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            "low": {
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              "code": "mg/dL",
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            },
            "high": {
              "value": 200,
              "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>25-Nov-2018</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Cholesterol [Mass/volume] in Serum or Plasma</td><td>150.9</td><td>125 - 200</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
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          "display": "Rosario Varela"
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        "effectiveDateTime": "2018-11-25T02:42:26Z",
        "specimen": {
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    {
      "fullUrl": "urn:uuid:f552e6be-a288-427f-890b-92e9819b2998",
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        "category": [
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        ],
        "performer": [
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        ],
        "code": {
          "coding": [
            {
              "code": "2571-8",
              "system": "http://loinc.org",
              "display": "Triglyceride [Mass/volume] in Serum or Plasma"
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          ],
          "text": "Triglyceride [Mass/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 185.1,
          "unit": "mg/dL",
          "code": "mg/dL"
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        "referenceRange": [
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              "value": 0,
              "code": "mg/dL",
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            "high": {
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              "system": "http://unitsofmeasure.org"
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                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "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>25-Nov-2018</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Triglyceride [Mass/volume] in Serum or Plasma</td><td>185.1</td><td>0 - 150</td><td>H</td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
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          "display": "Rosario Varela"
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        "effectiveDateTime": "2018-11-25T02:42:26Z",
        "specimen": {
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    {
      "fullUrl": "urn:uuid:cf303d23-e645-4e1d-9c7c-5fbcd715801f",
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        "category": [
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        ],
        "performer": [
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        ],
        "code": {
          "coding": [
            {
              "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": 82.2,
          "unit": "mg/dL",
          "code": "mg/dL"
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            },
            "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>25-Nov-2018</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>82.2</td><td>0 - 100</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
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        "effectiveDateTime": "2018-11-25T02:42:26Z",
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            ]
          }
        ],
        "performer": [
          {
            "display": "The Central European Lab"
          }
        ],
        "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": 45.6,
          "unit": "mg/dL",
          "code": "mg/dL"
        },
        "referenceRange": [
          {
            "low": {
              "value": 40,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            },
            "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>25-Nov-2018</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Cholesterol in HDL [Mass/volume] in Serum or Plasma</td><td>45.6</td><td>40 - 60</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:1eef7549-b8a6-4722-bac2-dff7d9a582e1",
          "display": "Rosario Varela"
        },
        "effectiveDateTime": "2018-11-25T02:42:26Z",
        "specimen": {
          "reference": "urn:uuid:507c44b2-5e8d-4340-9c18-4c107496ef4c"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:5dff7e81-7f32-47d4-8609-18ee597487bf",
      "resource": {
        "resourceType": "Device",
        "id": "5dff7e81-7f32-47d4-8609-18ee597487bf",
        "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:5583bf3e-daa8-45f9-896c-5e33402c6c27",
      "resource": {
        "resourceType": "Provenance",
        "id": "5583bf3e-daa8-45f9-896c-5e33402c6c27",
        "target": [
          {
            "reference": "urn:uuid:1eef7549-b8a6-4722-bac2-dff7d9a582e1"
          },
          {
            "reference": "urn:uuid:8adae4f5-75a3-4e14-bf91-543a520e1efd"
          },
          {
            "reference": "urn:uuid:7c15ceda-61fa-4e1b-9493-01fc9a76a049"
          },
          {
            "reference": "urn:uuid:588b03b1-f354-4e08-b583-9953232b9ab3"
          },
          {
            "reference": "urn:uuid:cf7f7a1d-ce82-4184-b477-f8fa30267258"
          },
          {
            "reference": "urn:uuid:9d98cb1a-b6ef-4e82-931c-5879de840b41"
          }
        ],
        "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:5dff7e81-7f32-47d4-8609-18ee597487bf"
            }
          }
        ],
        "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": "2018-11-25T03:42:26Z"
      }
    },
    {
      "fullUrl": "urn:uuid:7c15ceda-61fa-4e1b-9493-01fc9a76a049",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "7c15ceda-61fa-4e1b-9493-01fc9a76a049",
        "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: 7c15ceda-61fa-4e1b-9493-01fc9a76a049</div>"
        },
        "practitioner": {
          "reference": "urn:uuid:588b03b1-f354-4e08-b583-9953232b9ab3"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:588b03b1-f354-4e08-b583-9953232b9ab3",
      "resource": {
        "resourceType": "Practitioner",
        "id": "588b03b1-f354-4e08-b583-9953232b9ab3",
        "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": "31e01a9f-5261-4d76-95a3-d59953d07cc2"
          }
        ],
        "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": "2018-11-25T03:42:26Z"
}