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                  "status": "generated",
                  "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-MAR-2021</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Leukocytes [#/volume] in Blood by Automated count</td><td><strong>3.6 L</strong></td><td>4.0 - 11.0</td><td>10*3/uL</td></tr><tr><td>Erythrocytes [#/volume] in Blood by Automated count</td><td><strong>4.2 L</strong></td><td>4.3 - 5.7</td><td>10*6/uL</td></tr><tr><td>Hemoglobin [Mass/volume] in Blood</td><td><strong>13.2 L</strong></td><td>13.5 - 17.5</td><td>g/dL</td></tr><tr><td>Hematocrit [Volume Fraction] of Blood by Automated count</td><td>45.6</td><td>37 - 49</td><td>%</td></tr><tr><td>MCV [Entitic mean volume] in Red Blood Cells by Automated count</td><td>91.7</td><td>80 - 100</td><td>fL</td></tr><tr><td>MCH [Entitic mass] by Automated count</td><td>30.7</td><td>27 - 33</td><td>pg</td></tr><tr><td>MCHC [Entitic Mass/volume] in Red Blood Cells by Automated count</td><td>32.4</td><td>32 - 36</td><td>g/dL</td></tr><tr><td>Erythrocyte [DistWidth] in Blood by Automated count</td><td>13.5</td><td>11.5 - 14.5</td><td>%</td></tr><tr><td>Platelets [#/volume] in Blood by Automated count</td><td><strong>102.3 L</strong></td><td>150 - 450</td><td>10*3/uL</td></tr><tr><td>Neutrophils/100 leukocytes in Blood by Automated count</td><td><strong>30.9 L</strong></td><td>40 - 74</td><td>%</td></tr><tr><td>Lymphocytes/100 leukocytes in Blood by Automated count</td><td><strong>10.1 L</strong></td><td>20 - 40</td><td>%</td></tr><tr><td>Monocytes/100 leukocytes in Blood by Automated count</td><td><strong>12.7 H</strong></td><td>2 - 10</td><td>%</td></tr><tr><td>Eosinophils/100 leukocytes in Blood by Automated count</td><td>4.8</td><td>0 - 6</td><td>%</td></tr><tr><td>Basophils/100 leukocytes in Blood by Automated count</td><td><strong>2.3 H</strong></td><td>0.5 - 1.0</td><td>%</td></tr><tr><td>Neutrophils [#/volume] in Blood by Automated count</td><td>3.0</td><td>1.8 - 7.8</td><td>10*3/uL</td></tr><tr><td>Lymphocytes [#/volume] in Blood by Automated count</td><td>1.1</td><td>1.0 - 3.4</td><td>10*3/uL</td></tr><tr><td>Monocytes [#/volume] in Blood by Automated count</td><td><strong>0.9 H</strong></td><td>0.2 - 0.8</td><td>10*3/uL</td></tr><tr><td>Eosinophils [#/volume] in Blood by Automated count</td><td>0.3</td><td>0.0 - 0.5</td><td>10*3/uL</td></tr><tr><td>Basophils [#/volume] in Blood by Automated count</td><td>0.2</td><td>0.0 - 0.2</td><td>10*3/uL</td></tr></tbody></table></div>"
                },
                "title": "Hematology"
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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>09-MAR-2021</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Oxygen saturation in Arterial blood</td><td><strong>85.3 L</strong></td><td>95 - 100</td><td>%</td></tr><tr><td>Glucose [Mass/volume] in Serum or Plasma</td><td>73.3</td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Serum or Plasma</td><td>7.4</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Serum or Plasma</td><td><strong>2.7 H</strong></td><td>0.6 - 1.3</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Serum or Plasma</td><td>9.2</td><td>8.6 - 10.3</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Serum or Plasma</td><td>140.9</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Serum or Plasma</td><td>4.2</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Serum or Plasma</td><td>105.3</td><td>98 - 107</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Serum or Plasma</td><td>24.1</td><td>22 - 29</td><td>mmol/L</td></tr><tr><td>Protein [Mass/volume] in Serum or Plasma</td><td>7.4</td><td>6.6 - 8.3</td><td>g/dL</td></tr><tr><td>Albumin [Mass/volume] in Serum or Plasma</td><td>4.8</td><td>3.5 - 5.5</td><td>g/dL</td></tr><tr><td>Bilirubin.total [Mass/volume] in Serum or Plasma</td><td><strong>13.3 H</strong></td><td>0.2 - 1.2</td><td>mg/dL</td></tr><tr><td>Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma</td><td>56.4</td><td>30 - 120</td><td>U/L</td></tr><tr><td>Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td>37.3</td><td>10 - 40</td><td>U/L</td></tr><tr><td>Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td>31.8</td><td>10 - 40</td><td>U/L</td></tr><tr><td>Ferritin [Mass/volume] in Serum or Plasma</td><td><strong>450.6 H</strong></td><td>24 - 336</td><td>ug/L</td></tr><tr><td>Troponin I.cardiac [Mass/volume] in Serum or Plasma by High sensitivity method</td><td>3.4</td><td>0 - 19.9</td><td>pg/mL</td></tr><tr><td>Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma by Lactate to pyruvate reaction</td><td>217.4</td><td>140 - 280</td><td>U/L</td></tr><tr><td>Creatine kinase [Enzymatic activity/volume] in Serum or Plasma</td><td>40.4</td><td>24 - 204</td><td>U/L</td></tr><tr><td>C reactive protein [Mass/volume] in Serum or Plasma</td><td>9.7</td><td>0 - 10</td><td>mg/L</td></tr><tr><td>Procalcitonin [Mass/volume] in Serum or Plasma</td><td>0.1</td><td>0 - 0.5</td><td>ng/mL</td></tr></tbody></table></div>"
                },
                "title": "Chemistry"
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                      "system": "http://loinc.org",
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                  "text": "Coagulation"
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                  "status": "generated",
                  "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Coagulation</h3><table class=\"hl7__eu__lab__report\"><thead><tr><th>Test</th><th>09-MAR-2021</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Fibrin D-dimer FEU [Mass/volume] in Platelet poor plasma</td><td>0.3</td><td>0 - 0.5</td><td>ug/mL</td></tr><tr><td>Prothrombin time (PT)</td><td>12.3</td><td>11.0 - 13.0</td><td>s</td></tr><tr><td>INR in Platelet poor plasma by Coagulation assay</td><td><strong>3.0 H</strong></td><td>0.9 - 1.2</td><td>{INR}</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 marked hypoxemia, anemia, leukopenia, thrombocytopenia, and abnormal white cell differential (monocytosis, basophilia, low neutrophil and lymphocyte percentages). There is severe hyperbilirubinemia, elevated creatinine (renal dysfunction), high ferritin, and a markedly elevated INR (coagulopathy). These findings suggest multi-organ dysfunction, likely with hepatic and renal impairment, possible bone marrow suppression, and a high risk of bleeding. Immediate clinical evaluation is recommended.</td></tr></table></div>"
