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              {
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                      "code": "18723-7",
                      "system": "http://loinc.org",
                      "display": "Hematology studies (set)"
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                  "text": "Hematology"
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                  {
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                  {
                    "reference": "urn:uuid:c5216123-79de-46cf-a8c2-a8e5e25715b7"
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                "text": {
                  "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>22-NOV-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Leukocytes [#/volume] in Blood by Automated count</td><td>7.6</td><td>4.5 - 11.0</td><td>10*3/uL</td></tr><tr><td>Erythrocytes [#/volume] in Blood by Automated count</td><td><strong>5.5 H</strong></td><td>4.2 - 5.4</td><td>10*6/uL</td></tr><tr><td>Hemoglobin [Mass/volume] in Blood</td><td>12.6</td><td>12 - 16</td><td>g/dL</td></tr><tr><td>Hematocrit [Volume Fraction] of Blood by Automated count</td><td>36.4</td><td>36 - 46</td><td>%</td></tr><tr><td>MCV [Entitic mean volume] in Red Blood Cells by Automated count</td><td>89.0</td><td>80 - 100</td><td>fL</td></tr><tr><td>MCH [Entitic mass] by Automated count</td><td>27.7</td><td>27 - 33</td><td>pg</td></tr><tr><td>MCHC [Entitic Mass/volume] in Red Blood Cells by Automated count</td><td>35.5</td><td>32 - 36</td><td>g/dL</td></tr><tr><td>Erythrocyte distribution width [Entitic volume] by Automated count</td><td>40.3</td><td>36 - 46</td><td>fL</td></tr><tr><td>Platelets [#/volume] in Blood by Automated count</td><td>444.7</td><td>150 - 450</td><td>10*3/uL</td></tr><tr><td>Platelet distribution width [Entitic volume] in Blood by Automated count</td><td><strong>157.9 H</strong></td><td>9.4 - 12.3</td><td>fL</td></tr><tr><td>Platelet [Entitic mean volume] in Blood by Automated count</td><td>11.3</td><td>7.2 - 11.5</td><td>fL</td></tr></tbody></table></div>"
                },
                "title": "Hematology"
              },
              {
                "code": {
                  "coding": [
                    {
                      "code": "18719-5",
                      "system": "http://loinc.org",
                      "display": "Chemistry studies (set)"
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                  ],
                  "text": "Chemistry"
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                "entry": [
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                    "reference": "urn:uuid:255e588e-a463-4455-97d8-7f226a195703"
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                  {
                    "reference": "urn:uuid:1f6f0b88-d3e6-44dc-8a5e-8c31ae5a2152"
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                    "reference": "urn:uuid:cb7dbd7d-898e-4e90-94c5-55ed8f6146f2"
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                  {
                    "reference": "urn:uuid:7d853667-d401-421a-a388-00adf66550cf"
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                  {
                    "reference": "urn:uuid:11f1568e-7246-4c0e-98a6-94398861f5ba"
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                  {
                    "reference": "urn:uuid:f528eb7c-603b-4a3c-98cc-eaa5d372656e"
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                  {
                    "reference": "urn:uuid:75b78854-6606-4e0c-8a70-622b94f90d74"
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                  {
                    "reference": "urn:uuid:cd7e3a25-33bf-44ed-b196-535731fb61b3"
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                  {
                    "reference": "urn:uuid:33ef1b1f-dc5b-448e-bf3b-3f3ae95d3ec8"
                  },
                  {
                    "reference": "urn:uuid:9c4de9d9-ac1e-498c-b425-27b1ffe57272"
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                  {
                    "reference": "urn:uuid:e7ee9eb4-4e8d-4e9e-a23e-9d6e149ac58b"
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                  {
                    "reference": "urn:uuid:eae3ccfb-087a-45c0-9eba-83041a736ac9"
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                "text": {
                  "status": "generated",
