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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>23-MAR-2018</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Blood</td><td>88.2</td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Blood</td><td>12.0</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Blood</td><td><strong>3.3 H</strong></td><td>0.6 - 1.3</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Blood</td><td>9.9</td><td>8.6 - 10.3</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Blood</td><td>140.9</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>107.8</td><td>98 - 110</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td><strong>21.8 L</strong></td><td>22 - 29</td><td>mmol/L</td></tr><tr><td>Protein [Mass/volume] in Serum or Plasma</td><td><strong>6.5 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>4.7</td><td>3.5 - 5.0</td><td>g/dL</td></tr><tr><td>Globulin [Mass/volume] in Serum by calculation</td><td><strong>3.3 L</strong></td><td>25 - 35</td><td>g/L</td></tr><tr><td>Bilirubin.total [Mass/volume] in Serum or Plasma</td><td>1.2</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>66.8</td><td>32 - 91</td><td>U/L</td></tr><tr><td>Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td>25.8</td><td>7 - 56</td><td>U/L</td></tr><tr><td>Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td>32.7</td><td>10 - 40</td><td>U/L</td></tr><tr><td>Cholesterol [Mass/volume] in Serum or Plasma</td><td>191.6</td><td>125 - 200</td><td>mg/dL</td></tr><tr><td>Triglyceride [Mass/volume] in Serum or Plasma</td><td><strong>189.8 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>124.0 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>47.2</td><td>40 - 60</td><td>mg/dL</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 elevated creatinine, suggesting impaired renal function. Total protein and globulin are slightly low, and total CO₂ is mildly decreased, which may indicate mild metabolic acidosis or protein loss. Lipid profile reveals elevated triglycerides and LDL cholesterol, increasing cardiovascular risk. Other parameters are within normal limits. Recommend further evaluation of renal function and cardiovascular risk management.</td></tr></table></div>"
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        "date": "2018-03-23T09:59:15Z",
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        "name": [
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            "given": [
              "Katja"
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            "family": "Mäkelä",
            "text": "Katja Mäkelä"
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        ],
        "address": [
          {
            "line": [
              "Uudenkaupunginkuja 53"
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            "use": "home",
            "type": "physical",
            "postalCode": "43100",
            "city": "Saarijärvi",
            "country": "Finland"
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        ],
        "telecom": [
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            "system": "phone",
            "value": "(+358) 606162265"
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        ],
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            "extension": [
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                "url": "code",
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                      "code": "FI",
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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>Katja Mäkelä</td><td>female</td><td>28-Nov-1954</td></tr></table></div>"
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        "gender": "female",
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            ]
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          {
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            ]
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          {
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                "code": "185086009",
                "system": "http://snomed.info/sct",
                "display": "Emphysematous bronchitis"
              }
            ]
          }
        ],
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          "status": "empty",
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        "status": "active",
        "intent": "order",
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        "text": {
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        "name": "Vesannon terveyskeskus"
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          "value": 107.8,
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              "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": 6.5,
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        ],
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              "code": "1751-7",
              "system": "http://loinc.org",
              "display": "Albumin [Mass/volume] in Serum or Plasma"
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          ],
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              "code": "10834-0",
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              "display": "Globulin [Mass/volume] in Serum by calculation"
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          "text": "Globulin [Mass/volume] in Serum by calculation"
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          "value": 3.3,
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              "display": "Bilirubin.total [Mass/volume] in Serum or Plasma"
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              "code": "6768-6",
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              "display": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
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        "valueQuantity": {
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          "value": 66.8,
          "unit": "U/L",
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        "code": {
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              "code": "1742-6",
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              "display": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
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          "text": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
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        "code": {
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              "system": "http://loinc.org",
              "display": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
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          ],
          "text": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
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        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 32.7,
          "unit": "U/L",
          "code": "U/L"
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        "referenceRange": [
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            "high": {
              "value": 40,
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        ],
        "text": {
          "status": "generated",
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        "code": {
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              "code": "2093-3",
              "system": "http://loinc.org",
              "display": "Cholesterol [Mass/volume] in Serum or Plasma"
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          ],
          "text": "Cholesterol [Mass/volume] in Serum or Plasma"
        },
        "valueQuantity": {
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          "value": 191.6,
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        ],
        "text": {
          "status": "generated",
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        },
        "status": "final",
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        "effectiveDateTime": "2018-03-23T08:59:15Z",
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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": 189.8,
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        ],
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        },
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        "code": {
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              "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": 124,
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            ]
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        ],
        "text": {
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        "code": {
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              "code": "2085-9",
              "system": "http://loinc.org",
              "display": "Cholesterol in HDL [Mass/volume] in Serum or Plasma"
            }
          ],
          "text": "Cholesterol in HDL [Mass/volume] in Serum or Plasma"
        },
        "valueQuantity": {
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          "value": 47.2,
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        "referenceRange": [
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            "low": {
              "value": 40,
              "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>23-Mar-2018</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Cholesterol in HDL [Mass/volume] in Serum or Plasma</td><td>47.2</td><td>40 - 60</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:1f11717f-d3cc-4503-b6eb-ef1eeb1a956c",
          "display": "Katja Mäkelä"
        },
        "effectiveDateTime": "2018-03-23T08:59:15Z",
        "specimen": {
          "reference": "urn:uuid:f8dd183c-305e-461c-b7f1-e8eb38ce3a5b"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:fc0ff2bd-2885-4fa2-ab74-6cbfca102815",
      "resource": {
        "resourceType": "Device",
        "id": "fc0ff2bd-2885-4fa2-ab74-6cbfca102815",
        "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:1e77107a-23a0-4d3a-bf58-4650c886021c",
      "resource": {
        "resourceType": "Provenance",
        "id": "1e77107a-23a0-4d3a-bf58-4650c886021c",
        "target": [
          {
            "reference": "urn:uuid:1f11717f-d3cc-4503-b6eb-ef1eeb1a956c"
          },
          {
            "reference": "urn:uuid:d7fcce51-b50e-4ad4-ae08-462abb8e4852"
          },
          {
            "reference": "urn:uuid:13544de4-c56c-4b55-8d2d-2da0e9c1d954"
          },
          {
            "reference": "urn:uuid:9401da7a-4e05-47f8-9d1e-64d8e3c07e98"
          },
          {
            "reference": "urn:uuid:a6f7d396-ece3-4865-9f65-6febc5e05e80"
          },
          {
            "reference": "urn:uuid:1c10936c-566b-46c4-ab84-a6f9658512b6"
          }
        ],
        "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:fc0ff2bd-2885-4fa2-ab74-6cbfca102815"
            }
          }
        ],
        "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": "2018-03-23T09:59:15Z"
      }
    },
    {
      "fullUrl": "urn:uuid:13544de4-c56c-4b55-8d2d-2da0e9c1d954",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "13544de4-c56c-4b55-8d2d-2da0e9c1d954",
        "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: 13544de4-c56c-4b55-8d2d-2da0e9c1d954</div>"
        },
        "practitioner": {
          "reference": "urn:uuid:9401da7a-4e05-47f8-9d1e-64d8e3c07e98"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:9401da7a-4e05-47f8-9d1e-64d8e3c07e98",
      "resource": {
        "resourceType": "Practitioner",
        "id": "9401da7a-4e05-47f8-9d1e-64d8e3c07e98",
        "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": "55fd734b-5336-4549-88b2-df003586449c"
          }
        ],
        "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": "2018-03-23T09:59:15Z"
}