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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>08-OCT-2023</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Blood</td><td>84.7</td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Blood</td><td>15.0</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Blood</td><td><strong>3.5 H</strong></td><td>0.6 - 1.3</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Blood</td><td>8.8</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Blood</td><td>143.1</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Blood</td><td>3.8</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Blood</td><td>107.2</td><td>98 - 110</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td>26.0</td><td>22 - 29</td><td>mmol/L</td></tr><tr><td>Protein [Mass/volume] in Serum or Plasma</td><td>8.0</td><td>6.6 - 8.3</td><td>g/dL</td></tr><tr><td>Albumin [Mass/volume] in Serum or Plasma</td><td>4.3</td><td>3.5 - 5.5</td><td>g/dL</td></tr><tr><td>Globulin [Mass/volume] in Serum by calculation</td><td><strong>2.6 L</strong></td><td>20 - 39</td><td>g/L</td></tr><tr><td>Bilirubin.total [Mass/volume] in Serum or Plasma</td><td>0.3</td><td>0.1 - 1.2</td><td>mg/dL</td></tr><tr><td>Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma</td><td>76.0</td><td>30 - 120</td><td>U/L</td></tr><tr><td>Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td><strong>49.5 H</strong></td><td>10 - 40</td><td>U/L</td></tr><tr><td>Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td>21.4</td><td>10 - 40</td><td>U/L</td></tr><tr><td>Cholesterol [Mass/volume] in Serum or Plasma</td><td>178.3</td><td>125 - 200</td><td>mg/dL</td></tr><tr><td>Triglyceride [Mass/volume] in Serum or Plasma</td><td><strong>154.3 H</strong></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>137.8 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><strong>74.6 H</strong></td><td>40 - 60</td><td>mg/dL</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 significantly elevated creatinine, suggesting impaired renal function. Mildly elevated ALT may indicate some liver involvement. Lipid profile reveals high LDL, triglycerides, and HDL, indicating dyslipidemia. Globulin is markedly low, which may warrant further evaluation for immunodeficiency or protein loss. Other parameters are within normal limits. Recommend clinical correlation and further nephrological and hepatic assessment.</td></tr></table></div>"
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            "system": "http://local.setting.eu/identifier",
            "value": "c594c462-da31-9fab-0316-acdd66d1c0d5"
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        ],
        "name": [
          {
            "given": [
              "Ahmed"
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            "family": "Wirth",
            "text": "Ahmed Wirth"
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        ],
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          {
            "line": [
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            "use": "home",
            "type": "physical",
            "postalCode": "96317",
            "city": "Kronach",
            "country": "Germany"
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        ],
        "telecom": [
          {
            "system": "phone",
            "value": "06478333493"
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        "extension": [
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            "extension": [
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                "url": "code",
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                      "code": "DE",
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                  ]
                }
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality"
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        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Ahmed Wirth</td><td>male</td><td>02-Oct-1948</td></tr></table></div>"
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                "display": "Chronic sinusitis"
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                "display": "Essential hypertension"
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                "code": "271737000",
                "system": "http://snomed.info/sct",
                "display": "Anemia"
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            ]
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        ],
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        "status": "active",
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            "city": "Kronach",
            "postalCode": "96317",
            "country": "Germany"
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        ],
        "text": {
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        "name": "Medizinisches Versorgungszentrum Kronach"
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          "value": 4.3,
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              "code": "10834-0",
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              "display": "Globulin [Mass/volume] in Serum by calculation"
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          "text": "Globulin [Mass/volume] in Serum by calculation"
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          "value": 2.6,
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              "code": "1975-2",
              "system": "http://loinc.org",
              "display": "Bilirubin.total [Mass/volume] in Serum or Plasma"
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          "text": "Bilirubin.total [Mass/volume] in Serum or Plasma"
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        "valueQuantity": {
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          "value": 0.3,
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            "high": {
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            }
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        "text": {
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              "code": "6768-6",
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              "display": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