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        "date": "2021-03-09T10:28:48Z",
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            "system": "phone",
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            "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality"
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                "display": "Chronic sinusitis"
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        "name": "Dr. Tomas Bakas"
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              "code": "6690-2",
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              "display": "Leukocytes [#/volume] in Blood by Automated count"
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              "display": "Erythrocytes [#/volume] in Blood by Automated count"
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        "valueQuantity": {
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          "value": 4.2,
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                "display": "Low"
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            ]
          }
        ],
        "text": {
          "status": "generated",
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        },
        "status": "final",
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          "display": "Kristina Pocius"
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        "specimen": {
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              "display": "Hemoglobin [Mass/volume] in Blood"
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          "value": 13.2,
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        "code": {
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              "display": "Erythrocyte [DistWidth] in Blood by Automated count"
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        "code": {
          "coding": [
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              "code": "777-3",
              "system": "http://loinc.org",
              "display": "Platelets [#/volume] in Blood by Automated count"
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          ],
          "text": "Platelets [#/volume] in Blood by Automated count"
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        "valueQuantity": {
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          "value": 102.3,
          "unit": "10*3/uL",
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        },
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        "code": {
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              "code": "770-8",
              "system": "http://loinc.org",
              "display": "Neutrophils/100 leukocytes in Blood by Automated count"
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          ],
          "text": "Neutrophils/100 leukocytes in Blood by Automated count"
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              "system": "http://loinc.org",
              "display": "Lymphocytes/100 leukocytes in Blood by Automated count"
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          ],
          "text": "Lymphocytes/100 leukocytes in Blood by Automated count"
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              "code": "5905-5",
              "system": "http://loinc.org",
              "display": "Monocytes/100 leukocytes in Blood by Automated count"
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          ],
          "text": "Monocytes/100 leukocytes in Blood by Automated count"
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        "valueQuantity": {
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          "value": 12.7,
          "unit": "%",
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            {
              "code": "2160-0",
              "system": "http://loinc.org",
              "display": "Creatinine [Mass/volume] in Serum or Plasma"
            }
          ],
          "text": "Creatinine [Mass/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 2.7,
          "unit": "mg/dL",
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            "high": {
              "value": 1.3,
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                "display": "High"
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          "status": "generated",
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        "code": {
          "coding": [
            {
              "code": "17861-6",
              "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": 9.2,
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            },
            "high": {
              "value": 10.3,
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              "system": "http://unitsofmeasure.org"
            }
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          "coding": [
            {
              "code": "2951-2",
              "system": "http://loinc.org",
              "display": "Sodium [Moles/volume] in Serum or Plasma"
            }
          ],
          "text": "Sodium [Moles/volume] in Serum or Plasma"
        },
        "valueQuantity": {
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          "value": 140.9,
          "unit": "mmol/L",
          "code": "mmol/L"
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        "referenceRange": [
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              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 145,
              "code": "mmol/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>09-Mar-2021</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Sodium [Moles/volume] in Serum or Plasma</td><td>140.9</td><td>135 - 145</td><td></td><td>mmol/L</td></tr></table></div>"
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        "code": {
          "coding": [
            {
              "code": "2823-3",
              "system": "http://loinc.org",
              "display": "Potassium [Moles/volume] in Serum or Plasma"
            }
          ],
          "text": "Potassium [Moles/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 4.2,
          "unit": "mmol/L",
          "code": "mmol/L"
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            "high": {
              "value": 5.1,
              "code": "mmol/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>09-Mar-2021</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Potassium [Moles/volume] in Serum or Plasma</td><td>4.2</td><td>3.5 - 5.1</td><td></td><td>mmol/L</td></tr></table></div>"
