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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 elevated creatinine, suggesting impaired renal function, and mildly decreased total CO₂, possibly indicating mild metabolic acidosis. Liver enzymes (ALT) are slightly elevated, and lipid profile reveals high LDL, high triglycerides, and low HDL, indicating increased cardiovascular risk. Other parameters are within normal limits. Clinical correlation and further evaluation of renal and hepatic function, as well as cardiovascular risk management, are recommended.</td></tr></table></div>"
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              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality"
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          "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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        ],
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        "status": "active",
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        "text": {
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            "city": "Kronach",
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            "country": "Germany"
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        ],
        "text": {
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        "name": "Medizinisches Versorgungszentrum Kronach"
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              "value": 100,
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            {
              "code": "6299-2",
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              "display": "Creatinine [Mass/volume] in Blood"
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              "display": "Sodium [Moles/volume] in Blood"
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            "high": {
              "value": 145,
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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": 5,
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            "high": {
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        "category": [
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              "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": 107.2,
          "unit": "mmol/L",
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        "referenceRange": [
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              "system": "http://unitsofmeasure.org"
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          }
        ],
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              "display": "Carbon dioxide, total [Moles/volume] in Blood"
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          ],
          "text": "Carbon dioxide, total [Moles/volume] in Blood"
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          "value": 21.1,
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        "code": {
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            {
              "code": "2885-2",
              "system": "http://loinc.org",
              "display": "Protein [Mass/volume] in Serum or Plasma"
            }
          ],
          "text": "Protein [Mass/volume] in Serum or Plasma"
        },
        "valueQuantity": {
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          "value": 7.1,
          "unit": "g/dL",
          "code": "g/dL"
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        "referenceRange": [
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            },
            "high": {
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        ],
        "text": {
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        },
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                "code": "laboratory",
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        ],
        "code": {
          "coding": [
            {
              "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": 5.3,
          "unit": "g/dL",
          "code": "g/dL"
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            "high": {
              "value": 5.5,
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              "system": "http://unitsofmeasure.org"
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          }
        ],
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          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>26-Sep-2021</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Albumin [Mass/volume] in Serum or Plasma</td><td>5.3</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"
            }
          ],
          "text": "Globulin [Mass/volume] in Serum by calculation"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 2.2,
          "unit": "g/L",
          "code": "g/L"
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            "high": {
              "value": 39,
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        "specimen": {
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        ],
        "performer": [
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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": 0.8,
          "unit": "mg/dL",
          "code": "mg/dL"
        },
        "referenceRange": [
          {
            "low": {
              "value": 0.1,
              "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>26-Sep-2021</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Bilirubin.total [Mass/volume] in Serum or Plasma</td><td>0.8</td><td>0.1 - 1.2</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
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          "display": "Ahmed Wirth"
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        "effectiveDateTime": "2021-09-25T23:37:39Z",
        "specimen": {
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    {
      "fullUrl": "urn:uuid:12a3cf85-1d4f-4fc0-8a9a-3d4e25ee8a64",
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        "meta": {
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        },
        "category": [
          {
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              {
                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
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            ]
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        ],
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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": 90.8,
          "unit": "U/L",
          "code": "U/L"
        },
        "referenceRange": [
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            "low": {
              "value": 30,
              "code": "U/L",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 120,
              "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>26-Sep-2021</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma</td><td>90.8</td><td>30 - 120</td><td></td><td>U/L</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
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          "display": "Ahmed Wirth"
        },
        "effectiveDateTime": "2021-09-25T23:37:39Z",
        "specimen": {
          "reference": "urn:uuid:8aaace17-a28c-47fc-941d-bf5f446568ac"
        }
      }
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    {
      "fullUrl": "urn:uuid:c36cda25-e8df-4513-99bc-1d16dd43bd95",
      "resource": {
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        "id": "c36cda25-e8df-4513-99bc-1d16dd43bd95",
        "meta": {
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        "category": [
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              {
                "code": "laboratory",
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            ]
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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": 49.7,
          "unit": "U/L",
          "code": "U/L"
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        "referenceRange": [
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            },
            "high": {
              "value": 40,
              "code": "U/L",
              "system": "http://unitsofmeasure.org"
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        "interpretation": [
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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>26-Sep-2021</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td>49.7</td><td>10 - 40</td><td>H</td><td>U/L</td></tr></table></div>"
        },
        "status": "final",
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          "display": "Ahmed Wirth"
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        "effectiveDateTime": "2021-09-25T23:37:39Z",
        "specimen": {
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    },
    {
      "fullUrl": "urn:uuid:dea3fccc-b262-42d1-9b73-4671c67695a2",
      "resource": {
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        "id": "dea3fccc-b262-42d1-9b73-4671c67695a2",