                  "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Chemistry</h3><table class=\"hl7__eu__lab__report\"><thead><tr><th>Test</th><th>22-NOV-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Serum or Plasma</td><td>93.7</td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Serum or Plasma</td><td>10.9</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Serum or Plasma</td><td><strong>1.9 H</strong></td><td>0.5 - 1.1</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Serum or Plasma</td><td>9.4</td><td>8.6 - 10.2</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Serum or Plasma</td><td>141.3</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Serum or Plasma</td><td>4.8</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Serum or Plasma</td><td><strong>110.1 H</strong></td><td>98 - 107</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Serum or Plasma</td><td>28.8</td><td>22 - 29</td><td>mmol/L</td></tr><tr><td>Ketones [Presence] in Urine by Test strip</td><td>Urine ketone test = +</td><td></td><td></td></tr><tr><td>Hemoglobin A1c/Hemoglobin.total in Blood</td><td><strong>3.1 L</strong></td><td>4.0 - 5.6</td><td>%</td></tr><tr><td>Glucose [Mass/volume] in Blood</td><td>93.7</td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Blood</td><td>10.9</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Blood</td><td><strong>1.4 H</strong></td><td>0.5 - 1.1</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Blood</td><td>9.4</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Blood</td><td>141.3</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Blood</td><td>4.8</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Blood</td><td><strong>110.1 H</strong></td><td>98 - 110</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td>28.8</td><td>22 - 29</td><td>mmol/L</td></tr></tbody></table></div>"
                },
                "title": "Chemistry"
              },
              {
                "code": {
                  "coding": [
                    {
                      "code": "18729-4",
                      "system": "http://loinc.org",
                      "display": "Urinalysis studies (set)"
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                  ],
                  "text": "Urinalysis"
                },
                "entry": [
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                    "reference": "urn:uuid:b9ccf0c8-6609-4384-9b00-9ba15331acda"
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                    "reference": "urn:uuid:bf693e48-3f33-4b7a-a634-390df49ac284"
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                  {
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                  {
                    "reference": "urn:uuid:d923cb83-e17d-4bb3-854d-71a03c34f673"
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                  {
                    "reference": "urn:uuid:f5a23346-fb49-4310-b796-1caa58fe1b5b"
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                    "reference": "urn:uuid:a0a30930-00bc-4401-be4d-238b35fc8c24"
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                "text": {
                  "status": "generated",
                  "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Urinalysis</h3><table class=\"hl7__eu__lab__report\"><thead><tr><th>Test</th><th>22-NOV-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Urine by Test strip</td><td><strong>2.2 H</strong></td><td>0 - 0</td><td>mg/dL</td></tr><tr><td>Glucose [Presence] in Urine by Test strip</td><td>Urine glucose test = ++</td><td></td><td></td></tr><tr><td>Bilirubin.total [Mass/volume] in Urine by Test strip</td><td>0.3</td><td>0 - 4</td><td>mg/dL</td></tr><tr><td>Bilirubin.total [Presence] in Urine by Test strip</td><td>Finding of bilirubin in urine</td><td></td><td></td></tr><tr><td>Ketones [Mass/volume] in Urine by Test strip</td><td>16.3</td><td>0 - 20</td><td>mg/dL</td></tr><tr><td>Specific gravity of Urine by Test strip</td><td><strong>1.0 L</strong></td><td>1.005 - 1.030</td><td>{nominal}</td></tr><tr><td>pH of Urine by Test strip</td><td>5.8</td><td>5.0 - 8.0</td><td>pH</td></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td><strong>201.3 H</strong></td><td>0 - 20</td><td>mg/dL</td></tr><tr><td>Protein [Presence] in Urine by Test strip</td><td>Urine protein test = ++</td><td></td><td></td></tr><tr><td>Nitrite [Presence] in Urine by Test strip</td><td>Urine nitrite negative</td><td></td><td></td></tr><tr><td>Hemoglobin [Presence] in Urine by Test strip</td><td>Urine blood test = negative</td><td></td><td></td></tr><tr><td>Leukocyte esterase [Presence] in Urine by Test strip</td><td>Urine leukocyte test negative</td><td></td><td></td></tr></tbody></table></div>"
                },
                "title": "Urinalysis"
              },
              {
                "code": {
                  "coding": [
                    {
                      "code": "LP7846-1",
                      "system": "http://loinc.org",
                      "display": "Specimen information"
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                  ],
                  "text": "Specimen information"
                },
                "entry": [
                  {
                    "reference": "urn:uuid:c4919a19-d9a2-4e60-9b77-39e58bb8c9a9"
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                  {
                    "reference": "urn:uuid:f8556cd0-a57e-4a4f-95a4-5399c3e9d0ad"
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                  {
                    "reference": "urn:uuid:6f5674fb-afde-4450-a608-c5839e5900f5"
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                  {
                    "reference": "urn:uuid:860838d5-1aac-411d-8a55-72c89bc65f04"
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                ],
                "text": {
                  "status": "generated",