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          "text": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
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        "valueQuantity": {
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          "value": 76,
          "unit": "U/L",
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              "code": "U/L",
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>08-Oct-2023</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma</td><td>76.0</td><td>30 - 120</td><td></td><td>U/L</td></tr></table></div>"
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        "code": {
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              "code": "1742-6",
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              "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": 49.5,
          "unit": "U/L",
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        "code": {
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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"
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        "valueQuantity": {
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          "value": 21.4,
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        ],
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        "code": {
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              "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"
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        "valueQuantity": {
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          "value": 178.3,
          "unit": "mg/dL",
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          }
        ],
        "text": {
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>08-Oct-2023</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Cholesterol [Mass/volume] in Serum or Plasma</td><td>178.3</td><td>125 - 200</td><td></td><td>mg/dL</td></tr></table></div>"
        },
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        "code": {
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              "system": "http://loinc.org",
              "display": "Triglyceride [Mass/volume] in Serum or Plasma"
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          ],
          "text": "Triglyceride [Mass/volume] in Serum or Plasma"
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        "valueQuantity": {
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          "value": 154.3,
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        },
        "status": "final",
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        "code": {
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              "system": "http://loinc.org",
              "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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        "valueQuantity": {
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          "value": 137.8,
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        "text": {
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        ],
        "code": {
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              "code": "2085-9",
              "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"
        },
        "valueQuantity": {
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          "value": 74.6,
          "unit": "mg/dL",
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            },
            "high": {
              "value": 60,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "interpretation": [
          {
            "coding": [
              {
                "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-2023</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Cholesterol in HDL [Mass/volume] in Serum or Plasma</td><td>74.6</td><td>40 - 60</td><td>H</td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:08118b9d-ee9f-4a85-9699-e4d774a07e09",
          "display": "Ahmed Wirth"
        },
        "effectiveDateTime": "2023-10-07T23:37:39Z",
        "specimen": {
          "reference": "urn:uuid:6f4e3df0-a257-4846-acdb-1e17de6260f7"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:3f7b750d-3a32-4633-af1c-e8733fe48bee",
      "resource": {
        "resourceType": "Device",
        "id": "3f7b750d-3a32-4633-af1c-e8733fe48bee",
        "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:a022b3dd-7a95-4c1a-b3c3-8093fbffc3d5",
      "resource": {
        "resourceType": "Provenance",
        "id": "a022b3dd-7a95-4c1a-b3c3-8093fbffc3d5",
        "target": [
          {
            "reference": "urn:uuid:08118b9d-ee9f-4a85-9699-e4d774a07e09"
          },
          {
            "reference": "urn:uuid:397d90a7-ae12-4876-bd23-c8c63b7e6238"
          },
          {
            "reference": "urn:uuid:86e8f9a4-4a70-4b5c-aeed-1a4be9ae7a92"
          },
          {
            "reference": "urn:uuid:d4aed0ab-dfc8-4872-9cd1-4e35803b8496"
          },
          {
            "reference": "urn:uuid:68007ef5-c379-4315-9278-3312880ff479"
          },
          {
            "reference": "urn:uuid:776b8da7-cf2f-425f-bdca-966cf5323ba0"
          }
        ],
        "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:3f7b750d-3a32-4633-af1c-e8733fe48bee"
            }
          }
        ],
        "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": "2023-10-08T01:37:39Z"
      }
    },
    {
      "fullUrl": "urn:uuid:86e8f9a4-4a70-4b5c-aeed-1a4be9ae7a92",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "86e8f9a4-4a70-4b5c-aeed-1a4be9ae7a92",
        "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: 86e8f9a4-4a70-4b5c-aeed-1a4be9ae7a92</div>"
        },
        "practitioner": {
          "reference": "urn:uuid:d4aed0ab-dfc8-4872-9cd1-4e35803b8496"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:d4aed0ab-dfc8-4872-9cd1-4e35803b8496",
      "resource": {
        "resourceType": "Practitioner",
        "id": "d4aed0ab-dfc8-4872-9cd1-4e35803b8496",
        "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": "0b2a1e1c-a744-478c-8c9a-5864f68e0cda"
          }
        ],
        "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": "2023-10-08T01:37:39Z"
}