        },
        "status": "final",
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          "display": "Kristina Pocius"
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        "specimen": {
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              "code": "2075-0",
              "system": "http://loinc.org",
              "display": "Chloride [Moles/volume] in Serum or Plasma"
            }
          ],
          "text": "Chloride [Moles/volume] in Serum or Plasma"
        },
        "valueQuantity": {
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          "value": 105.3,
          "unit": "mmol/L",
          "code": "mmol/L"
        },
        "referenceRange": [
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              "value": 107,
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            }
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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>09-Mar-2021</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Chloride [Moles/volume] in Serum or Plasma</td><td>105.3</td><td>98 - 107</td><td></td><td>mmol/L</td></tr></table></div>"
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        "code": {
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              "code": "2028-9",
              "system": "http://loinc.org",
              "display": "Carbon dioxide, total [Moles/volume] in Serum or Plasma"
            }
          ],
          "text": "Carbon dioxide, total [Moles/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 24.1,
          "unit": "mmol/L",
          "code": "mmol/L"
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        "referenceRange": [
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            "high": {
              "value": 29,
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              "system": "http://unitsofmeasure.org"
            }
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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>09-Mar-2021</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Carbon dioxide, total [Moles/volume] in Serum or Plasma</td><td>24.1</td><td>22 - 29</td><td></td><td>mmol/L</td></tr></table></div>"
        },
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        "code": {
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              "system": "http://loinc.org",
              "display": "Protein [Mass/volume] in Serum or Plasma"
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          ],
          "text": "Protein [Mass/volume] in Serum or Plasma"
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        "valueQuantity": {
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          "value": 7.4,
          "unit": "g/dL",
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        "referenceRange": [
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              "system": "http://unitsofmeasure.org"
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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>09-Mar-2021</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Protein [Mass/volume] in Serum or Plasma</td><td>7.4</td><td>6.6 - 8.3</td><td></td><td>g/dL</td></tr></table></div>"
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        "code": {
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              "display": "Albumin [Mass/volume] in Serum or Plasma"
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          ],
          "text": "Albumin [Mass/volume] in Serum or Plasma"
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          "value": 4.8,
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        },
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        "code": {
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              "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": 13.3,
          "unit": "mg/dL",
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            ]
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        ],
        "text": {
          "status": "generated",
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        "code": {
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              "code": "6768-6",
              "system": "http://loinc.org",
              "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": 56.4,
          "unit": "U/L",
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            "high": {
              "value": 120,
              "code": "U/L",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "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>09-Mar-2021</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma</td><td>56.4</td><td>30 - 120</td><td></td><td>U/L</td></tr></table></div>"
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              "display": "Procalcitonin [Mass/volume] in Serum or Plasma"
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              "system": "http://unitsofmeasure.org"
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            "type": "manufacturer-name"
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        ],
        "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"
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          ],
          "text": "Synthetic Example Data Generation"
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        "agent": [
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                "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": "2021-03-09T10:28:48Z"
      }
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        "meta": {
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Laboratory Role Id: 62d2d00a-4ed9-4033-a804-b91e185458f2</div>"
        },
        "practitioner": {
          "reference": "urn:uuid:465d6f20-2ad6-4832-9d66-c9e1bb9b96c9"
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        "id": "465d6f20-2ad6-4832-9d66-c9e1bb9b96c9",
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            "family": "Ample"
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        ],
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              "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>"
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      }
    }
  ],
  "type": "document",
  "timestamp": "2021-03-09T10:28:48Z"
}