                  "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Specimen information</h3><table class=\"hl7__eu__lab__report\"><thead><tr><th>Test</th><th>22-NOV-2019</th><th>Specimen</th><th></th></tr></thead><tbody><tr><td>Appearance of Urine</td><td>Cloudy urine</td><td>Urine</td><td></td></tr><tr><td>Odor of Urine</td><td>Urine smell ammoniacal</td><td>Urine</td><td></td></tr><tr><td>Clarity of Urine</td><td>Translucent</td><td>Urine</td><td></td></tr><tr><td>Color of Urine</td><td>Brown color</td><td>Urine</td><td></td></tr></tbody></table></div>"
                },
                "title": "Specimen information"
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            ],
            "title": "Laboratory Report"
          },
          {
            "text": {
              "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, proteinuria, and abnormal urine findings (cloudy, brown, low specific gravity), suggesting possible renal impairment or glomerular pathology. Blood glucose is normal, but HbA1c is unexpectedly low—this may warrant repeat testing or review for analytical/clinical issues. Mild hyperchloremia and increased erythrocyte count are noted. Recommend nephrology evaluation and further assessment of renal function and urine abnormalities.</td></tr></table></div>"
            },
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        "text": {
          "status": "empty",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">intentionally left empty / not meaningful</div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:eebcba8d-289e-4e3d-8332-7364482d4913",
          "display": "Angela Bauer"
        },
        "date": "2019-11-22T12:23:19Z",
        "title": "Laboratory Report",
        "confidentiality": "N"
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        "category": [
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        "specimen": [
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        "status": "registered",
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              "code": "11502-2",
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          "reference": "urn:uuid:eebcba8d-289e-4e3d-8332-7364482d4913",
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            "given": [
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            "text": "Angela Bauer"
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        ],
        "address": [
          {
            "line": [
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            "use": "home",
            "type": "physical",
            "postalCode": "6240",
            "city": "Rattenberg",
            "country": "Austria"
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        ],
        "telecom": [
          {
            "system": "phone",
            "value": "(06235) 28231 921"
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        ],
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                "url": "code",
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              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality"
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                "display": "Osteoarthritis of hip"
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          "display": "Angela Bauer"
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        "name": "Dr. Gerald Mair"
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              "code": "mg/dL",
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              "display": "Urea nitrogen [Mass/volume] in Serum or Plasma"
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              "code": "mg/dL",
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        "specimen": {
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          "text": "Creatinine [Mass/volume] in Serum or Plasma"
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        },
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        "code": {
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              "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": 9.4,
          "unit": "mg/dL",
          "code": "mg/dL"
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              "value": 10.2,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
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              "display": "Hemoglobin A1c/Hemoglobin.total in Blood"
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              "display": "Glucose [Mass/volume] in Blood"
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          "value": 93.7,
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              "display": "Urea nitrogen [Mass/volume] in Blood"
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          ],
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          "value": 10.9,
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              "display": "Creatinine [Mass/volume] in Blood"
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          "text": "Creatinine [Mass/volume] in Blood"
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        "valueQuantity": {
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          "value": 1.4,
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              "display": "Calcium [Mass/volume] in Blood"
