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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>03-SEP-2018</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Blood</td><td>73.8</td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Blood</td><td>13.1</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Blood</td><td><strong>2.5 H</strong></td><td>0.6 - 1.3</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Blood</td><td>9.0</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Blood</td><td>137.7</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Blood</td><td>4.9</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Blood</td><td>102.7</td><td>98 - 110</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td>26.1</td><td>22 - 29</td><td>mmol/L</td></tr><tr><td>Protein [Mass/volume] in Serum or Plasma</td><td><strong>6.2 L</strong></td><td>6.6 - 8.3</td><td>g/dL</td></tr><tr><td>Albumin [Mass/volume] in Serum or Plasma</td><td>4.9</td><td>3.5 - 5.5</td><td>g/dL</td></tr><tr><td>Globulin [Mass/volume] in Serum by calculation</td><td><strong>2.8 L</strong></td><td>20 - 39</td><td>g/L</td></tr><tr><td>Bilirubin.total [Mass/volume] in Serum or Plasma</td><td>0.2</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>89.3</td><td>30 - 120</td><td>U/L</td></tr><tr><td>Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td>33.9</td><td>10 - 40</td><td>U/L</td></tr><tr><td>Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td>19.1</td><td>10 - 40</td><td>U/L</td></tr><tr><td>Cholesterol [Mass/volume] in Serum or Plasma</td><td>152.2</td><td>125 - 200</td><td>mg/dL</td></tr><tr><td>Triglyceride [Mass/volume] in Serum or Plasma</td><td><strong>193.6 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>140.3 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>44.6</td><td>40 - 60</td><td>mg/dL</td></tr></tbody></table></div>"
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            "title": "Laboratory Report"
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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 creatinine, suggesting impaired renal function. Total protein and globulin are low, which may indicate malnutrition or protein loss. LDL cholesterol and triglycerides are elevated, increasing cardiovascular risk. Other parameters, including liver enzymes and electrolytes, are within normal limits. Recommend further evaluation of renal function, nutritional status, and lipid management.</td></tr></table></div>"
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        "date": "2018-09-03T01:37:39Z",
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                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
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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": [
              "Faruk-Zobel-Weg 7090"
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            "use": "home",
            "type": "physical",
            "postalCode": "96317",
            "city": "Kronach",
            "country": "Germany"
          }
        ],
        "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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        "gender": "male",
        "birthDate": "1948-10-02"
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        "reasonCode": [
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                "code": "127013003",
                "system": "http://snomed.info/sct",
                "display": "Disorder of kidney due to diabetes mellitus"
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            ]
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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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                "display": "Chronic sinusitis"
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            ]
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                "display": "Ischemic heart disease"
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            ]
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                "display": "Essential hypertension"
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          },
          {
            "coding": [
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                "code": "271737000",
                "system": "http://snomed.info/sct",
                "display": "Anemia"
              }
            ]
          }
        ],
        "text": {
          "status": "empty",
          "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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        "text": {
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        "organization": {
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            ],
            "city": "Kronach",
            "postalCode": "96317",
            "country": "Germany"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provider Organization: Medizinisches Versorgungszentrum Kronach</div>"
        },
        "name": "Medizinisches Versorgungszentrum Kronach"
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        },
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          "value": 4.9,
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          "value": 102.7,
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              "code": "20565-8",
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              "display": "Carbon dioxide, total [Moles/volume] in Blood"
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          "value": 6.2,
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              "display": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
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          "value": 89.3,
          "unit": "U/L",
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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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        "code": {
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              "display": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
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          ],
          "text": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 19.1,
          "unit": "U/L",
          "code": "U/L"
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        "text": {
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        "code": {
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              "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": 152.2,
          "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>03-Sep-2018</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Cholesterol [Mass/volume] in Serum or Plasma</td><td>152.2</td><td>125 - 200</td><td></td><td>mg/dL</td></tr></table></div>"
        },
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        "code": {
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              "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": 193.6,
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        "text": {
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        },
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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"
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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": 140.3,
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            ]
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        ],
        "text": {
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        },
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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"
            }
          ],
          "text": "Cholesterol in HDL [Mass/volume] in Serum or Plasma"
        },
        "valueQuantity": {
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          "value": 44.6,
          "unit": "mg/dL",
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              "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>03-Sep-2018</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Cholesterol in HDL [Mass/volume] in Serum or Plasma</td><td>44.6</td><td>40 - 60</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:0e27daf8-cd63-41d6-9738-8686692f04a8",
          "display": "Ahmed Wirth"
        },
        "effectiveDateTime": "2018-09-02T23:37:39Z",
        "specimen": {
          "reference": "urn:uuid:2f275d35-4b13-420a-9cc4-a86032d5aa52"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:d458849f-4fd7-4abc-9310-f62ad0a997c6",
      "resource": {
        "resourceType": "Device",
        "id": "d458849f-4fd7-4abc-9310-f62ad0a997c6",
        "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:6b928c2b-cd1e-4d39-ad96-bef1ae2a75f4",
      "resource": {
        "resourceType": "Provenance",
        "id": "6b928c2b-cd1e-4d39-ad96-bef1ae2a75f4",
        "target": [
          {
            "reference": "urn:uuid:0e27daf8-cd63-41d6-9738-8686692f04a8"
          },
          {
            "reference": "urn:uuid:f2272a8f-deb1-402f-a5d8-1cf3b9db21ac"
          },
          {
            "reference": "urn:uuid:85b003a5-c3d0-43fa-93ab-7664357ab73e"
          },
          {
            "reference": "urn:uuid:32683e2c-4071-4628-ab20-30c94fda4ed0"
          },
          {
            "reference": "urn:uuid:75910d35-43ec-4deb-a7d9-5706e53d7122"
          },
          {
            "reference": "urn:uuid:353a8dab-06a2-4ab2-a776-e7c701cdff25"
          }
        ],
        "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:d458849f-4fd7-4abc-9310-f62ad0a997c6"
            }
          }
        ],
        "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": "2018-09-03T01:37:39Z"
      }
    },
    {
      "fullUrl": "urn:uuid:85b003a5-c3d0-43fa-93ab-7664357ab73e",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "85b003a5-c3d0-43fa-93ab-7664357ab73e",
        "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: 85b003a5-c3d0-43fa-93ab-7664357ab73e</div>"
        },
        "practitioner": {
          "reference": "urn:uuid:32683e2c-4071-4628-ab20-30c94fda4ed0"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:32683e2c-4071-4628-ab20-30c94fda4ed0",
      "resource": {
        "resourceType": "Practitioner",
        "id": "32683e2c-4071-4628-ab20-30c94fda4ed0",
        "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": "d0962ce4-a50b-49a9-bbfe-3498d1b07791"
          }
        ],
        "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": "2018-09-03T01:37:39Z"
}