        "meta": {
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        "category": [
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                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
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            ]
          }
        ],
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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": 21.3,
          "unit": "U/L",
          "code": "U/L"
        },
        "referenceRange": [
          {
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              "value": 10,
              "code": "U/L",
              "system": "http://unitsofmeasure.org"
            },
            "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>26-Sep-2021</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td>21.3</td><td>10 - 40</td><td></td><td>U/L</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
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          "display": "Ahmed Wirth"
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        "effectiveDateTime": "2021-09-25T23:37:39Z",
        "specimen": {
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      }
    },
    {
      "fullUrl": "urn:uuid:c8b17c81-62e8-4970-bd74-3fc44dbce4bd",
      "resource": {
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        "id": "c8b17c81-62e8-4970-bd74-3fc44dbce4bd",
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        },
        "category": [
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            ]
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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"
            }
          ],
          "text": "Cholesterol [Mass/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 171.5,
          "unit": "mg/dL",
          "code": "mg/dL"
        },
        "referenceRange": [
          {
            "low": {
              "value": 125,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            },
            "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>26-Sep-2021</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Cholesterol [Mass/volume] in Serum or Plasma</td><td>171.5</td><td>125 - 200</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
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          "display": "Ahmed Wirth"
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        "effectiveDateTime": "2021-09-25T23:37:39Z",
        "specimen": {
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    {
      "fullUrl": "urn:uuid:196aa944-4d25-4257-92b8-b6308b082a4f",
      "resource": {
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        "id": "196aa944-4d25-4257-92b8-b6308b082a4f",
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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"
            }
          ],
          "text": "Triglyceride [Mass/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 162.4,
          "unit": "mg/dL",
          "code": "mg/dL"
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        "referenceRange": [
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              "value": 0,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 150,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
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        ],
        "interpretation": [
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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>26-Sep-2021</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Triglyceride [Mass/volume] in Serum or Plasma</td><td>162.4</td><td>0 - 150</td><td>H</td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
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          "display": "Ahmed Wirth"
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        "effectiveDateTime": "2021-09-25T23:37:39Z",
        "specimen": {
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    {
      "fullUrl": "urn:uuid:e698991c-7154-4054-aa2c-04797527fd27",
      "resource": {
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        "id": "e698991c-7154-4054-aa2c-04797527fd27",
        "meta": {
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        "category": [
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            ]
          }
        ],
        "performer": [
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        ],
        "code": {
          "coding": [
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              "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": 147,
          "unit": "mg/dL",
          "code": "mg/dL"
        },
        "referenceRange": [
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            "low": {
              "value": 0,
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              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 100,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
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          }
        ],
        "interpretation": [
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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>26-Sep-2021</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>147.0</td><td>0 - 100</td><td>H</td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
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          "display": "Ahmed Wirth"
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        "effectiveDateTime": "2021-09-25T23:37:39Z",
        "specimen": {
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      "fullUrl": "urn:uuid:305e75d1-9868-4a5f-b48a-ca2d8128d650",
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        "category": [
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            ]
          }
        ],
        "performer": [
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        ],
        "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": 38,
          "unit": "mg/dL",
          "code": "mg/dL"
        },
        "referenceRange": [
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              "code": "mg/dL",
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            },
            "high": {
              "value": 60,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "interpretation": [
          {
            "coding": [
              {
                "code": "L",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "display": "Low"
              }
            ]
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>26-Sep-2021</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Cholesterol in HDL [Mass/volume] in Serum or Plasma</td><td>38.0</td><td>40 - 60</td><td>L</td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:c915096a-4138-43cf-b98b-0cfff096c526",
          "display": "Ahmed Wirth"
        },
        "effectiveDateTime": "2021-09-25T23:37:39Z",
        "specimen": {
          "reference": "urn:uuid:8aaace17-a28c-47fc-941d-bf5f446568ac"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:722939d5-24e3-459f-b477-30bb9230a7b0",
      "resource": {
        "resourceType": "Device",
        "id": "722939d5-24e3-459f-b477-30bb9230a7b0",
        "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:52e8ca40-d650-4c36-ba7c-ef9b2f69c761",
      "resource": {
        "resourceType": "Provenance",
        "id": "52e8ca40-d650-4c36-ba7c-ef9b2f69c761",
        "target": [
          {
            "reference": "urn:uuid:c915096a-4138-43cf-b98b-0cfff096c526"
          },
          {
            "reference": "urn:uuid:ad82ba74-f35a-4019-aaf3-a437be6261ec"
          },
          {
            "reference": "urn:uuid:6f57525b-df2a-47b8-8653-7f6d8a386304"
          },
          {
            "reference": "urn:uuid:a4d4f20b-4805-450e-b8d8-da07aa5d4725"
          },
          {
            "reference": "urn:uuid:c64bcbda-6ab3-4381-9408-adec671c3420"
          },
          {
            "reference": "urn:uuid:bdad4517-fa74-47e3-8bb6-5f5c7e7461a6"
          }
        ],
        "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:722939d5-24e3-459f-b477-30bb9230a7b0"
            }
          }
        ],
        "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": "2021-09-26T01:37:39Z"
      }
    },
    {
      "fullUrl": "urn:uuid:6f57525b-df2a-47b8-8653-7f6d8a386304",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "6f57525b-df2a-47b8-8653-7f6d8a386304",
        "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: 6f57525b-df2a-47b8-8653-7f6d8a386304</div>"
        },
        "practitioner": {
          "reference": "urn:uuid:a4d4f20b-4805-450e-b8d8-da07aa5d4725"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:a4d4f20b-4805-450e-b8d8-da07aa5d4725",
      "resource": {
        "resourceType": "Practitioner",
        "id": "a4d4f20b-4805-450e-b8d8-da07aa5d4725",
        "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": "6ca9ad49-249f-46b2-b4ca-c9a77d6a07d4"
          }
        ],
        "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": "2021-09-26T01:37:39Z"
}