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          "value": 9.4,
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              "display": "Sodium [Moles/volume] in Blood"
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          ],
          "text": "Sodium [Moles/volume] in Blood"
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        "valueQuantity": {
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          "value": 141.3,
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            "high": {
              "value": 145,
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              "system": "http://unitsofmeasure.org"
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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": 4.8,
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              "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": 110.1,
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        "referenceRange": [
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              "display": "Carbon dioxide, total [Moles/volume] in Blood"
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          ],
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          "value": 28.8,
          "unit": "mmol/L",
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        "referenceRange": [
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        ],
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              "display": "Leukocytes [#/volume] in Blood by Automated count"
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          ],
          "text": "Leukocytes [#/volume] in Blood by Automated count"
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        "valueQuantity": {
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          "value": 7.6,
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          }
        ],
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          "text": "Platelet distribution width [Entitic volume] in Blood by Automated count"
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              "display": "Platelet [Entitic mean volume] in Blood by Automated count"
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          ],
          "text": "Platelet [Entitic mean volume] in Blood by Automated count"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 11.3,
          "unit": "fL",
          "code": "fL"
        },
        "referenceRange": [
          {
            "low": {
              "value": 7.2,
              "code": "fL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 11.5,
              "code": "fL",
              "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>22-Nov-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Platelet [Entitic mean volume] in Blood by Automated count</td><td>11.3</td><td>7.2 - 11.5</td><td></td><td>fL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:eebcba8d-289e-4e3d-8332-7364482d4913",
          "display": "Angela Bauer"
        },
        "effectiveDateTime": "2019-11-22T11:23:19Z",
        "specimen": {
          "reference": "urn:uuid:c13c6dd7-e7e9-4835-a974-4d0ec8a684fd"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:7f20e03f-f3bd-417f-b83a-3e73b234fec3",
      "resource": {
        "resourceType": "Device",
        "id": "7f20e03f-f3bd-417f-b83a-3e73b234fec3",
        "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:806ae45d-9fb6-429d-938c-3fe15d4810af",
      "resource": {
        "resourceType": "Provenance",
        "id": "806ae45d-9fb6-429d-938c-3fe15d4810af",
        "target": [
          {
            "reference": "urn:uuid:eebcba8d-289e-4e3d-8332-7364482d4913"
          },
          {
            "reference": "urn:uuid:17794805-4853-499c-8c2d-0e13aa1820cb"
          },
          {
            "reference": "urn:uuid:1e6e9265-8386-4e5e-9e4c-ec563c9fcb03"
          },
          {
            "reference": "urn:uuid:5390fa6e-b82a-4ebe-8dc9-b625fde721e2"
          },
          {
            "reference": "urn:uuid:64eab67f-bf2e-44c1-a354-23acc2f8d07b"
          },
          {
            "reference": "urn:uuid:949229c9-7da0-4213-8b71-7eaa88c76b4e"
          }
        ],
        "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:7f20e03f-f3bd-417f-b83a-3e73b234fec3"
            }
          }
        ],
        "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": "2019-11-22T12:23:19Z"
      }
    },
    {
      "fullUrl": "urn:uuid:1e6e9265-8386-4e5e-9e4c-ec563c9fcb03",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "1e6e9265-8386-4e5e-9e4c-ec563c9fcb03",
        "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: 1e6e9265-8386-4e5e-9e4c-ec563c9fcb03</div>"
        },
        "practitioner": {
          "reference": "urn:uuid:5390fa6e-b82a-4ebe-8dc9-b625fde721e2"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:5390fa6e-b82a-4ebe-8dc9-b625fde721e2",
      "resource": {
        "resourceType": "Practitioner",
        "id": "5390fa6e-b82a-4ebe-8dc9-b625fde721e2",
        "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": "8b417715-19a6-4157-8fad-c9ef1c7948e5"
          }
        ],
        "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": "2019-11-22T12:23:19Z"
}